Mountain States Tumor Institute Inc: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- Mountain States Tumor Institute Inc (EIN 82-0295026)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-13
- IRS object ID
- 201902259349300615
- Schema version
- 2017v2.3
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-13T08:25:29-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | 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 | 250 East Fifth Street Suite 1900 | AddressLine1Txt |
| City | Cincinnati | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820295026 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mountain States Tumor Institute Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | 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 | Peter DiDio | PersonNm |
| Person Title | Vice-President, Controller | PersonTitleTxt |
| Phone | 2087069585 | PhoneNum |
| Signature | 2019-08-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Rebecca Lyons | PreparerPersonNm |
| PTIN | P01487105 | PTIN |
| Phone | 5137847100 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.79.13.120 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-12 | IPDt |
| IP Tm | 22:05:41 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AB8BD5A88D4BA927D2DA994192B6818756100B67 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AB8BD5A88D4BA927D2DA994192B6818756100B67 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | Pamela Lindemoen | 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 | $195,962,427 | 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 | 1969 | FormationYr |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Activity Or Mission | Provide healthcare services to the community. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 27 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,856,080 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,508,551 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $162,082,952 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $192,880,140 | CYProgramServiceRevenueAmt |
| PY Investment Income | $829,181 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,548,296 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $164,768,213 | PYTotalRevenueAmt |
| CY Total Revenue | $195,936,987 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,250 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,000 | 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 | $169,686,052 | PYOtherExpensesAmt |
| CY Other Expenses | $183,614,004 | CYOtherExpensesAmt |
| PY Total Expenses | $169,690,302 | PYTotalExpensesAmt |
| CY Total Expenses | $183,616,004 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,922,089 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $12,320,983 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $169,081,782 | TotalAssetsBOYAmt |
| Total Assets EOY | $180,209,313 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,844,205 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,586,176 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $164,237,577 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $176,623,137 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Improve the health of people in the communities we serve by aligning physicians and other providers to deliver integrated, patient centered, quality care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $168,109,327 | ExpenseAmt |
| Grant | $2,000 | GrantAmt |
| Revenue | $192,880,140 | RevenueAmt |
| Desc | Oncology & Research:St. Luke's Mountain States Tumor Institute (MSTI) is a wholly owned subsidiary of St. Luke's Regional Medical Center and one of the Northwest's most respected cancer care centers. For 50 years, St. Luke's has been dedicated to the study, prevention, and treatment of cancer. St. Luke's MSTI patients can now receive care in 8 different locations in the communities we serve. A comprehensive offering of pediatric and adult inpatient and outpatient services comprise the St. Luke's MSTI community cancer program. These services include medical and radiation oncology, blood and marrow transplant, genetic counseling, breast care, gynecologic, urologic, and hepatobiliary subspecialties as well as a fully integrated supportive oncology program that encompasses cancer rehabilitation, patient financial advocacy, integrative medicine, nutritional counseling, palliative care, psychiatry, social work, spiritual care and survivorship services. Additionally MSTI has a robust clinical research program with specimen banking and a biorepository. All St. Luke's MSTI sites are accredited as part of St. Luke's Regional Medical Center, Ltd. St. Luke's is accredited by the Joint Commission on the Accreditation of Healthcare Organizations. The laboratories serving St. Luke's MSTI are certified by the College of American Pathologists. St. Luke's MSTI has been accredited by the American College of Surgeons (ACoS) Commission on Cancer since 1977, and is accredited by the Foundation for the Accreditation of Cellular Therapy (FACT). Accreditations are performed on a three-year cycle. Because of its nationally recognized expertise in cancer care, St. Luke's MSTI is invited to participate in numerous clinical research protocols in cooperation with regional and national cancer research groups and pharmaceutical companies. Among these research groups are the National Cancer Institute, Children's Oncology Group, and The Pacific Cancer Research Consortium (PCRC), which brings together community cancer treatment centers in the Western United States to form an NCI Community Oncology Research Program (NCORP) Community Site. Since its founding in 1969, St. Luke's MSTI has been committed to cancer research. Physicians at St. Luke's MSTI strongly endorse clinical trials. The focus of oncology professionals is on improved cure rates, more effective treatments with fewer side effects, longer survival, and improved quality of life. Clinical research advances science and ensures that patient care approaches the highest possible level of quality. Patients who participate in clinical trials have the opportunity to advance evidence-based medicine. More recently, society requests we help them understand the cost of treatment-examining not just financial obstacles, but social and resource-draining obstacles aswell. This clinical research work is known as Cancer Care Delivery Research. As St. Luke's MSTI has grown, the commitment to research has deepened. While the vast majority of research activity has involved participation in cooperative group trials, St. Luke's MSTI also participates in pharmaceutical-sponsored and investigator-initiated clinical research.Clinical research services are available at all five St. Luke's MSTI cancer treatment clinics throughout Southwest and South Central Idaho. These clinics represent the regional direction of the entire St. Luke's MSTI program. Adult medical, gynecologic, urologic, hepatobiliary, and radiation oncology research studies are offered at all St. Luke's MSTI facilities. Pediatric and autologous stem cell transplant research opportunities are offered only at the Boise site. The St. Luke's MSTI research mission is "To improve outcomes and quality of life of patients with cancer and blood disorders through research." Its vision is "To transform cancer care by aligning with MSTI physicians and other providers to deliver advanced, quality, seamless patient care and help patients achieve their best outcome and quality of life across the cancer care continuum." St. Luke's MSTI's pediatric and adult research programs undergo regularly scheduled external auditing, and continue to satisfy all requirements for conducting compliant research. Approximately 41 clinical trial opportunities are available for adult patients, and approximately 46 protocols are available for pediatric oncology patient enrollment. In addition to therapeutic protocols, registry and biorepository studies are also offered at St. Luke's MSTI.Breast Cancer Detection Centers:Created in 1973 as one of only 20 survey projects of the National Cancer Institute,St. Luke's Breast Cancer detection centers (BCDC) have been serving women with low-cost mammography,breast examination,and education for decades. Most of St. Luke's BCDC sites feature the latest in breast screening technology:Full field Digital Mammography. MSTI has eight stationary sites in five separate Idaho cities (Boise, Meridian, Caldwell, Mountain Home, and Ketcum) ,and two diagnostic centers in Boise and Meridian. In addition, MSTI has one mobile unit that travels to 11 counties. | Desc |
| Total Program Service Expenses | $168,109,327 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | 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 | 0 | OperateHospitalInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Bayo Crownson MD | |||||||||
| Director | 2.00 | 44.00 | Yes (X) | $0 | $286,613 | $33,449 | |||
| Bishop Brian Thom | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Catherine Reynolds MD | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Chris Keller MD | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Cliff Tenley MD | |||||||||
| Director | 2.00 | 46.00 | Yes (X) | $0 | $364,164 | $43,620 | |||
| Mr AJ Balukoff | |||||||||
| Chairman | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Mr Darin DeAngeli | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Dean Hovdey | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr George Illif | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Lloyd Knight | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Mark Robinson | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Mike Mooney | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Paul Lodge | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Ron Sali | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Ms Jill Calhoun | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Ms Kami Faylor | |||||||||
| Director | 2.00 | 6.00 | Yes (X) | $0 | $0 | $0 | |||
| Ms Kathy Moore | |||||||||
| CEO-St. Luke's West Reg | 2.00 | 52.00 | Yes (X) | $0 | $705,397 | $36,740 | Yes (X) | ||
| Ms Pamela Lindemoen | |||||||||
| Vice-President of Acute Care | 2.00 | 52.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Mr Jeffrey S Taylor | |||||||||
| SR VP/CFO/Treasurer | 2.00 | 52.00 | $0 | $1,093,667 | $229,872 | Yes (X) | |||
| Ms Christine Neuhoff | |||||||||
| VP/Legal Affairs/Secretary | 2.00 | 52.00 | $0 | $566,210 | $33,512 | Yes (X) | |||
| Dan S Zuckerman MD | |||||||||
| Executive Medical Director | 40.00 | 0.00 | $0 | $730,256 | $35,061 | Yes (X) | |||
| Benjamin Bridges MD | |||||||||
| Physician | 40.00 | 0.00 | $0 | $739,874 | $22,768 | Yes (X) | |||
| Gerardo M Perez MD | |||||||||
| Physician | 40.00 | 0.00 | $0 | $887,350 | $36,600 | Yes (X) | |||
| Jonathan Swerdloff MD | |||||||||
| Physician | 40.00 | 0.00 | $0 | $713,166 | $42,548 | Yes (X) | |||
| Stephen A Brassell MD | |||||||||
| Physician | 40.00 | 0.00 | $0 | $953,742 | $30,815 | Yes (X) | |||
| Travis Williams DO | |||||||||
| Physician | 40.00 | 0.00 | $0 | $739,193 | $38,851 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $7,779,632 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $583,836 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| Mountain States Oncology Group | |||||
| 4325 N Tiverton Place | Boise | ID | 83702 | Physician Oncology Services | $4,804,173 |
| Varian Medical Systems Inc | |||||
| 3100 Hansen Way | Palo Alto | CA | 943041038 | Oncology Services | $2,612,095 |
| Magic Valley Radiation Oncology | |||||
| 1803 Claremont Drive | Boise | ID | 83702 | Physician Oncology Services | $1,178,250 |
| Hologic Inc | |||||
| 250 Campus Drive | Marlborough | MA | 01752 | Womens health | $1,122,023 |
| Magic Valley Oncology Group PLLC | |||||
| 725 Poleline Rd West | Twin Falls | ID | 83301 | Physician Oncology Services | $272,813 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,127,269 | RelatedOrganizationsAmt |
| Government Grants | $62,570 | GovernmentGrantsAmt |
| All Other Contributions | $318,712 | AllOtherContributionsAmt |
| Total Contributions | $1,508,551 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $185,858,915 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $185,858,915 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,021,225 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,021,225 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $192,880,140 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,503,736 | TotalRevenueColumnAmt |
| Exclusion | $1,503,736 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $70,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $25,440 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $44,560 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $44,560 | TotalRevenueColumnAmt |
| Exclusion | $44,560 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $195,936,987 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $192,880,140 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,548,296 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,000 | TotalAmt |
| Program Services | $2,000 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,797,667 | TotalAmt |
| Program Services | $6,749,667 | ProgramServicesAmt |
| Management And General | $48,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $909,740 | TotalAmt |
| Program Services | $862,989 | ProgramServicesAmt |
| Management And General | $46,751 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $573 | TotalAmt |
| Management And General | $573 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,530 | TotalAmt |
| Program Services | $6,252 | ProgramServicesAmt |
| Management And General | $43,278 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,124,091 | TotalAmt |
| Program Services | $14,124,091 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $848,533 | TotalAmt |
| Program Services | $101 | ProgramServicesAmt |
| Management And General | $848,432 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,161 | TotalAmt |
| Program Services | $247,577 | ProgramServicesAmt |
| Management And General | $103,584 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,758,663 | TotalAmt |
| Program Services | $3,758,663 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,730,978 | TotalAmt |
| Program Services | $9,588,488 | ProgramServicesAmt |
| Management And General | $142,490 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $65,835,023 | $65,686,916 | $148,107 |
| Allocated Wages | $55,438,716 | $44,332,196 | $11,106,520 |
| Allocated SLHS exp | $20,177,390 | $20,177,390 | |
| Repairs | $2,764,287 | $91,619 | $2,672,668 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,827,652 | TotalAmt |
| Program Services | $2,481,378 | ProgramServicesAmt |
| Management And General | $346,274 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $183,616,004 | TotalAmt |
| Program Services | $168,109,327 | ProgramServicesAmt |
| Management And General | $15,506,677 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,871,822 | BOYAmt |
| EOY | $14,647,203 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,107,386 | BOYAmt |
| EOY | $4,199,467 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,133,225 | BOYAmt |
| EOY | $1,198,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $67,478,361 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,996,121 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,384,353 | BOYAmt |
| EOY | $31,482,240 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,584,996 | BOYAmt |
| EOY | $128,682,220 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,081,782 | BOYAmt |
| EOY | $180,209,313 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,844,205 | BOYAmt |
| EOY | $3,586,176 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,844,205 | BOYAmt |
| EOY | $3,586,176 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,237,577 | BOYAmt |
| EOY | $176,623,137 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164,237,577 | BOYAmt |
| EOY | $176,623,137 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,081,782 | BOYAmt |
| EOY | $180,209,313 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $12,320,983 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $64,577 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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 |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part VI, Line 3 | FormAndLineReferenceDesc |
| Explanation | Mountain States Tumor Institute, Inc. is exempt under Section 170(b)(1)(A)(iii) as a hospital but does not meet the requirements of completing Schedule H of the 990. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,236,410 | BeginningYearBalanceAmt |
| Contributions | $191,399 | ContributionsAmt |
| Investment Earnings Or Losses | $787,906 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $10,000 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $10,205,715 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,006,623 | BeginningYearBalanceAmt |
| Contributions | $1,159,828 | ContributionsAmt |
| Investment Earnings Or Losses | $79,959 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $10,000 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $9,236,410 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,993,343 | BeginningYearBalanceAmt |
| Contributions | $62,142 | ContributionsAmt |
| Investment Earnings Or Losses | -$38,862 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $10,000 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $8,006,623 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,818,420 | BeginningYearBalanceAmt |
| Contributions | $91,217 | ContributionsAmt |
| Investment Earnings Or Losses | $83,706 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $7,993,343 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,826,620 | BeginningYearBalanceAmt |
| Contributions | $676,530 | ContributionsAmt |
| Investment Earnings Or Losses | $315,270 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $7,818,420 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00430 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.99570 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,044,753 | OtherCostOrOtherBasisAmt |
| Book Value | $1,044,753 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $26,768,901 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,896,363 | DepreciationAmt |
| Book Value | $14,872,538 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $38,377,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,099,758 | DepreciationAmt |
| Book Value | $14,277,599 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,287,350 | OtherCostOrOtherBasisAmt |
| Book Value | $1,287,350 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,482,240 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due From Related Organizations | Desc |
| Book Value | $128,682,220 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $128,682,220 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The intended use of the endowment funds are as follows: Cancer research programs Various programs administered by Mountain States Tumor Institute Hospice Biomedical research |
| Part X, Line 2: | 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 accounts for uncertain tax positions in accordance with ASC Topic 740. Income tax liabilities are recorded for the impact of positions taken on income tax returns, which management believes are not more likely than not to be sustained on tax audit. Management is not aware of any uncertain tax positions that should be recorded. Unrelated Business Income: The Health System is subject to federal excise tax on its unrelated business taxable income (UBTI). As of September 30, 2018, the Health System had approximately $8,701 of UBTI net operating losses from operating losses incurred from 1999 to 2018, which expire in years 2019 to 2039. The Health System does not believe that it is more likely than not they will utilize these losses prior to their expiration and as such has provided a full valuation allowance against these losses. |
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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bayo Crownson MD | ||||||||||||||
| Director | $0 | $246,646 | $0 | $25,725 | $0 | $14,242 | $0 | $14,756 | $0 | $18,693 | $0 | $320,062 | $0 | $0 |
| Cliff Tenley MD | ||||||||||||||
| Director | $0 | $279,174 | $0 | $58,668 | $0 | $26,322 | $0 | $24,612 | $0 | $19,008 | $0 | $407,784 | $0 | $0 |
| Ms Kathy Moore | ||||||||||||||
| CEO-St. Luke's West Reg | $0 | $634,773 | $0 | $0 | $0 | $70,624 | $0 | $16,356 | $0 | $20,384 | $0 | $742,137 | $0 | $0 |
| Mr Jeffrey S Taylor | ||||||||||||||
| SR VP/CFO/Treasurer | $0 | $637,583 | $0 | $0 | $0 | $456,084 | $0 | $207,704 | $0 | $22,168 | $0 | $1,323,539 | $0 | $0 |
| Ms Christine Neuhoff | ||||||||||||||
| VP/Legal Affairs/Secretary | $0 | $540,972 | $0 | $0 | $0 | $25,238 | $0 | $16,356 | $0 | $17,156 | $0 | $599,722 | $0 | $0 |
| Dan S Zuckerman MD | ||||||||||||||
| Executive Medical Director | $0 | $674,954 | $0 | $18,762 | $0 | $36,540 | $0 | $16,356 | $0 | $18,705 | $0 | $765,317 | $0 | $0 |
| Benjamin Bridges MD | ||||||||||||||
| Physician | $0 | $688,929 | $0 | $14,405 | $0 | $36,540 | $0 | $16,356 | $0 | $6,412 | $0 | $762,642 | $0 | $0 |
| Gerardo M Perez MD | ||||||||||||||
| Physician | $0 | $844,108 | $0 | $0 | $0 | $43,242 | $0 | $20,484 | $0 | $16,116 | $0 | $923,950 | $0 | $0 |
| Jonathan Swerdloff MD | ||||||||||||||
| Physician | $0 | $658,784 | $0 | $17,572 | $0 | $36,810 | $0 | $20,484 | $0 | $22,064 | $0 | $755,714 | $0 | $0 |
| Stephen A Brassell MD | ||||||||||||||
| Physician | $0 | $492,297 | $0 | $424,643 | $0 | $36,802 | $0 | $16,356 | $0 | $14,459 | $0 | $984,557 | $0 | $0 |
| Travis Williams DO | ||||||||||||||
| Physician | $0 | $488,181 | $0 | $232,526 | $0 | $18,486 | $0 | $12,228 | $0 | $26,623 | $0 | $778,044 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 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 Regional Medical Center, Ltd. (SLRMC), which in turn is the sole member of Mountain State Tumor Institute, Inc. 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 Mountain State Tumor Institute, Inc. 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'17, the following individual participated in a supplemental non-qualified executive retirement plan: SERP SERP-Gross Up Total Jeffrey Taylor $226,077 $183,112 $409,190 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Norman Zuckerman MD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Family member of Dan S. Zuckerman, M.D., Key Employee | RelationshipDescriptionTxt |
| Transaction | $675,768 | TransactionAmt |
| Transaction | Compensation of family member of a key employee | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 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 6 | St. Luke's Regional Medical Center, Ltd. is the sole member of Mountain States Tumor Institute, Inc. |
| Form 990, Part VI, Section A, line 7a | St. Luke's Regional Medical Center, Ltd. (Member) and Mountain States Tumor Institute, Inc. (Corporation), cooperatively select and employ the Chief Executive Officer of the Corporation. St. Luke's Regional Medical Center, Ltd. is the sole member of the Corporation. |
| Form 990, Part VI, Section A, line 7b | St. Luke's Regional Medical Center, Ltd. (Member) maintains approval and implementation authority over Mountain State Tumor Institute, Inc. (Corporation). Actions requiring approval authority may be initiated by either the Corporation or its Member, but must be approved by both the Corporation (by action of its Board of Directors and the Member. Actions requiring approval authority of the Member include: (a) Amendment to the Articles of Incorporation; (b) Amendment to the Bylaws of the Corporation; (c) Appointment of members of the Corporation's Board of Directors, other than ex officio directors; (d) Removal of an individual from the Corporation's Board of Directors if and when removal is requested by the Corporation's Board of Directors, which request may only be made if the Director is failing to meet the reasonable expectations for service on the Corporation's Board of Directors that are established by the Member and are uniform for the Corporation and for all of the other hospitals for which the Member then serves as the sole corporate member. (e) Approval of operating and capital budgets of the Corporation, and deviations to an approved budget over the amounts established from time to time by the Member; and (f) Approval of the strategic/tactical plans and goals and objectives of the Corporation. Implementation Authority means those actions which the Member may take without the approval or recommendation of the Corporation. This authority will not be utilized until there has been appropriate communication between the Member and the Corporation's Board of Directors and its Chief Executive Officer. Actions requiring implementation authority include: (a) Changes to the Statements of mission, philosophy, and values of the Corporation; (b) Removal of an individual from the Corporation's Board of Directors if and when the Member determines in good faith that the Director is failing to meet the Approved Board of Member Expectations. This authority to remove Directors shall not be used merely because there is a difference in business judgment between the Director and the Corporation or the Member, and shall never be used to remove one or more Directors from the Corporation's Board of Directors in order to change a decision made by the Corporation's Board of Directors; (c) Employment and termination of the Chief Executive Officer of the Corporation; (d) Appointment of the auditor for the Corporation and the coordination of the Corporation's annual audit; (e) Sales, lease, exchange, mortgage, pledge, creation of a security interest in or other disposition of real or personal property of the Corporation if such property has a fair market value in excess of a limit set from time to time by the Member and that is not otherwise contained in an Approved Budget; (f) Sale, merger, consolidation, change of membership, sale of all or substantially all of the assets of the corporation, or closure of any facility operated by the Corporation; (g) The dissolution of the Corporation; (h) Incurrence of debt by or for the Corporation in accordance with requirements established from time to time by the Member and that is not otherwise contained in an Approved Budget; and (i) Authority to establish policies to promote and develop an integrated, cohesive health care delivery system across all corporations for which the Member serves as the corporate member. |
| Form 990, Part VI, Section B, line 11b | The Form 990 (Form) is reviewed by an independent public accounting firm based on audited financial statements and with the assistance of the organization's finance and accounting staff. 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 related to the conflict. |
| 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 targeting overall compensation of the executive group at the 50th percentile of those surveyed. These surveys are usually done every two years, with the most recent compensation survey completed during calendar year 2017. 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, which contains financial information, is available for public inspection. |
| 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: Pam Lindemoen: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. Mountain States Tumor Institute,Inc. 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. Kathy Moore: St. Luke's Health System, Ltd. St. Luke's Regional Medical Center, Ltd. Mountain States Tumor Institute, Inc. 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. Chris Roth: St. Luke's Health System, 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 Coordinate Care, Ltd. Jeff Taylor: St. Luke's Health System, Ltd. St. Luke's Regional Medical Center, Ltd. Mountain States Tumor Institute, Inc. 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. Mountain States Tumor Institute, Inc. 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. Bayo Crownson, M.D. St. Luke's Regional Medical Center, Ltd. Mountain States Tumor Institute, Inc. St. Luke's McCall, Ltd. St. Luke's Nampa Medical Center, Ltd. Ron Jutzy, M.D. St. Luke's Regional Medical Center, Ltd. Mountain States Tumor Institute, Inc. St. Luke's McCall, Ltd. St. Luke's Nampa Medical Center, Ltd. Cliff Tenley, MD St. Luke's Regional Medical Center, Ltd. Mountain States Tumor Institute, Inc. St. Luke's McCall, Ltd. St. Luke's Nampa Medical Center, Ltd. Catherine Reynolds, M.D. St. Luke's Regional Medical Center, Ltd. Mountain States Tumor Institute, Inc. St. Luke's McCall, Ltd. St. Luke's Nampa Medical Center, Ltd. In addition, Catherine Reynolds, M.D. is a member of Syringa Family Medicine, P.A., (Syringa) a physician practice that has a professional service agreement with St. Luke's Regional Medical Center, Ltd. (SLRMC). Dr. Reynolds works at least 40 hours per week on behalf of this practice for SLRMC. During CY'17, SLRMC paid Syringa $161,166 for services rendered to St. Luke's patients. 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St Luke's Health System Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 562570681 | Supporting Organization | ID | 501(c)(3) | 12C, III-FI | N/A | 0 | |
| St Luke's Regional Medical Center Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 820161600 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Health System Ltd | |
| St Luke's Wood River Medical Center Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 841421665 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Health System Ltd | |
| St Luke's Health Foundation Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 810600973 | Fundraising | ID | 501(c)(3) | 7 | 0 | St Luke's Health System Ltd | |
| St Luke's Magic Valley Regional Medical Center Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 562570686 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Health System Ltd | |
| St Luke's McCall Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 273311774 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Health System Ltd | |
| St Luke's Clinic Coordinated Care Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 455195864 | Accountable Care Organization | ID | 501(c)(3) | 10 | 0 | St Luke's Health System Ltd | |
| St Luke's Nampa Medical Center Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 821162805 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Health System Ltd | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SL Phys Realty-LouiseLLC | ||||||||||||
| 190 E Bannock | Boise | ID | 83712 | 263731325 | Real Estate Lease | ID | Related | $1,201,034 | $2,439,712 | Yes (1) | Yes (1) | 0.86680 |
| 1500 ShorelineLLC | ||||||||||||
| 190 E Bannock | Boise | ID | 83712 | 270681501 | Real Estate Lease | ID | Related | $460,259 | $1,519,395 | Yes (1) | Yes (1) | 0.54730 |
| 3399 E Louise MOBLLC | ||||||||||||
| 190 E Bannock | Boise | ID | 83712 | 270848198 | Real Estate Lease | ID | Related | $797,544 | $2,388,952 | Yes (1) | Yes (1) | 0.67160 |
| Medical Building Investment GroupLLC | ||||||||||||
| PO Box 1271 | Ketchum | ID | 83340 | 263667995 | Real Estate Lease | ID | Related | -$52,989 | -$746,735 | Yes (1) | 0 | 0.64650 |
| Ortho Neuro Management LLC | ||||||||||||
| 190 E Bannock | Boise | ID | 83712 | 264483076 | Mgmt. Consulting | ID | Related | -$51,395 | $1,573,320 | 0 | 0 | 0.58300 |
| Idaho Cytogenetics Diagnostic LaboratoryLLC | ||||||||||||
| 190 E Bannock | Boise | ID | 83712 | 331012210 | Healthcare | ID | Related | $354,275 | $890,938 | 0 | 0 | 0.50000 |
| 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 | Yes (1) | 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 | $1,127,269 | InvolvedAmt |
| Method Of Amount Determination | Donations to MSTI | MethodOfAmountDeterminationTxt |