2011-08-10T14:18:22-05:00 2010-09-30 Deloitte Tax LLP 50 Fremont Street San Francisco CA 941052230 990 2009-10-01 562570686 St Luke's Magic Valley Regional Medical Center Ltd STLU 2083811106 801 Pole Line Road Twin Falls ID 83301 Peter DiDio 2083811251 2011-08-10 1 4157834000 2009 2016-02-24 21:20:13Z X James Angle 801 Pole Line Road Twin Falls ID 83301 218563407 0 X www.stlukesonline.org/magic valley X 2006 ID Provide health care services 12 8 1997 243 490904 -33231 375244 1253976 207731240 216093432 450829 341850 1976906 675355 210534219 218364613 216407 248509 0 85994124 92234468 0 537166 108662883 117181645 194873414 209664622 15660805 8699991 165608673 253359937 121210577 200030353 44398096 53329584 Delivery of Health Care Services 0 0 186584033 245512 213487382 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. 2453780 2997 2606050 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. 189037813 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 196 0 1997 1 0 0 0 0 0 0 0 0 0 12 8 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X St Luke's Health System Ltd 2083711106 190 E Bannock Boise ID 83712 Russ Newcomb MD 5.00 X 0 0 0 Mr Tom Ashenbrener 4.00 X 0 0 0 Mr Gary Babbel 4.00 X 0 0 0 Mr Shawn Barigar 4.00 X 0 0 0 Eric CassidyDO 4.00 X 28500 0 0 Ms Cindy Collins 3.00 X 0 0 0 Ben Katz MD 3.00 X 0 0 0 Mr Terry Kramer 3.00 X 0 0 0 Mr Robert Alexander 3.00 X 0 0 0 Robert Ward MD 3.00 X 0 0 0 Mark Wright DDS 3.00 X 51360 0 0 Mike Reno 40.00 X X 0 0 0 Mr Mark Schwartz 40.00 X 290491 0 71200 Mr John Groesbeck 40.00 X 177889 0 21334 Russell W Mayes DO 40.00 X 444945 0 18508 Julian Nicholson MD 40.00 X 309820 0 10921 Randall Skeem MD 40.00 X 274369 0 17126 David A McClusky MD 40.00 X 249113 0 23362 Rick Yavruian MD 40.00 X 208635 0 18168 2035122 0 180619 29 0 1 0 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 37 181485 1072491 1253976 Net Patient Revenue 900099 209051528 209051528 7041904 7041904 216093432 303408 303408 383245 198794 184451 184451 184451 38442 38442 38442 38442 MSO Admin & Billing Se 561000 321844 321844 Information Technology 541519 116088 116088 Transcription Services 541900 51206 51206 1766 1766 490904 218364613 216093432 490904 526301 248509 248509 1039084 1039084 72342430 63102587 8902130 337713 3106051 2675283 416450 14318 10832882 9330507 1452440 49935 4914021 4232512 658857 22652 33874457 33630702 243755 6332234 6332234 28416 21916 6500 232995 148785 84210 311322 45186 264391 1745 1270849 128832 1138442 3575 2105648 1974382 131266 2806047 1631456 1174591 320847 132448 187434 965 198179 198179 8395583 8004182 391401 676823 676823 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 6404952 5216160 1183400 5392 209664622 189037813 20089643 537166 9668635 14630407 1636446 1814128 32825193 37311769 12139 3567057 2788978 729871 202840268 11250172 108235916 191590096 142514 2841235 2358475 6822052 1993699 165608673 253359937 19887565 28765293 974971 2929351 2569568 97418690 168695492 121210577 200030353 X 44398096 53257186 72398 44398096 53329584 165608673 253359937 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 185000 7757750 7942750 13956603 1437673 12518930 19830625 9812499 10018126 161110290 161110290 191590096 Due to Related Organizations 144635153 Third Party settlement 6721037 Capital Lease 891998 Deferred Credit 2381390 Pension Liability 14065914 168695492 1 1 X 1 X 400.000000000000 1 X 1 1 1 0 1 1 7553680 7553680 0.03760 22572251 17448091 5124160 0.02550 7478699 5229138 2249561 0.01120 37604630 22677229 14927401 0.07430 1543137 1543137 0.00770 904197 904197 0.00450 910866 910866 0.00450 3358200 3358200 0.01670 40962830 22677229 18285601 0.09100 897 897 0.00000 0.00000 14111 14111 0.01000 0.00000 2393 2393 0.00000 9123 9123 0.01000 2969 2969 0.00000 0.00000 0.00000 29493 29493 0.02000 0 4375394 0 48023532 55317449 -7293917 X 1 1 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 StLuke's Magic Valley Regional Medical

650 Addison Avenue Twin Falls ID 83301

X X X 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. 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, 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. 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.The source of the information is the Medicare Cost Report for fiscal year 2010. Part III, Line 9b: All subsidiaries within the St. Luke's Health System have policies in place to provide financial assistance to those who meet established criteria and need assistance in paying for the amounts billed for their provided health care services. In addition, the collection policies and practices in place within the St. Luke's Health system provide guidance to patients on how to apply for this assistance. Collection of amounts due may be pursued in cases where the patient is unable to qualify for charity care or financial assistance and the patient has the financial resources to pay for the billed amounts. Part V: 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. 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. 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. Part VI, Line 4: St. Luke's Magic Valley provides service for eight counties of south central Idaho and Elko County, Nevada. 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 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. 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 ID 1 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 1000 Twin Falls ID 20004 521627574 501(c)(3) 10000 Funding to support Safety for Kids Jubilee House Attn Kathryn Bausman 315 Grandview Drive Twin Falls ID 83301 208750670 501(c)(3) 10000 Christian 12 mo recover program for women. Personnel costs for 24/7 coverage 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. 15 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. X X X X X 0 0 0 0 0 0 0 0 0 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 First Federal Savings Common Board Member 2662360 First Federal Savings purchases patient accounts receivable from St. Luke's Magic Valley Regional Medical Center,Ltd. 0 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 Change in 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. Form 990 Part IX:Line 5 Statement of Functional Expenses Compensation: MIke Reno 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. 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 11628175 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 662456 99495 St Luke's Magic Valley Regional Medical CenterLtd 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 Magic Valley Facial Imaging LLC 590 Falls Avenue Twin Falls ID 83301 208025041 Health Care ID N/A Related 17316 25909 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 St Luke's Regional Medical CenterLtd R 81439030 St Luke's Health SystemLtd O 16508410