BONNER GENERAL HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- BONNER GENERAL HOSPITAL INC (EIN 82-0207116)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201143199349304089
- Schema version
- 2010v3.4
- 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 D
- Schedule H
- Schedule J
- Schedule K
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-15T11:00:17-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Eide Bailly LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 Nicollet Mall Ste 1300 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820207116 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bonner General Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BONN | NameControl |
| Phone | 2082631441 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1448 | AddressLine1 |
| City | Sandpoint | City |
| State | ID | State |
| ZIP Code | 83864 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Norilina Harvel | Name |
| Title | CFO | Title |
| Phone | 2082631441 | Phone |
| Date Signed | 2011-11-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kim Hunwardsen | Name |
| Phone | 6122536500 | Phone |
| Date Prepared | 2011-11-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bonner General Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Sheryl Rickard | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1448 | AddressLine1 |
| City | Sandpoint | City |
| State | ID | State |
| ZIP Code | 83864 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 44857334 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.bonnergen.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1949 | YearFormation |
| State Legal Domicile | ID | StateLegalDomicile |
| Activity Or Mission Description | To provide excellence in healthcare close to home. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 470 | TotalNbrEmployees |
| Total Nbr Volunteers | 9 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 277947 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 171859 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 45418251 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 44416567 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 243020 | InvestmentIncomePriorYear |
| Investment Income Current Year | 37843 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1780562 | OtherRevenuePriorYear |
| Other Revenue Current Year | 211735 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 47719780 | TotalRevenuePriorYear |
| Total Revenue Current Year | 44838004 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 21424070 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21622594 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 9695 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22726705 | OtherExpensePriorYear |
| Other Expenses Current Year | 22364632 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 44150775 | TotalExpensesPriorYear |
| Total Expenses Current Year | 43987226 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3569005 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 850778 | RevenuesLessExpensesCY |
| Total Assets BOY | 30834847 | TotalAssetsBOY |
| Total Assets EOY | 33332550 | TotalAssetsEOY |
| Total Liabilities BOY | 15530511 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 17016419 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15304336 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 16316131 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To provide excellence in healthcare close to home. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 36999478 | Expense |
| Revenue | 44575502 | Revenue |
| Description | Bonner General Hospital (BGH), located in Sandpoint, Idaho, is a full-service critical access hospital licensed for 25 beds. BGH is accredited by the Joint Commission on Accreditation of Healthcare Organizations and is a member of the Voluntary Hospitals of America, Mountain States region. BGH is the sole provider of inpatient acute care and many other outpatient services in Bonner county. BGH provides services to a largely rural and widely dispersed population of approximately 57,000. Its patient service areas extend to the Canadian border, the western edge of Montana and the eastern border of Washington. BGH provides inpatient and outpatient services regardless of an individual's ability to pay, utilizing moral and ethical principles. Services provided include emergency care, diagnostic and therapeutic services, and prevention programs. BGH also provides educational programs, support groups, counseling and seminars for patients and the general public, as well as professional education programs for high school and college students and its staff. BGH is dedicated to providing quality, patient-focused services that are determined to be both necessary and feasible. Through evaluation and planning by hospital leadership, BGH will continue to identify the existing and future needs of the patients to be served and will strive to continually improve its performance in meeting those needs. During the period of 01/01/10 to 12/31/10, BGH admitted 2,163 patients, serviced 8,531 emergency room visits, delivered 344 babies and performed 4,117 surgical procedures. During that same period, BGH provided 5,577 days of patient care, 6,360 Home Health care visits and 4,576 Hospice visits. BGH provides care to persons covered by government-sponsored health care programs (i.e. Medicare and Medicaid) at below cost, as well as free and/or subsidized care to indigent patients. For the period of 01/01/10 to 12/31/10 BGH provided $18,217,447 in unreimbursed care to government-sponsored health care program (i.e. Medicare and Medicaid), $6,556,122 in uncompensated care to private pay patients, and $1,243,089 in charity care, based on gross charges. | Description |
| Total Program Service Expense | 36999478 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 1 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 0 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 1 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 83 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 470 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norilina Harvel | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2082631441 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1448 | AddressLine1 |
| City | Sandpoint | City |
| State | ID | State |
| ZIP Code | 83864 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Ford Elsaesser | |||||||
| Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Tim Cochran | |||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Thomas Lawrence MD | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Richard Neher MD | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Verna White | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Jack Parker | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Howard Faux | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Mike Feurer | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Edie Holmes | |||||||
| Board Member | 1.00 | X | 0 | 0 | 0 | ||
| Sheryl Rickard | |||||||
| CEO | 40.00 | X | 204512 | 0 | 92867 | ||
| Norilina Harvel | |||||||
| CFO | 40.00 | X | 140557 | 0 | 14202 | ||
| Jeff Bales | |||||||
| Director Bldg Services | 40.00 | 103618 | 0 | 11868 | X | ||
| Mauria Prince | |||||||
| Director of Pharmacy | 40.00 | 124530 | 0 | 13129 | X | ||
| Charlene Godec | |||||||
| Chief Nursing Officer | 40.00 | 118580 | 0 | 15585 | X | ||
| Jeffrey B Fowler DO | |||||||
| Clinic Physician | 40.00 | 148633 | 0 | 9614 | X | ||
| Charles Falter DO | |||||||
| Clinic Physician | 35.00 | 136373 | 0 | 36869 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 976803 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 194134 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Pend Orielle Radiology Inc | |||||
| 520 N 3rd | Sandpoint | ID | 83864 | Radiologist Services | 1507042 |
| Lake Pend Orielle Emergency Medicine | |||||
| 520 N 3rd | Sandpoint | ID | 83864 | ER Physician Staffing | 1158221 |
| Thermo Fisher Scientific LLC | |||||
| 28 Schenck Parkway Ste 400 | Sasheville | NC | 28803 | Equipment Maintenance Support | 324769 |
| Information Resource Management | |||||
| PO Box 469 | Spokane | WA | 99210 | Software Support Services | 278168 |
| Aureus Radiology LLC | |||||
| 13609 California ST | Omaha | NE | 68154 | Contract Staffing | 234119 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| Government Grants | 8740 | GovernmentGrants |
| All Other Contributions | 163119 | AllOtherContributions |
| Noncash Contributions | 24905 | NoncashContributions |
| Total Contributions | 171859 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Service Revenu | 622110 | 43132665 | 43132665 |
| Property Tax Revenue | 900099 | 952969 | 952969 |
| Miscellaneous Revenue | 900099 | 219981 | 219981 |
| Cafeteria Revenue | 900099 | 153272 | 153272 |
| Investment in Pinegrov | 900099 | -42320 | -42320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 44416567 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 39868 | TotalRevenueColumn |
| Exclusion | $39,868 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 178990 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 11305 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 167685 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 167685 | TotalRevenueColumn |
| Related Or Exempt Function Income | 158935 | RelatedOrExemptFunctionIncome |
| Exclusion | $8,750 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 6000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 8025 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -2025 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -2025 | TotalRevenueColumn |
| Exclusion | -$2,025 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Interest Income | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 44050 | TotalRevenueColumn |
| Exclusion | $44,050 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 44050 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 44838004 | TotalRevenueColumn |
| Related Or Exempt Function Income | 44575502 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $90,643 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 452137 | Total |
| Management And General | 452137 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14529853 | Total |
| Program Services | 11833009 | ProgramServices |
| Management And General | 2696844 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 321994 | Total |
| Program Services | 252069 | ProgramServices |
| Management And General | 69925 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5033820 | Total |
| Program Services | 3916828 | ProgramServices |
| Management And General | 1116992 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1284790 | Total |
| Program Services | 1004183 | ProgramServices |
| Management And General | 280607 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35418 | Total |
| Management And General | 35131 | ManagementAndGeneral |
| Fundraising | 287 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46493 | Total |
| Management And General | 46493 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5519787 | Total |
| Program Services | 5465959 | ProgramServices |
| Management And General | 53828 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49800 | Total |
| Management And General | 49084 | ManagementAndGeneral |
| Fundraising | 716 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7022769 | Total |
| Program Services | 6759294 | ProgramServices |
| Management And General | 259896 | ManagementAndGeneral |
| Fundraising | 3579 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 581666 | Total |
| Program Services | 147510 | ProgramServices |
| Management And General | 434156 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 505208 | Total |
| Program Services | 505208 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121626 | Total |
| Program Services | 91940 | ProgramServices |
| Management And General | 27493 | ManagementAndGeneral |
| Fundraising | 2193 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 870232 | Total |
| Program Services | 870232 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1299769 | Total |
| Program Services | 681937 | ProgramServices |
| Management And General | 617832 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 618653 | Total |
| Program Services | 610879 | ProgramServices |
| Management And General | 7774 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Bad Debt Expense | 3454143 | 3454143 | ||
| Equipment Lease and Ren | 1188360 | 1096678 | 91682 | |
| Patient Accounting Coll | 419603 | 419603 | ||
| Dues and Subscriptions | 60012 | 38136 | 21347 | 529 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 571093 | Total |
| Program Services | 271473 | ProgramServices |
| Management And General | 297229 | ManagementAndGeneral |
| Fundraising | 2391 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43987226 | Total |
| Program Services | 36999478 | ProgramServices |
| Management And General | 6978053 | ManagementAndGeneral |
| Fundraising | 9695 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10218814 | BOY |
| EOY | 10136796 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7031977 | BOY |
| EOY | 5678337 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221724 | BOY |
| EOY | 64534 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 918177 | BOY |
| EOY | 900417 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 440561 | BOY |
| EOY | 265008 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 27330552 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 16480791 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10338773 | BOY |
| EOY | 10849761 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 3916631 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 386863 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1664821 | BOY |
| EOY | 1134203 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30834847 | BOY |
| EOY | 33332550 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3581440 | BOY |
| EOY | 3079081 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11240000 | BOY |
| EOY | 11020000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 709071 | BOY |
| EOY | 652492 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 2264846 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15530511 | BOY |
| EOY | 17016419 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14973247 | BOY |
| EOY | 15746173 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 307186 | BOY |
| EOY | 569958 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23903 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15304336 | BOY |
| EOY | 16316131 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30834847 | BOY |
| EOY | 33332550 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 850778 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 161017 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Collection Used For Other CollectionUsedForOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collection Used For Other Purposes | X | CollectionUsedForOtherPurposes |
| Description Of Other Purposes | public display | DescriptionOfOtherPurposes |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Solicited Assets For Sale | 0 | SolicitedAssetsForSale |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2003760 | BeginningOfYearBalance |
| Contributions | 1345 | Contributions |
| Investment Earnings Or Losses | 210914 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 5319 | GrantsOrScholarships |
| Administrative Expenses | 21518 | AdministrativeExpenses |
| End Of Year Balance | 2189182 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1769645 | BeginningOfYearBalance |
| Contributions | -9 | Contributions |
| Investment Earnings Or Losses | 255043 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 6119 | GrantsOrScholarships |
| Administrative Expenses | 14800 | AdministrativeExpenses |
| End Of Year Balance | 2003760 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1508783 | BeginningOfYearBalance |
| Contributions | 1344727 | Contributions |
| Investment Earnings Or Losses | -265724 | InvestmentEarningsOrLosses |
| Other Expenditures | 809455 | OtherExpenditures |
| Administrative Expenses | 8686 | AdministrativeExpenses |
| End Of Year Balance | 1769645 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.86040 | BoardDesignatedEOYBalance |
| Term Endowment EOY Balance | 0.13960 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 792523 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 507866 | OtherCostOrOtherBasis |
| Book Value | 1300389 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12756260 | OtherCostOrOtherBasis |
| Depreciation | 7342005 | Depreciation |
| Book Value | 5414255 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 11325122 | OtherCostOrOtherBasis |
| Depreciation | 8865980 | Depreciation |
| Book Value | 2459142 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1948781 | OtherCostOrOtherBasis |
| Depreciation | 272806 | Depreciation |
| Book Value | 1675975 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10849761 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Third-Party Payor Settlements | $1,330,274 |
| Contract Payable | $934,572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2264846 | TotalOfAmounts |
| Total Revenue | 44838004 | TotalRevenue |
| Total Expenses | 43987226 | TotalExpenses |
| Excess Or Deficit For Year | 850778 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 184920 | NetUnrealizedGLOnInvestments |
| Prior Period Adjustments | -23903 | PriorPeriodAdjustments |
| Total Adjustments | 161017 | TotalAdjustments |
| Excess Or Deficit Per FS | 1011795 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 44805338 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 1523 | OtherRevenues |
| Revenue Not Rptd F990 | 1523 | RevenueNotRptdF990 |
| Revenue Subtotal | 44803815 | RevenueSubtotal |
| Other Revenues Not Included | 34189 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 34189 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 44838004 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 43998531 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 11305 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 11305 | ExpensesNotRptdF990 |
| Expenses Subtotal | 43987226 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 43987226 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part III, Line 4: | The art contributed to Bonner General Hospital is strictly for display and the benefit of the patients and visitors as part of the healing process. Art benefits patients by aiding their physical, mental and emotional recovery as noted by the Society for the Arts in Healing. As a note, in 1997 the Joint Commission on Accreditation of Healthcare Organizations cited studies in which patients who viewed art recovered more quickly. | |
| Part V, Line 4: | The Term Endowment is a Restricted Endowment strictly for nursing education. The Board designated is an unrestricted fund for future capital improvements at this time. In 2007, the original endowments were restricted at 25% for the term endowment and 75% for the board designated. | Description of Intended Use of Endowment Funds: |
| Part X: | The Hospital has adopted the provisions of FASB Accounting Standards Codification Topic ASC 740-10, Accounting for Uncertainty in Income Taxes, on January 1, 2009. The implementation of this standard had no impact on the financial statements. As of both the date of adoption, and as of December 31, 2010 and 2009, the unrecognized tax benefit accrual was zero. The Hospital will recognize future accrued interest and penalties related to unrecognized tax benefits in income tax expense if incurred. The Hospital is no longer subject to Federal tax examinations by tax authorities for years before 2007 and state examinations for years before 2007. | Description of Uncertain Tax Positions Under FIN 48: |
| Net Assets Released from Restrictions not Reported for Tax Return Purposes 1,523. | Part XII, Line 2d - Other Adjustments: | |
| Contributions Reported in Fund Balance on Financial Statements 45,494. Rental Expenses Reported in Expenses on Financial Statements -11,305. | Part XII, Line 4b - Other Adjustments: | |
| Rental Expenses Reported in Revenues on Form 990 11,305. | Part XIII, Line 2d - Other Adjustments: |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 210.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 240.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 403 | PersonsServed |
| Total Community Benefit Expense | 721449 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 721449 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01780 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4603496 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4928199 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -324703 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 505655 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 524373 | DirectOffsettingRevenue |
| Net Community Benefit Expense | -18718 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 403 | PersonsServed |
| Total Community Benefit Expense | 5830600 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5452572 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 378028 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01780 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5639 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5639 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 423 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 423 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 67030 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 58723 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8307 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16393 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 16393 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 89485 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 58723 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 30762 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 403 | PersonsServed |
| Total Community Benefit Expense | 5920085 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5511295 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 408790 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01860 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2 | PersonsServed |
| Total Community Building Expense | 923 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 923 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 260 | PersonsServed |
| Total Community Building Expense | 2550 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2550 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 172 | PersonsServed |
| Total Community Building Expense | 13078 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 13078 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 625 | PersonsServed |
| Total Community Building Expense | 387 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 387 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1059 | PersonsServed |
| Total Community Building Expense | 16938 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 16938 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $2,004,674 | BadDebtExpenseAmount |
| Amount Attributable To | 501169 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 9271319 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 11626511 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2355192 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 Pinegrove Medical Bldg LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | operate medical office building | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Physicans Profit Or Ownership | 0.50000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bonner General Hospital Inc | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 520 N 3rd Avenue | AddressLine1 |
| City | Sandpoint | City |
| State | ID | State |
| ZIP Code | 83864 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Not required | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 7 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (7 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Hospice Agency | ||||
| 602 N 3rd Ave | Sandpoint | ID | 83864 | hospice agency |
| Urgent Care Physician Clinic | ||||
| 400 Schweitzer Plaza Drive Suite 1 | Ponderay | ID | 83852 | urgent care physician clinic |
| Home Health Agency | ||||
| 602 N 3rd Ave | Sandpoint | ID | 83864 | home health agency |
| Priest River Physician Clinic | ||||
| 314 Albeni Hwy | Priest River | ID | 83856 | physician clinic |
| Pinegrove Medical Office Building | ||||
| 606 N 3rd Ave Suite 202 | Sandpoint | ID | 83864 | provider based physical therapy clinic |
| Ponderay Medical Village | ||||
| 30544 Hwy 200 Suite 103 | Ponderay | ID | 83852 | provider based physical therapy clinic |
| Priest River Therapy Clinic | ||||
| 314 Albeni Hwy | Priest River | ID | 83856 | provider based physical therapy clinic |
Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)
| ExplanationExplanation |
|---|
| Part I, Line 7: Charity care, unreimbursed Medicaid and unreimbursed, other means-tested government programs, and subsidized health services were all calculated using the cost-to-charge ratio derived from the Ratio of Patient Care Cost-to-Charges worksheet 2. Community health improvements, health professions education and cash and in-kind contributions to community groups are based on actual expenses reported in the general ledger. |
| Part I, L7 Col(f): The amount of bad debt expense removed from the denominator of the calculation was $3,454,143. |
| Part II: Bonner General Hospital's coalition building activities included support for a low-cost health care provider, Bonner Partners in Care. Nurses, Lab Techs, and Med Techs all receive training at BGH to assist their completion of their education programs. Additionally, BGH provides job shadowing opportunities for students interested in health care careers. The community receives educational health information from BGH through health fairs, workplace fairs, school fieldtrips, First Aid Tents, and BGH employees giving talks at area schools. |
| Part III, Line 4: Bad debt was converted to cost using the cost-to-charge ratio derived from Worksheet 2.Bad debt expense is reported net of discounts and contractual allowances. A payment on an account previously written off reduces bad debt expense in the current year. The organization reasonably estimates the portion of bad debt that would be considered charity care by taking the percentage (%) of applications denied due to lack of information of 25% and multiplying that by bad debt at cost. Had the individuals applied, they would have been considered charity care.Financial Statement Footnote:The carrying amount of patient receivables is reduced by a valuation allowance that reflects management's best 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 considers historical write off and recovery information in determining the estimated bad debt provision. |
| Part III, Line 8: BGH was a PPS Hospital for 9 months of the year and then became a critical access hospital. As a result of being a PPS hospital the majority of the year, Medicare for 2010 resulted in a shortfall. BGH's position is that the entire Medicare shortfall is a community benefit. Medicare patients are accepted regardless of whether or not a surplus or deficit is realized from providing the services. This basis therefore means providing Medicare services promote access to healthcare services which is a key 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 CMS. |
| Part III, Line 9b: Bonner General Hospital's policy establishes the Hospital's financial requirements for payment of services based on consistent criteria incorporating individual patient financial conditions and circumstances. This policy will ensure the appropriate resolution of patient financial obligations to Bonner General Hospital while maintaining optimal customer satisfaction. As a non-profit hospital, Bonner General Hospital is committed to providing medically necessary service to all patients regardless of their ability to pay. The Business Services representatives follow a detailed procedure applicable to the patient situations such as billing for valid insurance plans as a primary; reviewing financial assistance, if applicable; providing payment options for patient balances not covered by insurance or if not qualified for financial assistance programs. If a patient qualifies for financial assistance, Bonner General Hospital will hold all billings and collections until financial assistance is determined. |
| Part VI, Line 2: Bonner General Hospital conducted a comprehensive community needs assessment focused on the health care needs of Bonner and Boundary Counties, as well as a sampling in the Lincoln County of Montana. |
| Part VI, Line 3: Bonner General Hospital provides information about BGH Cares, financial assistance policy, during pre-registration and registration process at admitting and the emergency departments. Business Services include information in patient statements, and a Patient Financial Advocate to assist patients with financial assistance programs and options. |
| Part VI, Line 4: Bonner General Hospital (BGH) is the sole provider of inpatient, acute care and many other outpatient services in Bonner County. BGH provides services to a large rural and widely dispersed population of approximately 57,000. Its patient service areas extend to the Canadian border, the western edge of Montana and the eastern board of Washington. |
| Part VI, Line 6: Bonner General Hospital (BGH) has an ongoing and steadfast commitment to a mission that provides real and tangible benefits for our community. As a community-owned health care provider, our commitment is to improve the health of people in our region. We feel that one way to make improvements is to build partnerships with other agencies and institutions that serve the uninsured and underserved population of the communities we serve. By providing support to our local volunteer health clinic, we help in the delivery of medical care to the people in our community that have no other access to healthcare. BGH aims to prevent disease and injury, promote healthy habits, and improve quality of life in the communities we serve. We do that by offering many free education classes. These classes educate our community members on the health consequences of unhealthy habits, help people to understand their illnesses, encourage compliant behavior through medication, exercise and diet, and support those people that need help dealing with unfortunate circumstances in their lives. We also offer classroom space for others who provide support for community members dealing with problems such as addiction, terminal illnesses, and mental health problems. We are committed to building a strong workforce and ensuring that there continues to be a strong workforce far into the future. We do that by working with educational institutions by providing scholarships, encouraging and supporting our employees to be mentors and proctors, and providing the clinical setting and supervision required in the education of nursing students of all levels, medical laboratory technologists, radiology technologists, pharmacists and pharmacy technologist, therapists, and physicians.The organization's governing body is comprised of volunteer members who reside in the community. Medical staff privileges are extended to all qualified physicians in the community. Surplus funds are reinvested in facilities to improve patient care. The hospital operates an emergency room that is available to all, regardless of ability to pay. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Account | X | DiscretionarySpendingAccount |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sheryl Rickard | |||||||||||||
| 164736 | 0 | 10282 | 0 | 29494 | 0 | 22009 | 0 | 70858 | 0 | 297379 | 0 | 0 | 0 |
| Norilina Harvel | |||||||||||||
| 129917 | 0 | 282 | 0 | 10358 | 0 | 3929 | 0 | 10274 | 0 | 154760 | 0 | 0 | 0 |
| Jeffrey B Fowler DO | |||||||||||||
| 148351 | 0 | 282 | 0 | 0 | 0 | 4500 | 0 | 5114 | 0 | 158247 | 0 | 0 | 0 |
| Charles Falter DO | |||||||||||||
| 136091 | 0 | 282 | 0 | 0 | 0 | 4172 | 0 | 32697 | 0 | 173242 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | The CEO and CFO received a vehicle allowance. The benefit was treated as taxable compensation to the individuals. |
| Part I, Line 1b | The determination of the discretionary expense for the CEO and CFO is to compensate for travel to meetings in lieu of the mileage reimbursement policy. This determination was made by the Board of Directors and has been in place for many years. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Idaho Health Facilities Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 826051863 | IssuerEIN |
| CUSIP Number | 451295ST7 | CUSIPNumber |
| Date Issued | 2006-03-22 | DateIssued |
| Issue Price | 11815000 | IssuePrice |
| Description Of Purpose | Refinance 2000 Revenue Bond and purchase equipment. | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 1030000 | AmountRetired |
| Total Proceeds | 11815000 | TotalProceeds |
| Amount In Reserve Fund | 1044465 | AmountInReserveFund |
| Issuance Costs From Proceeds | 233937 | IssuanceCostsFromProceeds |
| Capital Expenditures | 722752 | CapitalExpenditures |
| Other Spent Proceeds | 9813846 | OtherSpentProceeds |
| Current Refunding | 1 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 0 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | price by artist | MethodOfDeterminingRevenues |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 5 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 24905 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Non Reporting of Revenue: | Identifier |
| Return Reference | Part I, Line 33: | ReturnReference |
| Explanation | The contributions for art work are donations by local artist. The intent is to provide art for the walls of the hospital, while displaying the artist name for future reference of visitors and patients. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Ford Elsaesser and Jack Parker have a business relationship. | |
| Form 990, Part VI, Section A, line 6 | Membership in the Corporation shall be open without restriction as to race, sex, religion, political, or other affiliation to any person of majority age who is in agreement with its aims and purposes, who agrees to abide by its Bylaws, and who has completed the application for membership and paid a one-time minimum fifty dollar membership fee. | |
| Form 990, Part VI, Section A, line 7a | The members elect directors and remove them from office. | |
| Form 990, Part VI, Section A, line 7b | The membership has responsibility to: A. Elect directors and remove them from office, if and when they are derelict in their duties. B. Hear and pass on the report of officers and the administrator of the hospital and of any committee responsible to it. C. Act as final arbitrator in any disputes or disagreements which may arise between the Board of Directors and any committee or individual members. D. Determine what amendments shall be made in the Bylaws. E. Exercise its final authority in all other matters vitally affecting the corporation. | |
| Form 990, Part VI, Section B, line 11 | The draft Form 990 is reviewed by the CFO and CEO prior to filing. A copy of the Form 990 will be provided to the governing body prior to filing. | |
| The Conflict of Interest policy covers board members, officers, committee members or staff members who has a direct or indirect financial interest as defined in the Conflict of Interest Policy last reviewed 2/25/2011. The Compliance Officer is responsible for determining whether a conflict exists once disclosed. Each interested person has a duty to disclose immediately. In addition, annual conflict of interest statements are obtained from all interested persons. Persons with conflict are restricted from involvement in the review or decision making. Violations of the conflict of interest policy will be investigated and the Board of Directors or Compliance committee shall take appropriate disciplinary or corrective action. | Form 990, Part VI, Section B, line 12c | |
| Compensation is determined by use of the most recent Idaho Hospital Association CEO compensation survey published. In addition, comparison to the American College of Healthcare Executives compensation is referred to as necessary. The organization follows the process described in Part VI, Line 15. The process is done annually. | Form 990, Part VI, Section B, line 15 | |
| The organization does not make its governing documents, conflict of interest policy, and financial statements available to the public. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 184,920. Prior period adjustments: -23,903. Total to Form 990, Part XI, Line 5: 161,017. | Form 990, Part XI, line 5: |