ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD (EIN 56-2570686)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-13
- IRS object ID
- 201402259349303600
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-13T21:47:25-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 W Santa Clara St | AddressLine1 |
| City | San Jose | City |
| State | CA | State |
| ZIP Code | 95113 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 562570686 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Magic Valley Regional Medical | BusinessNameLine1 |
| Business Name Line2 | CenterLtd | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STLU | NameControl |
| Phone | 2083813790 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 Pole Line Road | AddressLine1 |
| City | Twin Falls | City |
| State | ID | State |
| ZIP Code | 83301 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Peter DiDio | Name |
| Title | Vice-President,Controller | Title |
| Phone | 2083813790 | Phone |
| Date Signed | 2014-08-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Sharon Zorbach | Name |
| PTIN | P00125475 | PTIN |
| Phone | 4087044000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | James Angle | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 Pole Line Road | AddressLine1 |
| City | Twin Falls | City |
| State | ID | State |
| ZIP Code | 83301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 297458950 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stlukesonline.org/magic valley | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2006 | YearFormation |
| State Legal Domicile | ID | StateLegalDomicile |
| Activity Or Mission Description | Provide healthcare services to the community. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2612 | TotalNbrEmployees |
| Total Nbr Volunteers | 209 | TotalNbrVolunteers |
| Total Gross UBI | 107929 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -19769 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1693073 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2511658 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 269930923 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 293865344 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 276293 | InvestmentIncomePriorYear |
| Investment Income Current Year | 611188 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 156613 | OtherRevenuePriorYear |
| Other Revenue Current Year | -5895 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 272056902 | TotalRevenuePriorYear |
| Total Revenue Current Year | 296982295 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 956613 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1084443 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 96797604 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 105219157 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 160091649 | OtherExpensePriorYear |
| Other Expenses Current Year | 173084167 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 257845866 | TotalExpensesPriorYear |
| Total Expenses Current Year | 279387767 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 14211036 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 17594528 | RevenuesLessExpensesCY |
| Total Assets BOY | 303722031 | TotalAssetsBOY |
| Total Assets EOY | 313679752 | TotalAssetsEOY |
| Total Liabilities BOY | 222297785 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 199884214 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 81424246 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 113795538 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | Improve the health of people in the communities we serve by aligningphysicians and other providers to deliver integrated,patientcentered,quality care. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 256492303 | Expense |
| Grants | 1046842 | Grants |
| Revenue | 283676152 | Revenue |
| Description | Medical & Surgical:St. Luke's Magic Valley is a 186-bed hospital,700,000 square foothealth care facility with acute care and acute rehabilitation aswell as St. Luke's Canyon View Behavioral Health Services. Withmore than 1,900 employees and more than 200 physicians with28 specialties,St. Luke's Magic Valley provides the most comprehensive health care services in south central Idaho,including:generalacute care services,Inpatient Rehabilitation services,BehavioralHealth Services,cancer services with St. Luke's Mountain StatesTumor Institute (MSTI),Cardiopulmonary and Cardiac Catheterization,CARES (Children At Risk Evaluation Services),Community Connection information and referral database,Diabetes and Nutrition Services,Diagnostic Imaging,Radiology and Women's Imaging Services,Emergency Services,Home Health and Hospice Care,IntensiveCare and Newborn Intensive Care Units,Laboratory Services,MedicalLibrary (open to the public),Maternal-Child Services OB,Pediatricsand Women's Services),Pharmacy,Occupational Health,Adult and Pediatric Rehabilitation(Speech,Occupational,Physical Therapy),ComprehensiveSurgical Services,Magic Valley SAFE KIDS Coalition,Social Servicesand Pastoral Care,Volunteer Services and Auxiliary,and St. Luke's Magic Valley Foundation for gift-giving. St. Luke's Magic Valley is fully accreditied by the Joint Commission and is a participant in theInstitute for Healthcare Improvement's 5 Million Lives Campaign.At St. Luke's Magic Valley Medical Center,we take great pride in the high quality,skilled,and compassionate care we provide to our patients. This focus on excellence has resulted in honors from national entities,such as Qualis Health and Solucient. These awards recognize that our commitment to safety and performance improvement means enhanced and safer care,and an overall better experience for you,your family,and everyone we serve.During FY'13,St. Luke's Magic Valley Regional Medical Center provided qualified inpatient care for 11,886 admissions covering 40,561 patient days. The hospital also provided care associated with 266,056 outpatient visits. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3649376 | Expense |
| Grants | 26802 | Grants |
| Revenue | 7262839 | Revenue |
| Description | Behavioral Health:St. Luke's Canyon View Behavioral Health Services,a 28-bed inpatient facility,provides treatment for adolescents,adults,and seniors.St. Luke's Canyon View offers intensive inpatient programs thataddress acute psychiatric issues in addition to medical detoxificationfrom alcohol and drugs. Canyon View utilizes individual,family,andgroup counseling to address personal,family,emotional,psychiatric, behavioral,and addiction-related problems. Our wide variety ofservices allows Canyon View to carefully match the needs of eachperson who comes to us for help with the most appropriate,cost-effective level of care. Outpatient services are scheduled at convenient hours. The common goal of our programs is to help peoplefind positive solutions to resolve the challenges and crises intheir lives. The hospital is staffed with a diverse group of dedicated,caring professionals. Psychiatrists and other physicians,psychologists,social workers,nurses,therapists,nutritionists,and alcohol/drug counselors work as a team to provide comprehensive,personalized care to each person who comes to us for help.During FY'13,Canyon View had 677 admissions covering 4,600 patient days. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1735895 | Expense |
| Grants | 10799 | Grants |
| Revenue | 2926353 | Revenue |
| Description | Comprehensive Rehabilitation and Therapy ServicesThe Gwen Neilson Anderson Rehabilitation Center at St. Luke'sMagic Valley is a licensed,comprehensive,14-bed acute inpatient rehabilitation center. Our inpatient unit provides state-of-the-art,evidenced-based rehabilitation care for patients requiring:--Intensive physicial,occupational,and/or speech therapy (at least three hours per day). --Specialized 24-hour rehabilitative nursing in an inpatient setting--Daily oversight by a medical doctor who specializes in physical medicine and rehabilitation(a physiatrist). --Individualized case management provided by a licensed social workerOur rehabilitation services are highly coordinated to optimize clinical outcomes and maximize a patient's independence. All members of the rehabilitation team (physicians,therapists,nurses,case workers.etc.)meet daily to ensure that treatments are tailored to each patient's specific diagnosis and unique needs. Our inpatient programs include:--Spinal cord injury--Stroke--Brain injury--Neuromuscular diseases,such as multiple sclerosis,Guilain-Barre syndrome, and cerebral palsy--Orthopedics--Major multiple trauma--Amputation--Arthritis--Medically complex conditionsAll 14 inpatient rehabilitation rooms at St. Luke's are private,and designed specifically to enhance the safety,comfort,and independence of patients recovering from and adapting to a variety of injuries and illnesses. Room features include ADA design,bed-side environmentalcontrols(lights,nurse call light,window shades,etc.),free wireless, broadband internet access,pull-out couch and reclining chair forvisiting family members,and video surveillance capability for patientswith confusion due to brain injury,stroke,or other illness.The rehabilitation gymnasium in the Gwen Neilson AndersonRehabilitation Center contains state-of-the-art equipment and design features. The spacious gym includes private treatment rooms forone-on-one therapy sessions and a large,open space for wheelchairtraining,advanced mobility training,and group interaction. The rehabilitation gym includes the latest in equipment:--LiteGait gait trainer--Bioness Neuroprostheses: H200,L300,and L300 Plus--Saeboflex Inpatient kit--Dynavision D2--Dynavox Vmax Plus--Empi Vitai Stim--60-inch LCD television with Blu-Ray player and Wii game consoleThe transitional apartment is a fully functional apartment in which patients can practice basic activities of daily living under the supervision of a trained therapist.The activity area offers a place for patients and their visitors togather and engage in therapeutic recreation.During FY'13,the inpatient rehabilitation unit provided qualified inpatient care for 189 admissions covering 2,364 patient days. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 261877574 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 74 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2612 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Peter DiDio Vice-PresidentController | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2083713790 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 E Bannock | AddressLine1 |
| City | Boise | City |
| State | ID | State |
| ZIP Code | 83712 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Mr Tom Ashenbrener | |||||||||
| Chairman | 2.50 | 2.50 | X | X | 0 | 0 | 0 | ||
| Mr Robert Alexander | |||||||||
| Chair Elect | 2.00 | 2.00 | X | X | 0 | 0 | 0 | ||
| Jeff FoxPhD | |||||||||
| Secr./Treas. Vice-Chair Planning | 2.00 | 2.00 | X | 0 | 0 | 0 | |||
| Russ NewcombMD | |||||||||
| Vice-Chair Finance | 2.00 | 2.00 | X | 0 | 0 | 0 | |||
| Eric CassidyDO | |||||||||
| Vice-Chair Quality | 40.00 | 2.00 | X | 0 | 0 | 0 | |||
| Rick YavruianDO | |||||||||
| Chief of Medical Staff | 40.00 | 2.00 | X | 227876 | 0 | 27769 | |||
| Mr Stephen Kaatz | |||||||||
| Director | 2.00 | 6.00 | X | 0 | 0 | 0 | |||
| Mr Terry Kramer | |||||||||
| Director | 2.00 | 2.00 | X | 0 | 0 | 0 | |||
| Ronald McGarrigleMD | |||||||||
| Chief of Medical Staff(Outgoing) | 40.00 | 2.00 | X | 0 | 0 | 0 | |||
| Ms Rebecca Becky Nelson | |||||||||
| Director | 2.00 | 2.00 | X | 0 | 0 | 0 | |||
| Robert WardMD | |||||||||
| Director | 40.00 | 2.00 | X | 0 | 0 | 0 | |||
| Mr Stephen Westfall | |||||||||
| Director | 2.00 | 2.00 | X | 0 | 0 | 0 | |||
| Mr Gary Babbel | |||||||||
| Director(thru 1/15/2013) | 2.00 | 2.00 | X | 0 | 0 | 0 | |||
| Mr James L Angle | |||||||||
| Chief Executve Officer | 40.00 | 5.00 | X | X | 0 | 393399 | 28024 | ||
| Ms Amy L Bearden | |||||||||
| Chief Nursing Officer | 40.00 | 0.00 | 181175 | 0 | 18450 | X | |||
| Ms Debra G Kytle | |||||||||
| Director-Physician Serv. | 40.00 | 0.00 | 0 | 170715 | 27642 | X | |||
| Jason R GreenhalghMD | |||||||||
| Physician | 40.00 | 0.00 | 483990 | 0 | 115 | X | |||
| James H RaoMD | |||||||||
| Physician | 40.00 | 0.00 | 452455 | 0 | 21848 | X | |||
| Steven F JohnsonMD | |||||||||
| Physician | 40.00 | 0.00 | 452185 | 0 | 19382 | X | |||
| Cory S BatesMD | |||||||||
| Physician | 40.00 | 0.00 | 444106 | 0 | 1846 | X | |||
| Timothy A EndersDO | |||||||||
| Physician | 40.00 | 0.00 | 395097 | 0 | 25162 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2636884 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 564114 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 170238 | TotalOtherCompensation |
| Number Individuals GT100 K | 41 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Physician Center | |||||
| 630 Addison Ave W Ste 100 | Twin Falls | ID | 83301 | Medical Services | 6427486 |
| Magic Valley Anesthesiology Associate PL | |||||
| PO Box 1293 | Twin Falls | ID | 83301 | Anesthesia Services | 6051193 |
| Emergency Physicians of Southern Idaho | |||||
| 2188 Addison Avenue East | Twin Falls | ID | 83301 | Emergency Room Services | 5070857 |
| RMJ Safari PLLC | |||||
| 714 N College Road Ste A | Twin Falls | ID | 83301 | Medical Services | 4435484 |
| Magic Valley Women's Health | |||||
| 630 Addison Ave W Ste 210 | Twin Falls | ID | 83301 | Medical Services | 3868515 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 32 | NumberOfContractorsGT100K |
| Related Organizations | 182806 | RelatedOrganizations |
| Government Grants | 2323723 | GovernmentGrants |
| All Other Contributions | 5129 | AllOtherContributions |
| Total Contributions | 2511658 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Revenue | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 290675563 | TotalRevenueColumn |
| Related Or Exempt Function Income | 290675563 | RelatedOrExemptFunctionIncome |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3189781 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3189781 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 293865344 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 571178 | TotalRevenueColumn |
| Exclusion | $571,178 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 361178 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 475002 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -113824 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -113824 | TotalRevenueColumn |
| Exclusion | -$113,824 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 41663 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 1653 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 40010 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40010 | TotalRevenueColumn |
| Exclusion | $40,010 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|
| Transcription Services | 541900 | 54341 | 54341 |
| MSO Admin & Billing Se | 561000 | 32278 | 32278 |
| All Other Revenue | 812300 | 14566 | 14566 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6744 | TotalRevenueColumn |
| Unrelated Business Revenue | 6744 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 107929 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 296982295 | TotalRevenueColumn |
| Related Or Exempt Function Income | 293865344 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 107929 | UnrelatedBusinessRevenue |
| Exclusion | $497,364 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1084443 | Total |
| Program Services | 1084443 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 676513 | Total |
| Management And General | 676513 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83787344 | Total |
| Program Services | 75154921 | ProgramServices |
| Management And General | 8632423 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2518140 | Total |
| Program Services | 2263934 | ProgramServices |
| Management And General | 254206 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12054392 | Total |
| Program Services | 10751043 | ProgramServices |
| Management And General | 1303349 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6182768 | Total |
| Program Services | 5504381 | ProgramServices |
| Management And General | 678387 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45809219 | Total |
| Program Services | 45768125 | ProgramServices |
| Management And General | 41094 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 194335 | Total |
| Program Services | 37 | ProgramServices |
| Management And General | 194298 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 605 | Total |
| Program Services | 605 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1916995 | Total |
| Program Services | 1876493 | ProgramServices |
| Management And General | 40502 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 384143 | Total |
| Management And General | 384143 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2268431 | Total |
| Program Services | 171708 | ProgramServices |
| Management And General | 2096723 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10840053 | Total |
| Program Services | 10792219 | ProgramServices |
| Management And General | 47834 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1121459 | Total |
| Program Services | 46039 | ProgramServices |
| Management And General | 1075420 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 440885 | Total |
| Program Services | 359200 | ProgramServices |
| Management And General | 81685 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97098 | Total |
| Program Services | 97098 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21246286 | Total |
| Program Services | 21246286 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156343 | Total |
| Program Services | 156343 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Supplies | 37434734 | 36838031 | 596703 |
| Provision For Bad Debt | 18776077 | 18776077 | |
| Contract Service Expens | 5913038 | 4875458 | 1037580 |
| Repairs Expense | 2946534 | 2772732 | 173802 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23537932 | Total |
| Program Services | 23342401 | ProgramServices |
| Management And General | 195531 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 279387767 | Total |
| Program Services | 261877574 | ProgramServices |
| Management And General | 17510193 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9781050 | BOY |
| EOY | 5237854 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2046769 | BOY |
| EOY | 3349577 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40948117 | BOY |
| EOY | 54218022 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 86656 | BOY |
| EOY | 44040 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3348651 | BOY |
| EOY | 4060844 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 485666 | BOY |
| EOY | 555165 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 299125228 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 54779643 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 244541579 | BOY |
| EOY | 244345585 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61101 | BOY |
| EOY | 65603 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 786162 | BOY |
| EOY | 122382 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1636280 | BOY |
| EOY | 1680680 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303722031 | BOY |
| EOY | 313679752 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19141744 | BOY |
| EOY | 25915624 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1795135 | BOY |
| EOY | 1378637 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201360906 | BOY |
| EOY | 172589953 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 222297785 | BOY |
| EOY | 199884214 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81354939 | BOY |
| EOY | 113795538 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 69307 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 81424246 | BOY |
| EOY | 113795538 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303722031 | BOY |
| EOY | 313679752 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 17594528 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 63146 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 14713618 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtc |
| Included On FS | 0 | IncludedOnFS |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 4842353 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 9393347 | OtherCostOrOtherBasis |
| Book Value | 14235700 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 165101966 | OtherCostOrOtherBasis |
| Depreciation | 14995827 | Depreciation |
| Book Value | 150106139 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10666497 | OtherCostOrOtherBasis |
| Depreciation | 2801406 | Depreciation |
| Book Value | 7865091 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 105779166 | OtherCostOrOtherBasis |
| Depreciation | 36982410 | Depreciation |
| Book Value | 68796756 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3341899 | OtherCostOrOtherBasis |
| Book Value | 3341899 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 244345585 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Related Organizations | $136,318,500 |
| Third Party settlement | $28,074,656 |
| Capital Lease | $198,896 |
| Pension Liability | $7,997,901 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 172589953 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | Form 990 Schedule D,Part X,Line 2: Footnote Disclosure-Uncertain Tax Positions Under FIN #48 (Source: Consolidated Financial Statements-St. Luke's Health System) "The Health System is subject to federal excise tax on its unrelated business taxable income(UBTI). For the period ended September 30,2013,the Company had approximately $3,947,000 of UBTI Net Operating Losses from operating losses incurred from 1999 to 2013 which expire in years 2014 to 2028. The Health System does not believe it is more likely than not they will utilize these losses prior to their expiration and as such has provided a full valuation allowance against these losses." | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 185.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4769219 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4769219 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01830 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35796385 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 27092548 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8703837 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03340 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 11843821 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7683441 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4160380 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01600 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 52409425 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 34775989 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17633436 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06770 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1378720 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 163952 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1214768 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00470 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1495873 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 16464 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1479409 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00570 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4641096 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2598845 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2042251 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00780 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 860668 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 860668 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8376357 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2779261 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5597096 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02150 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 60785782 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37555250 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 23230532 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08920 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7070 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7070 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 50508 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 50508 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2047 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2047 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 6986 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 6986 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 66611 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 66611 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $8,682,058 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 55971746 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 68510483 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -12538737 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | StLuke's Magic Valley Regional Medical | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 Pole Line Road | AddressLine1 |
| City | Twin Falls | City |
| State | ID | State |
| ZIP Code | 83301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stlukesonline.org | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | StLuke's Magic Valley Regional Medical | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 0 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 185.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 12 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (12 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| St Luke's Magic Valley MOB | ||||
| 775 Pole Line Rd W | Twin Falls | ID | 83301 | Various Family Medicine & Specialty Physician Clinics |
| St Luke's Canyon View | ||||
| 228 Shoup Avenue W | Twin Falls | ID | 83301 | Psychiatric and Addiction |
| St Luke's Clinic-Physician Center | ||||
| 2550 Addison Avenue E | Twin Falls | ID | 83301 | Family Medicine,Internal Medicine,& Pediatric Physician Clinics |
| St Luke's Woman's Imaging Center | ||||
| 762 N College Road | Twin Falls | ID | 83301 | Women's Imaging Services |
| St Luke's Clinic-Physician Center | ||||
| 746 N College Road | Twin Falls | ID | 83301 | Family Medicine & Specialty Physician Clinic |
| St Luke's Clinic-Physician Center | ||||
| 730 N College RoadSuite A | Twin Falls | ID | 83301 | Family Medicine & ENT Physician Clinics |
| St Luke's Clinic-OrthoPlastic Surg | ||||
| 714 N College RoadSuite A | Twin Falls | ID | 83301 | Orthopedics and Plastic Surgery-Physician Clinic |
| St Luke's Clinic-Physician Center | ||||
| 550 PolkSuite A | Twin Falls | ID | 83301 | Family Medicine-Physician Clinic |
| St Luke's Clinic-Neurology | ||||
| 738 N College RoadSuite C | Twin Falls | ID | 83301 | Neurology and Physical Med.& Rehab-Physician Clinic |
| Magic Valley Paramedics | ||||
| 121 Aspenwood | Twin Falls | ID | 83301 | Ground Paramedic Services |
| Magic Valley Paramedics | ||||
| 285 Martin St | Twin Falls | ID | 83301 | Ground Paramedic Services |
| Magic Valley Paramedics | ||||
| 708 Shoshone | Twin Falls | ID | 83301 | Ground Paramedic Services |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 3c: (A) St. Luke's does provide charity care services to patients who meet one or both of the following guidelines based on income and expenses: 1. Income. Patients whose family income is equal to or less than 400% of the then current Federal Poverty Guideline are eligible for possible fee elimination or reduction on a sliding scale. 2. Expenses. Patients may be eligible for charity care if his or her allowable medical expenses have so depleted the family's income and resources that he or she is unable to pay for eligible services. The following two qualifications must apply: a. Expenses-The patients allowable medical expenses must be greater than 30% of the family income. Allowable medical expenses are the total of the family medical bills that, if paid,would qualify as deductible medical expenses for Federal income tax purposes without regard to whether the expenses exceed the IRS-required threshold for taking the deduction. Paid and unpaid bills may be included. b. Resources-The patient's excess medical expenses must be greater than available assets. Excess medical expenses are the amount by which allowable medical expenses exceed 30% of the family income. Available assets do not include the primary residence,the first motor vehicle,and a resource exclusion of the first $4,000 of other assets for an individual,or $6,000 for a family of two,and $1,500 for each additional family member. (B) Service Exclusions: 1. Services that are not medically necessary(e.g. cosmetic surgery)are not eligible for charity care. 2. Eligibility for charity care for a patient whose need for services arose from injuries sustained in a motor vehicle accident where the patient, driver, and/or owner of the motor vehicle had a motor vehicle liability policy,and only if a claim for payment has been properly submitted to the motor vehicle liability insurer,where applicable.(C) Eligibility Approval Process: 1. St. Luke's screens patients for other sources of coverage and eligibility in government programs. St. Luke's documents the results of each screening. If St. Luke's determines that a patient is potentially eligible for Medicaid or another government program,then St. Luke's shall encourage the patient to apply for such a program and shall assist the patient in applying for benefits under such a program. 2. The patient must complete a Financial Assistance Application and provide required supporting documentation in order to be eligible. 3. St. Luke's verifies reported family and compares to the latest Poverty Guidelines published by the U.S. Department of Health and Human Services. 4. St. Luke's verifies reported assets. 5. St. Luke's provides a written notice of determination of eligibility to the patient or the responsible party within 10 business days of receiving a completed application and the required supporting documentation. 6. St. Luke's reserves the right to run a credit report on all patients applying for charity care services. (D) Eligibility Period. The determination that an individual is approved for charity care will be effective for six months from the date the application is submitted,unless during that time the patient's family income or insurance status changes to such an extent that the patient becomes ineligible. | ||
| Part I, Line 6a: St. Luke's Magic Valley Regional Medical Center, Ltd. does not include the activities of any of its other related organizations within its community benefit report. | ||
| Part I, Line 7: The cost to charge ratio was used for the calculation of charity care at cost,unreimbursed Medicaid and other means-tested programs. | ||
| Part I, L7 Col(f): Bad Debt is defined as expenses resulting from services provided to a patient and/or guarantor who,having the requisite financial resources to pay for health care services,has demonstrated an unwillingness to do so. Amount of bad debt expense included in Part IX,line 25,is $18,776,077. | ||
| Part II: The community building activities for St. Luke's Magic Valley Regional Medical Center,Ltd. include the following:Economic Development:Cash donation to Community Connections to fund needed programs in the community and meetings with Planning and Zoning to discuss future developement.Community Support:Select members of St. Luke's Magic Valley staff went through intense disaster readiness training in order to be ready for any disaster that occurs in the region. They took this knowledge and implemented disaster readiness policy and procedure throughout the hospital.Coalition Building:Activities for Coalition Building include involvement of physicianin:-Chamber of Commerce Leadership-Tobacco-Free Coalition-State Board of Medicine-IMA-President of South Central Idaho Community Health Improvement Advocacy: Support for Serenity Garden project. The Serenity garden Project was established on June 6,2009 to provide a dignified burial for fetal remains and give the community a place to visit and grieve their loss.Physician meetings with Genesis Group and county commissioners to discuss the Mustard Tree Wellness Clinic operations and funding.Physician meetings with governor and legislators to discuss legalization of marijuana and meetings with Idaho Board of Corrections. | ||
| Part III, Line 4: St. Luke's Magic Valley Regional Medical Center,Ltd. grants credit without collateral to its patients,most of whom are local residents and many of whom are insured under third-party agreements. The allowance for estimated uncollectible amounts is determined by analyzing both historical information(write-offs by payor classification),as well as current economic conditions. | ||
| Part III, Line 8: 100% of the shortfall in Medicare reimbursement is considered a community benefit. St. Luke's Magic Valley Regional Medical Center, Ltd. provides medical care to all patients eligble for Medicare regardless of the shortfall and thereby relieves the Federal Government of the burden for paying the full cost of Medicare. The source of the information is the Medicare Cost Report for fiscal year 2013. The amount is calculated by comparing the total Medicare apportioned costs(allowable costs) to reimbursements received during FY'13. It should be noted that the unreimbursed costs reported within this schedule are significantly less than the amount reported in the annual Community Benefit Report to Twin Falls County("County"). In the report to the County,unreimbursed costs include program costs allocated to the Medicare Advantage program,along with costs that offset the provider-based physician clinic operations;i.e. professional component billing for physician time and effort. The Medicare Cost Report does not include these components. In addition,the report to the County includes all allocated costs to the Medicare Programs,whereas the Medicare Cost Report reports allowable costsonly. | ||
| Part III, Line 9b: All subsidiaries within the St. Luke's Health System have policies in place to provide financial assistance to those who meet established criteria and need assistance in paying for the amounts billed for their provided health care services. In addition, the collection policies and practices in place within the St. Luke's Health system provide guidance to patients on how to apply for this assistance. Collection of amounts due may be pursued in cases where the patient is unable to qualify for charity care or financial assistance and the patient has the financial resources to pay for the billed amounts. | ||
| Part V, Section B, Line 3: A series of interviews with and surveys(questionnaires)of community representatives and leaders representing the broad interests of our community were conducted in order to assist us in defining,prioritizingand understanding our most important community needs. Many leaders that participated in our process are individuals who have devoted decades to helping others lead healthier and more independent lives. All of the leaders we interviewed have significant knowledge of our community. To ensure they came from distinct and varied backgrounds,we included multiple representatives from each of these categories:Category I: Persons with special knowledge of or expertise in public healthCategory II: Federal,Regional,State,or Local health or other departments or agencies(with current data or other information relevant to the health needs of the community served by the hospital)Category III: Leaders,representatives,or members of medically underserved,low income,and minority populations,and populations with chronic disease needsEach potential need was scored by the community representative on a scale of 1 to 10. Higher scores represent potential needs the community representatives believed were were important to address with additional resources. Lower scores usually meant our leaders thought our community was healthy in that area already or had relatively good programs addressing the potential need. These scores were incorporated directly into our health need prioritization process. In addition,we invited the leaders to suggest programs,legislation,or other measures they believed to be effective in addressing the needs.The following community leaders/representatives were contacted:(1) Idaho Department of Health and Welfare(2) Boise VA Medical Center(3) South Central Public Health(4) College of Southern Idaho(5) Family Health Services(6) St. Luke's Behavioral Health(7) Coordinator of the CARES(Children At Risk Evaluation Services) at St. Luke's Magic Valley Regional Medical Center(8) College of Southern Idaho Office on Aging(9) St. Luke's Diabetes Management Clinic and Physician's Center(10) Mustard Tree Clinic(11) Magic Valley Rehabilitation Services(12) Community Council of Idaho(13) Safe Harbor, Inc.(14) College of Southern Idaho Refugee Center(15) Crisis Center of Magic Valley(16) Twin Falls School District(17) United Way of Magic Valley(18) Twin Falls County(19) La Posada, Inc.(20) South Central Community Action Partnership (SCCAP)(21) Idaho Office for Refugees(22) Idaho Department of Labor: Provided unemployment related information for the area.(23) Substance Abuse and Mental Health Services Administration U.S. Department of Health and Human Services,Region X.(24) Family Residency of Idaho | St.Luke's Magic Valley Regional Medical Center | |
| Part V, Section B, Line 7: We organized our significant health needs into five groups:Program Group 1:Weight Management and Fitness -Adult and teen weight management -Adult and teen nutrition -Adult and teen exercise Program Group 2:Diabetes -Wellness and prevention for diabetes -Chronic condition for diabetes -Diabetes screening Program Group 3:Behavioral Health -Mental illness -Substance Abuse -Suicide prevention -Availability of mental health service providers Program Group 4:Barriers to Access -Affordable care -Affordable health insurance -Children and family services(low income) -More providers accept public health insurance -Primary Care Providers(adequate numbers) -Transportation to and from AppointmentsProgram Group 5:Additional Health Screening and Education Programs Ranked above the Median -Asthma chronic care and wellness -High cholesterol chronic care and wellness -Breast cancer and mammography screening -High school and college education support and assistance programs -Lung Cancer -Respiratory disease -Safe sex education programs: Sexually transmitted diseases and teen birth rateNext we examined whether it would be effective and efficient for St. Luke's Magic Valley Regional Medical Center(SLMV)to address each significant health need directly. To make this determination,we reviewed the resources we had available and determined whether the health need was in alignment with our mission and strengths. Where a high priority need was not in alignment with our mission and strengths,SLMV tried to identify a community group or organization better able to serve the need. Significant community health needs not addressed by SLMV are as follows:(1) Safe Sex Education SLMV will not directly provide safe-sex education programs because this need has a low alignment with our mission and strengths and due to resource constraints we will instead focus on higher priority needs. SLMV will rely on South Central District Health and other community resources to help us address this need.(2) Children and family services SLMV will not develop its own children and family support services program because this need has a low alignment with our mission and stengths. However,because this need is ranked above the median SLMV will support the community-based children and family services program described in our implementation plan.(3) Education support and assistance SLMV will not develop its own education and support assistance programs because this need has a low alignment with our mission and strengths. However,we do provide training and education to the College of Southern Idaho as described in our implementation plan. | St.Luke's Magic Valley Regional Medical Center | |
| Part V, Section B, Line 14g: A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information. | St.Luke's Magic Valley Regional Medical Center | |
| Part VI, Line 2: A Community Health Needs Assessment(CHNA)was conducted forfiscal year ending 9/30/2013. Information related to the2013 CHNA is shown in the responses to questions 3 and 7 of"Part V,Section B,Facility Policies and Practices".A complete copy of the CHNA assessments for all of the hospitalsoperating within the St. Luke's Health System can be found atthe following website: http://www.stlukesonline.org/about_us/chna.php | ||
| Part VI, Line 3: (A) St. Luke's Magic Valley Regional Medical Center provides notice of the availability of financial assistance via: 1. Signage 2. Patient brochure 3. Billing Statement 4. Written collection action letter 5. Online at www.stlukesonline.org/billing(B) All notices are translated into the following language:Spanish(C) St. Luke's provides individual notice of the availability of financial assistance to a patient expected to incur charges that may not be paid in full by third party coverage,along with an estimate of the patient's liability.(D) For cases in which St. Luke's independently determines patient eligibility for financial assitance,St. Luke's provides written notice of determination that the patient is or is not eligible within 10 business days of receiving a completed application and the required supporting documentation. | ||
| Part VI, Line 4: St. Luke's Magic Valley Regional Medical Center provides services for eight counties of south central Idaho and Elko County,Nevada. Theprimary service area consists of Gooding,Jerome,and Twin Falls Counties. The criteria used in selecting this area as the community served was to include the entire population of the counties where greater than 85% of the inpatients reside. The residents of these counties comprise about 90% of the inpatients with approximately 68% of the inpatients living in Twin Falls County,15% in Jerome County,and 8% in Gooding County. All three counties are part of Idaho Health District 5.Both Idaho and the primary service area are comprised of about a 95% white population while the nation as a whole is 72% white. The Hispanic population in Idaho represents 11% of the overall population and about 19% of the defined service area. Gooding County is approximately 28% Hispanic,Jerome County 31%,and Twin Falls County is 14% Hispanic.Idaho experienced a 21% increase in population from 2000 to 2010 ranking it as the fourth fastest growing state in the country. The service area followed that trend experiencing a 19% increase in population within that timeframe and is expected to grow by an additional 17% by the year 2020. St. Luke's Magic Valley is constantly working to manage the volume and scope of its services in order to meet the needs of an increasing population.Over the past ten years the 45 to 64 year old age group was the fastest growing segment of our community. Over the next ten years,however,the 0 to 19 year old age group is expected to grow by about 25% making it the fastest growing segment. Currently,about 14% of the people in the community are over the age of 65 and by 2020 about the same percentage of our population is expected to be over the age of 65. The official United States poverty rate increased from 12.5% in 2003 to 15.3% in 2010. The poverty rate for the primary service area has increased more than the national average since 2003. In 2003 it was at the national average and by 2010 it was above the national average at over 16%.The poverty rate in the community for children under the age of 18 is 20.9%,which is about the same as the national average.Median income in the United States has risen by 8% since 2005. Growth in income was slower in Idaho but a little faster in our service area during that period. However,median income in the primary service area is well below the national median and lower than the median income for Idaho as well. | ||
| Part VI, Line 5: The people who serve on the various boards for subsidiaries within the St. Lukes Health System are local citizens who have a vested interest in the health of their communities. These committed leaders volunteer on our boards because they are dedicated to ensuring that the people of southern Idaho and the surrounding area have access to the most advanced, most comprehensive health care possible. St. Luke's believes that locally owned and governed hospitals can take the best measure of community health care needs. We are grateful to our board leadership for giving generously of their time and talents and bringing to the table their unique perspectives and intimate knowledge of their communities. St. Luke's would not be the organization it is today without our volunteer board members. The vision of dedicated community leaders has guided St. Luke's for many decades,and will continue to guide us well into the future.As a not-for-profit organization,100% of St. Luke's revenue after expenses is reinvested in the organization to serve the community in the form of staff, buildings,or new technology.Also,St. Luke's Magic Valley Regional Medical Center,Ltd.(SLMV)maintains an open medical staff. Any physician can apply for practicing privileges as long as they meet the criteria for SLMV. | ||
| Part VI, Line 6: As the only Idaho-based not-for-profit health system,St. Luke's Health System is part of the communities we serve,with local physicians and boards who further our organization's mission "To improve the health of the people in our region." Working together,we share resources, skills,and knowledge to provide the best possible care,no matter which of our hospitals provide that care. Each St. Luke's Health System hospital is nationally recognized for excellence in patient care,with prestigious awards and designations reflecting the exceptional care that is synonymous with the St. Luke's name. St. Luke's Health System provides facilities and services across the region,covering a 150-mile radius that encompasses southern and central Idaho,northern Nevada,and eastern Oregon-bringing care close to home and family. The following entities are part of the St. Luke's Health System:(1) St. Luke's Regional Medical Center,Ltd. with the following locations: --St. Luke's Boise Hospital --St. Luke's Meridian Hospital --St. Luke's Childrens Hospital --St. Luke's Boise/Meridian Physician Clinics --St. Luke's Nampa Emergency Department --St. Luke's Eagle Urgent Care --St. Luke's Elmore Hospital(2) St. Luke's Wood River Medical Center,Ltd. which consists of a critical access hospital located in Ketchum,Idaho as well as various physician clinics(3) St. Luke's Magic Valley Regional Medical Center,Ltd. which consists of the following: --St. Luke's Magic Valley Hospital-Twin Falls,Idaho --Various St. Luke's Physician Clinics in Twin Falls --Canyon View-(Behavioral Health)(4) St. Luke's McCall,Ltd. which consists of a critical access hospital located in McCall,Idaho as well as various physician clinics.(5) Mountain States Tumor Institute(MSTI)is the region's largest provider of cancer services and a nationally recognized leader in cancer research. MSTI provides advanced care to thousands of cancer patients each year at clinics in Boise,Fruitland,Meridian,Nampa, and Twin Falls,Idaho. MSTI is home to Idaho's only cancer treatment center for children,only federally sponsored center for hemophilia,and only blood and marrow transplant program. MSTI's services and therapies include breast care services,blood and marrow transplant,chemotherapy,genetic counseling,hematology, hemophilia treatment,hospice,integrative medicine,marrow donor center,mobile mammography,mole mapping,nutritional counseling, PET/CT scanning,patient/family support,pediatric oncology, radiation therapy,rehabilitation,research and clinical trials, Schwartz Center Rounds for Caregivers,spiritual care,support groups/classes,tumor boards,and Wound Ostomy,and Continence Nursing. MSTI is expanding as rapidly as today's cancer treatment. Patients can now visit a MSTI clinic or Breast Cancer detection center at 12 different locations in southwest Idaho and Eastern Oregon. Locations include Boise,Meridian,Nampa,Twin Falls,and Fruitland.(6) St. Luke's Jerome,Ltd. which consists of a critical access hospital located in Jerome,Idaho as well as one physician clinic.St. Luke's physician clinics and services are provided in partnership with area physicians and other health care professionals. These include:Cardiovascular;Child Abuse and Neglect Evaluation;Endocrinology;Ear, Nose,and Throat;Family Medicine;Gastroenterology;General Surgery;Hypertensive Disease;Internal Medicine;Maternal/Fetal Medicine;Medical Imaging;Metabolic and Bariatric Surgery;Nephrology;Neurology;Neurosurgery;Obstetrics/Gynecology;Occupational Medicine;Orthopedics;Outpatient Rehabilitation;Plastic Surgery;Psychiatry and Addiction;Pulmonary Medicine;Sleep Disorders;and Urology. In addition,St. Luke's partners with other regional facilities through management service contracts. These partners include:(1) Challis Area Health Center(2) North Canyon Medical Center(3) Salmon River Clinic(4) Weiser Memorial Hospital | ||
| ID | Reports Filed With States | Part VI, Line 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (19 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| St Luke's Magic Valley Health FoundationInc | |||||||
| 650 Addison Ave WestSuite 270 | Twin Falls | ID | 833032231 | 820342863 | 501(c)(3) | 657383 | Provide support for the overall operation needs of St. Luke's Magic Valley Health Foundation,Inc. |
| College of Southern Idaho | |||||||
| 315 Falls Avenue | Twin Falls | ID | 83303 | 820388193 | 501(c)(3) | 179791 | Provide funding to support the Health Occupations,Head Start/Early Head Start,Foster Grantparent,and Dental programs that are working to improve the health of people in the community. |
| Hospice Visions | |||||||
| 209 Shoup Avenue West | Twin Falls | ID | 83301 | 820483284 | 501(c)(3) | 25000 | Funds will be used to defray the costs for access to end-of-life indigent and uninsured patients. |
| South Central District Health | |||||||
| 513 North Main Street | Hailey | ID | 83333 | 820335043 | 115 | 21900 | Funds to be used to purchase child safety seats for WIC clients. |
| Mustard Tree Community Wellness Clinic | |||||||
| 173 Martin Street | Twin Falls | ID | 83301 | 261249939 | 501(c)(3) | 20000 | Provide funding to support the Women's Health Program for the underinsured and uninsured working women of the community. |
| Volunteers Against ViolenceInc(dba Crisis Center of Magic Valley) | |||||||
| POBox 2444 | Twin Falls | ID | 83303 | 820372006 | 501(c)(3) | 19000 | Provide funding to support victims of domestic violence and sexual assault. |
| Jubilee HouseInc | |||||||
| 315 Grandview Drive | Twin Falls | ID | 83303 | 208750670 | 501(c)(3) | 14000 | Provide funds for the full Life Recovery Program that helps women heal from addiction. |
| Interfaith Volunteer Caregivers of Magic Valley | |||||||
| 459 Locust Street NSuite 106 No A | Twin Falls | ID | 83301 | 841417706 | 501(c)(3) | 12919 | Provide funding to support rendering of non-medical services to theelderly,disabled,chronically ill. |
| Easter Seals Good Will | |||||||
| 4400 Central Avenue | Great Falls | MT | 59405 | 810232125 | 501(c)(3) | 12000 | Aid Crime victims to take steps towards healing from the physical and psychological effects of their victimization. |
| Salvation Army-Twin Falls | |||||||
| 348 4th Avenue North | Twin Falls | ID | 83301 | 132923701 | 501(c)(3) | 11000 | Provide funds to purchase youth specific weight equipment,miscellaneous fitness equipment,and instructor costs. |
| South Central Community Action Partnership | |||||||
| PO Box 531 | Twin Falls | ID | 83303 | 820277836 | 501(c)(3) | 10000 | Provide funding to support programs that strive to improve the quality of life,health and safety to low-income elderly,disabled and families with young children by providing minor home improvements and weatherization program. |
| Twin Falls County | |||||||
| 425 Shoshone Street North | Twin Falls | ID | 83303 | 826000318 | 115 | 10000 | Provide funding to improve care for sexual assault victims,collections of forensic evidence and to set up a Sexual Assault Nurse Examiner program at CSI. |
| Victory Home IdahoInc | |||||||
| 450 3rd Avenue West | Twin Falls | ID | 83301 | 371620945 | 501(c)(3) | 10000 | Funds will be used to provide safe housing,education,skills training,and job placement for individuals struggling with addiction. |
| YMCA Twin Falls | |||||||
| 1751 Elizabeth Blvd | Twin Falls | ID | 83301 | 820255460 | 501(c)(3) | 9000 | Funds will be used to help lower income children fight childhood obesity through access to superior facilities,equipment and coaching. |
| Community Council of IdahoInc | |||||||
| 317 Happy Day BlvdSuite 280 | Caldwell | ID | 83607 | 820299736 | 501(c)(3) | 7500 | Provide funds for purchase of an AuDX Otocoustic Emissions (OAE) screener and a Pedia Vision SPOT screener. |
| Magic Valley Rehabilitation ServicesInc | |||||||
| 484 Eastland Drive South | Twin Falls | ID | 83301 | 820306179 | 501(c)(3) | 7500 | Provide funds to support the operating costs for the Adult Daycare Program. |
| Pregnancy Crisis Center | |||||||
| 718 ShoShone Street East | Twin Falls | ID | 83301 | 841387194 | 501(c)(3) | 7500 | Provide funding to support Abstinence Education and to purchase items for the parenting store. |
| Family Health Services Corp | |||||||
| 794 Eastland Drive | Twin Falls | ID | 83301 | 820371093 | 501(c)(3) | 7400 | Funds to be used to purchase equipment for 6 new examination rooms at the Kimberly Clinic. |
| Twin Falls Mental Health AdvocatesInc | |||||||
| 420 Main Avenue South | Twin Falls | ID | 83301 | 562456562 | 501(c)(3) | 5000 | Funds to be used for Group sessions teaching basic living skills, communication and socialization,symptom management,exercise,health & wellness,alcohol and substance abuse,teach vocational skills,provide health meals and food options. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 19 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: The organization endeavors to monitor its grants to ensure that such grants are used for proper purposes and not otherwise diverted from their intended use. This is accomplished by requesting recipient organizations to affirm that funds must be used solely in accordance with the grant request and budget on which the grant was based and that funds not expended for the stated purpose are to be returned to the organization. Reports are requested from time to time as deemed appropriate. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Rick YavruianDO | ||||||||||||||
| Chief of Medical Staff | 164526 | 0 | 20334 | 0 | 43016 | 0 | 10632 | 0 | 17137 | 0 | 255645 | 0 | 0 | 0 |
| Mr James L Angle | ||||||||||||||
| Chief Executve Officer | 0 | 369657 | 0 | 0 | 0 | 23742 | 0 | 16697 | 0 | 11327 | 0 | 421423 | 0 | 0 |
| Ms Amy L Bearden | ||||||||||||||
| Chief Nursing Officer | 155372 | 0 | 0 | 0 | 25803 | 0 | 8115 | 0 | 10335 | 0 | 199625 | 0 | 6517 | 0 |
| Ms Debra G Kytle | ||||||||||||||
| Director-Physician Serv. | 0 | 169733 | 0 | 0 | 0 | 982 | 0 | 12164 | 0 | 15478 | 0 | 198357 | 0 | 0 |
| Jason R GreenhalghMD | ||||||||||||||
| Physician | 351410 | 0 | 132115 | 0 | 465 | 0 | 0 | 0 | 115 | 0 | 484105 | 0 | 0 | 0 |
| James H RaoMD | ||||||||||||||
| Physician | 172051 | 0 | 245929 | 0 | 34475 | 0 | 11250 | 0 | 10598 | 0 | 474303 | 0 | 0 | 0 |
| Steven F JohnsonMD | ||||||||||||||
| Physician | 431296 | 0 | 0 | 0 | 20889 | 0 | 8229 | 0 | 11153 | 0 | 471567 | 0 | 0 | 0 |
| Cory S BatesMD | ||||||||||||||
| Physician | 339653 | 0 | 103988 | 0 | 465 | 0 | 0 | 0 | 1846 | 0 | 445952 | 0 | 0 | 0 |
| Timothy A EndersDO | ||||||||||||||
| Physician | 227764 | 0 | 129695 | 0 | 37638 | 0 | 11250 | 0 | 13912 | 0 | 420259 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 3 | ReturnReference |
| Explanation | Part I, Line 3: Compensation for the organization's CEO is determined by St. Luke's Health System,Ltd.(System),sole member of St. Luke's Magic Valley Regional Medical Center,Ltd.(SLMVRMC). The System board approves the compensation amount per the recommendation of its compensation committee,and the decision is then reviewed and ratified by the board of directors for SLMVRMC. In determining compensation for the CEO,the System board utilizes the following criteria: Compensation Committee Independent compensation consultant Compensation survey or study Approval by the board or compensation committee | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Timothy A Enders DO | NamePerson |
| Relationship With Organization | Employee | RelationshipWithOrganization |
| Purpose Of Loan | Residency,Housing,and Tuition Assistance | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $94,834 | OriginalPrincipalAmount |
| Balance Due | 44040 | BalanceDue |
| Default | 0 | Default |
| Approved By Board | 0 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 44040 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| First Federal Savings | |||
| Common Board Members | 3947053 | Purchases patient accounts receivable from St. Luke's Magic Valley Regional Medical Center,Ltd. | 0 |
| Magic Valley Anesthesiology Associates | |||
| Board Member is a member of Magic Valley Anesthesiolgy Association | 7328121 | Provides anesthesia services for the hospital. | 0 |
| Emergency Physicians of Southern Idaho | |||
| Board Member has ownership interest | 4463353 | Provides emergency medical services for the hospital. | 0 |
| Blue Lakes Gastroenterology | |||
| Board member has ownership interest in Blue Lakes Gastroenterology | 3738133 | Provides physician services under Professional Service Agreement with the organization. | 0 |
| Regence Blue Shield | |||
| Board Member serves on board of directors for Regence Blue Shield | 51506131 | Regence Blue Shield is a major third-party payer of medical services. | 0 |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule L Part II-Loans To and From Interested Persons | Identifier |
| Return Reference | Physician Loan Policy: | ReturnReference |
| Explanation | As part of its overall physician recruiting program,St. Luke's will offer various incentives for employment,including:(1) Net Income Guarantee(2) Housing Assistance(3) Relocation Assistance(4) Tail Coverage for Malpractice Claims,and(5) Sign-on BonusThese incentives are structured as a physician loan to the prospective employee,bearing a reasonable rate of interest reflecting market conditions. As the physician fulfills the terms of the employment agreement,the amount advanced is forgiven over the term of the loan. If the physician does not fulfill the terms of the agreement,the physician must repay a liquidated damages amount specified in the loan agreement. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 2 | Board members Tom Ashenbrener,Steve Westfall,and Becky Nelson are in a business relationship. | |
| Form 990, Part VI, Section A, line 6 | St. Luke's Health System,Ltd. is the sole member of St. Luke's Magic Valley Regional Medical Center,Ltd. | |
| Form 990, Part VI, Section A, line 7a | The President and CEO of St. Luke's Magic Valley Regional Medical Center, Ltd.,(Corporation) is cooperatively selected by the Corporation and St. Luke's Health System,Ltd. St. Luke's Health System is the sole member of the Corporation. | |
| Form 990, Part VI, Section A, line 7b | St. Luke's Health System,Ltd.(Member) maintains approval and implementation authority over St. Luke's Magic Valley Regional Medical Center,Ltd.(Corporation). Actions requiring approval authority may be initiated by either the Corporation or its Member,but must be approved by both the Corporation (by action of its Board of Directors)and the Member. Actions requiring approval authority of the Member include: (a) Amendment to the Articles of Incorporation; (b) Amendment to the Bylaws of the Corporation; (c) Appointment of members of the Corporation's Board of Directors,other than ex officio directors; (d) Removal of an individual from the Corporation's Board of Directors if and when removal is requested by the Corporation's Board of Directors, which request may only be made if the Director is failing to meet the reasonable expectations for service on the Corporation's Board of Directors that are established by the Member and are uniform for the Corporation and for all of the other hospitals for which the Member then serves as the sole corporate member. (e) Approval of operating and capital budgets of the Corporation,and deviations to an approved budget over the amounts established from time to time by the Member;and (f) Approval of the strategic/tactical plans and goals and objectives of the Corporation. Implementation Authority means those actions which the Member may take without the approval or recommendation of the Corporation. This authority will not be utilized until there has been appropriate communication between the Member and the Corporation's Board of Directors and its Chief Executive Officer. Actions requiring implementation authority include: (a) Changes to the Statements of mission,philosophy,and values of the Corporation; (b) Removal of an individual from the Corporation's Board of Directors if and when the Member determines in good faith that the Director is failing to meet the Approved Board of Member Expectations. This authority to remove Directors shall not be used merely because there is a difference in business judgment between the Director and the Corporation or the Member,and shall never be used to remove one or more Directors from the Corporation's Board of Directors in order to change a decision made by the Corporation's Board of Directors; (c) Employment and termination of the Chief Executive Officer of the Corporation; (d) Appointment of the auditor for the Corporation and the coordination of the Corporation's annual audit; (e) Sales,lease,exchange,mortgage,pledge,creation of a security interest in or other disposition of real or personal property of the Corporation if such property has a fair market value in excess of a limit set from time to time by the Member and that is not otherwise contained in an Approved Budget; (f) Sale,merger,consolidation,change of membership,sale of all or substantially all of the assets of the corporation,or closure of any facility operated by the Corporation; (g) The dissolution of the Corporation; (h) Incurrence of debt by or for the Corporation in accordance with requirements established from time to time by the Member and that is not otherwise contained in an Approved Budget;and (i) Authority to establish policies to promote and develop an integrated, cohesive health care delivery system across all corporations for which the Member serves as the corporate member. | |
| Form 990, Part VI, Section B, line 11 | The Form 990(Form)is reviewed by an independent public accounting firm based on audited financial statements and with the assistance of the organization's finance and accounting staff. The final draft of the Form is made available to the Finance Committee of the Board of Directors. The Board receives the final version of the Form prior to filing. | |
| Form 990, Part VI, Section B, line 12c | The organization annually reviews the conflict of interest policy with each board member and also with new board members. Persons covered under the policy include officers,directors,senior executives,non-director members of Board committees and others as identified by a senior executive. At all levels the board is responsible for assessing,reviewing,and resolving any conflicts of interest that have been disclosed by a covered person,or a conflict of interest disclosed by a covered person with respect to a covered person other than himself/herself. Where a conflict exists,the affected parties must excuse themselves from participating in the situation. | |
| Form 990, Part VI, Section B, line 15 | Executive compensation is set by St. Luke's board of directors and is reviewed annually. Compensation levels are based on an independent analysis of comparable pay packages offered at similar institutions across the country, with the goal of placing executives in the 50th percentile of those surveyed. These surveys are usually done every two years,with the most recent compensation survey completed during calendar year 2012. St. Luke's Health System is committed to providing the highest quality medical care to all people regardless of their ability to pay. To keep that commitment,St. Luke's puts a great deal of time and effort into recruiting and retaining the top physicians in a variety of medical fields. Our relationships with physicians range from having privileges at the hospital to full employment. For those physicians who choose to be employed,St. Luke's must offer competitive pay and benefits. Physician compensation is based on a range of criteria and can be influenced by a number of variables including: -Community need for medical specialty -Experience -Productivity -Geography -National surveys adjusted for local conditions -Willingness to serve regardless of patients' ability to pay -Duration of relationship and contractual terms -Performance on quality metrics To ensure physician compensation and benefits remain within industry standards and legal requirements for not-for-profit institutions, St. Luke's has a Physician Arrangements policy that specifies circumstances requiring a third-party valuation and also periodically uses third-party consulting firms to review St. Luke's physician compensation arrangements. Given the growing national shortage of physicians,recruiting and retaining physicians is more critical than ever to guarantee that people seeking care at St. Luke's will continue to have access to the physicians and specialists they need regardless of their insurance status or insurance provider. | |
| Form 990, Part VI, Section C, line 19 | Form 990, Part VI, Section C, Line 19: The organization's governing documents,conflict of interest policy,and financial statements are not available to the public. Form 990,which contains financial information,is available for public inspection. | |
| Form 990 Part VII Section A | The total hours worked and compensation reported for James Angle and Debra Kytle represents services rendered to the following organizations within the St. Luke's Health System: James Angle: St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Jerome,Ltd. St. Luke's Magic Valley Health Foundation,Inc. Debra Kytle: St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Jerome,Ltd. Also,it should be noted that the hours reported for the directors(employed by St. Luke's),officers,key employees,and highest paid employees are based on a minimum 40 hour work week. However,due to the demands of their roles within the St. Luke's Health System,the hours worked by these individuals often exceed the minimum required 40 hours. | Allocation of Compensation and Hours: |
| Part VII: Section A | The following physician board members are members of various physician practices that contract with St. Luke's Magic Valley Regional Medical Center,Ltd.(SLMV) for the purpose of providing physician services to SLMV patients: Robert Ward,M.D. Blue Lakes Gastroenterology,PLLC Eric Cassidy,D.O. Emergency Physicians of Southern Idaho,PLLC Ronald McGarrigle,M.D. Magic Valley Anesthesiology Associates,PLLC These physicians work at least 40 hours per week on behalf of these practices for physician services provided to St. Luke's patients. During CY'12,SLMV made payments to these practices for the following amounts: Physician Practice Amount Paid Blue Lakes Gastroenterology $3,593,043 Emergency Physicians of Southern Idaho $5,070,857 Magic Valley Anesthesiolgy Associates $6,051,193 | Compensation of Physician Board Members |
| Form 990, Part XI, line 9: | Defined Benefit Plan Adjustment 9,027,752. Distribution of Net Assets from St. Luke's Jerome,Ltd. 6,293,372. Contributed Capital 109,524. Reclassification Adjustments -717,030. | Changes in Net Assets or Fund Balances: |
| Form 990 Part III-Statement of Program Accomplishments | Please note that the program expense amounts reported in Statement III-Statement of Program Accomplishments,do not include an allocation of certain administrative and functional support costs. These costs are classified as Management and General within Part IX-Statement of Functional Expenses. | Program Expense: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| Magic Valley Paramedics ServicesLLC | |||||||||
| PO Box 409 | Twin Falls | ID | 83301 | 205461983 | Paramedic Services | ID | 3070365 | 0 | St Luke's Magic Valley Regional Medical CenterLtd |
| St Luke's ClinicLLC | |||||||||
| PO Box 409 | Twin Falls | ID | 83301 | 820527710 | Physician Services | ID | 56162261 | 22406983 | St Luke's Magic Valley Regional Medical CenterLtd |
| Magic Health PartnersLLC | |||||||||
| PO Box 409 | Twin Falls | ID | 83301 | 820507483 | Admin.Services for Non-Provider Based Physician Groups | ID | 102357 | 1177807 | St Luke's Magic Valley Regional Medical CenterLtd |
Form990 Schedule R Part II Form990ScheduleRPartII (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St Luke's Health SystemLtd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 562570681 | Healthcare Services | ID | 501(c)(3) | 11-3 | N/A | 0 | |
| Mountain States Tumor InstituteInc | |||||||||||
| 100 E Idaho | Boise | ID | 83712 | 820295026 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Regional Medical CenterLtd | |
| St Luke's Wood River Medical CenterLtd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 841421665 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Health SystemLtd | |
| St Luke's Health FoundationLtd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 810600973 | Fundraising | ID | 501(c)(3) | 7 | 0 | St Luke's Regional Medical CenterLtd | |
| St Luke's Regional Medical CenterLtd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 820161600 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Health SystemLtd | |
| St Luke's McCallLtd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 273311774 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Health SystemLtd | |
| St Luke's JeromeLtd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 820227163 | Healthcare Services | ID | 501(c)(3) | 3 | 1 | St Luke's Magic Valley Regional Medical CenterLtd | |
| St Luke's Magic Valley Health FoundationInc | |||||||||||
| 775 Pole Line Road | Twin Falls | ID | 83301 | 820342863 | Fundraising | ID | 501(c)(3) | 7 | 1 | St Luke's Magic Valley Regional Medical CenterLtd | |
| St Luke's Clinic Coordinated CareLtd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 455195864 | Accountable Care Organization | ID | 501(c)(3) | 9 | 0 | St Luke's Health SystemLtd | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Divine Medical ServicesInc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 709 N Lincoln Ave | AddressLine1 |
| City | Jerome | City |
| State | ID | State |
| ZIP Code | 83338 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202773717 | EIN |
| Legal Domicile State | ID | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Magic Valley Regional Medical CenterLtd | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of EOY Assets | 479436 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| St Luke's JeromeLtd | ||
| O | 11144439 | Payroll |
| St Luke's Magic Valley Health FoundationInc | ||
| O | 353497 | Payroll |
| St Luke's Magic Valley Health FoundationInc | ||
| C | 182806 | Contribution |
| St Luke's Magic Valley Health FoundationInc | ||
| P | 657383 | Subsidy |
Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Divine Medical Services,Inc. | Schedule R-Part IV: Related Organizations Taxable as a Corporation | On 9/30/2013,St. Luke's Magic Valley Regional Medical Center,Ltd. ("SLMV")replaced St. Luke's Jerome,Ltd.("SLJ") as sole member of Divine Medical Services,Inc.("DMS"). Because this event occurred at the end of FY'13,only the total for end-of-year assets for DMS is being reported in Schedule R-Part IV. The total revenues for DMS are being reported within Schedule R-Part IV of the Form 990 return for SLJ. |
| St. Luke's Jerome,Ltd. | Schedule R-Part II: Related Tax-Exempt Organizations | During FY'13,St. Luke's Jerome,Ltd.(SLJ)operated as an independent 501(c)(3)entity. Effective 9/30/2013,the board of directors of SLJ approved its formal dissolution. As a result ot the dissolution,the assets and liabilities were transferred to its sole member,St. Luke's Magic Valley Regional Medical Center,Ltd. |
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