2024-08-15T08:40:45-05:00 2023-09-30 861065772 Deloitte Tax LLP 111 Monument Circle Suite 4200 Indianapolis IN 46204 990 2022-10-01 820161600 St Luke's Regional Medical Center Ltd STLU 2083812222 190 E Bannock Boise ID 83712 Pete DiDio SVP/CFO/Treasurer 2083812222 2024-08-15 1 0 Shawna M Jansons P01222873 3174648600 2022 2024-08-08 14:25:15Z Chris Roth 190 E Bannock Boise ID 83712 4735118528 0 X www.stlukesonline.org X 1906 ID Provide healthcare services to the community. 16 13 0 951 8123420 0 24932367 28747593 2090267485 2397056362 4657745 23808387 8410425 9858108 2128268022 2459470450 3806924 4095990 0 0 0 0 0 0 0 2100406677 2368790242 2104213601 2372886232 24054421 86584218 2271369638 2685695558 1146169471 1420828669 1125200167 1264866889 X To improve the health of people in the communities we serve. 0 0 459136826 0 967476541 Medical & Surgical:St. Luke's Regional Medical Center is comprised of three hospital campuses (Boise, Meridian, and Mountain Home), two urgent care centers (Eagle and Fruitland), a free-standing emergency department in Fruitland, and physician clinics throughout the Treasure Valley. St. Luke's Boise/Meridian: Founded in 1902, St. Luke's Boise Medical Center in downtown Boise is our main tertiary hospital and the home of St. Luke's Children's Hospital. St. Luke's Meridian Medical Center is a full-service community hospital with the busiest emergency department in the state. St. Luke's Boise and Meridian Medical Centers, St. Luke's cancer centers, and all St. Luke's physician clinics in the Treasure Valley have received Magnet recognition, the gold standard for nursing excellence.St. Luke's Elmore:St. Luke's Elmore Medical Center became integrated with St. Luke's Health System in 2013. The former Elmore Medical Center is a 25-bed critical access hospital founded in 1955 to serve the city of Mountain Home and the surrounding communities. The hospital provides 24-hour emergency services, lab and imaging services, family birthing suites, inpatient acute care, outpatient clinics and services, respiratory therapy, and a long-term care unit. During FY2023, St. Luke's hospital locations in the Treasure Valley provided inpatient care for 24,388 admissions, covering 113,931 patient days. Also, the hospitals provided patient care associated with 375,349 outpatient visits. In addition to hospital patient care, the various physician clinics located in the Treasure Valley provided patient care associated with 1,432,940 visits.St. Luke's Heart: More cardiovascular procedures are performed at St. Luke's than at any other hospital in Idaho. In 1968, the first open heart surgery in Idaho was performed at St. Luke's Boise, and for decades, specially trained doctors, nurses, technicians, pharmacists, and respiratory therapists have been providing care for heart and vascular patients throughout the region. Patient outcomes at St. Luke's are in the top 5% in the U.S., a testament to the skill and dedication of our physicians and heart and vascular teams as well as our state-of-the-art technology, advanced research, and commitment to prevention, education, recovery and rehabilitation. St. Luke's Children's Hospital/Specialty Center:St. Luke's Children's Services and Children's Hospital serve more than 104,000 babies, kids, and teens each year. St. Luke's is Idaho's only children's hospital. Patients are routinely referred to St. Luke's from a multi-state region for a variety of services including cardiology care, cancer treatment, surgery, orthopedics, neurology, neurosurgery, newborn intensive care, pediatric intensive care and rare infectious diseases. More than 140 skilled pediatricians and pediatric specialists work with referring physicians from around the region to provide high quality care for our young patients. They are joined in this effort by a staff of over 400 nurses, therapists, and other dedicated pediatric caregivers.During FY2023 the Children's Hospital experienced the following patient volumes:Pediatrics:- Admissions 5,357- Patient Days 14,781Pediatric Intensive Care Unit:- Admissions 440- Patient Days 16,414 295457019 0 259947377 Pharmacy:St. Luke's Regional Medical Center provides retail pharmacy in Boise and Meridan, as well as specialty pharmacy. The St. Luke's outpatient pharmacies have experienced significant growth in recent years. St. Luke's also offers curbside pickup options at the Boise and Meridian hospitals. In recent years, St. Luke's partnered with regional grocery retailer WinCo Foods to offer 24/7 prescription lockers for community members. St. Luke's also offers the "Meds to Beds" program where St. Luke's team members provide outpatient prescriptions to patients at the Boise and Meridian hospitals before they discharge, allowing more after-hours prescriptions to be filled immediately instead of the next day. 198080139 0 311644754 Oncology:St. Luke's Cancer InstituteIdaho's first cancer center opened at St. Luke's in 1969. Then called Mountain States Tumor Institute (MSTI), it moved into its own building in 1971 and served patients for 50 years before changing its name to St. Luke's Cancer Institute in 2019. As the region's largest provider of cancer services, St. Luke's brings advanced care to thousands of patients every year from five cancer centers in Boise, Fruitland, Meridian, Nampa, and Twin Falls. It also provides infusion and other cancer-related services at rural hospitals and clinics in its service area and offers mammography and breast care services at 13 centers and a mobile mammography coach. St. Luke's Cancer Institute is a nationally recognized leader in cancer research and home to Idaho's only children's cancer treatment center, only federally sponsored center for hemophilia and only blood cancer center. 1156669771 4095990 857987690 Other services including (but not limited to):primary care, ortho/neuro, heart, emergency services, rehab, lab, acute care, women's, children's, home care, behavorial health, hospice, research and telehealth.Overall, program service dollars reported in Fiscal Year 2023 did not change from prior years. However, methodology was refined in Fiscal Year 2023 to provide more specific information related to the programs that the entity is providing. Other program services include all other services that would have previously been reported in lines 4a, b & c. 1156669771 4095990 857987690 2109343755 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 0 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 16 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X X Jared Grant System Controller 2083812222 190 E Bannock Boise ID 83712 X Chris Roth President & System CEO 2.00 50.00 X X 0 1586822 48290 Andy Scoggin Chair 0.50 2.50 X X 0 0 0 Alan Korn MD Director 0.50 2.50 X 0 0 0 Bill Gilbert Director (Start 11/2022) 0.50 2.50 X 0 0 0 Bill Whitacre Director 0.50 2.50 X 0 0 0 Bob Lokken Director 0.50 2.50 X 0 0 0 Brigette Bilyeu Director 0.50 2.50 X 0 0 0 Dan Krahn Director 0.50 2.50 X 0 0 0 Emily Baker Director 0.50 2.50 X 0 0 0 Jill Twedt Director (Start 11/2022) 0.50 2.50 X 0 0 0 Jon Miller Director (End 11/2022) 0.50 2.50 X 0 0 0 Lisa Grow Director 0.50 2.50 X 0 0 0 Lucie DiMaggio MD Director 0.50 2.50 X 0 18705 0 Mark Durcan Director 0.50 2.50 X 0 0 0 Rich Raimondi Director 0.50 4.50 X 0 0 0 Rosa Davila Director 0.50 2.50 X 0 0 0 Tom Corrick Director 0.50 2.50 X 0 0 0 Christine Neuhoff SVP/Chief Legal Officer/Secretary 2.00 48.00 X 0 840490 36439 Sandee Moore Gehrke Hospital Chief Executive Officer 5.00 37.00 X 0 777872 42358 Kathryn Fowler SVP/CFO/Treasurer 2.00 48.00 X 0 510280 20199 Edward Duckworth MD Physician 40.00 0.00 X 0 1687465 31294 Jeffry Menzner MD Physician 40.00 0.00 X 0 1426814 30654 Gregory Harrison MD Physician 40.00 0.00 X 0 1392227 41414 Kaitlin Neary MD Physician 40.00 0.00 X 0 1325059 32947 Derek Martinez MD Physician 40.00 0.00 X 0 1306119 43968 Jeffrey S Taylor Former SVP/CFO/Treasurer 0.00 2.00 X 0 794537 81587 David C Pate MD JD Former CEO & President 0.00 0.00 X 0 154684 0 0 11821074 409150 0 1 1 0 Rightsourcing Inc 9 Executive Cir 290 Irvine CA 92614 Medical Staffing 75790833 Qualivis LLC 2000 Center Point Rd Ste 2360 Columbia SC 29210 Medical Staffing 32139119 Emergency Medicine of Idaho 3080 Gentry Way 210 Meridian ID 83642 Emergency Medicine Services 25022079 Anesthesia Associates of Boise 2537 W State St Suite 200 Boise ID 83702 Anesthesia Services 11909554 Architectural Nexus 4510 Willow Lane Boise ID 83703 Medical Services 11682538 190 5227565 22626865 893163 28747593 Net Patient Revenue 900099 2140644580 2140644580 Outpatient Retail Phar 440000 111503098 104263363 7239735 Contract Service Reven 900099 101006853 101006853 Premium Revenue 900099 25419828 25419828 SLHS Allocated Revenue 900099 7346002 7346002 11136001 11136001 2397056362 34680426 34680426 2034233 2034233 2803062 864990 1938072 1938072 1938072 2261740244 136572 2274779184 3904 -13038940 132668 -12906272 -12906272 Cafeteria/Catering/Ven 722514 4274152 4274152 Laundry 812300 2576364 883685 1692679 Daycare Service 624410 1014468 1014468 55052 55052 7920036 2459470450 2389816627 8123420 32782810 4095990 4095990 70399486 68991496 1407990 2052329 2052329 33120 33120 733880 733880 80876644 80067878 808766 12778896 12651107 127789 136098813 133376837 2721976 25127715 24262725 864990 3025682 2844141 181541 39414991 39414991 86270729 39684535 46586194 9679322 9679322 Allocated SLHS Wages 932314319 774601930 157712389 Supplies 587549195 581673703 5875492 Allocated SLHS Exp 253940912 253940912 Contract Service 59588723 47075091 12513632 68905486 45928539 22976947 2372886232 2109343755 263542477 0 2129877 35591140 58433703 53789656 338854062 362753329 34591395 37206243 3351946 4994534 1718262850 754602094 934610020 963660756 855337535 1119280982 22339552 18616293 21721548 89802625 2271369638 2685695558 46129600 73937596 1651050 1726732 888004806 1124733564 11363416 0 199020599 220430777 1146169471 1420828669 X 1109965796 1245304951 15234371 19561938 1125200167 1264866889 2271369638 2685695558 X 86584218 38188762 14893742 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15234370 3115218 1748638 529323 6966 19561937 16951828 1130721 -2323728 0 516401 8050 15234370 3122782 11013430 3896868 0 1074034 7218 16951828 3096822 62072 98065 0 127636 6541 3122782 3073558 55988 91622 0 118102 6244 3096822 0.00672 0.99328 0.00000 1 1 1 8642038 41288434 49930472 202187 916314148 449224767 467291568 3118517 1339962 1778555 371837748 282275456 89562292 376859778 21761909 355097869 963660756 Pension Liability 7509583 Professional Liability 22686650 Other liabilities 4469587 Operating Leases 103797684 Finance Leases 43371468 Accrued Interest Bonds 3987229 Medicare Medicaid AP 34608576 220430777 X Part V, Line 4: The intended use of the endowment funds: The endowments fund research, scholarships, patient care and programs and services administered by St. Luke's Health. Part X, Line 2: Footnote Disclosure-Uncertain Tax Positions Under ASC 740 (Source: Consolidated Financial Statements-St. Luke's Health System Fiscal Year 2023) Income Taxes - The Health System is a not-for-profit corporation and is recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The Health System has activities that are considered unrelated business taxable income (UBTI), which are subject to income tax. The Health System also has two taxable subsidiaries, St. Luke's Health Partners, and St. Luke's Health Plan whose operations are included in the consolidated financial statements and as such we have provided for income taxes on this activity under the Accounting Standards Codification (ASC) 740. For the Health System's taxable subsidiary and activities considered UBTI, income taxes are accounted for under the asset and liability method, which requires the recognition of Deferred Tax Assets (DTAs) and Deferred Tax Liabilities (DTLs) for the expected future tax consequences of events that have been included in the consolidated financial statements. Under this method, the Health System determines DTAs and DTLs based on the differences between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. The effect of a change in tax rates on DTAs and DTLs is recognized in results of operations in the period that includes the enactment date of the rate change. The Health System recognizes DTAs to the extent that these assets are more likely than not to be realized. In making such a determination, the Health System considers all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax-planning strategies, and results of recent operations. If the Health System determines that DTAs are realizable in the future in excess of their net recorded amount, the Health System would make an adjustment to the DTA valuation allowance, which would reduce the provision for income taxes. The Health System records uncertain tax positions in accordance with ASC 740 on the basis of a two-step process in which (1) the Health System determines whether it is more likely than not that the tax positions will be sustained on the basis of the technical merits of the position and (2) for those tax positions that meet the more-likely-than-not recognition threshold, the Health System recognizes the largest amount of tax benefit that is more than 50 percent likely to be realized upon ultimate settlement with the related tax authority. Management is not aware of any uncertain tax positions that should be recorded. Central America and the Caribbean 0 1 Program Services Offshore Captive Management 22966460 0 1 0 0 0 1 22966460 0 22966460 1 0 1 0 0 0 Part III Accounting Method: Part I, Line 3 Expenditures are accounted for in accordance with accounting principles generally accepted in the United States of America ("US GAAP"). 1 1 X 1 X 1 X 1 0 1 1 18649838 18649838 0.00790 337187171 261622386 75564785 0.03190 355837009 261622386 94214623 0.03980 10861229 645297 10215932 0.00430 36624699 85955 36538744 0.01540 27975092 9017120 18957972 0.00800 9097804 3530847 5566957 0.00230 3088184 3088184 0.00130 87647008 13279219 74367789 0.03130 443484017 274901605 168582412 0.07110 18505 18505 0.00000 3588 3588 0.00000 8963 8963 0.00000 1133713 1133713 0.00050 1164769 1164769 0.00050 1 28899857 0 238970381 339633052 -100662671 X 1 1 2 1 St Luke's Regional Medical Center 190 E Bannock Boise ID 83712 www.stlukesonline.org State of Idaho License #03 X X X X A 2 St Luke's Elmore 895 N 6th E Street Mountain Home ID 83647 www.stlukesonline.org State of Idaho License #05 X X X X A Facility Reporting Group - A 0 0 1 X X X X X X X X X 22 1 1 1 1 X www.stlukesonline.org/about-st-lukes/supporting-the-community X 1 22 1 www.stlukesonline.org/about-st-lukes/supporting-the-community 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X www.stlukesonline.org/resources/before-your-visit/financial-care X www.stlukesonline.org/resources/before-your-visit/financial-care X www.stlukesonline.org/resources/before-your-visit/financial-care X X X X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: St. Luke's Regional Medical Center, - Facility 2: St. Luke's Elmore Group A-Facility 1 -- St. Luke's Regional Medical Center Part V, Section B, line 5: The initial step in the CHNA process was to gain an understanding of the community health status from existing data and community members. This included gathering data on regional health behaviors, health outcomes, causes of death, and the many social influencers, or determinants, of health (SDoH). This information identifies the greatest and most pressing community needs for community-serving organizations, collaboratives, and policy makers through the implementation of programs, services, and policies. After data analysis, a rigorous prioritization process was employed to ensure the highest priorities identified within the community are addressed by the CHNA. This process included various community members and stakeholders providing their community input and values through the steering committee format across all aspects of this report and next steps.The 2023 CHNA aims to identify the health needs of ten counties in the Greater Treasure Valley region of Idaho through a SDoH framework (as depicted below), which defines health in the broadest sense and recognizes SDoH factors such as employment, housing, and access to health care that impact the community's health. Social, educational, economic, and health data are drawn from existing data sources such as the U.S. Census, Idaho Department of Health and Welfare, the Trinity Health Data Hub, and Idaho State Department of Education, among others.Collaborative Partners:Central District HealthRegence BlueShield of Idaho Saint Alphonsus Health System Saltzer (Intermountain) Health Southwest District HealthSt. Luke's Health System United Way of Treasure Valley Weiser Memorial HospitalWestern Idaho Community Health CollaborativeSteering Committee:Area Agency on AgingBlue Cross of Idaho Foundation for Health Boise State UniversityCentral District Health Community Council of Idaho, Inc. Idaho Anti-Trafficking CoalitionIdaho Association for the Education of Young Children Idaho FoodbankIdaho Housing and Finance Association Idaho Policy InstituteIdaho Primary Care Associates Jesse TreeMicronSaltzer (Intermountain) Health Southwest District HealthSt. Luke's Health SystemSaint Alphonsus Health System Terry Reilly Health System Valley Regional TransitWestern Idaho Community Action Partnership Women and Children's AllianceFocus Group Hosts:Adams County Health Action Team Boise School DistrictCaldwell Health Coalition Canyon County First Responders Cascade Medical CenterCenter for Global Health and Healing Elmore County Health CoalitionFit and Fall Proof Caldwell Methodist Church Fit and Fall Proof Emmett Rec CenterFit and Fall Proof MiddletonFit and Fall Proof New PlymouthFit and Fall Proof Payette Senior Center Gem Community Health Coalition Glenns Ferry Senior CenterGood Samaritan Home Mobile Crisis Unit Region 4 Owyhee Health CoalitionPayette County Health Action Team Saint Alphonsus Health SystemThe New Plymouth Kiwanis ClubValley County Opioid Response Project Washington County Health CoalitionFacilitators:Baker CountyBaker County Safe Family for ChildrenBoise State University Center for the Study of Aging Central District HealthIdaho Caregiver Alliance Malheur County Health DistrictOregon Department of Human Services Oregon Food BankSaint Alphonsus Health System Saltzer (Intermountain) Health Southwest District HealthSouthwest Idaho Area Agency on Aging St. Luke's Health SystemUnited Way of Treasure ValleyWestern Idaho Community Health CollaborativeCommunity Leader Interview Participants:Ada County Paramedics Adams County Sheriff's OfficeBoys and Girls Club of Ada County Canyon County Government CATCHBoise State University - Center for the Study of Aging City of CaldwellCity of New Meadows City of PayetteCollege of Southern Idaho Community Council of Idaho Economic OpportunityElmore County Commissioners Family Caregiver Navigator ProgramIdaho Association for the Education of Young Children Idaho Business for EducationIdaho Commission on Hispanic Affairs Idaho Department of Health and Welfare Behavioral HealthIdaho Housing and Finance Association Idaho Oral Health AssociationIdaho Suicide Hotline Inclusive Idaho JannusJesse TreeLiving Independence Network Corporation Meadows Valley FoodbankMobile Crisis Unit Region 4 Owyhee County Government The Speedy FoundationState Independent Living Center Valley Regional TransitVallivue Elementary School Washington County State GovernmentWestern Idaho Community Action Partnership Women and Children's Alliancehttps://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments Group A-Facility 1 -- St. Luke's Regional Medical Center Part V, Section B, line 6a: St. Luke's Elmore, Saint Alphonsus Health System (Saint Alphonsus), Intermountain Health System (Saltzer Health), Weiser Memorial Hospital, St. Luke's Nampa, St. Luke's McCall Group A-Facility 1 -- St. Luke's Regional Medical Center Part V, Section B, line 6b: Western Idaho Community Health Collaborative (WICHC), Central and Southwest District Health, United Way of Treasure Valley (United Way or UWTV), Regence BlueShield of Idaho Group A-Facility 1 -- St. Luke's Regional Medical Center Part V, Section B, line 11: St. Luke's Regional Medical Center Prioritized Community Health Needs In our 2023 Community Health Needs Assessment (CHNA), the following health needs received the highest score within each category, signifying the importance of addressing these needs to improve community health.The following implementation plan illustrates the strategies St. Luke's, and its community partners will employ in fiscal year 2024 to address the most significant health needs identified in our 2023 Community Health Needs Assessment for Valley County. (1) Safe, Affordable Housing and HomelessnessStrategy 1: Support households that are cost burdened (spend more than 30% of income on housing costs).Strategy 2: Support families and individuals experiencing homelessness.Strategy 3: Increase affordable housing options.Strategy 4: Support services that assist people in remaining successfully housed.(2) Behavioral Health, Including Mental Health and Well-Being, and Substance MisuseStrategy 1: Support awareness, education and skill building.Strategy 2: Increase access to mental and behavioral health services.Strategy 3: Identify, intervene and measure outcomes in populations.(3) Access to Affordable Health Care, Including Oral and Vision HealthStrategy 1: Address transportation barriers to care.Strategy 2: Support mobile, telehealth and on-site health services.Strategy 3: Support community health worker models, resource navigation services and engagement with vulnerable populations.https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments Group A-Facility 1 -- St. Luke's Regional Medical Center Part V, Section B, line 13b: Financial Care: Eligible applicants will receive the following assistance:1. Full Discount: The full amount for eligible services will be covered under the Financial Care Policy for any patient or guarantor whose income is at or below 200 percent of the federal poverty level.2. Partial Discount: A sliding fee schedule will be used to determine the amount eligible for financial care assistance for any uninsured or underinsured patient or guarantor. For such applicants, assistance will be provided based on a combination of household income and assets. Partial discounts will be provided if the combination of income and assets is greater than 200 percent but equal to or less than 400 percent of the FPL. Assistance is granted only after all third-party reimbursement possibilities available to the applicant have been exhausted.3. Uninsured and underinsured individuals deemed medically indigent may qualify for a highly discounted rate.4. If the patient balance exceeds 30 percent of household income, patients will qualify for a one-time reduction.5. Assets for evaluation for services performed outside of a National Health Service Corp. (NHSC) location may include, but are not limited to:a. home equity;b. IRAs, 403(b) accounts, 401k accounts, stocks/bonds;c. savings/money market accounts; andd. other investments (rental properties, etc.).www.stlukesonline.org/resources/before-your-visit/financial-care Group A-Facility 1 -- St. Luke's Regional Medical Center Part V, Section B, line 16j: A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information. Group A-Facility 2 -- St. Luke's Elmore Part V, Section B, line 5: The initial step in the CHNA process was to gain an understanding of the community health status from existing data and community members. This included gathering data on regional health behaviors, health outcomes, causes of death, and the many social influencers, or determinants, of health (SDoH). This information identifies the greatest and most pressing community needs for community-serving organizations, collaboratives, and policy makers through the implementation of programs, services, and policies. After data analysis, a rigorous prioritization process was employed to ensure the highest priorities identified within the community are addressed by the CHNA. This process included various community members and stakeholders providing their community input and values through the steering committee format across all aspects of this report and next steps.The 2023 CHNA aims to identify the health needs of ten counties in the Greater Treasure Valley region of Idaho through a SDoH framework (as depicted below), which defines health in the broadest sense and recognizes SDoH factors such as employment, housing, and access to health care that impact the community's health. Social, educational, economic, and health data are drawn from existing data sources such as the U.S. Census, Idaho Department of Health and Welfare, the Trinity Health Data Hub, and Idaho State Department of Education, among others.Collaborative Partners:Central District HealthRegence BlueShield of Idaho Saint Alphonsus Health System Saltzer (Intermountain) Health Southwest District HealthSt. Luke's Health System United Way of Treasure Valley Weiser Memorial HospitalWestern Idaho Community Health CollaborativeSteering Committee:Area Agency on AgingBlue Cross of Idaho Foundation for Health Boise State UniversityCentral District Health Community Council of Idaho, Inc. Idaho Anti-Trafficking CoalitionIdaho Association for the Education of Young Children Idaho FoodbankIdaho Housing and Finance Association Idaho Policy InstituteIdaho Primary Care Associates Jesse TreeMicronSaltzer (Intermountain) Health Southwest District HealthSt. Luke's Health SystemSaint Alphonsus Health System Terry Reilly Health System Valley Regional TransitWestern Idaho Community Action Partnership Women and Children's AllianceFocus Group Hosts:Adams County Health Action Team Boise School DistrictCaldwell Health Coalition Canyon County First Responders Cascade Medical CenterCenter for Global Health and Healing Elmore County Health CoalitionFit and Fall Proof Caldwell Methodist Church Fit and Fall Proof Emmett Rec CenterFit and Fall Proof MiddletonFit and Fall Proof New PlymouthFit and Fall Proof Payette Senior Center Gem Community Health Coalition Glenns Ferry Senior CenterGood Samaritan Home Mobile Crisis Unit Region 4 Owyhee Health CoalitionPayette County Health Action Team Saint Alphonsus Health SystemThe New Plymouth Kiwanis ClubValley County Opioid Response Project Washington County Health CoalitionFacilitators:Baker CountyBaker County Safe Family for ChildrenBoise State University Center for the Study of Aging Central District HealthIdaho Caregiver Alliance Malheur County Health DistrictOregon Department of Human Services Oregon Food BankSaint Alphonsus Health System Saltzer (Intermountain) Health Southwest District HealthSouthwest Idaho Area Agency on Aging St. Luke's Health SystemUnited Way of Treasure ValleyWestern Idaho Community Health CollaborativeCommunity Leader Interview Participants:Ada County Paramedics Adams County Sheriff's OfficeBoys and Girls Club of Ada County Canyon County Government CATCHBoise State University - Center for the Study of Aging City of CaldwellCity of New Meadows City of PayetteCollege of Southern Idaho Community Council of Idaho Economic OpportunityElmore County Commissioners Family Caregiver Navigator ProgramIdaho Association for the Education of Young Children Idaho Business for EducationIdaho Commission on Hispanic Affairs Idaho Department of Health and Welfare Behavioral HealthIdaho Housing and Finance Association Idaho Oral Health AssociationIdaho Suicide Hotline Inclusive Idaho JannusJesse TreeLiving Independence Network Corporation Meadows Valley FoodbankMobile Crisis Unit Region 4 Owyhee County Government The Speedy FoundationState Independent Living Center Valley Regional TransitVallivue Elementary School Washington County State GovernmentWestern Idaho Community Action Partnership Women and Children's Alliancehttps://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments Group A-Facility 2 -- St. Luke's Elmore Part V, Section B, line 6a: St. Luke's Regional Medical Center, Saint Alphonsus Health System (Saint Alphonsus), Intermountain Health System (Saltzer Health), Weiser Memorial Hospital, St. Luke's Nampa, St. Luke's McCall Group A-Facility 2 -- St. Luke's Elmore Part V, Section B, line 6b: Western Idaho Community Health Collaborative (WICHC), Central and Southwest District Health, United Way of Treasure Valley (United Way or UWTV), Regence BlueShield of Idaho Group A-Facility 2 -- St. Luke's Elmore Part V, Section B, line 11: St. Luke's Elmore Prioritized Community Health Needs In our 2023 Community Health Needs Assessment (CHNA), the following health needs received the highest score within each category, signifying the importance of addressing these needs to improve community health.The following implementation plan illustrates the strategies St. Luke's, and its community partners will employ in fiscal year 2024 to address the most significant health needs identified in our 2023 Community Health Needs Assessment for Valley County. (1) Safe, Affordable Housing and HomelessnessStrategy 1: Support households that are cost burdened (spend more than 30% of income on housing costs).Strategy 2: Support families and individuals experiencing homelessness.Strategy 3: Increase affordable housing options.Strategy 4: Support services that assist people in remaining successfully housed.(2) Behavioral Health, Including Mental Health and Well-Being, and Substance MisuseStrategy 1: Support awareness, education and skill building.Strategy 2: Increase access to mental and behavioral health services.Strategy 3: Identify, intervene and measure outcomes in populations.(3) Access to Affordable Health Care, Including Oral and Vision HealthStrategy 1: Address transportation barriers to care.Strategy 2: Support mobile, telehealth and on-site health services.Strategy 3: Support community health worker models, resource navigation services and engagement with vulnerable populations.https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments Group A-Facility 2 -- St. Luke's Elmore Part V, Section B, line 13b: Financial Care: Eligible applicants will receive the following assistance:1. Full Discount: The full amount for eligible services will be covered under the Financial Care Policy for any patient or guarantor whose income is at or below 200 percent of the federal poverty level.2. Partial Discount: A sliding fee schedule will be used to determine the amount eligible for financial care assistance for any uninsured or underinsured patient or guarantor. For such applicants, assistance will be provided based on a combination of household income and assets. Partial discounts will be provided if the combination of income and assets is greater than 200 percent but equal to or less than 400 percent of the FPL. Assistance is granted only after all third-party reimbursement possibilities available to the applicant have been exhausted.3. Uninsured and underinsured individuals deemed medically indigent may qualify for a highly discounted rate.4. If the patient balance exceeds 30 percent of household income, patients will qualify for a one-time reduction.5. Assets for evaluation for services performed outside of a National Health Service Corp. (NHSC) location may include, but are not limited to:a. home equity;b. IRAs, 403(b) accounts, 401k accounts, stocks/bonds;c. savings/money market accounts; andd. other investments (rental properties, etc.).www.stlukesonline.org/resources/before-your-visit/financial-care Group A-Facility 2 -- St. Luke's Elmore Part V, Section B, line 16j: A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information. 65 1 - St Luke's Meridian Med Office Plaza 520 S Eagle Rd Meridian ID 83642 Emergency Department, Surgery and Inpatient Care, Physician Clinics 2 - St Luke's Clinic 100 E Idaho St Boise ID 83712 Specialty Physician Clinics 3 - St Luke's Clinic 600 N Robbins Rd Boise ID 83702 Rehab/Orthopedics/Rheumatology Physician Clinics 4 - St Luke's Clinic 333 N 1st St Boise ID 83702 Surgery Center and Specialty Physician Clinics 5 - St Luke's Fruitland Medical Office 1210 NW 16th St Fruitland ID 83619 Lab,Imaging,Urgent Care,Emergency,Hearing, Multispecialty,Family,Internal 6 - St Luke's Children's Specialty Center 305 E Jefferson St Boise ID 83712 Specialty Pediatric Physician Clinics 7 - St Luke's Clinic 3525 E Louise Dr Meridian ID 83642 Specialty Physician Clinics 8 - St Luke's Eagle Medical Office Plaza 3101 E State St Eagle ID 83616 Specialty Physician Clinics, Imaging and Lab Services 9 - St Luke's Clinic 3399 E Louise Dr Meridian ID 83642 Surgery Center and Specialty Physician Clinics 10 - St Luke's Cancer Institute 9951 W St Lukes Drive Nampa ID 83687 Cancer detection and Care 11 - St Luke's Clinic 3277 E Louise Dr Meridian ID 83642 Specialty Physician Clinics, Imaging Services 12 - St Luke's Clinic 300 E Jefferson St Boise ID 83712 Specialty Physician and Pediatric Clinics 13 - St Luke's Clinic 703 S Americana Blvd Boise ID 83702 Imaging Services and Specialty Physician Clinics 14 - St Luke's Clinic 222 N 2nd St Boise ID 83702 Specialty Physician and Pediatric Clinics 15 - St Luke's Clinic 85 S Middleton Road Nampa ID 83651 Mammography, Primary Care 16 - St Luke's Outpatient Surgery Center 500 S Eagle Road Meridian ID 83642 Surgery Center and Specialty Physician Clinics 17 - St Luke's Clinic 465 McKenna Dr Mountain Home ID 83647 Family Medicine & OB/GYN clinic 18 - St Luke's Clinic 3950 17th St Baker City OR 97814 Physician and Specialty Physician Clinics 19 - St Luke's Clinic 2347 E Gala St Meridian ID 83642 Family Medicine, Pulmonology, Sleep Medicine 20 - St Luke's Clinic 125 E Idaho St Boise ID 83712 Specialty Physician Clinics and Surgery Center 21 - St Luke's Clinic 1000 E Park Blvd Suite 120 Boise ID 83712 Physician Clinics: Internal Medicine. Palliative Care 22 - St Luke's Clinic 1075 E Park Blvd South Entrance Boise ID 83712 Specialty physician Clinics: Neurobehavioral 23 - St Luke's Clinic 4949 S Hillsdale Ave Meridian ID 83646 Family Medicine, Pediatrics, Rehabilitation 24 - St Luke's Clinic 1520 W State Street Suite 100 Boise ID 83702 Family Medicine 25 - St Luke's Clinic 701 E Parkcenter Blvd Boise ID 83706 Pain Management, Pediatrics, Family Medicine, Phlebotomy 26 - St Luke's Clinic 1906 Fairview Ave Suite 330 and 350 Caldwell ID 83605 Rehabilitation,Children's Rehabilitation,Family,Anticoagulation,Urology 27 - St Luke's Clinic 840 N 4th East Mountain Home ID 83647 Specialty Physician Clinics and Urgent Care 28 - St Luke's Clinic 510 N 2nd St Boise ID 83702 Hearing, Balance, Vestibular Clinic And Urology 29 - St Luke's Clinic 1109 W Myrtle Boise ID 83702 Sports Medicine and Rehabilitation 30 - St Luke's Clinic 1620 S Celebration Ave Meridian ID 83642 Pediatric Medicine 31 - St Luke's Cancer Institute and Pharmacy 1118 NW 16th St Fruitland ID 83619 Cancer Treatment Center and Retail Pharmacy 32 - St Luke's Humphreys Diabetes Center 1226 W River St Boise ID 83702 Diabetes Center 33 - St Luke's Clinic 805 N 6th East Mountain Home ID 83647 Family Medicine 34 - St Luke's Orthopedic Surgery Center 1425 River Street Boise ID 83702 Orthopedic Surgery Center 35 - St Luke's Clinic 130 E Boise Ave Boise ID 83706 Family Medicine 36 - St Luke's Clinic 5155 S Hillsdale Ave Meridian ID 83642 Lifestyle Medicine 37 - St Luke's Clinic 3301 N Sawgrass Wy Boise ID 83704 Family Medicine 38 - St Luke's Clinic 3165 E Greenhurst Rd Nampa ID 83686 Family Medicine 39 - St Luke's Clinic 2083 Hospitality Ln Boise ID 83716 Family Medicine, Lab Services 40 - St Luke's Clinic 4840 N Cloverdale Rd Boise ID 83713 Internal Medicine 41 - St Luke's Clinic 12080 W McMillan Rd Boise ID 83713 Family Medicine 42 - St Luke's Clinic 1620 S Kimball Ave Caldwell ID 83605 Pediatrics 43 - St Luke's Clinic 2051 E Summersweet Dr Boise ID 83716 Pulmonary Specialty 44 - St Luke's Clinic 3140 W Milano Dr Suite 150 Meridian ID 83646 Family Health, Lab Services 45 - St Luke's Clinic 115 Main St Boise ID 83702 Specialty physician Clinics: Bariatric Nutrition and General Surgery 46 - St Luke's Clinic 360 E Montvue Dr Suite 200 Meridian ID 83642 Bone Health and Palliative Care 47 - St Luke's Clinic 890 N 6th East St Mountain Home ID 83647 Physician Clinics 48 - St Luke's Clinic 179 SW 5th St Meridian ID 83642 Children's Rehabilitation 49 - St Luke's Clinic 1001 S Bridgeway Place Eagle ID 83616 Rehabilitation 50 - St Luke's Clinic 287 W Jefferson St Boise ID 83702 Cardiology 51 - St Luke's Clinic 290 W Georgia Ave Nampa ID 83686 Rehabilitation 52 - St Luke's Clinic 417 S 6th Street Boise ID 83702 Community Outreach 53 - St Luke's Clinic 450 W State Street Suite 100 Eagle ID 83616 Pediatric Medicine 54 - St Luke's Clinic 610 W Hays Street Boise ID 83702 Cystic Fibrosis Center 55 - Idaho Elks Hearing and Balance Center 172 2nd St S Nampa ID 83651 Hearing, Balance, Vestibular Clinic 56 - St Luke's Clinic 3041 E Copper Point Dr Meridian ID 83642 Lab Services 57 - St Luke's Clinic 247 W Washington St Boise ID 83712 Cancer detection and Care 58 - St Luke's Clinic 403 S 11th St Suite 100 Boise ID 83702 Specialty Physician Clinic 59 - St Luke's Clinic 170 2nd St S Nampa ID 83651 Rehabilitation(pediatric) 60 - St Luke's Clinic 2475 Apple St Suite 200 Boise ID 83706 Rehabilitation 61 - St Luke's Clinic 8050 W Rifleman St Boise ID 83704 Cancer detection and Care 62 - St Luke's Clinic 100 E Warm Springs Ave Suite B Boise ID 83712 Physician Clinic-Surgery 63 - St Luke's Clinic 2999 N Lakeharbor Ln Suite 120 Boise ID 83703 Rehabilitation 64 - St Luke's Clinic 4620 Enterprise Way Caldwell ID 83605 Kidney and Hypertension 65 - St Luke's Clinic 909 NW 16th St Suite C Fruitland ID 83619 Breast Cancer Detection Center Part I, Line 3c: Please refer to the disclosure for Part V. Section B. Line 13b - which describes methods used to determine eligibility for financial assistance. Part I, Line 7: The cost to charge ratio was used to calculate the financial assistance provided to the community. Other Community benefits come from a data repository maintained by St. Luke's Employees that tracks community benefit costs and hours. Part I, Line 7g: Subsidized services represent unreimbursed costs incurred (excluding impact of unreimbursed Medicare and Medicaid) for the following services: Emergency and Trauma Services Women's and children's Health Home Care Palliative Care and Medicine Behavioral Health Part 1, Line 7i, Cash and in-kind contributions for community benefit: During the fiscal year 2023, St. Luke's administrated and dispensed the majority of community grants, cash, and in-kind donations at the system level. Those grants and donations were still awarded and continued to support health initiatives through all the communities we serve and were reported on form 990 for St. Luke's Health System. Part 1, Line 5a, Discounted Care: Financial assistance is provided to any qualifying patients, regardless of budget. Part II, Community Building Activities: St. Luke's is an active participant in the community, and provides support to address public health issues, and works with coalitions to address local health needs. St. Luke's takes on initiatives as need arises such as food and nutrition security, housing stability, cost of living relief, mental health and well-being and access to care. Part III, Line 2: The Cost to Charge ratio method was used to calculate bad debt expense at cost. Part III, Line 3: St. Luke's has a very robust financial assistance program, therefore, no estimate is made for bad debt attributable to patients eligible under the financial assistance policy. Part III, Line 4: Per the audited financial statements in footnote three, St. Luke's 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: The source of the information is the Medicare Cost Report for fiscal year 2023. The amount is calculated by comparing the total Medicare apportioned costs (allowable costs) to payments (including IME and GME) received during FY'23.St. Luke's provides medical care to all patients eligible for Medicare regardless of the shortfall and thereby relieves the Federal Government of the burden for paying the full cost of Medicare. Part III, Line 9b: All subsidiaries within the St. Luke's Health System have policies in place to provide financial assistance to those who meet established criteria and need assistance in paying for the amounts billed for their provided health care services. In addition, the collection policies and practices in place within the St. Luke's Health System provide guidance to patients on how to apply for this assistance. Collection of amounts due may be pursued in cases where the patient is unable to qualify for charity care or financial assistance and the patient has the financial resources to pay for the billed amounts. Part VI, Line 2: A Community Health Needs Assessment (CHNA) was conducted for the fiscal year ending 9/30/2023. Information related to the CHNA is shown in the responses to questions 3 and 7 of "Part V, Section B, Facility Policies and Practices".A complete copy of the CHNA assessments for all of the hospitals operating within the St. Luke's Health System can be found at the following website:https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessmentsAdditional assessments of health care needs include St. Luke's Social Determinants of Health screenings being implemented in 2024, acute and ambulatory settings. External partners including United Way and the state Health and Welfare conduct surveys and assessments determining additional needs at the county level. An annually updated resource is the online data platform, the Idaho Oregon Community Health Atlas that reflects needs at the census tract level across the St. Luke's geography. Part VI, Line 3: (A) St. Luke's 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) Financial assistance policy is 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.https://www.stlukesonline.org/resources/before-your-visit/financial-care Part VI, Line 4: St. Luke's Regional Medical Center - Ada and Canyon counties represent the geographic area used to define the community we serve also referred to in this document as our primary service area or service area. The residents of Ada and Canyon counties comprise about 79% of our inpatients with approximately 63% of our inpatients living in Ada County and 15% in Canyon County. Ada and Canyon counties are part of Idaho Public Health Districts 3 and 4.Idaho is home to a majority white population. Compared to the state average, Public Health District 3 has a higher percentage of non-white residents. Canyon, Elmore, Owyhee, and Payette counties all have above average rates of Hispanic/Latino residents. Public Health District 4 has a higher than the state average rate of non-Hispanic Black residents.The Greater Treasure Valley Region accounts for 45.8% of Idaho's population. Public Health District 3 has a total population of 297,548 residents making up 16.4% of the state's population. Public Health District 4 has a total population of 532,667 residents making up 29.4% of the state's population. The population in Idaho from 2010-2020 increased by 17.3%. Counties experiencing outsized growth include Ada County increasing by 26.1%, Canyon County by 22.3%, and Valley County by 19.1%.When compared to the Idaho average, Public Health District 3 has higher rates of youth (age 17 or less), while Public Health District 4 has lower rates of youth and higher rates of middle-aged and young adults. Both regions have senior populations similar to the state average. Caring for older adults was a concern for all CHNA respondents, especially those in rural areas. In the Greater Treasure Valley, Adams County (29.8%) and Valley County (27.3%) tend to have higher rates of senior populations. Concerns surrounding the aging population include individuals struggling with limited support, isolation, living on a fixed income, and finding transportation. The number of all residents living under the FPL has been steadily declining in Idaho and the Greater Treasure Valley for many years, although Public Health District 3 saw an upward spike between 2019 and 2021. Adams and Owyhee Counties both had more than 15% of residents living below the FPL, while Ada County was the only county in the region with fewer than 10% of residents living below the FPL.Public Health District 3 also has higher than state average poverty rates among seniors and youth, indicating that families with children and older adults may be more vulnerable to financial instability. CHNA respondents commonly mentioned youth and seniors as being vulnerable populations disproportionately affected by financial challenges, such as housing burden, food insecurity, and trouble paying for health care.St. Luke's Elmore - Elmore County represents the geographic area used to define the service area we serve also referred to here as our primary service area or service area. The residents of Elmore County comprise about 91% of our inpatient visits. Elmore County is part of Idaho Public Health District 4.Idaho is home to a majority white population. Compared to the state average, Public Health District 3 has a higher percentage of non-white residents. Canyon, Elmore, Owyhee, and Payette counties all have above average rates of Hispanic/Latino residents. Public Health District 4 has a higher than the state average rate of non-Hispanic Black residents.Over the past 9 years the over 65 age group has been the fastest growing segment of our service area. Currently, about 14% of the people in our service area are over the age of 65.Note that statistical information is updated annually via the Idaho Oregon Community Health Atlas, an online tool.https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments Part VI, Line 5: The people who serve on the various boards for subsidiaries within the St. Luke's Health System are local citizens who have a vested interest in the health of their communities. St. Luke's believes that locally owned and governed hospitals take the best measure of community health care needs. The committed leaders who volunteer on our boards do so 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. We are grateful to our board leadership for giving generously their time and talents and bringing to the table their unique perspectives and intimate knowledge of their communities. The vision of dedicated community leaders has guided St. Luke's for many decades, and will continue to guide us well into the future. St. Luke's supports the training of rising young physicians, nurses, specialists and allied health professions through preceptors, scholarships, partnerships with local colleges and universities. The same institutions are research partners committed to advancing care across the region. St. Luke's commitment to specialties such as cancer, cardiology, children's, neurology and orthopedics allow patients the ability to stay in their home state, closer to home to receive a higher level of care.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 as well as supporting local nonprofits that provide services and expertise outside of our care. Examples include funding federally qualified health centers serving low income and vulnerable populations; providing education and outreach focused on prevention practices and funding organizations that address one or more of the significant health needs identified by data and insights. Also, St. Luke's Regional Medical Center. maintains an open medical staff. Any physician can apply for practicing privileges as long as they meet the standards for St. Luke's Regional Medical Center. Part VI, Line 6: As the only Idaho-based not-for-profit health system, St. Luke's Health System is part of the communities we serve, with local physicians and boards who further our organization's mission "To improve the health of people in the communities we serve." 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 Children's Hospital --St. Luke's Boise/Meridian/Caldwell/Fruitland Physician Clinics --St. Luke's Eagle Urgent Care --St. Luke's Elmore Hospital with physician clinic --St. Luke's Fruitland Emergency Department/Urgent Care (2) St. Luke's Wood River Medical Center, Ltd. which consists of a critical access hospital located in Ketchum, Idaho as well as various physician clinics (3) St. Luke's Magic Valley Regional Medical Center, Ltd. which consists of the following: --St. Luke's Magic Valley Hospital-Twin Falls, Idaho --Various St. Luke's Physician Clinics in Twin Falls --Canyon View-(Behavioral Health) --St. Luke's Jerome Hospital-Jerome, Idaho --Various Physician clinics in Jerome (4) St. Luke's McCall, Ltd. which consists of a critical access hospital located in McCall, Idaho as well as various physician clinics. (5) St. Luke's Nampa Medical Center, Ltd. which consists of a critical access hospital located in Nampa, Idaho as well as various physician clinics. St. Luke's physician clinics and services are provided in partnership with area physicians and other health care professionals. These include: Cardiovascular; Child Abuse and Neglect Evaluation; Endocrinology; Ear, Nose, and Throat; Family Medicine; Gastroenterology; General Surgery; Hypertensive Disease; Internal Medicine; Maternal/Fetal Medicine; Medical Imaging; Metabolic and Bariatric Surgery; Nephrology; Neurology; Neurosurgery; Obstetrics/Gynecology; Occupational Medicine; Orthopedics; Outpatient Rehabilitation; Plastic Surgery; Psychiatry and Addiction; Pulmonary Medicine; Sleep Disorders; and Urology. In addition, St. Luke's works with other regional facilities, including Weiser Memorial Hospital and Salmon River Clinic, through a combination of management and other contracts for select specified services. Part VI, Line 7, Reports Filed With States ID 1 Canine Assistants Inc 3160 Francis Road Milton GA 30004 581974410 501(c)(3) 25000 0 Support Canine Assistants Inc National Hemophilia Foundation 116 W 32nd Street 11th Floor New York NY 10001 135641857 501(c)(3) 15000 0 Support National Hemophilia Foundation Idaho Shakespeare Festival Po Box 9365 Boise ID 83707 820316246 501(c)(3) 7000 0 Support Idaho Shakespeare Festival Hands Of Hope Northwest Inc 1201 Powerline Rd Nampa ID 83686 841398889 501(c)(3) 0 1515015 Book Medical Supplies and Equipment Providing medical supplies and equipment to the underserved. St Lukes Health Foundation Ltd 190 East Bannock Street Boise ID 83712 810600973 501(c)(3) 2506225 0 Provide Support For Overall Operational Needs Of St. Lukes Health Foundation, Ltd. 5 0 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. Sch. I Part I During the fiscal year 2023 the Health System administered and dispensed community grants into one department which is aligned under SLHS. The grants were awarded and continued to support health initiatives through all the communities we serve. 0 1 0 0 0 0 0 0 0 Edward Duckworth MD Physician 0 1049445 0 595365 0 42655 0 13780 0 17514 0 1718759 0 0 Chris Roth President & System CEO 0 1407673 0 0 0 179149 0 18410 0 29880 0 1635112 0 0 Jeffry Menzner MD Physician 0 1202491 0 174501 0 49822 0 18410 0 12244 0 1457468 0 0 Gregory Harrison MD Physician 0 618301 0 725222 0 48704 0 11465 0 29949 0 1433641 0 0 Kaitlin Neary MD Physician 0 454407 0 829166 0 41486 0 11465 0 21482 0 1358006 0 0 Derek Martinez MD Physician 0 820519 0 464560 0 21040 0 11465 0 32503 0 1350087 0 0 Christine Neuhoff SVP/Chief Legal Officer/Secretary 0 724912 0 0 0 115578 0 16095 0 20344 0 876929 0 0 Jeffrey S Taylor Former SVP/CFO/Treasurer 0 711371 0 0 0 83166 0 64199 0 17388 0 876124 0 14047 Sandee Moore Gehrke Hospital Chief Executive Officer 0 696113 0 0 0 81759 0 13780 0 28578 0 820230 0 0 Kathryn Fowler SVP/CFO/Treasurer 0 465103 0 0 0 45177 0 13780 0 6419 0 530479 0 0 David C Pate MD JD Former CEO & President 0 0 0 0 0 154684 0 0 0 0 0 154684 0 154684 Part I, Line 3 Compensation for the organization's CEO is determined by St. Luke's Health System, Ltd. (System), sole member of St. Luke's Regional Medical Center, Ltd. 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 St. Luke's Regional Medical Center. In determining compensation for the CEO, the System board utilizes the following criteria: Compensation Committee Independent compensation consultant Compensation survey or study Approval by the board or compensation committee Part I, Line 4b During CY2022, the following individuals participated in a supplemental non-qualified executive retirement plan governed by 457(f): Chris Roth received $122,129 of taxable benefits for service in a supplemental retirement plan. Christine Neuhoff received $79,499 of taxable benefits for service in a supplemental retirement plan. Jeffrey S. Taylor received $19,379 of taxable and $14,047 of non-taxable benefits for service in a supplemental retirement plan. Sandee Moore Gehrke received $36,648 of taxable benefits for service in a supplemental retirement plan. David C. Pate received $154,684 of taxable and $372,053 of non-taxable benefits for service in a supplemental retirement plan. Part II-Column (c) During CY2022 the following individual participated in the basic pension plan. Due to changes in actuarial assumptions this individual experienced an increase in the vested balance of the plan. Jeffrey S. Taylor $55,049 A Idaho Health Facilities Authority 826051863 451295WT2 2014-08-20 176779592 Capital Projects for Health Care Facilities 0 0 0 B Idaho Health Facilities Authority 826051863 000000000 2016-05-18 50000000 Equipment Financing for Health Care Facilities 0 0 0 C Idaho Health Facilities Authority 826051863 451295ZB8 2018-08-09 389965755 See Part VI 0 0 0 D Idaho Health Facilities Authority 826051863 451295D22 2021-12-01 241883264 See Part VI 0 0 0 A 4265000 178529644 680 1798967 176730677 2018 0 0 1 1 B 35365535 50030528 165622 49864906 2016 0 0 1 1 C 80230000 391299908 383889 82543424 308756484 2020 1 0 1 1 D 244477445 1933243 74361544 139902500 28280158 1 0 0 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 D 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 1 0 0 0 0 0 1 C 0 0 1 0 1 0 0 0 1 D 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 D 1 Date Rebate Computation Performed Issuer Name: Idaho Health Facilities Authority Date the Rebate Computation was Performed: 03/01/2019 Part II, Line 4, Columns A, & C Amounts presented consist of Debt Service Fund Deposits. Part 1, column (f), Line C Bond Current refunding of bonds issued on 12/4/2008, 7/31/2012, and 10/24/2012, and capital projects for Healthcare Facilities. Part II, Line 12, Columns D Amounts presented consist of funds escrowed for capital projects for Healthcare Facilities Part 1, column (f), Line D Bond Current refunding of bonds issued on 7/11/2012, and 8/9/2018, and capital projects for Healthcare Facilities. Part 1, column (c), Line D Form 8038 lists this CUSIP and also 451295ZC6. Schedule K, Part I and Part II, Line 3, Columns A, B, C, & D. Differences between the issue price (Part I) and total proceeds (Part II, line 3) are due to investment earnings. Form 990 Part V, Line 1&2 Accounts payable and payroll process are consolidated at the supporting organization level (St. Luke's Health System, Ltd). Therefore, corresponding reporting for 1099's and W-2's occurs at that level. Form 990, Part VI, Section A, line 2 Andy Scoggin has a business relationship with Dan Krahn. 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 7a St. 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 7b St. Luke's Health System, Ltd. (Member) maintains approval and implementation authority over St. Luke's Regional Medical Center (Corporation). Actions requiring approval authority may be initiated by either the Corporation or its Member, but must be approved by both the Corporation (by action of its Board of Directors)and the Member. Actions requiring approval authority of the Member include: (a) Amendment to the Articles of Incorporation; (b) Amendment to the Bylaws of the Corporation; (c) Appointment of members of the Corporation's Board of Directors, other than ex officio directors; (d) Removal of an individual from the Corporation's Board of Directors if and when removal is requested by the Corporation's Board of Directors, which request may only be made if the Director is failing to meet the reasonable expectations for service on the Corporation's Board of Directors that are established by the Member and are uniform for the Corporation and for all of the other hospitals for which the Member then serves as the sole corporate member. (e) Approval of operating and capital budgets of the Corporation, and deviations to an approved budget over the amounts established from time to time by the Member; and (f) Approval of the strategic/tactical plans and goals and objectives of the Corporation. Implementation Authority means those actions which the Member may take without the approval or recommendation of the Corporation. This authority will not be utilized until there has been appropriate communication between the Member and the Corporation's Board of Directors and its Chief Executive Officer. Actions requiring implementation authority include: (a) Changes to the Statements of mission, philosophy, and values of the Corporation; (b) Removal of an individual from the Corporation's Board of Directors if and when the Member determines in good faith that the Director is failing to meet the Approved Board of Member Expectations. This authority to remove Directors shall not be used merely because there is a difference in business judgment between the Director and the Corporation or the Member, and shall never be used to remove one or more Directors from the Corporation's Board of Directors in order to change a decision made by the Corporation's Board of Directors; (c) Employment and termination of the Chief Executive Officer of the Corporation; (d) Appointment of the auditor for the Corporation and the coordination of the Corporation's annual audit; (e) Sales, lease, exchange, mortgage, pledge, creation of a security interest in or other disposition of real or personal property of the Corporation if such property has a fair market value in excess of a limit set from time to time by the Member and that is not otherwise contained in an Approved Budget; (f) Sale, merger, consolidation, change of membership, sale of all or substantially all of the assets of the corporation, or closure of any facility operated by the Corporation; (g) The dissolution of the Corporation; (h) Incurrence of debt by or for the Corporation in accordance with requirements established from time to time by the Member and that is not otherwise contained in an Approved Budget; and (i) Authority to establish policies to promote and develop an integrated, cohesive health care delivery system across all corporations for which the Member serves as the corporate member. Form 990, Part VI, Section B, line 11b The Form 990 (Form) is reviewed by an independent public accounting firm based on audited financial statements of the St. Luke's Health System and with the assistance of the organization's finance and accounting staff. A complete copy of the Form 990 is made available to the Board of Directors prior to filing. Form 990, Part VI, Section B, line 12c The organization annually reviews the conflict of interest policy with each board member and also with new board members. Persons covered under the policy include officers, directors, senior executives, non-director members of Board committees, and others as identified by a senior executive. At all levels the board is responsible for assessing, reviewing, and resolving any conflicts of interest that have been disclosed by a covered person, or a conflict of interest disclosed by a covered person with respect to a covered person other than himself/herself. Where a conflict exists, the affected parties must recuse themselves from participating in any discussion and/or vote related to the conflict. Form 990, Part VI, Section B, line 15 Executive compensation is set by St. Luke's Boards of Directors and is reviewed annually. Compensation levels are based on an independent analysis of comparable pay packages offered at similar institutions across the country, with the goal of placing executives in the 50th percentile in aggregate of those surveyed. These surveys are usually done annually. St. Luke's Health System is committed to providing the highest quality medical care to all people regardless of their ability to pay. To keep that commitment, St. Luke's puts a great deal of time and effort into recruiting and retaining the top physicians in a variety of medical fields. Our relationships with physicians range from having privileges at the hospital to full employment. For those physicians who choose to be employed, St. Luke's must offer competitive pay and benefits. Physician compensation is based on a range of criteria and can be influenced by a number of variables including: -Community need for medical specialty -Experience -Productivity -Geography -National surveys adjusted for local conditions -Willingness to serve regardless of patients' ability to pay -Duration of relationship and contractual terms -Performance on quality metrics To ensure physician compensation and benefits remain within industry standards and legal requirements for not-for-profit institutions, St. Luke's has a Physician Arrangements policy that specifies circumstances requiring a third-party valuation and also periodically uses third-party consulting firms to review St. Luke's physician compensation arrangements. Given the growing national shortage of physicians, recruiting and retaining physicians is more critical than ever to guarantee that people seeking care at St. Luke's will continue to have access to the physicians and specialists they need regardless of their insurance status or insurance provider. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Form 990 is available for public inspection on our website, which contains financial information. Form 990 Part VII Section A The total hours worked and compensation reported for the following individuals represent services rendered to organizations within the St. Luke's Health System: Chris Roth: St. Luke's Health System, Ltd. St. Luke's Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Health Foundation, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. St. Luke's Nampa Medical Center, Ltd. Christine Neuhoff: St. Luke's Health System, Ltd. St. Luke's Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. St. Luke's Nampa Medical Center, Ltd. Kathryn Fowler: St. Luke's Health System, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Nampa Medical Center, Ltd. St. Luke's Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. Sandee Moore Gehrke: St. Luke's Health System, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Nampa Medical Center, Ltd. St. Luke's Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. St. Luke's Clinic Coordinated Care, Ltd. Also, it should be noted that the hours reported for the 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. Form 990, Part XI, line 9: Change in Minim Liability - Supplemental Executive Retirement Plan (SERP) 12,870,542. Capital Invested in Plant 2,023,200. St Luke's Clinic-Treasure Valley LLC 190 E Bannock Boise ID 83712 452716222 Physician Clinic Services ID 232425885 14323592 St Luke's Regional Medical Center Ltd St Luke's Clinic Coordinated Care Ltd 190 E Bannock Boise ID 83712 455195864 Accountable Care Organization ID 501(c)(3) 10 St Luke's Health System Ltd 0 St Luke's Health Foundation Ltd 190 E Bannock Boise ID 83712 810600973 Fundraising ID 501(c)(3) 7 St Luke's Health System Ltd 0 St Luke's Health System Ltd 190 E Bannock Boise ID 83712 562570681 Supporting Organization ID 501(c)(3) 12C, III-FI N/A 0 St Luke's Magic Valley Regional Medical Center Ltd 190 E Bannock Boise ID 83712 562570686 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's McCall Ltd 190 E Bannock Boise ID 83712 273311774 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's Nampa Medical Center Ltd 190 E Bannock Boise ID 83712 821162805 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's Wood River Medical Center Ltd 190 E Bannock Boise ID 83712 841421665 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 Anderson Plaza Medical Building Inc 190 E Bannock St Boise ID 83702 820448741 Medical Offices ID St Luke's Regional Medical Center Ltd C 162947 68305 1.00000 1 St Luke's Office Plaza 190 E Bannock St Boise ID 83702 820389626 Medical Offices ID St Luke's Regional Medical Center Ltd C 245594 93145 1.00000 1 St Luke's Elmore Medical Building Inc 190 E Bannock St Boise ID 83702 813992116 Medical Offices ID St Luke's Regional Medical Center Ltd C 1.00000 1 Sequoyah Assurance Ltd PO Box 1051 Grand Cayman CJ KY1-1102 981631863 Captive Insurance CJ St Luke's Regional Medical Center Ltd C 19583032 43630176 1.00000 1 Select Medical Network of Idaho Inc PO Box 1990 Boise ID 83701 810594024 Provider Network ID N/A C 0 St Luke's Health Plan Inc 800 E Park Blvd Boise ID 83712 874765682 Health Insurance Provider ID N/A C 0 0 1 1 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 St Luke's Health Foundation Ltd B 2506225 Subsidy to SLHF St Luke's Health Foundation Ltd C 5227565 Donations Specified for SLRMC Sequoyah Assurance Ltd L 13857219 Services paid for Captive Insur.