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 821162805 St Luke's Nampa Medical Center Ltd STLU 2083812222 190 E Bannock Boise ID 83712 Paid Preparer SVP/CFO/Treasurer 2083812222 2023-08-15 1 Paid Preparer 999009999 John Sadoff Jr P00540589 7144367100 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z Chris Roth 190 E Bannock Boise ID 83712 268968539 0 X www.stlukesonline.org X 2017 ID Provide healthcare services to the community. 15 12 0 26 6285847 0 4183566 2072655 233739551 265562578 1632472 27929 1243311 1305377 240798900 268968539 150 0 0 0 0 0 0 0 0 226088793 253237949 226088943 253237949 14709957 15730590 193629176 194335456 210211336 195049793 -16582160 -714337 X To improve the health of people in the communities we serve. 0 0 221786602 0 248253800 Medical SurgicalSt. Luke's Nampa Medical Center is an 87-bed community hospital located in Canyon County, just west of Boise. It opened in 2012 with a 24-hour emergency department as well as lab, medical imaging and physician clinics, and became a full-service hospital in 2017. Services include intensive care, cardiology, orthopedics, surgery, outpatient pharmacy and breast care services. St. Luke's Nampa is also home to the Family Care Unit, a labor and delivery unit with family-centered suites that are unique in the Northwest allowing babies, including those requiring neonatal intensive care, to room in with their parents.During Fiscal Year 2022, St. Luke's Hospital location in Nampa provided inpatient care for 5,692 admissions, covering 19,738 patient days. Also, the hospitals provided patient care associated with 103,411 outpatient visits. 15865138 0 17308778 Physician ServicesSt. Luke's Nampa has medical practices serving but is not limited to the following areas:Internal Medicine, OBGYN, Family Medicine, Pediatrics, Dermatology, Gastroenterology, Mental Health, Neurology, Orthopedics, Sports Medicine, Cardiology, Non-Oncology Infusion, Podiatry and Pulmonary. In Fiscal Year 2022, the practices had 105,537 visits. 237651740 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 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 Rene Pallotti VP, Population Health 40.00 0.00 X 0 314491 35067 James Field MD Physician 40.00 0.00 X 0 778994 48983 Tracye Lawyer MD Physician 40.00 0.00 X 0 767617 45129 Michael Morris MD Physician 40.00 0.00 X 0 730174 46751 Lee Linstroth MD Physician 40.00 0.00 X 0 689272 44154 Eric Scholten MD Physician 40.00 0.00 X 0 637370 46917 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 9770785 825063 0 1 1 0 Emergency Medicine of Idaho 3080 Gentry Way 210 Meridian ID 83713 Emergency Medicine Services 5795352 Rightsourcing Inc 9 Executive Cir 290 Irvine CA 92614 Medical Staffing 4649370 Anesthesia Associates of Boise 2537 W State Street Suite 200 Boise ID 83702 Anesthesia Services 2217532 Qualivis LLC 2000 Center Point Rd Ste 2360 Columbia SC 29210 Medical Staffing 1393638 Sodexo Operations LLC 9801 Washingtonian Blvd Gaithersburg MD 20878 Facilities Management 968825 25 561879 1510776 2072655 Net patient revenue 900099 246108302 246108302 Contract Service Reven 900099 8902624 8902624 Outpatient Retail RX 446110 8817396 2531549 6285847 SLHS Allocated Revenue 900099 1518065 1518065 216191 216191 265562578 27929 27929 619016 0 619016 619016 619016 Cafeteria/Catering/Ven 722514 672901 672901 MedStaff Dues 500200 13460 13460 686361 268968539 259276731 6285847 1333306 11345622 11345622 21292378 21132353 160025 1288842 1282878 5964 15599995 15458235 141760 942435 942435 90394 84626 5768 13041285 10256534 2784751 Allocated SLHS wages 90350855 80767114 9583741 Supplies 59827649 59542721 284928 Allocated SLHS Expenses 31613827 31613827 Repairs 3393276 1548803 1844473 4451391 3676592 774799 253237949 237651740 15586209 0 33720061 39628721 4669690 5591626 139168 235308 210864421 61984620 155100257 148879801 193629176 194335456 4485337 6633595 205725999 188416198 210211336 195049793 X -16582160 -714337 -16582160 -714337 193629176 194335456 X 15730590 -405010 542243 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6364535 14290498 20655033 198960 144871882 32046525 113024317 41990477 29938095 12052382 3148069 3148069 148879801 AP Medicare-Medicaid Program 14433281 Due to Related Organizations 171603336 Operating Lease 2379581 188416198 X 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 2856218 2856218 0.01130 53790870 39547924 14242946 0.05620 202848 202848 0.00080 56849936 39547924 17302012 0.06830 2286623 248 2286375 0.00900 2660736 2660736 0.01050 1764546 374900 1389646 0.00550 153824 49694 104130 0.00040 144989 144989 0.00060 7010718 424842 6585876 0.02600 63860654 39972766 23887888 0.09430 805 805 0.00000 365 365 0.00000 1170 1170 0.00000 1 3244020 0 24171832 34094022 -9922190 X 1 1 1 1 St Luke's Nampa Medical Center 9850 W St Lukes Drive Nampa ID 83687 www.stlukesonline.org State of Idaho License #72 X X X St Luke's Nampa Medical Center 1 0 0 1 X X X X X X X X X 21 1 0 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 St. Luke's Nampa Medical Center 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 Club of Nampa3) Affiliation: Breaking Chains Academy of Development4) Affiliation: Caldwell School District #1325) Affiliation: Canyon County Commissioner6) Affiliation: Canyon County Paramedics7) Affiliation: Canyon County Prosecuting Attorney8) Affiliation: Care House Partnerships9) Affiliation: Central District Health Department and Western Idaho Community Health Collaborative10) Affiliation: City of Nampa11) Affiliation: College of Western Idaho12) Affiliation: Family Medical Residency of Idaho, Nampa13) Affiliation: Family Medical Residency of Idaho14) Affiliation: First Church of the Nazarene15) Affiliation: Genesis Community Health, Inc.16) Affiliation: Idaho Department of Health and Welfare17) Affiliation: Idaho Division of Public Health18) Affiliation: Idaho Food Bank19) Affiliation: Idaho Office of the Governor20) Affiliation: Nampa Chamber of Commerce21) Affiliation: Nampa Family Justice Center22) Affiliation: Nampa Housing Authority23) Affiliation: Nampa School District24) Affiliation: Southwest District Health25) Affiliation: Southwest Idaho Area Agency on Aging26) Affiliation: St. Luke's Health Partners27) Affiliation: St. Luke's Health System, Provider28) Affiliation: State of Idaho Legislature29) Affiliation: The Church of Jesus Christ of Latter-day Saints, Nampa West Stake President30) Affiliation: The Mexican Consulate31) Affiliation: The Salvation Army Nampa Corps and Community Family Shelter32) Affiliation: The Speedy Foundation33) Affiliation: Third Judicial District34) Affiliation: Treasure Valley YMCA35) Affiliation: United Way of Treasure Valley36) Affiliation: Valley Regional Transit37) Affiliation: WITCO, Inc. St. Luke's Nampa Medical Center 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 - Substance Use Disorder Prevention and Treatment(2) Clinical Care - Availability of Behavioral Health Services(3) Social and Economic Factors - Services for Children and Families Experiencing Adversity(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 Nampa.(1) Health Behaviors Substance Use Disorder Prevention and TreatmentThe effects of substance misuse are far-reaching. They can impact almost every organ in the human body. In fact, more deaths, illnesses and disabilities are associated with substance misuse and abuse than any other preventable health condition, including tobacco and poor diet/lack of physical activity.Awareness, education and skill building.- Substance use prevention and treatment health talks.- Substance use disorder community education in partnership with the Canyon County Drug Free Coalition.Early detection and intervention.- Support Sequential Intercept Model development.Increase access to substance use disorder and behavioral health services.- Participate and appropriately contribute to Governor's Behavioral Health Council.- Support reimplementation of Community Health Emergency Medical Services.(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.Early detection and intervention.- School-based mental health strategy.Increase access to mental and behavioral health services.- Participate and appropriately contribute to Governor's Behavioral Health Council.- Participate and appropriately contribute to the Region 3 Suicide Prevention Coalition.- Support the Western Idaho Community Crisis Center and Safe Teen Assessment Center.- Build suicide prevention and postvention strategies.(3) Social and Economic Factors Services for Children and Families Experiencing AdversityAdverse childhood experiences (ACEs) are traumatic experiences in a child's life that can have a lasting effect well into adulthood. ACEs typically fall into three categories: abuse, neglect and severe household dysfunction, and they are associated with at least five of the top ten causes of death. But protective factors, like building resiliency and offering concrete support in times of need, can mitigate ACEs' impacts.Increase safe, stable, nurturing environments and social connections.- Support quality early learning programs.Increase knowledge of parenting for child and youth development, and for parental resilience.- Support expansion of the community-school model.Increase concrete supports in times of need.- Support Idaho Resilience Project and 2C Kids Succeed.(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.- Participate in the City of Nampa Transportation Advisory Group.- Support the Safe Routes to School initiative.Support infrastructure for public transportation and shared ridership models.- Participate in Valley Regional Transit programming such as Rides 2 Wellness and Connected Canyon County. St. Luke's Nampa Medical Center Part V, Section B, Line 13b: Financial Care: Eligible applicants will receive the following assistance:1. Full Discount: The full amount for eligible services will be covered under the Financial Care Policy for any 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 St. Luke's Nampa Medical Center Part V, Section B, Line 16j: A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information. 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 Part I, Line 3c: Please refer to the disclosure for Part V, Section B, Line 13b - which describes methods used to determine eligibility for financial assistance. Part I, Line 7: The cost to charge ratio was used to calculate the financial assistance provided to the community. Other Community benefits come from a data repository maintained by St. Luke's Employees that tracks community benefit costs and hours. Part I, Line 7g: Subsidized services represent unreimbursed costs incurred (excluding impact of unreimbursed Medicare and Medicaid) for the following services: Emergency Response/Standby Part I, 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 I, 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: St. Luke's Nampa Medical Center, LTD (SLN) primary service area includes the greater Canyon County 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. The residents of Canyon County comprise over 75% of our in-patient visits.Both Idaho and our service area are comprised of about a 95% white population while the nation, as a whole, is 76% white. The Hispanic population in Idaho represents 13% of the overall population and about 26% of our service area.Idaho experienced a 14% increase in population from 2010 to 2019, ranking it as one of fastest growing states in the country. Canyon County has followed that trend, experiencing an even more rapid 22% increase in population within that timeframe.Since the year 2000, the 45- to 64-year-old age group has been the fastest growing segment of our service area. Currently, about 14% of the people in our community are over the age of 65.The official United States poverty rate has been decreasing since 2012. Poverty rate for Canyon County is slightly lower than the national average. The poverty rate in our service area for children under the age of 18 is also lower than the national average.Median income in the United States has risen steadily since 2009. Median income in the United States and in Idaho has risen steadily since 2009. Median income in Canyon County is well below the national median and lower than Idaho's median income. Part VI, Line 5: The people who serve on the various boards for subsidiaries within the St. Luke's Health System are local citizens who have a vested interest in the health of their communities. These committed leaders volunteer on our boards because they are dedicated to ensuring that the people of southern Idaho and the surrounding area have access to the most advanced, most comprehensive health care possible. St. Luke's believes that locally owned and governed hospitals can take the best measure of community health care needs. We are grateful to our board leadership for giving generously of their time and talents and bringing to the table their unique perspectives and intimate knowledge of their communities. St. Luke's would not be the organization it is today without our volunteer board members. The vision of dedicated community leaders has guided St. Luke's for many decades, and will continue to guide us well into the future. As a not-for-profit organization,100% of St. Luke's revenue after expenses is reinvested in the organization to serve the community in the form of staff, buildings, or new technology. Also, St. Luke's Nampa Medical Center, Ltd. maintains an open medical staff. Any physician can apply for practicing privileges as long as they meet the standards for St. Luke's Nampa. Part VI, Line 6: As the only Idaho-based not-for-profit health system, St. Luke's Health System is part of the communities we serve, with local physicians and boards who further our organization's mission "To improve the health of people in the communities we serve." Working together, we share resources, skills, and knowledge to provide the best possible care, no matter which of our hospitals provide that care. Each St. Luke's Health System hospital is nationally recognized for excellence in patient care, with prestigious awards and designations reflecting the exceptional care that is synonymous with the St. Luke's name. St. Luke's Health System provides facilities and services across the region, covering a 150-mile radius that encompasses southern and central Idaho, northern Nevada, and eastern Oregon-bringing care close to home and family. The following entities are part of the St. Luke's Health System: (1) St. Luke's Regional Medical Center, Ltd. with the following locations: --St. Luke's Boise Hospital --St. Luke's Meridian Hospital --St. Luke's Children's Hospital --St. Luke's Boise/Meridian/Caldwell/Fruitland Physician Clinics --St. Luke's Eagle Urgent Care --St. Luke's Elmore Hospital with physician clinic --St. Luke's Fruitland Emergency Department/Urgent Care (2) St. Luke's Wood River Medical Center, Ltd. which consists of a critical access hospital located in Ketchum, Idaho as well as various physician clinics (3) St. Luke's Magic Valley Regional Medical Center, Ltd. which consists of the following: --St. Luke's Magic Valley Hospital-Twin Falls, Idaho --Various St. Luke's Physician Clinics in Twin Falls --Canyon View-(Behavioral Health) --St. Luke's Jerome Hospital-Jerome, Idaho --Various Physician clinics in Jerome (4) St. Luke's McCall, Ltd. which consists of a critical access hospital located in McCall, Idaho as well as various physician clinics. (5) St. Luke's Nampa Medical Center, Ltd. which consists of a critical access hospital located in Nampa, Idaho as well as various physician clinics. 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 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 James Field MD Physician 0 606424 0 124569 0 48001 0 26188 0 22795 0 827977 0 0 Tracye Lawyer MD Physician 0 497695 0 230690 0 39232 0 13072 0 32057 0 812746 0 0 Christine Neuhoff SVP/Chief Legal Officer/Secretary 0 683156 0 1158 0 85985 0 21816 0 20102 0 812217 0 0 Michael Morris MD Physician 0 522493 0 167871 0 39810 0 17444 0 29307 0 776925 0 0 Lee Linstroth MD Physician 0 622647 0 27139 0 39486 0 13072 0 31082 0 733426 0 0 Eric Scholten MD Physician 0 554167 0 43717 0 39486 0 13072 0 33845 0 684287 0 0 Sandee Moore Gehrke SVP, Chief Operating Officer 0 467389 0 1158 0 74836 0 17444 0 25501 0 586328 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 Rene Pallotti VP, Population Health 0 291355 0 1158 0 21978 0 17444 0 17623 0 349558 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 Nampa Medical Center, Ltd.. The System board approves the compensation amount per the recommendation of its compensation committee, and the decision is then reviewed and ratified by the board of directors for St. Luke's Nampa Medical Center, Ltd. In determining compensation for the CEO, the System board utilizes the following criteria: Compensation Committee Independent compensation consultant Compensation survey or study Approval by the board or compensation committee Part I, Line 4b: During 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 I, Line 6: Volunteer counts exceed those in prior years due to the lifting of restrictions on access to the hospitals and resuming in-person events following COVID-19 concerns. Form 990 Part V, Line 1 & 2 Accounts payable and payroll process are consolidated at the supporting organization level (St. Luke's Health System, Ltd). Therefore, corresponding reporting for 1099's and W-2's occurs at that level. Form 990, Part VI, Section A, line 2 Andy Scoggin has a business relationship with Dan Krahn. Form 990, Part VI, Section A, line 6 St. Luke's Health System,Ltd. is the sole member of St. Luke's Nampa Medical Center,Ltd. Form 990, Part VI, Section A, line 7a St. Luke's Health System,Ltd.(Member)and St. Luke's Nampa Medical Center,Ltd. (Corporation) cooperatively select and employ the CEO of the Corporation. St. Luke's Health System, Ltd.,is the sole member of the Corporation. Form 990, Part VI, Section A, line 7b St. Luke's Health System, Ltd (member) maintains approval and implementation authority over St. Luke's Nampa Medical Center, Ltd. (Corporation). Actions requiring approval authority may be initiated by either the Corporation or its Member, but must be approved by both the Corporation (by action of its Board of Directors) and the Member. Actions requiring approval authority of the Member include: (a) Amendment to the Articles of Incorporation; (b) Amendment to the Bylaws of the Corporation; (c) Appointment of members of the Corporation's Board of Directors, other than ex officio directors; (d) Removal of an individual from the Corporation's Board of Directors if and when removal is requested by the Corporation's Board of Directors, which request may only be made if the Director is failing to meet the reasonable expectations for service on the Corporation's Board of Directors that are established by the Member and are uniform for the Corporation and for all of the other hospitals for which the Member then serves as the sole corporate member. (e) Approval of operating and capital budgets of the Corporation, and deviations to an approved budget over the amounts established from time to time by the Member; and (f) Approval of the strategic/tactical plans and goals and objectives of the Corporation. Implementation Authority means those actions which the Member may take without the approval or recommendation of the Corporation. This authority will not be utilized until there has been appropriate communication between the Member and the Corporation's Board of Directors and its Chief Executive Officer. Actions requiring implementation authority include: (a) Changes to the Statements of mission, philosophy, and values of the Corporation; (b) Removal of an individual from the Corporation's Board of Directors if and when the Member determines in good faith that the Director is failing to meet the Approved Board Member Expectations. This authority to remove Directors shall not be used merely because there is a difference in business judgment between the Director and the Corporation or the Member, and shall never be used to remove one or more Directors from the Corporation's Board of Directors in order to change a decision made by the Corporation's Board of Directors; (c) Employment and termination of the Chief Executive Officer of the Corporation; (d) Appointment of the auditor for the Corporation and the coordination of the Corporation's annual audit; (e) Sales, lease, exchange, mortgage, pledge, creation of a security interest in or other disposition of real or personal property of the Corporation if such property has a fair market value in excess of a limit set from time to time by the Member and that is not otherwise contained in an Approved Budget; (f) Sale, merger, consolidation, change of membership, sale of all or substantially all of the assets of the corporation, or closure of any facility operated by the Corporation; (g) The dissolution of the Corporation; (h) Incurrence of debt by or for the Corporation in accordance with requirements established from time to time by the Member and that is not otherwise contained in an Approved Budget; and (i) Authority to establish policies to promote and develop an integrated, cohesive health care delivery system across all corporations for which the Member serves as the corporate member. Form 990, Part VI, Section B, line 11b The Form 990 (Form) is reviewed by an independent public accounting firm based on audited financial statements of the St. Luke's Health System and with the assistance of the organization's finance and accounting staff. A complete copy of the Form 990 is made available to the Board of Directors prior to filing. Form 990, Part VI, Section B, line 12c The organization annually reviews the conflict of interest policy with each board member and also with new board members. Persons covered under the policy include officers, directors, senior executives, non-director members of Board committees, and others as identified by a senior executive. At all levels the board is responsible for assessing, reviewing, and resolving any conflicts of interest that have been disclosed by a covered person, or a conflict of interest disclosed by a covered person with respect to a covered person other than himself/herself. Where a conflict exists, the affected parties must recuse themselves from participating in any discussion and/or vote related to the conflict. Form 990, Part VI, Section B, line 15 Executive compensation is set by St. Luke's Boards of Directors and is reviewed annually. Compensation levels are based on an independent analysis of comparable pay packages offered at similar institutions across the country, with the goal of placing executives in the 50th percentile in aggregate of those surveyed. These surveys are usually done annually. St. Luke's Health System is committed to providing the highest quality medical care to all people regardless of their ability to pay. To keep that commitment, St. Luke's puts a great deal of time and effort into recruiting and retaining the top physicians in a variety of medical fields. Our relationships with physicians range from having privileges at the hospital to full employment. For those physicians who choose to be employed, St. Luke's must offer competitive pay and benefits. Physician compensation is based on a range of criteria and can be influenced by a number of variables including: -Community need for medical specialty -Experience -Productivity -Geography -National surveys adjusted for local conditions -Willingness to serve regardless of patients' ability to pay -Duration of relationship and contractual terms -Performance on quality metrics To ensure physician compensation and benefits remain within industry standards and legal requirements for not-for-profit institutions, St. Luke's has a Physician Arrangements policy that specifies circumstances requiring a third-party valuation and also periodically uses third-party consulting firms to review St. Luke's physician compensation arrangements. Given the growing national shortage of physicians, recruiting and retaining physicians is more critical than ever to guarantee that people seeking care at St. Luke's will continue to have access to the physicians and specialists they need regardless of their insurance status or insurance provider. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Form 990 is available for public inspection on our website, which contains financial information. Form 990 Part VII Section A 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 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 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 St. Luke's Wood River Medical Center, Ltd. Also, it should be noted that the hours reported for the directors (employed by St. Luke's), officers, key employees, and highest-paid employees are based on a minimum 40-hour work week. However, due to the demands of their roles within the St. Luke's Health System, the hours worked by these individuals often exceed the minimum required 40 hours. Form 990, Part XI, line 9: Capital Invested in Plant 542,243. St Luke's Clinic Coordinated Care Ltd 190 E Bannock Boise ID 83712 455195864 Accountable Care Organization ID 501(c)(3) 10 St Luke's Health System Ltd 0 St Luke's Health Foundation Ltd 190 E Bannock Boise ID 83712 810600973 Fundraising ID 501(c)(3) 7 St Luke's Health System Ltd 0 St Luke's Health System Ltd 190 E Bannock Boise ID 83712 562570681 Supporting Organization ID 501(c)(3) 12C, III-FI N/A 0 St Luke's Magic Valley Regional Medical Center Ltd 190 E Bannock Boise ID 83712 562570686 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's McCall Ltd 190 E Bannock Boise ID 83712 273311774 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's Regional Medical Center Ltd 190 E Bannock Boise ID 83712 820161600 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 St Luke's Wood River Medical Center Ltd 190 E Bannock Boise ID 83712 841421665 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 0 Sequoyah Assurance Ltd PO Box 1051 Grand Cayman CJ KY1-1102 981631863 Captive Insurance CJ 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 Select Medical Network of Idaho Inc PO Box 1990 Boise ID 83701 810594024 Provider Network ID N/A C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 St Luke's Health Foundation Ltd C 561879 Donations Specified for SLNMC