2023-08-15T09:55:11-05:00 2022-09-30 861065772 Deloitte Tax LLP 695 Town Center Drive Suite 1200 Costa Mesa CA 926261924 990 2021-10-01 562570686 St Luke's Magic Valley Regional Medical Center Ltd STLU 2083812222 190 E Bannock Boise ID 83712 Kathryn Fowler SVP/CFO/Treasurer 2083812222 2023-08-15 1 Kathryn Fowler 999009999 John Sadoff Jr P00540589 7144367100 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z Chris Roth 190 E Bannock Boise ID 83712 540925295 0 X www.stlukesonline.org X 2006 ID Provide healthcare services to the community. 15 12 0 38 0 0 698380 14406134 505311019 523357406 3770099 -55176 2586110 2133072 512365608 539841436 881659 985161 0 0 0 0 0 0 0 482700930 533552805 483582589 534537966 28783019 5303470 303932455 309551019 63308247 53363636 240624208 256187383 X To improve the health of people in the communities we serve. 0 0 482993144 949424 504372758 Medical & SurgicalSt. Luke's Magic Valley Medical Center began as Twin Falls County Hospital in 1918, and in 2011 opened the doors of its 186-bed, 700,000 square-foot, state-of-the-art health care facility. Serving eight southern Idaho counties and parts of northern Nevada, St. Luke's Magic Valley provides inpatient and outpatient surgery, 24-hour emergency services, cancer treatment, imaging, inpatient and outpatient psychiatric and addiction services, women's and children's health care, inpatient and outpatient rehabilitation, home care, hospice and more.During Fiscal Year 2022, St. Luke's Magic Valley Regional Medical Center provided qualified inpatient care for 11,528 admissions covering 45,904 patient days. The hospital also provided care associated with 208,642 outpatient visits.St. Luke's Jerome Medical Center is a 25-bed critical access hospital that integrated with St. Luke's Health System in 2011. St. Luke's Jerome has a strong focus on emergency medicine, OB/GYN, family medicine, geriatric care, disease prevention and wellness. The former St. Benedicts opened in 1952 as to serve the people of south-central Idaho as a primary care facility. St. Luke's Jerome today builds on its proud heritage to meet the challenges of 21st century rural health care.During Fiscal Year 2022, St. Luke's Jerome provided patient care for 290 admissions covering 2,561 patient days. They also provided patient care associated with 19,340 outpatient visits. 13973914 27469 14592468 Behavioral HealthSt. Luke's Canyon View Behavioral Health Services, a 28-bed inpatient facility, provides treatment for adults over the age of 17. St. Luke's Canyon View offers intensive inpatient programs that address acute psychiatric issues in addition to medical detoxification from alcohol and drugs. Canyon View utilizes individual, family, and group counseling to address personal, family, emotional, psychiatric, behavioral, and addiction-related problems. Our wide variety of services allows Canyon View to carefully match the needs of each person who comes to us for help with the most appropriate, cost-effective level of care. The goal of our programs are to help people find positive solutions to resolve the challenges and crises in their lives. The service is staffed with a diverse group of dedicated, caring professionals. Psychiatrists and other physicians, psychologists, social workers, nurses, technicians, and discharge planners work as a team to provide comprehensive, personalized care to each person.During Fiscal Year 2022, Canyon View had 756 admissions covering 5,406 patient days. 4206002 8268 4392180 Comprehensive Rehabilitation and Therapy ServicesThe Gwen Neilson Anderson Rehabilitation Center at St. Luke's Magic Valley is a licensed, comprehensive, 14-bed acute inpatient rehabilitation center. Our inpatient unit provides state-of-the-art, evidenced-based rehabilitation care for patients requiring:- Intensive physical, occupational, and/or speech therapy (at least three hours per day).- Specialized 24-hour rehabilitative nursing in an inpatient setting.- Daily oversight by a medical doctor who specializes in physical medicine and rehabilitation (a physiatrist).- Individualized case management provided by a licensed social worker.Our rehabilitation services are highly coordinated to optimize clinical outcomes and maximize a patient's independence. All members of the rehabilitation team (physicians, therapists, nurses, case workers, etc.) meet daily to ensure that treatments are tailored to each patient's specific diagnosis and unique needs. Our inpatient programs include:- Spinal cord injury- Stroke- Brain injury- Neuromuscular diseases, such as multiple sclerosis, Guillain-Barre syndrome, and cerebral palsy- Orthopedics- Major multiple trauma- Amputation- Arthritis- Medically complex conditionsAll 14 inpatient rehabilitation rooms at St. Luke's are private, and designed specifically to enhance the safety, comfort, and independence of patients recovering from and adapting to a variety of injuries and illnesses. Room features include ADA design, bed-side environmental controls (lights, nurse call light, window shades, etc.), free wireless, broadband internet access, pull-out couch, and reclining chair for visiting family members, and video surveillance capability for patients with confusion due to brain injury, stroke, or other illness.The rehabilitation gymnasium in the Gwen Neilson Anderson Rehabilitation Center contains state-of-the-art equipment and design features. The spacious gym includes private treatment rooms for one-on-one therapy sessions and a large, open space for wheelchair training, advanced mobility training, and group interaction.The transitional apartment is a fully functional apartment in which patients can practice basic activities of daily living under the supervision of a trained therapist. The activity area offers a place for patients and their visitors to gather and engage in therapeutic recreation.During Fiscal Year 2022, the inpatient rehabilitation unit provided qualified inpatient care for 229 admissions covering 2,856 patient days. 501173060 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 12 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X Jared Grant System Controller 2083812222 190 E Banonck Boise ID 83712 X Chris Roth President & CEO 2.00 52.00 X X 0 1218717 51123 Bob Lokken Chair 0.50 2.50 X X 0 0 0 Alan Korn MD Director 0.50 2.50 X 0 0 0 Andy Scoggin Director 0.50 2.50 X 0 0 0 Arthur F Oppenheimer Director (End 11/2021) 0.50 4.50 X 0 0 0 Bill Whitacre Director 0.50 2.50 X 0 0 0 Brigette Bilyeu Director 0.50 2.50 X 0 0 0 Dan Krahn Director 0.50 2.50 X 0 0 0 Emily Baker Director (Start 11/2021) 0.50 2.50 X 0 0 0 Jon Miller Director 0.50 2.50 X 0 0 0 Karen Vauk Director (End 7/2022) 0.50 2.50 X 0 0 0 Lisa Grow Director 0.50 2.50 X 0 0 0 Lucie DiMaggio MD Director 0.50 2.50 X 0 427546 0 Mark Durcan Director 0.50 2.50 X 0 0 0 Rich Raimondi Director 0.50 4.50 X 0 0 0 Rosa Davila Director 0.50 2.50 X 0 0 0 Tom Corrick Director 0.50 2.50 X 0 0 0 Jeffrey S Taylor SVP/CFO/Treasurer (End 9/2022) 2.00 50.00 X 0 819813 388921 Christine Neuhoff SVP/Chief Legal Officer/Secretary 2.00 50.00 X 0 770299 41918 Sandee Moore Gehrke SVP, Chief Operating Officer 5.00 35.00 X 0 543383 42945 Kathryn Fowler SVP/CFO/Treasurer (Start 8/2022) 2.00 48.00 X 0 349149 24101 Michael Fenello VP, Population Health 30.00 10.00 X 0 463551 41334 Gregory Ball DO Physician 40.00 0.00 X 0 675299 38574 Thomas B Duff DO Physician 40.00 0.00 X 0 605784 45961 Whitney Parnell MD Physician 40.00 0.00 X 0 549990 21724 Matthew Larsen MD Physician 40.00 0.00 X 0 514345 37432 Mark McKain MD Physician 40.00 0.00 X 0 514506 15617 Pamela Lindemoen Former COO 0.00 0.00 X 0 1569276 9054 David C Pate MD JD Former CEO & President 0.00 0.00 X 0 154684 0 0 9176342 758704 0 1 1 0 Magic Valley Anesthesiology 139 River Vista Place Ste 202 Twin Falls ID 83301 Anesthesia Services 12558909 RMJ Safari PLLC 714 N College Road Ste A Twin Falls ID 83301 Medical Services 8187583 ER Physicians of Southern Idaho PO Box 2775 Twin Falls ID 83301 Emergency Medicine Services 6782025 Southern Idaho Radiology PA 834 Falls Avenue Ste 1020-D Twin Falls ID 83301 Medical Services 6623594 Physicians Center 630 Addison Ave W Sten100 Twin Falls ID 83301 Medical Services 5773612 60 536214 13869920 14406134 Net patient revenue 900099 502807371 502807371 Contract Service Reven 900099 12217394 12217394 SLHS Allocated Revenue 900099 5253778 5253778 Taxing District Revenu 900099 1498870 1498870 Premium Revenue 900099 860018 860018 719975 719975 523357406 65834 65834 37441 231 37210 37210 37210 962618 1083628 -121010 -121010 -121010 Cafeteria/Catering/Ven 722514 2015040 2015040 MedStaff Dues 500200 80822 80822 2095862 539841436 523357406 0 2077896 985161 985161 73774575 73768175 6400 16500 16500 24277418 24198282 79136 2914920 2832349 82571 32170467 32170467 1948207 1948207 425575 333197 92378 44182 44182 20050518 17229390 2821128 5587 5587 Allocated SLHS Wages 214790233 193482040 21308193 Supplies 73594590 72390932 1203658 Allocated SLHS Expense 65922451 65922451 Contract Service 7447998 4902829 2545169 0 16169584 10943311 5226273 534537966 501173060 33364906 0 76536513 81417651 3435085 3211720 317901 301404 382984470 158364226 223642956 224620244 303932455 309551019 17245144 18982563 118763 96495 45944340 34284578 63308247 53363636 X 240624208 256187383 240624208 256187383 303932455 309551019 X 5303470 -830144 11089849 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6939503 96112 -930263 0 203714 5901638 3479422 2437330 1440809 0 418058 0 6939503 3458190 14459 138220 0 131447 0 3479422 3527552 8609 59233 0 137204 0 3458190 3458251 12520 198614 0 141833 0 3527552 0.00000 1.00000 0.00000 0 1 1 11414577 11391903 22806480 256636642 86885709 169750933 1327817 741997 585820 79820743 67158925 12661818 22392788 3577595 18815193 224620244 AP Medicare- Medicaid Program 10583782 Capital Leases 873953 Due to Related Organizations 14764567 Operating Leases 8484763 Serp Liability -422487 34284578 X Part V, Line 4: The intended use of the endowment funds are as follows: Various pediatric programs Children at Risk Evaluation Services (CARES) Nursing scholarships/education opportunities Rehabilitation Services Part X, Line 2: Footnote Disclosure - Uncertain Tax Positions Under ASC 740 (Source: Consolidated Financial Statements-St. Luke's Health System Fiscal Year 2022) Income Taxes - The Health System is a not-for-profit corporation and is recognized as tax-exempt pursuant to Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The Health System has activities that are considered unrelated business taxable income (UBTI), which are subject to excise tax. The Health System also has two taxable subsidiaries, SLHP and the Plan whose operations are included in the consolidated financial statements and as such we have provided for income taxes on this activity under the Accounting Standards Codification (ASC) 740. For the Health System's taxable subsidiary and activities considered UBTI, income taxes are accounted for under the asset and liability method, which requires the recognition of Deferred Tax Assets (DTAs) and Deferred Tax Liabilities (DTLs) for the expected future tax consequences of events that have been included in the consolidated financial statements. Under this method, the Health System determines DTAs and DTLs based on the differences between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. The effect of a change in tax rates on DTAs and DTLs is recognized in results of operations in the period that includes the enactment date of the rate change. The Health System recognizes DTAs to the extent that these assets are more likely than not to be realized. In making such a determination, the Health System considers all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax-planning strategies, and results of recent operations. If the Health System determines that DTAs are realizable in the future in excess of their net recorded amount, the Health System would make an adjustment to the DTA valuation allowance, which would reduce the provision for income taxes. The Health System records uncertain tax positions in accordance with ASC 740 on the basis of a two-step process in which (1) the Health System determines whether it is more likely than not that the tax positions will be sustained on the basis of the technical merits of the position and (2) for those tax positions that meet the more-likely-than-not recognition threshold, the Health System recognizes the largest amount of tax benefit that is more than 50 percent likely to be realized upon ultimate settlement with the related tax authority. Management is not aware of any uncertain tax positions that should be recorded. 1 1 X 1 X 1 X 1 0 1 1 6781235 6781235 0.01270 113105729 73675822 39429907 0.07390 963696 1123429 0 0.00000 120850660 74799251 46211142 0.08660 785688 95119 690569 0.00130 5491446 720 5490726 0.01030 6765242 1913238 4852004 0.00910 1180851 1912 1178939 0.00220 14223227 2010989 12212238 0.02290 135073887 76810240 58423380 0.10950 33485 600 32885 0.00010 13054 530 12524 0.00000 229594 229594 0.00040 276133 1130 275003 0.00050 1 8648879 0 72898660 95442583 -22543923 X 1 1 2 1 St Lukes Magic Valley Regional Medical Center 801 Pole Line Road Twin Falls ID 83301 www.stlukesonline.org State of Idaho License #14 X X X A 2 St Luke's Jerome 709 N Lincoln Jerome ID 83308 www.stlukesonline.org State of Idaho License #08 X X X X A Facility Reporting Group - A 0 0 1 X X X X X X X X X 21 1 1 0 1 X See Section V, Part C X 1 21 1 See Section V, Part C 0 1 X 200.000000000000 400.000000000000 X X X X X X 1 1 X X X 1 X www.stlukesonline.org/resources/before-your-visit/financial-care X www.stlukesonline.org/resources/before-your-visit/financial-care X www.stlukesonline.org/resources/before-your-visit/financial-care X X X X X X X 1 X 0 X X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: St Lukes Magic Valley Regional Medical Center, - Facility 2: St. Luke's Jerome Group A-Facility 1 -- St Lukes Magic Valley Regional Medical C Part V, Section B, line 5: A series of interviews with people representing the broad interests of our community are conducted in order to assist in defining, prioritizing, and understanding our most important community health needs. Many of the representatives participating in the process have devoted decades to helping others lead healthier lives. We sincerely appreciate the time, thought, and valuable input they provide during our CHNA process. The openness of the community representatives allow us to better explore a broad range of health needs and issues. The representatives we interview have significant knowledge of our community. To ensure they come from distinct and varied backgrounds, we include multiple representatives from each of the following 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 is scored by the community representatives on a scale from negative six (-6) to six (6). A high score signifies the representative believes the health need is both important and needs to be addressed with additional resources. Lower scores typically mean the representative believes the need is relatively less important or that it is already being addressed effectively with the current set of programs and services available.Representatives from the following organizations were contacted and interviewed:1) Affiliation: Blue Cross of Idaho Foundation2) Affiliation: Boys & Girls Clubs of Magic Valley3) Affiliation: Buhl Drug4) Affiliation: City of Twin Falls5) Affiliation: College of Southern Idaho6) Affiliation: College of Southern Idaho7) Affiliation: Jerome County Commissioner8) Affiliation: Community Council of Idaho9) Affiliation: College of Southern Idaho - Refugee Center10) Affiliation: St. Luke's Health Partners11) Affiliation: Family Health Services12) Affiliation: Idaho Department of Health and Welfare13) Affiliation: Idaho Department of Health and Welfare14) Affiliation: Idaho Division of Public Health15) Affiliation: Idaho Food Bank16) Affiliation: Idaho Milk Products17) Affiliation: Idaho Office of Refugees18) Affiliation: Idaho Office of the Governor19) Affiliation: La Posada Inc.20) Affiliation: Murtaugh School District21) Affiliation: South Central Community Action Partnership22) Affiliation: South Central Public Health District23) Affiliation: St. Edwards Catholic Church24) Affiliation: St. Luke's Physicians Center - Buhl25) Affiliation: The Speedy Foundation26) Affiliation: Twin Falls County Commissioner27) Affiliation: Twin Falls School District28) Affiliation: United Way of South-Central Idaho29) Affiliation: University of Idaho Extension30) Affiliation: Wellness Tree Community Clinic Group A-Facility 1 -- St Lukes Magic Valley Regional Medical C Part V, Section B, line 6a: St. Luke's Jerome Hospital Group A-Facility 1 -- St Lukes Magic Valley Regional Medical C Part V, Section B, line 11: The following health needs received the highest score within each category, signifying the importance of addressing these needs to improve community health.Significant Health Needs(1) Health Behaviors - Nutrition Programs/Education/Opportunities(2) Clinical Care - Availability of Behavioral Health Services(3) Social and Economic Factors - Academic Achievement from Early Learning Through Post-Secondary Education(4) Physical Environment - Accessible Modes of TransportationThe following implementation plan illustrates the strategies St. Luke's and its community partners will employ in fiscal year 2023 to address the most significant health needs identified in our 2022 Community Health Needs Assessment for the Magic Valley area.(1) Health Behaviors - Nutrition Programs/Education/OpportunitiesMost Americans today do not have a healthy diet. The role of nutrition in chronic disease prevention and management is particularly crucial as diet is a modifiable risk factor for most chronic conditions.Improve availability and access to healthy foods.- Support community health workers and cultural liaisons within local foodbanks.- SNAP and WIC promotion and outreach.- Fresh Fruit and Veggies Prescription Program.Improve understanding, education and skills to utilize healthy foods.- Deliver and support healthy eating as well as nutrition education and skill buildingSupport sustainable systems to lessen instances and duration of food insecurity.- Identify and implement advocacy opportunities to address food/nutrition insecurity.- Explore value-based-care payment models and benefits design for nutrition support.(2) Clinical Care Availability of Mental and Behavioral Health ServicesAccording to the National Alliance on Mental Illness, nearly a quarter of Idahoans are living with a mental illness. Substance Abuse and Mental Health Services Administration reports that all Idaho counties have shortages of mental health professionals.Awareness, education and skill building.- Support delivery of gatekeeper trainings.- Provide and promote mental and behavioral health education.Population identification and intervention.- Support the community-school model.- Support school-based mental health initiatives.Increase access to mental and behavioral health services.- Participate and appropriately contribute to Governor's Behavioral Health Council.- Support co-location of mental and behavioral health services within community settings.- Build suicide prevention and postvention strategies.(3) Social and Economic Factors Academic Achievement From Early Learning to Post- Secondary EducationIdaho consistently ranks in the bottom quartile for education, nationally, and is 1 of only 6 states that doesn't require school districts to offer kindergarten. Access to high-quality early childhood learning promotes social-emotional development and advanced literacy, vocabulary and math skills.Increase quality early learning.- Support quality early learning programs.Increase academic supports within schools.- Support and expansion of the community-school model.Increase academic supports outside of school settings.- Help children become kindergarten ready.(4) Physical Environment Accessible Modes of TransportationThose facing the biggest transportation challenges are often those who are economically and/or socially marginalized, including lower income families, children and older adults. Ensuring access to transportation also improves access to healthier food options, medical care and employment.Create and maintain safe walking/biking paths and programs.- Completion of the Filer walking path.- School physical activity and nutrition mini grants.Support infrastructure for public transportation and shared ridership models.- Support entities that provide transportation solutions to the community Group A-Facility 1 -- St Lukes Magic Valley Regional Medical C Part V, Section B, line 13b: Financial Care: Eligible applicants will receive the following assistance:1. Full Discount: The full amount for eligible services will be covered under the Financial Care Policy for any patient or guarantor whose income is at or below 200 percent of the federal poverty level.2. Partial Discount: A sliding fee schedule will be used to determine the amount eligible for financial care assistance for any uninsured or underinsured patient or guarantor. For such applicants, assistance will be provided based on a combination of household income and assets. Partial discounts will be provided if the combination of income and assets is greater than 200 percent but equal to or less than 400 percent of the FPL. Assistance is granted only after all third-party reimbursement possibilities available to the applicant have been exhausted.3. Uninsured and underinsured individuals deemed medically indigent may qualify for a highly discounted rate.4. If the patient balance exceeds 30 percent of household income, patients will qualify for a one-time reduction.5. Assets for evaluation include, but are not limited to:a. home equity;b. IRAs, 403(b) accounts, 401k accounts, stocks/bonds;c. savings/money market accounts; andd. other investments (rental properties, etc.).WWW.STLUKESONLINE.ORG/RESOURCES/BEFORE-YOUR-VISIT/FINANCIAL-CARE Group A-Facility 1 -- St Lukes Magic Valley Regional Medical C 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 Jerome Part V, Section B, line 5: A series of interviews with people representing the broad interests of our community are conducted in order to assist in defining, prioritizing, and understanding our most important community health needs. Many of the representatives participating in the process have devoted decades to helping others lead healthier lives. We sincerely appreciate the time, thought, and valuable input they provide during our CHNA process. The openness of the community representatives allow us to better explore a broad range of health needs and issues. The representatives we interview have significant knowledge of our community. To ensure they come from distinct and varied backgrounds, we include multiple representatives from each of the following 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 is scored by the community representatives on a scale from negative six (-6) to six (6). A high score signifies the representative believes the health need is both important and needs to be addressed with additional resources. Lower scores typically mean the representative believes the need is relatively less important or that it is already being addressed effectively with the current set of programs and services available.Representatives from the following organizations were contacted and interviewed:1) Affiliation: Blue Cross of Idaho Foundation2) Affiliation: Boys & Girls Clubs of Magic Valley3) Affiliation: Buhl Drug4) Affiliation: City of Twin Falls5) Affiliation: College of Southern Idaho6) Affiliation: College of Southern Idaho7) Affiliation: Jerome County Commissioner8) Affiliation: Community Council of Idaho9) Affiliation: College of Southern Idaho - Refugee Center10) Affiliation: St. Luke's Health Partners11) Affiliation: Family Health Services12) Affiliation: Idaho Department of Health and Welfare13) Affiliation: Idaho Department of Health and Welfare14) Affiliation: Idaho Division of Public Health15) Affiliation: Idaho Food Bank16) Affiliation: Idaho Milk Products17) Affiliation: Idaho Office of Refugees18) Affiliation: Idaho Office of the Governor19) Affiliation: La Posada Inc.20) Affiliation: Murtaugh School District21) Affiliation: South Central Community Action Partnership22) Affiliation: South Central Public Health District23) Affiliation: St. Edwards Catholic Church24) Affiliation: St. Luke's Physicians Center - Buhl25) Affiliation: The Speedy Foundation26) Affiliation: Twin Falls County Commissioner27) Affiliation: Twin Falls School District28) Affiliation: United Way of South-Central Idaho29) Affiliation: University of Idaho Extension30) Affiliation: Wellness Tree Community Clinic Group A-Facility 2 -- St. Luke's Jerome Part V, Section B, line 6a: St. Luke's Magic Valley Medical Center Group A-Facility 2 -- St. Luke's Jerome Part V, Section B, line 11: The following health needs received the highest score within each category, signifying the importance of addressing these needs to improve community health.Significant Health Needs(1) Health Behaviors - Nutrition Programs/Education/Opportunities(2) Clinical Care - Availability of Behavioral Health Services(3) Social and Economic Factors - Academic Achievement from Early Learning Through Post-Secondary Education(4) Physical Environment - Accessible Modes of TransportationThe following implementation plan illustrates the strategies St. Luke's and its community partners will employ in fiscal year 2023 to address the most significant health needs identified in our 2022 Community Health Needs Assessment for the Magic Valley area.(1) Health Behaviors - Nutrition Programs/Education/OpportunitiesMost Americans today do not have a healthy diet. The role of nutrition in chronic disease prevention and management is particularly crucial as diet is a modifiable risk factor for most chronic conditions.Improve availability and access to healthy foods.- Support community health workers and cultural liaisons within local foodbanks.- SNAP and WIC promotion and outreach.- Fresh Fruit and Veggies Prescription Program.Improve understanding, education and skills to utilize healthy foods.- Deliver and support healthy eating as well as nutrition education and skill buildingSupport sustainable systems to lessen instances and duration of food insecurity.- Identify and implement advocacy opportunities to address food/nutrition insecurity.- Explore value-based-care payment models and benefits design for nutrition support.(2) Clinical Care Availability of Mental and Behavioral Health ServicesAccording to the National Alliance on Mental Illness, nearly a quarter of Idahoans are living with a mental illness. Substance Abuse and Mental Health Services Administration reports that all Idaho counties have shortages of mental health professionals.Awareness, education and skill building.- Support delivery of gatekeeper trainings.- Provide and promote mental and behavioral health education.Population identification and intervention.- Support the community-school model.- Support school-based mental health initiatives.Increase access to mental and behavioral health services.- Participate and appropriately contribute to Governor's Behavioral Health Council.- Support co-location of mental and behavioral health services within community settings.- Build suicide prevention and postvention strategies.(3) Social and Economic Factors Academic Achievement From Early Learning to Post- Secondary EducationIdaho consistently ranks in the bottom quartile for education, nationally, and is 1 of only 6 states that doesn't require school districts to offer kindergarten. Access to high-quality early childhood learning promotes social-emotional development and advanced literacy, vocabulary and math skills.Increase quality early learning.- Support quality early learning programs.Increase academic supports within schools.- Support and expansion of the community-school model.Increase academic supports outside of school settings.- Help children become kindergarten ready.(4) Physical Environment Accessible Modes of TransportationThose facing the biggest transportation challenges are often those who are economically and/or socially marginalized, including lower income families, children and older adults. Ensuring access to transportation also improves access to healthier food options, medical care and employment.Create and maintain safe walking/biking paths and programs.- Completion of the Filer walking path.- School physical activity and nutrition mini grants.Support infrastructure for public transportation and shared ridership models.- Support entities that provide transportation solutions to the community Group A-Facility 2 -- St. Luke's Jerome Part V, Section B, line 13b: Financial Care: Eligible applicants will receive the following assistance:1. Full Discount: The full amount for eligible services will be covered under the Financial Care Policy for any patient or guarantor whose income is at or below 200 percent of the federal poverty level.2. Partial Discount: A sliding fee schedule will be used to determine the amount eligible for financial care assistance for any uninsured or underinsured patient or guarantor. For such applicants, assistance will be provided based on a combination of household income and assets. Partial discounts will be provided if the combination of income and assets is greater than 200 percent but equal to or less than 400 percent of the FPL. Assistance is granted only after all third-party reimbursement possibilities available to the applicant have been exhausted.3. Uninsured and underinsured individuals deemed medically indigent may qualify for a highly discounted rate.4. If the patient balance exceeds 30 percent of household income, patients will qualify for a one-time reduction.5. Assets for evaluation include, but are not limited to:a. home equity;b. IRAs, 403(b) accounts, 401k accounts, stocks/bonds;c. savings/money market accounts; andd. other investments (rental properties, etc.).WWW.STLUKESONLINE.ORG/RESOURCES/BEFORE-YOUR-VISIT/FINANCIAL-CARE Group A-Facility 2 -- St. Luke's Jerome Part V, Section B, line 16j: A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information. Part V, Section B, Line 7a: https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments Part V, Section B, Line 10a: https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments 20 1 - St Luke's Clinic 775 Pole Line Rd W Twin Falls ID 83301 Physician and Specialty Clinics, Surgical Services, and rehabilitation 2 - St Luke's Clinic 625 Pole Line Rd W Twin Falls ID 83301 Specialty Physician Clinics, Imaging, Rehabilitation, Occupational Health 3 - St Luke's Clinic 2550 Addison Ave E Twin Falls ID 83301 Specialty Physician and Pediatric Clinics 4 - St Luke's Clinic 714 North College Rd Twin Falls ID 83301 Specialty Physician Clinics 5 - St Luke's Clinic 730 North College Rd Twin Falls ID 83301 Physician Clinics and Lab Services 6 - St Luke's Clinic 738 North College Rd Twin Falls ID 83301 Specialty Physician Clinics 7 - St Luke's Clinic 746 North College Rd Twin Falls ID 83301 Specialty Physician Clinics 8 - St Luke's Clinic 980 Burley Ave Buhl ID 83316 Physician Clinics and Imaging 9 - North Canyon Medical Center Building 267 N Canyon Dr Gooding ID 83330 Sleep Lab 11 - St Luke's Clinic - Behavioral Health 414 Shoup Ave W Suite B Twin Falls ID 83301 Behavioral Health 12 - St Luke's Canyon View Behavioral Health 228 Shoup Ave W Twin Falls ID 83301 Behavioral Health 13 - St Luke's Clinic 1501 Hiland Ave Burley ID 83318 Specialty Physician Clinics 14 - St Luke's Clinic 1840 Canyon Crest Drive Twin Falls ID 83301 Neurology, Physical Medicine, Rehabilitation 15 - St Luke's Clinic 754 North College Rd Twin Falls ID 83301 Lifestyle Medicine 16 - St Luke's Clinic - Family Medicine 550 Polk Street Twin Falls ID 83301 Rehab/Orthopedics/Rheumatology Physician Clinics 17 - St Luke's Clinic - Specialty Services 115 5th Avenue W Suite B Jerome ID 83338 Physician Specialty Clinics 18 - St Luke's Jerome Family Medicine 132 5th Ave W Suites 1 2 Jerome ID 83338 Family Medicine 19 - St Luke's Magic Valley Sleep Institute 450 Falls Ave Suite 202 Twin Falls ID 83301 Sleep Medicine 20 - St Luke's Surgery Center 575 Pole Line Road W Twin Falls ID 83301 Surgery Center 21 - St Luke's Women's Imaging Center 762 N College Rd Twin Falls ID 83301 Imaging Services 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 the impact of unreimbursed Medicare and Medicaid) for the following services: Emergency and Trauma Services Home Care Palliative Care and Medicine Behavioral Health Part 1, Line 7i, Cash and in-kind contributions for community benefit: During the fiscal year 2022, St. Luke's administrated and dispensed the majority of community grants, cash, and in-kind donations at the system level. Those grants and donations were still awarded and continued to support health initiatives through all the communities we serve and were reported on form 990 for St. Luke's Health System. Part 1, Line 5a, Discounted Care: Financial assistance is provided to any qualifying patients, regardless of budget. Part II, Community Building Activities: St. Luke's is an active participant in the community, and provides support to address public health issues, and works with coalitions to address local health needs. St. Luke's takes on initiatives as need arises 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 2022. The amount is calculated by comparing the total Medicare apportioned costs (allowable costs) to payments (including IME and GME) received during FY'22.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 9/30/2022. 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: Twin Falls and Jerome 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 the service area is the identification of what counties our hospitalized patients reside in. Those counties that make up 70% or greater of the inpatient hospitalizations are identified as our service area.From St. Luke's Jerome CHNA (i.e., page 18). See link below for CHNA's: The residents of Jerome and Twin Falls counties comprise about 76% of our inpatients with approximately 55% of our inpatients living in Jerome County and 21% in Twin Falls County. Jerome and Twin Falls counties are part of Idaho HealthFrom St. Luke's Magic Valley (i.e., page 14). See link below for CHNA's: The residents of Twin Falls and Jerome counties comprise about 75% of our inpatients with approximately 62% of our inpatients living in Twin Falls County and 12% in Jerome County. Twin Falls and Jerome counties are part of Idaho Health.https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessmentsBoth Idaho and our service area are comprised of about a 96% white population while the nation, as a whole, is 76% white. The Hispanic population in Idaho represents 13% of the overall population and about 22% of our defined service area. Jerome County is approximately 37% Hispanic, and Twin Falls County is 17% Hispanic.Idaho experienced a 14% increase in population from 2010 to 2019, ranking it as one of fastest growing states in the country. Jerome and Twin Falls counties have followed that trend, experiencing a 12% increase in population within that timeframe. St. Luke's Magic Valley is working to manage the volume and scope of services in order to meet the needs of a growing population.Over the past 10 years the population in all age groups has increased proportionately. Currently, about 15% of the people in our community are over the age of 65.The official United States poverty rate has been decreasing since 2012. Our service area poverty rate is increasing and higher than the national average. The poverty rate in Jerome County, a part of our service area, has seen increasing poverty rates for adults and children since 2017, with a rate higher than the national average.Median income in the United States has risen steadily since 2009 and at approximately the same rate in our service area during that period. However, 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 Magic Valley Regional Medical Center, Ltd. maintains an open medical staff. Any physician can apply for practicing privileges as long as they meet the standards for St. Luke's Magic Valley Regional Medical Center, 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. St. Luke's physician clinics and services are provided in partnership with area physicians and other health care professionals. These include: Cardiovascular; Child Abuse and Neglect Evaluation; Endocrinology; Ear, Nose, and Throat; Family Medicine; Gastroenterology; General Surgery; Hypertensive Disease; Internal Medicine; Maternal/Fetal Medicine; Medical Imaging; Metabolic and Bariatric Surgery; Nephrology; Neurology; Neurosurgery; Obstetrics/Gynecology; Occupational Medicine; Orthopedics; Outpatient Rehabilitation; Plastic Surgery; Psychiatry and Addiction; Pulmonary Medicine; Sleep Disorders; and Urology. In addition, St. Luke's works with other regional facilities, including Weiser Memorial Hospital and Salmon River Clinic, through a combination of management and other contracts for select specified services. Part VI, Line 7, Reports Filed With States ID 1 College of Southern ID PO Box 1238 ATTN Business office Twin Falls ID 833031238 820388193 501(c)(3) 137193 0 Fundings for support of health occupations, head start/early head start program, foster grantparent program, dental program, that are working to improve the health of people in the community. St Luke's Health Foundation Inc 190 East Bannock Street Boise ID 83712 810600973 501(c)(3) 847317 0 Provide support for overall operational needs of St. Luke's Health Foundation, Inc. 2 0 Part I, Line 2: The Organization endeavors to monitor its grants to ensure that such grants are used for proper purposes and not otherwise diverted from their intended use. This is accomplished by requesting recipient organizations to affirm that funds must be used solely in accordance with the grant request and budget on which the grant was based and that funds not expended for the stated purpose are to be returned to the organization. Reports are requested from time to time as deemed appropriate. Sch. I Part I During the fiscal year 2022 the Health System administered and dispensed all community grants into one department which is aligned under SLHS. The grants were awarded and continued to support health initiatives through all the communities we serve. 1 1 0 0 0 0 0 0 0 Pamela Lindemoen Former COO 0 335909 0 0 0 1233367 0 6933 0 2121 0 1578330 0 0 Chris Roth President & CEO 0 1051056 0 1158 0 166503 0 21816 0 29307 0 1269840 0 0 Jeffrey S Taylor SVP/CFO/Treasurer (End 9/2022) 0 763131 0 1158 0 55524 0 366723 0 22198 0 1208734 0 0 Christine Neuhoff SVP/Chief Legal Officer/Secretary 0 683156 0 1158 0 85985 0 21816 0 20102 0 812217 0 0 Gregory Ball DO Physician 0 338970 0 321869 0 14460 0 19941 0 18633 0 713873 0 0 Thomas B Duff DO Physician 0 534876 0 31922 0 38986 0 16654 0 29307 0 651745 0 0 Sandee Moore Gehrke SVP, Chief Operating Officer 0 467389 0 1158 0 74836 0 17444 0 25501 0 586328 0 0 Whitney Parnell MD Physician 0 398342 0 150406 0 1242 0 4372 0 17352 0 571714 0 0 Matthew Larsen MD Physician 0 455678 0 39371 0 19296 0 13072 0 24360 0 551777 0 0 Mark McKain MD Physician 0 469483 0 38165 0 6858 0 8744 0 6873 0 530123 0 0 Michael Fenello VP, Population Health 0 396550 0 1158 0 65843 0 15853 0 25481 0 504885 0 0 Lucie DiMaggio MD Director 0 427546 0 0 0 0 0 0 0 0 0 427546 0 0 Kathryn Fowler SVP/CFO/Treasurer (Start 8/2022) 0 308451 0 1158 0 39540 0 17444 0 6657 0 373250 0 0 David C Pate MD JD Former CEO & President 0 0 0 0 0 154684 0 0 0 0 0 154684 0 154684 Part I, Line 3 Compensation for the organization's CEO is determined by St. Luke's Health System, Ltd. (System), sole member of St. Luke's Magic Valley 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 Magic Valley Regional Medical Center, Ltd In determining compensation for the CEO, the System board utilizes the following criteria: Compensation Committee Independent compensation consultant Compensation survey or study Approval by the board or compensation committee Part I, Line 4b: During CY2021, the following individuals participated in a supplemental non-qualified executive retirement plan: David C. Pate received $154,684 of taxable and $372,053 of non-taxable benefits for service in a supplemental retirement plan. Part I, Line 4b: During CY2021, Jeffrey S. Taylor was a participant in the supplemental non-qualified executive retirement plan. There were no additional benefits accrued during the calendar year on behalf of the participant. Part II - Column (B)(III) The reportable individual, Pamela Lindemoen, is paid by St. Luke's Health System, a related organization recognized by the Internal Revenue Service as exempt as described in Internal Revenue Code Section 501(c)(3). Severance pay is based on length of service. Payments of severance are conditioned upon signing a separation and release agreement. During the 2021 calendar year, the reportable individual received severance payments in the amount of $874,994. Part II - Column (C) During CY2021 the following individual participated in the basic pension plan. Due to changes in actuarial assumptions, this individual experienced an increase in the vested balance of the plan. Jeffrey Taylor $340,535 Form 990 Part V, Line 1 & 2 Accounts payable and payroll process are consolidated at the supporting organization level (St. Luke's Health System, Ltd). Therefore, corresponding reporting for 1099's and W-2's occurs at that level. Form 990, Part VI, Section A, line 2 Andy Scoggin has a business relationship with Dan Krahn. Form 990, Part VI, Section A, line 6 St. Luke's Health System, Ltd. is the sole member of St. Luke's Magic Valley Regional Medical Center, Ltd. Form 990, Part VI, Section A, line 7a The President and CEO of St. Luke's Magic Valley Regional Medical Center, Ltd., (Corporation) is cooperatively selected by the Corporation and St. Luke's Health System, Ltd. St. Luke's Health System 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 Magic Valley Regional Medical Center, Ltd. (Corporation). Actions requiring approval authority may be initiated by either the Corporation or its Member, but must be approved by both the Corporation (by action of its Board of Directors) and the Member. Actions requiring approval authority of the Member include: (a) Amendment to the Articles of Incorporation; (b) Amendment to the Bylaws of the Corporation; (c) Appointment of members of the Corporation's Board of Directors, other than ex officio directors; (d) Removal of an individual from the Corporation's Board of Directors if and when removal is requested by the Corporation's Board of Directors, which request may only be made if the Director is failing to meet the reasonable expectations for service on the Corporation's Board of Directors that are established by the Member and are uniform for the Corporation and for all of the other hospitals for which the Member then serves as the sole corporate member. (e) Approval of operating and capital budgets of the Corporation, and deviations to an approved budget over the amounts established from time to time by the Member; and (f) Approval of the strategic/tactical plans and goals and objectives of the Corporation. Implementation Authority means those actions which the Member may take without the approval or recommendation of the Corporation. This authority will not be utilized until there has been appropriate communication between the Member and the Corporation's Board of Directors and its Chief Executive Officer. Actions requiring implementation authority include: (a) Changes to the Statements of mission, philosophy, and values of the Corporation; (b) Removal of an individual from the Corporation's Board of Directors if and when the Member determines in good faith that the Director is failing to meet the Approved Board of Member Expectations. This authority to remove Directors shall not be used merely because there is a difference in business judgment between the Director and the Corporation or the Member, and shall never be used to remove one or more Directors from the Corporation's Board of Directors in order to change a decision made by the Corporation's Board of Directors; (c) Employment and termination of the Chief Executive Officer of the Corporation; (d) Appointment of the auditor for the Corporation and the coordination of the Corporation's annual audit; (e) Sales, lease, exchange, mortgage, pledge, creation of a security interest in or other disposition of real or personal property of the Corporation if such property has a fair market value in excess of a limit set from time to time by the Member and that is not otherwise contained in an Approved Budget; (f) Sale, merger, consolidation, change of membership, sale of all or substantially all of the assets of the corporation, or closure of any facility operated by the Corporation; (g) The dissolution of the Corporation; (h) Incurrence of debt by or for the Corporation in accordance with requirements established from time to time by the Member and that is not otherwise contained in an Approved Budget; and (i) Authority to establish policies to promote and develop an integrated, cohesive health care delivery system across all corporations for which the Member serves as the corporate member. Form 990, Part VI, Section B, line 11b The Form 990 (Form) is reviewed by an independent public accounting firm based on audited financial statements of the St. Luke's Health System and with the assistance of the organization's finance and accounting staff. A complete copy of the Form 990 is made available to the Board of Directors prior to filing. Form 990, Part VI, Section B, line 12c The organization annually reviews the conflict of interest policy with each board member and also with new board members. Persons covered under the policy include officers, directors, senior executives, non-director members of Board committees, and others as identified by a senior executive. At all levels the board is responsible for assessing, reviewing, and resolving any conflicts of interest that have been disclosed by a covered person, or a conflict of interest disclosed by a covered person with respect to a covered person other than himself/herself. Where a conflict exists, the affected parties must recuse themselves from participating in any discussion and/or vote related to the conflict. Form 990, Part VI, Section B, line 15 Executive compensation is set by St. Luke's Boards of Directors and is reviewed annually. Compensation levels are based on an independent analysis of comparable pay packages offered at similar institutions across the country, with the goal of placing executives in the 50th percentile in aggregate of those surveyed. These surveys are usually done annually. St. Luke's Health System is committed to providing the highest quality medical care to all people regardless of their ability to pay. To keep that commitment, St. Luke's puts a great deal of time and effort into recruiting and retaining the top physicians in a variety of medical fields. Our relationships with physicians range from having privileges at the hospital to full employment. For those physicians who choose to be employed, St. Luke's must offer competitive pay and benefits. Physician compensation is based on a range of criteria and can be influenced by a number of variables including: -Community need for medical specialty -Experience -Productivity -Geography -National surveys adjusted for local conditions -Willingness to serve regardless of patients' ability to pay -Duration of relationship and contractual terms -Performance on quality metrics To ensure physician compensation and benefits remain within industry standards and legal requirements for not-for-profit institutions, St. Luke's has a Physician Arrangements policy that specifies circumstances requiring a third-party valuation and also periodically uses third-party consulting firms to review St. Luke's physician compensation arrangements. Given the growing national shortage of physicians, recruiting and retaining physicians is more critical than ever to guarantee that people seeking care at St. Luke's will continue to have access to the physicians and specialists they need regardless of their insurance status or insurance provider. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Form 990 is available for public inspection on our website, which contains financial information. Form 990 Part VII Section A Allocation of Compensation and Hours: The total hours worked and compensation reported for the following individuals represent services rendered to organizations within the St. Luke's Health System: Chris Roth: St. Luke's Health System, Ltd. St. Luke's Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Health Foundation, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. St. Luke's Clinic Coordinated Care, Ltd. St. Luke's Nampa Medical Center, Ltd. Christine Neuhoff: St. Luke's Health System, Ltd. St. Luke's Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. St. Luke's Clinic Coordinated Care, Ltd. St. Luke's Nampa Medical Center, Ltd. Jeffrey S. Taylor: St. Luke's Clinic Coordinated Care, Ltd. St. Luke's Health System, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Nampa Medical Center, Ltd. St. Luke's Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. Kathryn Fowler: St. Luke's Health System, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Nampa Medical Center, Ltd. St. Luke's Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. Michael Fenello: St. Luke's Health System, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. Sandee Moore Gehrke: St. Luke's Health System, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Nampa Medical Center, Ltd. St. Luke's Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. Also, it should be noted that the hours reported by the directors (employed by St. Luke's), officers, key employees, and the highest paid employees are based on a minimum 40-hour work week. However, due to the demands of their roles within the St. Luke's Health System, the hours worked by these individuals often exceed the minimum required 40 hours. Form 990, Part XI, line 9: Defined Benefit Plan Adjustment 11,027,951. Capital invested in plant 61,898. St Luke's Clinic LLC PO Box 409 Twin Falls ID 83301 820527710 Physician Clinic Services ID 79812175 9005405 St Luke's Magic Valley Regional Medical Center Ltd Magic Valley Paramedics LLC PO Box 409 Twin Falls ID 83301 200997728 Paramedic Services ID 4849588 334761 St Luke's Magic Valley Regional Medical Center Ltd St Luke's Clinic Coordinated Care Ltd 190 E Bannock Boise ID 83712 455195864 Accountable Care Organization ID 501(c)(3) 10 St Luke's Health System Ltd 0 St Luke's Health Foundation Ltd 190 E Bannock Boise ID 83712 810600973 Fundraising ID 501(c)(3) 7 St Luke's Health System Ltd 0 St Luke's Health System Ltd 190 E Bannock Boise ID 83712 562570681 Supporting Organization ID 501(c)(3) 12C, III-FI N/A 0 St Luke's McCall Ltd 190 E Bannock Boise ID 83712 273311774 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's Nampa Medical Center Ltd 190 E Bannock Boise ID 83712 821162805 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's Regional Medical Center Ltd 190 E Bannock Boise ID 83712 820161600 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's Wood River Medical Center Ltd 190 E Bannock Boise ID 83712 841421665 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 Select Medical Network of Idaho Inc PO Box 1990 Boise ID 83701 810594024 Provider Network ID N/A C 0 St Luke's Health Plan Inc 800 E Park Blvd Boise ID 83712 874765682 Health Insurance Provider ID N/A C 0 Sequoyah Assurance Ltd PO Box 1051 Grand Cayman CJ KY1-1102 981631863 Captive Insurance CJ N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 St Luke's Health Foundation Ltd B 847317 Subsidy to SLHF St Luke's Health Foundation Ltd C 536214 Donations Specified for SLMVRMC