2021-08-12T09:17:02-05:00 2020-09-30 861065772 Deloitte Tax LLP 695 Town Center Drive Suite 1200 Costa Mesa CA 926261924 990 2019-10-01 562570681 St Luke's Health System Ltd STLU 2087069585 190 E Bannock Boise ID 83712 Pete DiDio Vice President, Controller 2087069585 2021-08-11 1 John Sadoff P00540589 7144367100 2019 2022-09-23 18:48:47Z Chris Roth 190 E Bannock Boise ID 83712 610732544 0 X www.stlukesonline.org X 2006 ID Management of the delivery of healthcare services. 16 10 17204 1036 1536165 0 326061 1999976 566915913 590290550 2956589 -105381 5450881 2724699 575649444 594909844 4069839 7539036 0 0 401774102 418838218 0 0 0 169805503 168532590 575649444 594909844 0 0 387398665 576024199 410953310 606189523 -23554645 -30165324 To improve the health of the people in the communities we serve. 0 0 447825795 7539036 590290550 St. Luke's Health System (SLHS) supports and oversees the operations of qualified inpatient and outpatient care services for all of the supported hospital organizations within SLHS, including St. Luke's Regional Medical Center, Ltd., Mountain States Tumor Institute, Inc., St. Luke's Wood River Medical Center, Ltd., St. Luke's Magic Valley Regional Medical Center, Ltd., St. Luke's McCall, Ltd. and St. Luke's Nampa Medical Center, Ltd.In addition, St. Luke's Health Foundation, Ltd., St. Luke's Clinic Coordinated Care, Ltd. (Accountable Care Organization), and Select Medical Network of Idaho, Inc. (Clinical Integration Network) receive administrative and operational support within SLHS. 447825795 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 1 1 971 0 1 17204 1 0 0 0 0 0 0 0 0 0 0 1 0 X 16 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X Peter DiDio Vice-President Controller 2087069585 190 E Bannock Boise ID 83712 X David C Pate MD JD President & CEO (End 02/2020) 40.00 12.00 X X 10412717 0 30159 Mr Chris Roth CEO & Director (Start 02/2020) 40.00 16.00 X X 938275 0 53040 Mr Rich Raimondi Chairman 1.00 5.00 X X 0 0 0 Alan Korn MD Director 1.00 3.00 X 0 0 0 Lucie DiMaggio MD Director 1.00 3.00 X 0 0 0 Mr Alan Horner Director (End 11/2019) 1.00 3.00 X 0 0 0 Mr Andy Scoggin Director 1.00 3.00 X 0 0 0 Mr Arthur F Oppenheimer Director 1.00 3.00 X 0 0 0 Mr Bill Whitacre Director 1.00 3.00 X 0 0 0 Mr Bob Lokken Director 1.00 3.00 X 0 0 0 Mr Dan Krahn Director 1.00 3.00 X 0 0 0 Mr Jeff Fox Director 1.00 3.00 X 0 0 0 Mr Jon Miller Director 1.00 3.00 X 0 0 0 Mr Mark Durcan Director 1.00 3.00 X 0 0 0 Mr Tom Corrick Director 1.00 3.00 X 0 0 0 Ms Brigette Bilyeu Director 1.00 3.00 X 0 0 0 Ms Karen Vauk Director 1.00 3.00 X 0 0 0 Ms Lisa Grow Director 1.00 3.00 X 0 0 0 Mr Jeffrey S Taylor SR VP/CFO/Treasurer 40.00 14.00 X 1509217 0 52971 Ms Christine Neuhoff SVP/Chief Legal Officer/Sec 40.00 14.00 X 692645 0 45939 James Souza MD Chief Medical Officer 40.00 2.00 X 716157 0 48706 Ms Pamela Lindemoen VP Acute Care Services 6.00 38.00 X 595823 0 25548 Mr David Self VP Business & Network Devlopmt 40.00 2.00 X 454312 0 27672 Nathan Green MD Medical Director 40.00 0.00 X 784527 0 51046 David K Seppi MD VP,Executive Medical Direc 40.00 2.00 X 761889 0 47272 Robert Walker MD Medical Director 40.00 0.00 X 695705 0 45865 Mr Philip Johnson VP & CHRO 40.00 0.00 X 645944 0 33655 Barton F Hill MD VP,Chief Quality Officer 40.00 0.00 X 601583 0 52637 Ms Maureen O'Keeffe Former VP 0.00 0.00 X 135866 0 0 18944660 0 514510 1731 1 1 0 Compunet Inc 1111 S Silverstone Way Meridian ID 83642 IT Projects/Consulting 14930170 Oliver Wyman Inc 1166 Avenue of the Americas New York NY 10036 Management Consulting 8088987 EPIC Systems Corp 1979 Milky Way Verona WI 53593 IT Projects/Consulting 4964344 Layton Construction Co 9090 S Sandy Parkway Sandy UT 84070 Construction 4320056 FMS Inc 4915 S Union Avenue Tulsa OK 74107 Patient A/R Collection Service 2832049 242 520000 1479976 1999976 Admin Services 561000 588754385 588754385 Joint Venture Income/L 900099 1536165 1536165 590290550 2153531 2153531 5747243 3022544 2724699 2724699 2724699 10541244 12800156 -2258912 -2258912 -2258912 594909844 588754385 1536165 2619318 7539036 7539036 5185219 5185219 2364945 2364945 237256622 195845429 41411193 29156048 23324838 5831210 126971651 101577320 25394331 17903733 14322986 3580747 16547593 13238074 3309519 3564332 3564332 594950 594950 157948 157948 76175 76175 8385363 1876375 6508988 797924 500000 297924 3252602 39437 3213165 51011255 27320454 23690801 1950 1950 1125201 316688 808513 589366 589366 36628713 34676095 1952618 7046517 7046517 Collection Services 10644103 9303671 1340432 Allocated SLHS Exp 7046612 7046612 Contract Service 4558965 558438 4000527 Dues/Memberships 4144193 73995 4070198 12358828 3217880 9140948 594909844 447825795 147084049 0 87815798 9640973 14429193 89917278 2719557 5581711 0 8447826 1607446 8046069 20302417 19942968 589413339 405185424 197765357 184227915 46545279 231182186 14341720 13281488 1871898 5755785 387398665 576024199 168134469 253677363 12603184 12278521 230215657 340233639 410953310 606189523 X -23554645 -30165324 -23554645 -30165324 387398665 576024199 X 0 -6610679 X 0 1 X 1 1 1 X X X 8 St Luke's Regional Medical Center Ltd 820161600 3 1 0 0 Mountain States Tumor Institute Inc 820295026 3 1 0 0 St Luke's Magic Valley Regional Medical Center Ltd 562570686 3 1 0 0 St Luke's Health Foundation Ltd 810600973 7 0 0 0 St Luke's McCall Ltd 273311774 3 1 0 0 St Luke's Clinic Coordinated Care Ltd 455195864 10 0 0 0 St Luke's Wood River Medical Center Ltd 841421665 3 1 0 0 St Luke's Nampa Medical Center Ltd 821162805 3 1 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 Schedule A, Part IV, Section A, Line 1: The governing documents for St. Luke's Health System, Ltd. (SLHS) lists the following entities of which it is the sole member: St. Luke's Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. St. Luke's Nampa Medical Center, Ltd. In addition, SLHS is the sole member of the following organizations that are not listed within its bylaws, but are listed in Schedule A, Part 1, line 12g: St. Luke's Clinic Coordinated Care, Ltd. St. Luke's Health Foundation, Ltd. In addition, SLHS is the sole member of the following organization that is not listed within its bylaws, and is not listed in Schedule A, Part 1, line 12g because it is not a 509 (a) (1), (2), (3) organization: Select Medical Network of Idaho, Inc. (dba St. Luke's Health Partners) SLHS provides administrative and management oversight to these entities. Also listed within this section are the following legal entity: Mountain States Tumor Institute, Inc. (Sole member is St. Luke's Regional Medical Center, Ltd.) Schedule A, Part IV, Section E, Line 3a: The board composition of the following supported organizations is identical to the board composition for SLHS: St. Luke's Regional Medical Center,Ltd. Mountain States Tumor Institute,Inc. St. Luke's McCall,Ltd. St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Wood River Medical Center,Ltd. St. Luke's Nampa Medical Center, Ltd. The following entities have separate boards: St. Luke's Clinic Coordinated Care,Ltd. St. Luke's Health Foundation,Ltd With the exception of ex-officio board members, the election or appointment of the members of the board of directors for these supported organizations are subject to the approval by the SLHS board of directors. In other words, the supporting organizations can elect and appoint their board members. However, these appointments are subject to the approval of the SLHS Board of directors. Schedule A, Part IV, Section E, Line 3b: To ensure consistency in the execution of its strategic goals across all of its supported organizations' operations, St. Luke's Health System, Ltd., through its board of directors, committees, and management structure, has established various policies, procedures and support functions which include, but are not limited to, the following: (1) Human Resource Policies (2) Financial Assistance Policies (3) Bad Debt and Collections Policies (4) Finance support functions, including payroll processing, accounts payable, supply chain management, procurement, budgeting, financial reporting and treasury. (5) Credentialing of physicians (6) Physician Services Administration (7) Information technology Support (8) Environmental Services (9) Property Management (10) Construction (11) Patient Safety (12) Legal (13) Compliance (14) Internal Audit (15) Risk Management RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 157948 157948 157948 157948 435940095 435940095 436098043 436098043 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 338881 490674 141541 157948 1129044 250000 250000 250000 250000 1000000 1500000 7575736 14957215 22532951 60048878 15700226 44348652 619675 619675 0 471617230 388865523 82751707 34594605 34594605 184227915 Professional Liability 22367167 Workers Comp 3092943 Health Insurance IBNR 12763815 LT Disability 7239835 SERP Plan Accrued Tax Grossup 1433336 SERP DC Plan 4734670 SERP Liability 25414685 Annual Employer Contribution Plan 27341553 ESL Liability 19481053 457 Plan Liability 60507298 ST Disability 5194409 CAAII Plan Liability 616457 CMS Accel Pmt Liabilty 149599487 Unemployment reserve 96778 Operating Leases 350153 340233639 X Part X, Line 2: Footnote Disclosure-Uncertain Tax Positions Under ASC 740 (Source: Consolidated Financial Statements-St. Luke's Health System) Income Taxes: The Health System is a not-for-profit corporation and is recognized as tax exempt pursuant to Section 501(c)(3) of the Internal Revenue Code of 1986, as amended. The Health System has activities that are considered unrelated business taxable income (UBTI), which are subject to excise tax. The Health System also has a taxable subsidiary, SLHP, whose operations are included in the consolidated financial statements and as such we have provided for income taxes on this activity under the Accounting Standards Codification (ASC) 740. For the Health System's taxable subsidiary and activities considered UBTI, income taxes are accounted for under the asset and liability method, which requires the recognition of Deferred Tax Assets (DTAs) and Deferred Tax Liabilities (DTLs) for the expected future tax consequences of events that have been included in the consolidated financial statements. Under this method, the Health System determines DTAs and DTLs on the basis of the differences between the financial statement and tax bases of assets and liabilities using enacted tax rates in effect for the year in which the differences are expected to reverse. The effect of a change in tax rates on DTAs and DTLs is recognized in results of operations in the period that includes the enactment date of the rate change. The Health System recognizes DTAs to the extent that these assets are more likely than not to be realized. In making such a determination, the Health System considers all available positive and negative evidence, including future reversals of existing taxable temporary differences, projected future taxable income, tax-planning strategies, and results of recent operations. If the Health System determines that DTAs are realizable in the future in excess of their net recorded amount, the Health System would make an adjustment to the DTA valuation allowance, which would reduce the provision for income taxes. The Health System records uncertain tax positions in accordance with ASC 740 on the basis of a two-step process in which (1) the Health System determines whether it is more likely than not that the tax positions will be sustained on the basis of the technical merits of the position and (2) for those tax positions that meet the more-likely-than-not recognition threshold, the Health System recognizes the largest amount of tax benefit that is more than 50 percent likely to be realized upon ultimate settlement with the related tax authority. Management is not aware of any uncertain tax positions that should be recorded. 1 American Heart Association 270 S Orchard St Boise ID 83705 135613797 501(c)(3) 15000 Support American Heart Association American Red Cross Po Box 100805 Pasadena CA 911890805 530196605 501(c)(3) 150000 Support American Red Cross Assistance League of Boise Po Box 140104 Boise ID 83714 820331595 501(c)(3) 10000 Support Assistance League of Boise Big Brothers Big Sisters of Sw Id Inc 110 N 27th St Suite 100 Boise ID 83702 820349401 501(c)(3) 20000 Support Big Brothers Big Sisters of SW ID Inc Blaine County School District 118 West Bullion Street Hailey ID 83333 943166817 Government Entity 30000 Support Blaine County School District Bogus Basin Mountain Resorts 2600 Bogus Basin Rd Boise ID 83702 820212207 501(c)(3) 70000 Support Bogus Basin Mountain Resorts Boise Bicycle Project 1027 S Lusk St Boise ID 83706 800268725 501(c)(3) 15000 Support Boise Bicycle Project Boise Metro Chamber Of Commerce Po Box 2368 Boise ID 83701 820100595 501(c)(3) 100400 Support Boise Metro Chamber of Commerce Boise Philharmonic Association Inc 516 S 9th Street Suite C Boise ID 83702 826006000 501(c)(3) 10730 Support Boise Philharmonic Association Inc Boise Public Schools Ed Fnd 8169 West Victory Road Boise ID 83709 820400689 501(c)(3) 35000 Support Boise Public Schools Ed Fnd Boise Rescue Mission Ministry Po Box 1494 Boise ID 83701 820259387 501(c)(3) 10000 Support Boise Rescue Mission Ministry Boise State University 1910 University Drive Boise ID 837251247 820290701 Government Entity 12500 Support Boise State University Boise State University Foundation 2225 University Drive Boise ID 83706 826010706 501(c)(3) 11750 Support Boise State University Foundation Boise Timber Thorns 3924 E Lake Hazel Road Meridian ID 83642 825070407 501(c)(3) 11000 Support Boise Timber Thorns Boys & Girls Club of Magic Valley 999 Frontier Rd Twin Falls ID 83301 943176622 501(c)(3) 9200 Support Boys & Girls Club of Magic Valley Boys And Girls Club of Ada 610 E 42Nd St Garden City ID 83714 820481687 501(c)(3) 15000 Support Boys And Girls Club of Ada Business Plus Inc Po Box 929 Twin Falls ID 833030929 203898333 501(c)(3) 6000 Support Business Plus Inc Caldwell Night Rodeo Po Box 98 Caldwell ID 83606 820128057 501(c)(4) 5500 Support Caldwell Night Rodeo Camp Rainbow Gold 216 W Jefferson Boise ID 83702 900961926 501(c)(3) 6000 Support Camp Rainbow Gold Catch Inc 503 S Americana Blvd Boise ID 83702 273483457 501(c)(3) 7500 Support Catch, Inc. Children's Home Society of ID 740 Warm Springs Ave Boise ID 83712 820201128 501(c)(3) 20000 Support Children's Home Society of ID City of Boise Planning PO Box 500 Boise ID 837010500 826000165 Government Entity 208000 Donations represent rent paid on behalf of the Allumbaugh House (Operated by Terry Reilly) City of Mountain Home 160 S 3rd E Mountain Home ID 83647 826000229 Government Entity 7400 Support City of Mountain Home Create Common Good 641 W Mcgregor Dr Ste 106 Boise ID 83705 931277434 501(c)(3) 11207 Support Create Common Good David a Hindson Md Education Foundation Inc 500 W Fort St Boise ID 83702 800279825 501(c)(3) 50000 Support David A Hindson MD Education Foundation Inc. Elderly Opportunity Agency Inc 134 N Washington Ave Emmett ID 83617 820306372 501(c)(3) 10000 Support Elderly Opportunity Agency Inc Faces of Hope Foundation 417 S 6th St Boise ID 83702 204883532 501(c)(3) 33500 Support Faces of Hope Foundation Family Advocate Program 3010 W State Street Boise ID 83703 820344205 501(c)(3) 9354 Support Family Advocate Program Family Health Services 794 Eastland Dr Twin Falls ID 83301 820371093 501(c)(3) 28075 Support Family Health Services Family Medicine Residency of Idaho 777 N Raymond Street Boise ID 837049251 205934739 501(c)(3) 2292804 Support Family Medicine Residency of Idaho Filer School District 700 B Stevens Ave Filer ID 83328 826000894 Government Entity 6000 Support Filer School District Genesis Community Health Inc 215 West 35th Street Garden City ID 83714 820505073 501(c)(3) 11000 Support Genesis Community Health Inc Girls On The Run Treasure Valley Po Box 6812 Boise ID 83707 820580481 501(c)(3) 5890 Support Girls on the Run Treasure Valley Hansen School District 550 S Main Street Hansen ID 83334 826001325 Government Entity 5700 Support Hansen School District Heritage Academy 500 S Lincoln Jerome ID 83338 273203580 501(c)(3) 8000 Support Heritage Academy Home Partnership Foundation Po Box 7899 Boise ID 837071899 753162969 501(c)(3) 100000 Support Home Partnership Foundation Hospice Visions Inc 1770 Park View Drive Twin Falls ID 83301 820483284 501(c)(3) 17500 Support Hospice Visions Inc. Idaho Affiliate of Susan G Komen 1409 W Main St Ste 120 Boise ID 83702 752854965 501(c)(3) 20000 Support Idaho Affiliate of Susan G Komen Idaho Foodbank 3630 E Commercial Ct Meridian ID 83642 820425400 501(c)(3) 25500 Support Idaho Foodbank Idaho Youth Ranch Inc 5465 W Irving Boise ID 83706 820253346 501(c)(3) 10000 Idaho Youth Ranch Inc Idaho AEYC 4355 W Emerald St Ste 250 Boise ID 837062072 820409133 501(c)(3) 26000 Support Idaho AEYC Idaho Children's Trust Fund Po Box 2015 Boise ID 83701 826000995 501(c)(3) 40000 Support Idaho Children's Trust Fund Idaho Public Television 1455 N Orchard St Boise ID 837062239 820400218 501(c)(3) 20000 Support Idaho Public Television Idaho Senior Games Po Box 45464 Boise ID 83711 820452442 501(c)(3) 7000 Support Idaho Senior Games Idaho Statesman Po Box 40 Boise ID 83707 590184700 501(c)(3) 21000 Support Idaho Statesman Idaho Steelheads Po Box 1458 Boise ID 837011458 820486976 501(c)(3) 22000 Support Idaho Steelheads Includeability Inc 13070 N Shafer Way Boise ID 83702 824182043 501(c)(3) 7500 Support Includeability Inc. Interlink Volunteer Caregivers Inc 650 Addison Ave W Suite 201 Twin Falls ID 83301 841417706 501(c)(3) 22000 Support Interlink Volunteer Caregivers, Inc Jannus Inc 1607 W Jefferson St Boise ID 83702 816035382 501(c)(3) 69500 Support Jannus Inc Jerome County Senior Citizens 520 N Lincoln Jerome ID 83338 820313405 501(c)(3) 10000 Support Jerome County Senior Citizens Jerome Joint School District 125 4th Avenue West Jerome ID 83338 826003634 Government Entity 6625 Support Jerome Joint School District Jesse Tree Of Idaho 1121 W Miller Street Boise ID 83702 820534777 501(c)(3) 5400 Support Jesse Tree of Idaho Kids Count Too Po Box 5533 Twin Falls ID 83301 820525955 501(c)(3) 7800 Support Kids Count Too Killebrew Thompson Memorial Po Box 232 Sun Valley ID 83353 820341683 501(c)(3) 6500 Support Killebrew Thompson Memorial Kimberly School District 141 Center Street West Kimberly ID 83341 826000895 Government Entity 11900 Support Kimberly School District Learning Lab Inc 308 E 36th Street Garden City ID 83714 820461933 501(c)(3) 6000 Support Learning Lab Inc Life's Kitchen Po Box 45632 Boise ID 83711 800008918 501(c)(3) 5253 Support Life's Kitchen Living Independence Network 1878 W Overland Rd Suite 101 Boise ID 837053142 820426465 501(c)(3) 22500 Support Living Independence Network Meridian Library District 1326 W Cherry Lane Meridian ID 83642 834381711 Government Entity 7500 Support Meridian Library District Mountain Home School District 470 N 3rd E Mountain Home ID 83647 826000742 Government Entity 21960 Support Mountain Home School District MV Area Humanitarian Po Box 601 Rupert ID 83350 821317096 501(c)(3) 10000 Support MV Area Humanitarian Nampa School District 619 S Canyon St Nampa ID 83686 826000727 Government Entity 10000 Support Nampa School District Nampa Schools Foundation Inc Po Box 874 Nampa ID 836530874 820456603 501(c)(3) 11363 Support Nampa Schools Foundation Inc NICA 2414 6th Street Berkeley CA 94710 134234305 501(c)(3) 7000 Support NICA Pathways of Idaho 545 N Benjamin Lane Suite 185 Boise ID 83704 465044433 501(c)(3) 25000 Support Pathways of Idaho Payette Lakes Ski Club Po Box 442 Mccall ID 83638 820153504 501(c)(3) 10000 Support Payette Lakes Ski Club Roaring Springs Waterpark 400 W Overland Road Meridian ID 83642 820505226 501(c)(3) 10000 Support Roaring Springs Waterpark Roman Catholic Diocese Boise 1501 S Federal Way Suite 400 Boise ID 83705 820200748 501(c)(3) 25000 Support Roman Catholic Diocese Boise Ronald Mcdonald House Id 101 Warm Springs Ave Boise ID 83712 943030996 501(c)(3) 111500 Support Ronald Mcdonald House Id Salmon River Senior Citizens Po Box 1285 Riggins ID 83549 900815231 501(c)(3) 11500 Support Salmon River Senior Citizens Salvation Army 1617 N 24th Street Boise ID 83702 941156347 501(c)(3) 8500 Support Salvation Army Snake River Stampede 16114 Idaho Ctr Blvd Ste 4 Nampa ID 83687 263923291 501(c)(3) 12500 Support Snake River Stampede South Central District Health 1020 Washington St N Twin Falls ID 83301 820335043 Government Entity 17500 Support South Central District Health Southwest District Health 13307 Miami Lane Caldwell ID 83607 866000952 Government Entity 15000 Support Southwest District Health St Michael's Parish Inc 518 N 8th St Boise ID 83702 820204262 501(c)(3) 6000 Support St Michael's Parish Inc Supportive Housing and Innovative Partnership Inc 1843 S Broadway Ave Ste 101A Boise ID 83706 820530081 501(c)(3) 10000 Support Supportive Housing and Innovative Partnership Inc Terry Reilly Health Services 211 16th Ave N Nampa ID 836874058 820300537 501(c)(3) 6000 Support Terry Reilly Health Services Treasure Valley Family YMCA 1177 W State St Boise ID 83702 820200908 501(c)(3) 1535000 Support Treasure Valley Family YMCA Treasure Valley Food Coalition 5323 Hill Road Boise ID 83703 453620811 501(c)(3) 8000 Support Treasure Valley Food Coalition Treefort Music Festival 1605 N 13th Street Suite A Boise ID 83702 471298541 501(c)(3) 10000 Support Treefort Music Festival Twin Falls County Po Box 126 Twin Falls ID 833030126 826000318 Government Entity 22000 Support Twin Falls County Twin Falls School District 201 Main Ave West Twin Falls ID 83301 826000892 Government Entity 85191 Support Twin Falls School District Twin Falls Senior Citizens Fed 530 Shoshone St W Twin Falls ID 83301 820342197 501(c)(3) 34900 Support Twin Falls Senior Citizens Fed United Way of Magic Valley Inc Po Box 65 Twin Falls ID 83303 820256978 501(c)(3) 11500 Support United Way of South Central United Way Of Treasure Valley Po Box 16330 Boise ID 83705 820299013 501(c)(3) 13500 Support United Way of Treasure Valley University Of Washington PO Box 94224 Seattle WA 981246524 916001537 Government Entity 604119 Support University Of Washington Valley Regional Transit 700 N East 2Nd Street Meridian ID 83642 820515697 501(c)(3) 30000 Support Valley Regional Transit Women's And Children's Alliance 720 W Washington Boise ID 83702 820204464 501(c)(3) 25500 Support Women's And Children's Alliance 87 1 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 2020 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. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 David C Pate MD JD President & CEO (End 02/2020) 1232490 0 0 0 9180227 0 23349 0 6810 0 10442876 0 0 0 Mr Chris Roth CEO & Director (Start 02/2020) 807043 0 0 0 131232 0 27620 0 25420 0 991315 0 0 0 Mr Jeffrey S Taylor SR VP/CFO/Treasurer 702999 0 0 0 806218 0 31891 0 21080 0 1562188 0 0 0 Ms Christine Neuhoff SVP/Chief Legal Officer/Sec 642664 0 0 0 49981 0 27620 0 18319 0 738584 0 0 0 James Souza MD Chief Medical Officer 646818 0 0 0 69339 0 31891 0 16815 0 764863 0 0 0 Ms Pamela Lindemoen VP Acute Care Services 560268 0 0 0 35555 0 19078 0 6470 0 621371 0 0 0 Mr David Self VP Business & Network Devlopmt 439114 0 0 0 15198 0 18313 0 9359 0 481984 0 0 0 Nathan Green MD Medical Director 715525 0 30193 0 38809 0 23349 0 27697 0 835573 0 0 0 David K Seppi MD VP,Executive Medical Direc 593767 0 0 0 168122 0 23349 0 23923 0 809161 0 0 0 Robert Walker MD Medical Director 625196 0 1300 0 69209 0 31891 0 13974 0 741570 0 0 0 Mr Philip Johnson VP & CHRO 406284 0 0 0 239660 0 19078 0 14577 0 679599 0 0 0 Barton F Hill MD VP,Chief Quality Officer 498811 0 0 0 102772 0 27620 0 25017 0 654220 0 0 0 Ms Maureen O'Keeffe Former VP 0 0 0 0 135866 0 0 0 0 0 135866 0 40230 0 Part I, Line 1a St. Luke's has agreed to directly or indirectly pay all taxes caused by the vesting of accruals of the adjusted benefit prior to termination of employment. The payment shall be made in such a manner which results in the executive having no personal outlay for taxes resulting from or related to the adjusted benefit for any associated taxes. Part I, Line 4b During CY'19, the following individuals participated in a supplemental non-qualified executive retirement plan: SERP SERP-Gross Up Total Jeffrey Taylor $416,672 $331,057 $747,729 David C. Pate $4,903,755 $4,223,756 $9,127,511 Maureen O'Keeffe received $148,326 of benefits for prior service in a supplemental retirement plan. Gary Fletcher received $184,556 of benefits for prior service in a supplemental retirement plan. Part II-Column (c) During CY'19 the following individual participated in the basic pension plan. Due to enhanced benefits adopted in 2019 and changes in actuarial assumptions this individual experienced an increase in the vested balance of the plan. Jeffrey Taylor $150,904 Part II-Column (e) Compensation reported for Dr. David C. Pate includes the present fair value of future retirement payments, to be paid over time as an annuity, not a lump sum. As part of recruitment to the role of CEO of St. Luke's Health System, Ltd., Dr. Pate received a supplemental executive retirement plan during his tenure, which vested during the tax year reported. At the vesting date, the fair value of his future benefits is considered reportable wages to him for income tax purposes. Cash payments of the retirement benefit are deferred until his retirement, at which time the benefits are paid out as an annuity. Dr. Pate's employment arrangement, aligned with overall healthcare industry standards, recognized his service to the organization. Part I, Line 4b: During CY'19, Jeffrey S. Taylor was a participant in the supplemental non-qualified executive retirement plan. There were no additional benefits accrued during CY'19 on behalf of the participant. Laurie Martin Family member of Director/Officer 84783 Compensation of family member of a Director and Officer 0 Cynthia Hart Family member of Director/Officer 42045 Compensation of family member of a Director and Officer 0 Form 990, Part VI, Section A, line 2 Some board members serve with other board members on non-St. Luke's boards. Each of the following board members, officers and key employees has a business relationship with one another by virtue being an officer, key employee or sitting on the board of directors of another St. Luke's entity. Allan Korn, MD David C. Pate, MD, JD Lucie DiMaggio, MD Mr. Alan Horner Mr. Andy Scoggin Mr. Arthur F. Oppenheimer Mr. Bill Whitacre Mr. Bob Lokken Mr. Dan Krahn Mr. Jon Miller Mr. Mark Durcan Mr. Rich Raimondi Mr. Tom Corrick Ms. Brigette Bilyeu Ms. Karen Vauk Ms. Lisa Grow Mr. Jeffrey Taylor Ms. Christine Neuhoff Ms. Pamela Lindemoen James Souza, MD Mr. David Self Mr. Jeff Fox 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 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. Form 990, Part VI, Section C, line 19 The organization's governing documents, conflict of interest policy, and financial statements are not available to the public. Form 990 is available for public inspection on our website, which contains financial information. Form 990 Part VII Section A The total hours worked and compensation reported for the following individuals represent services rendered to organizations within the St. Luke's Health System: Pam Lindemoen: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. Mountain States Tumor Institute,Inc. St. Luke's McCall,Ltd. St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Wood River Medical Center,Ltd. St. Luke's Clinic Coordinated Care,Ltd. St. Luke's Nampa Medical Center, Ltd. Chris Roth: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. Mountain States Tumor Institute,Inc. St. Luke's McCall,Ltd. St. Luke's Health Foundation,Ltd St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Wood River Medical Center,Ltd. St. Luke's Clinic Coordinated Care,Ltd. St. Luke's Nampa Medical Center, Ltd. Jeff Taylor: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. Mountain States Tumor Institute,Inc. St. Luke's McCall,Ltd. St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Wood River Medical Center,Ltd. St. Luke's Clinic Coordinated Care,Ltd. St. Luke's Nampa Medical Center, Ltd. Christine Neuhoff: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. Mountain States Tumor Institute,Inc. St. Luke's McCall,Ltd. St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Wood River Medical Center,Ltd. St. Luke's Clinic Coordinated Care,Ltd. St. Luke's Nampa Medical Center, Ltd. David C. Pate: St. Luke's Health System,Ltd. St. Luke's Regional Medical Center,Ltd. Mountain States Tumor Institute,Inc. St. Luke's McCall,Ltd. St. Luke's Magic Valley Regional Medical Center,Ltd. St. Luke's Wood River Medical Center,Ltd. St. Luke's Nampa Medical Center, Ltd. Form 990, Part XI, line 9: Change in Minim Liability - Supplemental Executive Retirement Plan (SERP) -6,629,478. Capital Invested in Plant 18,799. Form 990 Part IX Line 1 During the fiscal year 2020 the Health System received significant funding related to the Cares Act including deferral of employer portion of certain payroll taxes which contributed increase certain asset and liability accounts. Form 990, Part I, Line 6 During this past year the number of volunteers decreased due to restrictions on the access to the hospitals for volunteers and cancellations of in person events due to COVID-19 concerns. 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