2024-08-15T08:45:20-05:00 2023-09-30 861065772 Deloitte Tax LLP 111 Monument Circle Suite 4200 Indianapolis IN 46204 990 2022-10-01 562570681 St Luke's Health System Ltd STLU 2083812222 190 E Bannock Boise ID 83712 Pete DiDio SVP/CFO/Treasurer 2083812222 2024-08-15 1 0 Shawna M Jansons P01222873 3174648600 2022 2024-08-08 14:25:15Z Chris Roth 190 E Bannock Boise ID 83712 1350170893 0 X www.stlukesonline.org X 2006 ID Management of the delivery of healthcare services. 16 13 19470 1261 3196870 1549929 16706822 12884128 681026328 706300302 1220661 6593901 4998871 5633866 703952682 731412197 7446084 7283881 0 0 492024811 504599371 0 0 0 204481787 219528945 703952682 731412197 0 0 355605977 329797276 401813625 381541105 -46207648 -51743829 X To improve the health of people in the communities we serve. 0 0 545032266 7283881 706300302 As the only Idaho-based, not-for-profit health system, St. Luke's is a vital part of a healthy community, led by local physicians and boards to 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 at every St. Luke's facility. St. Luke's is the region's leader in heart, cancer, women's and children's services. Each of our hospitals is nationally recognized for excellence in patient care with prestigious awards, accreditations and designations reflecting the exceptional care that is synonymous with the St. Luke's name. This includes recognition for the past nine years as one of the 15 Top Health Systems in the U.S., as well as five consecutive Magnet designations the gold standard for nursing excellence. St. Luke's Health System supports and oversees the operations of all the hospital organizations within the St. Luke's Health System, including:- St. Luke's Regional Medical Center, Ltd.- St. Luke's Wood River Medical Center, Ltd.- St. Luke's Magic Valley Regional Medical Center, Ltd.- St. Luke's McCall, Ltd.- 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), Select Medical Network of Idaho, Inc. (Clinical Integration Network), and St. Luke's Health Plan (Health Insurance Provider) receive administrative and operational support within the St. Luke's Health System. 545032266 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 1051 0 1 19470 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 16 13 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X Jared Grant System Controller 2083812222 190 E Bannock Boise ID 83712 X Chris Roth President & System CEO 40.00 12.00 X X 1586822 0 48290 Andy Scoggin Chair 0.50 2.50 X X 0 0 0 Alan Korn MD Director 0.50 2.50 X 0 0 0 Bill Gilbert Director (Start 11/2022) 0.50 2.50 X 0 0 0 Bill Whitacre Director 0.50 2.50 X 0 0 0 Bob Lokken 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 0.50 2.50 X 0 0 0 Jill Twedt Director (Start 11/2022) 0.50 2.50 X 0 0 0 Jon Miller Director (End 11/2022) 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 18705 0 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 Christine Neuhoff SVP/Chief Legal Officer/Secretary 40.00 10.00 X 840490 0 36439 Kathryn Fowler SVP/CFO/Treasurer 40.00 10.00 X 510280 0 20199 James Souza MD SVP, Chief Physician Executive 40.00 0.00 X 920018 0 31285 Sandee Moore Gehrke SVP, Chief Operating Officer 15.00 27.00 X 777872 0 42358 Dave Self SVP, Chief Administrative Officer 40.00 0.00 X 751611 0 22735 Elizabeth Steger SVP, Chief Nursing Executive 40.00 0.00 X 611790 0 20852 Erin Simms SVP, Chief Talent and People Officer 40.00 0.00 X 548790 0 26417 Vic Kadyan MD Physician 40.00 0.00 X 861989 0 42883 Jeffrey S Taylor Former SVP/CFO/Treasurer 0.00 2.00 X 794537 0 81587 Robert Cavagnol MD President, St. Luke's Clinic 40.00 2.00 X 748052 0 29059 Robert Walker MD Physician 40.00 0.00 X 740438 0 30920 Barton F Hill MD VP, Chief Quality & Safety Officer 40.00 0.00 X 709749 0 41026 David C Pate MD JD Former CEO & President 0.00 0.00 X 154684 0 0 10575827 0 474050 2964 1 1 0 Compunet Inc 1111 S Silverstone Way Meridian ID 83642 IT Projects/Consulting 7578559 Spacelabs Healthcare 35301 SE Center Street Snoqualmie WA 98065 IT Projects/Consulting 5159857 CM Company Inc 431 West McGregor Drive Boise ID 83705 Construction 3545146 FMS Inc 4915 S Union Ave Tulsa OK 74107 Financial Services 2791441 FlexTechs LLC 2539 S Five Mile Road Boise ID 83709 IT Projects/Consulting 2643353 190 1026791 11739157 118180 12884128 Admin. Services 561000 705005894 705005894 Joint Venture Income/L 900099 1294408 241739 1052669 706300302 6570446 1544375 5026071 599826 599826 4435329 11417 4423912 4423912 4423912 618770734 618747279 23455 23455 23455 Cafeteria/Catering/Ven 722514 610128 610128 610128 731412197 705247633 3196870 10083566 7279035 7279035 4846 4846 6529075 6529075 112272 112272 300788981 240631185 60157796 25022544 20018035 5004509 149012385 119209908 29802477 23134114 18507291 4626823 16384636 13107709 3276927 7010356 7010356 600968 600968 296863 296863 198439 198439 10673641 3308829 7364812 1693774 1355019 338755 1657062 66282 1590780 72695486 36347743 36347743 421840 410423 11417 1292400 206784 1085616 109728 109728 33545802 33545802 15879848 15879848 Allocated SLHS Exp 17011939 17011939 Collection Services 11128983 11128983 Contract Service 7531490 6025192 1506298 Telephone 5060237 5060237 16335453 987413 15348040 731412197 545032266 186379931 0 4612543 6942489 78114871 39206347 14925655 25604839 850000 36700000 6408340 6878172 32806274 36073584 563884702 490411295 95557058 73473407 58501934 72171463 8583648 15334931 10600000 55245654 6812044 355605977 329797276 206846804 196105176 11964172 0 183002649 185435929 401813625 381541105 X -46207648 -51743829 -46207648 -51743829 355605977 329797276 X 0 -5536181 X 0 1 X 1 1 1 X X X 7 St Luke's Regional Medical Center Ltd 820161600 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 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 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 supported organizations 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 supported 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. 509(a)(2) St. Luke's Health Foundation, Ltd. 501(c)(3) St. Luke's Health System, Ltd. has a historic and continuing relationship with each of its supported organizations. Each of its supported organizations are designated as supported organizations by class and purpose within the governing documents of St. Luke's Health System, Ltd. St. Luke's Health System, Ltd. performs administrative and management oversight activities for each of its supported organizations that are not being performed by the organizations themselves. If St. Luke's Health System, Ltd. were not performing these activities, the listed supported organizations would be engaged in performing such activities on their own. 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. 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 supported organizations 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 the above two supported organizations are subject to the approval by the SLHS board of directors. In other words, these supported 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 Schedule A, Part IV, Section A, Line 6: St. Luke's Health System, Ltd. provides limited support to other public charities on behalf of its supported organizations. All grants that are made through St. Luke's Health System, Ltd. are done so to carry out the activities and purposes of its supported organization. Schedule A, Part IV, Section D, Line 3: St. Luke's Health System, Ltd. is the parent organization of an integrated health care system. St. Luke's Health System, Ltd. manages and directs the supported organizations' delivery of health care. St. Luke's Health System, Ltd.'s board composition is identical to the board composition of the following 5 supported organizations: 1) St. Luke's Regional Medical Center, Ltd., 2) St. Luke's McCall, Ltd., 3) St. Luke's Magic Valley Regional Medical Center, Ltd., 4) St. Luke's Wood River Medical Center, Ltd., and 5) St. Luke's Nampa Medical Center, 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. The overlap of officers and board members between organizations helps to ensure there is a close and continuous working relationship with each supported organization. The supported organizations have a significant voice in St. Luke's Health System, Ltd.'s operations, including the use of its income and assets. For example, budgets are submitted by the supported organizations to St. Luke's Health System, Ltd. for approval. This submission allows the supported organizations to articulate their budgeting needs for funding considerations. In addition, the supported organizations have input into all the investment policies of St. Luke's Health System, Ltd. through each supported organization's presence on the governing board of St. Luke's Health System, Ltd. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 296863 296863 296863 296863 533903283 533903283 534200146 534200146 1000000 1000000 250000 250000 0 0 0 0 1000000 1000000 1000000 1000000 4000000 6000000 157948 174633 303242 296863 932686 250000 250000 250000 250000 1000000 1500000 11377121 1573590 9803531 873322 674632 198690 533737134 488163073 45574061 17897125 17897125 73473407 Professional Liability 13987811 Workers Comp 2771030 Health Insurance IBNR 13058307 LT Disability 8189458 SERP Plan Accrued Tax Grossup 73308 SERP DC Plan 6585205 SERP Liability 15817196 Annual Employer Contribution Plan 20993035 ESL Liability 9559624 457 Plan Liability 85376161 CAAII Plan Liability 484017 Unemployment Reserve 112800 Other Liabilities 1629957 Accr'd Std Benefit-25% 6798020 185435929 X Part X, Line 2: Footnote Disclosure-Uncertain Tax Positions Under ASC 740 (Source: Consolidated Financial Statements-St. Luke's Health System Fiscal Year 2023) 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 income tax. The Health System also has two taxable subsidiaries, St. Luke's Health Partners, and St. Luke's Health 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 Full Circle Health 777 N Raymond Street Boise ID 83704 205934739 501(c)(3) 3352257 0 Support Full Circle Health University Of Washington Po Box 358047 Seattle WA 981246524 916001537 Government Entity 779453 0 Support University Of Washington City Of Boise 150 N Capitol Blvd Boise ID 83702 826000165 Government Entity 232950 0 Support City Of Boise Home Partnership Foundation Po Box 7899 Boise ID 83707 753162969 501(c)(3) 220000 0 Support Home Partnership Foundation Area Agency Of Aging Area 3 Senior Services Agency 1505 S Eagle Rd Twin Falls ID 83642 812965660 Government Entity 162000 0 Support Area Agency Of Aging Area 3 Senior Services Agency Idaho Food Bank 3630 E Commercial Ct Meridian ID 83642 820425400 501(c)(3) 161966 0 Support Idaho Food Bank Idahoans For A Prosperous Workforce Inc Po Box 389 Boise ID 83701 871471612 501(c)(4) 150000 0 Support Idahoans For A Prosperous Workforce Inc Boys And Girls Club Of Magic Valley Inc 999 Frontier Rd Twin Falls ID 83301 943176622 501(c)(3) 102400 0 Support Boys And Girls Club Of Magic Valley Inc Boise State University 1910 W University Dr Boise ID 83725 820290701 Government Entity 77588 0 Support Boise State University David A Hindson MD Education Foundation Inc 500 W Fort St Boise ID 83702 800279825 501(c)(3) 75000 0 Support David A Hindson MD Education Foundation Inc. Idaho Hunger Relief Task Force 963 S Orchard Street Suite 206 Boise ID 83705 813084559 501(c)(3) 69023 0 Support Idaho Hunger Relief Task Force Boys And Girls Club Of Nampa 316 Stampede Dr Nampa ID 83687 820504332 501(c)(3) 60000 0 Support Boys And Girls Club Of Nampa Boise State University Foundation 2225 University Drive Boise ID 83706 826010706 501(c)(3) 60000 0 Support Boise State University Foundation Jannus Inc 1607 W Jefferson St Boise ID 83702 816035382 501(c)(3) 56125 0 Support Jannus Inc Family Health Services 794 Eastland Dr Twin Falls ID 83301 820371093 501(c)(3) 54800 0 Support Family Health Services Idaho Youth Ranch Inc 5465 W Irving Boise ID 83706 820253346 501(c)(3) 52500 0 Support Idaho Youth Ranch Inc Idaho Medical Association 305 W Jefferson Boise ID 83702 820194325 501(c)(3) 50000 0 Support Idaho Medical Association American National Red Cross 431 18th Street Nw Washington DC 20006 530196605 501(c)(3) 50000 0 Support American National Red Cross Interfaith Sanctuary Housing Po Box 9334 Boise ID 83707 260510072 501(c)(3) 50000 0 Support Interfaith Sanctuary Housing Boise Metro Chamber Of Commerce Po Box 2368 Boise ID 83701 820100595 501(c)(3) 43150 0 Support Boise Metro Chamber Of Commerce College Of Southern Idaho Po Box 1238 Twin Falls ID 83303 820261628 501(c)(3) 8900 0 Support College Of Southern Idaho Area 5 Senior Services Agency Po Box 1238 Twin Falls ID 83303 820261628 501(c)(3) 32760 0 Support Area 5 Senior Services Agency Boys And Girls Club Of Western Treasure Valley 573 SW 3rd Ave Ontario Oregon OR 97914 208035378 501(c)(3) 35000 0 Support Boys And Girls Club Of Western Treasure Valley City Of Mountain Home 160 S 3rd E Mountain Home ID 83647 826000229 Government Entity 34040 0 Support City Of Mountain Home Faces Of Hope Foundation 417 S 6th St Boise ID 83702 204883532 501(c)(3) 31000 0 Support Faces Of Hope Foundation Reach Institute 404 5th Avenue 3rd Floor New York City NY 10018 205437835 501(c)(3) 30800 0 Support Reach Institute Blaine County School District 118 West Bullion Street Hailey ID 83333 943166817 501(c)(3) 30050 0 Support Blaine County School District Valley Regional Transit 700 N East 2nd Street Meridian ID 83642 820515697 Government Entity 30002 0 Support Valley Regional Transit Salvation Army 1617 N 24th Street Boise ID 83702 941156347 501(c)(3) 23600 0 Support Salvation Army American Heart Association Po Box 843384 Dallas TX 75284 135613797 501(c)(3) 22500 0 Support American Heart Association Women's And Children's Alliance 720 W Washington Boise ID 83702 820204464 501(c)(3) 20500 0 Support Women's And Children's Alliance Boise Public Schools Education Foundation 8169 West Victory Road Boise ID 83709 820400689 501(c)(3) 20000 0 Support Boise Public Schools Education Foundation Idaho Community Foundation 210 W State St Boise ID 83702 820425063 501(c)(3) 20000 0 Support Idaho Community Foundation Mountain Home Senior Center 1000 North 3rd East Mountain Home ID 83647 820442672 501(c)(3) 20000 0 Support Mountain Home Senior Center La Posada Inc Po Box 1962 Twin Falls ID 83303 820468830 501(c)(3) 20000 0 Support La Posada Inc Jesse Tree Of Idaho 1121 W Miller Street Boise ID 83702 820534777 501(c)(3) 20000 0 Support Jesse Tree Of Idaho University Of Idaho Foundation 875 Perimeter Drive Ms 3143 Moscow ID 83843 237098404 501(c)(3) 20000 0 Support University Of Idaho Foundation College Of Idaho 2112 Cleveland Blvd Caldwell Idaho ID 83605 820200906 501(c)(3) 18400 0 Support College Of Idaho Idaho Shakespeare Festival Po Box 9365 Boise ID 83707 820316246 501(c)(3) 18200 0 Support Idaho Shakespeare Festival Twin Falls School District Ed Po Box 1182 Twin Falls ID 83303 820447895 Government Entity 16800 0 Support Twin Falls School District Ed Third District Guardian Ad Litem Program Inc Po Box 789 Caldwell Idaho ID 83606 811368126 501(c)(3) 16320 0 Support Third District Guardian Ad Litem Program Inc Idaho Governor's Cup Scholarship Fund Inc Po Box 983 Boise ID 83701 208277116 501(c)(3) 16000 0 Support Idaho Governors Cup Scholarship Fund United Way Po Box 16330 Boise ID 83715 820299013 501(c)(3) 15000 0 Support United Way Children's Home Society Of Idaho 740 Warm Springs Ave Boise ID 83712 820201128 501(c)(3) 15000 0 Support Children's Home Society Of Idaho The Cabin 801 S Capitol Blvd Boise ID 83702 820488067 501(c)(3) 15000 0 Support The Cabin Jerome County Senior Citizens 520 N Lincoln Jerome ID 83338 820313405 501(c)(3) 14500 0 Support Jerome County Senior Citizens Jerome Joint School Dist 261 125 4th Avenue West Jerome ID 83338 826003634 Government Entity 14500 0 Support Jerome Joint School Dist 261 Snake River Stampede Cure 16114 Idaho Center Blvd Ste 4 Nampa ID 83687 464244298 501(c)(3) 14000 0 Support Snake River Stampede Cure Interlink Volunteer Caregivers 650 Addison Ave W Twin Falls ID 83301 841417706 501(c)(3) 14000 0 Support Interlink Volunteer Caregivers Genesis Community Health Inc 215 West 35th Street Garden City ID 83714 820505073 501(c)(3) 13000 0 Support Genesis Community Health Inc Twin Falls County Po Box 126 Twin Falls ID 83303 826000318 Government Entity 13000 0 Support Twin Falls County Salmon River Senior Citizens Po Box 1285 Riggins ID 83549 900815231 501(c)(3) 12500 0 Support Salmon River Senior Citizens Everybody House 360 Shoshone St E Twin Falls ID 83301 854166686 501(c)(3) 12472 0 Support Everybody House Magic Valley Pediatric Cancer Coalition Inc 255 Blue Lake Blvd Twin Falls ID 83301 844609095 501(c)(3) 12000 0 Support Magic Valley Pediatric Cancer Coalition Inc Boise Timbers Thorns Soccer 3924 E Lake Hazel Rd Meridian ID 83642 825070407 501(c)(3) 11000 0 Support Boise Timbers Thorns Soccer Voices Against Violence 212 2nd Avenue West Ste 200 Twin Falls ID 83301 820372006 501(c)(3) 11000 0 Support Voices Against Violence State Of Idaho 450 W State 10th Fl Boise ID 83720 826000952 Government Entity 11000 0 Support State Of Idaho Horizons Lifestyle And Education Team Po Box 401 Cascade ID 83611 270683766 501(c)(3) 10800 0 Support Horizons Lifestyle And Education Team Wassmuth Center For Human Rights 775 W Fulton St Boise ID 83702 820490848 501(c)(3) 10640 0 Support Wassmuth Center For Human Rights Ronald Mcdonald House Idaho 139 E Warm Springs Ave Boise ID 83712 943030996 501(c)(3) 10500 0 Support Ronald Mcdonald House Idaho Nampa Schools Foundation Inc Po Box 874 Nampa ID 83653 820456603 501(c)(3) 10440 0 Support Nampa Schools Foundation Inc Foundation For Idaho History Po Box 664 Boise ID 83701 800031592 501(c)(3) 10000 0 Support Foundation For Idaho History Treasure Valley Food Coalition 1208 E Jefferson Street Boise ID 83712 453620811 501(c)(3) 10000 0 Support Treasure Valley Food Coalition Idaho Basecamp Po Box 183 Ketchum ID 83340 273427884 501(c)(3) 10000 0 Support Idaho Basecamp Blaine County Charitable Fund Inc Po Box 265 Hailey ID 83333 845158057 501(c)(3) 10000 0 Support Blaine County Charitable Fund Inc Giraffe Laugh Early Learning 4094 W Chinden Blvd Garden City ID 83714 820481812 501(c)(3) 10000 0 Support Giraffe Laugh Early Learning TRICA (Treasure Valley Institute for Children's Arts) 1406 Eastman Boise ID 83702 571197705 501(c)(3) 10000 0 Support TRICA Inc St Alphonsus Health Systems Po Box 31001-2307 Pasadena California CA 91110 820200895 501(c)(3) 10000 0 Support St. Alphonsus Health Systems Boise Rescue Mission Ministry 308 S 24Th St Boise ID 83702 820259387 Government Entity 10000 0 Support Boise Rescue Mission Ministry Rise Up 2 Thrive Inc Po Box 1061 Cascade ID 83611 883172722 501(c)(3) 10000 0 Support Rise Up 2 Thrive Inc CATCH (Charitable Assistance to Communitys Homeless) 503 S Americana Blvd Boise ID 83702 273483457 501(c)(3) 10000 0 Support CATCH City Of Good Inc 246 8th Street Boise ID 83702 850616750 501(c)(3) 10000 0 Support City Of Good Inc Children's Museum Of The Magic PO Box 2139 Twin Falls ID 83301 832068910 501(c)(3) 10000 0 Support Children's Museum Of The Magic Idaho Golf Association 208 S Cole Rd Boise ID 83709 237024930 501(c)(3) 10000 0 Support Idaho Golf Association Boise Bicycle Project 1027 S Lusk St Boise ID 83706 800268725 501(c)(3) 10000 0 Support Boise Bicycle Project United Way Of South Central Idaho Po Box 65 Twin Falls ID 83303 820256978 501(c)(3) 10000 0 Support United Way Of South Central Idaho Men's Second Chance Living 220 2nd Avenue S Hailey ID 83333 824647969 501(c)(3) 10000 0 Support Men's Second Chance Living Twin Falls Lions Charitable Fund Po Box 896 Twin Falls ID 83303 320346278 501(c)(3) 9595 0 Support Twin Falls Lions Charitable Fund Westend Senior Center 1010 Main St Buhl ID 83316 820313172 501(c)(3) 9500 0 Support Westend Senior Center Higher Ground Sun Valley Inc Po Box 6791 Ketchum ID 83340 820512146 501(c)(3) 9500 0 Support Higher Ground Sun Valley Inc Twin Falls Optimist Youth 239 3rd Ave N Twin Falls ID 83301 831319663 501(c)(3) 9000 0 Support Twin Falls Optimist Youth Helping Hearts And Hands Inc Po Box 201 Gooding ID 83330 208322514 501(c)(3) 9000 0 Support Helping Hearts And Hands Inc Murtaugh School Dist 418 500 Boyd St W Murtaugh ID 83344 826000890 Government Entity 8800 0 Support Murtaugh School Dist 418 Ageless Senior Center Inc Po Box 403 Kimberly ID 83341 820303448 501(c)(3) 8500 0 Support Ageless Senior Center Inc Wendell School District 232 150 East Main Street Wendell ID 83355 826004158 Government Entity 8300 0 Support Wendell School District 232 Valley Housing Coalition Inc Po Box 774 Twin Falls ID 83301 943149732 501(c)(3) 8000 0 Support Valley Housing Coalition Inc Lincoln County 111 West B Shoshone Idaho ID 83352 826000308 Government Entity 8000 0 Support Lincoln County Boys And Girls Club Of Ada County 610 E 42nd St Garden City ID 83714 820481687 501(c)(3) 8000 0 Support Boys And Girls Club Of Ada County Oats Family Center 911 S Hwy 30 Heyburn ID 83336 261301778 501(c)(3) 8000 0 Support Oats Family Center Jae Foundation 1881 Poleline Road Twin Falls ID 83301 832487191 501(c)(3) 7500 0 Support Jae Foundation Family Justice Center 1305 3rd St S Nampa ID 83651 264423289 501(c)(3) 7050 0 Support Family Justice Center National Interscholastic Cycling Association 2414 6th Street Berkeley California CA 94710 134234305 501(c)(3) 7000 0 Support National Interscholastic Cycling Association Idaho Senior Games Po Box 45464 Boise ID 83711 820452442 501(c)(3) 7000 0 Support Idaho Senior Games Twin Falls Area Chamber Of Commerce 2015 Neilsen Point Place Twin Falls ID 83301 820172213 501(c)(6) 6975 0 Support Twin Falls Area Chamber Of Commerce Angel Wings Network Inc 773 West Main Weiser ID 83672 383907247 501(c)(3) 6500 0 Support Angel Wings Network Inc Community Food Share 315 W 27th Street Burley ID 83318 863514469 501(c)(3) 6500 0 Support Community Food Share Advocates Against Family Violence Inc 1508 Hope Lane Caldwell Idaho ID 83605 141866709 501(c)(3) 6180 0 Support Advocates Against Family Violence Inc Camp Rainbow Gold 216 W Jefferson Boise ID 83702 900961926 501(c)(3) 6000 0 Support Camp Rainbow Gold Cascade Food Pantry 1470 S Main St Cascade ID 83611 273420371 501(c)(3) 6000 0 Support Cascade Food Pantry Pride Boise Po Box 1924 Boise ID 83701 473287467 501(c)(3) 6000 0 Support Pride Boise Unity Alliance Of Southern Idaho 477 Arrowhead Path Twin Falls ID 83301 842810356 501(c)(3) 6000 0 Support Unity Alliance Of Southern Idaho Wood River Community YMCA Po Box 6801 Ketchum ID 83340 820481436 501(c)(3) 6000 0 Support Wood River Community YMCA Big Brother Big Sisters Of Southwest Idaho 7609 W Emerald St Boise ID 83702 820349401 501(c)(3) 6000 0 Support Big Bro Big Sisters Of Southwest Idaho Twin Falls School District 411 201 Main Ave West Twin Falls ID 83301 826000892 Government Entity 5500 0 Support Twin Falls School District 411 Magic Valley Area Humanitarian Center Po Box 601 Rupert ID 83350 821317096 501(c)(3) 5500 0 Support Magic Valley Area Humanitarian Center Marsing Joint School District Po Box 340 Marsing ID 83639 826000855 Government Entity 5495 0 Support Marsing Joint School District City Of McCall 216 E Park St McCall ID 83638 826000223 Government Entity 5494 0 Support City Of McCall Idaho Diabetes Youth Programs 1701 N th 12th Street Boise ID 83702 311565651 501(c)(3) 5060 0 Support Idaho Diabetes Youth Programs 106 2 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. X 1 1 X X X X 0 1 0 0 0 0 0 0 0 Chris Roth President & System CEO 1407673 0 0 0 179149 0 18410 0 29880 0 1635112 0 0 0 James Souza MD SVP, Chief Physician Executive 814448 0 0 0 105570 0 18410 0 12875 0 951303 0 0 0 Vic Kadyan MD Physician 586070 0 233719 0 42200 0 11465 0 31418 0 904872 0 0 0 Christine Neuhoff SVP/Chief Legal Officer/Secretary 724912 0 0 0 115578 0 16095 0 20344 0 876929 0 0 0 Jeffrey S Taylor Former SVP/CFO/Treasurer 711371 0 0 0 83166 0 64199 0 17388 0 876124 0 14047 0 Sandee Moore Gehrke SVP, Chief Operating Officer 696113 0 0 0 81759 0 13780 0 28578 0 820230 0 0 0 Robert Cavagnol MD President, St. Luke's Clinic 706242 0 0 0 41810 0 11465 0 17594 0 777111 0 0 0 Dave Self SVP, Chief Administrative Officer 603923 0 0 0 147688 0 12844 0 9891 0 774346 0 0 0 Robert Walker MD Physician 639422 0 54452 0 46564 0 18410 0 12510 0 771358 0 0 0 Barton F Hill MD VP, Chief Quality & Safety Officer 590717 0 0 0 119032 0 18410 0 22616 0 750775 0 0 0 Elizabeth Steger SVP, Chief Nursing Executive 535743 0 15000 0 61047 0 9108 0 11744 0 632642 0 0 0 Erin Simms SVP, Chief Talent and People Officer 522776 0 0 0 26014 0 13780 0 12637 0 575207 0 0 0 Kathryn Fowler SVP/CFO/Treasurer 465103 0 0 0 45177 0 13780 0 6419 0 530479 0 0 0 David C Pate MD JD Former CEO & President 0 0 0 0 154684 0 0 0 0 0 154684 0 154684 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 CY2022, the following individuals participated in a supplemental non-qualified executive retirement plan governed by 457(f): Chris Roth received $122,129 of taxable benefits for service in a supplemental retirement plan. James Souza received $48,974 of taxable benefits for service in a supplemental retirement plan. Christine Neuhoff received $79,499 of taxable benefits for service in a supplemental retirement plan. Jeffrey S. Taylor received $19,379 of taxable and $14,047 of non-taxable benefits for service in a supplemental retirement plan. Sandee Moore Gehrke received $36,648 of taxable benefits for service in a supplemental retirement plan. Dave Self received $104,177 of taxable benefits for service in a supplemental retirement plan. Barton F. Hill received $55,924 of taxable benefits for service in a supplemental 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 II-Column (c) During CY2022 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 S. Taylor $55,049 Laurie Martin Family member of Director/Officer 112272 Compensation of family member of a former Director and Officer 0 Form 990, Part VI, Section A, line 2 Andy Scoggin has a business relationship with Dan Krahn. Andy Scoggin has a business relationship with Dave Self. 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. 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 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 Nampa Medical Center, Ltd. Robert Cavagnol, MD: St. Luke's Health System, Ltd. St. Luke's Clinic Coordinated Care, Ltd. Kathryn Fowler: St. Luke's Health System, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Nampa Medical Center, Ltd. St. Luke's Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. Sandee Moore Gehrke: St. Luke's Health System, Ltd. St. Luke's Magic Valley Regional Medical Center, Ltd. St. Luke's McCall, Ltd. St. Luke's Nampa Medical Center, Ltd. St. Luke's Regional Medical Center, Ltd. St. Luke's Wood River Medical Center, Ltd. St. Luke's Clinic Coordinated Care, Ltd. Also, it should be noted that the hours reported for the 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: Change in Minim Liability - Supplemental Executive Retirement Plan (SERP) -5,441,042. Capital Invested in Plant -95,139. 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 1 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 1 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 1 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 1 St Luke's Nampa Medical Center Ltd 190 E Bannock Boise ID 83712 821162805 Healthcare Services ID 501(c)(3) 3 St Luke's Health System Ltd 1 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 1 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 1 Select Medical Network of Idaho Inc PO Box 1990 Boise ID 83701 810594024 Provider Network ID St Luke's Health System Ltd C 6103537 74596632 1.00000 1 St Luke's Health Plan Inc 800 E Park Blvd Boise ID 83712 874765682 Health Insurance Provider ID St Luke's Health System Ltd C 407398 34228066 1.00000 1 Sequoyah Assurance Ltd PO Box 1051 Grand Cayman CJ KY1-1102 981631863 Captive Insurance CJ N/A C 0 Anderson Plaza Medical Building Inc 190 E Bannock St Boise ID 83702 820448741 Medical Offices ID N/A C 0 St Luke's Office Plaza 190 E Bannock St Boise ID 83702 820389626 Medical Offices ID N/A C 0 St Luke's Elmore Medical Building Inc 190 E Bannock St Boise ID 83702 813992116 Medical Offices ID N/A C 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0 St Luke's Regional Medical Center Ltd Q 495667253 Pro Rata Overhead Allocation St Luke's Nampa Medical Center Ltd Q 58030474 Pro Rata Overhead Allocation St Luke's Health Foundation Ltd Q 236266 Pro Rata Overhead Allocation St Luke's Wood River Medical Center Ltd Q 16907567 Pro Rata Overhead Allocation St Luke's McCall Ltd Q 8934257 Pro Rata Overhead Allocation St Luke's Magic Valley Regional Medical Center Ltd Q 132564018 Pro Rata Overhead Allocation Select Medical Network of Idaho Inc Q 2379350 Pro Rata Overhead Allocation Select Medical Network of Idaho Inc P 9149010 Per Management Agreement St Luke's Health Plan Inc Q 316555 Pro Rata Overhead Allocation St Luke's Health Plan Inc P 7368213 Per Management Agreement St Luke's Health Foundation Ltd O 2426298 Salaries & Wages paid by SLHS St Luke's Health Foundation Ltd C 1026791 Donations Specified for St. Luke' St Luke's Regional Medical Center Ltd O 1013190963 Salaries & Wages paid by SLHS St Luke's Wood River Medical Center Ltd O 50232659 Salaries & Wages paid by SLHS St Luke's McCall Ltd O 29081480 Salaries & Wages paid by SLHS St Luke's Nampa Medical Center Ltd O 109061519 Salaries & Wages paid by SLHS St Luke's Magic Valley Regional Medical Center Ltd O 243447591 Salaries & Wages paid by SLHS St Luke's Clinic Coordinated Care Ltd O 2604492 Salaries & Wages paid by SLHS St Luke's Regional Medical Center Ltd J 2261616 Per Master Lease Agreement Select Medical Network of Idaho Inc A 599826 Per License Agreement St Luke's Health Plan Inc A 1544375 Per Surplus Note Agreement Broadway Park Holdings LLC 4904 N Mountainside Lane Boise ID 83702 823709613 Real Estate Lease ID Unrelated 0 2073358 37661838 1 0 0.49500 ATSAW SL LLC 6710 E Camelback Rd Ste 100 Scottsdale AZ 85251 881330032 Property Services & Management AZ Unrelated 0 0 0 1 0 0.49000 St Luke's Regional Medical Center LTD 190 E Bannock Boise ID 83712 820161600 0 0 0 0 0 0 0 0 0 0 St Luke's Health Foundation Ltd 190 E Bannock Boise ID 83712 810600973 0 0 0 0 0 0 0 0 0 0 St Luke's Clinic Coordinated Care Ltd 190 E Bannock Boise ID 83712 455195864 0 0 0 0 0 0 0 0 0 0 St Luke's Magic Valley Regional Medical Center Ltd 190 E Bannock Boise ID 83712 562570686 0 0 0 0 0 0 0 0 0 0 St Luke's Wood River Medical Center 190 E Bannock Boise ID 83712 841421665 0 0 0 0 0 0 0 0 0 0 St Luke's McCall Ltd 190 E Bannock Boise ID 83712 273311774 0 0 0 0 0 0 0 0 0 0 St Luke's Nampa Medical Center Ltd 190 E Bannock Boise ID 83712 821162805 0 0 0 0 0 0 0 0 0 0