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Idaho · Nonprofit

KOOTENAI HEALTH INC

KOOTENAI HEALTH INC (Idaho) receives grants from 16 organizations whose IRS filings report $567,354 to it, the largest being NORTH IDAHO FAIR & RODEO FOUNDATION INC ($125,356). 10 of them have funded it in more than one year.

Revenue FY2025
$1.2B
Funders on record
16
Grants received
$567k
Net assets
$656M
10/16 repeat funderspeak grant-dependency 8%
01What it does

What Kootenai Health Inc does

Mission

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

As stated on its FY2025 Form 990.

Program

  1. Kootenai health provided comprehensive inpatient, outpatient, and emergency medical services to the community regardless of a patient's ability to pay. Kootenai health's main hospital features a capacity of 381 beds. The hospital also recorded approximately 83,653 inpatient days and 1,034,444 outpatient visits. Services provided include, but are not limited to, emergency care, heart services, cancer services, family birth center, orthopedic services, and surgical services.kootenai health, inc. Provided charity care and other uncompensated services valued at approximately $18,263,541, ensuring access to necessary care for uninsured and underinsured patients in the community. Kootenai health, inc. Also hosts dozens of community outreach events which cover a variety of topics including heart disease, cancer, and injury prevention.the hospital supported graduate medical education, nursing education, and health training programs, serving as a clinical site for students and residents. These programs help ensure a future healthcare workforce and improve the quality of care in the community.the hospital is also dedicated to pioneering clinical research to improve health outcomes in our…

    $933,968,040 spentof which $157,834 as grants$1,160,758,150 earned by the program
    100% of program spending

The program described on its FY2025 Form 990. Program spending in total: $933,968,040.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20172017 Revenue 100 ($2.1M) Expenses 100 ($5.7M) Net assets 100 ($16M)2018 Revenue 139 ($2.9M) Expenses 70 ($4.0M) Net assets 87 ($14M)2019 Revenue 113 ($2.4M) Expenses 60 ($3.4M) Net assets 87 ($14M)2020 Revenue 219 ($4.6M) Expenses 69 ($3.9M) Net assets 95 ($15M)2021 Revenue 119 ($2.5M) Expenses 33 ($1.9M) Net assets 103 ($16M)2022 Revenue 220 ($4.6M) Expenses 77 ($4.4M) Net assets 93 ($15M)2023 Revenue 71 ($1.5M) Expenses 21 ($1.2M) Net assets 15 ($2.4M)2024 Revenue 47411 ($1.0B) Expenses 17085 ($974M) Net assets 3601 ($571M)2025 Revenue 55626 ($1.2B) Expenses 19504 ($1.1B) Net assets 4135 ($656M)
'17'18'19'20'21'22'23'24'25
Revenue (55626)Expenses (19504)Net assets (4135)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2023 to 2024, from $2.6M to $891M (+34092%).

$16M
$14M
$14M
$16M
$17M
$15M
$2.6M
$891M
$961M
'17'18'19'20'21'22'23'24'25
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
2025
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2022 0% · 2023 10% · 2024 0% · 2025 0%. Grants only. Government contracts and fees sit inside program revenue.

0% of KOOTENAI HEALTH INC’s revenue is contributions — about as donation-reliant as the typical peer (1% for the typical peer).

This organization
Typical peer · 2,214 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 3 of the last 9 reported years ran a deficit.

−$3.6M
’17
−$1.1M
’18
−$1.1M
’19
$701k
’20
$613k
’21
$246k
’22
$283k
’23
$28M
’24
$64M
’25
1.9
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

Jameson Smith

CEO

Board chair

Dr Robert Mcfarland Md

Chair

As listed on its FY2025 Form 990.

'17'18'19'20'21'22'23'24'25
Listed141416171818252218
Joined·+1+3+3+1+4+9+13+1
No longer listed·112042165
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 1 funder to 6 funders, grant income rose $10k → $123k.

5 of 16 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 35% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

Left out of every figure on this page: $5.3M from one payer (the payer shares this organization's board, largest Kootenai Health Foundation Inc); $7k from one payer (the same organization on both sides, largest Kootenai Health Inc). These are real filings, and they are not money KOOTENAI HEALTH INC raised.

From the IRS filings of KOOTENAI HEALTH INC’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

KOOTENAI HEALTH INC has a broad base — no single funder exceeds 22% of grant income, and it takes 4 funders to reach half.

the vertical line marks half of all grant income — 4 funders to its left

98% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund KOOTENAI HEALTH INC.

22%
largest funder
49%
top three
~9
effective funders

Largest funder’s share by year: 2017 100% · 2018 66% · 2019 51% · 2020 100% · 2021 51% · 2022 22% · 2023 46% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

40% of KOOTENAI HEALTH INC's funders are still giving 3 years after their first grant; 63% give in more than one year at all.

first grant+1y+2y+3y+4y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

57% of KOOTENAI HEALTH INC's grant income comes from Idaho funders.

WA
ID
MT
OR
GA

In-state vs out-of-state, by year

’18
’19
’20
’21
’22
’23
Idaho out of state home

Funder states come from each funder’s own filing. $201k arriving through sponsors registered in 5 states is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

KOOTENAI HEALTH INC holds deeper cash reserves than three-quarters of the 1,256 health nonprofits its size.

Operating margin5% · above the median
Months of reserve1.9mo · top quartile
Revenue growth (annualized)120% · top quartile

this organization peer median middle 50% of peers· 1,256 health nonprofits over $100M, FY2025

Government funding KOOTENAI HEALTH INC receives

Grants and contracts to this organization from federal (USASpending) and state checkbooks, reconciled to its EIN. $232 on record.

State$232
17
25
By state
  • NJ$186
  • OR$46

Federal grants vs contracts are distinguished; state line items keep their reported category. Matched by name + geography (the BMF), so coverage is partial and precision-first.

Organizations like KOOTENAI HEALTH INC

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In Idaho

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

84% of spending goes to programs.

Program 84%Management 16%Fundraising 0%

Governance

11
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Part of a family of 11 related entities

  • Kootenai Urgent Care · disregarded
  • Kootenai Care Network LLC · disregarded
  • Kootenai Affordable Care Organization · disregarded
  • Kootenai Accountable Care LLC · disregarded
  • Kootenai Value Care LLC · disregarded

Screen this organization

A dated, signed PDF of the compliance screen for KOOTENAI HEALTH INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

A paid feature, included from the $75 plan up. Sign in to download.

Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds KOOTENAI HEALTH INC?
KOOTENAI HEALTH INC (Idaho) receives grants from 16 organizations whose IRS filings report $567,354 to it, the largest being NORTH IDAHO FAIR & RODEO FOUNDATION INC ($125,356). 10 of them have funded it in more than one year.
How many funders does KOOTENAI HEALTH INC have?
IRS filings report 16 organizations giving $567,354 in grants to KOOTENAI HEALTH INC, 10 of which have funded it in more than one year.
Who is the largest funder of KOOTENAI HEALTH INC?
NORTH IDAHO FAIR & RODEO FOUNDATION INC is the largest funder on record, with $125,356 in grants. The full list of funders is on this page.
How can an organization like KOOTENAI HEALTH INC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in Idaho. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2025 (financials across 2017–2025), and the filings of 16 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 22, 2026. What this page cannot tell you · view filing