Civic Intelligence

Clearwater Valley Hospital and Clinics Inc

EIN 82-0497771 • 501(c)3 • Orofino, ID

Profile

We improve healthcare one patient at a time in a friendly and professional culture committed to superior quality and safety.

301 CedarOrofino, ID 83544

www.smh-cvh.org

Siviq Scores

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

Liabilities / Assets

46th percentile

0.18x

Higher debt load relative to assets than 46% of similar nonprofits.

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

Liabilities / Revenue

31st percentile

0.13x

Higher debt load relative to revenue than 31% of similar nonprofits.

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

Net Margin

61st percentile

9.1%

Higher net margin than 61% of similar nonprofits.

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

Top Officer Pay

90th percentile

$729,329

Higher top officer pay than 90% of similar nonprofits.

Top officer pay equals 2.4% of source-year revenue.

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

Asset Growth

82nd percentile

18%

Faster asset growth than 82% of similar nonprofits.

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

Revenue Growth

69th percentile

18%

Faster revenue growth than 69% of similar nonprofits.

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

Assets

Up

$22,336,967

Up $3,388,828 (+18%) from 2023

Liabilities

Up

$4,057,341

Up $595,467 (+17%) from 2023

Net Assets

Up

$18,279,626

Up $2,793,361 (+18%) from 2023

Revenue

Up

$30,775,392

Up $4,790,599 (+18%) from 2023

Expenses

Up

$27,971,633

Up $4,196,522 (+18%) from 2023

Net Income

Up

$2,803,759

Up $594,077 (+27%) from 2023

Trend Graphs

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2011: $9,269,376Liabilities 2011: $3,030,670Net Assets 2011: $6,238,7062011Assets 2012: $9,804,145Liabilities 2012: $3,072,586Net Assets 2012: $6,731,5592012Assets 2013: $11,252,434Liabilities 2013: $3,866,051Net Assets 2013: $7,386,3832013Assets 2014: $12,555,246Liabilities 2014: $4,564,811Net Assets 2014: $7,990,4352014Assets 2015: $16,219,533Liabilities 2015: $6,845,886Net Assets 2015: $9,373,6472015Assets 2016: $15,986,148Liabilities 2016: $7,068,293Net Assets 2016: $8,917,8552016Assets 2017: $15,604,615Liabilities 2017: $5,740,956Net Assets 2017: $9,863,6592017Assets 2018: $14,049,081Liabilities 2018: $5,301,602Net Assets 2018: $8,747,4792018Assets 2019: $13,805,426Liabilities 2019: $5,034,248Net Assets 2019: $8,771,1782019Assets 2020: $22,182,095Liabilities 2020: $14,348,761Net Assets 2020: $7,833,3342020Assets 2021: $23,124,731Liabilities 2021: $11,584,644Net Assets 2021: $11,540,0872021Assets 2022: $18,858,651Liabilities 2022: $5,621,877Net Assets 2022: $13,236,7742022Assets 2023: $18,948,139Liabilities 2023: $3,461,874Net Assets 2023: $15,486,2652023Assets 2024: $22,336,967Liabilities 2024: $4,057,341Net Assets 2024: $18,279,6262024

Highlighted filing

2024

Assets$22,336,967
Liabilities$4,057,341
Net Assets$18,279,626

Operations Trend

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

$40M$30M$20M$10M$0-$10MExpenses 2011: $19,180,6182011Expenses 2012: $19,140,1802012Revenue 2013: $20,669,716Expenses 2013: $20,014,238Net Income 2013: $655,4782013Revenue 2014: $21,011,634Expenses 2014: $20,521,470Net Income 2014: $490,1642014Revenue 2015: $23,226,730Expenses 2015: $21,790,497Net Income 2015: $1,436,2332015Revenue 2016: $21,310,230Expenses 2016: $21,541,794Net Income 2016: -$231,5642016Revenue 2017: $23,121,609Expenses 2017: $22,249,238Net Income 2017: $872,3712017Revenue 2018: $21,507,906Expenses 2018: $22,750,352Net Income 2018: -$1,242,4462018Revenue 2019: $22,567,623Expenses 2019: $22,527,779Net Income 2019: $39,8442019Revenue 2020: $22,787,275Expenses 2020: $23,616,660Net Income 2020: -$829,3852020Revenue 2021: $26,098,735Expenses 2021: $21,975,338Net Income 2021: $4,123,3972021Revenue 2022: $25,785,085Expenses 2022: $23,947,589Net Income 2022: $1,837,4962022Revenue 2023: $25,984,793Expenses 2023: $23,775,111Net Income 2023: $2,209,6822023Revenue 2024: $30,775,392Expenses 2024: $27,971,633Net Income 2024: $2,803,7592024

Highlighted filing

2024

Revenue$30,775,392
Expenses$27,971,633
Net Income$2,803,759

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$22.3$4.06$18.3$30.8$28.0$2.80
2023Detailed filing. Detailed filing data is available for this year.$18.9$3.46$15.5$26.0$23.8$2.21
2022Detailed filing. Detailed filing data is available for this year.$18.9$5.62$13.2$25.8$23.9$1.84
2021Detailed filing. Detailed filing data is available for this year.$23.1$11.6$11.5$26.1$22.0$4.12
2020Detailed filing. Detailed filing data is available for this year.$22.2$14.3$7.83$22.8$23.6$0.83
2019Detailed filing. Detailed filing data is available for this year.$13.8$5.03$8.77$22.6$22.5$0.04
2018Detailed filing. Detailed filing data is available for this year.$14.0$5.30$8.75$21.5$22.8$1.24
2017Detailed filing. Detailed filing data is available for this year.$15.6$5.74$9.86$23.1$22.2$0.87
2016Detailed filing. Detailed filing data is available for this year.$16.0$7.07$8.92$21.3$21.5$0.23
2015Detailed filing. Detailed filing data is available for this year.$16.2$6.85$9.37$23.2$21.8$1.44
2014Detailed filing. Detailed filing data is available for this year.$12.6$4.56$7.99$21.0$20.5$0.49
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$11.3$3.87$7.39$20.7$20.0$0.66
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.80$3.07$6.73$19.1
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.27$3.03$6.24$19.2
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Aug 25, 2025
Return Version
2024v5.2
Gross Receipts
$30,792,634
Mission and Program Overview

Mission

We are called to make a healthy difference in people's lives.

We improve healthcare one patient at a time in a friendly and professional culture committed to superior quality and safety.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$8,878,250$9,425,967▲ $547,717
Accounts Receivable$3,392,076$5,110,791▲ $1,718,715
Savings and Temporary Cash Investments$3,638,573$3,910,348▲ $271,775
Cash and Non-Interest-Bearing Accounts$1,009,528$1,169,337▲ $159,809
Investments Other Securities$1,088,770$1,148,942▲ $60,172
Inventories for Sale or Use$350,879$542,582▲ $191,703
Prepaid Expenses and Deferred Charges$236,247$312,145▲ $75,898
Pledges and Grants Receivable$77,442$104,241▲ $26,799
Total Assets$18,948,139$22,336,967▲ $3,388,828
Other Assets Total$276,374$612,614▲ $336,240
Liabilities
Accounts Payable and Accrued Expenses$1,718,244$2,191,712▲ $473,468
Other Liabilities$898,080$1,512,420▲ $614,340
Mortgage Notes Payable Secured by Investment Property$844,873$353,209▼ $491,664
Deferred Revenue$677--
Total Liabilities$3,461,874$4,057,341▲ $595,467
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$15,486,265$18,279,626▲ $2,793,361
Total Net Assets Fund Balance$15,486,265$18,279,626▲ $2,793,361
Total Liabilities and Net Assets / Fund Balance$18,948,139$22,336,967▲ $3,388,828

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$6,833,867$4,575,285$11,409,152
Equipment$1,497,435$6,951,411$8,448,846
Other Land Buildings$978,496$693,486$1,671,982
Land$116,169-$116,169
Leasehold Improvements$0$6,211$6,211
Other Securities$1,148,942--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Karin SchmidovaPhysicianFT$382,824$38,735$421,559
Rebecca KatzmanPhysicianFT$268,557$139,431$407,988
Colleen SholarPhysicianFT$251,153$156,273$407,426
Shelly FrayserPhysicianFT$354,751$45,442$400,193
Kelly McgrathDirector/CMOPT$313,587$61,923$375,510
Ally LovelandPhysicianFT$275,654$50,678$326,332
Jyl RulandCFOPT$158,146$41,512$199,658

Board Members and Trustees

NameTitle
CINDY O'BRIENChair
Lenne BonnerPresident/CEO
Kim IngramVice Chair
Christopher RiggersDirector
Jeremy EvansDirector
Mark ImusDirector
Matt SartiniDirector
Paul NusserDirector
Rene ForsmanDirector
Sister Barbara Jean GlodowskiDirector
Sister Lisa MaurerDirector
Michele BouitDirector/kh CFO
Christina UlmerSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Palouse Imaging Consultants PllcRadiology ReadsPO BOX 9583, Moscow, ID 83843$433,176
Dms ImagingMri Radiology ReadsPO BOX 670747, Dallas, TX 75267-0747$321,975
Richardson Enterprises INCAnesthesia CoveragePO BOX 1916, Orofino, ID 83544$294,861
Newport Health Services LLCSleep Lab Management4 CORPORATE PLAZA SUITE 150, Newport Beach, CA 92660$188,075
-Er Md CoverageNORTH 17919 PALMINO ROAD, Colbert, WA 99005$152,155
Revenue and Support

Revenue Composition

Contributions and Grants
$487,230
Program Service Revenue
$29,823,908
Investment Income
$180,676
Other Revenue
$283,578
All Other Contributions
$419,478
Change in Net Assets
$2,803,759
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$18,709,501
Other Expenses$9,249,496
Grants and Similar Amounts Paid$12,636
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,347,141$3,374,762-$14,721,903
Fees for Services Other$2,167,266$536,085-$2,703,351
Other Employee Benefits$12,758$1,419,658-$1,432,416
Payroll Taxes$866,712$257,769-$1,124,481
Current Officers, Directors, Trustees, and Key Employees$676,422$275,066-$951,488
Depreciation Depletion-$849,387-$849,387
Other Expenses$44,045$772,690-$816,735
All Other Expenses$616,036$30,135-$646,171
Pension Plan Contributions$369,361$109,852-$479,213
Occupancy$226,168$11,719-$237,887
Office Expenses$96,772$135,117-$231,889
Information Technology$22,198$130,746-$152,944
Travel$77,503$34,410-$111,913
Insurance$3,473$91,449-$94,922
Advertising$66$52,356-$52,422
Interest-$28,352-$28,352
Fees for Services Accounting-$13,229-$13,229
Grants to Domestic Orgs$12,636--$12,636
Fees for Services Lobbying-$1,058-$1,058
Fees for Service Investment Mgmnt Fees-$222-$222
Total Functional Expenses$19,847,571$8,124,062$0$27,971,633
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Kootenai Health FoundationCoeur Dalene, ID501(c)(3)Administrative Support$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Related Organization$877,971
Deferred Compensation$395,179
Capital Lease Obligation$157,935
Operating Lease Obligation$81,335
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Kootenai hospital district dba kootenai health is the sole member of clearwater valley hospital and clinics, inc. And may elect one or more members of the governing body as described in schedule o, part vi, line 7a. Kootenai hospital district has reserved powers with respect to clearwater valley hospital and clinics, inc. As described in schedule o, part vi, line 7b.

Form 990, Part VI, Section A, Line 7A

Kootenai hospital district appoints and removes clearwater valley hospital and clinics, inc. Governing body.

Form 990, Part VI, Section A, Line 7B

Kootenai hospital district has reserved powers as follows: strategic and business plans authority to create and to approve clearwater valley's strategic and business plans. Mission authority to create and to approve the mission purpose and vision statement for clearwater valley. Debt approval of the incurrence of debt by and the creation of all mortgages, liens, security interests, or other encumbrances on the assets of clearwater valley in excess of the single or annual aggregate dollar limits prescribed in writing by the kh board of directors. Governing instruments authority to cause and approve amendments of the articles of incorporation and bylaws of clearwater valley. Mergers and acquisitions authority to cause and to approve all mergers, consolidations, and dissolutions of clearwater valley. Affiliations and joint ventures authority to cause and approve all affiliations, joint ventures and other alliances between third parties and clearwater valley. Transfer of assets authority to cause and to approve the sale, lease, or other transfer of clearwater valley assets when the asset's value exceeds the single or aggregate dollar limit prescribed in writing by the kh board of directors. Services authority to cause and to approve the discontinuance of services and service locations of clearwater valley. Budgets approval of capital and operating budgets of clearwater valley. Professional services selection of the general legal counsel and external auditors of clearwater valley. Acquisitions authority to cause and to approve all acquisitions by and formations of entities by clearwater valley. Marketing and branding authority to implement clearwater valley marketing, branding, and promotional activities. Compliance plans authority to create and to approve corporate compliance, safety and risk management plans for clearwater valley. Quality plan authority to create to approve clearwater valley's quality plan. Non-budgeted purchases approval of non-budgeted capital purchases, operating expenses, and leases in excess of the single or annual aggregate dollar limits prescribed in writing by kh for clearwater valley. Human resources authority to create human resource policies and procedures for clearwater valley. Reserved powers authority to create additional kh reserved powers by the affirmative vote of at least 75% of the kh board of directors (excluding the kh president).

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

A copy of the 990 is provided to the ceo and cfo who review the form, schedules and related attachments. Any comments or questions are addressed with the preparer and a final draft is provided to the board of directors. Once management is satisfied with the 990, the cfo signs the form 8879-te authorizing the preparer to e-file the return.

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

Cvhc requires board members and officers of the organization to annually disclose potential conflicts. If a potential conflict exists, they are reviewed by the board and the individual with the potential conflict abstains from voting on the issue.

Form 990, Part VI, Section B, Line 15

Compensation of the ceo is set by the independent, executive compensation committee of kootenai health's board of directors. The executive compensation committee engages qualified independent compensation advisors to provide objective and impartial comparative data and to express opinions on total compensation reasonableness. The independent advisor monitors comparability data and marketplace trends, makes appropriate recommendations regarding salary ranges, and periodically reviews the market competitiveness of kootenai health executive compensation packages. Ceo compensation range is derived from state hospital association salary surveys and other regional compensation surveys. Additionally, ceo compensation is determined under a yearly performance evaluation. This practice is also followed for the cfo position and for other compensated officers and key employees. The annual deliberation and decisions process is substantiated.

Form 990, Part VI, Section C, Line 19

The governing documents, conflict of interest policy, and audited financial statements are available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Clearwater Valley Hospital and Clinics
EIN
82-0497771
Phone
2084764555
Address
301 CEDAR, OROFINO, ID 83544
Doing Business As
Clearwater Valley Health

Signing Officer

Name
Jyl Ruland
Title
CFO
Phone
2084764555
Signed
2025-08-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lenne Bonner
Formed
1997
Legal Domicile
Id
Voting Board Members
12
Independent Board Members
11
Employees
248
Volunteers
10

Preparer

Firm
Wipfli Llp
Address
105 E PINE ST UPPER FLOOR, MISSOULA, MT 59802
Preparer
Sam Brunson CPA
Phone
4067281800
Supplemental Narrative

Additional Explanations

FORM 990, PART XII, LINE 2C:

The process has not changed since the prior year.

Raw XML AppendixShowing 400 of 1,046 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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IRS990/Desc0CLEARWATER VALLEY HOSPITAL AND CLINICS (CVHC) IS CREATED AND ORGANIZED TO OWN, MAINTAIN, OPERATE AND CONDUCT, DIRECTLY OR INDIRECTLY, AND TO ASSIST AND COORDINATE ACTIVITIES OF FACILITIES FOR HEALTH CARE, EDUCATION, CARE FOR THE AGED AND SOCIAL SERVICES, INCLUDING CHARITABLE CARE TO PERSONS UNABLE TO PAY. CVHC OPERATES A 23-BED CRITICAL ACCESS HOSPITAL THAT PROVIDES GENERAL MEDICAL AND SURGICAL CARE FOR INPATIENT, OUTPATIENT, AND EMERGENCY ROOM PATIENTS IN CLEARWATER COUNTY AND THE SURROUNDING AREAS AND PRIMARY CARE CLINICS IN OROFINO AND PIERCE. CVHC PROVIDED 1,853 HOSPITAL PATIENT DAYS, 14,205 OUTPATIENT VISITS, 4,106 ER VISITS, AND 19,770 CLINIC ENCOUNTERS DURING THE YEAR. CONTINUED ON SCHEDULE O...CVHC PROVIDES CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS AT BELOW COST AND TO INDIVIDUALS WHO ARE UNABLE TO PAY. THE UNREIMBURSED VALUE OF PROVIDING CARE TO THESE PATIENTS WAS $260,976 FOR CHARITY CARE, $8,378,515 FOR MEDICARE, $3,804,410 FOR MEDICAID, AND $4,175,851 FOR OTHER THIRD-PARTY PAYORS FOR THE YEAR.
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