2020-08-17T12:45:52-05:00 2019-09-30 861065772 Deloitte Tax LLP 695 Town Center Drive Suite 1200 Costa Mesa CA 926261924 990 2018-10-01 820161600 St Luke's Regional Medical Center Ltd STLU 2087069585 190 E Bannock Boise ID 83712 Pete DiDio Vice-President, Controller 2087069585 2020-08-17 1 John Sadoff P00540589 7144367100 72.49.173.45 2020-08-17 09:51:53 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0F15B0CDE5A4E1FB9EC7511A30B41E30291BB2E7 2018 2020-09-22 18:59:49Z Pamela Lindemoen 190 E Bannock Boise ID 83712 2521470071 0 X www.stlukesonline.org X 1906 ID Provide healthcare services to the community. 16 10 0 1807 23415250 0 1993703 20395062 1435842346 1529262864 6357441 27049823 6954080 6591410 1451147570 1583299159 2718858 2971901 0 0 0 0 0 0 0 1408060265 1466322062 1410779123 1469293963 40368447 114005196 1628489506 1760684668 1004131799 1043020286 624357707 717664382 X Improve the health of people in the communities we serve by aligning physicians and other providers to deliver integrated, patient centered, quality care. 0 0 1222864556 2760402 1420431212 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. The hospitals provide 24-hour emergency care, diagnostic procedures, a variety of inpatient and outpatient care, and maternity and pediatric care. Known for its clinical excellence, St. Luke's has been recognized for quality and patient safety, and is proud to be designated a Magnet Hospital, the gold standard for nursing care.During FY'19, St. Luke's Hospital locations in the Treasure Valley provided inpatient care for 35,572 admissions, covering 139,475 patient days. Also, the hospitals provided patient care associated with 466,038 outpatient visits. In addition to hospital patient care, the various physician clinics located in the Treasure Valley provided patient care associated with 1,152,544 visits.St. Luke's provides more heart procedures than any other hospital in Idaho, providing cardiac care for heart patients throughout Idaho,and into parts of Oregon, Nevada, and Utah. St. Luke's supports the region through partnerships with physicians, hospitals, and regional clinics where patients are cared for in their own communities. Classes and screenings are offered to promote heart and vascular health and support those living with cardiovascular disease. In addition, St. Luke's has provided hundreds of automated external defibrillators (AEDs) to local schools, civic organizations and businesses, and has worked with area hospitals to achieve standardized clinical protocols for heart attack patients.Integral to the Heart & Vascular line is St. Luke's Idaho Cardiology Associates (SLICA), an 8-physician cardiology practice servicing Boise and the surrounding communities within Idaho. SLICA specializes in the treatment of diseases and disorders that affect the heart and its associated blood vessels. In-office diagnostic services include treadmill stress testing,echocardiography, heart rhythm monitoring, heart catheterization and nuclear cardiology. Also included in the practice are special clinics designed to manage irregular heart beats (arrhythmias) pacemakers and defibrillators, blood thinning medications, congestive heart failure, and lipids. 93694343 211499 108831652 St. Luke's Children's Hospital/Specialty Center:St. Luke's Boise Medical Center is home to Idaho's only children's hospital. The Children's Hospital cares for more than 50,000 children every year, with more than 140 pediatricians and pediatric specialists working with referring physicians from around the region. Features of the Children's Hospital include Idaho's largest and most experienced Level III Newborn Intensive Care Unit, Pediatric Intensive Care Unit, and full service Pediatrics Unit. We also provide care in the state's only Pediatric Cancer Unit, Pediatric Emergency Department, and Pediatric Surgery Suites. At our Children's Hospital School, we help our young patients keep pace with their classmates. At CARES (Children at Risk Evaluation Services), medical evaluation, treatment, and documentation in cases of alleged abuse are provided.During FY'19 the Children's Hospital experienced the following patient volumes:Pediatrics:Admissions 5,940Patient Days 20,533Pediatric Intensive Care Unit:Admissions 1,230Patient Days 14,494 1316558899 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 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 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 OR X X Peter DiDio Vice-President Controller 2087069585 190 E Bannock Boise ID 83712 X Allan Korn MD Director 0.50 3.50 X 0 0 0 David C Pate MD JD President & SLHS CEO 2.00 50.00 X X 0 8530470 33671 Lucie DiMaggio MD Director 0.50 3.50 X 0 0 0 Mr Alan Horner Director 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 Chairman 0.50 4.50 X 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 Jon Miller Director 0.50 3.50 X 0 0 0 Mr Mark Durcan Director 0.50 3.50 X 0 0 0 Mr Rich Raimondi Chairman 0.50 4.50 X 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 Chris Roth SR VP,Chief Operating Officer 2.00 50.00 X 0 751874 49643 Mr Jeffrey S Taylor SR VP/CFO/Treasurer 2.00 52.00 X 0 990327 205605 Ms Christine Neuhoff VP/Legal Affairs/Secretary 2.00 52.00 X 0 615182 43075 Ms Pamela Lindemoen CEO 6.00 38.00 X 0 590637 26811 Mr David McFadyen VP Population Health 30.00 10.00 X 0 366481 52280 Mr Dennis Mesaros VP Population Health 30.00 10.00 X 0 327270 38173 Colin Poole MD Physician 40.00 0.00 X 0 1239149 49667 David Stuesse MD Physician 40.00 0.00 X 0 969126 39761 Edward Duckworth MD Physician 40.00 0.00 X 0 1119883 31234 Michael Curtin MD Physician 40.00 0.00 X 0 997842 52305 Ronald Kristensen MD Physician 40.00 0.00 X 0 1179379 54868 Ms Kathy Moore Former CEO-St. Luke's West Reg 0.00 0.00 X 0 369387 2568 0 18047007 679661 0 1 1 0 Emergency Medicine of Idaho 3080 Gentry Way 210 Meridian ID 83642 Emergency Medicine Services 23199888 Sodexo Operations LLC 9801 Washingtonian Blvd Gaithersburg MD 20878 Facilities Management 7074345 Anesthesia Associates of Boise 2537 W State St Suite 200 Boise ID 83702 Anesthesia Services 5231074 Woman's Clinic LLP 100 E IdahoSte 400 Boise ID 83702 Physician Services 5045465 Arup Labs Inc 500 Chipeta Way Salt Lake City UT 84108 Laboratory Services 4645604 228 19475711 629825 289526 20395062 Net patient revenue 900099 1378958881 1378958881 Contract Service Reven 900099 70383833 70383833 Outpatient Retail RX 446110 61055082 39719048 21336034 Management Contract 900099 2346409 2346409 Joint Venture Income 900099 524415 524415 15994244 15994244 1529262864 16744866 16744866 996896 996896 1335967 1050396 285571 285571 285571 943839930 2588647 936651468 469048 7188462 2119599 9308061 9308061 Cafeteria/Catering/Ven 722514 3367790 3367790 Laundry 812300 2079216 2079216 Daycare Service 624410 781639 781639 77194 77194 6305839 1583299159 1507926830 23415250 31562017 2971901 2971901 52010773 48665245 3345528 28000 28000 42525 42525 641520 641520 6727930 6116026 611904 63035 60842 2193 9518044 9402025 116019 109854910 109653502 201408 21967745 21955232 12513 2401585 2210817 190768 31769186 31769186 75061998 70988610 4073388 54710 54710 Allocated SLHS Wages 676874841 590650387 86224454 Supplies 270998647 269176767 1821880 Allocated SLHS Exp 133152932 97886589 35266343 Contract Service 36028948 29041871 6987077 39124733 25313669 13811064 1469293963 1316558899 152735064 0 2030 2457 12362036 42371865 179224605 197526488 44771355 46715543 2660976 2347180 1090598839 506263499 521836366 584335340 619778837 711072203 7747074 1053676 37232588 33509329 201819963 142804263 1628489506 1760684668 49223478 51632949 1882198 1624380 823657082 817967015 11963818 129369041 159832124 1004131799 1043020286 X 623447006 716753681 910701 910701 624357707 717664382 1628489506 1760684668 X 114005196 8767162 -29465683 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3073558 55988 91622 0 118102 6244 3096822 2917539 34753 242720 0 115519 5935 3073558 2511229 344380 176719 0 109385 5404 2917539 2276041 119146 225264 0 105422 3800 2511229 2696626 105159 -408482 0 110261 7001 2276041 0.20000 0.80000 1 1 1 6126467 22036747 28163214 202187 686205587 335137700 351270074 1977060 822868 1154192 226978765 170302931 56675834 147072026 147072026 584335340 Idaho Community Trust Endowment-Humphrey Diabetes 1115126 Deposits 12216 Due From Related Organizations 140125855 Deferred Tax Asset 1551066 142804263 Capital Leases 49619985 Medicare/Medicaid 38813600 Accrued Interest Payable-Bonds 2355911 Pension Liability 69042628 159832124 X Part V, Line 4: The intended use of the endowment funds are as follows: Various programs administered by St. Luke's Children's Hospital CARES Indigent care Hospice Pastoral care Biomedical research Nursing scholarships/education opportunities Lecture series for various medical specialties Employee/volunteer service recognition programs The Humphreys Diabetes Center Endowment Fund was established in 2000 from donations by several Idahoans for the purpose of supporting its diabetes based mission in the State of Idaho. This fund is to be used only for ongoing operating needs in service to the diabetic community and to provide assistance for Sweet Kids Camp and other priorities determined by the Board of Directors. The fund is in the possession of and administered by The Idaho Community Foundation. 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 also has taxable subsidiaries and operations, which are included in the consolidated financial statements. The Health System accounts for uncertain tax positions in accordance with Accounting Standards Codification ("ASC") Topic 740. Income tax liabilities are recorded for the impact of positions taken on income tax returns, which management believes are not more likely than not to be sustained on tax audit. Management is not aware of any uncertain tax positions that should be recorded. The Health System includes penalties and interest, if any, with its provision for income taxes in the nonoperating items in the consolidated statements of operations and changes in net assets. Sch. D, Part V The endowment balances represent amounts held for the organization by the St Luke's Health Foundation. Balances include contributions, investment gains/losses and use of funds. 1 1 X 1 X 1 X 1 1 1 0 1 1 28124723 28124723 0.01910 179463585 136082482 43381103 0.02950 14267310 10084130 4183180 0.00280 221855618 146166612 75689006 0.05140 5422449 723016 4699433 0.00320 15423040 51455 15371585 0.01050 16417232 2898610 13518622 0.00920 6987540 2510766 4476774 0.00300 3472107 3472107 0.00240 47722368 6183847 41538521 0.02830 269577986 152350459 117227527 0.07970 24771 24771 0.00000 32791 32791 0.00000 582603 582603 0.00040 640165 640165 0.00040 1 20237586 0 187708176 274639130 -86930954 X 1 1 1 Ortho Neuro Management LLC MSO-Provides consulting services for Ortho Neuro 0.58180 0.41820 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 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 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: 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. Community Council of Idaho4. Idaho Central District Health, District 45. Idaho Office of Refugees6. Learning Lab7. Boise Rescue Mission8. Garden City Community Clinic9. Terry Reilly Health Services10. Treasure Valley Family YMCA11. United Way of Treasure Valley12. IDACORP & Idaho Power13. Valley Regional Transit 14. Community Planning Association (COMPASS)15. West Ada School District16. The Idaho Foodbank17. NAMI National Alliance on Mental Illness Treasure Valley18. Women's and Children's Alliance19. St. Luke's Health System20. Nampa Family Justice Center21. Boys & Girls Club of Nampa22. Idaho Department of Labor23. Southwest District Health, District 3 Group A-Facility 1 -- St. Luke's Regional 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 CHI 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: Built Environment Initiatives 7. Program Name: Partnership with the Idaho Foodbank on their Hunger to Health Strategy 8. Program Name: Healthy Habits Healthy U (HHHU) 9. Program Name: The YMCA's Healthy Living Center and Diabetes Prevention Program 10. Program Name: Breastfeeding and Childhood Obesity 11. Program Name: FitOne 12. Program Name: Meridian Moves, Partnership with Meridian Library DistrictProgram Group 2: Improve Mental Health and Reduce Suicide 13. Program Name: Investment in Programs Supporting the Improvement of Mental Health and Reducing Suicide through St. Luke's CHI Fund 14. Program Name: Financial Support of Allumbaugh House 15. Program Name: Psychiatry Residency Program Expansion 16. Program Name: REACH Training Program-Delivering Evidence-Based Behavioral Health Care in Primary Care 17. Program Name: New Path Community Housing 18. Program Name: Pathways Community Crisis Center 19. Program Name: Supportive Oncology at St. Luke's Cancer Institute 20. Program Name: Children's Counseling Community Support Collaborative 21. Program Name: Adverse Childhood Experiences (ACES) and Resiliency Clinical Learning Collaborative 22. Program Name: The Idaho Resilience Project Adverse Childhood Experiences (ACEs) Collaborative 23. Program Name: Western Idaho Community Health Collaborative 5824. Program Name: Idaho Association for the Education of Young Children (IAEYC) Ready! for Kindergarten Program 25. Program Name: Idaho Association for the Education of Young Children (IAEYC) Preschool Learning Collaboratives 26. Program Name: Older Adult Resilience Programming Program Group 3: Reduce Drug Misuse 27. Program Name: Investment in Programs Supporting Reducing Drug Misuse through St. Luke's CHI Fund 28. Program Name: Youth and Community Resilience and Tobacco/E-Cigarette Prevention and Education 29. Program Name: St. Luke's Health System Pain/Comfort Workgroup 30. Program Name: Health District 4 Behavioral Health Community-based drug misuse prevention and support programming Program Group 4: Improve Access to Affordable Health Insurance 31. Program Name: Investment in Programs Supporting Improvement of Access to Affordable Health Insurance through St. Luke's CHI Fund 32. Program Name: Health Window 33. Program Name: SHIBA Senior Health Insurance Benefits Advisors 34. Program Name: Rides 2 Wellness 35. Program Name: St. Luke's Financial Care Program 36. Program Name: Your Health Idaho 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 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. 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: 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. Idaho Central District Health, District 45. Elmore County6. City of Mountain Home 7. Mountain Home AFB Family Support Center 8. Mountain Home School District9. MHAFB Family Advocacy10. Senior Citizen Center 11. St. Vincent DePaul12. Mountain Home Parks & Recreation13. Western Elmore County Recreation District14. Eastern Elmore County Recreation District 15. Glenns Ferry Health Center, Inc. 16. Ministerial Representative Group A-Facility 2 -- St. Luke's Elmore Part V, Section B, line 11: We organized our significant health needs into the following groups: Program Group 1: Improve the Prevention and Management of Obesity and DiabetesProgram Group 2: Improve Mental Health and Reduce SuicideProgram Group 3: Prevent and Reduce Tobacco UseNext, 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 and Management of Obesity and Diabetes 1. Program Name: Investment in Programs Supporting the High Priority Health Needs through St. Luke's CHI Fund 2. Program Name: Health and Wellness Day (Health Fair) 3. Program Name: Extreme Challenge 4. Program Name: School-based Resilience Programming 5. Program Name: St. Luke's Health Coaching 6. Program Name: Built Environment Initiatives 7. Program Name: Partnership with the Idaho Foodbank on their Hunger to Health Strategy 8. Program Name: Sports Physicals and Athletic Trainers 9. Program Name: The YMCA's Healthy Living Center and Diabetes Prevention Program 10. Program Name: First Teeth Matter 11. Program Name: Fitness RX- Prescription for improved physical health Program Group 2: Mental Health Programs and Providers12. Program Name: The Idaho Resilience Project Adverse Childhood Experiences (ACEs) Collaborative 13. Program Name: Western Idaho Community Health Collaborative 14. Program Name: Elmore County Health Coalition 17. Program Name: Older Adult Resilience Programming 18. Program Name: Idaho Association for the Education of Young Children (IAEYC) Ready! for Kindergarten Program Although availability of behavioral health service providers is ranked in the CHNAs top 10th percentile, due to resource constraints and because this need is not a strength, St. Luke's will continue to depend on community resources such as All Seasons Mental Health, Idaho Behavioral Health, Inspiring Change, and Desert Sage Clinic to address this need. Program Group 3: Prevent and Reduce Tobacco Use 19. Program Name: Youth and Community Resilience and Tobacco/E-Cigarette Prevention and Education 20. Program Name: St. Luke's Department of Lifestyle Medicine Tobacco Cessation Specialist Telephonic Counseling 21. Program Name: You Can Quit Tobacco and the Idaho Quitline 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 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. 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. 62 1 - St Luke's Children's Specialty Center 305 E Jefferson St Boise ID 83712 Specialty Pediatric Physician Clinics 2 - St Luke's Meridian Medical Plaza 520 S Eagle Rd Meridian ID 83642 Emergency Department, Surgery and Inpatient Care, Physician Clinics 3 - St Luke's Clinic 600 N Robbins Rd Boise ID 83702 Rehab/Orthopedics/Rheumatology Physician Clinics 4 - St Luke's Eagle Medical Plaza 3101 E State St Eagle ID 83616 Specialty Physician Clinics, Imaging and Lab Services 5 - St Luke's Fruitland Medical Plaza 1210 NW 16th St Fruitland ID 83619 Emergency Department, Urgent care, Surgery Center, Specialty Clinics 6 - St Luke's Specialty Clinics 100 E Idaho St Boise ID 83712 Specialty Physician Clinics 7 - St Luke's Clinic 3277 E Louise Dr Meridian ID 83642 Specialty Physician Clinics 8 - St Luke's Clinic 3525 E Louise Dr Meridian ID 83642 Specialty Physician Clinics 9 - St Luke's Clinic 3399 E Louise Dr Meridian ID 83642 Surgery Center and Specialty Physician Clinics 10 - St Luke's Clinic 703 S Americana Blvd Boise ID 83702 Imaging Services and Specialty Physician Clinics 11 - St Luke's Clinic 1906 Fairview Ave Caldwell ID 83605 Rehabilitation and Specialty Physician Clinic 12 - St Luke's Clinic 333 N 1st St Boise ID 83702 Surgery Center and Specialty Physician Clinics 13 - St Luke's Clinic 701 E Parkcenter Blvd Boise ID 83706 Pain Management, Pediatrics, Family Medicine, Phlebotomy 14 - St Luke's Clinic 125 E Idaho St Boise ID 83702 Specialty Physician Clinics and Surgery Center 15 - St Luke's Clinic 4949 S Hillsdale Ave Meridian ID 83642 Family Medicine, Pediatrics, Rehabilitation 16 - St Luke's Clinic Meridian Gala St 2347 E Gala St Meridian ID 83642 Family Medicine, Pulmonology, Sleep Medicine 17 - St Luke's Anderson Plaza Clinics 222 N 2nd St Boise ID 83702 Specialty Physician and Pediatric Clinics 18 - St Luke's Bariatrics & General Surgery 115 Main St Boise ID 83702 Specialty physician Clinics: Bariatric Nutrition and General Surgery 19 - St Luke's Breast Cancer Detection 8050 W Rifleman St Boise ID 83704 Cancer detection and Care 20 - St Luke's Clinic 1000 E Park Blvd Suite 120 Boise ID 83712 Physician Clinics: Internal Medicine. Palliative Care 21 - St Luke's Clinic 510 N 2nd St Boise ID 83702 Hearing, Balance, Vestibular Clinic And Urology 22 - St Luke's Clinic 840 N 4th East Mountain Home ID 83647 Physician Clinics and Urgent Care 23 - St Luke's Rehab and Sports Medicine 1109 W Myrtle Boise ID 83702 Sports Medicine and Rehabilitation 24 - Idaho Elks Hearing and Balance Center 1182 SW 4th Ave Ontario OR 97914 Hearing, Balance, Vestibular Clinic 25 - Idaho Elks Hearing and Balance Center 172 2nd St S Nampa ID 83651 Hearing, Balance, Vestibular Clinic 26 - St Luke's Outpatient Surgery Center 500 S Eagle Road Meridian ID 83642 Surgery Center and Specialty Physician Clinics 27 - St Luke's Idaho Family Physicians 130 E Boise Ave Boise ID 83706 Family Medicine 28 - St Luke's Breast Cancer Detection 247 W Washington St Boise ID 83712 Cancer detection and Care 29 - St Luke's Center for Breast Imaging 100 E Bannock St Boise ID 83712 Imaging Services 30 - St Luke's Children's Neurobehavioral 1075 E Park Blvd South Entrance Boise ID 83712 Neurobehavioral Medicine 31 - St Luke's Children's Pediatrics 1620 S Kimball Ave Caldwell ID 83605 Rehabilitation 32 - St Luke's Children's Rehabilitation 170 2nd St S Nampa ID 83651 Rehabilitation(pediatric) 33 - St Luke's Clinic 300 E Jefferson St Boise ID 83712 Specialty Physician and Pediatric Clinics 34 - St Luke's Clinic 3445 Pocahontas Road Suite A Baker City OR 97814 Specialty Physician Clinics 35 - St Luke's Clinic 3950 17th St Baker City OR 97814 Physician and Specialty Physician Clinics 36 - St Luke's Clinic 5155 S Hillsdale Ave Meridian ID 83642 Lifestyle Medicine 37 - St Luke's Clinic Family Health 3140 W Milano Dr Suite 150 Meridian ID 83646 Family Health 38 - St Luke's Clinic Acute Care Surgery 100 E Warm Springs Ave Suite B Boise ID 83712 Physician Clinic-Surgery 39 - St Luke's Clinic Family Health 12080 W McMillan Rd Boise ID 83713 Family Medicine 40 - St Luke's Clinic Family Health 2083 Hospitality Ln Boise ID 83716 Family Medicine 41 - St Luke's Clinic Family Medicine 1520 W State Street Suite 100 Boise ID 83702 Family Medicine 42 - St Luke's Clinic Family Medicine 3165 E Greenhurst Rd Nampa ID 83686 Family Medicine 43 - St Luke's Clinic Family Medicine 805 N 6th East Mountain Home ID 83647 Family Medicine 44 - St Luke's Clinic Idaho Endocrinology 403 S 11th St Suite 100 Boise ID 83702 Specialty Physician Clinic 45 - St Luke's Clinic Internal Medicine 4840 N Cloverdale Rd Boise ID 83713 Internal Medicine 46 - St Luke's Clinic Outpatient Services 890 N 6th East St Mountain Home ID 83647 Physician Clinics 47 - St Luke's Clinic Urology 1202 E Locust Street Emmett ID 83617 Specialty physician Clinic: Urology 48 - St Luke's Cystic Fibrosis Center 610 W Hays Street Boise ID 83702 Cystic Fibrosis Center 49 - St Luke's Breast Cancer Detection 909 NW 16th St Suite C Fruitland ID 83619 Cancer detection and Care 50 - St Luke's Humphreys Diabetes Center 1226 W River St Boise ID 83702 Diabetes Center 51 - St Luke's Idaho Cardiology Associates 287 W Jefferson St Boise ID 83702 Cardiology 52 - St Luke's Idaho Pulmonary Associates 2051 E Summersweet Dr Boise ID 83716 Pulmonary Specialty 53 - St Luke's Mountain View Medical Center 3301 N Sawgrass Wy Boise ID 83704 Family Medicine 54 - St Luke's Orthopedic Surgery Center 1425 River Street Boise ID 83702 Orthopedic Surgery Center 55 - St Luke's Rehabilitation 1001 S Bridgeway Place Eagle ID 83616 Rehabilitation 56 - St Luke's Rehabilitation 2475 Apple St Suite 200 Boise ID 83706 Rehabilitation 57 - St Luke's Rehabilitation 290 W Georgia Ave Nampa ID 83686 Rehabilitation 58 - St Luke's Rehabilitation 2999 N Lakeharbor Ln Suite 120 Boise ID 83703 Rehabilitation 59 - St Luke's Treasure Valley Pediatrics 1620 S Celebration Ave Meridian ID 83642 Pediatric Medicine 60 - St Luke's Treasure Valley Pediatrics 450 W State Street Suite 100 Eagle ID 83616 Pediatric Medicine 61 - St Luke's Trinity Mountain Medical 465 McKenna Dr Mountain Home ID 83647 Family Medicine & OB/GYN clinic 62 - St Luke's Idaho Cardiology Associates 215 E Hawaii Ave Nampa ID 83686 Cardiology 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 ServicesWomen's and children's HealthHome CarePalliative Care and MedicineBehavioral Health 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 2019. The amount is calculated by comparing the total Medicare apportioned costs (allowable costs) to interim payments received during FY'19.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 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 criteria we use in selecting this area as the community we serve is to include the entire population of the counties where at least 70% of our inpatients reside. The residents of these counties comprise about 80% of our inpatients with approximately 60% of our inpatients living in Ada County and 20% in Canyon County. According to Idaho Health and Welfare there are seven licensed hospitals in Ada county and two in Canyon County that are not part of The St. Luke's Health System. There are multiple federally designated medically underserved areas or populations in our Ada and Canyon counties service area.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. In regards to race, both Idaho and the service territory are comprised of about 94% 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 14% of the defined service area. Canyon County is approximately 25% Hispanic, and Ada County is 8% Hispanic.Idaho experienced a 30% increase in population from 2000 to 2016 ranking it is one of the fastest growing states in the country. Ada and Canyon Counties followed that trend, experiencing an even more rapid 52% increase in population within the timeframe. St. Luke's Regional Medical Center is constantly working to manage the volume and scope of its services in order to meet the needs of an increasing population.Over the past ten years the 45 to 64 year old age group was the fastest growing segment of the community. Currently, about 13% of the people in the community are over the age of 65.The official United States poverty rate increased from 12.5% in 2003 to 14% in 2016. Although both Ada and Canyon County poverty rates are decreasing, they are still above where they were prior to the recession in 2008. The poverty rate in Canyon County is currently about 15% and about 11% in Ada County. The poverty rate in our community for children under the age of 18 is well below the national average for Ada County and slightly above the national average for Canyon County. Although both Ada and Canyon County poverty rates have started to level out, they are still well above where they were prior to the recession in 2008.Median income in the United States has risen by 33% since 2003. However, growth in income was slower 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. Median income in Ada County is still slightly higher than the national median income.St. Luke's Elmore - Elmore County represents 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 criteria we use in selecting this area as the community we serve is to include the entire population of the counties where at least 75% of our inpatients reside. The residents of Elmore County comprise about 84% of our inpatient visits. According to Idaho Health and Welfare there no other licensed hospital in Elmore county. There is at least one federally designated medically underserved area or population in our Elmore County service area.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. Both Idaho and the service territory are comprised of over 90% white population while the nation as a whole is 78% white. The Hispanic population in Idaho represents 12% of the overall population and about 16% of the defined service area. Idaho experienced a 30% increase in population from 2000 to 2016 ranking it is one of the fastest growing states in the country. However, our service area experienced an 11% decrease in population within that timeframe. St. Luke's Elmore is working to manage the volume and scope of services in order to meet the needs of our population. Over the past ten years the over 45 year old age group was the fastest growing segment of the community. Currently, about 13% of the people in the community are over the age of 65.The official United States poverty rate increased from 12.5% in 2003 to14% in 2016. Our service area poverty rate is about the same as the national average. The poverty rate in our community for children under the age of 18 is also about the same as the national average. Although poverty has started declining in our service area, poverty rates are still well above the levels they were at prior to the recession in 2008.Median income in the United States has risen by 33% since 2004 but by only 21% in our service area. The median income in our service area 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 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.(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, 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 1 Boise Public Schools Education Foundation Inc 8169 W Victory Road Boise ID 83709 820400689 501(c)(3) 5000 Support the Boise Public Schools Boys & Girls Club of Nampa 316 Stampede Dr Nampa ID 83687 820504332 501(c)(3) 5000 Operate boys and girls club for local youth with emphasis on youth at risk Hands of Hope Northwest Inc 1201 Powerline Rd Nampa ID 83686 841398889 501(c)(3) 886490 FMV Medical Equipment Provide durable medical equipment and medical supplies to people in need in the Treasure Valley St Luke's Health Foundation 190 E Bannock Street Boise ID 83712 810600973 501(c)(3) 1912438 Provide support for overall operational needs of St. Luke's Health Foundation,Inc. 4 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. 0 1 0 0 0 0 0 0 0 David C Pate MD JD President & SLHS CEO 0 1186628 0 0 0 7343842 0 25114 0 8557 0 8564141 0 0 Mr Chris Roth SR VP,Chief Operating Officer 0 706430 0 0 0 45444 0 29330 0 20313 0 801517 0 0 Mr Jeffrey S Taylor SR VP/CFO/Treasurer 0 692292 0 0 0 298035 0 183892 0 21713 0 1195932 0 0 Ms Christine Neuhoff VP/Legal Affairs/Secretary 0 606556 0 0 0 8626 0 25114 0 17961 0 658257 0 0 Ms Pamela Lindemoen CEO 0 528793 0 30000 0 31844 0 20898 0 5913 0 617448 0 0 Mr David McFadyen VP Population Health 0 343676 0 0 0 22805 0 25114 0 27166 0 418761 0 0 Mr Dennis Mesaros VP Population Health 0 300576 0 0 0 26694 0 20898 0 17275 0 365443 0 0 Colin Poole MD Physician 0 861188 0 333139 0 44822 0 33546 0 16121 0 1288816 0 0 David Stuesse MD Physician 0 811891 0 74038 0 83197 0 29330 0 10431 0 1008887 0 0 Edward Duckworth MD Physician 0 1082074 0 0 0 37809 0 20898 0 10336 0 1151117 0 0 Michael Curtin MD Physician 0 694733 0 258867 0 44242 0 33546 0 18759 0 1050147 0 0 Ronald Kristensen MD Physician 0 902809 0 208528 0 68042 0 33546 0 21322 0 1234247 0 0 Ms Kathy Moore Former CEO-St. Luke's West Reg 0 32355 0 0 0 337032 0 1304 0 1264 0 371955 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 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 CY'18, the following individuals participated in a supplemental non-qualified executive retirement plan: SERP SERP-Gross Up Total Jeffrey Taylor $133,766 $106,280 $240,046 David C. Pate $7,279,542 $7,279,542 Part I, Line 4b: During CY'18, Jeffrey S. Taylor was a participant in the supplemental non-qualified executive retirement plan. There were no additional benefits accrued during CY'18 on behalf of the participant. Part II-Column (c) During CY'18 the following individual participated in the basic pension plan. Due to enhanced benefits adopted in 2018 and changes in actuarial assumptions this individual experienced an increase in the vested balance of the plan. Jeffrey Taylor $150,346 Sch J 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. A Idaho Health Facilities Authority 826051863 451295VN6 2012-07-11 75896250 Capital Projects for Health Care Facilities 0 0 0 B Idaho Health Facilities Authority 826051863 451295WT2 2014-08-20 176779592 Capital projects for Healthcare Facilities 0 0 0 C Idaho Health Facilities Authority 826051863 000000000 2016-05-18 50000000 Equipment Financing for Health Care Facilities 0 0 0 D Idaho Health Facilities Authority 826051863 451295ZB8 2018-08-09 389965755 Current Refunding of Bonds and capital projects for Healthcare Facilities 0 0 0 A 76185209 239 776952 75408257 2013 0 0 1 1 B 1235000 178529644 470 1798967 176730677 2018 0 0 1 1 C 15299297 50030528 165622 49864906 2016 0 0 1 1 D 391161962 238379 59639164 308756484 22766314 1 0 0 1 A 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 1 1 0.00000 0.00000 0.00000 0 0 1 C 0 0 0 0 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 0 1 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 D 0 1 0 0 1 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: 07/11/2017 Issuer Name: Idaho Health Facilities Authority Date the Rebate Computation was Performed: 03/01/2019 Part II, Line 4 Amounts presented consist of Debt Service Fund Deposits. Part 1, column (c), Line D Form 8038 lists this CUSIP and also 451295ZC6 Schedule K, Part 1 and Part II, Line 3, Columns A, B, C, & D. Differences between the issue price (Part 1) and total proceeds (Part II, line 3) are due to investment earnings. Brea Shrum MD Family member of a Director 492448 Compensation of family member of a Director 0 Sarah Tuttle Family member of a Director 79730 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. Chris Roth Mr. David McFadyen Mr. Dennis Mesaros Form 990, Part VI, Section A, line 4 St. Luke's restructured its board governance so that the composition of the board for each of the entities listed below is the same. There is appropriate oversight & control of each specific entity, the board takes action with respect to specific entities, and the board documents oversight of each hospital in board and committee minutes. 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. Mountain State Tumor Institute, Inc. 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 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. Kathy Moore: 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. Chris Roth: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. Mountain States Tumor Institute,Inc. St. Luke's Health Foundation,Ltd. St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Wood River Medical Center,Ltd. St. Luke's Clinic Coordinate Care,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. David C. Pate: 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 Nampa Medical Center, Ltd. Dennis Mesaros St. Luke's Regional Medical Center,Ltd. St. Luke's Nampa Medical Center, Ltd. David McFadyen St. Luke's Regional Medical Center,Ltd. St. Luke's McCall,Ltd. Form 990, Part XI, line 9: Change in Minimum Liability-Defined Benefit Plan -29,465,683. St Luke's Clinic-Treasure Valley LLC 190 E Bannock Boise ID 83712 452716222 Physician Clinic Services ID 260746700 131139887 St Luke's Regional Medical Center 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 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 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 SL Phys Realty-Louise LLC 190 E Bannock Boise ID 83712 263731325 Real Estate Lease ID Related 1205472 13504517 1 1 1.00000 1500 Shoreline LLC 190 E Bannock Boise ID 83712 270681501 Real Estate Lease ID Related 266827 1 1 0.54730 3399 E Louise MOB LLC 190 E Bannock Boise ID 83712 270848198 Real Estate Lease ID Related 796567 14127880 1 1 1.00000 Medical Building Investment Group LLC PO Box 1271 Ketchum ID 83340 263667995 Real Estate Lease ID Related 2889106 1 0 0.64650 Ortho Neuro Management LLC 190 E Bannock Boise ID 83712 264483076 Mgmt. Consulting ID Related -221529 0 0 0.58300 Idaho Cytogenetics Diagnostic Laboratory LLC 190 E Bannock Boise ID 83712 331012210 Healthcare ID Related -255367 888081 0 0 0.50000 Anderson Plaza Medical Building Inc 190 E Bannock St Boise ID 83702 820448741 Medical Offices ID C 0 St Luke's Office Plaza 190 E Bannock St Boise ID 83702 820389626 Medical Offices ID C 0 St Luke's Elmore Medical Building Inc 190 E Bannock St Boise ID 83702 813992116 Medical Offices ID C 0 0 1 1 0 0 0 0 0 0 0 1 0 1 0 1 1 0 0 0 St Luke's Health Foundation Ltd B 1912438 Subsidy to SLHF St Luke's Health Foundation Ltd C 19475711 Donations Specified for SLRMC Ortho Neuro Management LLC P 145772 Per Mgmt. Agreement SL Phys Realty-Louise LLC K 449585 Per Master Lease Agreement 3399 E Louise MOB LLC K 398854 Per Master Lease Agreement Part III, Column K SL Phys Realty-Louise, LLC & 3399 E. Louise MOB, LLC - On 12/19/2018 we bought out the other partners. When we became the only partner, we made immediate moves to liquidate and dissolve the entity. We listed them in part III as partnerships because we have related transactions with them as partners during our FY19. Schedule R calls for most items to be directly pulled from specific lines on the K-1, so we used the 100% ending percentage on the K-1 as our ownership, but all operations and related transactions occurred when we owned 67%.