2026-08-12T12:19:48-05:00 2025-09-30 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2024-10-01 473263272 CHALLIS AREA HEALTH CENTER INC CHAL 2088794351 PO BOX 980 CHALLIS ID 832260980 STEPHEN D REMBELSKI CHIEF EXECUTIVE OFFICER 2088794351 2026-08-06 1 1 KURT BENNION CPA P01469618 4252506100 2026-08-06 2024 2025-03-06 01:10:19Z STEPHEN D REMBELSKI PO BOX 980 CHALLIS ID 832260980 3358223 0 X WWW.CAHCINC.COM X 2014 ID WE PROVIDE QUALITY HEALTHCARE TO OUR COMMUNITY. 11 10 33 12 0 0 1096809 1124191 2097071 2189559 43134 37197 10358 7276 3247372 3358223 0 0 0 0 2164906 2355887 0 0 0 765931 921620 2930837 3277507 316535 80716 5002366 5136481 182945 236344 4819421 4900137 WE PROVIDE QUALITY HEALTHCARE TO OUR COMMUNITY. 0 0 2878146 0 2189559 CHALLIS AREA HEALTH CENTER OPERATES A FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN CHALLIS, IDAHO. 2878146 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 7 0 1 33 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SHARLENE MILLER 2088794351 PO BOX 980 CHALLIS ID 832260980 MILES HAEBERLE PHYSICIAN ASSISTANT 40.00 0.00 X 205300 0 17867 STEPHEN D REMBELSKI CHIEF EXECUTIVE OFFICER 40.00 10.00 X 188755 0 17503 M CHAD BANKS PHYSICIAN ASSISTANT 40.00 0.00 X 177165 0 18687 S MAX SMITH PHYSICIAN ASSISTANT 40.00 0.00 X 177287 0 17252 SHARLENE MILLER CHIEF FINANCIAL OFFICER 40.00 5.00 X 96977 0 19654 JD BENNETTS CHAIR 1.50 0.75 X X 0 0 0 RAYNAE CHAMBERLAIN VICE CHAIR 1.20 0.60 X X 0 0 0 TEILA LEUZINGER TREASURER 1.50 0.60 X X 0 0 0 JEN BUTTERFIELD SECRETARY 1.20 0.00 X X 0 0 0 ROBERT BOREN DIRECTOR 1.20 0.75 X 0 0 0 SHELBIE BRYANT DIRECTOR 1.20 0.60 X 0 0 0 MATT CAHOON DIRECTOR 1.20 0.00 X 0 0 0 BETSY DOUGHTY DIRECTOR 1.20 0.60 X 0 0 0 SHELLY HELM DIRECTOR 1.20 0.00 X 0 0 0 CORINNE JONES DIRECTOR (THROUGH OCTOBER 2024) 1.20 0.00 X 0 0 0 STEPHANIE STRAND DIRECTOR 1.20 0.60 X 0 0 0 JAKE ZOLLINGER DIRECTOR 1.20 0.00 X 0 0 0 845484 0 90963 4 0 1 0 0 1043124 15767 65300 1124191 PATIENT SERVICE REVENU 621110 1784877 1784877 340B PROGRAM REVENUE 621110 363129 363129 HEALTH CONNECTIONS 621110 41553 41553 2189559 37197 37197 INCOME FROM COOPERATIV 900099 7276 7276 7276 3358223 2189559 0 44473 357324 357324 1670645 1670645 38530 38530 151177 151177 138211 125882 12329 2028 1847 181 312438 284566 27872 5670 5670 38278 38278 189692 189692 30753 30753 6659 6065 594 796 796 120512 120512 11896 10835 1061 MEDICAL SUPPLIES 163233 163233 EDUCATION 18856 18856 RECRUITING & RETENTION 15000 15000 MEMBERSHIP DUES 5809 5809 3277507 2878146 399361 0 1412334 559994 1565406 2663015 292068 287216 4694 6147 16397 17268 1791561 512061 1389618 1279500 221398 226902 80726 80726 19725 15713 5002366 5136481 163134 220219 19811 16125 182945 236344 X 3393953 3604924 1425468 1295213 4819421 4900137 5002366 5136481 80716 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1495493 289302 1206191 11196 4199 6997 284872 218560 66312 1279500 RIGHT-OF-USE LEASE LIABILITIES 16125 16125 X PART X, LINE 2: 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. CAHC IS REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE INTERNAL REVENUE SERVICE (IRS) ANNUALLY. IN ADDITION, CAHC IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. 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. 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. 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. X X X 0 0 0 1 0 0 0 0 0 MILES HAEBERLE PHYSICIAN ASSISTANT 200063 0 4923 0 314 0 6182 0 11685 0 223167 0 0 0 STEPHEN D REMBELSKI CHIEF EXECUTIVE OFFICER 182708 0 5708 0 339 0 5519 0 11984 0 206258 0 0 0 M CHAD BANKS PHYSICIAN ASSISTANT 172041 0 1785 0 3339 0 5616 0 13071 0 195852 0 0 0 S MAX SMITH PHYSICIAN ASSISTANT 171472 0 5026 0 789 0 5385 0 11867 0 194539 0 0 0 PART I, LINE 5 ALL EMPLOYEES PARTICIPATE IN AN INCENTIVE COMPENSATION PROGRAM. REVENUE-RELATED GOALS COMPRISE 25 PERCENT OF THE INCENTIVE COMPENSATION DETERMINATION. PATIENT SATISFACTION, QUALITY MEASURES AND PATIENT VOLUME COMPRISE THE OTHER 75 PERCENT. THE INCENTIVE COMPENSATION AMOUNTS CAN BE UP TO 5 PERCENT OF EACH INDIVIDUAL'S TOTAL COMPENSATION. WENDY CHESLEY CHILD OF BETSY DOUGHTY, BOARD MEMBER 41404 EMPLOYEE COMPENSATION 0 FORM 990, PART VI, SECTION A, LINE 1A 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. FORM 990, PART VI, SECTION A, LINE 3 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, 2025, THE CMO WAS PAID $43,282 FOR THESE SERVICES. AS OF JULY 1, 2025, THE CHIEF COMPLIANCE OFFICER IS AN INDEPENDENT CONTRACTOR COMPENSATED THROUGH A 1099. THE CHIEF COMPLIANCE OFFICER HAS DECISION-MAKING AUTHORITY OVER QUALITY AND PROGRAM COMPLIANCE MATTERS. DURING THE FISCAL YEAR ENDED SEPTEMBER 30, 2025, THE CCO WAS PAID $16,590 FOR THESE SERVICES. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 WAS REVIEWED AND APPROVED BY THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 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 SEPTEMBER 2024, AND COMPENSATION WAS LAST REVIEWED IN MAY 2025. FORM 990, PART VI, SECTION C, LINE 19 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. FORM 990, PART XII, LINE 2C: 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. NORTH CUSTER HOSPITAL DISTRICT PO BOX 357 611 CLINIC ROAD CHALLIS ID 83226 820402107 EMERGENCY & PRIMARY HEALTHCARE ID 115 N/A 0 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0