2022-08-11T18:10:03-05:00 2021-09-30 861065772 Deloitte Tax LLP 695 Town Center Drive Suite 1200 Costa Mesa CA 926261924 990 2020-10-01 841421665 St Luke's Wood River Medical Center Ltd STLU 2087069585 190 E Bannock Boise ID 83712 Peter DiDio Vice President, Controller 2087069585 2022-08-11 1 Peter DiDio 999009999 John Sadoff Jr P00540589 7144367100 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Chris Roth 190 E Bannock Boise ID 83712 95869183 0 X www.stlukesonline.org X 1996 ID Provide healthcare services to the community. 16 12 0 28 0 0 7523338 1096004 78005011 94499299 0 0 287562 273880 85815911 95869183 0 0 0 0 0 0 0 0 455525 73842829 78809606 73842829 78809606 11973082 17059577 105978662 124219389 9482246 11206944 96496416 113012445 To improve the health of people in the communities we serve. 0 0 59907903 77724552 Medical & SurgicalServices at St. Luke's Wood River Medical Center include inpatient and outpatient surgery, diagnostics, maternity services, physical and occupational therapy, mammography, intensive care and medical/surgical units. During fiscal year 2021, St. Luke's Wood River Medical Center provided qualified inpatient care for 1,133 admissions covering 3,060 patient days. They also provided patient care associated with 45,690 outpatient visits. 5044539 6544788 Physician ServicesWood River has medical practices serving the following areas:Internal Medicine, OBGYN, Family Medicine, Pediatrics, Dermatology, Gastroenterology, Mental Health, Neurology, Orthopedics, and Sports Medicine. In fiscal year 2021, the practices had 76,889 visits. 7884966 10229959 Emergency and TransportThe Emergency Department is a designated Level IV Trauma Center and is staffed 24/7 by board-certified emergency medicine physicians. Air St. Luke's is also available to move patients in critical situations via helicopter, fixed wing or ground transport to our urban locations. During Fiscal Year 2021, the 24-hour emergency department had 7,656 patient visits. 72837408 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 12 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X Peter DiDio Vice-President Controller 2087069585 190 E Bannock St Boise ID 83712 X Chris Roth CEO & Director 2.00 52.00 X X 0 1091130 50570 Bob Lokken Chair (Start 11/2020) 0.50 3.00 X X 0 0 0 Rich Raimondi Chair (End 11/2020) 0.50 5.00 X X 0 0 0 Alan Korn MD Director 0.50 3.00 X 0 0 0 Andy Scoggin Director 0.50 3.00 X 0 0 0 Arthur F Oppenheimer Director 0.50 3.00 X 0 0 0 Bill Whitacre Director 0.50 3.00 X 0 0 0 Brigette Bilyeu Director 0.50 3.00 X 0 0 0 Dan Krahn Director 0.50 3.00 X 0 0 0 Jeff Fox Director (End 5/2021) 0.50 3.00 X 0 0 0 Jon Miller Director 0.50 3.00 X 0 0 0 Karen Vauk Director 0.50 3.00 X 0 0 0 Lisa Grow Director 0.50 3.00 X 0 0 0 Lucie DiMaggio MD Director 0.50 3.00 X 0 0 0 Mark Durcan Director 0.50 3.00 X 0 0 0 Rosa Davila Director (Start 9/2021) 0.50 3.00 X 0 0 0 Tom Corrick Director 0.50 3.00 X 0 0 0 Pamela Lindemoen SVP COO (End 3/2021) 2.00 50.00 X 0 916656 19741 Jeffrey S Taylor SR VP/CFO/Treasurer 2.00 50.00 X 0 785231 47998 Christine Neuhoff SVP/Chief Legal Officer/Secretary 2.00 50.00 X 0 733152 41525 Mike Fenello VP Population Health 20.00 20.00 X 0 396602 32377 Charmaigne Jacobsen Chief Operating Officer/CNO 40.00 0.00 X 0 192388 33469 Matthew Kopplin MD Physician 40.00 0.00 X 0 724763 35272 Matthew Reeck MD Physician 40.00 0.00 X 0 488837 37282 Alison Kinsler MD Physician 40.00 0.00 X 0 465045 24010 Dan Fairman MD Physician 40.00 0.00 X 0 435936 35351 James Torres MD Physician 40.00 0.00 X 0 428226 30839 David C Pate MD JD Former President & CEO 0.00 0.00 X 0 508200 5406 0 7166166 393840 0 1 1 0 Magic Valley Anesthesiology 1285 Florence Ave Twin Falls ID 83301 Anesthesia Services 1493049 Rightsourcing Inc 9 Executive Cir 290 Irvine CA 92614 Medical Staffing 908380 Alexander Orthopaedics PA PO Box 6997 Ketchum ID 83340 Physician Services 477033 Sodexo Operations LLC 9801 Washingtonian Blvd Gaithersburg MD 20878 Facilities Management 312340 Arup Labs 500 Chipeta Way Salt Lake City UT 84108 Laboratory Services 203572 29 23169 377708 695127 1096004 Net Patient Revenue 900099 91474919 91474919 Contract Service Reven 900099 2331664 2331664 SLHS Allocated Revenue 900099 597156 597156 Merchandise Sales 900099 17312 17312 78248 78248 94499299 30440 0 30440 30440 30440 Cafeteria/Catering/Ven 722514 243440 243440 243440 95869183 94499299 0 273880 1889755 1871143 370 18242 26243 26243 2170417 1894710 275707 840 840 533275 500640 21603 11032 3710638 3695435 15203 178421 178421 158912 149446 9391 75 57 57 3206159 3206159 40 40 Allocated SLHS Wages 40277882 36313105 3638996 325781 Supplies 14004640 13717560 242784 44296 Allocated SLHS Expense 8948762 8948762 Repairs 1593640 605035 988605 2109925 1756895 324014 29016 78809606 72837408 5516673 455525 10419626 13776512 2001578 2056625 118739 83929 79289269 47072801 32687388 32216468 128560 112490 60622771 75973365 105978662 124219389 1791336 2851976 7690910 8354968 9482246 11206944 X 96496416 113012445 96496416 113012445 105978662 124219389 X 17059577 -543548 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4434711 4434711 54402040 31533945 22868095 18316967 15538856 2778111 2135551 2135551 32216468 Due from Related Organizations 75966890 Deposits 6475 75973365 AP Medicare-Medicaid Prog 8086203 Operating Leases 268765 8354968 X Part X, Line 2: Footnote Disclosure-Uncertain Tax Positions Under ASC 740 (Source: Consolidated Financial Statements-St. Luke's Health System) 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 excise tax. The Health System also has a taxable subsidiary, SLHP, 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 on the basis of 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. 1 1 X 1 X 1 X 1 0 0 1231206 1231206 0.01560 5442820 3994611 1448209 0.01840 88137 52786 35351 0.00040 6762163 4047397 2714766 0.03440 231151 231151 0.00290 483600 483600 0.00610 714751 714751 0.00900 7476914 4047397 3429517 0.04340 1 1801696 0 19655075 26126846 -6471771 X 1 1 1 1 St Luke's Wood River Medical Center 100 Hospital Drive Ketchum ID 83340 www.stlukesonline.org State of Idaho License #HH-62 X X X X St Luke's Wood River Medical Center 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X www.stlukesonline.org/about-st-lukes/supporting-the-community X 1 18 0 1 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 St. Luke's Wood River Medical Center Part V, Section B, Line 5: A series of in-depth interviews with people representing the broad interests of our community were conducted in order to assist us in defining, prioritizing, and understanding our most important community health needs. Many representatives participating in our process are individuals who have devoted decades to helping others lead healthier, more independent lives. The representatives we interviewed have significant knowledge of our community. To ensure they came from distinct and varied backgrounds, we included multiple representatives from each of these categories:Category I: Persons with special knowledge of public health. This includes persons from state, local, and/or regional governmental public health departments with knowledge, information, or expertise relevant to the health needs of our community. Category II: Individuals or organizations serving or representing the interests of the medically underserved, low-income, and minority populations in our community. Medically underserved populations include populations experiencing health disparities or at-risk populations not receiving adequate medical care as a result of being uninsured or underinsured or due to geographic, language, financial, or other barriers.Category III: Additional people located in or serving our community including, but not limited to, health care advocates, nonprofit and community-based organizations, health care providers, community health centers, local school districts, and private businesses.Each potential need was scored by the community representative on a scale of 1 to 10. Higher scores represent potential needs the community representatives believed were important to address with additional resources. Lower scores usually meant our representatives thought our community was healthy in that area already or we had relatively good programs addressing the potential need. These scores were incorporated directly into our health need prioritization process. In addition, we invited the representatives to suggest programs, legislation, or other measures they believed to be effective in addressing the needs.Representatives from the following organizations were contacted and interviewed:1. Family Medicine Residency of Idaho 2. Idaho Department of Health and Welfare3. Idaho Department of Labor4. Blaine County 5. Fifth Judicial District in Idaho6. Blaine County School District7. Blaine County Community Drug Coalition8. Senior Connection9. Blaine County Center for the College of Southern Idaho10. Blaine County Sheriff's Department11. Hospice and Palliative Care of the Wood River Valley12. The Advocates for Survivors of Domestic Violence13. St. Luke's Center for Community Health14. The Hunger Coalition15. Blaine County Recreation District 16. Wood River YMCA17. South Central Public Health St. Luke's Wood River Medical Center Part V, Section B, Line 11: We organized all of our significant health needs into the following groups:Program Group 1: Improve Mental HealthProgram Group 2: Reduce Substance Abuse: Drug Misuse and Excessive DrinkingProgram Group 3: Improve the Prevention and Management of ObesityProgram Group 4: Improve Access to Affordable Health InsuranceProgram Group 5: Improve Access to Affordable Dental CareNext, we looked at how to best address each significant health need. To make this determination, we focused on resources available and whether the health need was in alignment with St. Luke's mission and strengths. Where a significant health need was in alignment with our mission and strengths, we developed our own programs and/or collaborated with community-based organizations to address the health need. We have provided a list of implementation plan programs designed to address our significant health needs below:Significant Health Need #1: Improve Mental Health 1. Program Name: Counseling Scholarship Fund 2. Program Name: Mental Health Services Scholarship Fund 3. Program Name: St. Luke's Clinic Mental Health Services 4. Program Name: 5B Suicide Prevention Alliance Significant Health Need #2: Reduce Substance Abuse: Drug Misuse and Excessive Drinking 5. Program Name: Counseling Scholarship Fund 6. Program Name: Mental Health Services Scholarship Fund 7. Program Name: St. Luke's Clinic Mental Health Services 8. Program Name: 5B Suicide Prevention Alliance Significant Health Need #3: Improve the Prevention and Management of Obesity 9. Program Name: Healthy Families Partnership (Formerly called YEAH!) 10. Program Name: Cooking Matters 11. Program Name: Breastfeeding and Lactation Consultation Significant Health Need #4: Improve Access to Affordable Health Insurance 12. Program Name: Financial Care 13. Program Name: Your Health Idaho 14. Program Name: Information and Referral Services through the St. Luke's Center for Community Health 15. Program Name: Keith Sivertson, MD Compassionate Care Program 16. Program Name: Heart of the Matter Health Screening 17. Program Name: St. Luke's Center for Community Health Brown Bag Talks 18. Program Name: Breast Screening for the Uninsured and Underinsured Women Project Significant Health Need #5: Improve Access to Affordable Dental Care Dental care is not a competency strength nor highly aligned with our mission. It is not within St. Luke's scope of service or resources currently to deliver dental care to patients, so we will support partners who provide affordable dental care. The St. Luke's Wood River Center for Community Health actively refers to dental care providers, particularly those who serve under and non-insured patients. Family Health Services, our primary dental provider partner organization, is assessing the ability to open a clinic in our valley. St. Luke's Wood River is open and committed to providing support to this organization to help them begin services here. St. Luke's Wood River 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 uninsured or underinsured patient or guarantor, whose household 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. If the patient balance exceeds 30 percent of household income, patients will qualify for a one-time reduction.4. A highly discounted rate (HDR) will be offered to individuals who are unwilling to cooperate with the county indigency program and are able to pay the balance in full within 60 days, or available to individuals who cooperate and are denied county assistance. The highly discounted rate is a 65% adjustment that is applied to the gross charges. St. Luke's Wood River Medical Center Part V, Section B, Line 16j: A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information. 3 1 - St Luke's Clinic 1450 Aviation Dr Hailey ID 83333 Family Medicine and Physician clinics 2 - St Luke's Clinic Dermatology 191 W 5th St Ketchum ID 83340 Dermatology 3 - St Luke's Clinic Family Medicine 21 E Maple Hailey ID 83333 Physician Clinic 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 6a: St.Luke's Wood River Medical Center, Ltd. is not required under Idaholaw to file a community benefit report, since its total licensed bedsare less than the minimum 150 bed requirement threshold. (Wood Riverhas 25 licensed beds.) Moreover, the activity of St.Luke's Wood River Medical Center, Ltd. is not included in the community benefit report within any of its related organizations within the St. Luke's Health System." Part 1, Line 5a, Discounted Care: Starting in fiscal year 2021, St. Luke's no longer sets a detailed financial statement budget, and instead operates under a dynamic financial forecast. Due to this change, the answer to 5a is no. Financial assistance is provided to any qualifying patients, regardless of budget. 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 2021. The amount is calculated by comparing the total Medicare apportioned costs (allowable costs) to payments (including IME and GME) received during FY'21.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 9/30/2019. 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-assessments 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. Part VI, Line 4: Blaine County represents the geographic area used to define the community we serve also referred to here as our primary service area or service area. The criteria we use in selecting this area as the community we serve was to include the entire population of the counties where approximately 70% of our inpatients reside. The residents of Blaine County comprise about 75% of our inpatients. Our patients in the surrounding counties are important to us as well. To help us serve these patients, we have built positive, collaborative relationships with regional providers where legal and appropriate. A philosophy of shared responsibility for the patient has been instrumental in past successes and remains critical to the future of St. Luke's Partnerships, allowing us to meet patients' medical needs close to home and family. According to Idaho Health and Welfare there are no other licensed hospital in Blaine County.In regards to race, both Idaho and our service territory are comprised of about a 95% white population while the nation as a whole is 78% white. With regard to ethnicity, the Hispanic population in Idaho represents 12% of the overall population and about 20% of our defined service area. Idaho experienced a 30% increase in population from 2000 to 2016, ranking it as one of fastest growing states in the country. Blaine County's population increased by 15% during that timeframe, which is about the same population growth rate as the nation. St. Luke's Wood River is working to manage the volume and scope of services in order to meet the needs of a growing population. Over the past ten years the 65 year or older age group was the fastest growing segment of our community. Currently, about 18% of the people in our community are over the age of 65.The official United States poverty rate increased from 12.5% in 2003 to 14% in 2016. Our service area poverty rate is well below the national average. The poverty rate in our community for children under the age of 18 is also lower than the national average. Although poverty has started declining in our service area, poverty rates are still above the levels they were at prior to the recession in 2008.Median income in the United States has risen by 33% since 2004 and by 22% in our service area during that period. Median income in our service area is well above national and Idaho median income levels. 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. These committed leaders volunteer on our boards because they are dedicated to ensuring that the people of southern Idaho and the surrounding area have access to the most advanced, most comprehensive health care possible. St. Luke's believes that locally owned and governed hospitals can take the best measure of community health care needs. We are grateful to our board leadership for giving generously of their time and talents and bringing to the table their unique perspectives and intimate knowledge of their communities. St. Luke's would not be the organization it is today without our volunteer board members. The vision of dedicated community leaders has guided St. Luke's for many decades, and will continue to guide us well into the future.As a not-for-profit organization,100% of St. Luke's revenue after expenses is reinvested in the organization to serve the community in the form of staff, buildings, or new technology.Also, St. Luke's Wood River Medical Center, Ltd. maintains an open medical staff. Any physician can apply for practicing privileges as long as they meet the standards for St. Luke's Wood River 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 Hospitaland Salmon River Clinic, through a combination of management and other contracts for selectspecified services. 0 1 0 0 0 0 0 0 0 Chris Roth CEO & Director 0 947758 0 0 0 143372 0 21519 0 29051 0 1141700 0 0 Pamela Lindemoen SVP COO (End 3/2021) 0 830828 0 50000 0 35828 0 12873 0 6868 0 936397 0 0 Jeffrey S Taylor SR VP/CFO/Treasurer 0 723661 0 0 0 61570 0 25842 0 22156 0 833229 0 0 Christine Neuhoff SVP/Chief Legal Officer/Secretary 0 681172 0 0 0 51980 0 21519 0 20006 0 774677 0 0 Matthew Kopplin MD Physician 0 475232 0 223290 0 26241 0 12873 0 22399 0 760035 0 0 Matthew Reeck MD Physician 0 285215 0 183312 0 20310 0 17196 0 20086 0 526119 0 0 David C Pate MD JD Former President & CEO 0 380321 0 0 0 127879 0 3833 0 1573 0 513606 0 111749 Alison Kinsler MD Physician 0 337501 0 90578 0 36966 0 17196 0 6814 0 489055 0 0 Dan Fairman MD Physician 0 328781 0 55297 0 51858 0 25671 0 9680 0 471287 0 0 James Torres MD Physician 0 368253 0 30634 0 29339 0 17196 0 13643 0 459065 0 0 Mike Fenello VP Population Health 0 357882 0 0 0 38720 0 9752 0 22625 0 428979 0 0 Charmaigne Jacobsen Chief Operating Officer/CNO 0 192032 0 0 0 356 0 7569 0 25900 0 225857 0 0 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 Wood River 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 Wood River Medical Center, Ltd.. 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 CY'20, the following individuals participated in a supplemental non-qualified executive retirement plan: Jeffrey Taylor received $19,754 of benefits for service in a supplemental retirement plan. David C. Pate received $369,324 of benefits for service in a supplemental retirement plan. Part I, Line 4b: During CY'20, Jeffrey S. Taylor was a participant in the supplemental non-qualified executive retirement plan. There were no additional benefits accrued during CY'20 on behalf of the participant. Part II-Column (c) During CY'20 the following individual participated in the basic pension plan. Due to enhanced benefits adopted in 2019 and changes in actuarial assumptions this individual experienced an increase in the vested balance of the plan. Jeffrey Taylor $414,222 Form 990, Part I, Line 6 Volunteer counts continue to be lower than in prior years due to restrictions on access to the hospitals and cancellations of in-person events due to COVID-19 concerns. 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 Wood River Medical Center, Ltd. Form 990, Part VI, Section A, line 7a St. Luke's Wood River Medical Center,Ltd. (Corporation) and St. Luke's Health System,Ltd.(Member) 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 Wood River Medical Center, Ltd. (Corporation). Actions requiring approval authority may be initiated by either the Corporation or its Member, but must be approved by both the Corporation (by action of its Board of Directors)and the Member. Actions requiring approval authority of the Member include: (a) Amendment to the Articles of Incorporation; (b) Amendment to the Bylaws of the Corporation; (c) Appointment of members of the Corporation's Board of Directors, other than ex officio directors; (d) Removal of an individual from the Corporation's Board of Directors if and when removal is requested by the Corporation's Board of Directors, which request may only be made if the Director is failing to meet the reasonable expectations for service on the Corporation's Board of Directors that are established by the Member and are uniform for the Corporation and for all of the other hospitals for which the Member then serves as the sole corporate member. (e) Approval of operating and capital budgets of the Corporation, and deviations to an approved budget over the amounts established from time to time by the Member; and (f) Approval of the strategic/tactical plans and goals and objectives of the Corporation. Implementation Authority means those actions which the Member may take without the approval or recommendation of the Corporation. This authority will not be utilized until there has been appropriate communication between the Member and the Corporation's Board of Directors and its Chief Executive Officer. Actions requiring implementation authority include: (a) Changes to the Statements of mission, philosophy, and values of the Corporation; (b) Removal of an individual from the Corporation's Board of Directors if and when the Member determines in good faith that the Director is failing to meet the Approved Board of Member Expectations. This authority to remove Directors shall not be used merely because there is a difference in business judgment between the Director and the Corporation or the Member, and shall never be used to remove one or more Directors from the Corporation's Board of Directors in order to change a decision made by the Corporation's Board of Directors; (c) Employment and termination of the Chief Executive Officer of the Corporation; (d) Appointment of the auditor for the Corporation and the coordination of the Corporation's annual audit; (e) Sales, lease, exchange, mortgage, pledge, creation of a security interest in or other disposition of real 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 Allocation of Compensation and Hours: The total hours worked and compensation reported for the following individuals represent services rendered to organizations within the St. Luke's Health System: Pam Lindemoen: 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 Clinic Coordinated Care, Ltd. St. Luke's Nampa Medical Center, Ltd. Jeff Taylor: 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 Clinic Coordinated Care, 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 Clinic Coordinated Care, Ltd. St. Luke's Nampa Medical Center, Ltd. 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 Clinic Coordinated Care, Ltd. St. Luke's Nampa Medical Center, Ltd. Mike Fenello: St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. Also, it should be noted that the hours reported for the directors (employed by St. Luke's), officers, key employees, and highest paid employees are based on a minimum 40 hour work week. However, due to the demands of their roles within the St. Luke's Health System, the hours worked by these individuals often exceed the minimum required 40 hours. Form 990, Part XI, line 9: Wood River Foundation Grants -543,548. St Luke's Clinic-Wood River LLC 190 E Bannock Boise ID 83712 452715973 Physician Clinic Services ID 14973738 838532 St Luke's Wood River 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 Regional Medical Center Ltd 190 E Bannock Boise ID 83712 820161600 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's Wood River Medical Center Volunteer Core Inc PO Box 3525 Ketchum ID 83340 237103805 Fundraising ID 501(c)(3) 12C, III-FI N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0