North Canyon Medical Center

Nonprofit profile at a glance

EIN
261938641
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024, Form 990-T 2024
Location
Gooding, ID, US
Phone
(208) 934-4433
Rating
77
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Hospitals and Related Primary Medical Care Facilities

Official website

Reported finances

Revenue
$76,786,360
Expenses
$73,075,876
Assets
$100,679,598
Liabilities
$72,258,560

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

17 people listed

Executive titles in this filing

  • J'DEE ADAMS (TRUSTEE/CEO)

Highest reported compensation

  • TOBY ANDERTON (PHYSICIAN): $1,463,955 total reported compensation
  • DAVID VERST (PHYSICIAN): $1,055,399 total reported compensation
  • GUY GROOMS (PHYSICIAN): $766,284 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Powered by excellence, we are growing a medical organization that serves our communities.

What it reported doing in 2024

Ncmc provides a wide range of healthcare services in technologically advanced facilities. Services include orthopedics, spine care, foot and ankle, hand and wrist, general surgery, pain management, urology, behavioral health, cardiology, dermatology, sleep studies, and rehabilitation services. Our rehabilitation services are provided by trained, licensed professionals who specialize in physical, occupational, and speech therapy. We provide inpatient and outpatient therapy at ncmc. Additional services provided by ncmc include diagnostic imaging, addiction medicine, nutrition services, a specialty clinic, family practice clinics, and wound care. Ncmc offers a full-service laboratory department staffed by a team of specialists who are committed to providing high-quality diagnostic services for health care providers and patients. The laboratory utilizes cutting- edge analyzers and equipment to ensure quality and accuracy. Laboratory staff is available 24 hours a day. Our laboratory performs the following areas of testing: hematology, clinical chemistry, immunoassay, serology, coagulation, molecular testing, microbiology, urinalysis, and blood bank. The lab performed and processed 112,489 tests in 2025. Ncmc 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 399,121 for charity care, 16,306,012 for medicare, 10,710,241 for medicaid, and 38,255,958 for other third party payors for the year.

Operating model

Revenue model
Earned-program. 96% 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. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 79
  • Transparency & Controls: 67
  • Accountability: 90
  • Sustainability: 44
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 80.7%; rating input score 81
  • Program expense ratio: 85.5%; rating input score 86
  • Fundraising efficiency: $10.97 raised per $1 spent on fundraising; rating input score 44; 44th percentile among comparable filings

Transparency & Controls

  • Consistency checks: 92.9%; rating input score 93; 17th percentile among comparable filings
  • Pay-setting controls: 1 of 6 controls in place; rating input score 17
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Pass
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 72.1%; rating input score 72; 15th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 81.8%; rating input score 82; 29th percentile among comparable filings
  • Governance controls: 9 of 9 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • 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: 4.8%; rating input score 56; 56th percentile among comparable filings
  • Total-asset coverage ratio: 1.38; rating input score 50; 50th percentile among comparable filings
  • Liabilities to assets ratio: 0.72; rating input score 21; 21st percentile among comparable filings
  • Officer compensation ratio: 7.1%; rating input score 7; 7th percentile among comparable filings

Growth

  • Program expense growth: 13.4% per year; rating input score 100; 84th percentile among comparable filings
  • Revenue growth: 11.7% per year; rating input score 100; 82nd percentile among comparable filings
  • Asset growth: 7.6% per year; rating input score 100; 56th percentile among comparable filings

Details

  • What they do: 2 programs and campaigns described on the official site · 5 operating locations identified
  • Where the money goes: 80.7% of revenue deployed · 85.5% of spending went to programs
  • Governance: 9 of 11 board members independent · 9 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $62.5M in reported program spending
  • Leadership: top reported pay $1.5M · 17 people listed · 1 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed · $3.6M reported
  • Consistency: 35 of 36 current checks pass · 1 finding to review
  • Schedules: 10 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 16 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 10 filed money-flow records
  • Related organizations: 1 filed related-organization link
  • 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 — Financial Efficiency: Fundraising efficiency scored 44/100.
  • Review — Sustainability: Operating margin scored 56/100.
  • Review — Sustainability: Total-asset coverage ratio scored 50/100.
  • High — Sustainability: Officer compensation ratio scored 7/100.
  • High — Sustainability: Liabilities to assets ratio scored 21/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.