2021-08-12T09:20:46-05:00 2020-09-30 861065772 Deloitte Tax LLP 695 Town Center Drive Suite 1200 Costa Mesa CA 926261924 990 2019-10-01 821162805 St Luke's Nampa Medical Center Ltd STLU 2087069585 190 E Bannock Boise ID 83712 Paid Preparer Vice President, Controller 2087069585 2021-08-11 1 John Sadoff P00540589 7144367100 2019 2022-09-23 18:48:47Z Chris Roth 190 E Bannock Boise ID 83712 169004849 0 X www.stlukesonline.org X 2017 ID Provide healthcare services to the community. 16 10 0 20 1379634 -787984 62348 3937571 119776275 163941989 184011 157898 1505630 958530 121528264 168995988 0 0 0 0 0 0 0 0 0 129190134 168628735 129190134 168628735 -7661870 367253 167502442 179828864 198897829 210779313 -31395387 -30950449 To improve the health of people in the communities we serve. 0 0 129889423 134278438 Medical & SurgicalSt. Luke's Nampa provides medical services including, but is not limited to, inpatient medical and surgical care, intensive care, labor and delivery, neonatal intensive care, outpatient surgery, diagnostic imaging, physical therapy, home health care, hospice, primary care, medicine, health education and emergency medicine. During FY'20, St. Luke's Hospital location in Nampa provided inpatient care for 5,111 admissions, covering 15,283 patient days. Also, the hospitals provided patient care associated with 80,440 outpatient visits. 28693970 29663551 Physician ServicesSt. Luke's Nampa has medical practices serving but is not limited to the following areas:Internal Medicine, OBGYN, Family Medicine, Pediatrics, Dermatology, Gastroenterology, Mental Health, Neurology, Orthopedics, Sports Medicine, Cardiology, Non-Oncology Infusion, Podiatry and Pulmonary. In fiscal year 2020, the practices had 54,162 visits. 158583393 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 10 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 Boise ID 83712 X David C Pate MD JD President & CEO (End 02/2020) 2.00 50.00 X X 0 10412717 30159 Mr Chris Roth CEO & Director (Start 02/2020) 2.00 54.00 X X 0 938275 53040 Mr Rich Raimondi Chairman 0.50 5.50 X X 0 0 0 Alan Korn MD Director 0.50 3.50 X 0 0 0 Lucie DiMaggio MD Director 0.50 3.50 X 0 0 0 Mr Alan Horner Director (End 11/2019) 0.50 3.50 X 0 0 0 Mr Andy Scoggin Director 0.50 3.50 X 0 0 0 Mr Arthur F Oppenheimer Director 0.50 3.50 X 0 0 0 Mr Bill Whitacre Director 0.50 3.50 X 0 0 0 Mr Bob Lokken Director 0.50 3.50 X 0 0 0 Mr Dan Krahn Director 0.50 3.50 X 0 0 0 Mr Jeff Fox Director 0.50 3.50 X 0 0 0 Mr Jon Miller Director 0.50 3.50 X 0 0 0 Mr Mark Durcan Director 0.50 3.50 X 0 0 0 Mr Tom Corrick Director 0.50 3.50 X 0 0 0 Ms Brigette Bilyeu Director 0.50 3.50 X 0 0 0 Ms Karen Vauk Director 0.50 3.50 X 0 0 0 Ms Lisa Grow Director 0.50 3.50 X 0 0 0 Mr Jeffrey S Taylor SR VP/CFO/Treasurer 2.00 52.00 X 0 1509217 52971 Ms Christine Neuhoff SVP/Chief Legal Officer/Sec 2.00 52.00 X 0 692645 45939 Ms Pamela Lindemoen VP Acute Care Services 6.00 38.00 X 0 595823 25548 Mr Dennis Mesaros VP Population Health 10.00 30.00 X 0 355355 40801 James Field MD Physician 40.00 0.00 X 0 770851 56499 Murali Bathina MD Physician 40.00 0.00 X 0 690553 52818 Jon Bergset MD Physician 40.00 0.00 X 0 700543 30397 Michael Morris MD Physician 40.00 0.00 X 0 670071 53257 Jesse Chlebeck MD Physician 40.00 0.00 X 0 515297 34664 0 17851347 476093 0 0 1 0 Emergency Medicine of Idaho Wainwright Suite A Boise ID 83713 Emergency Medicine Services 5222690 Anesthesia Associates of Boise 2537 W State Street Suite 200 Boise ID 83702 Anesthesia Services 1725000 Sodexo Operations LLC 9801 Washingtonian Blvd Gaithersburg MD 20878 Facilities Management 1053648 Rightsourcing Inc 9 Executive Cir 290 Irvine CA 92614 Medical Staffing 1042748 Comphealth 7259 S Bingham Jct Blvd Midvale UT 84047 Medical Staffing 529389 44 33682 3859789 44100 3937571 Net Patient Revenue 900099 151795361 151795361 Contract Service Reven 900099 7204013 7204013 Outpatient Retail RX 446110 4019861 2640227 1379634 SLHS Allocated Revenue 900099 904532 904532 Membership Dues 900099 10720 10720 7502 7502 163941989 165759 165759 535099 0 535099 535099 535099 1000 8861 -7861 -7861 -7861 Cafeteria/Catering/Ven 722514 423431 423431 423431 168995988 162562355 1379634 1116428 8923460 8923460 30100 30100 1460915 1384541 76374 1049184 940916 108268 189542 142267 47275 896934 896934 52174 49085 3089 13216132 12593464 622668 Allocated SLHS Wages 60862742 55172537 5690205 Allocated SLHS Expense 32333476 32333476 Supplies 24584479 24307513 276966 Contract Services 21248516 20710837 537679 3781081 2025297 1755784 168628735 158583393 10045342 0 19296596 24816949 2520077 3160072 54932 84137 193287477 41519771 145630837 151767706 167502442 179828864 3623851 4042984 195273978 206736329 198897829 210779313 X -31395387 -30950449 -31395387 -30950449 167502442 179828864 X 367253 82481 -4796 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8454866 10752357 19207223 129962865 17479431 112483434 41841314 23481764 18359550 2276075 558576 1717499 151767706 AP Medicare-Medicaid Program 7844000 Due From Related Organizations 197311204 Operating Leases 1581125 206736329 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 1 1 0 1 1 5558945 5558945 0.03300 30624939 23385683 7239256 0.04290 336161 228273 107888 0.00060 36520045 23613956 12906089 0.07650 343678 4080 339598 0.00200 1184134 1184134 0.00700 195587 76167 119420 0.00070 140631 140631 0.00080 1864030 80247 1783783 0.01050 38384075 23694203 14689872 0.08700 163 163 0.00000 163 163 0.00000 1 5060600 0 17826277 19470080 -1643803 X 1 1 1 1 St Luke's Nampa Medical Center 9850 W St Lukes Drive Nampa ID 83687 www.stlukesonline.org State of Idaho License #72 X X X St Luke's Nampa Medical Center 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X https://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 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 Nampa 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. Southwest District Health5. St. Luke's Greenhurst/Midland Clinics, Nampa6. Nampa Housing Authority 7. Boys and Girls Club of Nampa8. NW Sales & Distribution/ St. Luke's Health Partners9. Nampa Family Justice Center10. Treasure Valley YMCA11. City of Nampa12. City of Caldwell13. Middleton School District14. Salvation Army of Nampa15. Caldwell Housing Authority 16. WITCO17. Vallivue School District 18. Nampa School District19. SunWest Bank20. Caldwell School District21. Canyon County22. Canyon County Community Clinic St. Luke's Nampa Medical Center Part V, Section B, Line 11: We organized our significant health needs into the following groups: Group #1: Improve the Prevention, Detection, and Treatment of Obesity and DiabetesGroup #2: Improve Mental Health and Reduce Suicide Group #3: Reduce Drug MisuseGroup #4: Improve Access to Affordable Health InsuranceNext 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:Program Group 1: Improve the Prevention, Detection, and Treatment of Obesity and Diabetes 1. Program Name: Investment in Programs Supporting the Prevention, Detection, and Treatment of Obesity and Diabetes through St. Luke's CHIF Fund 2. Program Name: The Hill 3. Program Name: School-based Resilience Programming 4. Program Name: CATCH (Coordinated Approach to Child Health) 5. Program Name: St. Luke's Health Coaching 6. Program Name: Partnership with the Idaho Foodbank on their Hunger to Health Strategy 7. Program Name: The Y's Healthy Living Center and Diabetes Prevention Program 8. Program Name: Breastfeeding and Childhood Obesity 9. Program Name: FitOne Program Group 2: Improve Mental Health and Reduce Suicide 10. Program Name: Investment in Programs Supporting the Prevention, Detection, and Management of Mental Illness and Reduce Suicide through St. Luke's CHIF Fund 11. Program Name: Psychiatry Residency Program Expansion 12. Program Name: REACH Training Program-Delivering Evidence Based Behavioral Health Care in Primary Care 13. Program Name: Western Idaho Community Crisis Center (Region 3 Behavioral Health Community Crisis Center) 14. Program Name: Supportive Oncology at St. Luke's Mountain States Tumor Institute (MSTI) 15. Program Name: Children's Counseling Community Support Collaborative 16. Program Name: SHIP Community Health EMS 17. Program Name: Adverse Childhood Experiences (ACEs) and Resiliency Clinical Learning Collaborative 18. Program Name: The Idaho Resilience Project Adverse Childhood Experiences (ACEs) Collaborative 19. Program Name: Western Idaho Community Health Collaborative 20. Program Name: Idaho Association for the Education of Young Children (IAEYC) Preschool Learning Collaboratives 21. Program Name: Older Adult Resilience Programming Program Group 3: Reduce Drug Misuse 22. Program Name: Investment in Programs Supporting Reducing Drug Misuse through St. Luke's CHI Fund 23. Program Name: Tobacco/E-Cigarette Prevention Education 24. Program Name: St. Luke's Health System Pain Affinity Council Program Group 4: Improve Access to Affordable Health Insurance 25. Program Name: Investment in Programs Supporting Improvement of Access to Health Insurance through St. Luke's CHI Fund 26. Program Name: Health Window 27. Program Name: SHIBA Senior Health Insurance Benefits Advisors 28. Program Name: St. Luke's Financial Care Program 29. Program Name: Your Health Idaho St. Luke's Nampa 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 Nampa Medical Center Part V, Section B, Line 16j: A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information. 1 1 - St Luke's Clinic Meridian Gala St 2347 E Gala St Meridian ID 83642 Family Medicine, Pulmonology, Sleep Medicine 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 Response/Standby Part 1, Line 7i, Cash and in-kind contributions for community benefit: During the fiscal year 2020, 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 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 to help the long term development of the community particularly to shape and improve public health and access to medical services. 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 2020. The amount is calculated by comparing the total Medicare apportioned costs (allowable costs) to interim payments received during FY'20.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: St. Luke's Nampa Medical Center, LTD (SLN) primary service area includes the greater Canyon county area. The criteria used in selecting this area was to include the entire population of the counties where greater than 70% of the inpatients reside. While the SLN is newly constructed and placed in service it is estimated that greater than 70% of the inpatients will reside in Canyon County. 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 two licensed hospitals in Canyon County that are not part of The St. Luke's Health System. There is at least one federally designated medically underserved areas or populations Canyon County service area.In regards to race, both Idaho and the service territory are comprised of about 95% white population while the nation as a whole is 78% white. In regards to ethnicity, The Hispanic population in Idaho represents 12% of the overall population and about 25% of the 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. Canyon County has followed that trend, experiencing an even more rapid 62% increase in population within that timeframe.Since the year 2000, the 45 to 64 year old age group was the fastest growing segment of our community. Currently, about 13% 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 slightly higher than the national average. The poverty rate in our community for children under the age of 18 is about the same as the national average.Median income in the United States has risen by 33% since 2004. However, growth in income was a slower 23% in Idaho and in our service area during that period. Median income in Canyon County is well below the national median and lower than Idaho's median income. 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 Nampa 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 Nampa. 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.(6) Mountain States Tumor Institute (MSTI) which also does business as St. Luke's Cancer Institute, is the region's largest provider of cancer services and a nationally recognized leader in cancer research. MSTI provides advanced care to thousands of cancer patients each year at clinics in Boise, Fruitland, Meridian, Nampa, and Twin Falls, Idaho. MSTI is home to Idaho's only cancer treatment center for children, only federally sponsored center for hemophilia, and only blood and marrow transplant program.MSTI's services and therapies include breast care services, blood and marrow transplant, chemotherapy, genetic counseling, hematology, hemophilia treatment, hospice, integrative medicine, marrow donor center, mobile mammography, mole mapping, nutritional counseling, PET/CT scanning, patient/family support, pediatric oncology, radiation therapy, rehabilitation, research and clinical trials, Schwartz Center Rounds for Caregivers, spiritual care, supportgroups/classes, tumor boards, and Wound Ostomy, and Continence Nursing.MSTI is expanding as rapidly as today's cancer treatment. Patients can now visit a MSTI clinic or Breast Cancer detection center at 13 different locations in southwest Idaho and Eastern Oregon. Locations include Boise, Meridian, Nampa, Twin Falls, and Fruitland.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 through management service contracts for select specified services. These facilities include:(1) North Canyon Medical Center(2) Salmon River Clinic(3) Weiser Memorial Hospital Part VI, Line 7, Reports Filed With States ID 0 1 0 0 0 0 0 0 0 David C Pate MD JD President & CEO (End 02/2020) 0 1232490 0 0 0 9180227 0 23349 0 6810 0 10442876 0 0 Mr Chris Roth CEO & Director (Start 02/2020) 0 807043 0 0 0 131232 0 27620 0 25420 0 991315 0 0 Mr Jeffrey S Taylor SR VP/CFO/Treasurer 0 702999 0 0 0 806218 0 31891 0 21080 0 1562188 0 0 Ms Christine Neuhoff SVP/Chief Legal Officer/Sec 0 642664 0 0 0 49981 0 27620 0 18319 0 738584 0 0 Ms Pamela Lindemoen VP Acute Care Services 0 560268 0 0 0 35555 0 19078 0 6470 0 621371 0 0 Mr Dennis Mesaros VP Population Health 0 320107 0 0 0 35248 0 23349 0 17452 0 396156 0 0 James Field MD Physician 0 617849 0 90710 0 62292 0 31891 0 24608 0 827350 0 0 Murali Bathina MD Physician 0 579247 0 45027 0 66279 0 31891 0 20927 0 743371 0 0 Jon Bergset MD Physician 0 601212 0 79791 0 19540 0 19078 0 11319 0 730940 0 0 Michael Morris MD Physician 0 556845 0 74417 0 38809 0 23349 0 29908 0 723328 0 0 Jesse Chlebeck MD Physician 0 460183 0 35682 0 19432 0 18647 0 16017 0 549961 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 Nampa 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 Nampa 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'19, the following individuals participated in a supplemental non-qualified executive retirement plan: SERP SERP-Gross Up Total Jeffrey Taylor $416,672 $331,057 $747,729 David C. Pate $4,903,755 $4,223,756 $9,127,511 Part I, Line 4b: During CY'19, Jeffrey S. Taylor was a participant in the supplemental non-qualified executive retirement plan. There were no additional benefits accrued during CY'19 on behalf of the participant. Part II-Column (c) During CY'19 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 $150,904 Part II-Column (e) Compensation reported for Dr. David C. Pate includes the present fair value of future retirement payments, to be paid over time as an annuity, not a lump sum. As part of recruitment to the role of CEO of St. Luke's Health System, Ltd., Dr. Pate received a supplemental executive retirement plan during his tenure, which vested during the tax year reported. At the vesting date, the fair value of his future benefits is considered reportable wages to him for income tax purposes. Cash payments of the retirement benefit is deferred until his retirement, at which time the benefits will be paid out as an annuity. Dr. Pate's employment arrangement, aligned with overall healthcare industry standards, recognized his service to the organization. Clifton Martin Family member of Director 78387 Compensation of family member of a Director 0 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 Some board members serve with other board members on non-St. Luke's boards. Each of the following board members, officers and key employees has a business relationship with another by virtue being an officer, key employee or sitting on the board of directors of another St. Luke's entity. Allan Korn, MD David C. Pate, MD, JD Lucie DiMaggio, MD Mr. Alan Horner Mr. Andy Scoggin Mr. Arthur F. Oppenheimer Mr. Bill Whitacre Mr. Bob Lokken Mr. Dan Krahn Mr. Jon Miller Mr. Mark Durcan Mr. Rich Raimondi Mr. Tom Corrick Ms. Brigette Bilyeu Ms. Karen Vauk Ms. Lisa Grow Mr. Jeffrey Taylor Ms. Christine Neuhoff Ms. Pamela Lindemoen Mr. Dennis Mesaros Mr. Jeff Fox Form 990, Part VI, Section A, line 6 St. Luke's Health System,Ltd. is the sole member of St. Luke's Nampa Medical Center,Ltd. Form 990, Part VI, Section A, line 7a St. Luke's Health System,Ltd.(Member)and St. Luke's Nampa 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 Nampa 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 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: Pam Lindemoen: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. Mountain States Tumor Institute,Inc. 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. Mountain States Tumor Institute,Inc. 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. Mountain States Tumor Institute,Inc. 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. Mountain States Tumor Institute,Inc. 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. Dennis Mesaros: St. Luke's Regional Medical Center,Ltd. St. Luke's Nampa Medical Center, Ltd. Form 990, Part XI, line 9: Change in Minimum Liability-Defined Benefit Plan -4,796. Form 990, Part I, Line 6 During this past year the number of volunteers decreased due to restrictions on the access to the hospitals for volunteers and cancellations of in person events due to COVID-19 concerns. Mountain States Tumor Institute Inc 190 E Bannock Boise ID 83712 820295026 Healthcare Services ID 501(c)(3) 3 St Luke's Regional Medical Center Ltd 0 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 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 Ltd 190 E Bannock Boise ID 83712 841421665 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 St Luke's Health Foundation Ltd C 33682 Donations Specified for Nampa