2012-08-10T11:24:25-05:00 2011-09-30 Deloitte Tax LLP 225 W Santa Clara St San Jose CA 95113 990 2010-10-01 820161600 St Luke's Regional Medical Center STLU 2083813790 190 E Bannock Boise ID 83712 Pete DiDio 2083813790 2012-08-10 4087044000 2010 2016-02-24 21:20:13Z Chris Roth 190 E Bannock Boise ID 83712 861313377 0 X www.stlukesonline.org X 1906 ID HEALTH CARE SERVICES 21 15 7601 675 1722460 -353373 3173619 2865463 710752565 848076273 7463029 6531529 598138 381480 721987351 857854745 3404966 3969756 0 0 350828443 426023848 0 0 0 326155155 385937954 680388564 815931558 41598787 41923187 1107452302 1116285033 716538701 698634621 390913601 417650412 X Provide Health Care Services 0 0 602671468 3129308 618505059 Medical & Surgical:St. Luke's Regional Medical Center is comprised of two hospital campuses(Boise and Meridian), one urgent care center(Eagle), 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'11,St. Luke's Hospital locations in the Treasure Valley provided inpatient care for 30,553 admissions,covering 92,526 patient days. Also, the hospitals provided patient care associated with 615,660 outpatient visits. In addition to hospital patient care, the various physician clinics located in the Treasure Valley provided patient care asociated with 563,465 visits. 35902473 254032 50227181 St. 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'11: Pediatrics:Admissions 2,591Patient Days 8,336 Pediatric Intensive Care Unit:Admissions 409 Patient Days 1,995 62074433 586416 115946023 Heart & 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 14-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'11 the St. Luke's Cardiology Clinics had 39,990 visits. 35754491 55054014 Emergency and Transport 2077032 1975387 Management Services 6488241 4736140 Joint Ventures 1493097 627732 All Other 45812861 62393273 746461235 1 1 0 1 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 798 0 1 7601 1 0 0 0 0 0 0 0 0 0 0 X 21 15 0 0 0 0 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OR X Pete DiDio Vice-PresidentController 2083813790 190 E Bannock Boise ID 83712 X Mr J Patrick McMurray 5.00 X 0 0 0 Mr Michael M Mooney 4.00 X 0 0 0 Mr Jim Everett 4.00 X 0 0 0 Mr A J Balukoff 3.00 X 0 0 0 Mr Rich Raimondi 4.00 X 0 0 0 Ms Barbara L Wilson 3.00 X 0 0 0 Thomas J Coffman MD 3.00 X 48000 0 0 Thomas R Huntington MD 3.00 X 13211 0 0 Mr George Iliff 4.00 X 0 0 0 Mr John Jackson 3.00 X 0 0 0 Ms Carolyn Terteling- 3.00 X 0 0 0 Ms Cathy R Silek 3.00 X 0 0 0 Ms Gay Simplot 3.00 X 0 0 0 Bishop Brian Thom 3.00 X 0 0 0 Mr Charles H Wilson 3.00 X 0 0 0 Mr Herb Patriarche 3.00 X 0 0 0 Alan Swajkoski MD 3.00 X 36900 0 0 Ms Joy Kealey 3.00 X 0 0 0 Mr LaMont Keen 3.00 X 0 0 0 Catherine Reynolds MD 3.00 X 0 0 0 Mr Christopher Roth 40.00 X X 326043 0 32998 Mr Gary L Fletcher 40.00 X X 1006040 0 204008 Mr Jeffrey S Taylor 40.00 X 381970 0 47026 Ms Pamela H Bernard 40.00 X 233001 0 213855 Barton F Hill MD 40.00 X 306363 0 35035 Ms Joanne T Clavelle 40.00 X 265347 0 41643 Gregory G Janos MD 40.00 X 165367 0 8472 Donald K Stritzke MD 40.00 X 978571 0 43598 William A Jones MD 40.00 X 975078 0 39026 Karl P Undesser MD 40.00 X 936793 0 68629 Murali N Bathina MD 40.00 X 889147 0 47727 Larry A Tansey MD 40.00 X 848589 0 39614 7410420 0 821631 271 0 1 0 Emergency Medicine Of Idaho 13960 W Wainwright Suite A Boise ID 83713 Emergency Room Physicians 14990237 Idaho Family Physicians 130 E Boise Ave Boise ID 83706 Medical Services 2076923 Unity MedicalInc 923 South Bridgeway Place Boise ID 83616 Consulting 1983335 Woman's Clinic 100 E Idaho Ste 400 Boise ID 83702 Medical Services 1652319 Hummel Architects PLLC 2785 Bogus Basin Road Boise ID 83702 Architectural Services 963200 44 615515 2249948 2865463 Net Patient Revenue 900099 827712730 827712730 Outpatient Retail Rx 446110 3619054 2614317 1004737 Joint Venture Income 900099 2968602 2968602 VHA Coop Cash Distrib. 900099 1025750 1025750 12750137 12750137 848076273 -302039 -302039 6564427 6564427 3032312 3458632 -426320 -426320 -426320 269141 269141 269141 269141 LAUNDRY 812300 717723 717723 EMPLOYEE PARKING REV 900099 90077 90077 807800 857854745 847071536 1722460 6195286 3969756 3969756 3038863 3038863 339110172 304161715 34948457 24429349 21986414 2442935 39094313 35184882 3909431 20351151 18316036 2035115 32825695 31050694 1775001 3351121 18872 3332249 1889 1889 122297 122297 485661 485661 2272787 1960815 311972 2748284 381332 2366952 5641105 698389 4942716 12376275 12376275 8921170 8408749 512421 2067148 1611687 455461 14678024 14678024 49483074 49483074 2806638 2756122 50516 Supplies 143873283 142768667 1104616 Contract Services 33813457 29335801 4477656 Provision for Bad Debt 31894265 31894265 Repairs 11742296 11163940 578356 Patient Transport 4503110 4501070 2040 22330375 19144809 3185566 815931558 746461235 69470323 0 55726155 66485654 68329468 31429046 76142574 52143145 490727 490727 18764627 16867326 2922679 3795637 753346087 363917087 381080817 389429000 272097314 271684499 7722458 7615794 15918970 10774483 46594161 52679394 161662352 212890328 1107452302 1116285033 98747430 84256008 4493167 4394478 485832054 479023489 372515 1589062 127093535 129371584 716538701 698634621 X 390630409 417644164 283192 6248 390913601 417650412 1107452302 1116285033 X 41923187 -15186376 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 122297 122297 122297 122297 815809261 815809261 815931558 815931558 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 149583 168264 120363 122297 560507 250000 250000 250000 250000 1000000 1500000 24744852 22671189 47416041 16956050 413163232 168342868 261776414 5338393 907458 4430935 247992066 194666761 53325305 22480305 22480305 389429000 Def. Bond Finance Costs 7745610 Retention Bonus 376250 Physician Loans 933237 Executive Flex Plan 835580 Due From Related Organizations 202999651 212890328 Third Party Settlement 55170154 Benefit Plan Liabilities 68372234 Accrued Interest Payable-Bonds 5829196 129371584 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 30,2011, the Company had approximately $4,160 of UBTI Net Operating Losses from operating losses incurred from 1997 to 2011 which expire in years 2012 to 2026. 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." 1 1 X 1 X 400.000000000000 1 X 1 1 1 0 1 1 15262564 15262564 0.01950 103481838 86578279 16903559 0.02160 10097977 8217271 1880706 0.00240 128842379 94795550 34046829 0.04350 20905511 20905511 0.02670 10836966 530492 10306474 0.01310 5092820 2403644 2689176 0.00340 1279184 1279184 0.00160 38114481 2934136 35180345 0.04480 166956860 97729686 69227174 0.08830 76245 76245 0.00010 76245 76245 0.00010 0 16564396 0 113257787 158012185 -44754398 X 1 1 1 Heart and Vascular ManatgementLLC Consulting Services on Heart & Vascular Service Lines. 0.51000 0.49000 3 Idaho GynOncology Services Gynecology/Oncology Services 0.50000 4 Idaho Cytogenetics LaboratoryLLC Genetic Testing 0.50000 5 St Luke's-Elks Rehabilitation ServicesLLC Physical/Speech/Occupational Therapy Services 0.50000 6 Wound Care and Hyperbaric Treatment CenterLLC Wound Care Services 0.90000 8 Southwest Idaho Community NetworkLLC Group Purchasing-Drugs 0.60670 9 SL Phys Realty-LouiseLLC Medical Office Building 0.86680 10 1500 ShorelineLLC Administrative Office Building 0.54730 11 3399 East Louise MOBLLC Medical Office Building 0.69840 12 Ortho Neuro ManagementLLC Consulting Services on Ortho Neuro service lines. 0.58180 0.41820 2 1 St Luke's Regional Medical Center

190 E Bannock Boise ID 83712

X X X X 2 St Luke's Meridian Medical Center

520 S Eagle Road Meridian ID 83642

X X X St Luke's Regional Medical Center 1 St Luke's Meridian Medical Center 2 38 St Luke's Clinic-Intermountain Ortho

600 W Robbins Rd Suite 100 Boise ID 83702

Orthopedics/Rheumatology Physician Clinic St Luke's Clinic-Intermountain Ortho

1109 W Myrtle St Boise ID 83702

Orthopedics-Physician Clinic St Luke's Boise Orthopedic Surgery

1425 W River Street Boise ID 83702

Orthopedic Surgery Center St Luke's Surgery Center

333 N 1st Street Boise ID 83702

Surgery Center/Various Specialty Physician Clinics Children's Specialty Center

100 E Idaho St Boise ID 83712

Various Specialty Peds Physician Clinics Anderson Center

100 E Idaho St Boise ID 83712

Various Specialty Physician Clinics Jefferson Medical Office Plaza

300 E Jefferson St Boise ID 83712

Cardiology & Internal Medicine Physician Clinics St Luke's Meridian MOB

520 S Eagle Road Meridian ID 83642

Various Specialty Physician Clinics Meadowlake Village MOB

3525 E Louise Dr Meridian ID 83642

Various Specialty Physician Clinics St Luke's Imaging Center

703 S Americana Blvd Boise ID 83702

Imaging Services and Specialty Physician Clinics St Luke's Eagle Urgent Care

3101 E State St Eagle ID 83616

Urgent Care & Various Physician Specialty Clinics St Luke's Clinic-Idaho Family Physician

130 E Boise Ave Boise ID 83706

Family Medicine-Physician Clinic St Luke's Clinic-Capital City Family

1520 W State St Suite 100 Boise ID 83702

Family Medicine-Physician Clinic St Luke's Clinic-Mt View Family Med

3301 N Sawgrass Way Boise ID 83704

Family Medicine-Physician Clinic St Luke's Clinics-Park Center

701 E Parkcenter Blvd Boise ID 83706

Various Specialty Physician Clinics St Luke's Clinic-Syringa Family Med

2347 E Gala St Suite 150 Meridian ID 83642

Family Medicine-Physician Clinic St Luke's Idaho Pulmonary Associates

2347 E Gala St Meridian ID 83642

Pulmonary Physician Clinic St Luke's Internal Medicine

4840 N Cloverdale Rd Boise ID 83713

Internal Medicine-Physician Clinic St Luke's Family Health

12080 W McMillan Rd Boise ID 83713

Family Medicine-Physician Clinic St Luke's Family Health

3090 Gentry Way Suite 200 Meridian ID 83642

Family Medicine-Physician Clinic St Luke's Clinic-EOMA

3950 17th StSuite A Baker City OR 97814

Family Medicine-Physician Clinic St Luke's Clinic-Idaho Endocrinology

403 S 11th St Suite 100 Boise ID 83702

Endocrinology-Physician Clinic St Luke's Mountain States Urology

510 N 2nd St Suite 103 Boise ID 83702

Urology-Physician Clinic St Luke's Family Health

2083 Hospitality Lane Boise ID 83716

Family Medicine-Physician Clinic St Luke's Clinic-Boise Heart

287 W Jefferson St Boise ID 83702

Cardiology-Physician Clinic Anderson Plaza

222 N 2nd St Boise ID 83702

Various Physician Clinics-Surgery Idaho Professional Building

125 E Idaho St Boise ID 83712

Various Specialty Physician Clinics St Luke's Clinic-Fruitland General Surg

1210 NW 16th St Fruitland ID 83619

Physician Clinic-Surgery St Luke's Idaho Cardiology Assoc

315 E Elm Suite 350 Caldwell ID 83608

Cardiology-Physician Clinic St Luke's Idaho Cardiology Assoc

215 E Hawaii Nampa ID 83687

Cardiology-Physician Clinic St Luke's Family Health

3140 W Milano Dr Suite 150 Meridian ID 83646

Family Medicine-Physician Clinic St Luke's-Caldwell Urology

1620 S Kimball Ave Caldwell ID 83605

Urology-Physician Clinic St Luke's Clinic-Warm Springs

100 E Warm Springs Ave Suite B Boise ID 83712

Physician Clinic-(Surgery) St Lukes Clinic-Stark Medical

932 W Idaho Suite 100 Ontario OR 97914

Family Medicine-Physician Clinic St Luke's Clinic-Family Medicine

1107 NW 11th St Fruitland ID 83619

Family Medicine-Physician Clinic St Luke's Clinic-Family Medicine

824 S Diamond St Nampa ID 83686

Family Medicine-Physician Clinic St Luke's Clinic-OBGYN

300 Main St Suite 100 Boise ID 83702

Obstetrics and Gynecology-Physician Clinic St Luke's Ref Lab & Central Laundry

3000 S Denver Way Boise ID 83705

Reference Lab and Central Laundry Facility 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 will be considered only if the patient, driver, and/or owner of the motor vehicle had a motor vehicle liability policy and has properly submitted a claim for payment 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. Amount of bad debt expense included in Form 990, Part IX, line 25 is $31,894,265. Subsidized Health Services Amount Reported in FY'10: Form 990 Schedule H Part I,Line 7g For the FY'10 Form 990 report Schedule H, line 7g, $11,285,092 was reported as Subsidized Health Services. Upon further review,it has been determined that this amount should have been included in line 7e,"Community health improvement services and community benefit operations". Unreimbursed Medicaid Calculation Reported in FY'10: Form 990 Schedule H Line 7b For FY'10, the Unreimbursed Medicaid amount reported in Schedule H, Line 7b, was $2,367,270. Upon further review, it has been determined that the correct amount should have been $10,433,038. The proper disclosure for FY'10 on Schedule H, line 7b should be as follows:Total Community Benefit Expense $71,015,582Direct Offsetting Revenue $60,582,544Net Community Benefit Expense $10,433,038 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 2011. The amount is calculated by comparing the total Medicare apportioned costs(allowable costs) to the interim payments received during FY'11. Part III, Line 9b: All subsidiaries within the St. Luke's Health System have policies in place to provide financial assistance to those who meet established criteria and need assistance in paying for the amounts billed for their provided health care services. In addition, the collection policies and practices in place within the St. Luke's Health System provide guidance to patients on how to apply for this assistance. Collection of amounts due may be pursued in cases where the patient is unable to qualify for charity care or financial assistance and the patient has the financial resources to pay for the billed amounts. Part VI, Line 2: 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 patient care, 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 primary service area includes Idaho's Ada County, 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. Part VI, Line 6: 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 7: 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 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.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 Reports Filed With States Part VI, Line 7 ID 1 Boise State University 1910 University Drive Boise ID 83725 826010706 501(c)(3) 124650 Multi-year commitment for nursing building and funds for nursing scholarships St Luke's Health Foundation Ltd 190 E Bannock Boise ID 83712 810600973 501(c)(3) 1088681 Cover operational needs for the foundation. Family Medicine Residency of Idaho 777 N Raymond St Boise ID 83712 205934739 501(c)(3) 1608513 Funds used to support the Family Residency Program in Idaho YMCA 1050 W State St Boise ID 83702 820200908 501(c)(3) 50850 Fund YMCA community programs Chamber Of Commerce-Boise Metro PO Box 2368 Boise ID 83701 820100595 501(c)(6) 32195 General sponsorship opportunities Nampa Harvest Festival Association PO Box 231 Boise ID 83653 820148165 501(c)(3) 12500 Funds will be used for awareness campaign and no-cost screen mammograms to women in the Treasure Valley. Women's and Children's Alliance 720 West Washington Boise ID 83702 820204464 501(c)(3) 15000 Funds 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. Idaho Stampede Community Foundation Inc PO Box 6525 Boise ID 83707 470881811 501(c)(3) 7500 Funds will sponsor the Idaho Stampede basketball team. Epilepsy Foundation of Idaho 310 W Idaho Street Boise ID 83702 237160426 501(c)(3) 5000 Funds will be used to offset some medical expenses for patients who could not otherwise afford to pay for medications, testing and transportation to appts. Genesis World Mission Inc 215 West 35th Street Garden City ID 83714 820505074 501(c)(3) 10000 Funds will be used to help underwrite the costs of the Garden City Community Clinic & Volunteer Physicians' Network. Learning Lab Inc 715 S Capital 403 Boise ID 83702 820461933 501(c)(3) 5750 Funds will be used for the Lab's Families Health Month to teach families to improve their health and well being through increased health literacy and knowledge of nutrition and exercise. Ronald McDonald House Charities of Idaho Inc Golf Tournament C/O Cactus Petes Inc PO Box 508 Jackpot Nevada 89825 Jackpot NV 89825 943030996 501(c)(3) 5000 Funds will be used to "Share a Night" and offset the $10 nightly donations that families pay at the house. Boise Public Schools Foundation 8169 W Victory Rd Boise ID 83709 820400689 501(c)(3) 5000 Raise funds for innovative and motivating programs that enrich and add to the education of Boise School District students. Family Advocacy Center & Education Services (FACES) 417 S 6th St Boise ID 83702 204883532 501(c)(3) 15000 Funds will be used to support the Court Appointed Special Advocate (CASA) & Families First programs. Health Education & Leadership Program (HELP) 400 Lake Lowell Ave Nampa ID 83686 760720963 501(c)(3) 5000 Funds will be used to underwrite operational costs of the Garden City Community Clinic. The Idaho Foodbank PO Box 5601 Boise ID 83705 820425400 501(c)(3) 21127 Funds to help distribute free emergency food to individuals and families in need. March of Dimes 3222 W Overland Rd Boise ID 83705 131846366 501(c)(3) 10000 To improve the health of babies by preventing birth defects, premature birth and infant mortality. United Way 2340 S Vista Ave Boise ID 83705 820299013 501(c)(3) 8235 Mobilize the caring power of the community to improve lives. Ada Canyon Medical Education Consortium 305 W Jefferson Boise ID 83702 841417388 501(c)(3) 50000 Medical education for physicians, P.A.s and nurses for Ada County, City of Nampa and City of Caldwell. Boise Rescue Mission PO Box 1494 Boise ID 83701 820259387 501(c)(3) 5000 Funds will be used to help underwrite the costs of a banquet to support City Light Home for Women and Children's 10th anniversary. Danny Thompson Memorial Fund PO Box 232 Sun Valley ID 83353 820341683 501(c)(3) 25000 Provide funding for leukemia and cancer research. Hands of Hope Northwest 1201 Powerline Rd Nampa ID 83686 841398889 501(c)(3) 5000 532236 FMV Medical supplies Funds will be used to loan durable medical equipment to people in need in the Treasure Valley and medical supplies will be utilized by medical care professionals to provide care to patients. Hispanic Cultural Center of Idaho 315 Stampede Dr Nampa ID 83687 841403433 501(c)(3) 5000 Funds will be used for a health fair for the Latino community of Canyon County during Binational Health Week. John Butler Lung Foundation 722 E Harcourt Rd Boise ID 83702 820467602 501(c)(3) 10000 Provide funding for medical professionals education and research. Northwest Nazarene University Inc 623 Holly St Nampa ID 83686 820200907 501(c)(3) 30000 General sponsorship opportunities Regence Caring Foundation for Children 1211 W Myrtle Suite 110 Boise ID 83702 870490448 501(c)(3) 5000 Funds will be used to provide dental screenings & flouride applications to 400 low-income kids. 25 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule 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. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 Mr Christopher Roth 282149 0 0 0 43894 0 16396 0 16602 0 359041 0 26849 0 Mr Gary L Fletcher 477732 0 0 0 528308 0 192279 0 11729 0 1210048 0 185883 0 Mr Jeffrey S Taylor 328840 0 1194 0 51936 0 36336 0 10690 0 428996 0 25035 0 Ms Pamela H Bernard 180538 0 840 0 51623 0 202088 0 11767 0 446856 0 9938 0 Barton F Hill MD 261259 0 0 0 45104 0 16396 0 18639 0 341398 0 11236 0 Ms Joanne T Clavelle 220923 0 0 0 44424 0 16198 0 25445 0 306990 0 28645 0 Gregory G Janos MD 164535 0 0 0 832 0 0 0 8472 0 173839 0 0 0 Donald K Stritzke MD 955311 0 0 0 23260 0 27892 0 15706 0 1022169 0 0 0 William A Jones MD 929661 0 0 0 45417 0 27892 0 11134 0 1014104 0 0 0 Karl P Undesser MD 537049 0 322296 0 77448 0 46765 0 21864 0 1005422 0 37647 0 Murali N Bathina MD 540902 0 283905 0 64340 0 36578 0 11149 0 936874 0 30471 0 Larry A Tansey MD 795815 0 3091 0 49683 0 27892 0 11722 0 888203 0 0 0 Part I, Line 1a Part I, Line 1a: St. Luke's has agreed to directly or indirectly pay all taxes caused by the vesting of accruals of the adjusted benefit prior to termination of employment. The payment shall be made in a manner which results in the executive having no personal outlay for taxes resulting from or related to the adjusted benefit for any associated taxes. Part I, Line 4b Part I, Line 4b: The following executive participated in a supplemental non-qualified executive retirement plan: SERP Award SERP Gross-up Total Gary L. Fletcher $174,224 $126,162 $300,386 Also,during CY'10,the following retired executive received payment from a supplemental non-qualified executive retirement plan: William Bodnar Retired Vice-President $ 11,346 Supplemental Information Part III Part II-Column (f) Explanation of Prior Compensation: Reportable compensation is based on the total amount paid during calendar year 2010,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. Idaho Health Facilities Authority 826051863 451295TW9 2008-12-04 126435101 Capital Projects for Health Care Facilities 0 0 0 Idaho Health Facilities Authority 826051863 451295TX7 2009-03-04 150000000 Capital Projects for Health Care Facilities 0 0 0 Idaho Health Facilities Authority 826051863 451295VK2 2010-09-09 210427891 Current Refunding of Prior Issues 0 0 0 2305000 126745452 12643510 1410199 112389945 2008 0 0 1 1 150502435 856941 409379 149236115 2011 0 0 1 1 5490000 210427891 1 0 1 1 0 0 1 1 0 1 0 0 1 1 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 Schedule K Supplental Information Part I: Bond Issues: Bond Number 1: 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 Number 2: 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. 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 II-Line 3 Difference Between Issue Price and Proceeds: The 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. S-Sixteen Limited Partnership Board Member is parent of four members of S-Sixteen 2740034 St. Lukes Regional Medical Center leases property from two 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. 150000 Catherine 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 Form 990, Part VI, Section A, line 6 St. Luke's Health System, Ltd. is the sole member of St. Luke's Regional Medical Center, Ltd. Form 990, Part VI, Section A, line 7b St. 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 becuase there is a difference in business judgment between the Director and the Corporation or the Member, and shall never be used to remove one or more Directors from the Corporation's Board of Directors in order to change a decision made by the Corporation's Board of Directors; (c) Employment and termination of the Chief Executive Officer of the Corporation; (d) Appointment of the auditor for the Corporation and the coordination of the Corporation's annual audit; (e) Sales, lease, exchange, mortgage, pledge, creation of a security interest in or other disposition of real or personal property of the Corporation if such property has a fair market value in excess of a limit set from time to time by the Member and that is not otherwise contained in an Approved Budget; (f) Sale, merger, consolidation, change of membership, sale of all or substantially all of the assets of the corporation, or closure of any facility operated by the Corporation; (g) The dissolution of the Corporation; (h) Incurrence of debt by or for the Corporation in accordance with requirements established from time to time by the Member and that is not otherwise contained in an Approved Budget; and (i) Authority to establish policies to promote and develop an integrated, cohesive health care delivery system across all corporations for which the Member serves as the corporate member. Form 990, Part VI, Section B, line 11 The Form 990 is prepared 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 for review to the Chief Financial Officer and 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 12c The organization annually reviews the conflict of interest policy with each board member and also with new board members. Persons covered under the policy include officers, directors, senior executives, non-director members of Board committees and others as identified by a senior executive. At all levels the board is responsible for assessing, reviewing,and resolving any conflicts of interest that have been disclosed by a covered person,or a conflict of interest disclosed by a covered person with respect to a covered person other than himself/herself. Where a conflict exits,the affected parties must excuse themselves from participating in the situation. Form 990, Part VI, Section B, line 15 Executive compensation is set by St. Luke's boards of directors and is reviewed annually. Compensation levels are based on an independent analysis of comparable pay packages offered at similar institutions across the country, with the goal of placing executives in the 50th percentile of those surveyed. Similar analysis is also completed 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 2010. 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 To ensure physician compensation and benefits remain within industry standards and legal requirements for not-for-profit institutions, St. Luke's has a Physician Arrangements policy that specifies circumstances requiring a third-party valuation and also periodically uses third-party consulting firms to review St. Luke's physician compensation arrangements. Given the growing national shortage of physicians, recruiting and retaining physicians is more critical than ever to guarantee that people seeking care at St. Luke's will continue to have access to the physicians and specialists they need regardless of their insurance status or insurance provider. Form 990, Part VI, Section C, line 19 Form 990, Part VI, Section C, Line 19: The organization's governing documents,conflict of interest policy,and financial statements are not available to the public. Form 990 is available for public inspection,which contains financial information. Allocation of Compensation and Hours: Form 990 Part VII Section A The total hours worked and compensation reported for Gary Fletcher,Jeffrey Taylor,Chris Roth and Bart Hill represent services rendered to the following organizations within the St. Luke's Health System: Gary L. Fletcher: St. Luke's Health System, Ltd. 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. 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. Bart Hill,M.D.: St. Luke's Regional Medical Center,Ltd. St. Luke's Health Foundation,Ltd. Also,it should be noted that the hours reported for the 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -1,650,640. Minimum Liability Adj.-Defined Benefit Plan -12,047,772. Minimum Liability Adj.-Supplemental Non-Qual. Retirement Plan -1,487,964. Total to Form 990, Part XI, Line 5: -15,186,376. Change in Principal Officer: Form 990 Part I-F: Principal Officer Effective August 1,2011,Chris Roth succeeded Gary Fletcher as CEO for St. Luke's Regional Medical Center,Ltd.,Mountain States Tumor Institute,Inc., St. Luke's Health Foundation,Ltd.,and St. Luke's Humphreys Diabetes Center, Inc. Prior to his appointment,Chris served as Chief Operating Officer for St. Luke's Regional Medical Center,Ltd. Also,effective August 1,2011,Gary Fletcher assumed the role of Chief Operating Officer for St. Luke's Health System,Ltd. Program Expense: Form 990 Part III-Statement of Program Accomplishments Please 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. States Requiring Form 990 Information-Oregon: Form 990 Part VI: Section C. Disclosure-Line 17 St. 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 2011 will be included in this filing. St Luke's Clinic-Treasure ValleyLLC 190 E Bannock Boise ID 83712 452716222 Physician Clinic Services ID 0 0 St Luke's Regional Medical CenterLtd St Luke's Health System Ltd 190 E Bannock Boise ID 83712 562570681 Health Care Services ID 501(c)(3) 11-3 St Luke's Health SystemLtd 0 Mountain States Tumor Institute 100 E Idaho Boise ID 83712 820295026 Health Care Services ID 501(c)(3) 3 St Luke's Regional Medical CenterLTd 1 St Luke's Wood River Medical CenterLtd 190 E Bannock Boise ID 83712 841421665 Health Care Services ID 501(c)(3) 3 St Luke's Health SystemLtd 0 St Luke's Health FoundationLtd 190 E Bannock Boise ID 83712 810600973 Solicit Donations ID 501(c)(3) 7 St Luke's Regional Medical CenterLTd 1 St Luke's Magic Valley Regional Medical CenterLtd 801 Pole Line Road Twin Falls ID 83301 562570686 Health Care Services ID 501(c)(3) 3 St Luke's Health SystemLtd 0 St Luke's McCall Ltd 190 E Bannock Boise ID 83712 273311774 Health Care Services ID 501(c)(3) 3 St Luke's Health SystemLtd 0 St Luke's Humphreys Diabetes CenterInc 1226 River Street Boise ID 83702 820491110 Diabetes Prev.-Self-Mgmt. ID 501(c)(3) 9 St Luke's Regional Medical CenterLTd 1 St Luke's Regional Medical Center Auxiliary 190 E Bannock Boise ID 83702 820255667 Supporting Organization ID 501(c)(3) 11-1 0 SL Phys Realty-LouiseLLC 190 E Bannock Boise ID 83712 263731325 Real Estate Lease ID N/A Related 695304 950365 1 1 0.87000 1500 ShorelineLLC 190 E Bannock Boise ID 83712 270681501 Real Estate Lease ID N/A Related 276664 873539 1 1 0.55000 3399 East Louise MOBLLC 190 E Bannock Boise ID 83712 270848198 Real Estate Lease ID N/A Related 442203 1144706 1 1 0.67000 Ortho-Neuro ManagementLLC 190 E Bannock Boise ID 83712 264483076 Mgmt. Consulting ID N/A Related 1010982 2096080 0 1 0.58000 Heart and Vascular ManagementLLC 190 E Bannock Boise ID 83712 262486481 Mgmt. Consulting ID N/A Related 658024 604825 0 1 0.51000 Idaho GynOncology ServiceLLC 1055 N Curtis Rd Boise ID 83706 202975807 Health Care ID N/A Related -88716 87751 0 1 0.50000 Idaho Cytogenetics LaboratoryLLC 190 E Bannock Boise ID 83712 331012210 Health Care ID N/A Related -10859 -17240 0 1 0.50000 St Luke's-Elk's Rehabilitation ServiceLLC 204 Fort Place PO BOX 1100 Boise ID 83701 820503100 Health Care ID N/A Related 341317 3155538 0 1 0.50000 Wound Care and Hyperbaric Treatment Center 600 N Robbins Road Boise ID 83702 900288299 Health Care ID N/A Related 743386 4319747 0 1 0.90000 Southwest Idaho Health Community NetworkLLC PO Box 607 Boise ID 837010607 820506533 Group Purchasing-Drugs ID N/A Related 1742 2762 0 1 0.62000 Select Medical Network of IdahoInc 190 E Bannock Boise ID 83712 810594024 Provider Network ID N/A C -51932 1.00000 0 1 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 St Luke's Health FoundationLtd B 1088681 Operating Loss Subsidy St Luke's Health FoundationLtd C 615515 Donations specified for SLRMC Heart and Vascular ManagementLLC O 1967000 Per Mgmt. Agreement Ortho Neuro O 3105375 Per Mgmt. Agreement SL Phys Realty-LouiseLLC J 1783257 Per Master Lease Agreement 1500 ShorelineLLC J 1113943 Per Master Lease Agreement 3399 East LouiseMOB-LLC J 1626091 Per Master Lease Agreement Mountain States Tumor Institute N 39509013 Salaries & Wages Paid by SLRMC St Luke's Health FoundationLtd N 617453 Salaries & Wages Paid by SLRMC Humphreys Diabetes CenterInc N 434104 Salaries & Wages Paid by SLRMC St. Luke's Clinic-Treasure Valley,LLC: Form 990 Schedule R Part I-Disregarded Entity During FY'11,a new legal entity,St. Luke's Clinic-Treasure Valley,LLC,was created for the purpose of billing the professional component for all physician clinics owned and operated by St. Luke's Regional Medical Center, Ltd. The billing under this new entity will commence upon implementation of the new Epic patient accounts receivable software,which is scheduled to occur in FY'12. Since no billing activity occurred during FY'11,there is no financial information being reported in Schedule R for this new entity. Select Medical Network of Idaho: Form 990 Schedule R Part II-Related Organizations Taxable as a Corporation Select 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,since the majority of the other members had been acquired by SLRMC. Preparation of the tax return for the fiscal year ending December 31,2010(FY'10),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'10 return.