Tri-State Memorial Hospital

“A copy is provided to the ceo for review prior to filing. The board authorizes the ceo to review and approve the form 990. The final form 990 is filed after ceo approval.”

“It is the organization's policy to request the disclosure of potential conflicts of interest so that appropriate action may be taken to ensure that such conflict does not inappropriately influence important decisions. The hospital reviews its relationship and its staff's relationships with other care providers, educational institutions, and payers to ensure that those relationships are within law and regulation and determine if conflicts of interest exist. Board members are required to submit an annual disclosure form. Board members, administration and medical staff leaders are required to disclose potential conflicts related to decisions that arise during the course of the year on a case-by-case basis. The governing board, senior management, or the medical executive committee will review potential conflicts and take appropriate action. In the event a potential conflict of interest has a direct implication for patient care, the institution may convene an ethics committee to assist in the resolution of the issue.”

“Compensation is determined based on fair market value. Tsmh uses national and regional benchmarks (milliman survey & state of idaho). Based on these comparisons, the board of directors determines the compensation for the ceo and the ceo determines the compensation for the remaining employees of the facility. The board has full determination of the ceo's compensation. Decisions are made by those without conflict and the decisions are documented.”

“Tri-state memorial hospital's governing documents, conflict of interest policy, and financial statements are available to the public upon request.”

“Lab purchased services: program service expenses 5,233,537. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,233,537. Maintenance services: program service expenses 2,039,287. Management and general expenses 142,950. Fundraising expenses 0. Total expenses 2,182,237. Traveling staff: program service expenses 2,479,488. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,479,488. Purchased services: program service expenses 14,969,775. Management and general expenses 2,421,510. Fundraising expenses 0. Total expenses 17,391,285.”

“Temporarily restricted - net grant funds received 1,287,801. Temporarily restricted - interest income 1. Temporarily restricted - change in interest in net assets of foundation 726,041. Intercompany transfers 18,060,559. Released from foundation 1,364,834. Released from restriction -415.”