Gritman Medical Center
Legal name: Gritman Medical Center Inc
Nonprofit profile at a glance
- EIN
- 820146328
- IRS 990 coverage
- 2010–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Location
- Moscow, ID, USA
- Phone
- 208-883-6231
- Rating
- 79
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $118,872,586
- Expenses
- $125,108,622
- Assets
- $146,474,031
- Liabilities
- $96,071,501
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
24 people listed
Executive titles in this filing
- KARA BESST (CEO)
Highest reported compensation
- MARVIN KYM MD (PHYSICIAN): $1,009,418 total reported compensation
- NICHOLAS B LEVINE MD (PHYSICIAN): $699,223 total reported compensation
- BRYAN SMITH MD (PHYSICIAN): $684,708 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
To provide extraordinary care to improve the health of the people in our communities.
What it reported doing in 2024
Radiology: gritman's comprehensive imaging and radiology services are provided by experienced, compassionate, board-certified technologists and radiologists. We are staffed 24 hours a day and always ready for your emergency or scheduled imaging needs. The radiology department provides a variety of services including ct scans, echocardiogram, mri, nuclear medicine, ultrasound, 3d mammography, osteoporosis screening, and x-ray.emergency services: gritman's emergency services are always open and ready to handle a wide range of medical and trauma cases. Our emergency physicians, nurses and technicians have all gone through extensive training to provide immediate, comprehensive and sophisticated emergency care. We accept all patients, regardless of ability to pay.lab: the gritman medical center laboratory performs more than 195,000 tests each year. We are the only laboratory on the palouse to provide in-house, automated blood bank services with antibody identification and phenotyping. We're also the only lab in the pacific northwest to offer prostrate health index testing. We offer a full-service microbiology department.
Operating model
- Revenue model
- Earned-program. 93% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. The filing does not identify recipients for some grant dollars and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 76
- Transparency & Controls: 73
- Accountability: 100
- Sustainability: 25
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 86.5%; rating input score 87
- Program expense ratio: 83.2%; rating input score 83
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
- Pay-setting controls: 3 of 6 controls in place; rating input score 50
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: 37%; rating input score 37; 8th percentile among comparable filings
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Yes; rating input score 100
Accountability
- Independent voting board: 100%; rating input score 100; 77th percentile among comparable filings
- Governance controls: 8 of 8 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: NotApplicable
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: -5.2%; rating input score 12; 12th percentile among comparable filings
- Total-asset coverage ratio: 1.17; rating input score 45; 45th percentile among comparable filings
- Liabilities to assets ratio: 0.66; rating input score 25; 25th percentile among comparable filings
- Officer compensation ratio: 3.9%; rating input score 27; 27th percentile among comparable filings
Growth
- Program expense growth: 8.6% per year; rating input score 100; 68th percentile among comparable filings
- Revenue growth: 7.8% per year; rating input score 100; 65th percentile among comparable filings
- Asset growth: 5.7% per year; rating input score 100; 42nd percentile among comparable filings
Details
- What they do: 2 programs and campaigns described on the official site · 4 operating locations identified
- Where the money goes: 86.5% of revenue deployed · 83.2% of spending went to programs
- Governance: 10 of 10 board members independent · 8 of 8 filing controls reported
- Programs: 1 filed program accomplishment · $104.1M in reported program spending
- Leadership: top reported pay $1M · 24 people listed · 3 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $8.2M reported
- Consistency: 31 of 32 current checks pass · 1 finding to review
- Schedules: 10 filed schedules · includes major donors, grants, executive pay, and related organizations
- Filing history: 14 filing years from 2010 to 2024
- Contacts: How to reach this organization
- Money network: 15 filed money-flow records
- Related organizations: 6 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
- Staff and benefit plans: Retirement and health plans the organization files with the Department of Labor, and the people in them.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Moderate — Transparency & Controls: Grant itemization coverage scored 37/100.
- High — Sustainability: Operating margin scored 12/100.
- Moderate — Sustainability: Total-asset coverage ratio scored 45/100.
- High — Sustainability: Liabilities to assets ratio scored 25/100.
- High — Sustainability: Officer compensation ratio scored 27/100.
- Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.