2014-08-13T21:47:25-05:00 2013-09-30 861065772 Deloitte Tax LLP 225 W Santa Clara St San Jose CA 95113 990 2012-10-01 562570686 St Luke's Magic Valley Regional Medical CenterLtd STLU 2083813790 801 Pole Line Road Twin Falls ID 83301 Peter DiDio 2083813790 2014-08-13 1 Sharon Zorbach P00125475 4087044000 2012 2015-11-30 17:44:51Z James Angle 801 Pole Line Road Twin Falls ID 83301 297458950 0 X www.stlukesonline.org/magic valley X 2006 ID Provide healthcare services to the community. 13 4 2612 209 107929 -19769 1693073 2511658 269930923 293865344 276293 611188 156613 -5895 272056902 296982295 956613 1084443 0 0 96797604 105219157 0 0 0 160091649 173084167 257845866 279387767 14211036 17594528 303722031 313679752 222297785 199884214 81424246 113795538 X Improve the health of people in the communities we serve by aligningphysicians and other providers to deliver integrated,patientcentered,quality care. 0 0 256492303 1046842 283676152 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. 3649376 26802 7262839 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. 1735895 10799 2926353 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. 261877574 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 74 0 1 2612 1 0 0 0 0 0 0 0 0 0 0 X 13 4 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Peter DiDio Vice-PresidentController 2083713790 190 E Bannock Boise ID 83712 X Mr Tom Ashenbrener 2.50 2.50 X X 0 0 0 Mr Robert Alexander 2.00 2.00 X X 0 0 0 Jeff FoxPhD 2.00 2.00 X 0 0 0 Russ NewcombMD 2.00 2.00 X 0 0 0 Eric CassidyDO 40.00 2.00 X 0 0 0 Rick YavruianDO 40.00 2.00 X 227876 0 27769 Mr Stephen Kaatz 2.00 6.00 X 0 0 0 Mr Terry Kramer 2.00 2.00 X 0 0 0 Ronald McGarrigleMD 40.00 2.00 X 0 0 0 Ms Rebecca Becky Nelson 2.00 2.00 X 0 0 0 Robert WardMD 40.00 2.00 X 0 0 0 Mr Stephen Westfall 2.00 2.00 X 0 0 0 Mr Gary Babbel 2.00 2.00 X 0 0 0 Mr James L Angle 40.00 5.00 X X 0 393399 28024 Ms Amy L Bearden 40.00 0.00 X 181175 0 18450 Ms Debra G Kytle 40.00 0.00 X 0 170715 27642 Jason R GreenhalghMD 40.00 0.00 X 483990 0 115 James H RaoMD 40.00 0.00 X 452455 0 21848 Steven F JohnsonMD 40.00 0.00 X 452185 0 19382 Cory S BatesMD 40.00 0.00 X 444106 0 1846 Timothy A EndersDO 40.00 0.00 X 395097 0 25162 2636884 564114 170238 41 0 1 0 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 32 182806 2323723 5129 2511658 Net Patient Revenue 900099 290675563 290675563 3189781 3189781 293865344 571178 571178 361178 475002 -113824 -113824 -113824 41663 1653 40010 40010 40010 Transcription Services 541900 54341 54341 MSO Admin & Billing Se 561000 32278 32278 All Other Revenue 812300 14566 14566 6744 6744 107929 296982295 293865344 107929 497364 1084443 1084443 676513 676513 83787344 75154921 8632423 2518140 2263934 254206 12054392 10751043 1303349 6182768 5504381 678387 45809219 45768125 41094 194335 37 194298 605 605 1916995 1876493 40502 384143 384143 2268431 171708 2096723 10840053 10792219 47834 1121459 46039 1075420 440885 359200 81685 97098 97098 21246286 21246286 156343 156343 Supplies 37434734 36838031 596703 Provision For Bad Debt 18776077 18776077 Contract Service Expens 5913038 4875458 1037580 Repairs Expense 2946534 2772732 173802 23537932 23342401 195531 279387767 261877574 17510193 0 9781050 5237854 2046769 3349577 40948117 54218022 86656 44040 3348651 4060844 485666 555165 299125228 54779643 244541579 244345585 61101 65603 786162 122382 1636280 1680680 303722031 313679752 19141744 25915624 1795135 1378637 201360906 172589953 222297785 199884214 X 81354939 113795538 69307 0 81424246 113795538 303722031 313679752 X 17594528 63146 14713618 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 1.00000 4842353 9393347 14235700 165101966 14995827 150106139 10666497 2801406 7865091 105779166 36982410 68796756 3341899 3341899 244345585 Due to Related Organizations 136318500 Third Party settlement 28074656 Capital Lease 198896 Pension Liability 7997901 172589953 X 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." 1 1 X 1 X 185.000000000000 1 X 1 1 1 0 1 1 4769219 4769219 0.01830 35796385 27092548 8703837 0.03340 11843821 7683441 4160380 0.01600 52409425 34775989 17633436 0.06770 1378720 163952 1214768 0.00470 1495873 16464 1479409 0.00570 4641096 2598845 2042251 0.00780 860668 860668 0.00330 8376357 2779261 5597096 0.02150 60785782 37555250 23230532 0.08920 7070 7070 0.00000 50508 50508 0.00020 2047 2047 0.00000 6986 6986 0.00000 66611 66611 0.00020 1 8682058 55971746 68510483 -12538737 X 1 1 1 1 StLuke's Magic Valley Regional Medical

801 Pole Line Road Twin Falls ID 83301

www.stlukesonline.org X X X StLuke's Magic Valley Regional Medical 1 1 X X X X X X X X X 12 1 0 1 X X X X X X X X X X 0 0 1 1 185.000000000000 1 400.000000000000 1 X X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 12 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 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. St.Luke's Magic Valley Regional Medical Center 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. 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 Reports Filed With States Part VI, Line 7 ID 1 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. 19 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: 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. 0 0 0 0 0 0 0 0 0 Rick YavruianDO 164526 0 20334 0 43016 0 10632 0 17137 0 255645 0 0 0 Mr James L Angle 0 369657 0 0 0 23742 0 16697 0 11327 0 421423 0 0 Ms Amy L Bearden 155372 0 0 0 25803 0 8115 0 10335 0 199625 0 6517 0 Ms Debra G Kytle 0 169733 0 0 0 982 0 12164 0 15478 0 198357 0 0 Jason R GreenhalghMD 351410 0 132115 0 465 0 0 0 115 0 484105 0 0 0 James H RaoMD 172051 0 245929 0 34475 0 11250 0 10598 0 474303 0 0 0 Steven F JohnsonMD 431296 0 0 0 20889 0 8229 0 11153 0 471567 0 0 0 Cory S BatesMD 339653 0 103988 0 465 0 0 0 1846 0 445952 0 0 0 Timothy A EndersDO 227764 0 129695 0 37638 0 11250 0 13912 0 420259 0 0 0 Part I, Line 3 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 Timothy A Enders DO Employee Residency,Housing,and Tuition Assistance X 94834 44040 0 0 1 44040 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 Schedule L Part II-Loans To and From Interested Persons Physician Loan Policy: 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. 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. Allocation of Compensation and Hours: 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. Compensation of Physician Board Members 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 Changes in Net Assets or Fund Balances: 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. Program Expense: 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. 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 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 St Luke's Regional Medical CenterLtd 0 St Luke's Wood River Medical CenterLtd 190 E Bannock Boise ID 83712 841421665 Healthcare Services ID 501(c)(3) 3 St Luke's Health SystemLtd 0 St Luke's Health FoundationLtd 190 E Bannock Boise ID 83712 810600973 Fundraising ID 501(c)(3) 7 St Luke's Regional Medical CenterLtd 0 St Luke's Regional Medical CenterLtd 190 E Bannock Boise ID 83712 820161600 Healthcare Services ID 501(c)(3) 3 St Luke's Health SystemLtd 0 St Luke's McCallLtd 190 E Bannock Boise ID 83712 273311774 Healthcare Services ID 501(c)(3) 3 St Luke's Health SystemLtd 0 St Luke's JeromeLtd 190 E Bannock Boise ID 83712 820227163 Healthcare Services ID 501(c)(3) 3 St Luke's Magic Valley Regional Medical CenterLtd 1 St Luke's Magic Valley Health FoundationInc 775 Pole Line Road Twin Falls ID 83301 820342863 Fundraising ID 501(c)(3) 7 St Luke's Magic Valley Regional Medical CenterLtd 1 St Luke's Clinic Coordinated CareLtd 190 E Bannock Boise ID 83712 455195864 Accountable Care Organization ID 501(c)(3) 9 St Luke's Health SystemLtd 0 Divine Medical ServicesInc 709 N Lincoln Ave Jerome ID 83338 202773717 ID St Luke's Magic Valley Regional Medical CenterLtd C 479436 1.00000 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 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 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.