ST LUKES WOOD RIVER MEDICAL CENTER LTD: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ST LUKES WOOD RIVER MEDICAL CENTER LTD (EIN 84-1421665)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-15
- IRS object ID
- 201732279349302748
- Schema version
- 2015v3.0
- 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 | 2017-08-15T15:16:00-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | 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 | 550 S Tryon St Suite 2500 | AddressLine1Txt |
| City | Charlotte | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 841421665 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Wood River Medical CenterLtd | 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 | 83702 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Peter DiDio | PersonNm |
| Person Title | Vice-President, Controller | PersonTitleTxt |
| Phone | 2087069585 | PhoneNum |
| Signature | 2017-08-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | John W Sadoff Jr | PreparerPersonNm |
| PTIN | P00540589 | PTIN |
| Phone | 7048871500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | 83702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $73,564,925 | 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 | 1996 | 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 | 10 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 110 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $367,142 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,438,363 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $68,278,128 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $70,795,529 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$11,437 | PYInvestmentIncomeAmt |
| CY Investment Income | -$28,737 | CYInvestmentIncomeAmt |
| PY Other Revenue | $42,124 | PYOtherRevenueAmt |
| CY Other Revenue | $320,707 | CYOtherRevenueAmt |
| PY Total Revenue | $68,675,957 | PYTotalRevenueAmt |
| CY Total Revenue | $73,525,862 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $56,309 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $46,295 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $34,069,973 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $35,596,377 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $505,724 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $30,373,685 | PYOtherExpensesAmt |
| CY Other Expenses | $29,827,153 | CYOtherExpensesAmt |
| PY Total Expenses | $64,499,967 | PYTotalExpensesAmt |
| CY Total Expenses | $65,469,825 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,175,990 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,056,037 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $60,373,132 | TotalAssetsBOYAmt |
| Total Assets EOY | $67,740,142 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,247,879 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,558,852 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $57,125,253 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $65,181,290 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Improve the health of people in the communities we serve by aligningphysicians and other providers to deliver integrated, patientcentered, quality care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $42,005,082 | ExpenseAmt |
| Grant | $46,295 | GrantAmt |
| Revenue | $51,104,497 | RevenueAmt |
| Desc | Medical & SurgicalServices at St. Luke's Wood River Medical Center include outpatient surgery, diagnostics, maternity services, physical and occupational therapy, mammography, intensive care and medical/surgical units. During fiscal year 2016, St. Luke's Wood River Medical Center provided qualified inpatient care for 1,188 admissions covering 3,047 patient days. They also provided patient care associated with 28,547 outpatient visits. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $10,866,830 | ExpenseAmt |
| Revenue | $13,220,873 | RevenueAmt |
| Desc | Physician ServicesWood River has medical practices serving the following areas:Internal Medicine, OBGYN, Family Medicine, Orthopedics, andSports Medicine. In fiscal year 2016, the practices had 65,517 visits. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,318,115 | ExpenseAmt |
| Revenue | $6,470,159 | RevenueAmt |
| Desc | Emergency and TransportDuring Fiscal Year 2016, the 24-hour emergency department had 8,383 patient visits. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $58,190,027 | 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 | 0 | 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 | 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 | 0 | 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 | Yes (1) | 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 |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 |
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 |
|---|---|---|---|---|---|---|---|---|---|
| Mr J Robert Alexander | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Charles Coiner | |||||||||
| Chairman | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| D Jeff Fox PhD Served - 1015 | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr R Todd Blass | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Peter Becker | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Ms Cynthia Murphy | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Terry Kramer | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Ms Jane Miller | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Terry Ring | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr George Kirk | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Eric Cassidy DO | |||||||||
| Director | 2.00 | 40.00 | Yes (X) | $0 | $0 | $0 | |||
| Brian Fortuin MD | |||||||||
| Director | 2.00 | 40.00 | Yes (X) | $0 | $126,010 | $0 | |||
| Ron E McGarrigle MD | |||||||||
| Director | 40.00 | 2.00 | Yes (X) | $0 | $57,094 | $0 | |||
| Robert Wasserstrom MD | |||||||||
| Director | 40.00 | 2.00 | Yes (X) | $0 | $30,250 | $0 | |||
| Mr James Angle | |||||||||
| CEO-SL East Rgn (Served - 10/15) | 2.00 | 42.00 | Yes (X) | $0 | $589,630 | $18,686 | Yes (X) | ||
| David A Mcclusky III MD | |||||||||
| Director | 40.00 | 2.00 | Yes (X) | $0 | $374,126 | $18,934 | |||
| Mr Chris Roth | |||||||||
| SR VP, COO | 2.00 | 46.00 | Yes (X) | $0 | $654,179 | $34,055 | Yes (X) | ||
| Ms Rose Davila | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mr Jeffrey S Taylor | |||||||||
| SR VP/CFO/Treasurer | 2.00 | 50.00 | $0 | $563,576 | $721,926 | Yes (X) | |||
| Ms Christine Neuhoff | |||||||||
| VP/Legal Affairs/Secretary | 2.00 | 50.00 | $0 | $416,920 | $32,567 | Yes (X) | |||
| Mr Cody Langbehn | |||||||||
| Site Administrator | 40.00 | 0.00 | $0 | $307,828 | $37,019 | Yes (X) | |||
| Daniel B Judd MD | |||||||||
| Physician | 40.00 | 0.00 | $0 | $1,178,402 | $36,998 | Yes (X) | |||
| Dan Fairman MD | |||||||||
| Physician | 40.00 | 0.00 | $0 | $324,648 | $18,083 | Yes (X) | |||
| James C Torres MD | |||||||||
| Physician | 40.00 | 0.00 | $0 | $361,128 | $27,675 | Yes (X) | |||
| Matthew C Reeck MD | |||||||||
| Physician | 40.00 | 0.00 | $0 | $356,805 | $17,196 | Yes (X) | |||
| Brock Bemis MD | |||||||||
| Physician | 40.00 | 0.00 | $0 | $346,216 | $39,793 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,686,812 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,002,932 | 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 |
|---|---|---|---|---|---|
| Big Wood Anesthesia Associates PLLC | |||||
| PO Box 987 | Ketchum | ID | 833400987 | Anesthesia Services | $1,252,450 |
| Alexander Orthopaedics | |||||
| PO Box 6997 | Ketchum | ID | 833406997 | Physician Services | $641,067 |
| ATS Inland NW | |||||
| 10951 Emerald St | Boise | ID | 83713 | Energy Management | $261,940 |
| McKenzie Builders Inc | |||||
| PO Box 307 | Carey | ID | 83320 | Building Services | $220,817 |
| Cross Country Staffing | |||||
| 2090 S Eagle Road | Meridian | ID | 83642 | Healthcare Staffing | $130,064 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $119,564 | GovernmentGrantsAmt |
| All Other Contributions | $2,318,799 | AllOtherContributionsAmt |
| Total Contributions | $2,438,363 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Net Patient Revenue | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $70,356,596 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,356,596 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $438,933 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $438,933 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $70,795,529 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $56,614 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $10,326 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $46,288 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,288 | TotalRevenueColumnAmt |
| Exclusion | $46,288 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $28,737 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$28,737 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$28,737 | TotalRevenueColumnAmt |
| Exclusion | -$28,737 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafeteria/Catering/Ven | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $274,419 | TotalRevenueColumnAmt |
| Exclusion | $274,419 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $274,419 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $73,525,862 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $70,795,529 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $291,970 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,295 | TotalAmt |
| Program Services | $46,295 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $741,079 | TotalAmt |
| Management And General | $741,079 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,409,605 | TotalAmt |
| Program Services | $24,789,307 | ProgramServicesAmt |
| Management And General | $3,334,045 | ManagementAndGeneralAmt |
| Fundraising | $286,253 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $527,835 | TotalAmt |
| Program Services | $469,245 | ProgramServicesAmt |
| Management And General | $51,376 | ManagementAndGeneralAmt |
| Fundraising | $7,214 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,056,297 | TotalAmt |
| Program Services | $3,120,855 | ProgramServicesAmt |
| Management And General | $935,264 | ManagementAndGeneralAmt |
| Fundraising | $178 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,861,561 | TotalAmt |
| Program Services | $1,575,241 | ProgramServicesAmt |
| Management And General | $265,160 | ManagementAndGeneralAmt |
| Fundraising | $21,160 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,140,635 | TotalAmt |
| Program Services | $2,083,723 | ProgramServicesAmt |
| Management And General | $14,396 | ManagementAndGeneralAmt |
| Fundraising | $42,516 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,264 | TotalAmt |
| Fundraising | $1,264 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,279 | TotalAmt |
| Fundraising | $11,279 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $962,835 | TotalAmt |
| Program Services | $957,209 | ProgramServicesAmt |
| Management And General | $5,626 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,092 | TotalAmt |
| Program Services | $161 | ProgramServicesAmt |
| Management And General | $68,863 | ManagementAndGeneralAmt |
| Fundraising | $3,068 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $495,508 | TotalAmt |
| Program Services | $468,787 | ProgramServicesAmt |
| Management And General | $23,471 | ManagementAndGeneralAmt |
| Fundraising | $3,250 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,892,206 | TotalAmt |
| Program Services | $2,892,124 | ProgramServicesAmt |
| Management And General | $82 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,691 | TotalAmt |
| Program Services | $237,691 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $270,109 | TotalAmt |
| Program Services | $176,519 | ProgramServicesAmt |
| Management And General | $75,526 | ManagementAndGeneralAmt |
| Fundraising | $18,064 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,993,394 | TotalAmt |
| Program Services | $3,993,129 | ProgramServicesAmt |
| Fundraising | $265 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373 | TotalAmt |
| Program Services | $60 | ProgramServicesAmt |
| Management And General | $313 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Supplies | $9,600,834 | $9,356,898 | $202,483 | $41,453 |
| Provision For Bad Debt | $2,928,625 | $2,928,625 | $0 | |
| Repairs Expense | $1,424,569 | $613,020 | $811,549 | |
| Contract Service | $926,290 | $901,598 | $24,692 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,869,449 | TotalAmt |
| Program Services | $3,579,540 | ProgramServicesAmt |
| Management And General | $220,149 | ManagementAndGeneralAmt |
| Fundraising | $69,760 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,469,825 | TotalAmt |
| Program Services | $58,190,027 | ProgramServicesAmt |
| Management And General | $6,774,074 | ManagementAndGeneralAmt |
| Fundraising | $505,724 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,188,239 | BOYAmt |
| EOY | $15,045,377 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,099,699 | BOYAmt |
| EOY | $2,074,553 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,767 | BOYAmt |
| EOY | $84,588 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $75,102,152 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $34,136,630 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,128,144 | BOYAmt |
| EOY | $40,965,522 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $223,907 | BOYAmt |
| EOY | $213,548 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $256,033 | BOYAmt |
| EOY | $212,033 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,381,343 | BOYAmt |
| EOY | $9,144,521 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,373,132 | BOYAmt |
| EOY | $67,740,142 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,560,590 | BOYAmt |
| EOY | $1,336,366 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $687,289 | BOYAmt |
| EOY | $1,222,486 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,247,879 | BOYAmt |
| EOY | $2,558,852 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,006,705 | BOYAmt |
| EOY | $65,064,352 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,548 | BOYAmt |
| EOY | $116,938 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,125,253 | BOYAmt |
| EOY | $65,181,290 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,373,132 | BOYAmt |
| EOY | $67,740,142 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,056,037 | ReconcilationRevenueExpnssAmt |
| 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 |
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) |
|---|---|---|
| Other Cost Or Other Basis | $4,494,826 | OtherCostOrOtherBasisAmt |
| Book Value | $4,494,826 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,305,131 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,532,424 | DepreciationAmt |
| Book Value | $26,772,707 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,204,085 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,604,206 | DepreciationAmt |
| Book Value | $7,599,879 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,098,110 | OtherCostOrOtherBasisAmt |
| Book Value | $2,098,110 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $40,965,522 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from related organizations | $9,139,046 |
| Deposits Other | $5,475 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,144,521 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to Medicare/Medicaid | Desc |
| Amt | $1,222,486 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,222,486 | 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 | Explanation: Footnote Disclosure-Uncertain Tax Positions Under FIN #48 (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, 2016, the company had approximately $6,810 UBTI Net Operating Losses incurred from operating losses incurred from 1997 to 2016 which expire in years 2017 to 2037. 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. | 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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 185.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,378,876 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,378,876 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02200 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,347,799 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,801,073 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $546,726 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00870 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $268,372 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $240,822 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,550 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,995,047 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,041,895 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,953,152 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03110 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $152,452 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,069 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $123,383 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,480 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,480 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $156,932 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,069 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $127,863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00210 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,151,979 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,070,964 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,081,015 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03320 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,860 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $55,860 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,650 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,510 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $62,510 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,665,486 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,134,296 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $15,901,695 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $232,601 | 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 Wood River Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Hospital Drive | AddressLine1Txt |
| City | Ketchum | CityNm |
| State Abbreviation | ID | StateAbbreviationCd |
| ZIP | 83340 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stlukesonline.org | WebsiteAddressTxt |
| State License | State of Idaho License #HH-62 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| 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 Wood River 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | 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 | 15 | 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 | 185.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Section A: | Located within the St. Luke's Wood River Hospital Complex are various provider-based physician clinics that provide services in the areas of Family Medicine,Internal Medicine,General Surgery,and Obstetrics and Gynecology. The address for this location is:St. Luke's Wood River Medical Center100 Hospital DriveKetchum,Idaho 83340 |
| St. Luke's Wood River 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 leaders 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 leaders to suggest programs, legislation, or other measures they believed to be effective in addressing the needs.The following community leaders/representatives were contacted:(1) Blaine County(2) Blaine County School District(3) St. Charles Borromeo and Our Lady of the Snows, Catholic Churches(4) The Senior Connection(5) Blaine County Center for the College of Southern Idaho(6) Hailey/Bellevue Police(7) Idaho Department of Health and Welfare(8) Fifth Judicial District in Idaho(9) South Central Public Health(10) Hospice and Palliative Care of the Wood River(11) The Advocates for Survivors of Domestic Violence(12) St. Luke's Center for Community Health(13) Boise VA Medical Center(14) Idaho Department of Labor: Obtained unemployment information(15) Blaine County Community Drug Coalition(16) Family Medicine Residency of Idaho(17) Substance Abuse and Mental Health Services Administration U.S. Department of Health and Human Services,Region X(18) Coordinator of the CARES (Children at Risk Evaluation Services) at St. Luke's Magic Valley Regional Medical Center(19) Alturas Elementary School(20) The Hunger Coalition(21) Department of Health and Welfare, Region V(22) Blaine County Recreation District(23) Wood River YMCA(24) Sun Valley Company |
| St. Luke's Wood River Medical Center | Part V, Section B, Line 11: We organized all of our significant health needs into three groups:Program Group 1: Improve Mental Health and Reduce Suicide and Substance Abuse -Counseling Scholorship Fund -Mental health services scholorship fund -St. Luke's clinic-Mental health services Program Group 2: Improve the Prevention and Management of Obesity -YEAH (Youth Engaged in Activities for Health) -Cooking mattersProgram Group 3: Improve Access to Affordable Health Insurance -Financial care -Information and referral services through the St. Luke's Center for community health -Compassionate care program -Heart of the matter health screening -St. Luke's Center for community health brown bag talks -Breast screening for the uninsured and underinsured women project |
| St. Luke's Wood River Medical Center | Part V, Section B, Line 16i: A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 3 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - St Luke's Clinic- Family Medicine | ||||
| 1450 Aviation Drive | Hailey | ID | 83333 | Family Medicine Physician Clinic |
| 2 - St Luke's Clinic- Sun Valley Sports | ||||
| 191 W Fifth St | Ketchum | ID | 83340 | Orthopedic/Sports Medicine Physician Clinic |
| 3 - St Luke's Clinic- Family Medicine | ||||
| 21 E Maple | Hailey | ID | 83333 | Family Medicine Physician Clinic |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | (A) St. Luke's does provide charity care services to patients who meet one or both of the following guidelines based on income and expenses: 1. Income. Patients whose family income is equal to or less than 400% of the then current Federal Poverty Guideline are eligible for possible fee elimination or reduction on a sliding scale. 2. Expenses. Patients may be eligible for charity care if his or her allowable medical expenses have so depleted the family's income and resources that he or she is unable to pay for eligible services. The following two qualifications must apply: a. Expenses- The patients allowable medical expenses must be greater than 30% of the family income. Allowable medical expenses are the total of the family medical bills that, if paid, would qualify as deductible medical expenses for Federal income tax purposes without regard to whether the expenses exceed the IRS- required threshold for taking the deduction. Paid and unpaid bills may be included. b. Resources- The patient's excess medical expenses must be greater than available assets. Excess medical expenses are the amount by which allowable medical expenses exceed 30% of the family income. Available assets do not include the primary residence,the first motor vehicle,and a resource exclusion of the first $4,000 of other assets for an individual, or $6,000 for a family of two, and $1,500 for each additional family member. (B) Service Exclusions: 1. Services that are not medically necessary (e.g. cosmetic surgery) are not eligible for charity care. 2. Eligibility for charity care for a patient whose need for services arose from injuries sustained in a motor vehicle accident where the patient, driver, and/or owner of the motor vehicle had a motor vehicle liability policy, and only if a claim for payment has been properly submitted to the motor vehicle liability insurer, where applicable.(C) Eligibility Approval Process: 1. St. Luke's screens patient for other sources of coverage and eligibility in government programs. St. Luke's documents the results of each screening. If St. Luke's determines that a patient is potentially eligible for Medicaid or another government program, then St. Luke's shall encourage the patient to apply for such a program and shall assist the patient in applying for benefits under such a program. 2. The patient must complete a Financial Assistance Application and provide required supporting documentation in order to be eligible. 3. St. Luke's verifies reported family and compares to the latest Poverty Guidelines published by the U.S. Department of Health and Human Services. 4. St. Luke's verifies reported assets. 5. St. Luke's provides a written notice of determination of eligibility to the patient or the responsible party within 10 business days of receiving a completed application and the required supporting documentation. 6. St. Luke's reserves the right to run a credit report on all patients applying for charity care services. (D) Eligibility Period: The determination that an individual is approved for charity care will be effective for six months from the date the application is submitted,unless during that time the patient's family income or insurance status changes to such an extent that the patient becomes ineligible. |
| Part I, Line 6a: | St. Luke's Wood River Medical Center, Ltd. is not required under IdahoLaw to file a community benefit report, since its total licensed beds are less than the minimum 150 bed requirement threshold. (Wood River has 25 licensed beds.) Moreover,the activity of St. Luke's Wood River Medical Center, Ltd. is not included in the community benefit report within any of its related organizations within the St. Luke's Health System. |
| Part I, Line 7: | The cost to charge ratio was used to calculate charity care at cost. Worksheet S-10 of the FY'16 Medicare Cost Report was the source of information for unreimbursed Medicaid costs. |
| Part I, Ln 7 Col(f): | Bad Debt is defined as expenses resulting from services provided to a patient and/or guarantor who, having the requisite financial resources to pay for health care services, has demonstrated an unwillingness to do so. Amount of bad debt expense included in Form 990, Part IX, line 25 is $2,928,625. |
| Part II, Community Building Activities: | The community building activities reported for St. Luke's Wood River Medical Center include the following:Community Health Improvement Advocacy:Advocates Gala EventEvent sponsorship for the Advocates to prevent domestic violence and sexual assault in the community through education, shelter, andsupportive services.Center for Community Health Involvement(CCH)Participation in a variety of boards that CCH staff represent,including Higher Ground Sun Valley, Wood River YMCA, and Senior Connection. |
| 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 Wood River Medical Center has a very robust financial assistance program, therefore, no estimate is made for bad debt attributable to patients eligible under financial assistance policy. |
| Part III, Line 4: | Per the audited financial statements in footnote four. St. Luke's Wood River Medical Center,Ltd. grants credit without collateral to its patients, most of whom are local residents and many of whom are insured under third-party agreements. The allowance for estimated uncollectible amounts is determined by analyzing both historical information (write-offs by payor classification), as well as current economic conditions. |
| Part III, Line 8: | Our community benefit report shows the under-reimbursed services provided to patients by Medicare. St. Luke's Wood River Medical Center, Ltd. provides medicalcare to all patients eligble for Medicare regardless of the shortfalland thereby relieves the Federal Government of the burden for paying the full cost of Medicare.The source of the information is the Medicare Cost Report for fiscal year 2016. The amount is calculated by comparing the total Medicare apportioned costs (allowable costs) to interim payments received during FY'15. |
| 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 forfiscal year ending 9/30/2016. Information related to the2016 CHNA is shown in the responses to questions 3 and 7 of"Part V, Section B, Facility Policies and Practices".A complete copy of the CHNA assessments for all of the hospitalsoperating within the St. Luke's Health System can be found atthe following website:www.stlukesonline.org/about-st-lukes/supporting-the-community |
| Part VI, Line 3: | (A) St. Luke's Wood River Medical Center provides notice of the availability of financial assistance via: 1. Signage 2. Patient brochure 3. Billing Statement 4. Written collection action letter 5. Online at www.stlukesonline.org/billing(B) All notices are translated into the following language: Spanish(C) St. Luke's provides individual notice of the availability of financial assistance to a patient expected to incur charges that may not be paid in full by third party coverage, along with an estimate of the patient's liability.(D) For cases in which St. Luke's independently determines patient eligibility for financial 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 Wood River Medical Center, Ltd. serves the health care needsof people living in the greater Blaine County area.The criteria used in selecting this area as the community served was to include the entire population of the counties where approximately 70% of inpatients reside. The residents of Blaine County comprise about 70% of inpatients.Both Idaho and our service territory are comprised of about a 95% white population while the nation as a whole is 78% white. The Hispanic population in Idaho represents 12% of the overall population and about 20% of our defined service area. Idaho experienced a 25% increase in population from 2000 to 2013, ranking it as one of fastest growing states in the country. Blaine County's population increased by 12% during that timeframe, which is about the same population growth rate as the nation. St. Luke's Wood River is working to manage the volume and scope of services in order to meet theneeds of a growing population. Over the past ten years the 45 year or older 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 15.6% in 2013. Our service area poverty rate is well below the national average. The poverty rate in our community for children under the age of 18 is also lower than the national average. Although poverty has started declining in our service area, poverty rates are still above thelevels they were at prior to the recession in 2008.Median income in the United States has risen by 20% since 2003 and by 29% in our service area during that period. Median income in our service area is well above national and Idaho median income levels. |
| Part VI, Line 5: | Our community board serves without pay for the Board and its various committees,and many of the these committees have at large community members. Health fairs are sponsored each year at very little or no cost to the community and are held in three different locations to better serve the community. The hospital sponsors various speakers during the year for medical related issues that are open to the public and very well attended (Brown Bag). |
| 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 our region." Working together, we share resources, skills, and knowledge to provide the best possible care, no matter which of our hospitals provide that care. Each St. Luke's Health System hospital is nationally recognized for excellence in patient care, with prestigious awards and designations reflecting the exceptional care that is synonymous with the St. Luke's name. St. Luke's Health System provides facilities and services across the region, covering a 150-mile radius that encompasses southern and central Idaho, northern Nevada, and eastern Oregon- bringing care close to home and family. The following entities are part of the St. Luke's Health System:(1) St. Luke's Regional Medical Center, Ltd. with the following locations: --St. Luke's Boise Hospital --St. Luke's Meridian Hospital --St. Luke's Childrens Hospital --St. Luke's Boise/Meridian/Nampa/Caldwell/Fruitland Physician Clinics --St. Luke's Nampa Emergency Department/Urgent Care --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) Mountain States Tumor Institute (MSTI)is the region's largest provider of cancer services and a nationally recognized leader in cancer research. MSTI provides advanced care to thousands of cancer patients each year at clinics in Boise, Fruitland, Meridian, Nampa, and Twin Falls, Idaho. MSTI is home to Idaho's only cancer treatment center for children,only federally sponsored center for hemophilia, and only blood and marrow transplant program. MSTI's services and therapies include breast care services, blood and marrow transplant, chemotherapy, genetic counseling, hematology, hemophilia treatment, hospice, integrative medicine, marrow donor center, mobile mammography, mole mapping, nutritional counseling, PET/CT scanning, patient/family support, pediatric oncology, radiation therapy, rehabilitation, research and clinical trials, Schwartz Center Rounds for Caregivers, spiritual care, support groups/classes, tumor boards, and Wound Ostomy, and Continence Nursing. MSTI is expanding as rapidly as today's cancer treatment. Patients can now visit a MSTI clinic or Breast Cancer detection center at 13 different locations in southwest Idaho and Eastern Oregon. Locations include Boise, Meridian, Nampa, Twin Falls, and Fruitland.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 through management service contracts. These facilities include:(1) Challis Area Health Center(2) North Canyon Medical Center(3) Salmon River Clinic(4) Weiser Memorial Hospital |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mr James Angle | ||||||||||||||
| CEO-SL East Rgn (Served - 10/15) | $0 | $569,040 | $0 | $0 | $0 | $20,590 | $0 | $7,950 | $0 | $10,736 | $0 | $608,316 | $0 | $0 |
| David A Mcclusky III MD | ||||||||||||||
| Director | $0 | $371,571 | $0 | $2,000 | $0 | $555 | $0 | $4,115 | $0 | $14,819 | $0 | $393,060 | $0 | $0 |
| Mr Chris Roth | ||||||||||||||
| SR VP, COO | $0 | $634,949 | $0 | $0 | $0 | $19,230 | $0 | $16,180 | $0 | $17,875 | $0 | $688,234 | $0 | $0 |
| Mr Jeffrey S Taylor | ||||||||||||||
| SR VP/CFO/Treasurer | $0 | $517,797 | $0 | $0 | $0 | $45,779 | $0 | $705,980 | $0 | $15,946 | $0 | $1,285,502 | $0 | $0 |
| Ms Christine Neuhoff | ||||||||||||||
| VP/Legal Affairs/Secretary | $0 | $397,661 | $0 | $0 | $0 | $19,259 | $0 | $16,180 | $0 | $16,387 | $0 | $449,487 | $0 | $0 |
| Mr Cody Langbehn | ||||||||||||||
| Site Administrator | $0 | $270,908 | $0 | $0 | $0 | $36,920 | $0 | $12,065 | $0 | $24,954 | $0 | $344,847 | $0 | $0 |
| Daniel B Judd MD | ||||||||||||||
| Physician | $0 | $347,990 | $0 | $811,567 | $0 | $18,845 | $0 | $16,180 | $0 | $20,818 | $0 | $1,215,400 | $0 | $0 |
| Dan Fairman MD | ||||||||||||||
| Physician | $0 | $220,492 | $0 | $76,104 | $0 | $28,052 | $0 | $7,950 | $0 | $10,133 | $0 | $342,731 | $0 | $0 |
| James C Torres MD | ||||||||||||||
| Physician | $0 | $276,535 | $0 | $63,707 | $0 | $20,886 | $0 | $12,065 | $0 | $15,610 | $0 | $388,803 | $0 | $0 |
| Matthew C Reeck MD | ||||||||||||||
| Physician | $0 | $318,825 | $0 | $37,425 | $0 | $555 | $0 | $4,115 | $0 | $13,081 | $0 | $374,001 | $0 | $0 |
| Brock Bemis MD | ||||||||||||||
| Physician | $0 | $289,565 | $0 | $26,510 | $0 | $30,141 | $0 | $12,065 | $0 | $27,728 | $0 | $386,009 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 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 Wood River Medical Center, Ltd. SLWRMC). 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 SLWRMC. 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'15, Jeffrey S. Taylor was a participant in the supplemental non-qualified executive retirement plan. There were no additional benefits were accrued during CY'15 on behalf of the participant. |
| Part II-Column (c) | During CY'15 the following individual participated in the basic pension plan. Due to enhanced benefits adopted in 2015 and changes in actuarial assumptions this individual experienced an increase in the vested balance of the plan. Jeffrey Taylor $681,570 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | St. Luke's Health System, Ltd. is the sole member of St. Luke's Wood River Medical Center, Ltd. |
| Form 990, Part VI, Section A, line 7a | St. Luke's Wood River Medical Center,Ltd.(Corporation)and St. Luke's Health System,Ltd.(Member) 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 Magic Valley Regional Medical Center, Ltd. Corporation), which in turn is the governing board for St. Luke's Wood River Medical Center, Ltd. (Corporation). Actions requiring approval authority may be initiated by either the Corporation or its Member, but must be approved by both the Corporation (by action of its Board of Directors) and the Member. Actions requiring approval authority of the Member include: (a) Amendment to the Articles of Incorporation; (b) Amendment to the Bylaws of the Corporation; (c) Appointment of members of the Corporation's Board of Directors, other than ex officio directors; (d) Removal of an individual from the Corporation's Board of Directors if and when removal is requested by the Corporation's Board of Directors, which request may only be made if the Director is failing to meet the reasonable expectations for service on the Corporation's Board of Directors that are established by the Member and are uniform for the Corporation and for all of the other hospitals for which the Member then serves as the sole corporate member. (e) Approval of operating and capital budgets of the Corporation, and deviations to an approved budget over the amounts established from time to time by the Member;and (f) Approval of the strategic/tactical plans and goals and objectives of the Corporation. Implementation Authority means those actions which the Member may take without the approval or recommendation of the Corporation. This authority will not be utilized until there has been appropriate communication between the Member and the Corporation's Board of Directors and its Chief Executive Officer. Actions requiring implementation authority include: (a) Changes to the Statements of mission, philosophy, and values of the Corporation; (b) Removal of an individual from the Corporation's Board of Directors if and when the Member determines in good faith that the Director is failing to meet the Approved Board of Member Expectations. This authority to remove Directors shall not be used merely because there is a difference in business judgment between the Director and the Corporation or the Member, and shall never be used to remove one or more Directors from the Corporation's Board of Directors in order to change a decision made by the Corporation's Board of Directors; (c) Employment and termination of the Chief Executive Officer of the Corporation; (d) Appointment of the auditor for the Corporation and the coordination of the Corporation's annual audit; (e) Sales, lease, exchange, mortgage, pledge, creation of a security interest in or other disposition of real or personal property of the Corporation if such property has a fair market value in excess of a limit set from time to time by the Member and that is not otherwise contained in an Approved Budget; (f) Sale, merger, consolidation, change of membership, sale of all or substantially all of the assets of the corporation, or closure of any facility operated by the Corporation; (g) The dissolution of the Corporation; (h) Incurrence of debt by or for the Corporation in accordance with requirements established from time to time by the Member and that is not otherwise contained in an Approved Budget; and (i) Authority to establish policies to promote and develop an integrated, cohesive health care delivery system across all corporations for which the Member serves as the corporate member. |
| Form 990, Part VI, Section B, line 11 | The Form 990(Form)is reviewed by an independent public accounting firm based on audited financial statements and with the assistance of the organization's finance and accounting staff. 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 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 of those surveyed. These surveys are usually done every two years, with the most recent compensation survey completed during calendar year 2016. 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: James Angle: St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. St. Luke's Clinic Coordinated Care, Ltd. Brian Fortuin,M.D.: St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. Robert Wasserstrom, M.D. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. Ron E. McGarrigle, M.D. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. David A. McClusky, M.D. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. Eric Cassidy, D.O. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, 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. 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. 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. |
| Part VII: Section A | Compensation of Physician Board Members The following physician board members are members of various physician practices that contract with St. Luke's Magic Valley Regional Medical Center, Ltd. (SLMV) for the purpose of providing physician services to SLMV patients: Eric Cassidy, D.O. Emergency Physicians of Southern Idaho, PLLC Brian Fortuin, M.D. Idaho Medicine Associates Ron McGarrigle, M.D. Magic Valley Anesthesiology Associates Robert Wasserstrom, M.D. Southern Idaho Radiology These physicians work at least 40 hours per week on behalf of these practices for physician services provided to St. Luke's patients. During CY'15, SLMV made payments to these practices for the following amounts: Physician Practice Amount Paid Emergency Physicians of Southern Idaho $5,584,632 Idaho Medicine Associates, LLC $3,008,373 Magic Valley Anesthesia Associates $8,395,465 Southern Idaho Radiology $4,752,712 Dr. Fortuin is also a member of St. Luke's Magic Valley Sleep Institute, LLC (Sleep Institute), a physician practice that contracts with SLMV to provide physician services to SLMV patients. During CY'15 SLMV made payments totaling $253,098. During CY'15, Dr. Fortuin was compensated directly by SLMV for serving as chair for the Magic Valley Physician Leadership Council. The amount paid for these services was $126,010 and is reported in Part VII,Section A. During CY'15, Dr. McGarrigle was compensated directly by SLMV for serving as chair for the Magic Valley Physician Leadership Council. The amount paid for these services was $57,094 and is reported in Part VII, Section A. During CY'15, Dr. Wasserstrom was compensated directly by SLMV for serving as chair for the Magic Valley Physician Leadership Council. The amount paid for these services was $30,250 and is reported in Part VII, Section A. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Clinic-Wood River LLC | BusinessNameLine1Txt |
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) |
|---|---|---|
| EIN | 452715973 | EIN |
| Primary Activities | Physician Clinic Operations | PrimaryActivitiesTxt |
| Legal Domicile State | ID | LegalDomicileStateCd |
| Total Income | $6,190,239 | TotalIncomeAmt |
| End Of Year Assets | -$10,401,219 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Luke's Wood River Medical Center Ltd | BusinessNameLine1Txt |
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) | 11-3 | N/A | 0 | |
| Mountain States Tumor Institute Inc | |||||||||||
| 100 E Idaho | Boise | ID | 83712 | 820295026 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Regional Medical Center Ltd | |
| 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 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 | |||||||||||
| 801 Pole Line Road | Twin Falls | ID | 83301 | 562570686 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Health System Ltd | |
| St Luke's McCallLtd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 273311774 | Healthcare Services | ID | 501(c)(3) | 3 | 0 | St Luke's Health System Ltd | |
| St Luke's Wood River Medical Center Volunteer Core Inc | |||||||||||
| PO Box 3525 | Ketchum | ID | 83340 | 237103805 | Fundraising | ID | 501(c)(3) | 11-3 | N/A | 0 | |
| St Luke's Clinic Coordinated Care Ltd | |||||||||||
| 190 E Bannock | Boise | ID | 83712 | 455195864 | Accountable Care Organization | ID | 501(c)(3) | 9 | 0 | St Luke's Health System Ltd | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | 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 |