Civic Intelligence

Boundary Regional Health Center Inc

EIN 04-3634356 • 501(c)3 • Sandpoint, ID

Profile

The mission of kaniksu health services is to provide high quality, cost effective, culturally sensitive health care services.

301 Cedar Street 206Sandpoint, ID 83864

www.kaniksuhealthservices.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

75th percentile

0.54x

Higher debt load relative to assets than 75% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

63rd percentile

0.45x

Higher debt load relative to revenue than 63% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

70th percentile

15%

Higher net margin than 70% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

62nd percentile

$314,531

Higher top officer pay than 62% of similar nonprofits.

Top officer pay equals 1.2% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

85th percentile

21%

Faster asset growth than 85% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

83rd percentile

40%

Faster revenue growth than 83% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$22,081,958

Up $3,793,500 (+21%) from 2023

Liabilities

Down

$11,867,390

Down $134,878 (-1.1%) from 2023

Net Assets

Up

$10,214,568

Up $3,928,378 (+62%) from 2023

Revenue

Up

$26,574,566

Up $7,542,576 (+40%) from 2023

Expenses

Up

$22,646,188

Up $3,591,733 (+19%) from 2023

Net Income

Up

$3,928,378

Up $3,950,843 (+17587%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$30M$20M$10M$0Assets 2010: $1,029,712Liabilities 2010: $978,774Net Assets 2010: $50,9382010Assets 2011: $2,761,411Liabilities 2011: $2,337,821Net Assets 2011: $423,5902011Assets 2012: $2,770,913Liabilities 2012: $2,489,003Net Assets 2012: $281,9102012Assets 2013: $3,011,168Liabilities 2013: $2,461,212Net Assets 2013: $549,9562013Assets 2014: $2,517,089Liabilities 2014: $2,424,196Net Assets 2014: $92,8932014Assets 2015: $3,273,869Liabilities 2015: $2,632,951Net Assets 2015: $640,9182015Assets 2016: $2,712,611Liabilities 2016: $2,587,496Net Assets 2016: $125,1152016Assets 2017: $2,510,907Liabilities 2017: $2,129,336Net Assets 2017: $381,5712017Assets 2018: $2,820,749Liabilities 2018: $2,147,931Net Assets 2018: $672,8182018Assets 2019: $2,976,861Liabilities 2019: $2,155,560Net Assets 2019: $821,3012019Assets 2020: $8,080,007Liabilities 2020: $4,392,680Net Assets 2020: $3,687,3272020Assets 2021: $17,102,347Liabilities 2021: $11,661,296Net Assets 2021: $5,441,0512021Assets 2022: $19,145,223Liabilities 2022: $12,836,568Net Assets 2022: $6,308,6552022Assets 2023: $18,288,458Liabilities 2023: $12,002,268Net Assets 2023: $6,286,1902023Assets 2024: $22,081,958Liabilities 2024: $11,867,390Net Assets 2024: $10,214,5682024

Highlighted filing

2024

Assets$22,081,958
Liabilities$11,867,390
Net Assets$10,214,568

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $4,480,4492010Expenses 2011: $5,316,5202011Expenses 2012: $5,963,2162012Revenue 2013: $6,791,048Expenses 2013: $6,523,002Net Income 2013: $268,0462013Revenue 2014: $6,938,302Expenses 2014: $7,395,365Net Income 2014: -$457,0632014Revenue 2015: $10,369,852Expenses 2015: $9,821,827Net Income 2015: $548,0252015Revenue 2016: $11,769,741Expenses 2016: $12,285,544Net Income 2016: -$515,8032016Revenue 2017: $12,627,788Expenses 2017: $12,371,332Net Income 2017: $256,4562017Revenue 2018: $13,351,727Expenses 2018: $13,060,480Net Income 2018: $291,2472018Revenue 2019: $14,301,341Expenses 2019: $14,152,858Net Income 2019: $148,4832019Revenue 2020: $18,417,879Expenses 2020: $15,551,853Net Income 2020: $2,866,0262020Revenue 2021: $18,533,748Expenses 2021: $16,801,822Net Income 2021: $1,731,9262021Revenue 2022: $18,392,446Expenses 2022: $17,524,842Net Income 2022: $867,6042022Revenue 2023: $19,031,990Expenses 2023: $19,054,455Net Income 2023: -$22,4652023Revenue 2024: $26,574,566Expenses 2024: $22,646,188Net Income 2024: $3,928,3782024

Highlighted filing

2024

Revenue$26,574,566
Expenses$22,646,188
Net Income$3,928,378

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.1$11.9$10.2$26.6$22.6$3.93
2023Detailed filing. Detailed filing data is available for this year.$18.3$12.0$6.29$19.0$19.1$0.02
2022Detailed filing. Detailed filing data is available for this year.$19.1$12.8$6.31$18.4$17.5$0.87
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.1$11.7$5.44$18.5$16.8$1.73
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$8.08$4.39$3.69$18.4$15.6$2.87
2019Detailed filing. Detailed filing data is available for this year.$2.98$2.16$0.82$14.3$14.2$0.15
2018Detailed filing. Detailed filing data is available for this year.$2.82$2.15$0.67$13.4$13.1$0.29
2017Detailed filing. Detailed filing data is available for this year.$2.51$2.13$0.38$12.6$12.4$0.26
2016Detailed filing. Detailed filing data is available for this year.$2.71$2.59$0.13$11.8$12.3$0.52
2015Detailed filing. Detailed filing data is available for this year.$3.27$2.63$0.64$10.4$9.82$0.55
2014Detailed filing. Detailed filing data is available for this year.$2.52$2.42$0.09$6.94$7.40$0.46
2013Detailed filing. Detailed filing data is available for this year.$3.01$2.46$0.55$6.79$6.52$0.27
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.77$2.49$0.28$5.96
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.76$2.34$0.42$5.32
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.03$0.98$0.05$4.48
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.2
Gross Receipts
$26,574,566
Mission and Program Overview

Mission

The mission of kaniksu community health is to provide high quality, cost effective, culturally sensitive health care services.

To provide quality, affordable and accessible care for our communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$12,276,449$13,570,014▲ $1,293,565
Cash and Non-Interest-Bearing Accounts$3,506,969$5,513,890▲ $2,006,921
Accounts Receivable$1,287,888$1,867,747▲ $579,859
Savings and Temporary Cash Investments$471,661$456,942▼ $14,719
Pledges and Grants Receivable-$169,031-
Prepaid Expenses and Deferred Charges$238,994$115,393▼ $123,601
Inventories for Sale or Use$43,818$43,416▼ $402
Total Assets$18,288,458$22,081,958▲ $3,793,500
Other Assets Total$462,679$345,525▼ $117,154
Liabilities
Mortgage Notes Payable Secured by Investment Property$10,259,799$9,978,781▼ $281,018
Accounts Payable and Accrued Expenses$1,274,004$1,537,759▲ $263,755
Other Liabilities$468,465$350,850▼ $117,615
Total Liabilities$12,002,268$11,867,390▼ $134,878
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$6,286,190$10,214,568▲ $3,928,378
Total Net Assets Fund Balance$6,286,190$10,214,568▲ $3,928,378
Total Liabilities and Net Assets / Fund Balance$18,288,458$22,081,958▲ $3,793,500

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$12,085,510$413,347$12,498,857
Equipment$-669,657$3,143,886$2,474,229
Leasehold Improvements$1,086,477-$1,086,477
Land$1,027,334-$1,027,334
Other Land Buildings$40,350-$40,350
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Nicole RussellMedical DirectorFT$259,881$54,650$314,531
Kevin KnepperCEOFT$208,128$33,290$241,418
Nick MillerDental DirectorFT$205,345$31,589$236,934
Ben StocktonFamily Practice PhysicianFT$203,694$26,684$230,378
Hailey RosePediatricianFT$172,808$31,777$204,585
Joseph WassifDirector of Behavioral HealthFT$185,438$15,310$200,748
Daniel JeffriesDentistFT$164,877$35,300$200,177
Tammy UndiemiNurse PractionerFT$176,272$8,131$184,403
Amber VillelliCOOFT$155,653$13,255$168,908
Emma KeverkampCFOFT$111,770$8,608$120,378

Board Members and Trustees

Highest Paid Contractors

ContractorServicesLocationCompensation
North Idaho Family PhysiciansBilling Services8836 N HESS STREET STE B, Hayden, ID 83835$705,603
Raise The Bar ConstructionConstruction41 AMOTH ROAD, Bonners Ferry, ID 83805$480,669
Curative TalentLocum Tenans Services370 W LAS COLINAS BLVD, Irving, TX 75039$279,506
Kootenai HeatlhSoftware Support2003 KOOTENAI HEATH WAY, Coeur Dalene, ID 83814$141,587
Revenue and Support

Revenue Composition

Contributions and Grants
$11,072,087
Program Service Revenue
$14,615,569
Investment Income
$84,738
Other Revenue
$802,172
All Other Contributions
$4,229,419
Change in Net Assets
$3,928,378

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies4,777$492,287Invoice Price
Total Noncash Contributions4,777$492,287-

Audited Revenue Reconciliation

Revenue per Audited Statements
$26,243,933
Revenue Not Reported on Financial Statements
$330,633
Revenue Not Reported on Form 990
$0
Other Revenue Adjustments
$330,633
Total Revenue per Audited Statements
$26,243,933
Total Revenue per Form 990
$26,574,566
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$15,473,949
Other Expenses$7,149,312
Grants and Similar Amounts Paid$14,677
Professional Fundraising Fees$8,250
Total Fundraising Expense$8,250

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$7,311,270$3,162,880-$10,474,150
Other Employee Benefits$1,816,789$839,304-$2,656,093
Fees for Services Other$454,002$666,535-$1,120,537
Current Officers, Directors, Trustees, and Key Employees$496,318$585,851-$1,082,169
Payroll Taxes$695,143$331,381-$1,026,524
Depreciation Depletion$720,939--$720,939
Office Expenses$629,767$30,326-$660,093
Fees for Services Management$504,647$130,651-$635,298
Occupancy$476,644$123,693-$600,337
Information Technology$211,805$54,835-$266,640
Interest$256,613--$256,613
Pension Plan Contributions$159,146$75,867-$235,013
All Other Expenses$140,978$32,488-$173,466
Advertising$67,896$33,247-$101,143
Other Expenses$51,225$31,929-$83,154
Insurance$41,085$24,310-$65,395
Conferences and Meetings$34,573$17,152-$51,725
Travel$26,284$13,039-$39,323
Fees for Services Legal-$26,946-$26,946
Grants to Domestic Orgs$14,677--$14,677
Fees for Services Professional Fundraising--$8,250$8,250
Total Functional Expenses$16,428,920$6,209,018$8,250$22,646,188

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$22,646,188
Expenses per Audited Statements$22,315,555
Total Expenses per Audited Statements$22,315,555
Expenses Not Reported on Financial Statements$330,633
Other Expense Adjustments$330,633
Expenses Not Reported on Form 990$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$8,250
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-VILLELLI INVESTMENTS IS OWNED BY THE COO'S SPOUSE AND IN-LAWSProperty Management ServicesNo$60,381
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Right-of-use Lease Liabilities$350,850
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

The executive committee is chaired by the board chair and is responsible for making recommendations on programmatic and policy issues at times when the board is unable to meet. All such decisions must be ratified by the full board at its next meeting.

Form 990, Part VI, Section B, Line 11B

The form 990 was reviewed by the cfo and ceo, then presented to the board of directors prior to filing.

Form 990, Part VI, Section B, Line 12C

Conflict of interest statements are completed and reviewed annually for the board of directors and key employeees. Each individual is required to disclose any personal interest which they may have in any matter pending before the organization and refrains from participation in any decision on such matter. Such refraining may take the form of simple disclosure, leaving the room during discussion, not participating in the discussion, or recusing oneself from the issue altogether.

Form 990, Part VI, Section B, Line 15

The kaniksu community health compensation model - as approved by the board of directors (bod) - is a compensation schedule based on the most recent national association of community health center (nachc) region 10 (washington, oregon, idaho) compensation survey based on size of the organization - annual revenues, scope of responsibility, years of experience and educational degrees, certifications, etc. All job categories (including ceo, other officers and key employees, all clinical providers and all staff) have an associated compensation model - this approach has been approved by the bod. This is used for all new hires and is evaluated annually to be sure that there is internal equity among employees, etc. This compensation model is adjusted annually based on the most recent nachc data - ranges of salary are reviewed. It is the goal of kch to be in the median range of the compensation model - this approach has been approved by the bod. Any adjustments made to current employees are based on availability of budget as approved by the bod and are determined by "range movement" for staff positions and for maintaining competitive recruitment and retention for providers as compared to the other community health centers in idaho and in region 10. Decisions are made by those without conflict and the decisions are documented. This process was last completed in 2024.

Form 990, Part VI, Section C, Line 19

The organization does not make the conflict of interest policy or governing documents available to the public. The organization's financial statements are available on the federal audit clearinghouse website.

Filing and Contact Details

Filer

Filer Name
Boundary Regional Health Center Inc
EIN
04-3634356
Phone
2082678422
Address
301 CEDAR STREET 206, SANDPOINT, ID 83864
Doing Business As
Kaniksu Community Health

Signing Officer

Name
Kevin Knepper
Title
CEO
Phone
2082678422
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kevin Knepper
Formed
2002
Legal Domicile
Id
Voting Board Members
12
Independent Board Members
12
Employees
242
Volunteers
12

Preparer

Firm
Cliftonlarsonallen Llp
Address
10700 NORTHUP WAY SUITE 200, BELLEVUE, WA 98004
Preparer
Kurt Bennion CPA
Phone
4252506100
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

The authority for selecting the financial statement auditor and for overseeing the financial statement audit did not change during the tax year.

Financial Statement Notes

PART X, LINE 2:

The center has received a determination letter from the internal revenue service that states it is exempt from federal income taxes under section 501(c)(3) of the internal revenue code. Accordingly, no provision for income taxes is shown in the financial statements. Management evaluated the center's tax positions and concluded that the center had taken no significant uncertain tax positions that require adjustments to the financial statements to comply with the provisions of topic 740 of the accounting standards codification (asc).

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Bad debt expense 330,633.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Bad debt expense 330,633.

Raw XML AppendixShowing 400 of 804 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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