Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
EIN 47-3263272 • 501(c)3 • Challis, ID
Profile
We provide quality healthcare to our community.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
32nd percentile
Higher debt load relative to assets than 32% of similar nonprofits.
Liabilities / Revenue
30th percentile
Higher debt load relative to revenue than 30% of similar nonprofits.
Net Margin
61st percentile
Higher net margin than 61% of similar nonprofits.
Top Officer Pay
73rd percentile
Higher top officer pay than 73% of similar nonprofits.
Top officer pay equals 6.1% of source-year revenue.
Asset Growth
62nd percentile
Faster asset growth than 62% of similar nonprofits.
Revenue Growth
13th percentile
Faster revenue growth than 13% of similar nonprofits.
Assets
Up$5,002,366
Up $384,077 (+8.3%) from 2023
Liabilities
Up$182,945
Up $67,542 (+59%) from 2023
Net Assets
Up$4,819,421
Up $316,535 (+7.0%) from 2023
Revenue
Down$3,247,372
Down $880,689 (-21%) from 2023
Expenses
Up$2,930,837
Up $126,782 (+4.5%) from 2023
Net Income
Down$316,535
Down $1,007,471 (-76%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
To better and protect public health, operate facilities and provide quality primary care to the regional community.
We provide quality healthcare to our community.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Savings and Temporary Cash Investments | $1,522,449 | $1,565,406 | ▲ $42,957 |
| Cash and Non-Interest-Bearing Accounts | $1,085,145 | $1,412,334 | ▲ $327,189 |
| Land, Buildings, and Equipment, Net | $1,520,916 | $1,389,618 | ▼ $131,298 |
| Accounts Receivable | $172,550 | $292,068 | ▲ $119,518 |
| Investments Other Securities | $212,419 | $221,398 | ▲ $8,979 |
| Investments Program Related | $80,726 | $80,726 | → $0 |
| Prepaid Expenses and Deferred Charges | $19,344 | $16,397 | ▼ $2,947 |
| Inventories for Sale or Use | $4,740 | $4,694 | ▼ $46 |
| Total Assets | $4,618,289 | $5,002,366 | ▲ $384,077 |
| Other Assets Total | $0 | $19,725 | ▲ $19,725 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $115,403 | $163,134 | ▲ $47,731 |
| Other Liabilities | $0 | $19,811 | ▲ $19,811 |
| Total Liabilities | $115,403 | $182,945 | ▲ $67,542 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $2,981,970 | $3,393,953 | ▲ $411,983 |
| Net Assets With Donor Restrictions | $1,520,916 | $1,425,468 | ▼ $95,448 |
| Total Net Assets Fund Balance | $4,502,886 | $4,819,421 | ▲ $316,535 |
| Total Liabilities and Net Assets / Fund Balance | $4,618,289 | $5,002,366 | ▲ $384,077 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Buildings | $1,302,869 | $192,624 | $1,495,493 |
| Equipment | $78,632 | $209,646 | $288,278 |
| Leasehold Improvements | $8,117 | $3,079 | $11,196 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Stephen D Rembelski | Chief Executive Officer | FT | $168,339 | $29,309 | $197,648 |
| Thomas Fife | Physician Assistant | FT | $157,141 | $37,540 | $194,681 |
| Miles Haeberle | Physician Assistant | FT | $151,146 | $38,476 | $189,622 |
| S Max Smith | Physician Assistant | FT | $138,337 | $47,364 | $185,701 |
| M Chad Banks | Physician Assistant | FT | $137,138 | $42,509 | $179,647 |
| Sharlene Miller | Chief Financial Officer | FT | $92,518 | $41,284 | $133,802 |
| Name | Title |
|---|---|
| Jd Bennetts | Chair |
| Raynae Chamberlain | Vice Chair |
| Betsy Doughty | Director |
| Jen Butterfield | Director |
| Matt Cahoon | Director |
| Robert Boren | Director |
| Shelbie Bryant | Director |
| Shelly Helm | Director |
| Stephanie Strand | Director |
| Rayna Westergard | Director (through April 2024) |
| Corinne Jones | Secretary |
| Teila Leuzinger | Treasurer |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Rivers West Construction | Construction | 4063 COMMERCE CIRCLE, Idaho Falls, ID 83401 | $417,737 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $2,164,906 |
| Other Expenses | $765,931 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $1,517,494 | - | - | $1,517,494 |
| Current Officers, Directors, Trustees, and Key Employees | - | $335,933 | - | $335,933 |
| Fees for Services Other | $198,181 | $19,411 | - | $217,592 |
| Other Employee Benefits | $140,370 | - | - | $140,370 |
| Payroll Taxes | $123,028 | $12,050 | - | $135,078 |
| Depreciation Depletion | $131,298 | - | - | $131,298 |
| Information Technology | $109,543 | - | - | $109,543 |
| Occupancy | $48,095 | - | - | $48,095 |
| Office Expenses | $45,019 | - | - | $45,019 |
| Pension Plan Contributions | $36,031 | - | - | $36,031 |
| Travel | $13,215 | $1,294 | - | $14,509 |
| Insurance | $10,480 | $1,026 | - | $11,506 |
| Fees for Services Legal | $9,519 | $932 | - | $10,451 |
| Other Expenses | $8,271 | - | - | $8,271 |
| Advertising | $5,071 | - | - | $5,071 |
| Interest | $306 | - | - | $306 |
| Total Functional Expenses | $2,560,191 | $370,646 | $0 | $2,930,837 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Child of Betsy Doughty, Board Member | Employee Compensation | No | $36,669 |
| - | Child of Raynae Chamberlain, Board Member | Employee Compensation | No | $17,690 |
| Liability | Amount |
|---|---|
| Right-of-use Lease Liabilities | $19,811 |
“The organization's bylaws permit an executive committee to transact emergency business transactions between board meetings. The executive committee would consist of the officers of the board and up to two more directors.”
“The chief medical officer is an independent contractor compensated through a 1099. The chief medical officer has decision-making authority over clinical processes. During the fiscal year ended september 30, 2024, the cmo was paid $50,921 for these services.”
“The bylaws were amended in june 2024 (a) to eliminate the limitation on board terms and (b) to allow board members to be related to challis area health center and/or north custer hospital district employees, provided that they disclose such relationship and recuse themselves from discussions impacting those relatives.”
“Prior to filing, the form 990 was provided to the governing board at a board meeting for their review and approval.”
“The conflict of interest policy covers all employees and board members. Any potential conflicts should be disclosed to the board. If there is a potential conflict, the board may invite the individual with the conflict to briefly state a position on the matter and answer pertinent questions of the board; however, the individual must abstain from voting on the issue. The board will review and determine if a conflict does exist.”
“The board of directors, which operates independently from the health center's employees, establishes pay ranges for all employees, including management staff. The pay ranges are based on comparability data from a biannual regional healthcare compensation survey. The board discusses and approves the process for establishing pay ranges annually at a regular board meeting. The biannual compensation survey was last published in 2024 and compensation was last reviewed in may 2024.”
“The governing documents, conflict of interest policy, and financial statements are available to the public upon request. In addition, north custer hospital district publishes the consolidated financial statements in the local newspaper.”
“The authority and process for selecting the independent accountant to audit the financial statements and for overseeing the financial statement audit did not change during the fiscal year.”
“The cahc is a charitable organization under the state of idaho tax regulations and under 501(c)(3) of the internal revenue code and is exempt from state or local income taxes. The cahc is required to file a return of organization exempt from income tax (form 990) with the internal revenue service (irs) annually. In addition, the cahc is subject to income tax on net income that is derived from business activities that are unrelated to its exempt purpose. The cahc 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. The cahc 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. The cahc 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.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 115403 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 163134 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 172550 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 292068 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | WE PROVIDE QUALITY HEALTHCARE TO OUR COMMUNITY. |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 5071 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 5071 |
| IRS990/AllOtherContributionsAmt | 0 | 55441 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/PersonNm | 0 | SHARLENE MILLER |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 2088794351 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | PO BOX 980 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | CHALLIS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | ID |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 832260980 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1085145 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1412334 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 1 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 1 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 335933 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 335933 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 417737 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 4063 COMMERCE CIRCLE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | IDAHO FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | ID |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 83401 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | RIVERS WEST CONSTRUCTION |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | CONSTRUCTION |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 1096809 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 43134 |
| IRS990/CYOtherExpensesAmt | 0 | 765931 |
| IRS990/CYOtherRevenueAmt | 0 | 10358 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 2097071 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 316535 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 2164906 |
| IRS990/CYTotalExpensesAmt | 0 | 2930837 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 3247372 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 1 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 131298 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 131298 |
| IRS990/Desc | 0 | CHALLIS AREA HEALTH CENTER OPERATES A FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN CHALLIS, IDAHO. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 1520916 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1425468 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 32 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 2560191 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 932 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 9519 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 10451 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 19411 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 198181 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 217592 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 0.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 0.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 0.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.60 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.50 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 1.20 |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 24127 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 33544 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 33744 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 43129 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 39520 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 41284 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | STEPHEN D REMBELSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | THOMAS FIFE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MILES HAEBERLE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | S MAX SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | M CHAD BANKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | SHARLENE MILLER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | JD BENNETTS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | RAYNAE CHAMBERLAIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | TEILA LEUZINGER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | CORINNE JONES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | ROBERT BOREN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | SHELBIE BRYANT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | JEN BUTTERFIELD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | MATT CAHOON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | BETSY DOUGHTY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | SHELLY HELM |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | STEPHANIE STRAND |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | RAYNA WESTERGARD |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 173521 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 161137 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 155878 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 142572 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 140127 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 92518 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | CHIEF EXECUTIVE OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN ASSISTANT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | PHYSICIAN ASSISTANT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PHYSICIAN ASSISTANT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN ASSISTANT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | CHIEF FINANCIAL OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | DIRECTOR (THROUGH APRIL 2024) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 2014 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 11 |
| IRS990/GovernmentGrantsAmt | 0 | 29168 |
| IRS990/GrantAmt | 0 | 0 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 3247372 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 5 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InformationTechnologyGrp/ProgramServicesAmt | 0 | 109543 |
| IRS990/InformationTechnologyGrp/TotalAmt | 0 | 109543 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 1026 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 10480 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 11506 |
| IRS990/InterestGrp/ProgramServicesAmt | 0 | 306 |
| IRS990/InterestGrp/TotalAmt | 0 | 306 |
| IRS990/InventoriesForSaleOrUseGrp/BOYAmt | 0 | 4740 |
| IRS990/InventoriesForSaleOrUseGrp/EOYAmt | 0 | 4694 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 43134 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 43134 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 212419 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 221398 |
| IRS990/InvestmentsProgramRelatedGrp/BOYAmt | 0 | 80726 |
| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 80726 |
| IRS990/IRPDocumentCnt | 0 | 4 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 405349 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 1520916 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 1389618 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 1794967 |
| IRS990/LegalDomicileStateCd | 0 | ID |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | WE PROVIDE QUALITY HEALTHCARE TO OUR COMMUNITY. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 4502886 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 4819421 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 2981970 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 3393953 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 48095 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 48095 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 45019 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 45019 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 0 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 19725 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt | 0 | 140370 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 140370 |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | EDUCATION |
| IRS990/OtherExpensesGrp/Desc | 2 | RECRUITING & RETENTION |
| IRS990/OtherExpensesGrp/Desc | 3 | MEMBERSHIP DUES |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 125725 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 23167 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 15378 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 3 | 8271 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 125725 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 23167 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 15378 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 8271 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 19811 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | INCOME FROM COOPERATIV |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 10358 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 10358 |
| IRS990/OtherRevenueTotalAmt | 0 | 10358 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 1517494 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 1517494 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 12050 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 123028 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 135078 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 36031 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 36031 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 19344 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 16397 |
| IRS990/PrincipalOfficerNm | 0 | STEPHEN D REMBELSKI |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621110 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 2 | 621110 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | PATIENT SERVICE REVENU |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | 340B PROGRAM REVENUE |
| IRS990/ProgramServiceRevenueGrp/Desc | 2 | HEALTH CONNECTIONS |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 1723384 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 332818 |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 2 | 40869 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 1723384 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 332818 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 2 | 40869 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 1927855 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | 9795 |
| IRS990/PYOtherExpensesAmt | 0 | 756612 |
| IRS990/PYOtherRevenueAmt | 0 | 9694 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 2180717 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 1324006 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 2047443 |
| IRS990/PYTotalExpensesAmt | 0 | 2804055 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 4128061 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 316535 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/RelatedOrganizationsAmt | 0 | 1012200 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 2097071 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 1522449 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 1565406 |
| IRS990ScheduleA/HospitalInd | 0 | X |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/BuildingsGrp/BookValueAmt | 0 | 1302869 |
| IRS990ScheduleD/BuildingsGrp/DepreciationAmt | 0 | 192624 |
| IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt | 0 | 1495493 |
| IRS990ScheduleD/EquipmentGrp/BookValueAmt | 0 | 78632 |
| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 209646 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 288278 |
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