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ST LUKES REGIONAL MEDICAL CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST LUKES REGIONAL MEDICAL CENTER (EIN 82-0161600)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-13
IRS object ID
201312259349303291
Schema version
2011v1.5
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

FieldValueIRS element (for citing)
Timestamp2013-08-13T17:59:27-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1225 W Santa Clara StAddressLine1
CitySan JoseCity
StateCAState
ZIP Code95113ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN820161600EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Luke's Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTLUNameControl
Phone2083813790Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1190 E BannockAddressLine1
CityBoiseCity
StateIDState
ZIP Code83712ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePeter DiDioName
TitleVice-President,ControllerTitle
Phone2083813790Phone
Date Signed2013-08-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameSharon ZorbachName
PTINP00125475PTIN
Phone4087044000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonChris RothNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1190 E BannockAddressLine1
CityBoiseCity
StateIDState
ZIP Code83712ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1371942222GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.stlukesonline.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1906YearFormation
State Legal DomicileIDStateLegalDomicile
Activity Or Mission DescriptionHEALTH CARE SERVICESActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees8792TotalNbrEmployees
Total Nbr Volunteers560TotalNbrVolunteers
Total Gross UBI2131586TotalGrossUBI
Net Unrelated Business Txbl Income-116605NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2865463ContributionsGrantsPriorYear
Contributions Grants Current Year9368523ContributionsGrantsCurrentYear
Program Service Revenue Prior Year848076273ProgramServiceRevenuePriorYear
Program Service Revenue CY942985344ProgramServiceRevenueCY
Investment Income Prior Year6531529InvestmentIncomePriorYear
Investment Income Current Year5147030InvestmentIncomeCurrentYear
Other Revenue Prior Year381480OtherRevenuePriorYear
Other Revenue Current Year405821OtherRevenueCurrentYear
Total Revenue Prior Year857854745TotalRevenuePriorYear
Total Revenue Current Year957906718TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3969756GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4272703GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year426023848SalariesEtcPriorYear
Salaries Etc Current Year443779008SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year385937954OtherExpensePriorYear
Other Expenses Current Year451369246OtherExpensesCurrentYear
Total Expenses Prior Year815931558TotalExpensesPriorYear
Total Expenses Current Year899420957TotalExpensesCurrentYear
Revenues Less Expenses Prior Year41923187RevenuesLessExpensesPriorYear
Revenues Less Expenses CY58485761RevenuesLessExpensesCY
Total Assets BOY1116285033TotalAssetsBOY
Total Assets EOY1230525119TotalAssetsEOY
Total Liabilities BOY698634621TotalLiabilitiesBOY
Total Liabilities EOY804700186TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY417650412NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY425824933NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionProvide Health Care ServicesMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense697620292Expense
Grants3402305Grants
Revenue694956967Revenue
DescriptionMedical & Surgical:St. Luke's Regional Medical Center is comprised of two hospital campuses(Boise and Meridian), one urgent care center(Eagle), one free-standing emergency department( Nampa), and physician clinics throughout the Treasure Valley. The hospitals provide 24-hour emergency care, diagnostic procedures, a variety of inpatient and outpatient care, and maternity and pediatric care. Known for its clinical excellence, St. Luke's has been recognized for quality and patient safety, and is proud to be designated a Magnet Hospital, the gold standard for nursing care. In addition, St. Luke's has the only children's hospital in the state of Idaho.During FY'12, St. Luke's Hospital locations in the Treasure Valley provided inpatient care for 33,184 admissions, covering 115,750 patient days. Also, the hospitals provided patient care associated with 452,585 outpatient visits. In addition to hospital patient care, the various physician clinics located in the Treasure Valley provided patient care asociated with 684,672 visits.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense41233729Expense
Grants236635Grants
Revenue48335188Revenue
DescriptionSt. Luke's Childrens Hospital/Specialty CenterSt. Luke's Boise Medical Center is home to Idaho's only children's hospital. The Children's Hospital cares for more than 50,000 children every year, with more than 140 pediatricians and pediatric specialists working with referring physicians from around the region. Features of the Children's Hospital include Idaho's largest and most experienced Level III Newborn Intensive Care Unit, Pediatric Intensive Care Unit, and full service Pediatrics Unit. We also provide care in the state's only Pediatric Cancer Unit, Pediatric Emergency Department, and Pediatric Surgery Suites. At our Children's Hospital School, we help our young patients keep pace with their classmates. At CARES(Children at Risk Evaluation Services),medical evaluation, treatment, and documentation in cases of alleged abuse are provided.Within the Children's Hospital, experienced the following patient volumes during FY'12: Pediatrics:Admissions 2,191Patient Days 7,418 Pediatric Intensive Care Unit:Admissions 415 Patient Days 1,442Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense42529468Expense
Grants633763Grants
Revenue129452871Revenue
DescriptionHeart & Vascular:St. Luke's provides more heart procedures than any other hospital in Idaho, providing cardiac care for heart patients throughout Idaho, and into parts of Oregon, Nevada, and Utah. St. Luke's supports the region through partnerships with physicians, hospitals, and regional clinics where patients are cared for in their own communities. Classes and screenings are offered to promote heart and vascular health and support those living with cardiovascular disease. In addition, St. Luke's has provided hundreds of automated external defibrillators (AEDs) to local schools, civic organizations and businesses, and has worked with area hospitals to achieve standardized clinical protocols for heart attack patients.Integral to the Heart & Vascular line is St. Luke's Cardiology Associates(SLICA), a 16-physician cardiology practice servicing Boise and the surrounding communities within Idaho. SLICA specializes in the treatment of diseases and disorders that affect the heart and its associated blood vessels. In-office diagnostic services include treadmill stress testing, echocardiography, heart rhythm monitoring, heart catheterization and nuclear cardiology. Also included in the practice are special clinics designed to manage irregular heart beats(arrhythmias)pacemakers and defibrillators, blood thinning medications, congestive heart failure, and lipids.During FY'12 the St. Luke's Cardiology Clinics had 45,491 visits.Description

Activity Other ActivityOther (4 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
3815439860578392Emergency and Transport
21288812739198Management Services
2266762924210Joint Ventures
72273312614669All Other
FieldValueIRS element (for citing)
Total Of Other Program Service Exp47737286TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev68856469TotalOfOtherProgramServiceRev
Total Program Service Expense829120775TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096862NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees8792NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Peter DiDio Vice-President ControllerBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2083813790TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1190 E BannockAddressLine1
CityBoiseCity
StateIDState
ZIP Code83712ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Mr J Patrick McMurray
Chairman5.00XX000
Mr Michael M Mooney
Vice-Chair4.00XX000
Mr Jim Everett
Vice-Chair4.00XX000
Mr A J Balukoff
Director3.00X000
Mr Rich Raimondi
Vice-Chair4.00XX000
Mr Charles H Wilson
Director3.00X000
Mr George Iliff
Director3.00X000
Mr John Jackson
Director3.00X000
Ms Carolyn Terteling-
Payne Director3.00X000
Bishop Brian Thom
Director3.00X000
Mr Herb Patriarche
Director3.00X000
Ms Joy Kealey
Director3.00X000
Mr LaMont Keen
Director3.00X000
Ms Gay Simplot
Director3.00X000
Catherine Reynolds MD
Director3.00X000
Thomas R HuntingtonMD
Director3.00X1581200
Alan Swajkoski MD
Director40.00X352337037425
Leslie Nona MD
Director40.00X236438032414
Ms Barbara L Wilson
Director3.00X000
Thomas J Coffman MD
Director3.00X2420000
Ms Cathy R Silak
Director3.00X000
Mr Chris Roth
President/CEO40.00XX402274029507
Mr Jeffrey S Taylor
VP and System CFO40.00X488636074282
Ms Kathy D Moore
Chief Operating Officer40.00290278017925X
Ms Joanne T Clavelle
Chief Nursing Officer40.00289226032087X
Gregory G Janos MD
Medical Director-Children's Hospital40.00330899019088X
Barton F Hill MD
Chief Medical Officer40.00375045033181X
Marshall F Priest MD
Medical Dir. St. Luke's Heart40.00530781070706X
Ronald M Kristensen MD
Physician40.001187330055001X
Donald A Stritzke MD
Physician40.00984523041036X
Darby Webb MD
Physician40.00955221051113X
Andrew Forbes MD
Physician40.00865008084132X
Steven S Huerd MD
Physician40.00881199060732X
MrGary L Fletcher
Former CEO and Director40.008928470459759X
Ms Pamela H Bernard
Former COO40.001552730270122X
FieldValueIRS element (for citing)
Total Reportable Comp From Org9257327TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation1368510TotalOtherCompensation
Number Individuals GT100 K367NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Emergency Medicine Of Idaho
13960 W Wainwright Suite ABoiseID83713Emergency Room Physicians15995531
Woman's Clinic
100 E Idaho Ste 400BoiseID83702Medical Services5036238
McDermottWill& Emery
PO Box 6043ChicagoIL60680Legal Services2727154
Boise Radiology
PO Box 9696BoiseID83707Radiology Services2457119
Unity MedicalInc
923 South Bridgeway PlaceBoiseID83616Consulting2000000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K62NumberOfContractorsGT100K
Related Organizations993083RelatedOrganizations
Government Grants8375440GovernmentGrants
Total Contributions9368523TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Revenue900099925263451925263451
Outpatient Retail Rx446110357378621899371383849
Joint Venture Income90009917275391727539
VHA Coop Cash Distrib.90009911964641196464

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column11224104TotalRevenueColumn
Related Or Exempt Function Income11224104RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue942985344TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column188687TotalRevenueColumn
Exclusion$188,687ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column5806416TotalRevenueColumn
Exclusion$5,806,416ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2191768Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2628939Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-437171Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-437171TotalRevenueColumn
Exclusion-$437,171ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities410303476Securities
Other255016Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities411338350Securities
Other68215Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1034874Securities
Other186801Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-848073TotalRevenueColumn
Exclusion-$848,073ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
LAUNDRY812300747737747737
EMPLOYEE PARKING REV90009995255$95,255
FieldValueIRS element (for citing)
Total Other Revenue842992TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column957906718TotalRevenueColumn
Related Or Exempt Function Income941601495RelatedOrExemptFunctionIncome
Unrelated Business Revenue2131586UnrelatedBusinessRevenue
Exclusion$4,805,114ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4272703Total
Program Services4272703ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3428809Total
Management And General3428809ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total348800406Total
Program Services313191344ProgramServices
Management And General35609062ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total27708660Total
Program Services24937794ProgramServices
Management And General2770866ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total41188722Total
Program Services37069850ProgramServices
Management And General4118872ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total22652411Total
Program Services20387170ProgramServices
Management And General2265241ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total35046121Total
Program Services33597941ProgramServices
Management And General1448180ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1568104Total
Program Services11483ProgramServices
Management And General1556621ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total790Total
Program Services790ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total124298Total
Program Services124298ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total474311Total
Program Services474311ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total6059461Total
Program Services4588932ProgramServices
Management And General1470529ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2457329Total
Program Services147235ProgramServices
Management And General2310094ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5857183Total
Program Services1367959ProgramServices
Management And General4489224ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total37866878Total
Program Services37866878ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11100353Total
Program Services9652706ProgramServices
Management And General1447647ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2341884Total
Program Services1984961ProgramServices
Management And General356923ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total18274588Total
Program Services18274588ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total54861618Total
Program Services54861618ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total314535Total
Program Services255678ProgramServices
Management And General58857ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Supplies1396345721384093101225262
Provision for Bad Debt3839442238394422
Contract Services32922022289505263971496
Repairs1138545910999183386276

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total52685318Total
Program Services49299095ProgramServices
Management And General3386223ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total899420957Total
Program Services829120775ProgramServices
Management And General70300182ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY66485654BOY
EOY76601EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY31429046BOY
EOY26528360EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY52143145BOY
EOY70141117EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY490727BOY
EOY325000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY16867326BOY
EOY18331769EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3795637BOY
EOY5592040EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis825738673LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec396804978LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY389429000BOY
EOY428933695EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY271684499BOY
EOY354902978EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7615794BOY
EOY8053660EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY10774483BOY
EOY9864972EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY52679394BOY
EOY51078547EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY212890328BOY
EOY256696380EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1116285033BOY
EOY1230525119EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY84256008BOY
EOY75075596EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4394478BOY
EOY3119729EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY479023489BOY
EOY592645288EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1589062BOY
EOY1685602EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY129371584BOY
EOY132173971EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY698634621BOY
EOY804700186EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY417644164BOY
EOY424991953EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6248BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY832980EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY417650412BOY
EOY425824933EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1116285033BOY
EOY1230525119EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses58485761ReconcilationRevenueExpenses
Reconcilation Other Changes-50311240ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals124298FilingOrganizationsTotals
Affiliated Group Totals124298AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals124298FilingOrganizationsTotals
Affiliated Group Totals124298AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals899296659FilingOrganizationsTotals
Affiliated Group Totals899296659AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals899420957FilingOrganizationsTotals
Affiliated Group Totals899420957AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals

Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx

FieldValueIRS element (for citing)
Filing Organizations Totals0FilingOrganizationsTotals
Affiliated Group Totals0AffiliatedGroupTotals

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus3168264CurrentYearMinus3
Current Year Minus2120363CurrentYearMinus2
Current Year Minus1122297CurrentYearMinus1
Current Year124298CurrentYear
Total535222Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance0BeginningOfYearBalance
Contributions752623Contributions
End Of Year Balance752623EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis23458980InvestmentCostOrOtherBasis
Other Cost Or Other Basis24269666OtherCostOrOtherBasis
Book Value47728646BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis7280762InvestmentCostOrOtherBasis
Other Cost Or Other Basis431905615OtherCostOrOtherBasis
Depreciation183882129Depreciation
Book Value255304248BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis12269646OtherCostOrOtherBasis
Depreciation1169123Depreciation
Book Value11100523BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis290671997OtherCostOrOtherBasis
Depreciation211753726Depreciation
Book Value78918271BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis35882007OtherCostOrOtherBasis
Book Value35882007BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings428933695TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
Def. Bond Finance Costs8150195
Retention Bonus376250
Physician Loans563096
Executive Flex Plan36919
Due From Related Organizations247569920
FieldValueIRS element (for citing)
Total Book Value Other Assets256696380TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Third Party Settlement$43,410,627
Benefit Plan Liabilities$82,367,178
Accrued Interest Payable-Bonds$6,396,166
FieldValueIRS element (for citing)
Total Of Amounts132173971TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:Part V, line 4: The Humphreys Diabetes Center Endowment Fund was established in 2000 from donations by several Idahoans for the purpose of supporting its diabetes based mission in the State of Idaho. This fund is to be used only for ongoing operating needs in service to the diabetic community and to provide assistance for Sweet Kids Camp and other priorities determined by the Board of Directors. The fund is in the possession of and administered by The Idaho Community Foundation.
Form 990 Schedule D, Part X, Line 2: Footnote disclosure-Uncertain tax positions under FIN #48 (Source: Consolidated Financial Statements-St. Luke's Health System) "The Health System is subject to federal excise tax on its unrelated business taxable income(UBTI). For the period ended September 30,2012, the Company had approximately $4,120,000 of UBTI Net Operating Losses from operating losses incurred from 1998 to 2012 which expire in years 2013 to 2027. The Health System does not believe it is more likely than not they will utilize these losses prior to their expiration and as such has provided a full valuation allowance against these losses."

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage185.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense10908179TotalCommunityBenefitExpense
Net Community Benefit Expense10908179NetCommunityBenefitExpense
Percent Of Total Expense0.01270PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense131168947TotalCommunityBenefitExpense
Direct Offsetting Revenue105997313DirectOffsettingRevenue
Net Community Benefit Expense25171634NetCommunityBenefitExpense
Percent Of Total Expense0.02920PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense11581353TotalCommunityBenefitExpense
Direct Offsetting Revenue6238889DirectOffsettingRevenue
Net Community Benefit Expense5342464NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense153658479TotalCommunityBenefitExpense
Direct Offsetting Revenue112236202DirectOffsettingRevenue
Net Community Benefit Expense41422277NetCommunityBenefitExpense
Percent Of Total Expense0.04810PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5157373TotalCommunityBenefitExpense
Direct Offsetting Revenue993878DirectOffsettingRevenue
Net Community Benefit Expense4163495NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense10398416TotalCommunityBenefitExpense
Net Community Benefit Expense10398416NetCommunityBenefitExpense
Percent Of Total Expense0.01210PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense6482000TotalCommunityBenefitExpense
Direct Offsetting Revenue4161999DirectOffsettingRevenue
Net Community Benefit Expense2320001NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1058665TotalCommunityBenefitExpense
Net Community Benefit Expense1058665NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense23096454TotalCommunityBenefitExpense
Direct Offsetting Revenue5155877DirectOffsettingRevenue
Net Community Benefit Expense17940577NetCommunityBenefitExpense
Percent Of Total Expense0.02080PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense176754933TotalCommunityBenefitExpense
Direct Offsetting Revenue117392079DirectOffsettingRevenue
Net Community Benefit Expense59362854NetCommunityBenefitExpense
Percent Of Total Expense0.06890PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense82548TotalCommunityBuildingExpense
Net Community Building Expense82548NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense82548TotalCommunityBuildingExpense
Net Community Building Expense82548NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$18,729,306BadDebtExpenseAmount
Amount Reimbursed By Medicare108929596AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare179085503CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-70155907MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (11 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 Heart and Vascular ManagementLLC
Consulting Services on Heart & Vascular Service Lines.0.510000.49000
2 Idaho GynOncology ServicesLLC
Gynecology/Oncology Services0.50000
3 Idaho Cytogenetics LaboratoryLLC
Genetic Testing0.50000
4 St Luke's-Elks Rehabilitation ServicesLLC
Physical/Speech/Occupational Therapy Services0.50000
5 Wound Care and Hyperbaric Treatment CenterLLC
Wound Care Services0.90000
6 Southwest Idaho Community NetworkLLC
Group Purchasing-Drugs0.60670
7 SL Phys Realty-LouiseLLC
Medical Office Building0.86680
8 1500 ShorelineLLC
Administrative Office Building0.54730
9 3399 East Louise MOBLLC
Medical Office Building0.69840
10 Ortho Neuro ManagementLLC
Consulting Services on Ortho Neuro service lines.0.581800.41820
11 Medical Building Investment Group LLC
Medical Office Building0.64880
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Luke's Regional Medical CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1190 E BannockAddressLine1
CityBoiseCity
StateIDState
ZIP Code83712ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Childrens HospitalXChildrensHospital
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Luke's Regional Medical CenterBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent185.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent400.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Lowest Negotiated RatesXLowestNegotiatedRates
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities42NumberOfOtherFacilities

Other Facilities OtherFacilities (42 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Children's Specialty Center
100 E Idaho StBoiseID83712Various Specialty Peds Physician Clinics
St Luke's Clinic-Intermountain Ortho
600 W Robbins Rd Suite 100BoiseID83702Orthopedics/Rheumatology Physician Clinic
St Luke's Clinic-Intermountain Ortho
1109 W Myrtle StBoiseID83702Orthopedics-Physician Clinic
St Luke's Eagle Urgent Care
3101 E State StEagleID83616Urgent Care & Various Physician Specialty Clinics
St Luke's Imaging Center
703 S Americana BlvdBoiseID83702Imaging Services and Specialty Physician Clinics
Meadowlake Village MOB
3525 E Louise DrMeridianID83642Various Specialty Physician Clinics
Portico East
3399 E Louise DrBoiseID83642Surgical Group
St Luke's Nampa
9850 W St Lukes DriveNampaID83687Free Standing Emergency Department
St Luke's Clinics-Park Center
701 E Parkcenter BlvdBoiseID83706Various Specialty Physician Clinics
Anderson Plaza Medical Office Plaza
222 N 2nd StBoiseID83702Various Physician Clinics-Surgery
Idaho Professional Building
125 E Idaho StBoiseID83712Various Specialty Physician Clinics
St Luke's-Caldwell Urology
1620 S Kimball AveCaldwellID83605Urology-Physician Clinic
St Luke's Clinic-Fruitland General Surg
1210 NW 16th StFruitlandID83619Physician Clinic-Surgery
St Luke's Clinic-EOMA
3950 17th StSuite ABaker CityOR97814Family Medicine-Physician Clinic
St Luke's Clinic-Capital City Family
1520 W State St Suite 100BoiseID83702Family Medicine-Physician Clinic
St Luke's Family Health
3090 Gentry Way Suite 200MeridianID83642Family Medicine-Physician Clinic
St Luke's Clinic-Idaho Family Physician
130 E Boise AveBoiseID83706Family Medicine-Physician Clinic
St Luke's Family Health
12080 W McMillan RdBoiseID83713Family Medicine-Physician Clinic
St Luke's Mountain States Urology
510 N 2nd St Suite 103BoiseID83702Urology-Physician Clinic
St Luke's Idaho Cardiology Assoc
315 E Elm Suite 350CaldwellID83608Cardiology-Physician Clinic
St Luke's Medical Office Plaza
333 N 1st StreetBoiseID83702Surgery Center/Various Specialty Physician Clinics
St Luke's Clinic-Mt View Family Med
3301 N Sawgrass WayBoiseID83704Family Medicine-Physician Clinic
St Lukes's Treasure Valley Pediatrics
1620 S Celebration AveMeridianID83642Pediatric Physician Clinic
St Luke's Internal Medicine
4840 N Cloverdale RdBoiseID83713Internal Medicine-Physician Clinic
St Luke's Clinic-Idaho Endocrinology
403 S 11th St Suite 100BoiseID83702Endocrinology-Physician Clinic
St Luke's Family Health
2083 Hospitality LaneBoiseID83716Family Medicine-Physician Clinic
St Luke's Clinic-Warm Springs
100 E Warm Springs Ave Suite BBoiseID83712Physician Clinic-(Surgery)
St Luke's Clinic-Boise Heart
287 W Jefferson StBoiseID83702Cardiology-Physician Clinic
St Luke's Clinic-Family Medicine
3165 Greenhurst RdNampaID83686Family Medicine Physician Clinic
St Luke's Family Health
3140 W Milano Dr Suite 150MeridianID83646Family Medicine-Physician Clinic
St Luke's Clinic-Family Medicine
824 S Diamond StNampaID83686Family Medicine-Physician Clinic
St Lukes Clinic-Stark Medical
932 W Idaho Suite 100OntarioOR97914Family Medicine-Physician Clinic
St Lukes's Treasure Valley Pediatrics
450 W State StEagleID83616Pediatric Physician Clinic
St Luke's Clinic-OBGYN
300 Main St Suite 100BoiseID83702Obstetrics and Gynecology-Physician Clinic
St Luke's Clinic-Family Medicine
1107 NW 11th StFruitlandID83619Family Medicine-Physician Clinic
St Luke's Clinic-Syringa Family Med
2347 E Gala St Suite 150MeridianID83642Various Physician Clinics-Surgery
Jefferson Medical Office Plaza
300 E Jefferson StBoiseID83712Cardiology & Internal Medicine Physician Clinics
St Luke's Meridian MOB
520 S Eagle RoadMeridianID83642Various Specialty Physician Clinics
St Luke's Idaho Pulmonary Associates
2347 E Gala StMeridianID83642Pulmonary Physician Clinic
St Luke's Boise Orthopedic Surgery
1425 W River StreetBoiseID83702Orthopedic Surgery Center
St Luke's Idaho Cardiology Assoc
215 E HawaiiNampaID83687Cardiology-Physician Clinic
St Luke's Ref Lab & Central Laundry
3000 S Denver WayBoiseID83705Reference Lab and Central Laundry Facility

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 patients for other sources of coverage and eligibility in government programs. St. Luke's documents the results of each screening. If St. Luke's determines that a patient is potentially eligible for Medicaid or another government program, St. Luke's shall encourage the patient to apply for such a program and shall assist the patient in applying for benefits under such a program. 2. The patient must complete a Financial Assistance Application and provide required supporting documentation in order to be eligible. 3. St. Luke's verifies reported family income 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 Regional Medical Center, Ltd.(SLRMC) includes the activity of Mountain States Tumor Institute(MSTI) within its community benefit report since SLRMC is the sole member of MSTI.
Part I, Line 7: The cost to charge ratio was used for the calculation of charity care at cost,unreimbursed Medicaid and other means-tested programs.
Part I, L7 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. The amount of bad debt expense included in Form 990, Part IX, line 25 is $38,394,422.
Part II: St. Luke's Regional Medical Center, Ltd., in partnership with Saint Alphonsus Regional Medical Center(located in Boise,Idaho),provides forensic exams to sexual assault victims in the Treasure Valley through its Sexual Assault response team. These exams are often coordinated with various community programs, such as the Family Advocacy Center and Education Services(FACES)program,located in Boise,Idaho. In addition, St. Luke's provides financial and in-kind assistance to the following:Salvation Army ShelterNampa Family Shelter Free Notary Service for Paternity Affidavits: Data is submitted to the Idaho State Bureau of Vital Statistics.
Part III, Line 4: St. Luke's Regional Medical Center, Ltd. grants credit without collateral to its patients, most of whom are local residents and many of whom are insured under third-party agreements. The allowance for estimated uncollectible amounts is determined by analyzing both historical information(write-offs by payor classification), as well as current economic conditions.
Part III, Line 8: 100% of the shortfall in Medicare reimbursement is considered a community benefit.The source of the information is the Medicare Cost Report for fiscal year 2012. The amount is calculated by comparing the total Medicare apportioned costs(allowable costs) to reimbursements received during FY'12.
Part III, Line 9b: All subsidiaries within the St. Luke's Health System have policies in place to provide financial assistance to those who meet established criteria and need assistance in paying for the amounts billed for their provided health care services. In addition, the collection policies and practices in place within the St. Luke's Health System provide guidance to patients on how to apply for this assistance. Collection of amounts due may be pursued in cases where the patient is unable to qualify for charity care or financial assistance and the patient has the financial resources to pay for the billed amounts.
Part V, Section A: St. Luke's Regional Medical Center,Ltd., operates two hospitals located in Boise and Meridian. These hospitals operate under one facility license issued by the State of Idaho. The financial assistance, debt collection, emergency are policies addressed Part V-Section B, are applicable to both facilities.Also, located within the Meridian Hospital Complex are several provider-based physician clinics. The address for this location is:St. Luke's Meridian Medical Center520 S. Eagle RoadMeridian, Idaho 83642
The St. Luke's Health System hospital locations are in the process of completing their Community Health Needs Assessments, as required by Internal Revenue Code, Section 501(r). This assessment will be submitted to the IRS by September 30, 2013, which is the deadline for completion.Community Health Needs Assessment:Schedule H, Part V Section B
Part VI, Line 2: St. Luke's/MSTI determines community needs in three primary ways.First, we periodically conduct surveys covering the organization's primary service area of Ada and Canyon counties. The survey is randomly administered by a professional research company via telephone to heads of households. Sample sizes provide a margin of error of approximately +/-5%. In 2010, we added Gem, Payette, and Washington counties to the sample. Survey results are used as a development tool for our strategic planning process and to provide community perception,awareness,and anecdotal information about health needs in this community. The timing of the survey is significant as we reflect on our mission as the cornerstone of the organization and the strategies that will address the identified needs to support that mission. We also garner information from our constituents at various other times through focused surveys(written,telephone, or focus group) to address a specific organizational need related to community or hospital services. Secondarily, we analyze data provided through such agencies as Ada Planning Association(COMPASS), United Way, Kids Count, Blue Cross of Idaho, and the State of Idaho. These organizations report various socio-economic facts or identify key needs, which help to further develop the picture of health challenges and opportunities across our service area. Finally,we create forums comprised of people from different walks of life to dialogue about the health needs of the community and the opportunties to address those needs. These individuals range from the volunteers that provide an ongoing source of ambassadorship between St. Luke's and the community we serve, to the members of affiliated services(i.e., Humphreys Diabetes Center and the Family Medicine Residency of Idaho), to the leadership of affiliated medical facilities(i.e. McCall,Mountain Home,Gooding,Challis,Wood River, Stanley, and Weiser) and community support organizations(i.e. Healthy Community Access Program, The United Way, Central District Health Department, and Terry Reilly Health Services), to our formal and informal board leadership(Children's Advisory Board, Medical Center Board of Directors, Women's Forum, and Strategic Initiatives Committee), to our own staff who participate in a variety of health-related volunteer roles.
Part VI, Line 3: (A) St. Luke's Regional Medical Center provides notice of the availability of financial assistance via: 1. Signage 2. Patient brochure 3. Billing Statement 4. Written collection action letter 5. Online at www.stlukesonline.org/billing(B) All notices are translated into the following 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 Regional Medical Center(SLRMC) serves Idaho's Ada and Canyon Counties, with its secondary service area covering southwest and south central Idaho and Eastern Oregon. Certain tertiary areas routinely provide care to residents from throughout Idaho and into its surrounding states.SLRMC's primary service area includes Ada and Canyon counties and are used to define the community served. The criteria used in selecting this area was to include the entire population of the counties where greater than 70% of the inpatients reside. The residents of these counties comprise about 83% of the inpatients with approximately 64% of the inpatients living in Ada County and 19% in Canyon County. Ada and Canyon counties are part of Idaho Health Districts 3 and 4.Both Idaho and the service territory are comprised of about 95% white population while the nation as a whole is 72% white. The Hispanic population in Idaho represents 11% of the overall population and about 12% of the defined service area. Canyon County is approximately 24% Hispanic, and Ada County is 7% Hispanic.Idaho experienced a 21% increase in population from 2000 to 2010 ranking it as the fourth fastest growing state in the country. Ada and Canyon Counties followed that trend, experiencing an even more rapid 34% increase in population within the timeframe. The service area is expected to grow by over 20% again by the year 2020. St. Luke's Regional Medical Center is constantly working to manage the volume and scope of its services in order to meet the needs of an increasing population.Over the past ten years the 45 to 64 year old age group was the fastest growing segment of the community. Over the next ten years, however, the 65 years or older age group is expected to grow by over 50%, making it the fastest growing segment. Currently, about 11% of the people in the community are over the age of 65 and by 2020 about 13% of the population in the community is expected to be over the age of 65.The official United States poverty rate increased from 13.3% in 2005 to 15.3% in 2010. The service area poverty rate has increased more than the national average since 2005. In 2005 it was below the national average at 11% and by 2010 it was above the national average at 16%. The poverty rate in the community for children under the age of 18 is 19%,which is below the national average. However,Canyon County's poverty rate is above the national average for both adults and children.Median Income in the United States has risen by 8% since 2005. However,growth in income was slower in Idaho and in the service area during that period. Median income in Canyon County is well below the national median and slightly lower than Idaho's median income. Despite decreasing over the past five years, median income in Ada County is still slightly higher than the national median income.
Part VI, Line 5: The people who serve on the various boards for subsidiaries within the St. Lukes Health System are local citizens who have a vested interest in the health of their communities. These committed leaders volunteer on our boards because they are dedicated to ensuring that the people of southern Idaho and the surrounding area have access to the most advanced, most comprehensive health care possible. St. Luke's believes that locally owned and governed hospitals can take the best measure of community health care needs. We are grateful to our board leadership for giving generously of their time and talents and bringing to the table their unique perspectives and intimate knowledge of their communities. St. Luke's would not be the organization it is today without our volunteer board members. The vision of dedicated community leaders has guided St. Luke's for many decades, and will continue to guide us well into the future.As a not-for-profit organization, 100% of St. Luke's revenue after expenses is reinvested in the organization to serve the community in the form of staff,buildings, or new technology.Also, St. Luke's Regional Medical Center,Ltd.(SLRMC) maintains an open medical staff. Any physician can apply for practicing privileges as long as they meet the criteria of SLRMC.
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 the people in our region." Working together, we share resources, skills, and knowledge to provide the best possible care, no matter which of our hospitals 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 Physician Clinics --St. Luke's Nampa Emergency Department --St. Luke's Eagle Urgent Care (2) St. Luke's Wood River Medical Center,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)(4) St. Luke's McCall Hospital, 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 12 different locations in southwest Idaho and Eastern Oregon. Locations include Boise,Meridian, Nampa, Twin Falls, and Fruitland.(6) St. Luke's Humphreys Diabetes Center,Inc.(SLHDC)provides education in diabetes self-management and prevention to people with or at-risk for diabetes, their families and health care professionals. Trusted by over 600 Treasure Valley referring physicians, SLHDC provides services to more than 4,000 clients each year. Working with our experienced Certified Diabetes Educators, clients learn how to manage diet,exercise and medication to stay healthy and prevent complications such as heart attacks,strokes,blindness,kidney failure, and amputations. SLHDC programs are recognized by the American Diabetes Assocation. SLHDC also particpates in national research trials for both Type 1 and Type 2 diabetes. A community program of St. Luke's Health System, SLHDC is one of the largest free-standing diabetes centers in the United States.(7) St. Luke's Jerome Hospital,which consists of a critical access hospital located in Jerome,Idaho, as well as one physician clinic. 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 partners with other regional facilities through management service contracts. These partners include:(1) Challis Area Health Center(2) Elmore Medical Center(3) North Canyon Medical Center(4) Salmon River Clinic(5) Weiser Memorial Hospital
IDReports Filed With StatesPart VI, Line 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (20 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Boise State University
1910 University DriveBoiseID83725826010706501(c)(3)104850Multi-year commitment for nursing building and funds for nursing scholarships
Ada Canyon Medical Education Consortium
305 W JeffersonBoiseID83702841417388501(c)(3)50000Medical education for physicians, PA's and nurses for Ada County, City of Nampa and City of Wood River
YMCA - total donation
1050 W State StBoiseID83702820200908501(c)(3)42500Support the 2012 Strong Kids Campaign, Cancer Survivor Programs, Teen PHIT, Trim Kids and local Y-USA Diabetes Prevention Program
Idaho Stampede Community Foundation Inc
PO Box 6525BoiseID83707470881811501(c)(3)39850Sponsor the Idaho Stampede basketball team
Danny Thompson Memorial Fund
PO Box 232Sun ValleyID83353820341683501(c)(3)25000Provide funding for leukemia and cancer research
Chamber of Commerce - Boise Metro
PO BOX 2368BoiseID83701820100595501[c](6)30195General sponsorship opportunities
Family Advocacy Center & Education Services (FACES)
417 S 6th StBoiseID83702204883532501(c)(3)15000Funds will be used to support the Court Appointed Special Advocate (CASA) & Families First programs.
Women's and Children's Alliance
720 West WashingtonBoiseID83702820204464501(c)(3)12000Funds will be used to support programs of WCA, which provide safe shelter, education, opportunity and hope to women and children victimized by domestic and/or sexual violence and "Healing Begins with Hope" breakfast event
Nampa Harvest Festival Association Dba Snake River Stampede
POBox 231NampaID83653820148165501(c)(3)10000Funds will be used for awareness campaign and no-cost screen mammograms to women in Treasure Valley
Treasure Valley Community College Foundation
650 College Blvd Ontario OR 97914OntarioOR97914237052989501(c)(3)10000General sponsorship opportunities
Genesis World Mission Inc
215 West 35th Street Garden CityGarden CityID83714820505074501(c)(3)8000Funds will be used to help underwrite the costs of the Garden City Community Clinic & Volunteer Physicians Network
The Idaho Foodbank
PO Box 5601BoiseID83705820425400501(c)(3)6428Funds to help distribute free emergency food to individuals and families in need, support the Backpack program
United Way
2340 S VistaBoiseID83705820299013501(c)(3)6000General sponsorship opportunities for community health improvement
Idaho Alliance of Leaders In Nursing Inc
615 N 7th StreetBoiseID83701830408538501(c)(3)6000General sponsorship opportunities
Boys & Girls Club of Nampa Inc
316 Stampede DriveNampaID83687820504332501(c)(3)5800General sponsorship opportunities
March of Dimes
3222 W Overland RdBoiseID83705131846366501(c)(3)6500To improve health of babies by preventing birth defects, premature birth and infant mortality, March for Babies Boise, Nurse Awards and Blue Jean Ball
St Luke's Health Foundation Ltd
190 E BannockBoiseID83712810600973501(c)(3)1139448Cover operational needs for the foundation.
Family Medicine Residency of Idaho
777 N Raymond StBoiseID83712205934739501(c)(3)1858466Funds used to support the Family Residency Program in Idaho
Hands of Hope Northwest
1201 Powerline RdNampaID83686841398889501(c)(3)To provide durable medical equipment to people in need in the Treasure Valley549294FMVMedical equipment
City of Boise Planning
PO Box 500BoiseID83701826000165115150660Donation represents rent paid on behalf of the Allumbaugh House(operated by Terry Reilly). The Allumbaugh house delivers specialized mental and behavioral health care services.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants19TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: The organization endeavors to monitor its grants to ensure that such grants are used for proper purposes and not otherwise diverted from their intended use. This is accomplished by requesting recipient organizations to affirm that funds must be used solely in accordance with the grant request and budget on which the grant was based and that funds not expended for the stated purpose are to be returned to the organization. Reports are requested from time to time as deemed appropriate.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (16 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Alan Swajkoski MD
297841025000029496027892095330389762000
Leslie Nona MD
194654020857020927026928054860268852000
Mr Chris Roth
3557850004648901639601311104317810277050
Mr Jeffrey S Taylor
4329680005566806409701018505629180270690
Ms Kathy D Moore
25093300039345011613063120308203000
Ms Joanne T Clavelle
2436870004553901639601569103213130213190
Gregory G Janos MD
3272780003621011496075920349987000
Barton F Hill MD
3194500005559501639601678504082260144440
Marshall F Priest MD
33831801440840483790594110112950601487084640
Ronald M Kristensen MD
11080360458630334310498320516901242331000
Donald A Stritzke MD
9546050661902329902789201314401025559000
Darby Webb MD
914852070630333060460000511301006334000
Andrew Forbes MD
825209000397990678920162400949140000
Steven S Huerd MD
8476020003359706022805040941931000
MrGary L Fletcher
59070300030214404492800104790135260601056750
Ms Pamela H Bernard
1157380003953502627100741204253950105030

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1a
Part I, Line 3Part I, Line 3: Compensation for the organization's CEO is determined by St. Luke's Health System,Ltd.(System),sole member of St. Luke's Regional Medical Center,Ltd.(SLRMC). 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 SLRMC. 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 4bPart I, Line 4b: During CY'11, the following individual participated in a supplemental non-qualified executive retirement plan: SERP SERP-Gross Up Total Gary L. Fletcher $ 91,590 $ 66,323 $157,913
Part IIIPart II-Column (f) Explanation of Prior Compensation: Reportable compensation is based on the total amount paid during calendar year 2011,including current year payments of amounts reported in prior years as contributions to employee benefit plans and deferred compensation, together with investment earnings from those prior year contributions. As a result,certain amounts have been reported twice,both in prior years when earned or accrued,and again in the current year paid.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Idaho Health Facilities Authority
826051863451295TW92008-12-04126435101Capital Projects for Health Care Facilities000
Idaho Health Facilities Authority
826051863451295TX72009-03-04150000000Capital Projects for Health Care Facilities000
Idaho Health Facilities Authority
826051863451295VK22010-09-09210427891Current Refunding of Prior Issues000
Idaho Health Facilities Authority
826051863451295VM82012-07-1175896250Capital Projects for Health Care Facilities000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCredit EnhancementCreditEnhancementAmount UnspentAmountUnspent
230500012674545212643510141019911238994520080011
15050243585694114923611520110011409379
54900002104278911011
75878637578165000175300473

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001100.000000.000000.000001
001100.000000.000000.000001
001100.000000.000000.000001
001100.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
010000
000001
010000

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Schedule K Supplental InformationPart I: Bond Issues: Bond A: Proceeds from the sale of the 2008A Bonds will be used (1) to finance, refinance, or reimburse St. Luke's Health System, Ltd. for a portion of the costs of the acquisition, construction, renovation, improvement, remodeling, and equipping of health care facilities owned and operated by the operating group. (2) Fund a bond reserve in an amount equal to the bond reserve requirement, and (3) to pay certain costs of issuance of the bonds. Bond B: Proceeds for the sale of the 2009AB Bonds will be used (1) to finance, refinance, or reimburse St. Luke's Health System, Ltd. for a portion of the costs of the acquisition, construction, renovation, improvement, and equipping of health care facilities owned and operated by members of the Obligated Group, and (2) to pay certain costs for the issuance of the bonds. Bond D: Proceeds from the sale of the 2012A bonds will be used (1)to finance or reimburse St. Luke's Health System,Ltd. for a portion of the costs of the acquisition,construction,and installation of two new hospital facilities to be located in Nampa,ID and Fruitland,ID and to be owned and operated by members of the Obligated Group and (2) to pay certain costs of issuance of the bonds. Bond E: Proceeds to from the sale of the 2012B Bonds will be used (1)to finance, refinance or reimburse St. Luke's Health System,Ltd for a portion of the cost of the acquisition, construction, renovation, improvement, remodeling and equipping of health care facilities owned and operated by members of the Obligated Group and (2) to pay certain cost of issuance of the bonds. Part III. Line 3c. Bond counsel is engaged to review management and service contracts when we are planning and working on a new bond issuance.
Part I - Line B and DAdditional CUSIP #: Line B - 451295TX7, 451295TY5 Line D - 451295VM8, 451295VN6CUSIP #:
Part II-Line 3The difference between the issue price and bond proceeds for the bonds disclosed in columns(A) and (B) relate to investment earnings on proceeds held in construction funds held by the bond trustee prior to final disbursement.Difference Between Issue Price and Proceeds:

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1Idaho Health Facilities AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN826051863IssuerEIN
CUSIP NumberNONEAVAILCUSIPNumber
Date Issued2012-07-31DateIssued
Issue Price75000000IssuePrice
Description Of PurposeCapital Projects for Health Care FacilitiesDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired75000000AmountRetired
Capital Expenditures44787927CapitalExpenditures
Amount Unspent30212073AmountUnspent
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty1MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts1EngageBondCounselContracts
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
S-Sixteen Limited Partnership
Two Board Members have a family and/or business relationship with S-164600057St. Lukes Regional Medical Center leases property from three real estate LLCs, of which S-Sixteen is a member.0
Syringa Family MedicinePA
Board Member is a member of Syringa Family Medicine,P.A.150000Catherine Reynolds,M.D.,is a member of Syringa Family Medicine,PA. Compensation for Dr. Reynolds was paid to Syringa Family Medicine under a Professional Service Agreement.0
Idaho Power
Board Member is the CEO of Idaho Power.3726522St. Luke's Regional Medical Center purchases power from Idaho Power.0
Blue Cross of Idaho
Board member's spouse is on the Board of Directors for Blue Cross of Idaho318832799Blue Cross of Idaho is a major third party payer of St. Luke's Regional Medical Center, Ltd.0
Colliers Paragon dba Colliers International
Board Member is owner of Colliers Paragon.677493Colliers Paragon dba Colliers International provides property management services for St. Luke's Regional Medical Center, Ltd.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6St. Luke's Health System, Ltd. is the sole member of St. Luke's Regional Medical Center, Ltd.
Form 990, Part VI, Section A, line 7aSt. Luke's Health System, Ltd.(Member) and St. Luke's Regional Medical Center, Ltd.(Corporation)cooperatively select and employ the CEO of the Corporation. St. Luke's Health System, Ltd., is the sole member of the Corporation.
Form 990, Part VI, Section A, line 7bSt. Luke's Health System,Ltd.(Member) maintains approval and implementation authority over St. Luke's Regional Medical Center, Ltd.(Corporation). Actions requiring approval authority may be initiated by either the Corporation or its Member, but must be approved by both the Corporation (by action of its Board of Directors) and the Member. Actions requiring approval authority of the Member include: (a) Amendment to the Articles of Incorporation; (b) Amendment to the Bylaws of the Corporation; (c) Appointment of members of the Corporation's Board of Directors, other than ex officio directors; (d) Removal of an individual from the Corporation's Board of Directors if and when removal is requested by the Corporation's Board of Directors, which request may only be made if the Director is failing to meet the reasonable expectations for service on the Corporation's Board of Directors that are established by the Member and are uniform for the Corporation and for all of the other hospitals for which the Member then serves as the sole corporate member. (e) Approval of operating and capital budgets of the Corporation, and deviations to an approved budget over the amounts established from time to time by the Member; and (f) Approval of the strategic/tactical plans and goals and objectives of the Corporation. Implementation Authority means those actions which the Member may take without the approval or recommendation of the Corporation. This authority will not be utilized until there has been appropriate communication between the Member and the Corporation's Board of Directors and its Chief Executive Officer. Actions requiring implementation authority include: (a) Changes to the Statements of mission, philosophy, and values of the Corporation; (b) Removal of an individual from the Corporation's Board of Directors if and when the Member determines in good faith that the Director is failing to meet the Approved Board of Member Expectations. This authority to remove Directors shall not be used merely 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 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 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 11The Form 990 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. The final draft of the 990 is made available to the Finance Committee of the Board of Directors. The Board receives the final version of the Form prior to filing.
Form 990, Part VI, Section B, line 12cThe 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 excuse themselves from participating in the situation.
Form 990, Part VI, Section B, line 15Executive 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. Similar analysis is also completed by St. Luke's leadership for physicians and other health care specialties such as nurses and pharmacists. These surveys are usually done every two years,with the most recent compensation survey completed during calendar year 2012. 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 19Form 990, Part VI, Section C, Line 19: The organization's governing documents,conflict of interest policy,and financial statements are not available to the public. Form 990 is available for public inspection,which contains financial information.
Form 990 Part VII Section AThe total hours worked and compensation reported for Chris Roth, Jeffrey Taylor, Barton F. Hill, M.D., and Gary L. Fletcher, represent services rendered to the following organizations within the St. Luke's Health System: Chris Roth: St. Luke's Regional Medical Center,Ltd. Mountain States Tumor Institute,Inc. St. Luke's Health Foundation,Ltd. St. Luke's Humphreys Diabetes Center,Inc. Jeffrey S. Taylor: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. Mountain States Tumor Institute,Inc. St. Luke's Clinic Coordinated Care,Ltd. Bart Hill, M.D.: St. Luke's Regional Medical Center, Ltd. St. Luke's Health Foundation, Ltd. Gary L. Fletcher(Former CEO of St. Luke's Regional Medical Center, Ltd.;during FY'12, served as Chief Operating Officer for St. Luke's Health System, Ltd.): St. Luke's Health System, Ltd. St. Luke's Humphreys Diabetes Center, Inc. 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.Allocation of Compensation and Hours:
Form 990, Part XI, line 5:Net unrealized losses on investments: -431,426. Minimum Liability Adj.-Defined Benefit Plan -8,478,657. Transfer SERP Liability from SLRMC to SLHS 5,285,759. Distribution of Net Assets from SLHDC 783,577. Donations for Capital Expenditures 565,504. Prior Period Reclassifications -48,035,997. Total to Form 990, Part XI, Line 5: -50,311,240.Changes in Net Assets or Fund Balances:
Form 990 Part III-Statement of Program AccomplishmentsPlease note that the program expense amounts reported in Statement III-Statement of Program Accomplishments,do not include an allocation of certain administrative and functional support costs. These costs are classified as Management and General within Part IX-Statement of Functional Expenses.Program Expense:
Form 990 Part VI: Section C. Disclosure-Line 17St. Luke's Regional Medical Center,Ltd.(St. Luke's) owns and operates physician clinics located in Ontario,Oregon and Baker City,Oregon. Because of this presence, St. Luke's is registered with the Charitable Activities Section of the Oregon Department of Justice. On an annual basis,Oregon law requires that any organization registered within the Charitable Activities Section file "Form CT-12F For Foreign Charities." Since Form 990 for St. Luke's includes substantially the same information as required by form CT-12F,a public inspection copy of Form 990 for Fiscal Year 2012 will be included in this filing.States Requiring Form 990 Information-Oregon:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1St Luke's Clinic-Treasure ValleyLLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1190 E BannockAddressLine1
CityBoiseCity
StateIDState
ZIP Code83712ZIPCode
FieldValueIRS element (for citing)
EIN452716222EIN
Primary ActivitiesPhysician Clinic ServicesPrimaryActivities
Legal Domicile StateIDLegalDomicileState
Total Income-18033833TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1St Luke's Regional Medical CenterLtdBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
St Luke's Health System Ltd
190 E BannockBoiseID83712562570681Health Care ServicesID501(c)(3)11-3St Luke's Health SystemLtd0
Mountain States Tumor Institute
100 E IdahoBoiseID83712820295026Health Care ServicesID501(c)(3)3St Luke's Regional Medical CenterLTd1
St Luke's Wood River Medical CenterLtd
190 E BannockBoiseID83712841421665Health Care ServicesID501(c)(3)3St Luke's Health SystemLtd0
St Luke's Health FoundationLtd
190 E BannockBoiseID83712810600973Solicit DonationsID501(c)(3)7St Luke's Regional Medical CenterLTd1
St Luke's Magic Valley Regional Medical CenterLtd
801 Pole Line RoadTwin FallsID83301562570686Health Care ServicesID501(c)(3)3St Luke's Health SystemLtd0
St Luke's McCall Ltd
190 E BannockBoiseID83712273311774Health Care ServicesID501(c)(3)3St Luke's Health SystemLtd0
St Luke's Humphreys Diabetes CenterInc
1226 River StreetBoiseID83702820491110Diabetes Prev.-Self-Mgmt.ID501(c)(3)9St Luke's Regional Medical CenterLTd1
St Luke's Jerome Ltd
190 E BannockBoiseID83712820227163Health Care ServicesID501(c)(3)3St Luke's Magic Valley Regional Medical Center Ltd0
St Luke's Magic Valley Health FoundationInc
775 Pole Line RoadTwin FallsID83301820342863Solicit DonationsID501(c)(3)7St Luke's Magic Valley Regional Medical Center Ltd0
St Luke's Clinic Coordinated Care Ltd
190 E BannockBoiseID83712455195864Accountable Care OrganizationID501(c)(3)9St Luke's Health System Ltd0
St Luke's Regional Medical Center Auxiliary
190 E BannockBoiseID83702820255667Supporting OrganizationID501(c)(3)11-10N/A

Form990 Schedule R Part III Form990ScheduleRPartIII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
SL Phys Realty-LouiseLLC
190 E BannockBoiseID83712263731325Real Estate LeaseIDN/ARelated7362791144763110.87000
1500 ShorelineLLC
190 E BannockBoiseID83712270681501Real Estate LeaseIDN/ARelated291565939222110.55000
3399 East Louise MOBLLC
190 E BannockBoiseID83712270848198Real Estate LeaseIDN/ARelated4774701271448110.67000
Ortho-Neuro ManagementLLC
190 E BannockBoiseID83712264483076Mgmt. ConsultingIDN/ARelated12323932594844010.58000
Heart and Vascular ManagementLLC
190 E BannockBoiseID83712262486481Mgmt. ConsultingIDN/ARelated186281010.51000
Idaho GynOncology ServiceLLC
1055 N Curtis RdBoiseID83706202975807Health CareIDN/ARelated-10308650665010.50000
Idaho Cytogenetics LaboratoryLLC
190 E BannockBoiseID83712331012210Health CareIDN/ARelated5035-12205010.50000
St Luke's-Elk's Rehabilitation ServiceLLC
204 Fort Place PO BOX 1100BoiseID83701820503100Health CareIDN/ARelated5379832959605010.50000
Wound Care and Hyperbaric Treatment Center
600 N Robbins RoadBoiseID83702900288299Health CareIDN/ARelated4315894939799010.90000
Southwest Idaho Health Community NetworkLLC
PO Box 607BoiseID837010607820506533Group Purchasing-DrugsIDN/ARelated44347196010.62000
Medical Building Investment GroupLLC
PO Box 1271KetchumID83340263667995Real Estate Lease-See Schedule R-Supplemental DisclosuresIDN/ARelated010.64880

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Select Medical Network of IdahoIncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1190 E BannockAddressLine1
CityBoiseCity
StateIDState
ZIP Code83712ZIPCode
FieldValueIRS element (for citing)
EIN810594024EIN
Primary ActivityProvider NetworkPrimaryActivity
Legal Domicile StateIDLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA
Type Of EntityCTypeOfEntity
Share Of Total Income-286017ShareOfTotalIncome
Share Of EOY Assets216632ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
St Luke's Health FoundationLtd
B1139448Operating Loss Subsidy
St Luke's Health FoundationLtd
C993083Donations specified for SLRMC
Heart and Vascular ManagementLLC
O963591Per Mgmt. Agreement
Ortho Neuro
O3252069Per Mgmt. Agreement
SL Phys Realty-LouiseLLC
J1818922Per Master Lease Agreement
1500 ShorelineLLC
J1130652Per Master Lease Agreement
3399 East LouiseMOB-LLC
J1650482Per Master Lease Agreement
Mountain States Tumor Institute
N45653351Salaries & Wages Paid by SLRMC
St Luke's Health FoundationLtd
N543948Salaries & Wages Paid by SLRMC
Humphreys Diabetes CenterInc
N1387460Salaries & Wages Paid by SLRMC

Form990 Schedule R Part VII Form990ScheduleRPartVII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
St. Luke's Humphreys Diabetes Center, Inc.:Schedule R-Part II: Related Tax-Exempt OrganizationsDuring FY'12, St. Luke's Humphreys Diabetes Center,Inc.(SLHDC)operated as an independent 501(c)(3)entity. Effective 9/30/2012, the board of directors of SLHDC approved its formal dissolution. As a result of the dissolution, the assets and liabilities were transferred to its sole member, St. Luke's Regional Medical Center, Ltd.
Select Medical Network of Idaho:Form 990 Schedule R Part IV-Related Organizations Taxable as a CorporationSelect Medical Network of Idaho, Inc.(Select),was organized for the purpose of administering the contracting operations on behalf of participating health care providers within the Select Medical Network. The financial nature of the operation was an expense sharing agreement between the owners of Select,which included St. Luke's Regional Medical Center,Ltd.(SLRMC). In August-2010,SLRMC became the sole member of Select. Preparation of the tax return for the fiscal year ending December 31,2011(FY'11),is still in process as of the date of this filing. Therefore,the loss reported in Schedule R-Part II,column (f) is an estimate of expenditures incurred,which will be included within Select's FY'11 return.
Medical Building Investment Group, LLC:Form 990 Schedule R Part III-Related Organizations Taxable as a PartnershipDuring FY'12,St, Luke's Regional Medical Center,Ltd.(SLRMC) acquired a 64.88% majority interest in the Medical Building Investment Group,LLC(MBIG). Both MBIG and SLRMC are also members of SL Phys Realty-Louise,LLC, which is also disclosed in Schedule R, Part III. Since the K-1 Schedule for MBIG would not include SLRMC in CY'11, there are no amounts to report for SLRMC's share of income and assets.