2024-05-14T15:34:07-05:00 2023-06-30 990 2022-07-01 820200895 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC SAIN 2083672121 1055 NORTH CURTIS ROAD BOISE ID 83706 B LANNIE CHECKETTS TREASURER 2083672121 2024-05-14 B LANNIE CHECKETTS 999009999 1 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z SEE SCHEDULE O DAVID MCFADYEN 1055 NORTH CURTIS ROAD BOISE ID 83706 804959217 0 0928 X WWW.SAINTALPHONSUS.ORG X 1958 ID TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 15 13 0 2641 1786153 753146 10241139 4353331 755078887 780568200 18029252 7970664 12726457 11562762 796075735 804454957 3360512 1352395 0 0 351313169 377205279 0 0 852651 447902206 457042762 802575887 835600436 -6500152 -31145479 816441283 763731403 310558026 286934327 505883257 476797076 X WE, SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH, SERVE TOGETHER IN THE SPIRIT OF THE GOSPEL AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. SAINT ALPHONSUS REGIONAL MEDICAL CENTER IS A MEMBER OF SAINT ALPHONSUS HEALTH SYSTEM AND TRINITY HEALTH. 0 0 739183391 1352395 787402225 SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) IS A MEDICAL / SURGICAL / ACUTE CARE HOSPITAL LOCATED IN BOISE, IDAHO, WHOSE HISTORY STARTS OVER 125 YEARS AGO. SARMC SERVES RESIDENTS THROUGHOUT SOUTHWEST IDAHO, EASTERN OREGON AND NORTHERN NEVADA. SARMC OFFERS A FULL RANGE OF SERVICES IN AN INPATIENT AND OUTPATIENT SETTING AS WELL AS 24-HOUR EMERGENCY CARE, SURGICAL SERVICES, CANCER CARE, BREAST CARE, BRAIN INJURY PROGRAM, PEDIATRICS, SPINE CARE, AND STROKE CENTER AS WELL AS MANY OTHER SERVICES.SARMC NOW HAS THE STATE'S ONLY NEURO, SURGICAL, TRAUMA INTENSIVE CARE UNIT, INCLUDING A STEPDOWN COMPONENT, ALLOWING IDAHO RESIDENTS TO RECEIVE TIMELY CARE FOR COMPLEX INJURIES OR ILLNESS OF THE BRAIN OR SPINE. SARMC ALSO OFFERS CONVENIENT ACCESS TO HEALTH CARE SERVICES WITH NUMEROUS HEALTH PLAZAS AND CLINIC LOCATIONS. PLEASE SEE SCHEDULE H AND VISIT OUR WEBSITE FOR ADDITIONAL INFORMATION ABOUT OUR SERVICES, RECOGNITIONS AND AWARDS: WWW.SAINTALPHONSUS.ORG 739183391 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 478 0 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 OR X STEPHANIE PLISCHKE 2083674504 6301 EMERALD BOISE ID 83706 ROBERT FARIVAR MD PHD CARDIOTHORACIC SURGEON 50.00 0.00 X 0 1436271 38452 ODETTE BOLANO DIRECTOR; PRES SAHS; CEO WEST REGION 1.00 54.00 X X 0 1142266 223555 CHRISTIAN ZIMMERMAN MD NEUROSURGEON 50.00 0.00 X 0 1208139 43632 BENEDICT TAYLOR MD CARDIOTHORACIC SURGEON 50.00 0.00 X 0 1076775 39899 JOSEPH BROOKS MD RADIATION ONCOLOGIST 50.00 0.00 X 0 945282 50538 ILYAS COLOMBOWALA MD CARDIAC ELECTROPHYSIOLOGIST 50.00 0.00 X 0 948099 29607 DAVID MCFADYEN DIRECTOR; PRESIDENT 54.00 1.00 X X 0 575315 125708 B LANNIE CHECKETTS TREASURER; SAHS CFO 15.00 35.00 X 0 557478 66972 STEPHANIE WESTERMEIER SECRETARY; SAHS VP & MANAGING CNSL 15.00 35.00 X 0 493999 114326 MICHAEL BORN MD CHIEF MEDICAL OFFICER THR 1/23 50.00 0.00 X 0 420630 44400 PATRICE BURGESS MD CHIEF MEDICAL OFFICER AS OF 1/23 25.00 25.00 X 0 353555 44209 JEAN BASOM FRMR KE; REG DIR SUPPLY CHN THR 8/22 15.00 35.00 X 0 204647 100093 MARCIE HARPER VICE PRESIDENT OF FINANCE 50.00 0.00 X 0 236024 48680 SCOTT CHRISTENSEN VICE PRESIDENT OF OPERATIONS 50.00 0.00 X 0 237269 46911 MICHAEL BALLANTYNE DIRECTOR; CHAIR AS OF 1/23 1.00 4.00 X X 0 0 0 DANIEL PUGA DIRECTOR & CHAIR THROUGH 12/22 1.00 4.00 X X 0 0 0 TONI NIELSEN DIRECTOR; VICE CHAIR AS OF 1/23 1.00 4.00 X X 0 0 0 SUZANNE BRENNAN CSC DIRECTOR 1.00 6.00 X 0 0 0 MICHAEL COUGHLIN MD DIRECTOR 1.00 4.00 X 0 0 0 VICKEN GARABEDIAN MD DIRECTOR THROUGH 12/22 1.00 4.00 X 0 0 0 GERALDINE HOYLER CSC DIRECTOR 1.00 4.00 X 0 0 0 BETH INECK DIRECTOR AS OF 1/23 1.00 4.00 X 0 0 0 KIRK JACOBSON DIRECTOR 1.00 4.00 X 0 0 0 ROBERT LADENBURGER DIRECTOR AS OF 1/23 1.00 4.00 X 0 0 0 SUSAN MORRIS DIRECTOR 1.00 4.00 X 0 0 0 ANABEL ORTIZ-CHAVOLLA DIRECTOR 1.00 4.00 X 0 0 0 ADAM RICHINS DIRECTOR 1.00 4.00 X 0 0 0 LAURA ALVAREZ SCHRAG DIRECTOR THROUGH 12/22 1.00 4.00 X 0 0 0 ANGELA TAYLOR DIRECTOR 1.00 4.00 X 0 0 0 MARIE GUADALUPE WISSEL DIRECTOR 1.00 4.00 X 0 0 0 0 9835749 1016982 0 1 1 0 HALLMARK HEALTH CARE SOLUTIONS INC 200 MOTOR PKWY STE D26 HAUPPAUGE NY 11788 STAFFING SERVICES 21806343 ANDERSEN CONSTRUCTION COMPANY 6712 N CUTLER CIRCLE PORTLAND OR 97217 CONSTRUCTION SERVICES 11983446 REHABILITATION MANAGEMENT ASSOCIATES INC 901 N CURTIS RD STE 204 BOISE ID 83706 REHABILITATION SERVICES 11223774 BOISE ANESTHESIA PA PO BOX 3750 SALT LAKE CITY UT 84110 ANESTHESIA SERVICES 6043045 GIFTED NURSES LLC PO BOX 205426 DALLAS TX 75320 STAFFING SERVICES 4144701 93 1588311 1014176 1750844 395096 4353331 NET PATIENT SERVICE REVENUE 622110 778782047 778782047 LABORATORY AND OTHER REVENUE 621500 1786153 1786153 780568200 4481814 4481814 517109 0 517109 517109 517109 2854575 697998 0 63723 2854575 634275 3488850 3488850 484575 1588311 431842 52733 52733 22704 8695 14009 14009 OTHER RELATED REVENUE 622110 8620178 8620178 CAFETERIA REVENUE 722514 2269600 2269600 PARKING REVENUE 812930 89133 89133 10978911 804454957 787402225 1786153 10913248 X 1293112 1293112 59283 59283 1660957 1660957 61127 61127 315296192 305549869 9508300 238023 14465477 14010409 444154 10914 26082816 25289727 773388 19701 19638710 19158800 461928 17982 1043224 1043224 83625 83625 350122 350122 85322884 82330834 2936304 55746 999271 466340 480710 52221 34340 34340 24508398 19613125 4892619 2654 19509848 16866152 2643696 1225632 1184230 37432 3970 995517 972239 23278 6921090 6921090 33733628 19869841 13862667 1120 6465298 1609285 4856013 MEDICAL SUPPLIES 145439917 145439917 UNRELATED BUS INC TAX 170000 170000 I/C PURCHASED SERVICES 77548410 26549337 50999073 BAD DEBT 38304345 38304345 14387213 13525456 411437 450320 835600436 739183391 95564394 852651 2174421 3988885 263576 234344 7520 86893 125539012 119613688 111992 24038 13926108 13701129 313070 245203 658330255 393592527 266108410 264737728 181779996 138657313 121679527 108112305 104537651 114329877 816441283 763731403 73122592 72580462 769087 640834 3933467 4078671 232732880 209634360 310558026 286934327 X 500762483 470529667 5120774 6267409 505883257 476797076 816441283 763731403 X -31145479 9920887 -7861589 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 78648 0 0 0 78648 0 PART II-B, LINE 1: SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) HAS MADE GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES. THESE GRANTS HAVE BEEN IN THE FORM OF MEMBERSHIP DUES PAID TO REGIONAL AND NATIONAL HEALTH CARE ORGANIZATIONS, WHERE THE ORGANIZATIONS HAVE PROVIDED SARMC WITH AN ESTIMATED PERCENTAGE OF DUES PAYMENTS WHICH ARE USED FOR LOBBYING ACTIVITIES. 19287186 118991 1446714 4176 32365 20816350 21150462 23702 -1431138 37920 417920 19287186 21665532 750547 4133071 312529 5086159 21150462 21923891 113841 57203 314997 21665532 16414783 4330441 1178667 21923891 0.92430 0.07570 0.00000 0 0 8088389 8088389 369456876 194674529 174782347 1036934 533805 503129 272932522 198384193 74548329 6815534 6815534 264737728 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 20533916 F EQUITY METHOD INVESTMENTS 71745008 C HEDGE FUNDS 15833381 F 108112305 MISCELLANEOUS RECEIVABLES 1930102 INTERCOMPANY OTHER LT ASSETS 47433080 INTERCOMPANY ACCOUNTS RECEIVABLE 44769411 OPERATING LEASE RIGHT-OF-USE ASSETS 20197284 114329877 INTERCOMPANY ACCOUNTS PAYABLE 20625666 ASSET RETIREMENT OBLIGATION (FIN 47) 1247798 INTERCOMPANY NOTES PAYABLE 165777438 OPERATING LEASE LIABILITIES 21983458 209634360 PART V, LINE 4: THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS ARE FOR: - PROJECTS DESIGNED TO ELEVATE THE QUALITY OF HEALTH CARE (INTERNAL GRANTS) - PROJECTS TO MEET IMMEDIATE NEEDS RELATED TO PATIENT CARE QUALITY (OPPORTUNITY GRANTS) - PROJECTS FOR HEALTH AND WELFARE-RELATED COMMUNITY BENEFIT PROJECTS THAT MEET THE NEEDS OF THE POOR AND UNDERSERVED. FESTIVAL OF TREES 1910227 1435596 474631 185412 16461 212080 PROJECT HAITI DINNER 155225 151675 3550 7450 1754 1 7434 1040 6394 7713 972 2072886 1588311 484575 185412 31624 214806 431842 52733 22704 8695 1 0.90000 22704 8695 8695 14009 ID 1 0 1 0 1.00000 AMBER BUCKLES 1055 N CURTIS RD BOISE ID 83706 0 NANCEE BAKKEN 0 ORGANIZATION OF RAFFLE X 0 1 1 X 1 X 1 X 1 1 0 1 1 11046699 11046699 0.01390 140372527 123898334 16474193 0.02070 151419226 123898334 27520892 0.03460 15 32094 2365466 448689 1916777 0.00240 9 857 3048774 1042422 2006352 0.00250 3 12584 2044038 611404 1432634 0.00180 9 1773 1306855 783013 523842 0.00070 36 47308 8765133 2885528 5879605 0.00740 36 47308 160184359 126783862 33400497 0.04200 1 28934 650 28284 0.00000 1 8 1150 1150 0.00000 2 41 32102 32102 0.00000 2 6 186679 186679 0.00020 6 55 248865 650 248215 0.00020 0 38304345 0 103417952 131189043 -27771091 X 1 1 1 1 SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 N CURTIS ROAD BOISE ID 83706 WWW.SAINTALPHONSUS.ORG LICENSE 02 X X X X SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X SEE PART V, PAGE 8 X X X X X X 1 X 0 X X X X 1 X 0 0 SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) INCLUDED IN ITS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WRITTEN REPORT A PRIORITIZED LIST AND DESCRIPTION OF THE COMMUNITY'S SIGNIFICANT HEALTH NEEDS, WHICH WERE IDENTIFIED THROUGH THE MOST RECENTLY CONDUCTED CHNA. THE FOLLOWING COMMUNITY HEALTH NEEDS WERE DEEMED SIGNIFICANT AND WERE PRIORITIZED THROUGH THIS COMMUNITY-INVOLVED SELECTION PROCESS: 1. SAFE, AFFORDABLE HOUSING AND HOMELESSNESS2. BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND WELL-BEING AND SUBSTANCE MISUSE3. ACCESS TO AFFORDABLE HEALTH CARE, INCLUDING ORAL AND VISION HEALTH SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: THE CHNA WAS CONDUCTED FROM JULY THROUGH DECEMBER 2022 AND APPROVED BY THE SAINT ALPHONSUS HEALTH SYSTEM BOARD ON JUNE 5, 2023. COLLABORATIVE PARTNERS FOR THE ASSESSMENT INCLUDED: CENTRAL DISTRICT HEALTH, REGENCE BLUESHIELD OF IDAHO, SALTZER (INTERMOUNTAIN) HEALTH, SOUTHWEST DISTRICT HEALTH, ST. LUKE'S HEALTH SYSTEM, UNITED WAY OF TREASURE VALLEY, WEISER MEMORIAL HOSPITAL, AND WESTERN IDAHO COMMUNITY HEALTH COLLABORATIVE.CHNA PARTNERS USED A TARGETED APPROACH TO RECRUIT INTERVIEW AND FOCUS GROUP PARTICIPANTS. THIS APPROACH WAS USED TO ENSURE THAT TYPICALLY UNDERREPRESENTED GROUPS WERE INCLUDED IN DATA COLLECTION SUCH AS OLDER ADULTS, RURAL RESIDENTS, PEOPLE EXPERIENCING HOMELESSNESS, HISPANIC AND LATINO POPULATIONS, AND NEW AMERICAN AND RESETTLEMENT GROUPS. PROJECT PARTNERS CONDUCTED 62 INTERVIEWS AND 32 FOCUS GROUPS. ASSESSMENT AND RECRUITMENT OVERSIGHT OCCURRED THROUGH A COMMUNITY ASSESSMENT STEERING COMMITTEE, WHICH WAS COMPRISED OF REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: AREA AGENCY ON AGING, BLUE CROSS OF IDAHO FOUNDATION FOR HEALTH, BOISE STATE UNIVERSITY, CENTRAL DISTRICT HEALTH, COMMUNITY COUNCIL OF IDAHO, IDAHO ANTI-TRAFFICKING COALITION, IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN, IDAHO FOODBANK, IDAHO HOUSING AND FINANCE ASSOCIATION, IDAHO POLICY INSTITUTE, IDAHO PRIMARY CARE ASSOCIATES, JESSE TREE, MICRON, SALTZER (INTERMOUNTAIN) HEALTH, SOUTHWEST DISTRICT HEALTH, ST. LUKE'S HEALTH SYSTEM, SAINT ALPHONSUS HEALTH SYSTEM, TERRY REILLY HEALTH SYSTEM, VALLEY REGIONAL TRANSIT, WESTERN IDAHO COMMUNITY ACTION PARTNERSHIP, AND WOMEN'S AND CHILDREN'S ALLIANCE.FOCUS GROUP HOSTS INCLUDED THESE ORGANIZATIONS SERVING IMPACTED POPULATIONS: ADAMS COUNTY HEALTH ACTION TEAM, BOISE SCHOOL DISTRICT, CALDWELL HEALTH COALITION, CANYON COUNTY FIRST RESPONDERS, CASCADE MEDICAL CENTER, CENTER FOR GLOBAL HEALTH AND HEALING, ELMORE COUNTY HEALTH COALITION, FIT AND FALL PROOF CALDWELL METHODIST CHURCH, FIT AND FALL PROOF EMMETT REC CENTER, FIT AND FALL PROOF MIDDLETON, FIT AND FALL PROOF NEW PLYMOUTH, FIT AND FALL PROOF PAYETTE SENIOR CENTER, GEM COMMUNITY HEALTH COALITION, GLENNS FERRY SENIOR CENTER, GOOD SAMARITAN HOME, MOBILE CRISIS UNIT REGION 4, OWYHEE HEALTH COALITION, PAYETTE COUNTY HEALTH ACTION TEAM, SAINT ALPHONSUS HEALTH SYSTEM, THE NEW PLYMOUTH KIWANIS CLUB, VALLEY COUNTY OPIOID RESPONSE PROJECT, AND WASHINGTON COUNTY HEALTH COALITION.COMMUNITY INTERVIEWS INCLUDED THE FOLLOWING ORGANIZATION PARTICIPANTS: ADA COUNTY PARAMEDICS, ADAMS COUNTY SHERIFF'S OFFICE, BOYS & GIRLS CLUBS ADA COUNTY, CANYON COUNTY GOVERNMENT, CATCH, BOISE STATE UNIVERSITY - CENTER FOR THE STUDY OF AGING, CITY OF CALDWELL, CITY OF NEW MEADOWS, CITY OF PAYETTE, COLLEGE OF SOUTHERN IDAHO, COMMUNITY COUNCIL OF IDAHO, ECONOMIC OPPORTUNITY-JANNUS, ELMORE COUNTY COMMISSIONERS, FAMILY CAREGIVER NAVIGATOR PROGRAM, IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN, IDAHO BUSINESS FOR EDUCATION, IDAHO COMMISSION ON HISPANIC AFFAIRS, IDAHO DEPARTMENT OF HEALTH AND WELFARE, BEHAVIORAL HEALTH, IDAHO HOUSING AND FINANCE ASSOCIATION, IDAHO ORAL HEALTH ALLIANCE, IDAHO SUICIDE PREVENTION HOTLINE, INCLUSIVE IDAHO, JANNUS, JESSE TREE OF IDAHO, LIVING INDEPENDENCE NETWORK CORP., MEADOWS VALLEY FOODBANK, MOBILE CRISIS UNIT REGION 4, OWYHEE COUNTY GOVERNMENT, SPEEDY FOUNDATION, STATE INDEPENDENT LIVING CENTER, VALLEY REGIONAL TRANSIT, VALLIVUE ELEMENTARY SCHOOL, WASHINGTON COUNTY STATE GOVERNMENT, WESTERN IDAHO COMMUNITY ACTION PARTNERSHIP, AND WOMEN'S AND CHILDREN'S ALLIANCE.BETWEEN JULY AND DECEMBER 2022, PROJECT PARTNERS COLLECTED PRIMARY DATA REPRESENTING THE COMMUNITIES' PERSPECTIVES ON HEALTH AND SOCIAL DETERMINANTS OF HEALTH TOPICS THROUGH SURVEYS, FOCUS GROUPS, AND INTERVIEWS. EMPHASIS WAS PLACED ON COLLECTING FEEDBACK FROM UNDERSERVED AND UNDERREPRESENTED GROUPS ACROSS THE COMMUNITIES ASSESSED. SECONDARY DATA INDICATORS WERE COLLECTED BETWEEN JULY AND DECEMBER 2022 FROM EXISTING DATASETS SUCH AS THE U.S. CENSUS, BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY, DEPARTMENT OF LABOR, TRINITY HEALTH DATA HUB, AND OTHERS. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH SAINT ALPHONSUS MEDICAL CENTER-NAMPA, SAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL, SALTZER (INTERMOUNTAIN) HEALTH, ST. LUKE'S REGIONAL MEDICAL CENTER, AND WEISER MEMORIAL HOSPITAL. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: THE CHNA WAS ALSO CONDUCTED IN PARTNERSHIP WITH CENTRAL DISTRICT HEALTH, SOUTHWEST DISTRICT HEALTH, UNITED WAY OF TREASURE VALLEY, AND WESTERN IDAHO COMMUNITY HEALTH COLLABORATIVE. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: THE CHNA WAS CONDUCTED AND POSTED BY THE END OF FISCAL YEAR 2023. AN UPDATED IMPLEMENTATION STRATEGY WAS ADOPTED IN OCTOBER 2023 FOR FISCAL YEARS 2023-2025. THESE DOCUMENTS WILL GUIDE THE COMMUNITY BENEFIT WORK FOR THESE FISCAL YEARS. IN FISCAL YEAR 2023 (FY23), SARMC DEVELOPED AND/OR SUPPORTED INITIATIVES TO IMPROVE THE FOLLOWING HEALTH NEEDS:SAFE, AFFORDABLE HOUSING AND HOMELESSNESS:IN FY23, SARMC PROVIDED SUPPORT TO JESSE TREE, WHICH PROVIDES EMERGENCY RENTAL ASSISTANCE AND EVICTION AVOIDANCE FOR LOCAL RESIDENTS, AND HOME PARTNERSHIP FOUNDATION, WHICH WORKS TOWARD ENDING FAMILY HOMELESSNESS. BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND WELL-BEING AND SUBSTANCE MISUSE: SARMC, AS PART OF SAINT ALPHONSUS HEALTH SYSTEM (SAHS), PROVIDED TOBACCO CESSATION COUNSELING THROUGH A TRAINED TOBACCO TREATMENT SPECIALIST. SARMC ALSO CONTINUED TO CONDUCT "QUESTION PERSUADE REFER" SUICIDE PREVENTION TRAINING FOR STAFF THROUGHOUT THE HEALTH SYSTEM. SAINT ALPHONSUS TOBACCO FREE LIVING CONTINUED TO OFFER ONLINE CESSATION PROGRAMS. SARMC'S FAITH COMMUNITY NURSING AND SCHOOL HEALTH PROGRAMS ALSO CONTINUED TO SUPPORT THE SIGNS OF SUICIDE PROGRAM FOR LOCAL MIDDLE AND HIGH SCHOOL STUDENTS, STAFF, AND PARENTS TO TRAIN THEM TO RECOGNIZE THE SIGNS OF SUICIDE AND PROVIDED RESOURCES TO SEEK HELP. ACCESS TO AFFORDABLE HEALTH CARE, INCLUDING ORAL AND VISION HEALTH: INITIATIVES IN FY23 INCLUDED SUPPORT OF ACCESS TO MENTAL HEALTH TREATMENT THROUGH ALLUMBAUGH HOUSE, TELEPSYCHIATRY, AND SUPPORT OF OTHER SAFETY NET ORGANIZATIONS LIKE GENESIS COMMUNITY HEALTH. SARMC FOCUSED ON IMPROVING ACCESS TO HEALTH CARE BY REMOVING BARRIERS AND PROVIDING SERVICES FOR THE POOR AND UNDERSERVED THROUGH COMMUNITY PARTNERSHIPS. SARMC SUPPORTED SPECIAL REFUGEE CARE THROUGH ITS CENTER FOR GLOBAL HEALTH AND HEALING AND THE CARE (CULTURALLY APPROPRIATE RESOURCES AND EDUCATION) CLINIC FOR REFUGEE MOTHERS. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL AND/OR SOCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON AVAILABLE INFORMATION. EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, THE HOMELESS, UNEMPLOYED PATIENTS, NON-COVERED MEDICALLY NECESSARY SERVICES PROVIDED TO PATIENTS QUALIFYING FOR PUBLIC ASSISTANCE PROGRAMS, PATIENT BANKRUPTCIES, AND MEMBERS OF RELIGIOUS ORGANIZATIONS WHO HAVE TAKEN A VOW OF POVERTY AND HAVE NO RESOURCES INDIVIDUALLY OR THROUGH THE RELIGIOUS ORDER.FOR THE PURPOSE OF HELPING FINANCIALLY NEEDY PATIENTS, A THIRD PARTY IS UTILIZED TO CONDUCT A REVIEW OF PATIENT INFORMATION TO ASSESS FINANCIAL NEED. THIS REVIEW UTILIZES A HEALTH CARE INDUSTRY-RECOGNIZED, PREDICTIVE MODEL THAT IS BASED ON PUBLIC RECORD DATABASES. THESE PUBLIC RECORDS ENABLE THE HOSPITAL TO ASSESS WHETHER THE PATIENT IS CHARACTERISTIC OF OTHER PATIENTS WHO HAVE HISTORICALLY QUALIFIED FOR FINANCIAL ASSISTANCE UNDER THE TRADITIONAL APPLICATION PROCESS. IN CASES WHERE THERE IS AN ABSENCE OF INFORMATION PROVIDED DIRECTLY BY THE PATIENT, AND AFTER EFFORTS TO CONFIRM COVERAGE AVAILABILITY, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY NEEDY PATIENTS. PART V, SECTION B, LINE 7A: WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/ PART V, SECTION B, LINE 9: AS PERMITTED IN THE FINAL SECTION 501(R) REGULATIONS, THE HOSPITAL'S IMPLEMENTATION STRATEGY WAS ADOPTED WITHIN 4 1/2 MONTHS AFTER THE FISCAL YEAR END THAT THE CHNA WAS COMPLETED AND MADE WIDELY AVAILABLE TO THE PUBLIC. PART V, SECTION B, LINE 10A: WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/IMPLEMENTATION-STRATEGY PART V, LINE 16A, FAP WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ PART V, LINE 16B, FAP APPLICATION WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCE/ 44 1 - SAMG MULVANEY BLDG 1072 N LIBERTY ST BOISE ID 83704 OBGYN, PEDS SURGERY SPECIALTY CARE, PEDIATRICS GEN SURGERY AND BARIATRICS, N 2 - SAMG CHERRY LANE 3025 W CHERRY LN MERIDIAN ID 83642 SLEEP MEDICINE, PULMONARY, URGENT CARE, FAMILY MEDICINE, STARS PHYSICAL THER 3 - SAMG CLINICS - 1055 CURTIS 1055 N CURTIS RD BOISE ID 83706 PALLIATIVE CLINIC, OCC MED, RADIATION ONCOLOGY, WOUND AND HYPERBARIC, COMPRE 4 - SAMG BOISE MOREAU 6140 W CURTISIAN AVE STE 100 200 BOISE ID 83704 CARDIOTHORACIC & HEART CARE 5 - SAMG ELM CLINIC 315 E ELM ST STE 100 CALDWELL ID 83605 PEDIATRICS, OCC MED, URGENT CARE, FAMILY MEDICINE, GERIATRICS, PODIATRY 6 - SAMG GARRITY CAMPUS 1150 N SISTER CATHERINE WAY NAMPA ID 83687 FAMILY MEDICINE, URGENT CARE, PEDIATRICS, OCC MED 7 - STARS PHYSICAL THERAPY-BOISE (CURTIS) 901 N CURTIS RD ST 204 BOISE ID 83706 PHYSICAL THERAPY 8 - SAMG W EMERALD FAMILY MEDICINE 6051 W EMERALD ST BOISE ID 83704 FAMILY MEDICINE, URGENT CARE, OCC MED, ORTHO URGENT CARE 9 - SAMG 900 N LIBERTY 900 N LIBERTY ST BOISE ID 83704 GYNECOLOGY ONCOLOGY, MATERNAL FETAL MEDICINE, NEUROSURGERY, TRAUMA & FRACTUR 10 - STARS PHYSICAL THERAPY-BOISE LIBERTY CLI 717 N LIBERTY ST BOISE ID 83704 PHYSICAL THERAPY 11 - SAMG EAGLE HEALTH PLAZA 323 E RIVERSIDE DR EAGLE ID 83616 HEART CARE, INTERNAL MEDICINE, GERIATRICS, STARS PHYSICAL THERAPY 12 - SAMG 1075 N CURTIS HARTMAN BLDG 1075 N CURTIS RD STE 101 BOISE ID 83706 VASCULAR SERVICES, PULMONARY & SLEEP MEDICINE, PODIATRY 13 - SAMG GARRITY MOB 4400 E FLAMINGO AVE NAMPA ID 83687 PULMONARY & SLEEP MEDICINE, SPORTS MEDICINE, OBGYN, GYNECOLOGY ONCOLOGY, MAT 14 - SAMG JOINT CENTER OF EXCELLENCE 6165 W EMERALD ST BOISE ID 83704 JOINT CENTER 15 - SAMG BHP CLINIC 2141 E PARKCENTER BLVD BOISE ID 83706 FAMILY MEDICINE, URGENT CARE, STARS PHYSICAL THERAPY 16 - SAMG GLOBAL HEALTH 6533 W EMERALD ST BOISE ID 83704 OBGYN, FAMILY MEDICINE 17 - SAMG 12TH AVE CLINIC 1510 12TH AVE RD STE 200 NAMPA ID 83686 FAMILY MEDICINE, GLYCEMIC, GERIATRICS 18 - STARS PHYSICAL THERAPY MERIDIAN PEDIATRI 179 SW 5TH AVE MERIDIAN ID 83642 PHYSICAL THERAPY 19 - SAMG LAKE HAZEL 10583 W LAKE HAZEL RD BOISE ID 83709 FAMILY MEDICINE, OBGYN, URGENT CARE 20 - SAMG W CHINDEN FAMILY MEDICINE 3217 W BAVARIA EAGLE ID 83616 FAMILY MEDICINE, PEDIATRICS, OBGYN 21 - SAMG KARCHER CLINIC 11035 KARCHER RD NAMPA ID 83651 FAMILY MEDICINE, URGENT CARE 22 - SAMG MCMILLAN FAMILY MEDICINE 12273 W MCMILLAN RD BOISE ID 83713 FAMILY MEDICINE 23 - SAMG OVERLAND FAMILY MEDICINE 10255 W OVERLAND RD BOISE ID 83709 FAMILY MEDICINE 24 - SAMG TRAUMA SERVICES 415 999 N CURTIS RD STE 415 BOISE ID 83706 TRAUMA SERVICES 25 - STARS PHYSICAL THERAPY MERIDIAN TALUS 3875 E OVERLAND MERIDIAN ID 83642 PHYSICAL THERAPY 26 - SAMG PEDIATRICS MERIDIAN 3653 N LOCUST GROVE RD MERIDIAN ID 83646 PEDIATRICS 27 - SAMG HEARING AND BALANCE BOISE 6094 W EMERALD ST BOISE ID 83704 ENT, STARS PHYSICAL THERAPY 28 - SAMG STAR 10717 W STATE ST STAR ID 83669 FAMILY MEDICINE, URGENT CARE 29 - SAMG KUNA FAMILY MEDICINE 757 E WYTHE CREEK CT STE 100 KUNA ID 83634 FAMILY MEDICINE & URGENT CARE 30 - STARS PHYSICAL THERAPY YMCA WEST BOISE 5959 N DISCOVERY PL BOISE ID 83713 PHYSICAL THERAPY 31 - SAMG BEHAVIORAL HEALTH EMERALD 6348 W EMERALD ST BOISE ID 83704 BEHAVIORAL HEALTH 32 - SAMG NEUROLOGY FHP 910 NW 16TH ST STE 102 FRUITLAND ID 83616 NEUROLOGY 33 - SAMG HEART CAREGYN ONCSLEEP MEDICINE 1050 SW 3RD AVE STE 3200 ONTARIO OR 97914 HEART CARE, GYNECOLOGY ONCOLOGY, SLEEP MEDICINE 34 - SAMG CALDWELL 1906 FAIRVIEW AVE STE 430 CALDWELL ID 83605 GLYCEMIC, GYNECOLOGY ONCOLOGY, NEUROLOGY, PULMONARY & SLEEP MEDICINE, UROLOG 35 - SAMG INTERNAL MED AND GERIATRICS 5966 W CURTISIAN AVE BOISE ID 83704 INTERNAL MED & GERIATRICS 36 - SAMG RADIATION ONCOLOGY MERIDIAN 2855 E MAGIC VIEW DR MERIDIAN ID 83642 RADIATION ONCOLOGY 37 - SAMG GLYCEMIC BOISE 1000 N CURTIS RD STE 305 BOISE ID 83706 GLYCEMIC 38 - SAMG BAKER CITY 3175 POCAHONTAS RD BAKER CITY OR 97814 HEART CARE, GYNECOLOGY ONCOLOGY, SLEEP MEDICINE 39 - SAMG HEART CARE SUN VALLEY 15 W GALENA ST HAILEY ID 83333 HEART CARE 40 - SAMG HEART CARE CASCADE 402 LAKE CASCADE PKWY CASCADE ID 83611 HEART CARE 41 - SAMG HEART CARE WEISER 645 E 5TH ST WEISER ID 83674 HEART CARE 42 - SAMG RADIATION ONCOLOGY CALDWELL 3123 MEDICAL DR SUITE A CALDWELL ID 83605 RADIATION ONCOLOGY 43 - STARS PHYSICAL THERAPY DOWNTOWN YMCA 1050 W STATE ST BOISE ID 83702 PHYSICAL THERAPY 44 - SAMG GLYCEMIC CHERRY LANE 3250 W CHERRY LN MERIDIAN ID 83642 GLYCEMIC PART I, LINE 3C: IN ADDITION TO LOOKING AT A MULTIPLE OF THE FEDERAL POVERTY GUIDELINES, OTHER FACTORS ARE CONSIDERED SUCH AS THE PATIENT'S FINANCIAL STATUS AND/OR ABILITY TO PAY AS DETERMINED THROUGH THE ASSESSMENT PROCESS. PART I, LINE 6A: SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT, WHICH IT SUBMITS TO THE STATE OF IDAHO. IN ADDITION, SARMC REPORTS ITS COMMUNITY BENEFIT INFORMATION AS PART OF THE CONSOLIDATED COMMUNITY BENEFIT INFORMATION REPORTED BY TRINITY HEALTH (EIN 35-1443425) IN ITS AUDITED FINANCIAL STATEMENTS, AVAILABLE AT WWW.TRINITY-HEALTH.ORG.SARMC ALSO INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. PART I, LINE 7: THE BEST AVAILABLE DATA WAS USED TO CALCULATE THE COST AMOUNTS REPORTED IN ITEM 7. FOR CERTAIN CATEGORIES, PRIMARILY TOTAL CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS, SPECIFIC COST-TO-CHARGE RATIOS WERE CALCULATED AND APPLIED TO THOSE CATEGORIES. THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES. IN OTHER CATEGORIES, THE BEST AVAILABLE DATA WAS DERIVED FROM THE HOSPITAL'S COST ACCOUNTING SYSTEM. PART I, LN 7 COL(F): THE FOLLOWING NUMBER, $38,304,345, REPRESENTS THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN TOTAL FUNCTIONAL EXPENSES IN FORM 990, PART IX, LINE 25. PER IRS INSTRUCTIONS, THIS AMOUNT WAS EXCLUDED FROM THE DENOMINATOR WHEN CALCULATING THE PERCENT OF TOTAL EXPENSE FOR SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: SARMC STRIVES TO BE A TRANSFORMING HEALING PRESENCE WITHIN OUR COMMUNITIES. SPECIFIC EXAMPLES OF FY23 COMMUNITY BUILDING ACTIVITIES ARE DESCRIBED BELOW:ECONOMIC DEVELOPMENT:SARMC LEADERSHIP PARTICIPATED IN THE BOISE VALLEY ECONOMIC PARTNERSHIP, IDAHO ASSOCIATION OF COMMERCE AND INDUSTRY, AND THE BOISE CHAMBER OF COMMERCE BOARD, HELPING TO DEVELOP A BETTER ECONOMIC OUTLOOK INCLUDING EMPLOYMENT AND HOUSING CONCERNS. COMMUNITY SUPPORT: SARMC'S DISASTER READINESS TEAM WORKED TO ENSURE THAT BOTH THE HOSPITAL AND THE COMMUNITY ARE PREPARED TO RESPOND IN DISASTER SCENARIOS.COALITION BUILDING: SARMC PARTICIPATED IN A VARIETY OF LOCAL BOARDS AND WORK GROUPS AIMED AT IMPROVING THE HEALTH OF OUR COMMUNITY AND MAKING OUR COMMUNITY A MORE LIVABLE PLACE, WHICH INCLUDED ACTIVE PARTICIPATION ON:- YMCA BOARD: SARMC PARTICIPATED IN THE HEALTHY LIVING COUNCIL, PROMOTING HEALTHY LIFESTYLES IN THE COMMUNITY. - SARMC PARTICIPATED IN SEVERAL OTHER NON-PROFIT BOARDS, INCLUDING AMERICAN HEART ASSOCIATION, FACES OF HOPE (FAMILY JUSTICE CENTER), WOMEN'S AND CHILDREN'S ALLIANCE (PREVENT DOMESTIC ABUSE), CHILDREN'S HOME SOCIETY (MENTAL HEALTH ASSISTANCE), IDAHO VOICES FOR CHILDREN, IDAHO ASSOCIATION FOR THE EDUCATION OF YOUNG CHILDREN, TOBACCO FREE IDAHO ALLIANCE, IDAHO COMMUNITY HEALTH WORKERS ASSOCIATION, AND WESTERN IDAHO COMMUNITY HEALTH COLLABORATIVE.COMMUNITY HEALTH IMPROVEMENT ADVOCACY: SARMC HAS BEEN AN ACTIVE PARTICIPANT IN ADVOCACY FOR HEALTH IMPROVEMENT INITIATIVES SUCH AS:- MENTAL HEALTH ADVOCACY: SARMC PARTICIPATED IN NEW AND ONGOING COLLABORATIVE EFFORTS TO ADDRESS GAPS IN IDAHO'S BEHAVIORAL HEALTH SERVICES, AND HAS ENGAGED PARTICULARLY IN SUICIDE PREVENTION EFFORTS BY ACTIVELY PARTICIPATING IN THE IDAHO SUICIDE PREVENTION ACTION COLLECTIVE THAT HAS ADVANCED STRATEGIC PRIORITIES FOR SUICIDE PREVENTION.- HOUSING AND HOMELESSNESS ADVOCACY: SARMC PARTICIPATED IN A NUMBER OF FEDERAL ADVOCACY ACTIVITIES THIS YEAR TO PROVIDE INFORMATION AROUND HOUSING AND HOMELESSNESS TO IDAHO CONGRESSIONAL MEMBERS, ADVOCATING FOR ONGOING FEDERAL FUNDING AND SUPPORT FOR AFFORDABLE AND WORKFORCE HOUSING, AND FOR OPPORTUNITIES TO CREATE EDUCATIONAL PATHWAYS FOR HEALTH CARE WORKERS. SARMC ALSO SUPPORTED HOMELESSNESS PREVENTION PROJECTS, INCLUDING CATCH, WHICH PROVIDES HOUSING TO HELP FAMILIES AND CHILDREN GET BACK ON THEIR FEET; JESSE TREE, WHICH PROVIDES RENTAL ASSISTANCE FOR VULNERABLE FAMILIES; AND THE GOOD SAMARITAN HOME, WHICH PROVIDES LOW-INCOME HOUSING. SARMC PARTICIPATED IN A MONTHLY IDAHO HOUSING WORK GROUP TO DEVELOP POLICY AGENDAS THAT INCLUDED SUPPORT/ADVOCACY FOR FUNDING THE IDAHO STATE HOUSING TRUST FUND FOR THE FIRST TIME SINCE ITS ESTABLISHMENT, AND SEVERAL STATE BILLS TO PROVIDE RENTER PROTECTIONS AND RENTAL ASSISTANCE. PART III, LINE 2: METHODOLOGY USED FOR LINE 2 - ANY DISCOUNTS PROVIDED OR PAYMENTS MADE TO A PARTICULAR PATIENT ACCOUNT ARE APPLIED TO THAT PATIENT ACCOUNT PRIOR TO ANY BAD DEBT WRITE-OFF AND ARE THUS NOT INCLUDED IN BAD DEBT EXPENSE. AS A RESULT OF THE PAYMENT AND ADJUSTMENT ACTIVITY BEING POSTED TO BAD DEBT ACCOUNTS, WE ARE ABLE TO REPORT BAD DEBT EXPENSE NET OF THESE TRANSACTIONS. PART III, LINE 3: SARMC USES A PREDICTIVE MODEL THAT INCORPORATES THREE DISTINCT VARIABLES IN COMBINATION TO PREDICT WHETHER A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE: (1) SOCIO-ECONOMIC SCORE, (2) ESTIMATED FEDERAL POVERTY LEVEL (FPL), AND (3) HOMEOWNERSHIP. BASED ON THE MODEL, CHARITY CARE CAN STILL BE EXTENDED TO PATIENTS EVEN IF THEY HAVE NOT RESPONDED TO FINANCIAL COUNSELING EFFORTS AND ALL OTHER FUNDING SOURCES HAVE BEEN EXHAUSTED. FOR FINANCIAL STATEMENT PURPOSES, SARMC IS RECORDING AMOUNTS AS CHARITY CARE (INSTEAD OF BAD DEBT EXPENSE) BASED ON THE RESULTS OF THE PREDICTIVE MODEL. THEREFORE, SARMC IS REPORTING ZERO ON LINE 3, SINCE THEORETICALLY ANY POTENTIAL CHARITY CARE SHOULD HAVE BEEN IDENTIFIED THROUGH THE PREDICTIVE MODEL. PART III, LINE 4: SARMC IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH. THE FOLLOWING IS THE TEXT OF THE PATIENT ACCOUNTS RECEIVABLE, ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS FOOTNOTE FROM PAGE 13 OF THOSE STATEMENTS: "AN UNCONDITIONAL RIGHT TO PAYMENT, SUBJECT ONLY TO THE PASSAGE OF TIME IS TREATED AS A RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE, INCLUDING BILLED ACCOUNTS AND UNBILLED ACCOUNTS FOR WHICH THERE IS AN UNCONDITIONAL RIGHT TO PAYMENT, AND ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS FOR RETROACTIVE ADJUSTMENTS, ARE RECEIVABLES IF THE RIGHT TO CONSIDERATION IS UNCONDITIONAL AND ONLY THE PASSAGE OF TIME IS REQUIRED BEFORE PAYMENT OF THAT CONSIDERATION IS DUE. FOR PATIENT ACCOUNTS RECEIVABLE, THE ESTIMATED UNCOLLECTABLE AMOUNTS ARE GENERALLY CONSIDERED IMPLICIT PRICE CONCESSIONS THAT ARE A DIRECT REDUCTION TO PATIENT SERVICE REVENUE AND ACCOUNTS RECEIVABLE.THE CORPORATION HAS AGREEMENTS WITH THIRD-PARTY PAYERS THAT PROVIDE FOR PAYMENTS TO THE CORPORATION'S HEALTH MINISTRIES AT AMOUNTS DIFFERENT FROM ESTABLISHED RATES. ESTIMATED RETROACTIVE ADJUSTMENTS UNDER REIMBURSEMENT AGREEMENTS WITH THIRD-PARTY PAYERS AND OTHER CHANGES IN ESTIMATES ARE INCLUDED IN NET PATIENT SERVICE REVENUE AND ESTIMATED RECEIVABLES FROM AND PAYABLES TO THIRD-PARTY PAYERS. RETROACTIVE ADJUSTMENTS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS, AS FINAL SETTLEMENTS ARE DETERMINED."PART III, LINE 5:TOTAL MEDICARE REVENUE REPORTED IN PART III, LINE 5 HAS BEEN REDUCED BY THE TWO PERCENT SEQUESTRATION REDUCTION. PART III, LINE 8: SARMC DOES NOT BELIEVE ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. THIS IS SIMILAR TO CATHOLIC HEALTH ASSOCIATION RECOMMENDATIONS, WHICH STATE THAT SERVING MEDICARE PATIENTS IS NOT A DIFFERENTIATING FEATURE OF TAX-EXEMPT HEALTH CARE ORGANIZATIONS AND THAT THE EXISTING COMMUNITY BENEFIT FRAMEWORK ALLOWS COMMUNITY BENEFIT PROGRAMS THAT SERVE THE MEDICARE POPULATION TO BE COUNTED IN OTHER COMMUNITY BENEFIT CATEGORIES.PART III, LINE 8: COSTING METHODOLOGY FOR LINE 6 - MEDICARE COSTS WERE OBTAINED FROM THE FILED MEDICARE COST REPORT. THE COSTS ARE BASED ON MEDICARE ALLOWABLE COSTS AS REPORTED ON WORKSHEET B, COLUMN 27, WHICH EXCLUDE DIRECT MEDICAL EDUCATION COSTS. INPATIENT MEDICARE COSTS ARE CALCULATED BASED ON A COMBINATION OF ALLOWABLE COST PER DAY TIMES MEDICARE DAYS FOR ROUTINE SERVICES AND COST TO CHARGE RATIO TIMES MEDICARE CHARGES FOR ANCILLARY SERVICES. OUTPATIENT MEDICARE COSTS ARE CALCULATED BASED ON COST TO CHARGE RATIO TIMES MEDICARE CHARGES BY ANCILLARY DEPARTMENT. PART III, LINE 9B: THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. CHARITY DISCOUNTS ARE APPLIED TO THE AMOUNTS THAT QUALIFY FOR FINANCIAL ASSISTANCE. THE HOSPITAL HAS IMPLEMENTED BILLING AND COLLECTION PRACTICES FOR PATIENT PAYMENT OBLIGATIONS THAT ARE FAIR, CONSISTENT AND COMPLIANT WITH STATE AND FEDERAL REGULATIONS. PART VI, LINE 2: NEEDS ASSESSMENT - SARMC ASSESSES THE HEALTH STATUS OF ITS COMMUNITY IN PARTNERSHIP WITH COMMUNITY COALITIONS, AS PART OF THE NORMAL COURSE OF OPERATIONS, AND MAKES CONTINUOUS EFFORTS TO IMPROVE PATIENT CARE AND THE HEALTH OF THE OVERALL COMMUNITY. TO ASSESS THE HEALTH OF THE COMMUNITY, THE HOSPITAL MAY USE PATIENT DATA, PUBLIC HEALTH DATA, ANNUAL COUNTY HEALTH RANKINGS, MARKET STUDIES AND GEOGRAPHICAL MAPS SHOWING AREAS OF HIGH UTILIZATION FOR EMERGENCY SERVICES AND INPATIENT CARE, WHICH MAY INDICATE POPULATIONS OF INDIVIDUALS WHO DO NOT HAVE ACCESS TO PREVENTATIVE SERVICES OR ARE UNINSURED. PART VI, LINE 3: PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - SARMC COMMUNICATES EFFECTIVELY WITH PATIENTS REGARDING PATIENT PAYMENT OBLIGATIONS. FINANCIAL COUNSELING IS PROVIDED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HOSPITAL BILLS. INFORMATION ON HOSPITAL-BASED FINANCIAL SUPPORT POLICIES, FEDERAL, STATE, AND LOCAL GOVERNMENT PROGRAMS, AND OTHER COMMUNITY-BASED CHARITABLE PROGRAMS THAT PROVIDE COVERAGE FOR SERVICES ARE MADE AVAILABLE TO PATIENTS DURING THE PRE-REGISTRATION AND REGISTRATION PROCESSES AND/OR THROUGH COMMUNICATIONS WITH PATIENTS SEEKING FINANCIAL ASSISTANCE. FINANCIAL COUNSELORS MAKE AFFIRMATIVE EFFORTS TO HELP PATIENTS APPLY FOR PUBLIC AND PRIVATE PROGRAMS FOR WHICH THEY MAY QUALIFY AND THAT MAY ASSIST THEM IN OBTAINING AND PAYING FOR HEALTH CARE SERVICES. EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY PRIOR TO OR AT THE TIME OF ADMISSION OR SERVICE. SARMC OFFERS FINANCIAL SUPPORT TO PATIENTS WITH LIMITED MEANS. NOTIFICATION ABOUT FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS, INCLUDING CONTACT INFORMATION, IS AVAILABLE THROUGH PATIENT BROCHURES, MESSAGES ON PATIENT BILLS, POSTED NOTICES IN PUBLIC REGISTRATION AREAS INCLUDING EMERGENCY ROOMS, ADMITTING AND REGISTRATION DEPARTMENTS, AND OTHER PATIENT FINANCIAL SERVICES OFFICES. SUMMARIES OF HOSPITAL PROGRAMS ARE MADE AVAILABLE TO APPROPRIATE COMMUNITY HEALTH AND HUMAN SERVICES AGENCIES AND OTHER ORGANIZATIONS THAT ASSIST PEOPLE IN NEED. INFORMATION REGARDING FINANCIAL ASSISTANCE AND GOVERNMENT PROGRAMS IS ALSO AVAILABLE ON HOSPITAL WEBSITES. IN ADDITION TO ENGLISH, THIS INFORMATION IS ALSO AVAILABLE IN OTHER LANGUAGES AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R), REFLECTING OTHER PRIMARY LANGUAGES SPOKEN BY THE POPULATION SERVICED BY OUR HOSPITAL. PART VI, LINE 4: COMMUNITY INFORMATION - SARMC PROVIDES SERVICES PRIMARILY TO RESIDENTS OF ADA COUNTY (90%), BUT ALSO SERVES CANYON AND GEM COUNTIES. SARMC'S PRIMARY SERVICE AREA IS A MIX OF URBAN AND RURAL COMMUNITIES WITHIN THE TREASURE VALLEY, BORDERED BY MOUNTAINOUS TERRAIN AND DESERT. THE POPULATION OF THE HOSPITAL'S PRIMARY SERVICE AREA IS ESTIMATED TO BE ABOUT 519,000 PEOPLE.AREA HOSPITAL FACILITIES WITHIN SARMC'S PRIMARY SERVICE AREA INCLUDE SAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL, TREASURE VALLEY HOSPITAL, ST. LUKE'S BOISE, AND ST. LUKE'S MERIDIAN. IN ADDITION, ST. LUKE'S NAMPA AND WEST VALLEY MEDICAL CENTER ARE LOCATED IN CANYON COUNTY AND VALOR HEALTH IS LOCATED IN GEM COUNTY.WITH MEDIAN HOUSEHOLD INCOMES OF $75,115 IN ADA COUNTY, $60,716 IN CANYON COUNTY, AND $59,957 IN GEM COUNTY, AREA RESIDENTS ARE WITHIN RANGE OF THE STATE MEDIAN OF $63,377. THE POVERTY LEVEL STANDS AT 8.7% IN ADA COUNTY, 11% IN CANYON COUNTY, AND 12.4% IN GEM COUNTY, COMPARED TO A STATE AVERAGE OF 10.7% AND A NATIONAL AVERAGE OF 11.5%. SARMC IS LOCATED IN A REGION THAT HAS EXPERIENCED RAPID POPULATION GROWTH OVER THE PAST DECADE, WITH DRAMATIC GROWTH RATES IN ADA AND CANYON COUNTIES, THE TWO LARGEST COUNTIES IN THE SERVICE AREA. OTHER RELEVANT STATISTICS CHARACTERIZING THE HOSPITAL'S PRIMARY SERVICE AREA ARE INCLUDED BELOW (CENSUS.GOV).TOTAL ESTIMATED POPULATION (2022): ADA COUNTY - 518,907 (4.8% CHANGE APRIL 2020 TO JULY 2022)CANYON COUNTY - 251,065 (8.6% CHANGE APRIL 2020 TO JULY 2022)GEM COUNTY - 20,418 (6.8% CHANGE APRIL 2020 TO JULY 2022)PERCENT WHITE PERSONS NOT HISPANIC OR LATINO (2022):ADA COUNTY - 83.1%CANYON COUNTY - 69.4%GEM COUNTY - 86.2%PERCENT HISPANIC/LATINO ORIGIN (2022):ADA COUNTY - 9.5%CANYON COUNTY - 25.8%GEM COUNTY - 9.5%THREE OF THE FOUR REFUGEE RESETTLEMENT AGENCIES IN IDAHO ARE LOCATED IN BOISE, WITH THE MAJORITY OF THE REFUGEES BEING RESETTLED IN THE BOISE AREA. SOME REFUGEES ARE HIGHLY EDUCATED WHILE OTHERS HAVE NEVER HAD THE OPPORTUNITY TO ATTEND SCHOOL. SEVERAL AGENCIES ASSIST BOTH LOCALLY AND THROUGHOUT THE STATE. PART VI, LINE 5: OTHER INFORMATION - CONSISTENT WITH ITS NONPROFIT STATUS, SARMC USES SURPLUS REVENUES TO REINVEST IN FACILITIES, TECHNOLOGY, AND MEDICAL SERVICES FOR THE COMMUNITY, AND COLLABORATES WITH COMMUNITY PARTNERS BY INVESTING IN NEEDED COMMUNITY PROGRAMS SUCH AS ALLUMBAUGH HOUSE, WHICH COMBINES SOBERING, DETOXIFICATION AND CRISIS MENTAL HEALTH SERVICES. SARMC ALSO ASSESSES AND ENGAGES IN COMMUNITY HEALTH WORK THAT ADDRESSES THE SOCIAL INFLUENCERS OF HEALTH. SARMC STRONGLY SUPPORTS HEALTH CARE WORKFORCE DEVELOPMENT EFFORTS, INCLUDING SUPPORT TO THE PSYCHIATRIC, DENTAL AND INTERNAL MEDICINE RESIDENCIES AND TREASURE VALLEY NURSING PROGRAMS. SARMC SERVES AS A KEY CLINICAL TRAINING SITE FOR NEW PHYSICIANS, NURSE PRACTITIONERS, NURSES, PHARMACISTS, AND OTHER ALLIED HEALTH PROFESSIONALS, INCLUDING FULL CIRCLE HEALTH (A FAMILY MEDICINE RESIDENCE PROGRAM).SARMC IS A LEVEL II TRAUMA CENTER AND CONTINUES TO TAKE A LEADERSHIP ROLE IN IMPROVING SYSTEMS OF CARE FOR TRAUMA PATIENTS. TRAUMA PREVENTION AND DISASTER PREPAREDNESS EFFORTS IN THE REGION ARE OFTEN LED BY SARMC STAFF, INCLUDING AN ANNUAL SKI AND MOUNTAIN TRAUMA CONFERENCE. SARMC ALSO COLLABORATES WITH UNITED WAY OF TREASURE VALLEY TO ADDRESS COMMUNITY NEEDS INCLUDING HEALTH, EDUCATION, AND INCOME. SARMC PARTICIPATES IN BOTH THE UNITED WAY BOARD OF DIRECTORS AND THE HEALTH VISION COUNCIL. IN ADDITION, SARMC HAS AN ANNUAL UNITED WAY WORKPLACE GIVING CAMPAIGN TO SUPPORT UNITED WAY INITIATIVES AND GRANTS TO LOCAL NONPROFITS PRODUCING MEASURABLE OUTCOMES IN ADDRESSING TOP COMMUNITY NEEDS. ADDITIONALLY, AS PART OF SAHS, SARMC RECEIVED GRANT FUNDING TO OFFER MENTAL HEALTH FIRST AID (MHFA) TRAININGS TO INTERESTED EMPLOYEES AND COMMUNITY MEMBERS AT NO COST. MHFA IS A NATIONAL PROGRAM TO TEACH SKILLS TO IDENTIFY, UNDERSTAND, AND RESPOND TO SIGNS OF MENTAL ILLNESS AND SUBSTANCE USE. BOTH ADULT AND YOUTH MHFA TRAININGS WERE OFFERED. PART VI, LINE 6: SARMC IS A MEMBER OF TRINITY HEALTH, ONE OF THE LARGEST CATHOLIC HEALTH CARE DELIVERY SYSTEMS IN THE COUNTRY. TRINITY HEALTH'S COMMUNITY HEALTH AND WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE SOCIAL AND CLINICAL CARE. WE DO THIS BY: 1. ADDRESSING PATIENT SOCIAL NEEDS, 2. INVESTING IN OUR COMMUNITIES, AND 3. STRENGTHENING THE IMPACT OF OUR COMMUNITY BENEFIT. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES AND FOCUS INTENTIONALLY ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. WE BELIEVE THAT COMMUNITY MEMBERS AND COMMUNITIES THAT ARE THE MOST IMPACTED BY RACISM AND OTHER FORMS OF DISCRIMINATION EXPERIENCE THE GREATEST DISPARITIES AND INEQUITIES IN HEALTH OUTCOMES AND SHOULD BE INCLUSIVELY ENGAGED IN ALL COMMUNITY HEALTH ASSESSMENT AND IMPROVEMENT EFFORTS. THROUGHOUT OUR WORK, WE DISMANTLE OPPRESSIVE SYSTEMS, AND BUILD COMMUNITY CAPACITY AND PARTNERSHIPS.TRINITY HEALTH AND ITS MEMBER HOSPITALS ARE COMMITTED TO THE DELIVERY OF PEOPLE-CENTERED CARE AND SERVING AS A COMPASSIONATE AND TRANSFORMING HEALING PRESENCE WITHIN THE COMMUNITIES THEY SERVE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, TRINITY HEALTH REINVESTS ITS PROFITS BACK INTO THE COMMUNITIES AND IS COMMITTED TO ADDRESSING THE UNIQUE NEEDS OF EACH COMMUNITY. IN FISCAL YEAR 2023 (FY23), TRINITY HEALTH CONTRIBUTED $1.47 BILLION IN COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE VULNERABLE AND LIVING IN POVERTY, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. IN ADDITION TO ANNUAL COMMUNITY BENEFIT SPENDING, TRINITY HEALTH IMPLEMENTS A SOCIALLY RESPONSIBLE INVESTING PROGRAM. AS OF THE END OF FY23, $62.7 MILLION (INCLUDING $7.0 MILLION IN NEW LENDING) WAS ALLOCATED IN THE FOLLOWING AREAS:- HOUSING: BUILDING AFFORDABLE HOUSING; IMPROVING ACCESS TO SENIOR HOUSING; AND COMBATTING HOMELESSNESS ($35.5 MILLION)- EDUCATION: SUPPORTING STUDENTS ENTERING THE HEALTH PROFESSIONS ($10.1 MILLION)- FACILITIES: BUILDING COMMUNITY FACILITIES FOR NONPROFITS, SOCIAL SERVICE PROVIDERS, AND OTHER COMMUNITY-BASED ORGANIZATIONS ($9.7 MILLION)- ECONOMIC DEVELOPMENT: ENCOURAGING SMALL BUSINESS DEVELOPMENT, CREATING LOCAL JOBS AND SUPPORTING ACCESS TO HEALTHY FOODS; QUALITY CHILDCARE; AND OTHER COMMUNITY SERVICES ($7.4 MILLION)ACROSS THE SYSTEM, NEARLY 700,000 OF PATIENTS SEEN IN PRIMARY CARE SETTINGS WERE SCREENED FOR SOCIAL NEEDS. FOR ABOUT 30% OF THOSE PATIENTS, AT LEAST ONE SOCIAL NEED WAS IDENTIFIED. TOGETHERCARE - TRINITY HEALTH'S ELECTRONIC HEALTH RECORD, POWERED BY EPIC - HAS MADE IT POSSIBLE FOR TRINITY HEALTH TO STANDARDIZE SCREENING FOR SOCIAL NEEDS AND CONNECT PATIENTS TO COMMUNITY RESOURCES THROUGH THE COMMUNITY RESOURCE DIRECTORY (COMMUNITYRESOURCES.TRINITY-HEALTH.ORG). COMMUNITY HEALTH WORKERS (CHW'S) SERVE AS LIAISONS BETWEEN HEALTH AND SOCIAL SERVICES. TRINITY HEALTH CHW'S PARTNERED WITH POPULATION HEALTH NURSES AND SOCIAL WORK CARE MANAGERS TO SERVE MEDICARE PATIENTS AT RISK FOR PREVENTABLE HOSPITALIZATIONS, RESULTING IN A DECREASE IN PREVENTABLE HOSPITALIZATIONS FOR THE MEDICARE POPULATION OVERALL, AND ALSO FOR LOW-INCOME PATIENTS DUALLY ENROLLED IN MEDICARE AND MEDICAID. CHW'S ADVANCE SOCIAL AND CLINICAL CARE INTEGRATION BY ASSESSING AND ADDRESSING A PATIENT'S SOCIAL NEEDS, HOME ENVIRONMENT AND OTHER SOCIAL RISK FACTORS, AND ULTIMATELY CONNECTING THE PATIENT (AND THEIR FAMILY) TO SERVICES WITHIN THE COMMUNITY. TRINITY HEALTH PROVIDES A 40+ HOUR FOUNDATIONAL CHW AND CHRONIC DISEASE-SPECIFIC TRAINING TO TRINITY HEALTH-EMPLOYED CHW'S AND ALSO TO COMMUNITY PARTNERS THAT EMPLOY CHW'S. IN 2017, TRINITY HEALTH RECEIVED A SIX-YEAR, $8.5 MILLION GRANT FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION TO INCREASE THE NUMBER OF NATIONAL DIABETES PREVENTION PROGRAM (DPP) DELIVERY SITES, INCREASE PROGRAM ENROLLMENT, MAINTAIN PARTICIPATION RATES, AND INCREASE BENEFIT COVERAGE. IN ADDITION, THE GRANT WAS USED TO STANDARDIZE CLINICAL SCREENING AND DETECTION OF DIABETES. DURING THE GRANT PERIOD, TRINITY HEALTH BUILT THE NATIONAL DPP INTO ITS ELECTRONIC HEALTH RECORD SYSTEM TO MAKE IDENTIFYING PATIENTS AND ENROLLING THEM IN THE PROGRAM EASIER. SINCE SEPTEMBER 2017, OVER 6,000 PARTICIPANTS HAVE ENROLLED IN A TRINITY HEALTH NATIONAL DPP AND HAVE COLLECTIVELY LOST A TOTAL OF OVER 51,000 POUNDS.LASTLY, TRINITY HEALTH'S FY23 SHAREHOLDER ADVOCACY PRIORITIES FOCUSED ON IMPROVING CORPORATE POLICIES AND PRACTICES THAT IMPACT COMMUNITIES, WITH THE AIM OF REDUCING STRUCTURAL RACISM AND HEALTH INEQUITIES. TRINITY HEALTH, IN COLLABORATION WITH ITS PARTNERS THE INTERFAITH CENTER ON CORPORATE RESPONSIBILITY AND THE INVESTOR ENVIRONMENTAL HEALTH NETWORK, FILED SHAREHOLDER PROPOSALS AT 20 COMPANIES. FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES ID 1 AMERICAN HEART ASSOCIATION INC 465 S400 E STE 110 SALT LAKE CITY UT 84111 135613797 501(C)(3) 20000 0 BOISE S23 GO RED FOR WOMEN & S23 HEART WALK BISHOP KELLY FOUNDATION INC 7009 FRANKLIN RD BOISE ID 83709 820332399 501(C)(3) 5000 0 BK WINNERS CHOICE SPONSORSHIP & KNIGHTS TABLE SPONSOR CENTRAL DISTRICT HEALTH DEPT 707 N ARMSTRONG PL BOISE ID 83704 826000952 GOVERNMENT ORG 5000 0 SUPPORT PUBLIC HEALTH & SOCIAL SERVICES ADDRESSING DETERMINANTS OF HEALTH CITY OF BOISE PO BOX 500 FINANCIAL MGT DV BOISE ID 83701 826000165 GOVERNMENT ORG 225000 0 ALLUMBAUGH CONTRIBUTIONS FAMILY ADVOCACY CENTER AND EDUCATION SERVICES INC DBA FACES OF HOPE FOU 417 S 6TH ST BOISE ID 83702 204883532 501(C)(3) 5300 0 LIGHT OF HOPE HEALING SPONSOR, FACES OF COURAGE HELP SPONSOR GENESIS COMMUNITY HEALTH 215 W 35TH STREET GARDEN CITY ID 83714 820505073 501(C)(3) 5000 0 ANNUAL DINNER SPONSOR HOME PARTNERSHIP FOUNDATION PO BOX 7899 BOISE ID 83707 753162969 501(C)(3) 32500 0 SUPPORT THE OUR PATH HOME'S CAMPAIGN TO END FAMILY HOMELESSNESS THE JESSE TREE OF IDAHO 1121 W MILLER ST BOISE ID 83702 820534777 501(C)(3) 5000 0 HOUSE OF HOLIDAYS SPONSOR TREASURE VALLEY FAMILY YMCA 1177 W STATE ST BOISE ID 83702 820200908 501(C)(3) 21004 0 CAPITOL CLASSIC FUNDS RAISED DONATED & XMAS RUN SPONSOR WOMENS AND CHILDRENS ALLIANCE 720 W WASHINGTON ST BOISE ID 83702 820204464 501(C)(3) 11729 0 FREEDOM LEVEL DONATION THE ST LUKE FOUNDATION FOR HAITI 8980 SW 56TH ST MIAMI FL 33165 274377746 501(C)(3) 651800 0 GENERAL SUPPORT SAINT ALPHONSUS MEDICAL CENTER - NAMPA INC 4300 E FLAMINGO AVE NAMPA ID 83687 820200896 501(C)(3) 40000 0 GENERAL SUPPORT SAINT ALPHONSUS MEDICAL CENTER - ONTARIO INC 351 SW 9TH STREET ONTARIO OR 97914 271789847 501(C)(3) 15000 0 GENERAL SUPPORT SAINT ALPHONSUS MEDICAL CENTER - BAKER CITY INC 3325 POCAHONTAS ROAD BAKER CITY OR 97814 271790052 501(C)(3) 15000 0 GENERAL SUPPORT SAINT ALPHONSUS MEDICAL CENTER-NAMPA HEALTH FOUNDATION INC 4300 E FLAMINGO AVE NAMPA ID 83687 261737256 501(C)(3) 2588 0 GENERAL SUPPORT SAINT ALPHONSUS HEALTH SYSTEM INC 1055 NORTH CURTIS RD BOISE ID 83706 271929502 501(C)(3) 52316 0 GENERAL SUPPORT 16 0 TUITION & SCHOLARSHIPS 6 22403 MAMMOGRAPHY 100 33944 PART I, LINE 2: DONATIONS MADE BY SAINT ALPHONSUS REGIONAL MEDICAL CENTER TO CHARITABLE ORGANIZATIONS ARE MADE IN FURTHERANCE OF THE RECIPIENT ORGANIZATION'S EXEMPT PURPOSE. DONATIONS ARE INCLUDED IN COMMUNITY BENEFITS IN SCHEDULE H IF THE CONTRIBUTION HAS BEEN FORMALLY RESTRICTED TO A COMMUNITY BENEFIT ACTIVITY THAT MEETS THE CRITERIA TO BE REPORTED ON SCHEDULE H. 1 1 0 0 0 0 0 0 0 ROBERT FARIVAR MD PHD CARDIOTHORACIC SURGEON 0 1434124 0 0 0 2147 0 13725 0 24727 0 1474723 0 0 ODETTE BOLANO DIRECTOR; PRES SAHS; CEO WEST REGION 0 672223 0 301500 0 168543 0 187255 0 36300 0 1365821 0 139219 CHRISTIAN ZIMMERMAN MD NEUROSURGEON 0 1189701 0 0 0 18438 0 13725 0 29907 0 1251771 0 0 BENEDICT TAYLOR MD CARDIOTHORACIC SURGEON 0 1075210 0 0 0 1565 0 13725 0 26174 0 1116674 0 0 JOSEPH BROOKS MD RADIATION ONCOLOGIST 0 941788 0 0 0 3494 0 13725 0 36813 0 995820 0 0 ILYAS COLOMBOWALA MD CARDIAC ELECTROPHYSIOLOGIST 0 946405 0 0 0 1694 0 4575 0 25032 0 977706 0 0 DAVID MCFADYEN DIRECTOR; PRESIDENT 0 451418 0 115144 0 8753 0 87705 0 38003 0 701023 0 0 B LANNIE CHECKETTS TREASURER; SAHS CFO 0 383010 0 97958 0 76510 0 22875 0 44097 0 624450 0 0 STEPHANIE WESTERMEIER SECRETARY; SAHS VP & MANAGING CNSL 0 345166 0 87808 0 61025 0 78962 0 35364 0 608325 0 49259 MICHAEL BORN MD CHIEF MEDICAL OFFICER THR 1/23 0 362119 0 55938 0 2573 0 13725 0 30675 0 465030 0 0 PATRICE BURGESS MD CHIEF MEDICAL OFFICER AS OF 1/23 0 327872 0 24441 0 1242 0 18300 0 25909 0 397764 0 0 JEAN BASOM FRMR KE; REG DIR SUPPLY CHN THR 8/22 0 115930 0 18229 0 70488 0 81172 0 18921 0 304740 0 0 MARCIE HARPER VICE PRESIDENT OF FINANCE 0 203576 0 32267 0 181 0 14902 0 33778 0 284704 0 0 SCOTT CHRISTENSEN VICE PRESIDENT OF OPERATIONS 0 204737 0 31216 0 1316 0 18469 0 28442 0 284180 0 0 PART I, LINE 3 SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) IS A SUBSIDIARY IN THE TRINITY HEALTH SYSTEM. SARMC'S PRESIDENT IS PAID DIRECTLY BY THE SYSTEM'S PARENT ENTITY, TRINITY HEALTH CORPORATION. TRINITY HEALTH CORPORATION USED THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF SARMC'S PRESIDENT: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PART I, LINES 4A-B THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAYMENTS IN CALENDAR 2022. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: JEAN BASOM - $62,400 IN ADDITION, COLUMN C OF SCHEDULE J, PART II INCLUDES THE FOLLOWING SEVERANCE AMOUNTS, WHICH WERE UNPAID AS OF 12/31/22: JEAN BASOM - $70,813 (PAID IN 2023) THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2022. THE PLAN PROVIDES RETIREMENT BENEFITS TO CERTAIN TRINITY HEALTH EXECUTIVES SUBJECT TO MEETING SPECIFIED VESTING AND EMPLOYMENT DATE REQUIREMENTS. PARTICIPANTS' VESTED BENEFITS WERE PAID OUT IN 2022, AND THEIR NON-VESTED BENEFITS FOR 2022 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2022 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ODETTE BOLANO - $141,786 B. LANNIE CHECKETTS - $60,838 STEPHANIE WESTERMEIER - $50,167 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUALS FOR 2022 ARE INCLUDED IN COLUMN C OF SCHEDULE J, PART II: ODETTE BOLANO - $173,530 DAVID MCFADYEN - $73,980 STEPHANIE WESTERMEIER - $56,087 THE FOLLOWING IS A PARTICIPANT IN A NON-QUALIFIED DEFERRED COMPENSATION PLAN UNDER 457(F). NO AMOUNTS WERE DEFERRED OR VESTED IN 2022. THERE WERE NO PAYOUTS IN 2022. CHRISTIAN ZIMMERMAN, MD LAUREN SMITH FAMILY MEMBER OF JEAN BASOM, FORMER KEY EMPLOYEE 61127 EMPLOYMENT ARRANGEMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 150400612 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 42862115 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 207510 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 246217 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 220055 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 8556067 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 622055 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 X 4 5500 DONOR PROVIDED VALUE X 51182 DONOR PROVIDED VALUE X 4 53858 MED VALUE-TRANS DATE X 1 120 SELLING PRICE X 100 1848 DONOR PROVIDED VALUE X IN-KIND DONATIONS 579 268836 DONOR PROVIDED VALUE X IN-KIND DONATIONS 281 13752 DONOR PROVIDED VALUE 0 0 0 0 FORM 990, PAGE 1, DOING BUSINESS AS: SAINT ALPHONSUS CANCER INSTITUTE SAINT ALPHONSUS MEDICAL GROUP SAINT ALPHONSUS FOUNDATION SAINT ALPHONSUS SAINT ALPHONSUS HEART INSTITUTE SAINT ALPHONSUS REGIONAL MEDICAL CENTER-BOISE SAINT ALPHONSUS FRUITLAND HEALTH PLAZA FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) IS SAINT ALPHONSUS HEALTH SYSTEM. SEE LINE 7 FOR ADDITIONAL INFORMATION. FORM 990, PART VI, SECTION A, LINE 7A SAINT ALPHONSUS HEALTH SYSTEM IS THE SOLE MEMBER OF SARMC. SAINT ALPHONSUS HEALTH SYSTEM HAS THE RIGHT TO APPOINT ALL PERSONS TO THE BOARD OF DIRECTORS OF SARMC. FORM 990, PART VI, SECTION A, LINE 7B AS SOLE MEMBER, SAINT ALPHONSUS HEALTH SYSTEM MUST APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY, INCLUDING THE STRATEGIC PLAN, ANNUAL CAPITAL PLAN, AND ANNUAL OPERATING BUDGET. SAINT ALPHONSUS HEALTH SYSTEM MUST ALSO APPROVE SIGNIFICANT CHANGES SUCH AS A MERGER, DISSOLUTION, SALE OF ASSETS IN EXCESS OF CERTAIN LIMITS, AND MODIFICATIONS TO GOVERNING DOCUMENTS. AS THE PARENT OF THE NATIONAL TRINITY HEALTH SYSTEM, CERTAIN POWERS ARE RESERVED TO TRINITY HEALTH CORPORATION. THESE INCLUDE THE AUTHORITY TO ADOPT OR MODIFY THE ORGANIZATION'S GOVERNING DOCUMENTS, TO APPROVE MAJOR CHANGES SUCH AS A MERGER OR DISSOLUTION, AND TO APPROVE SIGNIFICANT FINANCE MATTERS IN EXCESS OF CERTAIN LIMITS ESTABLISHED BY TRINITY HEALTH CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING, THE FORM 990 FOR SARMC IS REVIEWED BY SENIOR MANAGEMENT. IN ADDITION, CERTAIN KEY SECTIONS OF THE FORM ARE REVIEWED BY THE SAINT ALPHONSUS HEALTH SYSTEM PLANNING AND FINANCE COMMITTEE. EACH MEMBER OF THE BOARD RECEIVES A COPY OF THE RETURN IN ITS FINAL FORM BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C SARMC HAS ADOPTED TRINITY HEALTH'S GOVERNANCE POLICY NO. 1, WHICH SETS FORTH THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCESSES. IT APPLIES TO ALL "INTERESTED PERSONS" OF SARMC, WHICH INCLUDES DIRECTORS, PRINCIPAL OFFICERS, KEY EMPLOYEES, AND MEMBERS OF COMMITTEES WITH BOARD-DELEGATED POWERS. INTERESTED PERSONS ARE EXPECTED TO DISCHARGE THEIR DUTIES IN A MANNER THE PERSON REASONABLY BELIEVES TO BE IN THE BEST INTERESTS OF SARMC AND TO AVOID SITUATIONS INVOLVING A CONFLICT OF INTEREST. ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND TO AFFIRM THEIR RECEIPT OF THE CONFLICT OF INTEREST POLICY, COMPLIANCE WITH ITS REQUIREMENTS, AND AGREE TO NOTIFY THE ORGANIZATION OF CHANGES IMPACTING THEIR ANNUAL DISCLOSURE IN ACCORDANCE WITH THE POLICY. THE ANNUAL DISCLOSURES ARE PROVIDED TO THE INTEGRITY AND COMPLIANCE OFFICER. IF A POTENTIAL CONFLICT IS IDENTIFIED, THE INTEGRITY AND COMPLIANCE OFFICER SHARES THE DISCLOSURES WITH INTERNAL LEGAL COUNSEL, FROM WHICH LEGAL COUNSEL PREPARES A REPORT FOR THE BOARD CHAIR AND CEO. A SUMMARY OF POTENTIAL CONFLICTS IS REVIEWED WITH THE BOARD OF DIRECTORS OF SARMC (OR A DELEGATED COMMITTEE OF THE BOARD) ON A YEARLY BASIS. INTERESTED PERSONS ARE REQUIRED TO MAKE FULL DISCLOSURE TO SARMC OF ANY FINANCIAL OR BUSINESS INTERESTS THAT MIGHT RESULT IN OR HAVE THE APPEARANCE OF A CONFLICT OF INTEREST. THE BOARD OF DIRECTORS OF SARMC (OR A DELEGATED COMMITTEE OF THE BOARD) IS RESPONSIBLE FOR THE REVIEW OF TRANSACTIONS TO DETERMINE WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. IN THE EVENT OF AN ACTUAL CONFLICT, THE BOARD (OR A DELEGATED COMMITTEE OF THE BOARD) WILL EITHER AVOID THE CONFLICT OR APPROPRIATELY SCRUTINIZE THE TRANSACTION TO ENSURE IT IS IN THE BEST INTERESTS OF SARMC. INTERESTED PERSONS ARE REQUIRED TO RECUSE THEMSELVES FROM DISCUSSION AND VOTING ON MATTERS INVOLVING A CONFLICT OF INTEREST. THE POLICY FURTHER ADDRESSES THE PROPER DOCUMENTATION OF THE PROCEEDINGS AND POTENTIAL DISCIPLINARY AND CORRECTIVE ACTION FOR VIOLATIONS OF THE POLICY. THE POLICY IS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION B, LINE 15 QUESTIONS 15A AND 15B ARE ANSWERED "NO" BECAUSE THE COMPENSATION FOR THE CEO AND OFFICERS OF SARMC IS ESTABLISHED AND PAID BY TRINITY HEALTH, A RELATED ORGANIZATION. IN ESTABLISHING COMPENSATION FOR THESE INDIVIDUALS, TRINITY HEALTH FOLLOWS A PROCESS AND POLICY THAT IS INTENDED TO MIRROR THE IRC SECTION 4958 GUIDELINES FOR OBTAINING A "REBUTTABLE PRESUMPTION OF REASONABLENESS" WITH REGARD TO COMPENSATION AND BENEFITS. AS PART OF THAT PROCESS, THE COMPENSATION AND BENEFITS OF THESE INDIVIDUALS ARE REVIEWED AT LEAST ANNUALLY BY THE TRINITY HEALTH BOARD OR THE TRINITY HEALTH HUMAN RESOURCES AND COMPENSATION COMMITTEE (HRCC) OF THE BOARD, AUTHORIZED TO ACT ON BEHALF OF THE BOARD WITH RESPECT TO CERTAIN COMPENSATION MATTERS. AS PART OF ITS REVIEW PROCESS, THE HRCC RETAINS AN INDEPENDENT FIRM EXPERIENCED IN COMPENSATION AND BENEFIT MATTERS FOR NOT-FOR-PROFIT HEALTH CARE ORGANIZATIONS TO ADVISE IT IN THE DETERMINATIONS IT MAKES ON THE REASONABLENESS OF PROPOSED COMPENSATION AND BENEFITS ARRANGEMENTS. FOR OTHER EXECUTIVES WHO ARE NOT PART OF THE REBUTTABLE PRESUMPTION PROCESS, TRINITY HEALTH USES A MARKET ANALYSIS TO DETERMINE THE APPROPRIATENESS OF THE EXECUTIVE'S COMPENSATION. IN ADDITION, QUESTION 15B IS ANSWERED "NO" BECAUSE THE COMPENSATION FOR CERTAIN KEY MANAGEMENT OFFICIALS OF SARMC IS ESTABLISHED AND PAID BY SAINT ALPHONSUS HEALTH SYSTEM, A RELATED ORGANIZATION. COMPENSATION IS DETERMINED USING AN ANNUAL REVIEW OF GOALS AND PERFORMANCE BY THE INDIVIDUAL'S MANAGER. FORM 990, PART VI, SECTION C, LINE 19 SARMC IS A SUBSIDIARY ORGANIZATION IN THE TRINITY HEALTH SYSTEM. TRINITY HEALTH MAKES CERTAIN OF ITS KEY DOCUMENTS AVAILABLE TO THE PUBLIC ON ITS WEBSITE, WWW.TRINITY-HEALTH.ORG, IN THE "ABOUT US" SECTION. IN THIS SECTION, THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE PUBLICLY AVAILABLE. IN ADDITION, SARMC INCLUDES A COPY OF ITS MOST RECENTLY FILED SCHEDULE H ON BOTH ITS OWN WEBSITE AND TRINITY HEALTH'S WEBSITE. SARMC'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 24,616,328. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,616,328. MEDICAL SPECIALIST FEES: PROGRAM SERVICE EXPENSES 15,896,009. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,896,009. MISC. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 11,164,058. MANAGEMENT AND GENERAL EXPENSES 2,442,188. FUNDRAISING EXPENSES 54,597. TOTAL EXPENSES 13,660,843. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 29,286,906. MANAGEMENT AND GENERAL EXPENSES 76,993. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,363,899. LAUNDRY/LINEN SERVICES: PROGRAM SERVICE EXPENSES 1,292,310. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 1,149. TOTAL EXPENSES 1,293,459. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 20,873. MANAGEMENT AND GENERAL EXPENSES 63,786. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84,659. RECRUITMENT: PROGRAM SERVICE EXPENSES 18,811. MANAGEMENT AND GENERAL EXPENSES 25,791. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,602. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 35,539. MANAGEMENT AND GENERAL EXPENSES 327,546. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 363,085. FORM 990, PART XI, LINE 9: EQUITY TRANSFERS TO AFFILIATES -7,948,567. ASSET IMPAIRMENT 86,978. FORM 990, PART XII, LINE 2: SARMC'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY23 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. 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