ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- ST LUKES MAGIC VALLEY REGIONAL MEDICAL CENTER LTD (EIN 56-2570686)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-08-10
- IRS object ID
- 201122229349301362
- Schema version
- 2009v1.7
- 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 | 2011-08-10T14:18:22-05:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 50 Fremont Street | AddressLine1 |
| City | San Francisco | City |
| State | CA | State |
| ZIP Code | 941052230 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | 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 | Center Ltd | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STLU | NameControl |
| Phone | 2083811106 | 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 | 2083811251 | Phone |
| Date Signed | 2011-08-10 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4157834000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| 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 | 218563407 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| 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 health care services | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1997 | TotalNbrEmployees |
| Total Nbr Volunteers | 243 | TotalNbrVolunteers |
| Total Gross UBI | 490904 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -33231 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 375244 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1253976 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 207731240 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 216093432 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 450829 | InvestmentIncomePriorYear |
| Investment Income Current Year | 341850 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1976906 | OtherRevenuePriorYear |
| Other Revenue Current Year | 675355 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 210534219 | TotalRevenuePriorYear |
| Total Revenue Current Year | 218364613 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 216407 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 248509 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 85994124 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 92234468 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 537166 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 108662883 | OtherExpensePriorYear |
| Other Expenses Current Year | 117181645 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 194873414 | TotalExpensesPriorYear |
| Total Expenses Current Year | 209664622 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 15660805 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 8699991 | RevenuesLessExpensesCY |
| Total Assets BOY | 165608673 | TotalAssetsBOY |
| Total Assets EOY | 253359937 | TotalAssetsEOY |
| Total Liabilities BOY | 121210577 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 200030353 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 44398096 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 53329584 | NetAssetsOrFundBalancesEOY |
| Mission Description | Delivery of Health Care Services | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 186584033 | Expense |
| Grants | 245512 | Grants |
| Revenue | 213487382 | Revenue |
| Description | Medical & Surgical:St. Luke's Magic Valley is a 144-bed hospital, with acute care and acute rehabilitation as well as St. Luke's Canyon View Behavioral Health Services. With more than 1,400 employees and more than 175 physicians with 28 specialties, St. Luke's Magic Valley provides the most comprehensive services in south central Idaho, including: general acute care services, Inpatient Rehabilitation services, Behavioral Health Services, cancer services with St. Luke's Mountain States Tumor 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, Intensive Care and Newborn Intensive Care Units, Laboratory Services, Medical Library (open to the public), Maternal-Child Services (OB, Pediatrics and Women's Services), Pharmacy, Occupational Health, Adult and Pediatric Rehabilitation (Speech, Occupational, Physical Therapy), Comprehensive Surgical Services, Magic Valley SAFE KIDS Coalition, Social Services and 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 Joint Commission and is a participant in the Institute 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'10, St. Luke's Magic Valley Regional Medical Center provided qualified inpatient care for 10,719 admissions covering 38,457 patient days. The hospital also provided care associated with 200,970 outpatient visits. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2453780 | Expense |
| Grants | 2997 | Grants |
| Revenue | 2606050 | Revenue |
| Description | Behavioral Health:St. Luke's Canyon View Behavioral Health Services provides treatment for adolescents, adults, and seniors. St. Luke's Canyon View offers intensive inpatient programs that address acute psychiatric issues in addition to medical detoxification from alcohol and drugs. We utilize individual, family, and group counseling to address personal, family, emotional, psychiatric, behavioral, and addiction-related problems. Our wide variety of services allows us to carefully match the needs of each person 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 people find positive solutions to resolve the challenges and crises in their 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'10, Canyon View had 653 admissions covering 3,627 patient days. In addition, Canyon View provided care associated with 799 outpatient visits. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 189037813 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| 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 |
| 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 | 0 | 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 | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 196 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1997 | 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 |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 | 0 | 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 | St Luke's Health System Ltd | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2083711106 | 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 |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Russ Newcomb MD | ||||||||
| Chairman | 5.00 | X | 0 | 0 | 0 | |||
| Mr Tom Ashenbrener | ||||||||
| Chair-Elect | 4.00 | X | 0 | 0 | 0 | |||
| Mr Gary Babbel | ||||||||
| Vice-Chair | 4.00 | X | 0 | 0 | 0 | |||
| Mr Shawn Barigar | ||||||||
| Vice-Chair | 4.00 | X | 0 | 0 | 0 | |||
| Eric CassidyDO | ||||||||
| Vice-Chair | 4.00 | X | 28500 | 0 | 0 | |||
| Ms Cindy Collins | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Ben Katz MD | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Mr Terry Kramer | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Mr Robert Alexander | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Robert Ward MD | ||||||||
| Director | 3.00 | X | 0 | 0 | 0 | |||
| Mark Wright DDS | ||||||||
| Secretary | 3.00 | X | 51360 | 0 | 0 | |||
| Mike Reno | ||||||||
| Interim CEO | 40.00 | X | 0 | 0 | 0 | X | ||
| Mr Mark Schwartz | ||||||||
| Chief Executive Officer | 40.00 | 290491 | 0 | 71200 | X | |||
| Mr John Groesbeck | ||||||||
| Chief Financial Officer | 40.00 | 177889 | 0 | 21334 | X | |||
| Russell W Mayes DO | ||||||||
| Physician | 40.00 | 444945 | 0 | 18508 | X | |||
| Julian Nicholson MD | ||||||||
| Physician | 40.00 | 309820 | 0 | 10921 | X | |||
| Randall Skeem MD | ||||||||
| Physician | 40.00 | 274369 | 0 | 17126 | X | |||
| David A McClusky MD | ||||||||
| Physician | 40.00 | 249113 | 0 | 23362 | X | |||
| Rick Yavruian MD | ||||||||
| Physician | 40.00 | 208635 | 0 | 18168 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2035122 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 180619 | TotalOtherCompensation |
| Number Individuals GT100 K | 29 | 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 | 6476608 |
| Emergency Medicine of Idaho | |||||
| 13960 W Wainwright Suite A | Boise | ID | 83713 | Emergency Room Physicians | 4128657 |
| Magic Valley Women's Health | |||||
| 630 Addison Ave W Ste 210 | Twin Falls | ID | 83301 | Medical Services | 3371428 |
| RMJ Safari PLLC | |||||
| 714 N College Road Ste A | Twin Falls | ID | 83301 | Medical Services | 3045633 |
| Blue Lakes Gastroenterology | |||||
| 660 Shoshone Street East | Twin Falls | ID | 83301 | Medical Services | 3044868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 37 | NumberOfContractorsGT100K |
| Government Grants | 181485 | GovernmentGrants |
| All Other Contributions | 1072491 | AllOtherContributions |
| Total Contributions | 1253976 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Revenue | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 209051528 | TotalRevenueColumn |
| Related Or Exempt Function Income | 209051528 | RelatedOrExemptFunctionIncome |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7041904 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7041904 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 216093432 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 303408 | TotalRevenueColumn |
| Exclusion | $303,408 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 383245 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 198794 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 184451 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 184451 | TotalRevenueColumn |
| Exclusion | $184,451 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 38442 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 38442 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 38442 | TotalRevenueColumn |
| Exclusion | $38,442 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|
| MSO Admin & Billing Se | 561000 | 321844 | 321844 |
| Information Technology | 541519 | 116088 | 116088 |
| Transcription Services | 541900 | 51206 | 51206 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1766 | TotalRevenueColumn |
| Unrelated Business Revenue | 1766 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 490904 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 218364613 | TotalRevenueColumn |
| Related Or Exempt Function Income | 216093432 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 490904 | UnrelatedBusinessRevenue |
| Exclusion | $526,301 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 248509 | Total |
| Program Services | 248509 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1039084 | Total |
| Management And General | 1039084 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72342430 | Total |
| Program Services | 63102587 | ProgramServices |
| Management And General | 8902130 | ManagementAndGeneral |
| Fundraising | 337713 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3106051 | Total |
| Program Services | 2675283 | ProgramServices |
| Management And General | 416450 | ManagementAndGeneral |
| Fundraising | 14318 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10832882 | Total |
| Program Services | 9330507 | ProgramServices |
| Management And General | 1452440 | ManagementAndGeneral |
| Fundraising | 49935 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4914021 | Total |
| Program Services | 4232512 | ProgramServices |
| Management And General | 658857 | ManagementAndGeneral |
| Fundraising | 22652 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33874457 | Total |
| Program Services | 33630702 | ProgramServices |
| Management And General | 243755 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6332234 | Total |
| Program Services | 6332234 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28416 | Total |
| Management And General | 21916 | ManagementAndGeneral |
| Fundraising | 6500 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 232995 | Total |
| Program Services | 148785 | ProgramServices |
| Management And General | 84210 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 311322 | Total |
| Program Services | 45186 | ProgramServices |
| Management And General | 264391 | ManagementAndGeneral |
| Fundraising | 1745 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1270849 | Total |
| Program Services | 128832 | ProgramServices |
| Management And General | 1138442 | ManagementAndGeneral |
| Fundraising | 3575 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2105648 | Total |
| Program Services | 1974382 | ProgramServices |
| Management And General | 131266 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2806047 | Total |
| Program Services | 1631456 | ProgramServices |
| Management And General | 1174591 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 320847 | Total |
| Program Services | 132448 | ProgramServices |
| Management And General | 187434 | ManagementAndGeneral |
| Fundraising | 965 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 198179 | Total |
| Program Services | 198179 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8395583 | Total |
| Program Services | 8004182 | ProgramServices |
| Management And General | 391401 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 676823 | Total |
| Program Services | 676823 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Supplies | 30626391 | 29704473 | 894466 | 27452 |
| Contract Services | 9973245 | 8045574 | 1860752 | 66919 |
| Provision For Bad Debt | 8974468 | 8974468 | ||
| Patient Transport | 2441574 | 2441574 | ||
| Repairs | 2207615 | 2162957 | 44658 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6404952 | Total |
| Program Services | 5216160 | ProgramServices |
| Management And General | 1183400 | ManagementAndGeneral |
| Fundraising | 5392 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 209664622 | Total |
| Program Services | 189037813 | ProgramServices |
| Management And General | 20089643 | ManagementAndGeneral |
| Fundraising | 537166 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9668635 | BOY |
| EOY | 14630407 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1636446 | BOY |
| EOY | 1814128 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32825193 | BOY |
| EOY | 37311769 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12139 | BOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3567057 | BOY |
| EOY | 2788978 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 729871 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 202840268 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11250172 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 108235916 | BOY |
| EOY | 191590096 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 142514 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2841235 | BOY |
| EOY | 2358475 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6822052 | BOY |
| EOY | 1993699 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165608673 | BOY |
| EOY | 253359937 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19887565 | BOY |
| EOY | 28765293 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 974971 | BOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2929351 | BOY |
| EOY | 2569568 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97418690 | BOY |
| EOY | 168695492 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 121210577 | BOY |
| EOY | 200030353 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44398096 | BOY |
| EOY | 53257186 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 72398 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44398096 | BOY |
| EOY | 53329584 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165608673 | BOY |
| EOY | 253359937 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
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 |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 185000 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 7757750 | OtherCostOrOtherBasis |
| Book Value | 7942750 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13956603 | OtherCostOrOtherBasis |
| Depreciation | 1437673 | Depreciation |
| Book Value | 12518930 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19830625 | OtherCostOrOtherBasis |
| Depreciation | 9812499 | Depreciation |
| Book Value | 10018126 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 161110290 | OtherCostOrOtherBasis |
| Book Value | 161110290 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 191590096 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to Related Organizations | $144,635,153 |
| Third Party settlement | $6,721,037 |
| Capital Lease | $891,998 |
| Deferred Credit | $2,381,390 |
| Pension Liability | $14,065,914 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 168695492 | TotalOfAmounts |
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 | 400.000000000000 | 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 | 7553680 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7553680 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03760 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22572251 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 17448091 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5124160 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02550 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7478699 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5229138 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2249561 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01120 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37604630 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22677229 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14927401 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07430 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1543137 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1543137 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00770 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 904197 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 904197 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00450 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 910866 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 910866 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00450 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3358200 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3358200 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01670 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 40962830 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 22677229 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18285601 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09100 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 897 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 897 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 14111 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 14111 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2393 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2393 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 9123 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 9123 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.01000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2969 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2969 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 29493 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 29493 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.02000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $4,375,394 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 48023532 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 55317449 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -7293917 | 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 |
Form990 Schedule H Part IV Form990ScheduleHPartIV (4 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership |
|---|---|
| Magic Valley Facial ImagingLLC | |
| Facial Imaging Services | 0.50000 |
| Magic Valley Paramedic ServicesLtd | |
| Paramedic Services | 1.00000 |
| St Luke's Clinic LLC | |
| Physician Services | 1.00000 |
| Magic Health Partners LLC | |
| Admin. Services for non provider-based groups | 1.00000 |
Form990 Schedule H Part V Form990ScheduleHPartV
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 | 650 Addison Avenue | AddressLine1 |
| City | Twin Falls | City |
| State | ID | State |
| ZIP Code | 83301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | Part I, Line 3c: (A) St. Luke's may 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 will be considered only if the patient, driver, and/or owner of the motor vehicle had a motor vehicle liability policy and has properly submitted a claim for payment to the motor vehicle liability insurer, where applicable.(C) Eligibility Approval Process: 1. St. Luke's screens patient 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. 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. | IncomeBasedCriteria |
| Annual Community Benefit Expln | 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. | AnnualCommunityBenefitExpln |
| Costing Method Used | 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. | CostingMethodUsed |
| Percent Of Total Expense Expln | Part I, Line 7f: 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 $8,974,468. | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | 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. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: 100% of the shortfall in medicare reimbursement is considered a community benefit.The source of the information is the Medicare Cost Report for fiscal year 2010. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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. | DebtCollectionPolicy |
| Number Of Facility Type Expln | Part V: St. Luke's Magic Valley Regional Medical Center, Ltd. is a physician integrated organization,with approximately 80 physicians serving across a variety of areas, including family medicine,occupational health,cardiology, arthritis and rheumatology,endocrinology,ENT,gastroenterology,nephrology, OB/GYN,orthopedics,and physical medicine and rehab. The financial results of these practices are included in various calculated results throughout Schedule H. | NumberOfFacilityTypeExpln |
| Needs Assessment | Part VI, Line 2: St. Luke's Magic Valley utilizes internal information and reports from Idaho Vital Statistics,data from the Centers for Disease Control and Prevention Behavioral Risk Factors Surveillance System (BRFSS), and South Central Public Health District to determine community health priorites. As we continue to develop community partnerships, identify opportunities to provide needed services close to home, fund uncompensated and under-compensated care, and provide resources for services in the community, we are committed to the long-term health care needs of the Magic Valley. | NeedsAssessment |
| Patient Education Assistance | 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 languages: 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 which St. Luke's independently determines patient eligibility for patient care, 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. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: St. Luke's Magic Valley provides service for eight counties of south central Idaho and Elko County, Nevada. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: Physical Improvement & Housing $897Participation in various rehabilitation projectsCommunity Support $14,111Activities include Disaster readiness andvarious mentoring programsLeadership Development and Training: $2,393Physician Staff Participation in Twin Falls Chamber of Commerce.Coalition Building: $9,123Acitvities for Coalition Building include:(1) Various hospital staff giving updates on new hospital construction to the public in public hearings at the city and county level,and public events such as the Twin Falls COunty Fair.(2) Physician Staff meeting with the community work center to discuss parole and probation districts.Community Health Improvement Advocacy $2,969Participation in Serenity Garden MemorialServices | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: 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 tht 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 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, all hospital locations within the St. Luke's Health System maintain an open medical staff. Any physician can apply for practicing privilieges as long as they meet St. Luke's criteria. | OtherInformation |
| Affiliated Health Care System | Part VI, Line 7: As the only Idaho-based not-for-profit 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 you choose. 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 Eagle Urgent Care(2) St. Luke's Wood River Medical Center,which consists of a critical access hospital located in the Wood River Valley, 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) 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,medicalimaging,metabolic and bariatric surgery,nephrology, neurology,neurosurgery,obstetrics/gynecology,occupational medicine, orthopedics,outpatient rehabilitation,plastic surgery,psychiatry and addiction,pulmonay medicine,sleep disorders,and urology.(4) Mountain States Tumor Institute(MSTI) is the region's largest provider of cancer services and a nationally recognized leader in cancer research. We provide advanced care to thousands of cancer patients each year at clinics in Boise,Fruitland,Meridian,Nampa, and Twin Falls,Idaho. We are 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 clinincal trials, Schwartz Center Rounds for Caregivers, spiritual care, support groups/classes, tumor boards, WOC Nursing. MSTI is expanding as rapidly as today's cancer treatment. Patients can now visit a MSTI or Breast Cancer detection center at 12 different locations in southwest Idaho and Eastern Oregon. Locations include Boise,Meridian,Nampa,Twin Falls,and Fruitland. In addition, St. Luke's partners with other regional facilities through management service contracts. These partners include:(1) Challis Area Health Center(2) Elmore Medical Center(3) McCall Memorial Hospital(4) North Canyon Medical Center(5) Salmon River Clinic(5) Weiser Memorial Hospital | AffiliatedHealthCareSystem |
| Reports Filed With States | ID | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (15 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| Mustard Seed Community Wellness Clinic | ||||||||
| 676 Shoup Avenue West Suite 2 | Twin Falls | ID | 83301 | 261249939 | 501(c)(3) | 40000 | Women's health program for the underinsured and uninsured working women of the community | |
| Interfaith Volunteer Caregivers of Magic Valley | ||||||||
| 252 Deere Street Suite A | Twin Falls | ID | 83301 | 841417706 | 501(c)(3) | 19921 | Funding to help the organization to offer services and products to senior citizens, such as geriatric, health, and social service. | |
| Volunteers Against ViolenceInc(Crisis Center) | ||||||||
| PO Box 2444 | Twin Falls | ID | 83303 | 820372006 | 501(c)(3) | 19000 | Provide places of safety,shelter, and legal services for victims of domestic violence. | |
| CSI RSVP SAS Volunteer Transportation | ||||||||
| PO Box 1238 | Twin Falls | ID | 83303 | 820261628 | 501(c)(3) | 5000 | Provide transportation services for senior citizens. | |
| Harmony PSR Services(Holistic Drug Rehab) | ||||||||
| 420 Main Avenue South | Twin Falls | ID | 83301 | 030466279 | 501(c)(3) | 9510 | Funds are used for continuing mental health exercise, diabetes prevention, weight maintenance and health cooking skills. | |
| Family Health Center | ||||||||
| 794 Eastland Drive | Twin Falls | ID | 83301 | 820371093 | 501(c)(3) | 10000 | Funding to support Health Care Services for Family Health | |
| SafeKids | ||||||||
| 1301 PENNSYLVANIA AVENUE NW Suite | Twin Falls | ID | 20004 | 521627574 | 501(c)(3) | 10000 | Funding to support Safety for Kids | 1000 |
| Jubilee House | ||||||||
| Attn Kathryn Bausman 315 Grandview | Twin Falls | ID | 83301 | 208750670 | 501(c)(3) | 10000 | Christian 12 mo recover program for women. Personnel costs for 24/7 coverage | Drive |
| Twin Falls County Sheriff | ||||||||
| 425 Shoshone St North | Twin Falls | ID | 83301 | 826000318 | 115 | 9169 | Funds were used to Improve care for sexual assault victims and collections of forensic evidence, set up a Sexual Assault Nurse Examiner program at CSI. | |
| Salvation Army | ||||||||
| 348 4th Ave N | Twin Falls | ID | 83301 | 132923701 | 501(c)(3) | 5000 | Funds were used to purchase youth specific weight equipment, misc. fitness equipment, and instructor costs. | |
| Hospice Visions | ||||||||
| 209 Shoup Avenue West | Twin Falls | ID | 83301 | 820483284 | 501(c)(3) | 15159 | Provide hospice services | |
| CSI Headstart Program | ||||||||
| 315 Falls Ave | Twin Falls | ID | 83303 | 820261628 | 501(c)(3) | 10000 | Head Start program coordinates with low income families with limited financials resources and marginal employment skills. Grant funds will provide PSR/IBI services to children who are not enrolled or eligible for Medicaid as they enter the Head Start Program. | |
| CSI Health & Human Services | ||||||||
| 315 Falls Ave | Twin Falls | ID | 83303 | 820261628 | 501(c)(3) | 15000 | Funding for background check machine to ensure that all health science and human services students who are required to do clinical work have a background check. | |
| CSI Nursing Program | ||||||||
| 315 Falls Ave | Twin Falls | ID | 83303 | 820261628 | 501(c)(3) | 50000 | Funding for nursing education. | |
| CSI Senior Companion Program | ||||||||
| 315 Falls Ave | Twin Falls | ID | 83303 | 820261628 | 501(c)(3) | 8500 | Program assist seniors to live independently. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 15 | TotalNbrOf501C3AndGovtGrants |
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) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 (7 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mr Mark Schwartz | |||||||||||||
| 266110 | 0 | 0 | 0 | 24381 | 0 | 58888 | 0 | 12312 | 0 | 361691 | 0 | 0 | 0 |
| Mr John Groesbeck | |||||||||||||
| 169341 | 0 | 705 | 0 | 7843 | 0 | 8911 | 0 | 12423 | 0 | 199223 | 0 | 7557 | 0 |
| Russell W Mayes DO | |||||||||||||
| 278765 | 0 | 129918 | 0 | 36262 | 0 | 1040 | 0 | 17468 | 0 | 463453 | 0 | 0 | 0 |
| Julian Nicholson MD | |||||||||||||
| 297314 | 0 | 8022 | 0 | 4484 | 0 | 0 | 0 | 10921 | 0 | 320741 | 0 | 0 | 0 |
| Randall Skeem MD | |||||||||||||
| 180931 | 0 | 75073 | 0 | 18365 | 0 | 11025 | 0 | 6101 | 0 | 291495 | 0 | 0 | 0 |
| David A McClusky MD | |||||||||||||
| 211030 | 0 | 59 | 0 | 38024 | 0 | 11025 | 0 | 12337 | 0 | 272475 | 0 | 0 | 0 |
| Rick Yavruian MD | |||||||||||||
| 185328 | 0 | 59 | 0 | 23248 | 0 | 9509 | 0 | 8659 | 0 | 226803 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | First Federal Savings | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Common Board Member | Relationship |
| Amount Of Transaction | 2662360 | AmountOfTransaction |
| Description Of Transaction | First Federal Savings purchases patient accounts receivable from St. Luke's Magic Valley Regional Medical Center,Ltd. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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 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 becuase 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 is prepared 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 990 is reviewed by the Chief Financial Officer and 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 exits, 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. Similar analysis is also completed for physicians and other health care specialties such as nurses and pharmacists. These surveys are usually done every two years, with the most recent compensation survey completed during calendar year 2008. 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 To ensure physician compensation and benefits remain within industry standards and legal requirements for not-for-profit institutions, St. Luke's 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: Because St. Luke's Magic Valley Regional Medical Center,Ltd. is a private corporation,it does not make its governing documents,conflict of interest policy,or financial statements available to the public. | |
| Form 990 Part I-A: Principal Officer | On March 11, 2011, it was announced that Mr. Jim Angle was appointed Chief Executive Officer for St. Luke's Magic Valley, Ltd. Mr. Angle replaced Mike Reno, who had been serving as interim CEO since April,2010. Prior to this appointment, Mr. Angle served as CEO for the Memorial Hospital of Salem County in Salem, New Jersey, and was in this position for five years. Prior to that, he was with St. Elizabeth Medical Center in Utica, New York for ten years, the last eight as their Vice President. In addition to having a Masters Degree in Health Care Administration, Mr. Angle also has a Masters in Social Work and significant experience in mental health care and administration. | Change in Principal Officer: |
| Form 990 Part IX:Line 5 Statement of Functional Expenses | During FY'10, Mike Reno served as Interim CEO of St. Luke's Magic Valley Regional Medical Centger,Ltd. and was paid as an independent contractor. The payments were recognized as consulting fees for the amount of approx. $89,000. Within Part IX, Statemet of Expenses, this amoount was reclassified as officer compensation and is included in Line 5. | Compensation: MIke Reno |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | EOY AssetsEOYAssets |
|---|---|---|---|---|---|---|---|---|---|
| Magic Valley Paramedics Services Ltd | |||||||||
| PO Box 409 | Twin Falls | ID | 83301 | 205461983 | Paramedic Services | ID | 2403181 | St Luke's Magic Valley Regional Medical CenterLtd | |
| St Luke's ClinicLLC | |||||||||
| PO Box 409 | Twin Falls | ID | 83301 | 820527710 | Physician Services | ID | 43788977 | St Luke's Magic Valley Regional Medical CenterLtd | 11628175 |
| Magic Health PartnersLLC | |||||||||
| PO Box 409 | Twin Falls | ID | 83301 | 820507483 | Admin.Services for Non-Provider Based Physician Groups | ID | 662456 | St Luke's Magic Valley Regional Medical CenterLtd | 99495 |
Form990 Schedule R Part II Form990ScheduleRPartII (5 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 |
|---|---|---|---|---|---|---|---|---|---|
| St Luke's Health SystemLtd | |||||||||
| 190 E Bannock | Boise | ID | 83712 | 562570681 | Health Care Services | ID | 501(c)(3) | 11-3 | N/A |
| Mountain States Tumor Institute | |||||||||
| 100 E Idaho | Boise | ID | 83712 | 820295026 | Health Care Services | ID | 501(c)(3) | 3 | N/A |
| St Luke's Wood River Medical Center Ltd | |||||||||
| 100 Hospital Drive | Ketchum | ID | 83340 | 841421665 | Health Care Services | ID | 501(c)(3) | 3 | N/A |
| St Luke's Health Foundation Ltd | |||||||||
| 190 E Bannock | Boise | ID | 83712 | 810600973 | Solicit Donations | ID | 501(c)(3) | 7 | N/A |
| St Luke's Regional Medical CenterLtd | |||||||||
| 190 E Bannock | Boise | ID | 83712 | 820161600 | Health Care Services | ID | 501(c)(3) | 3 | N/A |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Magic Valley Facial Imaging LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 590 Falls Avenue | AddressLine1 |
| City | Twin Falls | City |
| State | ID | State |
| ZIP Code | 83301 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208025041 | EIN |
| Primary Activity | Health Care | PrimaryActivity |
| Legal Domicile State | ID | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Predominant Income Type | Related | PredominantIncomeType |
| Share Of Total Income | 17316 | ShareOfTotalIncome |
| Share Of EOY Assets | 25909 | ShareOfEOYAssets |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
| 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 | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| 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 | 0 | 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 | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| St Luke's Regional Medical CenterLtd | |
| R | 81439030 |
| St Luke's Health SystemLtd | |
| O | 16508410 |
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