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        <OtherCostOrOtherBasisAmt>9334241</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>7197485</DepreciationAmt>
        <BookValueAmt>2136756</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>824270</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>763634</DepreciationAmt>
        <BookValueAmt>60636</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>20900570</TotalBookValueLandBuildingsAmt>
      <OtherAssetsOrgGrp>
        <Desc>DUE FROM JOINT VENTURES</Desc>
        <BookValueAmt>4513953</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>THIRD-PARTY SETTLEMENTS</Desc>
        <BookValueAmt>1145275</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>RETIREMENT PLAN ASSETS</Desc>
        <BookValueAmt>895933</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>CASH SURRENDER VALUE OF LIFE INSURAN</Desc>
        <BookValueAmt>574288</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>OTHER RECEIVABLES</Desc>
        <BookValueAmt>282728</BookValueAmt>
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      <OtherAssetsOrgGrp>
        <Desc>BOND ISSUANCE COSTS</Desc>
        <BookValueAmt>127245</BookValueAmt>
      </OtherAssetsOrgGrp>
      <TotalBookValueOtherAssetsAmt>7539422</TotalBookValueOtherAssetsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO JOINT VENTURES</Desc>
        <Amt>9111224</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>RETIREMENT PLAN LIABILITIES</Desc>
        <Amt>895933</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>10007157</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>30139216</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>931301</NetUnrealizedGainsInvstAmt>
      <OtherRevenueAmt>163242</OtherRevenueAmt>
      <RevenueNotReportedAmt>1094543</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>29044673</RevenueSubtotalAmt>
      <TotalRevenuePerForm990Amt>29044673</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>38188863</TotExpnsEtcAuditedFinclStmtAmt>
      <PriorYearAdjustmentsAmt>3918509</PriorYearAdjustmentsAmt>
      <ExpensesNotReportedAmt>3918509</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>34270354</ExpensesSubtotalAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 2, PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IERH PERMANENTLY RESTRICTED ENDOWMENT CONSISTS OF A FUND ESTABLISHED BY A DONOR FOR THE PURPOSES OF EDUCATION. THE IERH TEMPORARILY RESTRICTED ENDOWMENT CONSISTS OF A FUND ESTABLISHED FOR THE PURPOSES OF SPECIAL PROGRAMS, LIBRARY MATERIALS AND CAPITAL EQUIPMENT.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 3, PART X</FormAndLineReferenceDesc>
        <ExplanationTxt>IERH RECEIVED DETERMINATION FROM THE INTERNAL REVENUE SERVICE (IRS) AS A 501(C)(3) NONPROFIT ORGANIZATION THAT IT IS NOT SUBJECT TO FEDERAL INCOME TAX. IERH IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IERH HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS. IERH BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. IERH WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE D, PAGE 4, PART XI, LINE 2D</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN CHARITABLE TRUST 163,242</ExplanationTxt>
      </SupplementalInformationDetail>
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        <DirectOffsettingRevenueAmt>224744</DirectOffsettingRevenueAmt>
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        <TotalExpensePct>0.06770</TotalExpensePct>
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        <TotalCommunityBenefitExpnsAmt>776603</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>710380</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>66223</NetCommunityBenefitExpnsAmt>
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        <NetCommunityBenefitExpnsAmt>66223</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00190</TotalExpensePct>
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      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>3322995</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>935124</DirectOffsettingRevenueAmt>
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          <BusinessNameLine1>ST LUKE'S IDAHO ELK</BusinessNameLine1>
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        <BusinessName>
          <BusinessNameLine1>IDAHO ELKS REHABILIATION HOSPITAL</BusinessNameLine1>
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        <USAddress>
          <AddressLine1>600 N ROBBINS ROAD</AddressLine1>
          <City>BOISE</City>
          <State>ID</State>
          <ZIPCode>83702</ZIPCode>
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        <LicensedHospitalInd>X</LicensedHospitalInd>
        <OtherDesc>INPATIENT REHAB FACILITY</OtherDesc>
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      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1>IDAHO ELKS REHABILIATION HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <InformationGapsInd>X</InformationGapsInd>
        <OtherInd>X</OtherInd>
        <CHNAConductedYr>12</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.ELKSREHAB.ORG</OwnWebsiteURLTxt>
        <RptAvailableUponRequestInd>X</RptAvailableUponRequestInd>
        <AdoptImplementationStrategyInd>X</AdoptImplementationStrategyInd>
        <DevelopCommunityWidePlanInd>X</DevelopCommunityWidePlanInd>
        <ExecCommunityWidePlanInd>X</ExecCommunityWidePlanInd>
        <IncludeOperationalPlanInd>X</IncludeOperationalPlanInd>
        <PrioritizeHealthNeedsInd>X</PrioritizeHealthNeedsInd>
        <AllNeedsAddressedInd>true</AllNeedsAddressedInd>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGUsedDeterEligFreeCareInd>true</FPGUsedDeterEligFreeCareInd>
        <FPGFamilyIncmLmtFreeCarePct>100.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGUsedDetermEligDscntCareInd>true</FPGUsedDetermEligDscntCareInd>
        <FPGFamilyIncmLmtDscntCarePct>200.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <IncomeLevelInd>X</IncomeLevelInd>
        <AssetLevelInd>X</AssetLevelInd>
        <MedicalIndigencyInd>X</MedicalIndigencyInd>
        <InsuranceStatusInd>X</InsuranceStatusInd>
        <UninsuredDiscountInd>X</UninsuredDiscountInd>
        <MedicaidMedicareInd>X</MedicaidMedicareInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <ProvidedOnAdmissionInd>X</ProvidedOnAdmissionInd>
        <AvailableOnRequestInd>X</AvailableOnRequestInd>
        <OtherPublicityInd>X</OtherPublicityInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <NondisEmergencyCarePolicyInd>false</NondisEmergencyCarePolicyInd>
        <NoEmergencyCareInd>X</NoEmergencyCareInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, IDAHO ELKS REHABILIATION HOSPITAL - PART V, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>REPRESENTATIVES OF TREASURE VALLEY UNITED WAY, BOISE STATE UNIVERSITY, UTAH FOUNDATION AND UNITED WAY OF SALT LAKE LEAD THE COMMUNITY HEALTH NEEDS ASSESSMENT MOST RECENTLY CONDUCTED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, IDAHO ELKS REHABILIATION HOSPITAL - PART V, LINE 4</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH SAINT ALPHONSUS REGIONAL MEDICAL CENTER AND ST. LUKE'S HEALTH SYSTEM.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, IDAHO ELKS REHABILIATION HOSPITAL - PART V, LINE 14G</FormAndLineReferenceDesc>
        <ExplanationTxt>IERH PROVIDES NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE VIA SIGNS POSTED IN WAITING ROOMS AND ADMISSION OFFICE, IN THE BILLING INVOICES AND ON THEIR WEBSITE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>FACILITY 1, IDAHO ELKS REHABILIATION HOSPITAL - PART V, LINE 20D</FormAndLineReferenceDesc>
        <ExplanationTxt>IERH APPLIES THE SLIDING FEE DISCOUNT DIRECTLY TO THE GROSS CHARGES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING THE FISCAL YEAR PATIENTS WHOSE INCOME IS EQUAL TO OR LESS THAN 200% OF THE FPG WERE ELIGIBLE FOR AN ELIMINATION OR A REDUCTION OF CHARGES ON A SLIDING FEE SCHEDULE. PATIENTS MAY BE GRANTED CHARITY BASED ON THE FOLLOWING SLIDING FEE SCHEDULE: A. 20% OF THE BALANCE ASSIGNED TO CHARITY FOR THOSE BETWEEN 151% AND 200% OF THE FEDERAL POVERTY LEVEL (FPL). B. 40% OF THE BALANCE ASSIGNED TO CHARITY FOR THOSE BETWEEN 101% AND 150% OF THE FEDERAL POVERTY LEVEL (FPL). C. 100% OF THE BALANCE FOR THOSE BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>CHARITY CARE WAS CONVERTED TO COST BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR THE IERH BY THE GROSS UNCOMPENSATED CHARGES. THE OVERALL HOSPITAL RATIO OF PATIENT CARE COST TO CHARGES WAS USED TO CALCULATE THE COSTS FOR UNREIMBURSED MEDICAID. COMMUNITY HEALTH IMPROVEMENT SERVICES AND RESEARCH WERE CALCULATED USING ACTUAL COSTS WITH ACTUAL OVERHEAD ALLOCATIONS BASED ON THE MEDICARE COST REPORT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BAD DEBT EXPENSE REPRESENTS THE UNCOLLECTED PORTION OF THE PATIENT ACCOUNT. ANY DISCOUNTS WOULD BE TREATED AS A REDUCTION IN REVENUE. ALL FORMS OF PAYMENT, INCLUDING SELF-PAY, INSURANCE, CONTRACTUAL ALLOWANCES, AND DISCOUNTS REDUCE THE PATIENT'S ACCOUNT PRIOR TO THE ACCOUNT BEING CLASSIFIED AS BAD DEBT. A PAYMENT RECEIVED ON AN ACCOUNT PREVIOUSLY WRITTEN OFF AS BAD DEBT REDUCES BAD DEBT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 3 BAD DEBT EXPENSE, PATIENTS ELIGIBLE FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>IERH REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE MANAGEMENT ASSOCIATION STATEMENT NO. 15, THEREFORE NO BAD DEBT IS CONSIDERED TO BE ATTRIBUTABLE TO PATIENTS THAT ARE ELIGIBLE UNDER THE CHARITY CARE POLICY AS A COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CARRYING AMOUNT OF PATIENT RECEIVABLES IS REDUCED BY A VALUATION ALLOWANCE THAT REFLECTS MANAGEMENT'S ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND THIRD-PARTY PAYORS. MANAGEMENT REVIEWS PATIENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS DUE TO BAD DEBTS. MANAGEMENT CONSIDERED HISTORICAL WRITE OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION. ACCOUNTS DEEMED UNCOLLECTABLE AND ALL PRIVATE PAY BALANCES OVER 180 DAYS OVERDUE ARE CHARGED AGAINST THIS ALLOWANCE. THE PATIENT ACCOUNTS RECEIVABLE FOOTNOTE OF THE AUDITED FINANCIAL STATEMENTS IS FOUND IN FOOTNOTE 4 ON PAGES 11-12 OF THE AUDITED FINANCIAL STATEMENTS. THE PROVISION FOR BAD DEBTS IS ALSO INCLUDED IN FOOTNOTE 4 OF THE AUDITED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8 - MEDICARE EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>IERH REPORTS THE FULL VALUE OF THE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT. THE RATIONALE FOR THIS TREATMENT IS CONSISTENT WITH THE AMERICAN HOSPITAL ASSOCIATION'S POSITION THAT PROVIDING CARE TO MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD. MEDICARE, LIKE MEDICAID, DOES NOT PAY THE FULL COST OF CARE. MANY MEDICARE BENEFICIARIES ARE POOR AND ELIGIBLE FOR MEDICAID COVERAGE IN ADDITION TO MEDICARE. MEDICARE UNDER PAYMENT IS A COST THAT IERH MUST COVER IN ORDER TO CONTINUE TREATMENT THE ELDERLY AND POOR IN THE COMMUNITY WE SERVE. THE COSTING METHODOLOGY IS BASED ON THE ACTUAL MEDICARE ALLOWABLE COST REPORTED ON THE IERH MEDICARE COST REPORT. THIS METHODOLOGY WAS CONSISTENT WITH THE GUIDELINES AND INSTRUCTIONS PROVIDED BY THE CENTERS FOR MEDICARE SERVICES (CMS) FOR THE FILED COST REPORT FOR THE FISCAL YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION</FormAndLineReferenceDesc>
        <ExplanationTxt>IERH DOES NOT PROVIDE EMERGENCY CARE, ALL SERVICES ARE CONSIDERED ELECTIVE PROCEDURES. AS SUCH IERH PRE-APPROVES ALL PATIENTS BEFORE THE MEDICAL SERVICES ARE PROVIDED. DURING THE PRE-APPROVAL PROCESS PATIENTS ARE IDENTIFIED AS POSSIBLY QUALIFYING FOR FINANCIAL ASSISTANCE. AT THAT TIME DATA IS GATHERED FOR EVALUATION. IN THE EVENT THE PATIENT REFUSES TO PROVIDE DATA SUCH AS INCOME AND ASSETS THEY ARE AUTOMATICALLY DISQUALIFIED FROM FINANCIAL ASSISTANCE UNTIL SUCH INFORMATION IS PROVIDED. PATIENTS WHOSE PERSONAL FINANCIAL POSITION FALLS WITHIN THE SCOPE OF QUALIFYING FOR THE CHARITY CARE ARE CONSIDERED ELIGIBLE AND THE RESPECTIVE AMOUNTS ARE APPLIED TO CHARITY CARE. IF A PATIENT FALLS WITHIN THE SCOPE OF DISCOUNTED CARE, A TWELVE MONTH PAYMENT PLAN IS OFFERED FOR THE UNPAID PORTION. PATIENTS THAT ARE UNABLE TO PAY THEIR BALANCE WITHIN THE TWELVE MONTHS ARE ELIGIBLE FOR A LONG TERM PAYMENT PLAN OF 60 MONTHS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2 - NEEDS ASSESSMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMMUNITY NEEDS ASSESSMENT AS DESCRIBED IN PART V, SERVES AS THE BASE FOR DETERMINING REHABILITATIVE HEALTH NEEDS. ADDITIONALLY, IERH CONDUCTS SATISFACTION SURVEYS AND FOCUS GROUPS TO BETTER MEET THE ONGOING NEEDS OF THE PEOPLE WE SERVE. THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING URL: HTTP://WWW.IDAHOELKSREHAB.ORG/PDF/2011_COMMUNITY_ASSESSMENT.PDF</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS ARE REFERRED TO IERH FOR REHABILITATION SERVICES AND WHEN A PHYSICIAN DETERMINED THAT THE PATIENT HAS REHABILITATION NEEDS AND COULD BENEFIT FROM IERH SERVICES. DURING THE ADMISSION PROCESS WHEN IT IS DETERMINED THAT THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE, THE ADMISSIONS LIAISON INITIATES THE FINANCIAL ASSISTANCE PROCESS: (1) COORDINATES ELIGIBILITY AND APPROVAL PROCESS FOR UNCOMPENSATED CARE; (2) PROVIDE A COPY OF THE POLICY, AND A SUMMARY THEREOF, AND FINANCIAL ASSISTANCE STATEMENT TO BE COMPLETED BY PATIENT AS PART OF THE INTAKE PROCESS; (3) DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS, SUCH AS MEDICAID OR STATE PROGRAMS, AND ASSISTS THE PATIENT WITH QUALIFICATIONS FOR SUCH PROGRAMS, WHERE APPLICABLE. IERH USES A CONTINUOUS APPROACH (FROM ADMISSION THROUGH BILLING) FOR QUALIFICATION FOR FINANCIAL ASSISTANCE. CHANGING PATIENT CONDITIONS SUCH AS INABILITY TO WORK, LOSS OF INSURANCE COVERAGE OR UNANTICIPATED LARGE MEDICAL BILLS MAY RESULT IN THE PATIENT QUALIFYING FOR FINANCIAL ASSISTANCE AFTER THE INITIAL FINANCIAL ASSISTANCE APPLICATION. IERH USES FINANCIAL COUNSELORS TO ASSIST ALL PATIENTS IN QUALIFICATION FOR ASSISTANCE PROGRAMS. THIS ENSURES THAT ALL PATIENTS HAVE ACCESS TO QUALITY HEALTH CARE SERVICES WITHOUT DISCRIMINATION BASED ON THE ABILITY TO PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4 - COMMUNITY INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>IERH PROVIDES INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO PEOPLE WHO HAVE A PHYSICAL DISABILITY THAT CAN BENEFIT FROM REHABILITATION SERVICES. THE PRIMARY SERVICE AREA IS BOISE ID AND SURROUNDING COMMUNITIES GENERALLY KNOWN AS THE TREASURY VALLEY. IERH CONSISTS OF ONE INPATIENT REHABILITATION FACILITY, 1 OUTPATIENT WOUND CARE AND HYPERBARIC TREATMENT CENTER, AND 4 OUTPATIENT HEARING AND BALANCE CENTERS. IERH ALSO PROVIDES OUTPATIENT REHABILITATION SERVICES AT 1 WOUND CENTER AND MORE THAN 20 ADULT AND CHILDREN THERAPY CLINICS THAT ARE JOINTLY OWNED THROUGH A PARTNERSHIP WITH ST. LUKE'S REGIONAL MEDICAL CENTER. THE PRIMARY SERVICE REGION OF ADA AND CANYON COUNTIES CONSISTS OF A POPULATION OF APPROXIMATELY 531,288 FOR 2010. THE AVERAGE INCOME FOR ADA AND CANYON COUNTY IS 39,734 AND 23,575 RESPECTIVELY; AND THE PERCENT OF THE POPULATION THAT FALL BELOW THE FEDERAL POVERTY GUIDELINES IS 13.4% AND 20.1% RESPECTIVELY. IERH IS COMMITTED TO SERVING REHABILITATION PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. APPROXIMATELY 7% OF ALL SERVICES WERE PROVIDED TO MEDICAID RECIPIENTS AND 49% OF ALL SERVICES WERE PROVIDED TO MEDICARE RECIPIENTS DURING THE YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BOARD OF DIRECTORS ARE INDEPENDENT PERSONS, NOT EMPLOYEES, AND RESIDE IN THE IERH PRIMARY SERVICE AREA. IERH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. THE SURPLUS FUNDS ARE APPLIED TO IMPROVE PATIENT CARE, MEDICAL EDUCATION, AND RESEARCH. IERH SUPPORTS MANY COMMUNITY EVENTS THROUGH SPONSORSHIPS, DONATIONS AND PROVIDING HUNDREDS OF VOLUNTEERS FOR NEIGHBORHOOD CAUSES. MEALS ON WHEELS- IERH IS THE ONLY PROVIDER OF MEALS ON WHEELS IN THE BOISE COMMUNITY. MEALS ON WHEELS PROVIDES NUTRITIOUS MEALS TO THE ELDERLY. THERE ARE KNOWN HEALTH CONSEQUENCES OF FOOD INSECURITY AMONG THE ELDERLY. WITHOUT THE MEALS ON WHEELS PROGRAM THESE INDIVIDUALS ARE MORE LIKELY TO BE IN POOR OR FAIR HEALTH AND MORE LIKELY TO HAVE LIMITATIONS IN DAILY LIVING. PROVIDING THE MEALS PROVIDES A DIRECT IMPACT ON THESE INDIVIDUALS' HEALTH. IDAHO WHEELCHAIR CAMP- IN 1988 THE IDAHO YOUTH WHEELCHAIR SPORTS CAMP (IYWSC) BEGAN, SPONSORED BY IERH AND BOISE PARKS AND RECREATION DEPARTMENT. IT WAS ESTABLISHED TO PROVIDE RECREATIONAL, ATHLETIC AND COMPETITIVE OPPORTUNITIES FOR YOUTH. IT IS DESIGNED FOR YOUNG PEOPLE USING WHEELCHAIRS OR OTHER ASSISTIVE DEVICES (I.E. CRUTCHES, WALKERS, AND BRACES). SINCE ITS INCEPTION, THE IYWSC HAS PROVIDED A VARIETY OF EXPERIENCES FOR OVER 325 YOUNG ATHLETES FROM IDAHO, OREGON, UTAH AND WASHINGTON. EACH ATHLETE IS PAIRED WITH A VOLUNTEER TO ASSIST AND SUPPORT AS NEEDED. AMERICAN HEART ASSOCIATION HEART WALK- THE TREASURE VALLEY START HEART WALK IS AN ANNUAL EVENT DESIGNED TO BRING PUBLIC AWARENESS OF PHYSICAL ACTIVITY AND HEART-HEALTHY LIFESTYLES AND RAISE CRITICAL DOLLARS TO FUND THE LIFE-SAVING MISSION OF THE AMERICAN HEART ASSOCIATION. WALKERS FROM ALL OVER THE TREASURE VALLEY STEP OUT TO SUPPORT THE FIGHT AGAINST OUR NATION'S LEADING CAUSE OF DEATH - HEART DISEASE. HEALTH FAIRS- ELKS REHAB HOSPITAL PARTICIPATES IN MANY FREE HEALTH FAIRS IN IDAHO AND OREGON. WE PROVIDE FREE SCREENINGS AND COMMUNITY INFORMATION FOR A VARIETY OF ISSUES SUCH AS: CERTIFIED THERAPY DOG SERVICES FOR PATIENTS. ELKS HEALTH CHECK PROGRAMS - GROUP SCREENS HELD IN LOCAL SENIOR CENTERS/RETIREMENT HOMES FOR STROKE, BALANCE, HEARING, DIABETIC FOOT ULCERS, MEDICATIONS, AND ORTHOPEDIC ISSUES. PHYSICAL THERAPY SERVICES TO THE UNINSURED POPULATION OF BOISE THROUGH THE FRIENDSHIP CLINIC. IERH VOLUNTEERS FOR THE "ADVENTURE PROGRAM" TO PROVIDE ACCESS TO OUTDOOR ACTIVITIES FOR THOSE WITH DISABILITIES. EMPLOYEE ENGAGEMENT- IERH EMPLOYEES ARE INVOLVED IN THE COMMUNITY. IERH SUPPORTS A NUMBER OF COMMUNITY EVENTS INCLUDING: SPONSOR OF THE ELITE WHEELCHAIR RACERS IN ST. LUKE'S WOMEN'S FITNESS CELEBRATION SPONSOR OF AMERICAN HEART ASSOCIATION "GO RED FOR WOMEN" SPONSORED FOOD DRIVE FOR IDAHO FOOD BANK PROVIDED RESPIRATORY THERAPY SERVICES FOR THE IRONMAN RACE, BOISE, IDAHO PARTICIPATED IN UNITED WAY OF THE TREASURE VALLEY CAMPAIGN PARTICIPATED IN MS WALK PRESENTED AND CURATED THE 3RD ANNUAL CREATIVE HEALING ART EXHIBIT RESEARCH EXPENSES CONSIST OF COSTS FROM STUDYING THE EFFECTS OF DRUG DEVELOPMENTS ON PATIENTS WITH MOVEMENT DISORDERS RELATED TO HUNTINGTON'S AND PARKINSON'S DISEASE. THE INFORMATION IS DOCUMENTED AND MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>ADDITIONAL INFORMATION</FormAndLineReferenceDesc>
        <ExplanationTxt>IN REGARDS TO SCHEDULE H, PART V, SECTION C, THE HOSPITAL HAS FIVE HOSPITAL BASED FACILITIES THAT ASSIST IN PROVIDING REHABILITATION SERVICES THROUGHOUT THE AREA. THESE FIVE FACILITIES ARE TREATED AS DEPARTMENTS OF THE HOSPITAL FOR MEDICARE COST REPORT PURPOSES, AND THE PATIENTS ARE ELIGIBLE UNDER THE HOSPITAL'S CHARITY CARE POLICY.</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>LEE KORNFIELD MD</PersonNm>
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        <PersonNm>MARK WEINROBE MD</PersonNm>
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        <PersonNm>MARIAN SHAW MD</PersonNm>
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          <BusinessNameLine1>IDAHO HEALTH FACILITIES AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <BondIssuerEIN>826051863</BondIssuerEIN>
        <BondIssuedDt>2009-11-01</BondIssuedDt>
        <IssuePriceAmt>10480000</IssuePriceAmt>
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      </TaxExemptBondsIssuesGrp>
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        <BondReferenceCd>A</BondReferenceCd>
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        <AdvanceRefundingInd>false</AdvanceRefundingInd>
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      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>false</MgmtContractBondFincdPropInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0.03000</PrivateBusUseByOthersPct>
        <TotalPrivateBusinessUsePct>0.03000</TotalPrivateBusinessUsePct>
        <BondIssMeetPrvtSecPymtTestInd>true</BondIssMeetPrvtSecPymtTestInd>
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      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <ExceptionToRebateInd>true</ExceptionToRebateInd>
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        <NameOfInterested>
          <PersonNm>JOHN EVANS</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>BOARD MEMBER</RelationshipDescriptionTxt>
        <TransactionDesc>CEO OF BANK</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 2, PART III, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND AUDIOLOGY. IERH PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES TO THOSE PATIENTS WHO ARE POOR AND QUALIFY UNDER THE IERH CHARITY CARE POLICY. NET PATIENT SERVICE REVENUES ARE REFLECTED NET OF CHARITY CARE. CHARGES FOREGONE UNDER THE IERH CHARITY CARE POLICY TOTALED 528,817 DURING FISCAL YEAR ENDED MAY 31, 2014.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI</FormAndLineReferenceDesc>
        <ExplanationTxt>THE EXECUTIVE COMMITTEE CONSISTS OF SIX BOARD MEMBERS AND THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS OF THE ORGANIZATION BETWEEN MEETINGS OF THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>IERH UTILIZED AN EMPLOYEE OF NORTH CANYON MEDICAL CENTER AND LATER TATUM, LLC FOR ITS INTERIM CFO DURING THE YEAR.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE IDAHO STATE ELKS ASSOCIATION IS THE MEMBER OF THE CORPORATION. THE PRESIDENT OF THE IDAHO STATE ELKS ASSOCIATION APPOINTS THE IDAHO ELKS REHABILITATION HOSPITAL, INC. BOARD MEMBERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>IERH MAY NOT BUY, SELL, OR DISPOSE OF ANY REAL PROPERTY WITHOUT THE APPROVAL OF THE IDAHO STATE ELKS ASSOCIATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>IERH EXECUTIVE MANAGEMENT REVIEWS A DRAFT FORM 990 FOR ACCURACY AND COMPLETENESS. AFTER THE EXECUTIVE MANAGEMENT REVIEW, THE FORM 990 IS DELIVERED ELECTRONICALLY TO EACH BOARD MEMBER. AT THE BOARD MEETING PRECEDING SUBMISSION OF THE FORM 990, EXECUTIVE MANAGEMENT RESPONDS TO ALL BOARD MEMBER REQUESTS FOR CLARIFICATION. THE FORM 990 IS THEN SUBMITTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL EMPLOYEES, OFFICERS, BOARD MEMBERS AND ELKS ASSOCIATION TRUSTEE REPRESENTATIVES ARE REQUIRED TO MAKE PROMPT AND FULL DISCLOSURE IN WRITING TO THE COMPLIANCE OFFICER OR EXECUTIVE MANAGEMENT OF ANY SITUATION WHICH MAY VIOLATE THE CONFLICTS OF INTEREST SECTION CONTAINED IN THE IERH BUSINESS ETHICS POLICY. WITHOUT PRIOR WRITTEN APPROVAL, EMPLOYEES, OFFICERS, BOARD MEMBERS AND TRUSTEES MAY NOT PARTICIPATE IN A JOINT VENTURE, PARTNERSHIP OR OTHER BUSINESS ARRANGEMENT WITH THE ORGANIZATION. IF A CONFLICT EXISTS THE BOARD MEMBER IS REQUIRED TO LEAVE THE ROOM DURING DELIBERATION AND VOTING ON THE ISSUE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS USING ANNUAL PERFORMANCE REVIEW INCLUDING THE IHA CEO SALARY SURVEY AND OTHER PERTINENT SURVEYS. THIS DELIBERATION IS DOCUMENTED IN THE BOARD MINUTES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 15B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CHIEF EXECUTIVE OFFICER REVIEWS PERFORMANCE EVALUATIONS FOR THE CHIEF FINANCIAL OFFICER. COMPENSATION IS DETERMINED BASED ON PERFORMANCE EVALUATIONS AND COMPENSATION SURVEYS FOR THE BOISE, IDAHO AREA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PAGE 6, PART VI, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
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        <FormAndLineReferenceDesc>FORM 990, PAGE 7, PART VII</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CEO AND CFO DEVOTE TIME TO THE RELATED ORGANIZATIONS AS FOLLOWS: ST. LUKE'S IDAHO ELKS REHABILITATION 1 HOUR PER WEEK CENTER FOR WOUND CARE AND HYPERBARIC TREATMENT 1 HOUR PER WEEK</ExplanationTxt>
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        <ExplanationTxt>1,237,936 2,324,149 6,000</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9</FormAndLineReferenceDesc>
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