ST LUKES WEST LTD: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ST LUKES WEST LTD (EIN 82-1162805)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-08-11
- IRS object ID
- 202242239349302904
- Schema version
- 2020v4.2
- 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 J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-08-11T18:22:25-05:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 695 Town Center Drive Suite 1200 | AddressLine1Txt |
| City | Costa Mesa | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 926261924 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 821162805 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Nampa Medical Center Ltd | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STLU | BusinessNameControlTxt |
| Phone | 2087069585 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 E Bannock | AddressLine1Txt |
| City | Boise | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83712 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Paid Preparer | PersonNm |
| Person Title | Vice President, Controller | PersonTitleTxt |
| Phone | 2087069585 | PhoneNum |
| Signature | 2022-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Paid | PersonFirstNm |
| Person Last | Preparer | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John Sadoff Jr | PreparerPersonNm |
| PTIN | P00540589 | PTIN |
| Phone | 7144367100 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Chris Roth | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 E Bannock | AddressLine1Txt |
| City | Boise | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83712 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $240,798,900 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stlukesonline.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2017 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | Provide healthcare services to the community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $3,137,692 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,937,571 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,183,566 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $163,941,989 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $233,739,551 | CYProgramServiceRevenueAmt |
| PY Investment Income | $157,898 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,632,472 | CYInvestmentIncomeAmt |
| PY Other Revenue | $958,530 | PYOtherRevenueAmt |
| CY Other Revenue | $1,243,311 | CYOtherRevenueAmt |
| PY Total Revenue | $168,995,988 | PYTotalRevenueAmt |
| CY Total Revenue | $240,798,900 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $150 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $168,628,735 | PYOtherExpensesAmt |
| CY Other Expenses | $226,088,793 | CYOtherExpensesAmt |
| PY Total Expenses | $168,628,735 | PYTotalExpensesAmt |
| CY Total Expenses | $226,088,943 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $367,253 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,709,957 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $179,828,864 | TotalAssetsBOYAmt |
| Total Assets EOY | $193,629,176 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $210,779,313 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $210,211,336 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$30,950,449 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$16,582,160 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To improve the health of people in the communities we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $198,258,230 | ExpenseAmt |
| Grant | $139 | GrantAmt |
| Revenue | $217,315,802 | RevenueAmt |
| Desc | Medical & SurgicalSt. Luke's Nampa provides medical services including, but is not limited to, inpatient medical and surgical care, intensive care, labor and delivery, neonatal intensive care, outpatient surgery, diagnostic imaging, physical therapy, home health care, hospice, primary care, medicine, health education and emergency medicine. During FY'21, St. Luke's Hospital location in Nampa provided inpatient care for 5,341 admissions, covering 18,500 patient days. Also, the hospitals provided patient care associated with 96,715 outpatient visits. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $15,202,970 | ExpenseAmt |
| Grant | $11 | GrantAmt |
| Revenue | $16,423,749 | RevenueAmt |
| Desc | Physician ServicesSt. Luke's Nampa has medical practices serving but is not limited to the following areas:Internal Medicine, OBGYN, Family Medicine, Pediatrics, Dermatology, Gastroenterology, Mental Health, Neurology, Orthopedics, Sports Medicine, Cardiology, Non-Oncology Infusion, Podiatry and Pulmonary. In fiscal year 2021, the practices had 82,520 visits. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $213,461,200 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Peter DiDio Vice-President Controller | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2087069585 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 190 E Bannock | AddressLine1Txt |
| City | Boise | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83712 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Chris Roth | ||||||||||
| CEO & Director | 2.00 | 52.00 | Yes (X) | Yes (X) | $0 | $1,091,130 | $50,570 | |||
| Bob Lokken | ||||||||||
| Chair (Start 11/2020) | 0.50 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Rich Raimondi | ||||||||||
| Chair (End 11/2020) | 0.50 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Alan Korn MD | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Andy Scoggin | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Arthur F Oppenheimer | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Bill Whitacre | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Brigette Bilyeu | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Dan Krahn | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jeff Fox | ||||||||||
| Director (End 5/2021) | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Jon Miller | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Karen Vauk | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lisa Grow | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Lucie DiMaggio MD | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Mark Durcan | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Rosa Davila | ||||||||||
| Director (Start 9/2021) | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Tom Corrick | ||||||||||
| Director | 0.50 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Pamela Lindemoen | ||||||||||
| SVP COO (End 3/2021) | 2.00 | 50.00 | Yes (X) | $0 | $916,656 | $19,741 | ||||
| Jeffrey S Taylor | ||||||||||
| SR VP/CFO/Treasurer | 2.00 | 50.00 | Yes (X) | $0 | $785,231 | $47,998 | ||||
| Christine Neuhoff | ||||||||||
| SR VP/Chief Legal Officers/Secretary | 2.00 | 50.00 | Yes (X) | $0 | $733,152 | $41,525 | ||||
| Dennis Mesaros | ||||||||||
| VP Population Health | 10.00 | 30.00 | $0 | $392,262 | $35,819 | Yes (X) | ||||
| Joan Agee | ||||||||||
| Chief Operating Officer/CNO | 40.00 | 0.00 | $0 | $215,507 | $26,768 | Yes (X) | ||||
| James Field MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $784,994 | $51,178 | Yes (X) | ||||
| Michael Morris MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $756,783 | $46,727 | Yes (X) | ||||
| Jon Bergset MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $733,615 | $25,060 | Yes (X) | ||||
| Tracye Awyer MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $616,554 | $44,170 | Yes (X) | ||||
| Gary Botimer MD | ||||||||||
| Physician | 40.00 | 0.00 | $0 | $576,899 | $18,151 | Yes (X) | ||||
| David C Pate MD JD | ||||||||||
| Former President & CEO | 0.00 | 0.00 | $0 | $508,200 | $5,406 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $8,110,983 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $413,113 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Emergency Medicine of Idaho | |||||
| Wainwright Suite A | Boise | ID | 83713 | Emergency Medicine Services | $5,064,716 |
| Anesthesia Associates of Boise | |||||
| 2537 W State Street Suite 200 | Boise | ID | 83702 | Anesthesia Services | $1,455,127 |
| Rightsourcing Inc | |||||
| 9 Executive Cir 290 | Irvine | CA | 92614 | Medical Staffing | $1,033,747 |
| Sodexo Operations LLC | |||||
| 9801 Washingtonian Blvd | Gaithersburg | MD | 20878 | Facilities Management | $986,473 |
| Magic Valley Internal Medicine | |||||
| 2156 Cayuse St | Twin Falls | ID | 83303 | Medical Services | $488,625 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 54 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $522,149 | RelatedOrganizationsAmt |
| Government Grants | $3,622,736 | GovernmentGrantsAmt |
| All Other Contributions | $38,681 | AllOtherContributionsAmt |
| Total Contributions | $4,183,566 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Revenue | 900099 | $216,705,650 | $216,705,650 | |
| Contract Service Reven | 900099 | $9,841,694 | $9,841,694 | |
| Outpatient Retail RX | 446110 | $5,068,108 | $1,930,416 | $3,137,692 |
| SLHS Allocated Revenue | 900099 | $1,627,454 | $1,627,454 | |
| Vending Machine Revenu | 900099 | $11,571 | $11,571 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $485,074 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $485,074 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $233,739,551 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,632,472 | TotalRevenueColumnAmt |
| Exclusion | $1,632,472 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $724,253 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $724,253 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $724,253 | TotalRevenueColumnAmt |
| Exclusion | $724,253 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafeteria/Catering/Ven | Desc |
| Business | 722514 | BusinessCd |
| Total Revenue Column | $519,058 | TotalRevenueColumnAmt |
| Exclusion | $519,058 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $519,058 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $240,798,900 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $230,601,859 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $3,137,692 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,875,783 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150 | TotalAmt |
| Program Services | $150 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,201,352 | TotalAmt |
| Program Services | $10,201,352 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,705,502 | TotalAmt |
| Program Services | $3,638,730 | ProgramServicesAmt |
| Management And General | $66,772 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,307,868 | TotalAmt |
| Program Services | $1,289,084 | ProgramServicesAmt |
| Management And General | $18,784 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,128,082 | TotalAmt |
| Program Services | $12,068,367 | ProgramServicesAmt |
| Management And General | $59,715 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $895,881 | TotalAmt |
| Program Services | $895,881 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,354 | TotalAmt |
| Program Services | $39,506 | ProgramServicesAmt |
| Management And General | $2,848 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,879,269 | TotalAmt |
| Program Services | $9,783,803 | ProgramServicesAmt |
| Management And General | $2,095,466 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,720 | TotalAmt |
| Program Services | $11,720 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Allocated SLHS Wages | $73,788,770 | $66,697,198 | $7,091,572 |
| Supplies | $45,020,933 | $44,644,445 | $376,488 |
| Contract Service | $31,464,702 | $30,849,830 | $614,872 |
| Allocated SLHS Expenses | $30,440,789 | $30,440,789 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,201,571 | TotalAmt |
| Program Services | $2,900,345 | ProgramServicesAmt |
| Management And General | $2,301,226 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,088,943 | TotalAmt |
| Program Services | $213,461,200 | ProgramServicesAmt |
| Management And General | $12,627,743 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,816,949 | BOYAmt |
| EOY | $33,720,061 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,160,072 | BOYAmt |
| EOY | $4,669,690 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,137 | BOYAmt |
| EOY | $139,168 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $208,933,220 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $53,832,963 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,767,706 | BOYAmt |
| EOY | $155,100,257 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,828,864 | BOYAmt |
| EOY | $193,629,176 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,042,984 | BOYAmt |
| EOY | $4,485,337 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,736,329 | BOYAmt |
| EOY | $205,725,999 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $210,779,313 | BOYAmt |
| EOY | $210,211,336 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$30,950,449 | BOYAmt |
| EOY | -$16,582,160 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$30,950,449 | BOYAmt |
| EOY | -$16,582,160 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,828,864 | BOYAmt |
| EOY | $193,629,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $14,709,957 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $158,332 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$500,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $9,739,605 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $10,926,433 | OtherCostOrOtherBasisAmt |
| Book Value | $20,666,038 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $198,960 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $139,179,518 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,382,762 | DepreciationAmt |
| Book Value | $112,995,716 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,500,916 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,448,901 | DepreciationAmt |
| Book Value | $18,052,015 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,387,788 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,300 | DepreciationAmt |
| Book Value | $3,386,488 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $155,100,257 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| AP Medicare-Medicaid Program | $12,243,686 |
| Due to Related Organizations | $190,458,228 |
| Operating Lease | $3,024,085 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $205,725,999 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | Footnote Disclosure-Uncertain Tax Positions Under ASC 740 (Source: Consolidated Financial Statements-St. Luke's Health System) Income Taxes - The Health System is a not-for-profit corporation and is recognized as tax exempt pursuant to Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The Health System has activities that are considered unrelated business taxable income (UBTI), which are subject to excise tax. The Health System also has a taxable subsidiary, SLHP, whose operations are included in the consolidated financial statements and as such we have provided for income taxes on this activity under the Accounting Standards Codification (ASC) 740. For the Health System's taxable subsidiary and activities considered UBTI, income taxes are accounted for under the asset and liability method, which requires the recognition of Deferred Tax Assets (DTAs) and Deferred Tax Liabilities (DTLs) for the expected future tax consequences of events that have been included in the consolidated financial statements. Under this method, the Health System determines DTAs and DTLs on the basis of the differences between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. The effect of a change in tax rates on DTAs and DTLs is recognized in results of operations in the period that includes the enactment date of the rate change. The Health System recognizes DTAs to the extent that these assets are more likely than not to be realized. In making such a determination, the Health System considers all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax-planning strategies, and results of recent operations. If the Health System determines that DTAs are realizable in the future in excess of their net recorded amount, the Health System would make an adjustment to the DTA valuation allowance, which would reduce the provision for income taxes. The Health System records uncertain tax positions in accordance with ASC 740 on the basis of a two-step process in which (1) the Health System determines whether it is more likely than not that the tax positions will be sustained on the basis of the technical merits of the position and (2) for those tax positions that meet the more-likely-than-not recognition threshold, the Health System recognizes the largest amount of tax benefit that is more than 50 percent likely to be realized upon ultimate settlement with the related tax authority. Management is not aware of any uncertain tax positions that should be recorded. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,100,313 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,100,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00930 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,254,439 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,999,978 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,254,461 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02320 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $613,676 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $422,818 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $190,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,968,428 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,422,796 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,545,632 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,334 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $360 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $29,974 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,906,178 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,906,178 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00840 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $367,357 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $195,004 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $172,353 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $135,029 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $135,029 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $257,980 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $257,980 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,696,878 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $195,364 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,501,514 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,665,306 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,618,160 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,047,146 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04430 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,938 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,938 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,984 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,984 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,922 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,922 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $5,061,097 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,079,338 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $31,071,787 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,992,449 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Nampa Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9850 W St Lukes Drive | AddressLine1Txt |
| City | Nampa | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83687 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stlukesonline.org | WebsiteAddressTxt |
| State License | State of Idaho License #72 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Nampa Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.stlukesonline.org/about-st-lukes/supporting-the-community | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | 0 | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.stlukesonline.org/resources/before-your-visit/financial-care | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.stlukesonline.org/resources/before-your-visit/financial-care | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.stlukesonline.org/resources/before-your-visit/financial-care | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Luke's Nampa Medical Center | Part V, Section B, Line 5: A series of in-depth interviews with people representing the broad interests of our community were conducted in order to assist us in defining, prioritizing, and understanding our most important community health needs. Many representatives participating in our process are individuals who have devoted decades to helping others lead healthier, more independent lives. The representatives we interviewed have significant knowledge of our community. To ensure they came from distinct and varied backgrounds, we included multiple representatives from each of these categories:Category I: Persons with special knowledge of public health. This includes persons from state, local, and/or regional governmental public health departments with knowledge, information, or expertise relevant to the health needs of our community. Category II: Individuals or organizations serving or representing the interests of the medically underserved, low-income, and minority populations in our community. Medically underserved populations include populations experiencing health disparities or at-risk populations not receiving adequate medical care as a result of being uninsured or underinsured or due to geographic, language, financial, or other barriers.Category III: Additional people located in or serving our community including, but not limited to, health care advocates, nonprofit and community-based organizations, health care providers, community health centers, local school districts, and private businesses.Each potential need was scored by the community representative on a scale of 1 to 10. Higher scores represent potential needs the community representatives believed were important to address with additional resources. Lower scores usually meant our representatives thought our community was healthy in that area already or we had relatively good programs addressing the potential need. These scores were incorporated directly into our health need prioritization process. In addition, we invited the representatives to suggest programs, legislation, or other measures they believed to be effective in addressing the needs.Representatives from the following organizations were contacted and interviewed:1. Family Medicine Residency of Idaho 2. Idaho Department of Health and Welfare3. Idaho Department of Labor4. Southwest District Health5. St. Luke's Greenhurst/Midland Clinics, Nampa6. Nampa Housing Authority 7. Boys and Girls Club of Nampa8. NW Sales & Distribution/ St. Luke's Health Partners9. Nampa Family Justice Center10. Treasure Valley YMCA11. City of Nampa12. City of Caldwell13. Middleton School District14. Salvation Army of Nampa15. Caldwell Housing Authority 16. WITCO17. Vallivue School District 18. Nampa School District19. SunWest Bank20. Caldwell School District21. Canyon County22. Canyon County Community Clinic |
| St. Luke's Nampa Medical Center | Part V, Section B, Line 11: We organized our significant health needs into the following groups: Group #1: Improve the Prevention, Detection, and Treatment of Obesity and DiabetesGroup #2: Improve Mental Health and Reduce Suicide Group #3: Reduce Drug MisuseGroup #4: Improve Access to Affordable Health InsuranceNext we looked at how to best address each significant health need. To make this determination, we focused on resources available and whether the health need was in alignment with St. Luke's mission and strengths. Where a significant health need was in alignment with our mission and strengths, we developed our own programs and/or collaborated with community-based organizations to address the health need. We have provided a list of implementation plan programs designed to address our significant health needs below:Program Group 1: Improve the Prevention, Detection, and Treatment of Obesity and Diabetes 1. Program Name: Investment in Programs Supporting the Prevention, Detection, and Treatment of Obesity and Diabetes through St. Luke's CHIF Fund 2. Program Name: The Hill 3. Program Name: School-based Resilience Programming 4. Program Name: CATCH (Coordinated Approach to Child Health) 5. Program Name: St. Luke's Health Coaching 6. Program Name: Partnership with the Idaho Foodbank on their Hunger to Health Strategy 7. Program Name: The Y's Healthy Living Center and Diabetes Prevention Program 8. Program Name: Breastfeeding and Childhood Obesity 9. Program Name: FitOne Program Group 2: Improve Mental Health and Reduce Suicide 10. Program Name: Investment in Programs Supporting the Prevention, Detection, and Management of Mental Illness and Reduce Suicide through St. Luke's CHIF Fund 11. Program Name: Psychiatry Residency Program Expansion 12. Program Name: REACH Training Program-Delivering Evidence Based Behavioral Health Care in Primary Care 13. Program Name: Western Idaho Community Crisis Center (Region 3 Behavioral Health Community Crisis Center) 14. Program Name: Supportive Oncology at St. Luke's Mountain States Tumor Institute (MSTI) 15. Program Name: Children's Counseling Community Support Collaborative 16. Program Name: SHIP Community Health EMS 17. Program Name: Adverse Childhood Experiences (ACEs) and Resiliency Clinical Learning Collaborative 18. Program Name: The Idaho Resilience Project Adverse Childhood Experiences (ACEs) Collaborative 19. Program Name: Western Idaho Community Health Collaborative 20. Program Name: Idaho Association for the Education of Young Children (IAEYC) Preschool Learning Collaboratives 21. Program Name: Older Adult Resilience Programming Program Group 3: Reduce Drug Misuse 22. Program Name: Investment in Programs Supporting Reducing Drug Misuse through St. Luke's CHI Fund 23. Program Name: Tobacco/E-Cigarette Prevention Education 24. Program Name: St. Luke's Health System Pain Affinity Council Program Group 4: Improve Access to Affordable Health Insurance 25. Program Name: Investment in Programs Supporting Improvement of Access to Health Insurance through St. Luke's CHI Fund 26. Program Name: Health Window 27. Program Name: SHIBA Senior Health Insurance Benefits Advisors 28. Program Name: St. Luke's Financial Care Program 29. Program Name: Your Health Idaho |
| St. Luke's Nampa Medical Center | Part V, Section B, Line 13b: Financial Care: Eligible applicants will receive the following assistance:1. Full Discount: The full amount for eligible services will be covered under the Financial Care Policy for any uninsured or underinsured patient or guarantor, whose household income is at or below 200 percent of the federal poverty level.2. Partial Discount: A sliding fee schedule will be used to determine the amount eligible for financial care assistance for any uninsured or underinsured patient or guarantor. For such applicants, assistance will be provided based on a combination of household income and assets. Partial discounts will be provided if the combination of income and assets is greater than 200 percent but equal to or less than 400 percent of the FPL. Assistance is granted only after all third-party reimbursement possibilities available to the applicant have been exhausted.3. If the patient balance exceeds 30 percent of household income, patients will qualify for a one-time reduction.4. A highly discounted rate (HDR) will be offered to individuals who are unwilling to cooperate with the county indigency program and are able to pay the balance in full within 60 days, or available to individuals who cooperate and are denied county assistance. The highly discounted rate is a 65% adjustment that is applied to the gross charges. |
| St. Luke's Nampa Medical Center | Part V, Section B, Line 16j: A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - St Luke's Clinic Meridian Gala St | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2347 E Gala St | AddressLine1Txt |
| City | Meridian | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83642 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Family Medicine, Pulmonology, Sleep Medicine | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Please refer to the disclosure for Part V, Section B, Line 13b - which describes methods used to determine eligibility for financial assistance. |
| Part I, Line 7: | The cost to charge ratio was used to calculate the financial assistance provided to the community. Other Community benefits come from a data repository maintained by St. Luke's Employees that tracks community benefit costs and hours. |
| Part I, Line 7g: | Subsidized services represent unreimbursed costs incurred (excluding impact of unreimbursed Medicare and Medicaid) for the following services:Emergency Response/Standby |
| Part I, Line 7i, Cash and in-kind contributions for community benefit: | During the fiscal year 2021, St. Luke's administrated and dispensed the majority of community grants, cash, and in-kind donations at the system level. Those grants and donations were still awarded and continued to support health initiatives through all the communities we serve and were reported on form 990 for St. Luke's Health System. |
| Part I, Line 5a, Discounted Care: | Starting in fiscal year 2021, St. Luke's no longer sets a detailed financial statement budget, and instead operates under a dynamic financial forecast. Due to this change, the answer to 5a is no. Financial assistance is provided to any qualifying patients, regardless of budget. |
| Part I, Line 7e, 7g Community Health Improvement Services | Amounts presented on this form differ from the Canyon County report prepared in December 2021 due to amounts not originally disclosed: Line E - $360 Revenue, Line G - $195,004 Revenue. Overall Community Benefit is $195K lower than was originally disclosed. |
| Part II, Community Building Activities: | St. Luke's is an active participant in the community, and provides support to address public health issues, and works with coalitions to address local health needs. St. Luke's takes on initiatives as need arises to help the long term development of the community particularly to shape and improve public health and access to medical services. |
| Part III, Line 2: | The Cost to Charge ratio method was used to calculate bad debt expense at cost. |
| Part III, Line 3: | St. Luke's has a very robust financial assistance program, therefore, no estimate is made for bad debt attributable to patients eligible under the financial assistance policy. |
| Part III, Line 4: | Per the audited financial statements in footnote three, St. Luke's 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: | The source of the information is the Medicare Cost Report for fiscal year 2021. The amount is calculated by comparing the total Medicare apportioned costs (allowable costs) to payments (including IME and GME) received during FY'21.St. Luke's provides medical care to all patients eligible for Medicare regardless of the shortfall and thereby relieves the Federal Government of the burden for paying the full cost of Medicare. |
| 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 VI, Line 2: | A Community Health Needs Assessment (CHNA) was conducted for the fiscal year ending 9/30/2019. Information related to the CHNA is shown in the responses to questions 3 and 7 of "Part V, Section B, Facility Policies and Practices".A complete copy of the CHNA assessments for all of the hospitals operating within the St. Luke's Health System can be found at the following website:https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments |
| Part VI, Line 3: | (A) St. Luke's 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) Financial assistance policy is translated into the following language: Spanish(C) St. Luke's provides individual notice of the availability of financial assistance to a patient expected to incur charges that may not be paid in full by third party coverage, along with an estimate of the patient's liability.(D) For cases in which St. Luke's independently determines patient eligibility for financial assistance, 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 Nampa Medical Center, LTD (SLN) primary service area includes the greater Canyon county area. The criteria used in selecting this area was to include the entire population of the counties where greater than 70% of the inpatients reside. While the SLN is newly constructed and placed in service it is estimated that greater than 70% of the inpatients will reside in Canyon County. Our patients in the surrounding counties are important to us as well. To help us serve these patients, we have built positive, collaborative relationships with regional providers where legal and appropriate. A philosophy of shared responsibility for the patient has been instrumental in past successes and remains critical to the future of St. Luke's Partnerships, allowing us to meet patients' medical needs close to home and family. According to Idaho Health and Welfare there are two licensed hospitals in Canyon County that are not part of The St. Luke's Health System. There is at least one federally designated medically underserved areas or populations Canyon County service area.In regards to race, both Idaho and the service territory are comprised of about 95% white population while the nation as a whole is 78% white. In regards to ethnicity, The Hispanic population in Idaho represents 12% of the overall population and about 25% of the defined service area. Idaho experienced a 30% increase in population from 2000 to 2016, ranking it as one of fastest growing states in the country. Canyon County has followed that trend, experiencing an even more rapid 62% increase in population within that timeframe.Since the year 2000, the 45 to 64 year old age group was the fastest growing segment of our community. Currently, about 13% of the people in our community are over the age of 65. The official United States poverty rate increased from 12.5% in 2003 to 14% in 2016. Our service area poverty rate is slightly higher than the national average. The poverty rate in our community for children under the age of 18 is about the same as the national average.Median income in the United States has risen by 33% since 2004. However, growth in income was a slower 23% in Idaho and in our service area during that period. Median income in Canyon County is well below the national median and lower than Idaho's median income. |
| Part VI, Line 5: | The people who serve on the various boards for subsidiaries within the St. Luke's Health System are local citizens who have a vested interest in the health of their communities. These committed leaders volunteer on our boards because they are dedicated to ensuring that the people of southern Idaho and the surrounding area have access to the most advanced, most comprehensive health care possible. St. Luke's believes that locally owned and governed hospitals can take the best measure of community health care needs. We are grateful to our board leadership for giving generously of their time and talents and bringing to the table their unique perspectives and intimate knowledge of their communities. St. Luke's would not be the organization it is today without our volunteer board members. The vision of dedicated community leaders has guided St. Luke's for many decades, and will continue to guide us well into the future.As a not-for-profit organization,100% of St. Luke's revenue after expenses is reinvested in the organization to serve the community in the form of staff, buildings, or new technology.Also, St. Luke's Nampa Medical Center, Ltd. maintains an open medical staff. Any physician can apply for practicing privileges as long as they meet the standards for St. Luke's Nampa. |
| Part VI, Line 6: | As the only Idaho-based not-for-profit health system, St. Luke's Health System is part of the communities we serve, with local physicians and boards who further our organization's mission "To improve the health of people in the communities we serve." Working together, we share resources, skills, and knowledge to provide the best possible care, no matter which of our hospitals provide that care. Each St. Luke's Health System hospital is nationally recognized for excellence in patient care, with prestigious awards and designations reflecting the exceptional care that is synonymous with the St. Luke's name.St. Luke's Health System provides facilities and services across the region, covering a 150-mile radius that encompasses southern and central Idaho, northern Nevada, and eastern Oregon-bringing care close to home and family. The following entities are part of the St. Luke's Health System:(1) St. Luke's Regional Medical Center, Ltd. with the following locations: --St. Luke's Boise Hospital --St. Luke's Meridian Hospital --St. Luke's Children's Hospital --St. Luke's Boise/Meridian/Caldwell/Fruitland Physician Clinics --St. Luke's Eagle Urgent Care --St. Luke's Elmore Hospital with physician clinic --St. Luke's Fruitland Emergency Department/Urgent Care(2) St. Luke's Wood River Medical Center, Ltd. which consists of a critical access hospital located in Ketchum, Idaho as well as various physician clinics(3) St. Luke's Magic Valley Regional Medical Center, Ltd. which consists of the following: --St. Luke's Magic Valley Hospital-Twin Falls, Idaho --Various St. Luke's Physician Clinics in Twin Falls --Canyon View-(Behavioral Health) --St. Luke's Jerome Hospital-Jerome, Idaho --Various Physician clinics in Jerome(4) St. Luke's McCall, Ltd. which consists of a critical access hospital located in McCall, Idaho as well as various physician clinics.(5) St. Luke's Nampa Medical Center, Ltd. which consists of a critical access hospital located in Nampa, Idaho as well as various physician clinics.St. Luke's physician clinics and services are provided in partnership with area physicians and other health care professionals. These include:Cardiovascular; Child Abuse and Neglect Evaluation; Endocrinology; Ear, Nose, and Throat; Family Medicine; Gastroenterology; General Surgery; Hypertensive Disease; Internal Medicine; Maternal/Fetal Medicine; Medical Imaging; Metabolic and Bariatric Surgery; Nephrology; Neurology; Neurosurgery; Obstetrics/Gynecology; Occupational Medicine;Orthopedics; Outpatient Rehabilitation; Plastic Surgery; Psychiatry and Addiction; Pulmonary Medicine; Sleep Disorders; and Urology.In addition, St. Luke's works with other regional facilities, including Weiser Memorial Hospitaland Salmon River Clinic, through a combination of management and other contracts for selectspecified services. |
| Part VI, Line 7, Reports Filed With States | ID |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Chris Roth | ||||||||||||||
| CEO & Director | $0 | $947,758 | $0 | $0 | $0 | $143,372 | $0 | $21,519 | $0 | $29,051 | $0 | $1,141,700 | $0 | $0 |
| Pamela Lindemoen | ||||||||||||||
| SVP COO (End 3/2021) | $0 | $830,828 | $0 | $50,000 | $0 | $35,828 | $0 | $12,873 | $0 | $6,868 | $0 | $936,397 | $0 | $0 |
| James Field MD | ||||||||||||||
| Physician | $0 | $605,978 | $0 | $116,318 | $0 | $62,698 | $0 | $25,842 | $0 | $25,336 | $0 | $836,172 | $0 | $0 |
| Jeffrey S Taylor | ||||||||||||||
| SR VP/CFO/Treasurer | $0 | $723,661 | $0 | $0 | $0 | $61,570 | $0 | $25,842 | $0 | $22,156 | $0 | $833,229 | $0 | $0 |
| Michael Morris MD | ||||||||||||||
| Physician | $0 | $624,411 | $0 | $92,573 | $0 | $39,799 | $0 | $17,196 | $0 | $29,531 | $0 | $803,510 | $0 | $0 |
| Christine Neuhoff | ||||||||||||||
| SR VP/Chief Legal Officers/Secretary | $0 | $681,172 | $0 | $0 | $0 | $51,980 | $0 | $21,519 | $0 | $20,006 | $0 | $774,677 | $0 | $0 |
| Jon Bergset MD | ||||||||||||||
| Physician | $0 | $608,419 | $0 | $105,156 | $0 | $20,040 | $0 | $12,873 | $0 | $12,187 | $0 | $758,675 | $0 | $0 |
| Tracye Awyer MD | ||||||||||||||
| Physician | $0 | $547,985 | $0 | $31,030 | $0 | $37,539 | $0 | $12,873 | $0 | $31,297 | $0 | $660,724 | $0 | $0 |
| Gary Botimer MD | ||||||||||||||
| Physician | $0 | $491,321 | $0 | $59,220 | $0 | $26,358 | $0 | $4,323 | $0 | $13,828 | $0 | $595,050 | $0 | $0 |
| David C Pate MD JD | ||||||||||||||
| Former President & CEO | $0 | $380,321 | $0 | $0 | $0 | $127,879 | $0 | $3,833 | $0 | $1,573 | $0 | $513,606 | $0 | $111,749 |
| Dennis Mesaros | ||||||||||||||
| VP Population Health | $0 | $351,623 | $0 | $0 | $0 | $40,639 | $0 | $17,196 | $0 | $18,623 | $0 | $428,081 | $0 | $0 |
| Joan Agee | ||||||||||||||
| Chief Operating Officer/CNO | $0 | $212,418 | $0 | $0 | $0 | $3,089 | $0 | $8,347 | $0 | $18,421 | $0 | $242,275 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Compensation for the organization's CEO is determined by St. Luke's Health System, Ltd. (System), sole member of St. Luke's Nampa Medical Center, Ltd.. The System board approves the compensation amount per the recommendation of its compensation committee, and the decision is then reviewed and ratified by the board of directors for St. Luke's Nampa Medical Center, Ltd. In determining compensation for the CEO, the System board utilizes the following criteria: Compensation Committee Independent compensation consultant Compensation survey or study Approval by the board or compensation committee |
| Part I, Line 4b | During CY'20, the following individuals participated in a supplemental non-qualified executive retirement plan: Jeffrey Taylor received $19,754 of benefits for service in a supplemental retirement plan. David C. Pate received $369,324 of benefits for service in a supplemental retirement plan. |
| Part I, Line 4b: | During CY'20, Jeffrey S. Taylor was a participant in the supplemental non-qualified executive retirement plan. There were no additional benefits accrued during CY'20 on behalf of the participant. |
| Part II-Column (c) | During CY'20 the following individual participated in the basic pension plan. Due to enhanced benefits adopted in 2019 and changes in actuarial assumptions this individual experienced an increase in the vested balance of the plan. Jeffrey Taylor $414,222 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Clifton Martin | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family Member of Director | RelationshipDescriptionTxt |
| Transaction | $79,725 | TransactionAmt |
| Transaction | Compensation of Family Member of a Director | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990 Part V, Line 1&2 | Accounts payable and payroll process are consolidated at the supporting organization level (St. Luke's Health System, Ltd). Therefore, corresponding reporting for 1099's and W-2's occurs at that level. |
| Form 990, Part VI, Section A, line 2 | Andy Scoggin has a business relationship with Dan Krahn. |
| Form 990, Part VI, Section A, line 6 | St. Luke's Health System,Ltd. is the sole member of St. Luke's Nampa Medical Center,Ltd. |
| Form 990, Part VI, Section A, line 7a | St. Luke's Health System,Ltd.(Member)and St. Luke's Nampa Medical Center,Ltd. (Corporation) cooperatively select and employ the CEO of the Corporation. St. Luke's Health System, Ltd.,is the sole member of the Corporation. |
| Form 990, Part VI, Section A, line 7b | St. Luke's Health System,Ltd (member) maintains approval and implementation authority over St. Luke's Nampa 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 Member Expectations. This authority to remove Directors shall not be used merely because there is a difference in business judgment between the Director and the Corporation or the Member,and shall never be used to remove one or more Directors from the Corporation's Board of Directors in order to change a decision made by the Corporation's Board of Directors; (c) Employment and termination of the Chief Executive Officer of the Corporation; (d) Appointment of the auditor for the Corporation and the coordination of the Corporation's annual audit; (e) Sales, lease, exchange, mortgage, pledge, creation of a security interest in or other disposition of real or personal property of the Corporation if such property has a fair market value in excess of a limit set from time to time by the Member and that is not otherwise contained in an Approved Budget; (f) Sale, merger, consolidation, change of membership, sale of all or substantially all of the assets of the corporation, or closure of any facility operated by the Corporation; (g) The dissolution of the Corporation; (h) Incurrence of debt by or for the Corporation in accordance with requirements established from time to time by the Member and that is not otherwise contained in an Approved Budget; and (i) Authority to establish policies to promote and develop an integrated, cohesive health care delivery system across all corporations for which the Member serves as the corporate member. |
| Form 990, Part VI, Section B, line 11b | The Form 990 (Form) is reviewed by an independent public accounting firm based on audited financial statements of the St. Luke's Health System and with the assistance of the organization's finance and accounting staff. A complete copy of the Form 990 is made available to the Board of Directors prior to filing. |
| Form 990, Part VI, Section B, line 12c | The organization annually reviews the conflict of interest policy with each board member and also with new board members. Persons covered under the policy include officers, directors, senior executives, non-director members of Board committees, and others as identified by a senior executive. At all levels the board is responsible for assessing, reviewing, and resolving any conflicts of interest that have been disclosed by a covered person, or a conflict of interest disclosed by a covered person with respect to a covered person other than himself/herself. Where a conflict exists, the affected parties must recuse themselves from participating in any discussion and/or vote related to the conflict. |
| Form 990, Part VI, Section B, line 15 | Executive compensation is set by St. Luke's Boards 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 in aggregate of those surveyed. These surveys are usually done annually. St. Luke's Health System is committed to providing the highest quality medical care to all people regardless of their ability to pay. To keep that commitment, St. Luke's puts a great deal of time and effort into recruiting and retaining the top physicians in a variety of medical fields. Our relationships with physicians range from having privileges at the hospital to full employment. For those physicians who choose to be employed, St. Luke's must offer competitive pay and benefits. Physician compensation is based on a range of criteria and can be influenced by a number of variables including: -Community need for medical specialty -Experience -Productivity -Geography -National surveys adjusted for local conditions -Willingness to serve regardless of patients' ability to pay -Duration of relationship and contractual terms -Performance on quality metrics To ensure physician compensation and benefits remain within industry standards and legal requirements for not-for-profit institutions, St. Luke's has a Physician Arrangements policy that specifies circumstances requiring a third-party valuation and also periodically uses third-party consulting firms to review St. Luke's physician compensation arrangements. Given the growing national shortage of physicians, recruiting and retaining physicians is more critical than ever to guarantee that people seeking care at St. Luke's will continue to have access to the physicians and specialists they need regardless of their insurance status or insurance provider. |
| Form 990, Part VI, Section C, line 19 | The organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Form 990 is available for public inspection on our website, which contains financial information. |
| Form 990 Part VII Section A | Allocation of Compensation and Hours: The total hours worked and compensation reported for the following individuals represent services rendered to organizations within the St. Luke's Health System: Jeffrey S. Taylor: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. St. Luke's McCall,Ltd. St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Wood River Medical Center,Ltd. St. Luke's Clinic Coordinated Care,Ltd. St. Luke's Nampa Medical Center, Ltd. Christine Neuhoff: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. St. Luke's McCall,Ltd. St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Wood River Medical Center,Ltd. St. Luke's Clinic Coordinated Care,Ltd. St. Luke's Nampa Medical Center, Ltd. Chris Roth: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. St. Luke's McCall,Ltd. St. Luke's Health Foundation,Ltd St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Wood River Medical Center,Ltd. St. Luke's Clinic Coordinated Care,Ltd. St. Luke's Nampa Medical Center, Ltd. Pamela Lindemoen: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. St. Luke's McCall,Ltd. St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Wood River Medical Center,Ltd. St. Luke's Clinic Coordinated Care,Ltd. St. Luke's Nampa Medical Center, Ltd. Dennis Mesaros: St. Luke's Nampa Medical Center, Ltd. St. Luke's Regional Medical Center,Ltd. Also, it should be noted that the hours reported for the directors (employed by St. Luke's), officers, key employees, and highest paid employees are based on a minimum 40 hour work week. However, due to the demands of their roles within the St. Luke's Health System, the hours worked by these individuals often exceed the minimum required 40 hours. |
| Form 990, Part XI, line 9: | Capital Invested in Plant -500,000. |
| Form 990, Part I, Line 6 | Volunteer counts continue to be lower than in prior years due to restrictions on access to the hospitals and cancellations of in-person events due to COVID-19 concerns. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St Luke's Clinic Coordinated Care Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 455195864 | Accountable Care Organization | ID | 501(c)(3) | 10 | St Luke's Health System Ltd | 0 | |
| St Luke's Health Foundation Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 810600973 | Fundraising | ID | 501(c)(3) | 7 | St Luke's Health System Ltd | 0 | |
| St Luke's Health System Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 562570681 | Supporting Organization | ID | 501(c)(3) | 12C, III-FI | 0 | N/A | |
| St Luke's Magic Valley Regional Medical Center Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 562570686 | Healthcare Services | ID | 501(c)(3) | 3 | St Luke's Health System Ltd | 0 | |
| St Luke's McCall Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 273311774 | Healthcare Services | ID | 501(c)(3) | 3 | St Luke's Health System Ltd | 0 | |
| St Luke's Regional Medical Center Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 820161600 | Healthcare Services | ID | 501(c)(3) | 3 | St Luke's Health System Ltd | 0 | |
| St Luke's Wood River Medical Center Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 841421665 | Healthcare Services | ID | 501(c)(3) | 3 | St Luke's Health System Ltd | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Health Foundation Ltd | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $522,149 | InvolvedAmt |
| Method Of Amount Determination | Donations Specified for Nampa | MethodOfAmountDeterminationTxt |