2020-08-17T08:35:01-05:00 2019-09-30 861065772 Deloitte Tax LLP 695 Town Center Drive Suite 1200 Costa Mesa CA 926261924 990 2018-10-01 273311774 St Luke's McCall 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 02:28:50 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 0F15B0CDE5A4E1FB9EC7511A30B41E30291BB2E7 2018 2020-11-19 02:30:22Z Pamela Lindemoen 190 E Bannock Boise ID 83712 49166240 0 X www.stlukesonline.org X 2010 ID Provide healthcare services to the community. 16 10 0 72 0 0 467648 116340 43590238 42401033 -166787 -24880 89785 80849 43980884 42573342 10054 759 0 0 0 0 0 0 202460 37714108 37824417 37724162 37825176 6256722 4748166 44609953 48910539 5210517 4517734 39399436 44392805 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 28870449 759 35694964 Medical and SurgicalServices at St. Luke's McCall include a 24-hour emergency department, outpatient surgery, orthopedic surgery, general surgery, diagnostics, maternity services, inpatient physical therapy, intensive care and medical/surgical units. During fiscal year 2019, St. Luke's McCall provided patient care for 707 admissions covering 1,749 patient days. They also provided patient care associated with 25,300 outpatient visits. 5423936 6706069 Physician ServicesSt. Luke's McCall has two physician clinics:(1) Payette Lakes Medical Clinic has fourteen family medicine physicians, and eight family medicine P.A.'s and N.P.'s who collectively completed 24,433 clinic visits in fiscal year 2019.(2) McCall Medical Clinic has nine family medicine physicians, three wound & hyperbarics medicine physicians, two wound & hyperbarics P.A.'s and N.P.'s, two urology medicine physicians, one internal medicine physician, one general surgeon, two orthopedic surgeons and two orthopedic P.A.'s who collectively completed 8,863 clinic visits in fiscal year 2019. 34294385 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 16 10 1 0 1 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 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 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 10.00 30.00 X 0 366481 52280 Sean McCallister Site Administrator 40.00 0.00 X 0 199453 41297 Adam Weller MD Physician 40.00 0.00 X 0 345574 20898 Gregory W Irvine MD Physician 40.00 0.00 X 0 661238 45834 John A Kremer MD Physician 40.00 0.00 X 0 340961 34038 Jonathan Currey MD Physician 40.00 0.00 X 0 317093 35160 Patrick Kinney MD Physician 40.00 0.00 X 0 307266 37019 Ms Kathy Moore Former CEO-St. Luke's West Reg 0.00 0.00 X 0 369387 2568 0 13634069 578256 0 1 1 0 Granite Excavation Inc 225 S Wooddale Ave 115 Eagle ID 83616 Construction Services 837925 Anesthesia Associates of Boise 2537 W State St Suite 200 Boise ID 83702 Physician Services 594307 Hummel Architects PLLC 2785 N Bogus Basin Rd Boise ID 83702 Architectural Services 496709 Southern ID Radiology PA 1411 Falls Ave E Twin Falls ID 83301 Radiology Services 260328 Sodexo Operations LLC 9801 Washingtonian Blvd Gaithersburg MD 20878 Facilities Management 187033 7 94577 21763 116340 Net Patient Revenue 900099 40338030 40338030 Contract Service Revnu 900099 1029767 1029767 Taxing District Revenu 900099 802000 802000 SLHS Allocation Revenu 900099 212801 212801 Other Income 900099 10045 10045 8390 8390 42401033 116339 116339 900 0 900 900 900 6451679 6592898 -141219 -141219 -141219 Cafeteria/Catering/Ven 722514 79949 79949 79949 42573342 42401033 0 55969 759 759 1042248 1042248 14500 14500 27370 27370 32395 32395 2163 879 1284 335193 325622 8814 757 2243824 2242399 1425 388932 388932 114862 100360 13312 1190 2061665 1989758 71907 Allocated SLHS Wage 21007025 18206331 2628046 172648 Supplies 5482244 5382101 89759 10384 Allocated SLHS Exp 3185044 3185044 Repairs 704250 277870 426352 28 1182702 1078696 87837 16169 37825176 34294385 3328331 202460 845480 96482 5930730 5275721 932756 1309739 838669 814282 26898885 10365924 8903047 16532961 3489533 4411400 23669738 20469954 44609953 48910539 1489322 2271469 3721195 2246265 5210517 4517734 X 39399436 44392805 39399436 44392805 44609953 48910539 4748166 245203 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 88407 169054 257461 8758877 5109039 3649838 7793962 5256885 2537077 10088585 10088585 16532961 Due from Related Organizations 20469954 20469954 AP Medicare-Medicaid Prog 2246265 2246265 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 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. 1 1 X 1 X 1 X 1 1 0 0 1315989 1315989 0.03480 1730205 1275180 455025 0.01200 3046194 1275180 1771014 0.04680 228275 25877 202398 0.00540 256625 256625 0.00680 34645 34645 0.00090 519545 25877 493668 0.01310 3565739 1301057 2264682 0.05990 3000 3000 0.00010 1000 1000 0.00000 4000 4000 0.00010 1 984882 0 9499441 12802260 -3302819 X 1 1 1 1 St Luke's McCall 1000 State Street McCall ID 83638 www.stlukesonline.org State of Idaho License #11 X X X X St Luke's McCall 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X www.stlukesonline.org/about-st-lukes/supporting-the-community X 1 18 0 1 0 1 X 200.000000000000 400.000000000000 X X X X X 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 McCall 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. Central District Health, Idaho District 44. Southwest District Health, Idaho District 35. Idaho Department of Labor6. Cascade Medical Center7. McCall Donnelly School District8. Adams County Health Center (FQHC)9. Valley County Commissioner10. City of McCall11. Riggins Idaho Primary Health Care Clinic12. City of New Meadows13. Donnelly Fire and EMS14. Payette Lakes Medical Clinics St. Luke's McCall Part V, Section B, Line 11: We organized our significant health needs into the following groups: Group #1: Improve the Prevention and Management of Obesity Group #2: Improve Mental HealthGroup #3: Reduce Substance Abuse: Drug Misuse and Excessive DrinkingGroup #4: Improve Access to Affordable Dental CareGroup #5: Improve Access to Affordable Health Care and 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:Significant Health Need #1: Improve the Prevention and Management of Obesity 1. Program Name: Develop a Region-Wide Plan to Promote Walking and Biking 2. Program Name: Promote a Healthy Food Culture 3. Program Name: Complete Health Improvement Program (CHIP) 4. Program Name: Education Classes on Various Nutrition, Weight Management, and Exercise Topics 5. Program Name: Nutrition, Fitness, and Resiliency Programs for School/After School Programs 6. Program Name: Workforce Wellness Programs (Walking, Nutrition, and Mental Resilience) Significant Health Need #2: Improve Mental Health 7. Program Name: Providing Alternative Healthcare Stress Reduction and Mindfulness Modalities (Yoga, Meditation, Ear Acupuncture) 8. Program Name: Hope and Healing 9. Program Name: Classes and Support Groups for Various Mental Health Topics and Health Conditions 10. Youth and Senior Focused Community Listening Sessions Significant Health Need #3: Reduce Substance Abuse: Drug Misuse and Excessive Drinking 11. Program Name: School Based Vaping and Nicotine Prevention and Cessation Education 12. Program Name: Valley County Opioid Response Project Consortium (VCORP) 13. Program Name: West Central Mountains Icelandic Prevention Approach Coalition (WCM-IPA) Significant Health Need #4: Improve Access to Affordable Dental Care 14. Program Name: Brighter Smiles Significant Health Need #5: Improve Access to Affordable Health Care and Affordable Health Insurance15. Program Name: Unreimbursed Care/ Financial Care 16. Program Name: Your Health Idaho 17. Program Name: Senior Foot Clinics 17. Program Name: Encourage and Support Partners in their Grant Writing for Health Improvement Programs 18. Program Name: Skin Cancer Screenings 19. Program Name: Childbirth Education 20. Program Name: Child Car Seat Installation 21. Program Name: Free Community Health Improvement Services Offered at Clinic St. Luke's McCall 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 McCall Part V, Section B, Line 16j: A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information. 7 1 - St Luke's Clinic 209 Forest St McCall ID 83638 General Surgery, Internal Medicine, Wound Center 2 - St Luke's Clinic 200 Forest St McCall ID 83638 Orthopedic Surgery and Sleep medicine 3 - St Luke's Clinic 301 Deinhard Lane McCall ID 83638 Behavioral Health and Integrative Medicine 4 - St Luke's Clinic 211 Forest St McCall ID 83638 Family Medicine, Nephrology 5 - St Luke's Clinic Salmon River 214 N Main St Riggins ID 83549 Family Medicine 6 - St Luke's Meadows Valley Family Med 320 Virginia St New Meadows ID 83654 Family Medicine 7 - St Luke's Rehabilitation 1010 State Street McCall ID 83638 Rehabilitation 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 6a: St. Luke's McCall, Ltd. is not required under Idaholaw to file a community benefit report, since its total licensed bedsare less than the minimum 150 bed requirement threshold. (McCallhas 25 licensed beds.) Moreover, the activity of St. Luke's McCall, Ltd. is not included in the community benefit report within any of its related organizations within the St. Luke's Health System. 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 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: Adams and Valley counties represent the geographic area used to define the community we serve also referred to here as our primary service area or service area. The criteria we use in selecting this area as the community we serve 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 61% of our inpatients living in Valley County and 19% in Adams County. According to Idaho Health and Welfare there is one other licensed hospital Valley County. There are multiple federally designated medically underserved areas or populations in our Adams and Valley 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 our service territory are comprised of about a 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 4% of our defined service area. Adams County is approximately 3% Hispanic, and Valley County is 5% Hispanic. Idaho experienced a 30% increase in population from 2000 to 2016, ranking it as one of fastest growing states in the country. Adams and Valley Counties have followed that trend, experiencing a 29% increase in population within that timeframe. St. Luke's McCall is working to manage the volume and scope of services in order to meet the needs of a growing population.Over the past ten years the 65 plus year old age group was the fastest growing segment of our community. Currently, about 25% of the people in our community are over the age of 65. According to the U.S. Census, about 15% of the people in the U.S. are over age 65.The official United States poverty rate increased from 12.5% in 2003 to 14% in 2016. Our service area poverty rate has also increased. The poverty rate in Valley County is currently well below the national average at 9% but above the national average in Adams County. The poverty rate in our community for children under the age of 18 is again below the national average for Valley County and above the national average for Adams County. Although both Adams and Valley county poverty rates have started to level out, Adam's County's is still well above where it was prior to the recession in 2008.Median income in the United States has risen by 33% since 2003. Growth in income in our service area during that period was also over 30%. Median income in Adams County is well below the national median and lower than Idaho's median income. Median income in Valley County is slightly above the national 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 McCall, Ltd. maintains an open medical staff. Any physician can apply for practicing privileges as long as they meet the standards for St. Luke's McCall, Ltd. 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 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 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 Sean McCallister Site Administrator 0 198039 0 0 0 1414 0 14202 0 27095 0 240750 0 0 Adam Weller MD Physician 0 326588 0 0 0 18986 0 0 0 20898 0 366472 0 0 Gregory W Irvine MD Physician 0 556268 0 58112 0 46858 0 25114 0 20720 0 707072 0 0 John A Kremer MD Physician 0 284061 0 7564 0 49336 0 25114 0 8924 0 374999 0 0 Jonathan Currey MD Physician 0 234282 0 64825 0 17986 0 20169 0 14991 0 352253 0 0 Patrick Kinney MD Physician 0 270511 0 36269 0 486 0 20898 0 16121 0 344285 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 McCall, 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 McCall, 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'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 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. 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. David McFadyen 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 McCall, Ltd. Form 990, Part VI, Section A, line 7a St. Luke's McCall (Corporation) and St. Luke's Health System, Ltd. (Member) cooperatively select and employ the CEO of the Corporation. St. Luke's Health System, Ltd. is the sole member of the Corporation. Form 990, Part VI, Section A, line 7b St. Luke's Health System,Ltd (member) maintains approval and implementation authority over St. Luke's McCall, Ltd. (SLM). 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 Allocation of Compensation and Hours: The total hours worked and compensation reported for the following individuals represent services rendered to organizations within the St. Luke's Health System: Pam Lindemoen: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. 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. 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. David McFadyen: St. Luke's Regional Medical Center,Ltd. St. Luke's McCall,Ltd. 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