2014-04-09T13:44:20-05:00 2013-05-31 DINGUS ZARECOR & ASSOCIATES 12015 E MAIN STE A SPOKANE VALLEY WA 99206 990 2012-06-01 820302317 IDAHO ELKS REHABILITATION HOSPITAL INC IDAH 2083432583 600 N ROBBINS ROAD BOISE ID 83702 MELISSA HONSINGER 2083432583 2014-04-08 true THOMAS DINGUS 5092420874 2014-04-09 2012 2015-11-30 17:44:51Z ELKS REHAB SYSTEM MELISSA HONSINGER CEO 600 N ROBBINS ROAD BOISE ID 83702 29048404 false X WWW.IDAHOELKSREHAB.ORG X 1947 ID REHABILITATION SERVICES TO THE PHYSICALLY CHALLENGED PERSONS THROUGHOUT IDAHO AND 11 NEIGHBORING STATES. 11 9 825 150 0 498916 472311 32515096 25212459 414599 160345 1285861 1721897 34714472 27567012 0 0 21747652 22858300 0 189146 11998785 11837773 33746437 34696073 968035 -7129061 73932560 63751046 25667884 24696062 48264676 39054984 X REHABILITATION SERVICES TO THE PHYSICALLY CHALLENGED PERSONS THROUGHOUT IDAHO AND 11 NEIGHBORING STATES. false false 24876996 25782814 IDAHO ELKS REHABILITATION HOSPITAL, INC. (IERH) IS THE NORTHWEST'S PREMIER PROVIDER OF REHABILITATION SERVICES. SINCE 1947, OUR THERAPY SERVICES HAVE GIVEN PEOPLE WITH STROKE, TRAUMATIC BRAIN INJURY, ORTHOPEDIC DISORDERS, SPINAL CORD INJURIES OR OTHER ILLNESSES THE CHANCE TO LIVE LIFE TO ITS FULLEST. OUR TEAM OF BOARD MEMBERS, PHYSICIANS, NEUROPSYCHOLOGISTS, PHYSICAL, OCCUPATIONAL, RECREATIONAL, RESPIRATORY, AND SPEECH THERAPISTS, NURSES, SOCIAL WORKERS, CLINICAL NUTRITIONISTS, PHARMACY AND OTHER STAFF CHALLENGE OUR PATIENTS TO REACH THEIR HIGHEST GOALS. FAMILIES ARE SUPPORTED WITH COMPASSION AND EDUCATION TO MOVE TOWARD RECOVERY. DURING FISCAL YEAR ENDED MAY 31, 2013, IERH PROVIDED 12,735 INPATIENT DAYS OF PATIENT CARE AND 176,462 TOTAL TREATMENTS FOR PHYSICAL THERAPY, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND AUDIOLOGY. IERH PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES TO THOSE PATIENTS WHO ARE POOR AND QUALIFY UNDER THE IERH CHARITY CARE POLICY. NET PATIENT SERVICE REVENUES ARE REFLECTED NET OF CHARITY CARE. CHARGES FOREGONE UNDER THE IERH CHARITY CARE POLICY TOTALED 298,539 DURING FISCAL YEAR ENDED MAY 31, 2013. 24876996 true true false true false false false false false true true false false true true true false false false false false false false false false false true true false false true true false false false false false false false false false true false false false false false true true true false false true 35 0 true 825 true false false false false false false false false false false X 11 9 false true false false false true true true true false false true true true true true true true true false OR X X MELISSA HONSINGER 2084894662 600 N ROBBINS ROAD BOISE ID 83702 X CHARLES SCHMOEGER 1.00 X 0 0 0 PHILLIP OBERRECHT 1.00 X X 0 0 0 JOHN EVANS 1.00 X 0 0 0 MEL RODRIGUES 1.00 X 0 0 0 TOM CALL DO 1.00 X 0 0 0 JOHN HERMAN 1.00 X X 0 0 0 AARON KNIGHT 1.00 X X 0 0 0 KEITH MILLS 1.00 X 0 0 0 J CURTIS NEELY 1.00 X 0 0 0 KEVIN POOR 1.00 X 0 0 0 ROBERT SHAW 1.00 X 0 0 0 JOSEPH P CAROSELLI 50.00 2.00 X 218584 0 56756 DOUGLAS LEWIS 50.00 4.00 X 45450 0 7978 TIM POWERS 25.00 X 0 0 0 LEE KORNFIELD MD 40.00 X 269662 0 27303 MARK WEINROBE MD 40.00 X 225305 0 26473 MARIAN SHAW MD 40.00 X 172070 0 15556 CYNTHIA STEVENSON 40.00 X 145192 0 2855 MICHAEL STURMAK 40.00 X 123339 0 10259 1199602 147180 8 false true true MOVEMENT DISORDER CONSULTANTS 1592 N WATSON WAY EAGLE ID 83616 MEDICAL SERVICE 251663 FARLEY OBERRECHT HARWOOD & BURKE PO BOX 1271 BOISE ID 83701 LEGAL SERVICES 125900 2 472311 472311 NET PATIENT SERVICE REVENUE 624100 22541842 22541842 CONTRACTED SERVICES 624100 1546548 1546548 MEALS ON WHEELS 624210 1124069 1124069 25212459 115716 115716 1316723 1316723 1316723 1316723 1522486 3535 1481392 41094 3535 44629 44629 CAFETERIA 900099 190338 190338 FOOD CARAVAN 900099 131089 131089 OTHER REVENUE 900099 55318 55318 28429 28429 405174 27567012 25212459 1882242 334780 334780 19008516 13713864 5199323 95329 336122 238301 96164 1657 986989 699748 282377 4864 2191893 1553992 627099 10802 135873 135873 84450 84450 206570 206570 3061100 1399908 1653392 7800 46295 438 45857 1725539 1126144 588037 11358 32379 32379 1111570 997847 113723 91989 49212 39526 3251 74559 47630 26539 390 436182 391557 44625 1574163 1074434 493041 6688 23261 18970 4291 MEDICAL SUPPLIES & DRUGS 2450798 2450798 DSH ASSESSMENT FEES 366000 366000 COLLECTION FEES 147784 147784 REPAIRS & MAINTENANCE 103669 83427 20242 165592 665164 -500722 1150 34696073 24876996 9629931 189146 8306 74685 1377332 656500 14347240 7653687 468886 649251 247628 312950 41291990 19128785 23317074 22163205 21068832 22288668 3660816 2630688 200000 200000 9236446 7121412 73932560 63751046 3624495 5102204 9279349 8658986 12764040 10934872 25667884 24696062 X 47513952 38304260 431742 431742 318982 318982 48264676 39054984 73932560 63751046 -7129061 2539873 -4620504 X false false false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 13000 13000 false SCHEDULE C, PART II-B, LINE 1 IERH PAYS MEMERSHIP DUES TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS. THE ASSOCIATIONS USE A PORTION OF SUCH DUES TO CARRY OUT LOBBYING ACTIVITIES. 2332024 250745 2582769 2438646 -24803 81819 2332024 2325111 207537 94002 2438646 2216234 220641 111764 2325111 2353713 14522 152001 2216234 0.87600 0.12400 false false 2143787 2143787 29221994 11827261 17394733 9101939 6548456 2553483 824270 753068 71202 22163205 DUE FROM JOINT VENTURES 5557779 OTHER RECEIVABLES 619510 CASH SURRENDER VALUE OF LIFE INSURAN 550265 INSURANCE SETTLEMENT 252088 BOND ISSUANCE COSTS 141770 7121412 DUE TO JOINT VENTURES 9633054 THIRD PARTY SETTLEMENTS 1049730 INSURANCE SETTLEMENT 252088 10934872 X INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 THE IERH PERMANENTLY RESTRICTED ENDOWMENT CONSISTS OF A FUND ESTABLISHED BY A DONOR FOR THE PURPOSES OF EDUCATION. THE IERH BOARD DESIGNATED ENDOWMENT CONSISTS OF A FUND ESTABLISHED FOR THE PURPOSES OF PROVIDING CHARITY CARE TO THOSE THAT ARE ELIGIBLE. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X IERH IS ORGANIZED AS A NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE HOSPITAL IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE HOSPITAL IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSE. THE IERH HAS DETERMINED IT IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. IERH BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. IERH WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. FEDERAL FORM 990-T FILINGS ARE NO LONGER SUBJECT TO FEDERAL TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2010. true true true X true X true true false false 217933 217933 0.00630 2677663 2677663 0.07720 2895596 2895596 0.08350 37010 30645 6365 0.00020 37010 30645 6365 0.00020 2932606 30645 2901961 0.08360 true 549812 7464191 10113567 -2649376 X true true CENTER FOR WOUND CAR REHABILITATION SERVICES 0.10000 ST LUKE'S IDAHO ELK REHABILITATION SERVICES 0.50000 1 1 IDAHO ELKS REHABILIATION HOSPITAL

600 N ROBBINS ROAD BOISE ID 83702

X INPATIENT REHAB FACILITY IDAHO ELKS REHABILIATION HOSPITAL 1 true X X X X X X X X X X 12 true true true X X X X X X X true false true true 100.0 true 200.0 true X X X X X X true true X X X true false X false X X false false OTHER TESTING METHODS FOR FREE OR DISCOUNTED CARE PART I LINE 3C DURING FISCAL YEAR 2013 PATIENTS WHOSE INCOME IS EQUAL TO OR LESS THAN 200 OF THE FPG WERE ELIGIBLE FOR AN ELIMINATION OR A REDUCTION OF CHARGES ON A SLIDING FEE SCHEDULE PATIENTS MAY BE GRANTED CHARITY BASED ON THE FOLLOWING SLIDING FEE SCHEDULE A 20 OF THE BALANCE ASSIGNED TO CHARITY FOR THOSE BETWEEN 151 AND 200 OF THE FEDERAL POVERTY LEVEL FPL B 40 OF THE BALANCE ASSIGNED TO CHARITY FOR THOSE BETWEEN 101 AND 150 OF THE FEDERAL POVERTY LEVEL FPL C 100 OF THE BALANCE FOR THOSE BELOW 100 OF THE FEDERAL POVERTY LEVEL FPL COSTING METHODOLOGY EXPLANATION PART I LINE 7 CHARITY CARE WAS CONVERTED TO COST BY MULTIPLYING THE RATIO OF COST TO GROSS CHARGES FOR THE IERH BY THE GROSS UNCOMPENSATED CHARGES THE OVERALL HOSPITAL RATIO OF PATIENT CARE COST TO CHARGES WAS USED TO CALCULATE THE COSTS FOR UNREIMBURSED MEDICAID COMMUNITY HEALTH IMPROVEMENT SERVICES AND RESEARCH WERE CALCULATED USING ACTUAL COSTS WITH ACTUAL OVERHEAD ALLOCATIONS BASED ON THE MEDICARE COST REPORT BAD DEBT EXPENSE EXPLANATION PART III LINE 4 THE BAD DEBT EXPENSE REPRESENTS THE UNCOLLECTED PORTION OF THE PATIENT ACCOUNT ANY DISCOUNTS WOULD BE TREATED AS A REDUCTION IN REVENUE ALL FORMS OF PAYMENT INCLUDING SELFPAY INSURANCE CONTRACTUAL ALLOWANCES AND DISCOUNTS REDUCE THE PATIENTS ACCOUNT PRIOR TO THE ACCOUNT BEING CLASSIFIED AS BAD DEBT A PAYMENT RECEIVED ON AN ACCOUNT PREVIOUSLY WRITTEN OFF AS BAD DEBT REDUCES BAD DEBT EXPENSE IERH REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE MANAGEMENT ASSOCIATION STATEMENT NO 15 THEREFORE NO BAD DEBT IS CONSIDERED TO BE ATTRIBUTABLE TO PATIENTS THAT ARE ELIGIBLE UNDER THE CHARITY CARE POLICY AS A COMMUNITY BENEFIT FINANCIAL STATEMENT FOOTNOTE THE CARRYING AMOUNT OF PATIENT RECEIVABLES IS REDUCED BY A VALUATION ALLOWANCE THAT REFLECTS MANAGEMENTS ESTIMATE OF AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS AND THIRDPARTY PAYORS MANAGEMENT REVIEWS PATIENT RECEIVABLES BY PAYOR CLASS AND APPLIES PERCENTAGES TO DETERMINE ESTIMATED AMOUNTS THAT WILL NOT BE COLLECTED FROM THIRD PARTIES UNDER CONTRACTUAL AGREEMENTS AND AMOUNTS THAT WILL NOT BE COLLECTED FROM PATIENTS DUE TO BAD DEBTS MANAGEMENT CONSIDERED HISTORICAL WRITE OFF AND RECOVERY INFORMATION IN DETERMINING THE ESTIMATED BAD DEBT PROVISION ACCOUNTS DEEMED UNCOLLECTABLE AND ALL PRIVATE PAY BALANCES OVER 180 DAYS OVERDUE ARE CHARGED AGAINST THIS ALLOWANCE MEDICARE EXPLANATION PART III LINE 8 IERH REPORTS THE FULL VALUE OF THE MEDICARE SHORTFALL AS A COMMUNITY BENEFIT THE RATIONALE FOR THIS TREATMENT IS CONSISTENT WITH THE AMERICAN HOSPITAL ASSOCIATIONS POSITION THAT PROVIDING CARE TO MEDICARE PATIENTS IS AN ESSENTIAL PART OF THE COMMUNITY BENEFIT STANDARD MEDICARE LIKE MEDICAID DOES NOT PAY THE FULL COST OF CARE MANY MEDICARE BENEFICIARIES ARE POOR AND ELIGIBLE FOR MEDICAID COVERAGE IN ADDITION TO MEDICARE MEDICARE UNDER PAYMENT IS A COST THAT IERH MUST COVER IN ORDER TO CONTINUE TREATMENT THE ELDERLY AND POOR IN THE COMMUNITY WE SERVE THE COSTING METHODOLOGY IS BASED ON THE ACTUAL MEDICARE ALLOWABLE COST REPORTED ON THE IERH MEDICARE COST REPORT THIS METHODOLOGY WAS CONSISTENT WITH THE GUIDELINES AND INSTRUCTIONS PROVIDED BY THE CENTERS FOR MEDICARE SERVICES CMS FOR THE FILED COST REPORT FISCAL YEAR ENDING MAY 31 2013 COLLECTION PRACTICES EXPLANATION PART III LINE 9B IERH DOES NOT PROVIDE EMERGENCY CARE ALL SERVICES ARE CONSIDERED ELECTIVE PROCEDURES AS SUCH IERH PREAPPROVES ALL PATIENTS BEFORE THE MEDICAL SERVICES ARE PROVIDED DURING THE PREAPPROVAL PROCESS PATIENTS ARE IDENTIFIED AS POSSIBLY QUALIFYING FOR FINANCIAL ASSISTANCE AT THAT TIME DATA IS GATHERED FOR EVALUATION IN THE EVENT THE PATIENT REFUSES TO PROVIDE DATA SUCH AS INCOME AND ASSETS THEY ARE AUTOMATICALLY DISQUALIFIED FROM FINANCIAL ASSISTANCE UNTIL SUCH INFORMATION IS PROVIDED PATIENTS WHOSE PERSONAL FINANCIAL POSITION FALLS WITHIN THE SCOPE OF QUALIFYING FOR THE CHARITY CARE ARE CONSIDERED ELIGIBLE AND THE RESPECTIVE AMOUNTS ARE APPLIED TO CHARITY CARE IF A PATIENT FALLS WITHIN THE SCOPE OF DISCOUNTED CARE A TWELVE MONTH PAYMENT PLAN IS OFFERED FOR THE UNPAID PORTION PATIENTS THAT ARE UNABLE TO PAY THEIR BALANCE WITHIN THE TWELVE MONTHS ARE ELIGIBLE FOR A LONG TERM PAYMENT PLAN OF 60 MONTHS NEEDS ASSESSMENT PART VI THE COMMUNITY NEEDS ASSESSMENT AS DESCRIBED IN PART V SERVES AS THE BASE FOR DETERMINING REHABILITATIVE HEALTH NEEDS ADDITIONALLY IERH CONDUCTS SATISFACTION SURVEYS AND FOCUS GROUPS TO BETTER MEET THE ONGOING NEEDS OF THE PEOPLE WE SERVE THE MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY AND COMMUNITY HEALTH NEEDS ASSESSMENT CAN BE FOUND AT THE FOLLOWING URL HTTPWWWIDAHOELKSREHABORGPDF2011COMMUNITYASSESSMENTPDF PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI PATIENTS ARE REFERRED TO IERH FOR REHABILITATION SERVICES AND WHEN A PHYSICIAN DETERMINED THAT THE PATIENT HAS REHABILITATION NEEDS AND COULD BENEFIT FROM IERH SERVICES DURING THE ADMISSION PROCESS WHEN IT IS DETERMINED THAT THE PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE THE ADMISSIONS LIAISON INITIATES THE FINANCIAL ASSISTANCE PROCESS 1 COORDINATES ELIGIBILITY AND APPROVAL PROCESS FOR UNCOMPENSATED CARE 2 PROVIDE A COPY OF THE POLICY AND A SUMMARY THEREOF AND FINANCIAL ASSISTANCE STATEMENT TO BE COMPLETED BY PATIENT AS PART OF THE INTAKE PROCESS 3 DISCUSSES WITH THE PATIENT THE AVAILABILITY OF VARIOUS GOVERNMENT BENEFITS SUCH AS MEDICAID OR STATE PROGRAMS AND ASSISTS THE PATIENT WITH QUALIFICATIONS FOR SUCH PROGRAMS WHERE APPLICABLE IERH USES A CONTINUOUS APPROACH FROM ADMISSION THROUGH BILLING FOR QUALIFICATION FOR FINANCIAL ASSISTANCE CHANGING PATIENT CONDITIONS SUCH AS INABILITY TO WORK LOSS OF INSURANCE COVERAGE OR UNANTICIPATED LARGE MEDICAL BILLS MAY RESULT IN THE PATIENT QUALIFYING FOR FINANCIAL ASSISTANCE AFTER THE INITIAL FINANCIAL ASSISTANCE APPLICATION IERH USES FINANCIAL COUNSELORS TO ASSIST ALL PATIENTS IN QUALIFICATION FOR ASSISTANCE PROGRAMS THIS ENSURES THAT ALL PATIENTS HAVE ACCESS TO QUALITY HEALTH CARE SERVICES WITHOUT DISCRIMINATION BASED ON THE ABILITY TO PAY COMMUNITY INFORMATION PART VI IERH PROVIDES INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO PEOPLE WHO HAVE A PHYSICAL DISABILITY THAT CAN BENEFIT FROM REHABILITATION SERVICES THE PRIMARY SERVICE AREA IS BOISE ID AND SURROUNDING COMMUNITIES GENERALLY KNOWN AS THE TREASURY VALLEY IERH CONSISTS OF ONE INPATIENT REHABILITATION FACILITY 1 OUTPATIENT WOUND CARE AND HYPERBARIC TREATMENT CENTER AND 4 OUTPATIENT HEARING AND BALANCE CENTERS IERH ALSO PROVIDES OUTPATIENT REHABILITATION SERVICES AT 1 WOUND CENTER AND MORE THAN 20 ADULT AND CHILDREN THERAPY CLINICS THAT ARE JOINTLY OWNED THROUGH A PARTNERSHIP WITH ST LUKES REGIONAL MEDICAL CENTER THE PRIMARY SERVICE REGION OF ADA AND CANYON COUNTIES CONSISTS OF A POPULATION OF APPROXIMATELY 531288 FOR 2010 THE AVERAGE INCOME FOR ADA AND CANYON COUNTY IS 39734 AND 23575 RESPECTIVELY AND THE PERCENT OF THE POPULATION THAT FALL BELOW THE FEDERAL POVERTY GUIDELINES IS 134 AND 201 RESPECTIVELY IERH IS COMMITTED TO SERVING REHABILITATION PATIENTS REGARDLESS OF THEIR ABILITY TO PAY APPROXIMATELY 80 OF FY 2012 INPATIENT ADMISSIONS WERE MEDICAID RECIPIENTS AND 70 WERE COVERED BY MEDICARE 137 OF ALL SERVICES WERE PROVIDED TO MEDICAID RECIPIENTS AND 510 OF ALL SERVICES WERE PROVIDED TO MEDICARE RECIPIENTS HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI THE BOARD OF DIRECTORS ARE INDEPENDENT PERSONS NOT EMPLOYEES AND RESIDE IN THE IERH PRIMARY SERVICE AREA IERH EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY THE SURPLUS FUNDS ARE APPLIED TO IMPROVE PATIENT CARE MEDICAL EDUCATION AND RESEARCH IERH SUPPORTS MANY COMMUNITY EVENTS THROUGH SPONSORSHIPS DONATIONS AND PROVIDING HUNDREDS OF VOLUNTEERS FOR NEIGHBORHOOD CAUSES MEALS ON WHEELS IERH IS THE ONLY PROVIDER OF MEALS ON WHEELS IN THE BOISE COMMUNITY MEALS ON WHEELS PROVIDES NUTRITIOUS MEALS TO THE ELDERLY THERE ARE KNOWN HEALTH CONSEQUENCES OF FOOD INSECURITY AMONG THE ELDERLY WITHOUT THE MEALS ON WHEELS PROGRAM THESE INDIVIDUALS ARE MORE LIKELY TO BE IN POOR OR FAIR HEALTH AND MORE LIKELY TO HAVE LIMITATIONS IN DAILY LIVING PROVIDING THE MEALS PROVIDES A DIRECT IMPACT ON THESE INDIVIDUALS HEALTH IDAHO WHEELCHAIR CAMP IN 1988 THE IDAHO YOUTH WHEELCHAIR SPORTS CAMP IYWSC BEGAN SPONSORED BY IERH AND BOISE PARKS AND RECREATION DEPARTMENT IT WAS ESTABLISHED TO PROVIDE RECREATIONAL ATHLETIC AND COMPETITIVE OPPORTUNITIES FOR YOUTH IT IS DESIGNED FOR YOUNG PEOPLE USING WHEELCHAIRS OR OTHER ASSISTIVE DEVICES IE CRUTCHES WALKERS AND BRACES SINCE ITS INCEPTION THE IYWSC HAS PROVIDED A VARIETY OF EXPERIENCES FOR OVER 325 YOUNG ATHLETES FROM IDAHO OREGON UTAH AND WASHINGTON EACH ATHLETE IS PAIRED WITH A VOLUNTEER TO ASSIST AND SUPPORT AS NEEDED AMERICAN HEART ASSOCIATION HEART WALK THE TREASURE VALLEY START HEART WALK IS AN ANNUAL EVENT DESIGNED TO BRING PUBLIC AWARENESS OF PHYSICAL ACTIVITY AND HEARTHEALTHY LIFESTYLES AND RAISE CRITICAL DOLLARS TO FUND THE LIFESAVING MISSION OF THE AMERICAN HEART ASSOCIATION WALKERS FROM ALL OVER THE TREASURE VALLEY STEP OUT TO SUPPORT THE FIGHT AGAINST OUR NATIONS LEADING CAUSE OF DEATH HEART DISEASE HEALTH FAIRS ELKS REHAB HOSPITAL PARTICIPATES IN MANY FREE HEALTH FAIRS IN IDAHO AND OREGON WE PROVIDE FREE SCREENINGS AND COMMUNITY INFORMATION FOR A VARIETY OF ISSUES SUCH AS O CERTIFIED THERAPY DOG SERVICES FOR PATIENTS O ELKS HEALTH CHECK PROGRAMS GROUP SCREENS HELD IN LOCAL SENIOR CENTERSRETIREMENT HOMES FOR STROKE BALANCE HEARING DIABETIC FOOT ULCERS MEDICATIONS AND ORTHOPEDIC ISSUES O PHYSICAL THERAPY SERVICES TO THE UNINSURED POPULATION OF BOISE THROUGH THE FRIENDSHIP CLINIC O IERH VOLUNTEERS FOR THE ADVENTURE PROGRAM TO PROVIDE ACCESS TO OUTDOOR ACTIVITIES FOR THOSE WITH DISABILITIES EMPLOYEE ENGAGEMENT IERH EMPLOYEES ARE INVOLVED IN THE COMMUNITY IERH SUPPORTS A NUMBER OF COMMUNITY EVENTS INCLUDING O SPONSOR OF THE ELITE WHEELCHAIR RACERS IN ST LUKES WOMENS FITNESS CELEBRATION O SPONSOR OF AMERICAN HEART ASSOCIATION GO RED FOR WOMEN O SPONSORED FOOD DRIVE FOR IDAHO FOOD BANK O PROVIDED RESPIRATORY THERAPY SERVICES FOR THE IRONMAN RACE BOISE IDAHO O PARTICIPATED IN UNITED WAY OF THE TREASURE VALLEY CAMPAIGN O PARTICIPATED IN MS WALK O PRESENTED AND CURATED THE 3RD ANNUAL CREATIVE HEALING ART EXHIBIT RESEARCH EXPENSES CONSIST OF COSTS FROM STUDYING THE EFFECTS OF DRUG DEVELOPMENTS ON PATIENTS WITH MOVEMENT DISORDERS RELATED TO HUNTINGTONS AND PARKINSONS DISEASE THE INFORMATION IS DOCUMENTED AND MADE AVAILABLE TO THE PUBLIC ADDITIONAL INFORMATION PART VI IN REGARDS TO SCHEDULE H PART V SECTION C THE HOSPITAL HAS FIVE HOSPITAL BASED FACILITIES THAT ASSIST IN PROVIDING REHABILITATION SERVICES THROUGHOUT THE AREA THESE FIVE FACILITIES ARE TREATED AS DEPARTMENTS OF THE HOSPITAL FOR MEDICARE COST REPORT PURPOSES AND THE PATIENTS ARE ELIGIBLE UNDER THE HOSPITALS CHARITY CARE POLICY IDAHO ELKS REHABILIATION HOSPITAL LINE NUMBER 1 PART V LINE 3 PART V LINE 3 REPRESENTATIVES OF TREASURE VALLEY UNITED WAY BOISE STATE UNIVERSITY UTAH FOUNDATION AND UNITED WAY OF SALT LAKE LEAD THE COMMUNITY HEALTH NEEDS ASSESSMENT MOST RECENTLY CONDUCTED IDAHO ELKS REHABILIATION HOSPITAL LINE NUMBER 1 PART V LINE 4 PART V LINE 4 THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN CONJUNCTION WITH SAINT ALPHONSUS REGIONAL MEDICAL CENTER AND ST LUKES HEALTH SYSTEM IDAHO ELKS REHABILIATION HOSPITAL LINE NUMBER 1 PART V LINE 14G PART V LINE 14G IERH PROVIDES NOTICE OF AVAILABILITY OF FINANCIAL ASSISTANCE VIA SIGNS POSTED IN WAITING ROOMS AND ADMISSION OFFICE IN THE BILLING INVOICES AND ON THEIR WEBSITE IDAHO ELKS REHABILIATION HOSPITAL LINE NUMBER 1 PART V LINE 20D PART V LINE 20D IERH APPLIES THE SLIDING FEE DISCOUNT DIRECTLY TO THE GROSS CHARGES X X false true false false false false false false false JOSEPH P CAROSELLI 218584 48726 8030 275340 TIM POWERS LEE KORNFIELD MD 269662 20783 6520 296965 MARK WEINROBE MD 225305 20659 5814 251778 MARIAN SHAW MD 172070 15556 187626 SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS SCHEDULE J, PAGE 1, PART I, LINE 4 JOSEPH P. CAROSELLI 0 27,200 0 OTHER ADDITIONAL INFORMATION SCHEDULE J, PART III SCHEDULE J, PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN JOSEPH P. CAROSELLI, CEO PARTICIPIATED IN A SUPPLEMENTAL NONQUALIFIED 457(F) RETIREMENT PLAN. A IDAHO HEALTH FACILITIES AUTHORITY 826051863 2009-11-01 10480000 CURRENT REFUNDING OF PRIOR ISSUE false true false A 10287924 10375400 87476 true false true true A false false false false 0.03000 0.03000 true false false false A false false true false false false false false true A true JOHN EVANS BOARD MEMBER CEO OF BANK false PHILLIP OBERRECHT BOARD MEMBER 125900 PARTNER IN LAW FIRM false FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A OF PATIENT CARE AND 176,462 TOTAL TREATMENTS FOR PHYSICAL THERAPY, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, AND AUDIOLOGY. IERH PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES TO THOSE PATIENTS WHO ARE POOR AND QUALIFY UNDER THE IERH CHARITY CARE POLICY. NET PATIENT SERVICE REVENUES ARE REFLECTED NET OF CHARITY CARE. CHARGES FOREGONE UNDER THE IERH CHARITY CARE POLICY TOTALED 298,539 DURING FISCAL YEAR ENDED MAY 31, 2013. ADDITIONAL INFORMATION FORM 990, PART VI THE EXECUTIVE COMMITTEE CONSISTS OF SIX BOARD MEMBERS AND THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS OF THE ORGANIZATION BETWEEN MEETINGS OF THE BOARD. MANAGEMENT DELEGATED FORM 990, PAGE 6, PART VI, LINE 3 THE HOSPITAL UTILIZED AN EMPLOYEE OF NORTH CANYON MEDICAL CENTER, INC. FOR ITS INTERIM CFO FOR 4 MONTHS OF THE FISCAL YEAR. ELECTION OF MEMBERS AND THEIR RIGHTS FORM 990, PAGE 6, PART VI, LINE 7A THE IDAHO STATE ELKS ASSOCIATION IS THE MEMBER OF THE CORPORATION. THE PRESIDENT OF THE IDAHO STATE ELKS ASSOCIATION APPOINTS THE IDAHO ELKS REHABILITATION HOSPITAL, INC. BOARD MEMBERS. DECISIONS SUBJECT TO APPROVAL OF MEMBERS FORM 990, PAGE 6, PART VI, LINE 7B IERH MAY NOT BUY, SELL, OR DISPOSE OF ANY REAL PROPERTY WITHOUT THE APPROVAL OF THE IDAHO STATE ELKS ASSOCIATION. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 FORM 990, PAGE 6, PART VI, LINE 11B IERH EXECUTIVE MANAGEMENT REVIEWS A DRAFT FORM 990 FOR ACCURACY AND COMPLETENESS. AFTER THE EXECUTIVE MANAGEMENT REVIEW, THE FORM 990 IS DELIVERED ELECTRONICALLY TO EACH BOARD MEMBER. AT THE BOARD MEETING PRECEDING SUBMISSION OF THE FORM 990, EXECUTIVE MANAGEMENT RESPONDS TO ALL BOARD MEMBER REQUESTS FOR CLARIFICATION. THE FORM 990 IS THEN SUBMITTED. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ALL EMPLOYEES, OFFICERS, BOARD MEMBERS AND ELKS ASSOCIATION TRUSTEE REPRESENTATIVES ARE REQUIRED TO MAKE PROMPT AND FULL DISCLOSURE IN WRITING TO THE COMPLIANCE OFFICER OR EXECUTIVE MANAGEMENT OF ANY SITUATION WHICH MAY VIOLATE THE CONFLICTS OF INTEREST SECTION CONTAINED IN THE IERH BUSINESS ETHICS POLICY. WITHOUT PRIOR WRITTEN APPROVAL, EMPLOYEES, OFFICERS, BOARD MEMBERS AND TRUSTEES MAY NOT PARTICIPATE IN A JOINT VENTURE, PARTNERSHIP OR OTHER BUSINESS ARRANGEMENT WITH THE ORGANIZATION. IF A CONFLICT EXISTS THE BOARD MEMBER IS REQUIRED TO LEAVE THE ROOM DURING DELIBERATION AND VOTING ON THE ISSUE. COMPENSATION PROCESS FOR TOP OFFICIAL FORM 990, PAGE 6, PART VI, LINE 15A COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS USING ANNUAL PERFORMANCE REVIEW INCLUDING THE IHA CEO SALARY SURVEY AND OTHER PERTINENT SURVEYS. THIS DELIBERATION IS DOCUMENTED IN THE BOARD MINUTES. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THE CHIEF EXECUTIVE OFFICER REVIEWS PERFORMANCE EVALUATIONS FOR THE CHIEF FINANCIAL OFFICER. COMPENSATION IS DETERMINED BASED ON PERFORMANCE EVALUATIONS AND COMPENSATION SURVEYS FOR THE BOISE, IDAHO AREA. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. RELATED ORGANIZATIONS FORM 990, PAGE 7, PART VII INDIVIDUALS DEVOTE TIME TO THE RELATED ORGANIZATIONS AS FOLLOWS: JOSEPH P. CAROSELLI: ST. LUKE'S IDAHO ELKS REHABILITATION 1.0 HOURS PER WEEK CENTER FOR WOUND CARE AND HYPERBARIC TREATMENT 1.0 HOURS PER WEEK DOUGLAS B. LEWIS: ST. LUKE'S IDAHO ELKS REHABILITATION 2.0 HOURS PER WEEK CENTER FOR WOUND CARE AND HYPERBARIC TREATMENT 2.0 HOURS PER WEEK IDAHO ELKS REHABILIATION CHARITABLE TRUST 600 NORTH ROBBINS ROAD BOISE ID 83701 936196367 SUPPORTING ID 501C3 11A IDAHO ELKS REHABILIATION HOSPITAL INC true CENTER FOR WOUND CARE & HYPERBARIC TREATMENT 204 FORT PLACE BOISE ID 83701 900288299 REHABILITA ID IDAHO ELKS REHABILIATION HOSPITAL INC RELATED 15041 768149 false true 0.10000 ST LUKE'S IDAHO ELKS 600 N ROBBINS ROAD BOISE ID 83702 820503100 REHABILITA ID IDAHO ELKS REHABILIATION HOSPITAL RELATED -547559 3197759 false true 0.50000 false false false false false false false false false true false false false false true false true false false ST LUKE'S IDAHO ELKS REHABILIATION J 269304 GENERAL LEDGER ST LUKE'S IDAHO ELKS REHABILIATION O 8362900 GENERAL LEDGER ST LUKE'S IDAHO ELKS REHABILIATION Q 5443896 GENERAL LEDGER CENTER FOR WOUND CARE & HYPERBARIC TREATMENT J 130320 GENERAL LEDGER CENTER FOR WOUND CARE & HYPERBARIC TREATMENT O 2037841 GENERAL LEDGER CENTER FOR WOUND CARE & HYPERBARIC TREATMENT Q 1171046 GENERAL LEDGER