2026-05-22T13:23:35-05:00 2025-06-30 990 2024-07-01 820200895 SAINT ALPHONSUS REGIONAL MEDICAL CENTER INC SAIN 2083672121 1055 NORTH CURTIS ROAD BOISE ID 83706 B LANNIE CHECKETTS TREASURER 2083672121 2026-05-22 1 2024 2025-03-06 01:10:19Z SEE SCHEDULE O TRAVIS LEACH 1055 NORTH CURTIS ROAD BOISE ID 83706 999111820 0 X WWW.SAINTALPHONSUS.ORG X 1958 ID TO PROVIDE HEALTH CARE AND HOSPITAL SERVICES 17 14 0 976 3380774 887172 3354288 3521456 882758410 969615914 7471211 8118598 13424116 17314132 907008025 998570100 1054185 1206210 0 0 424614685 472113682 0 0 670131 485738841 503520086 911407711 976839978 -4399686 21730122 775328644 960637861 299175560 274632555 476153084 686005306 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 884803899 1206210 979828049 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 884803899 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 1 0 0 0 1 0 0 1 0 1 1 1 1 1 0 0 0 0 0 1 1 0 1 0 0 0 1 1 1 1 1 1 1 415 0 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 17 14 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 MICHAEL BALLANTYNE DIRECTOR; CHAIR THROUGH 12/24 1.00 5.00 X X 0 0 0 ADAM RICHINS DIR; V CHR THR 12/24; CHR AS OF 1/25 1.00 5.00 X X 0 0 0 DAVID MCFADYEN DIR; PRES SAHS & CEO WEST REGION 1.00 54.00 X X 0 800711 180665 ANGELA TAYLOR DIRECTOR; VICE CHAIR AS OF 1/25 1.00 5.00 X X 0 0 0 TRAVIS LEACH DIRECTOR AND PRESIDENT AS OF 5/25 55.00 0.00 X X 0 0 0 BEA BLACK DIRECTOR 1.00 4.00 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 GERALDINE HOYLER CSC DIRECTOR 1.00 4.00 X 0 0 0 BETH INECK DIRECTOR THROUGH 12/24 1.00 4.00 X 0 0 0 KIRK JACOBSON DIRECTOR 1.00 4.00 X 0 0 0 ROBERT LADENBURGER DIRECTOR 1.00 4.00 X 0 0 0 TONI NIELSEN DIRECTOR 1.00 4.00 X 0 0 0 JUDGE ROBERT OLIVER DIRECTOR THROUGH 12/24 1.00 6.00 X 0 0 0 LUIS SANTANA DIRECTOR AS OF 1/25 1.00 5.00 X 0 0 0 IRMA VALDIVIA DIRECTOR AS OF 1/25 1.00 4.00 X 0 0 0 RON WATHEN DIRECTOR 1.00 5.00 X 0 0 0 STEPHANIE WILLIAMS DIRECTOR 1.00 4.00 X 0 0 0 MARIE GUADALUPE WISSEL DIRECTOR 1.00 4.00 X 0 0 0 STEPHANIE WESTERMEIER SECRETARY; SAHS VP & MANAGING CNSL 15.00 35.00 X 0 556745 51486 B LANNIE CHECKETTS TREASURER; SAHS VP, FINANCE AND CFO 10.00 40.00 X 0 628877 53774 MARCIE HARPER VICE PRESIDENT OF FINANCE 50.00 0.00 X 0 263414 42419 PATRICE BURGESS MD CHIEF MEDICAL OFFICER THR 1/25 25.00 25.00 X 0 426918 37997 SCOTT CHRISTENSEN VICE PRESIDENT OF OPERATIONS 50.00 0.00 X 0 259329 51248 ROBERT FARIVAR MD PHD CARDIOTHORACIC SURGEON 50.00 0.00 X 0 2294203 53865 ADAM GRIMALDI MD CARDIAC ELECTROPHYSIOLOGIST 50.00 0.00 X 0 1580074 30537 CHRISTOPHER REISING MD SURGEON 50.00 0.00 X 0 1364592 47918 BENEDICT TAYLOR MD CARDIOTHORACIC SURGEON 50.00 0.00 X 0 1325209 36770 MICHAEL RICH MD CARDIOLOGIST 50.00 0.00 X 0 1253845 49109 ODETTE BOLANO PRES SAHS & CEO W REGION THR 6/24 0.00 0.00 X 0 1378237 31087 MICHAEL BORN MD FORMER KEY EMPLOYEE 0.00 50.00 X 0 170000 0 0 12302154 666875 0 1 1 0 ANDERSEN CONSTRUCTION COMPANY 6712 N CUTLER CIRCLE PORTLAND OR 97217 CONSTRUCTION SERVICES 17923926 OWENS & MINOR 9120 LOCKWOOD BOULEVARD MECHANICSVILLE VA 23116 HEALTH LOGISTICS SERVICES 12816847 HALLMARK HEALTH CARE SOLUTIONS INC 200 MOTOR PKWY STE D26 HAUPPAUGE NY 11788 STAFFING SERVICES 6521483 REHABILITATION MANAGEMENT ASSOCIATES INC 901 N CURTIS RD STE 204 BOISE ID 83706 REHABILITATION SERVICES 6370711 AHSA AMERICAN HEALTHCARE STAFFING ASSOC PO BOX 670529 DALLAS TX 75267 STAFFING SERVICES 5978152 118 10277 1333810 29500 636074 1511795 385112 3521456 NET PATIENT SERVICE REVENUE 622110 966235140 966235140 LABORATORY AND OTHER REVENUE 621500 3380774 3380774 969615914 5922590 5922590 863858 0 863858 863858 863858 1862286 333722 0 0 1862286 333722 2196008 2196008 487872 1333810 541720 -53848 -53848 OTHER RELATED REVENUE 622110 13592909 13592909 CAFETERIA REVENUE 722514 2829132 2829132 PARKING REVENUE 812930 82081 82081 16504122 998570100 979828049 3380774 11839821 X 528572 528572 20841 20841 656797 656797 616410 616410 114918 114918 399680430 386449799 13059714 170917 18388690 17788747 592075 7868 28184599 27273513 899012 12074 25128635 24249667 866302 12666 1498159 258907 1239252 330033 330033 72413817 69432009 2971560 10248 1371363 955582 407158 8623 6342906 5148594 1159019 35293 29206710 23473126 5730635 2949 21796292 19960566 1835726 914873 871631 39003 4239 1252076 1210514 41562 6322352 6322352 35326685 22454135 12872106 444 5965172 1029751 4935421 MEDICAL SUPPLIES EXP 172600023 172600023 UNRELATED BUS INC TAX 197000 197000 I/C PURCHASED SERVICES 93800236 50506478 43293758 BAD DEBT EXPENSE 23375481 23375481 30806908 29924896 477202 404810 976839978 884803899 91365948 670131 1195811 788835 66191 25296 142831883 141216516 5035 4768 14245392 16169605 211048 336895 766799704 440796784 258817901 326002920 167182269 184133295 71862828 78778476 118910286 213181255 775328644 960637861 75042502 76316171 67328 417328 224065730 197899056 299175560 274632555 X 468876892 678886978 7276192 7118328 476153084 686005306 775328644 960637861 X 21730122 18082726 170039374 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 82919 0 0 0 82919 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. 22709011 2355306 10000 25054317 20816350 5250 1889911 2500 22709011 19287186 118991 1446714 4176 32365 20816350 21150462 23702 -1431138 37920 417920 19287186 21665532 750547 4133071 312529 5086159 21150462 0.93690 0.06310 0.00000 0 0 26954101 26954101 418982430 234093564 184888866 1036934 830933 206001 267531151 205736184 61794967 3530657 48764431 136103 52158985 326002920 COMMINGLED FUNDS DIRECTLY HOLDING SECURITIES 15755695 F EQUITY METHOD INVESTMENTS 55144933 C HEDGE FUNDS 7877848 F 78778476 MISCELLANEOUS RECEIVABLES 712127 INTERCOMPANY OTHER LT ASSETS 41430253 INTERCOMPANY ACCOUNTS RECEIVABLE 20291984 OPERATING LEASE RIGHT-OF-USE ASSETS 24182817 INVESTMENT IN UNCONSOLIDATED AFFILIATES 126513172 OTHER LONG TERM ASSETS 50902 213181255 INTERCOMPANY ACCOUNTS PAYABLE 5381837 ASSET RETIREMENT OBLIGATION (FIN 47) 2261678 INTERCOMPANY NOTES PAYABLE 159288870 OPERATING LEASE LIABILITIES 24921196 OTHER CURRENT LIABILITIES 3407571 OTHER LONG TERM LIABILITIES 2637904 197899056 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. 1 0 0 0 0 0 0 0 0 0 CENTRAL AMERICA AND THE CARIBBEAN PROVIDE MEDICAL CARE AND EDUCATION, ASSIST AGRICULTURAL AND COMMUNITY DEVELOPMENT 656797 ELECTRONIC FUNDS TRANSFER & CHECK 0 1 0 0 0 0 0 0 0 PART I, LINE 2: THE ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF ITS GRANTS INVOLVE ESTABLISHING REGULAR COMMUNICATION WITH THE RECIPIENT ORGANIZATION. THE RECIPIENT PROVIDES UPDATES ON THEIR ACTIVITIES AND THE PEOPLE THEY SERVE IN VARIOUS SETTINGS, SUCH AS HOSPITALS, ORPHANAGES, MINISTRIES, AND COMMUNITIES THAT BENEFIT FROM OUTREACH EFFORTS. THESE OUTREACH EFFORTS MAY INCLUDE MOBILE UNITS SENT TO AREAS LIKE SLUMS OR REGIONS EXPERIENCING CONCENTRACTIONS OF CHOLERA OUTBREAKS OR GANG ACTIVITY. THE MONITORING PROCESS ALSO INCLUDES CONSISTENT FEEDBACK LOOPS, WHERE THE RECIPIENT SHARES UPDATES, IMAGES, AND ANECDOTAL REPORTS THAT HIGHLIGHT THE IMPACT OF THE FINANCIAL ASSISTANCE PROVIDED. THIS SYSTEM ENSURES TRANSPARENCY AND ENABLES THE ORGANIZATION TO ASSESS THE EFFECTIVENESS AND REACH OF ITS GRANT SUPPORT. FESTIVAL OF TREES 1747260 1276401 470859 158023 82576 278259 PROJECT HAITI DINNER 67219 57409 9810 1075 9888 200 5121 1 7203 7203 5548 1030 1821682 1333810 487872 159098 98012 200 284410 541720 -53848 1 1 X 1 X 1 X 1 1 1 0 1 1 17673912 17673912 0.01850 157491937 145275419 12216518 0.01280 175165849 145275419 29890430 0.03130 15 50841 3230295 735679 2494616 0.00260 7 3527 3801947 1040391 2761556 0.00290 6 38524 55494588 45104007 10390581 0.01090 1 955 1352492 1054788 297704 0.00030 5 16522 940587 1500 939087 0.00100 34 110369 64819909 47936365 16883544 0.01770 34 110369 239985758 193211784 46773974 0.04900 1 432 432 0.00000 2 90 35539 35539 0.00000 2 18 220855 220855 0.00020 5 108 256826 256826 0.00020 1 23375481 0 117094822 138780689 -21685867 X 1 1 1 INTERMOUNTAIN MEDICAL IMAGING LLC IMAGING SERVICES 0.50000 0.50000 2 TEN MILE SURGERY CENTER LLC SURGERY CENTER 0.68000 0.32000 2 1 SAINT ALPHONSUS REGIONAL MEDICAL CENTER 1055 N CURTIS ROAD BOISE ID 83706 WWW.SAINTALPHONSUS.ORG LICENSE 02 X X X X 2 ST ALPHONSUS REGIONAL REHAB HOSPITAL 711 N CURTIS RD BOISE ID 83706 WWW.ENCOMPASSHEALTH.COM LICENSE 74 X INPATIENT REHABILITATION HOSPITAL 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 REHABILITATION 2 0 0 1 X X X X X X X X X 22 1 1 1 1 X PART V, SECTION C X PART V, SECTION C X 1 22 1 PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 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 REHABILITATION HOSPITAL PART V, SECTION B, LINE 3J: N/APART V, SECTION B, LINE 3E:SAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL (SARRH) 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 LATINX 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 REHABILITATION HOSPITAL 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 LATINX 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 REHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH SAINT ALPHONSUS REGIONAL MEDICAL CENTER AND SAINT ALPHONSUS MEDICAL CENTER-NAMPA, 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 REHABILITATION HOSPITAL 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 ON JUNE 5, 2023. AN UPDATED IMPLEMENTATION STRATEGY WAS ADOPTED IN SEPTEMBER 2023 FOR FISCAL YEARS 2024-2026. THESE DOCUMENTS WILL GUIDE THE COMMUNITY OUTREACH AND ENGAGEMENT AND OUR COMMUNITY BENEFIT WORK DURING THESE FISCAL YEARS. THE CHNA PRIORITIES ARE THE FOCUS FOR COMMUNITY INVESTMENTS OF BOTH EMPLOYEE TIME AND THE ORGANIZATION'S CHARITABLE CONTRIBUTIONS. IN FISCAL YEAR 2025 (FY25), SAINT ALPHONSUS REGIONAL MEDICAL CENTER (SARMC) DEVELOPED AND/OR SUPPORTED INITIATIVES TO IMPROVE THE FOLLOWING HEALTH NEEDS:SAFE, AFFORDABLE HOUSING AND HOMELESSNESS:IN FY25, SARMC PROVIDED SUPPORT TO JESSE TREE, WHICH PROVIDES EMERGENCY RENTAL ASSISTANCE AND EVICTION AVOIDANCE FOR RESIDENTS, AND HOME PARTNERSHIP FOUNDATION, WHICH WORKS TOWARD ENDING FAMILY HOMELESSNESS. SARMC ALSO WAS A LEAD CONTRIBUTOR TO THE ADA COUNTY SUPPORTIVE HOUSING INVESTMENT FUND (SHIF) TO LEVERAGE LOCAL FUNDS FOR PERMANENT SUPPORTIVE HOUSING INITIATIVES ACROSS THE COUNTY.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 AS WELL AS FREE MENTAL HEALTH AND YOUTH MENTAL HEALTH FIRST AID TRAINING AT NO COST FOR EMPLOYEES AND COMMUNITY MEMBERS. 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 FY25 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 REHABILITATION HOSPITAL 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 SEPTEMBER 2023 FOR FISCAL YEARS 2024-2026. THESE DOCUMENTS WILL GUIDE THE COMMUNITY BENEFIT WORK FOR THESE FISCAL YEARS. SAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL (SARRH) ADDRESSED ACCESS TO AFFORDABLE HEALTH CARE. IN FISCAL YEAR 2025 (FY25), SARRH FOCUSED ON IMPROVING ACCESS TO HEALTH CARE BY REMOVING BARRIERS AND PROVIDING SERVICES FOR THOSE WHO ARE POOR AND UNDERSERVED THROUGH PATIENT FINANCIAL ASSISTANCE. SARRH ACKNOWLEDGES THE WIDE RANGE OF PRIORITY HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS AND DETERMINED THAT IT COULD EFFECTIVELY FOCUS ON ONLY THOSE HEALTH NEEDS WHICH IT DEEMED MOST PRESSING, UNDER-ADDRESSED, AND WITHIN ITS ABILITY TO INFLUENCE. FOR THAT REASON, SARRH DID NOT ADDRESS THE FOLLOWING HEALTH NEEDS IN FY25: SAFE, AFFORDABLE HOUSING AND HOMELESSNESS - THIS NEED WAS NOT ADDRESSED BECAUSE IT IS BEING ADDRESSED BY OTHER ORGANIZATIONS AND ENTITIES WITHIN THE COMMUNITY, INCLUDING OTHER HOSPITALS WITHIN THE SAINT ALPHONSUS HEALTH SYSTEM THAT ARE ADDRESSING NEEDS IN BOISE, NAMPA, AND ONTARIO. BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND WELL-BEING AND SUBSTANCE MISUSE - THIS NEED WAS NOT ADDRESSED BECAUSE IT IS BEING ADDRESSED BY OTHER ORGANIZATIONS AND ENTITIES WITHIN THE COMMUNITY. HOWEVER, SARRH DOES OFFER PSYCHIATRIC AND NEUROPSYCHIATRIC SERVICES TO PATIENTS AS OUTLINED IN THE IMPLEMENTATION STRATEGY AND MAKES ADDITIONAL REFERRALS TO COMMUNITY PARTNER ORGANIZATIONS FOR PATIENTS AS NEEDED. SAINT ALPHONSUS REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, 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 DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE 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 ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS. SAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H: THE HOSPITAL RECOGNIZES THAT NOT ALL PATIENTS ARE ABLE TO PROVIDE COMPLETE FINANCIAL INFORMATION. THEREFORE, APPROVAL FOR FINANCIAL SUPPORT MAY BE DETERMINED BASED ON LIMITED AVAILABLE INFORMATION. WHEN SUCH APPROVAL IS GRANTED, IT IS CLASSIFIED AS "PRESUMPTIVE SUPPORT." EXAMPLES OF PRESUMPTIVE CASES INCLUDE: DECEASED PATIENTS WITH NO KNOWN ESTATE, HOMELESS PATIENTS, 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 DISADVANTAGED PATIENTS, A THIRD-PARTY MAY BE 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 ARE EXHAUSTED, THE PREDICTIVE MODEL PROVIDES A SYSTEMATIC METHOD TO GRANT PRESUMPTIVE ELIGIBILITY TO FINANCIALLY DISADVANTAGED PATIENTS. PART V, SECTION B, LINE 7A: SAINT ALPHONSUS REGIONAL MEDICAL CENTER:WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENTSAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL:WWW.ENCOMPASSHEALTH.COM/LOCATIONS/BOISEREHAB 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 7B: SAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL:WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT PART V, SECTION B, LINE 10A: SAINT ALPHONSUS REGIONAL MEDICAL CENTER:WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/IMPLEMENTATION-STRATEGYSAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL:WWW.SAINTALPHONSUS.ORG/ABOUT-US/COMMUNITY-BENEFIT/COMMUNITY-NEEDS-ASSESSMENT/IMPLEMENTATION-STRATEGY PART V, LINE 16A, FAP WEBSITE: SAINT ALPHONSUS REGIONAL MEDICAL CENTER:WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCESAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL:WWW.ENCOMPASSHEALTH.COM/LOCATIONS/BOISEREHAB/FINANCIAL-ASSISTANCE PART V, LINE 16B, FAP APPLICATION WEBSITE: SAINT ALPHONSUS REGIONAL MEDICAL CENTER:WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCESAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL:WWW.ENCOMPASSHEALTH.COM/LOCATIONS/BOISEREHAB/FINANCIAL-ASSISTANCE PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: SAINT ALPHONSUS REGIONAL MEDICAL CENTER:WWW.SAINTALPHONSUS.ORG/FOR-PATIENTS/AFTER-YOUR-VISIT/FINANCIAL-SERVICES/FINANCIAL-ASSISTANCESAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL:WWW.ENCOMPASSHEALTH.COM/LOCATIONS/BOISEREHAB/FINANCIAL-ASSISTANCE 50 1 - SAMG CLINICS - 1055 CURTIS 1055 N CURTIS RD BOISE ID 83706 PALLIATIVE CLINIC, OCC MED, RADIATION ONCOLOGY, WOUND & HYPERBARIC CARE 2 - SAMG MULVANEY BLDG 1072 N LIBERTY ST BOISE ID 83704 OBGYN, PEDS SURGERY SPECIALTY CARE, PEDIATRICS GEN SURGERY, BARIATRICS 3 - SAMG BOISE MOREAU 6140 W CURTISIAN AVE STE 100 200 BOISE ID 83704 CARDIOTHORACIC & HEART CARE 4 - SAMG CALDWELL 1906 FAIRVIEW AVE STE 430 CALDWELL ID 83605 GLYCEMIC, GYNECOLOGY ONCOLOGY, NEUROLOGY, PULMONARY & SLEEP MED, UROLOGY 5 - SAMG GARRITY CAMPUS 1150 N SISTER CATHERINE WAY NAMPA ID 83687 FAMILY MEDICINE, URGENT CARE, PEDIATRICS, OCC MED 6 - SAMG W EMERALD FAMILY MEDICINE 6051 W EMERALD ST BOISE ID 83704 FAMILY MEDICINE, URGENT CARE, OCC MED, ORTHO URGENT CARE 7 - SAMG 1075 N CURTIS HARTMAN BLDG 1075 N CURTIS RD STE 101 BOISE ID 83706 VASCULAR SERVICES, PULMONARY & SLEEP MEDICINE, PODIATRY 8 - SAMG GARRITY MOB 4400 E FLAMINGO AVE NAMPA ID 83687 PULMONARY & SLEEP MEDICINE, SPORTS MED, OBGYN, GYNECOLOGY ONCOLOGY 9 - SAMG CHERRY LANE 3025 W CHERRY LN MERIDIAN ID 83642 SLEEP MEDICINE, PULMONARY, URGENT CARE, FAMILY MED, STARS PHYSICAL THERAPY 10 - SAMG 12TH AVE CLINIC 1510 12TH AVE RD STE 200 NAMPA ID 83686 FAMILY MEDICINE, GLYCEMIC, GERIATRICS 11 - SAMG KARCHER CLINIC 11035 KARCHER RD NAMPA ID 83651 FAMILY MEDICINE, URGENT CARE 12 - SAMG ELM CLINIC 315 E ELM ST STE 100 CALDWELL ID 83605 PEDIATRICS, OCC MED, URGENT CARE, FAMILY MEDICINE, GERIATRICS, PODIATRY 13 - SAMG BHP CLINIC 2141 E PARKCENTER BLVD BOISE ID 83706 FAMILY MEDICINE, URGENT CARE, STARS PHYSICAL THERAPY 14 - SAMG STAR 10717 W STATE ST STAR ID 83669 FAMILY MEDICINE, URGENT CARE 15 - SAMG TRAUMA SERVICES 415 999 N CURTIS RD STE 415 BOISE ID 83706 TRAUMA SERVICES 16 - SAMG LAKE HAZEL 10583 W LAKE HAZEL RD BOISE ID 83709 FAMILY MEDICINE, OBGYN, URGENT CARE 17 - SAMG JOINT CENTER OF EXCELLENCE 6165 W EMERALD ST BOISE ID 83704 JOINT CENTER 18 - SAMG 900 N LIBERTY 900 N LIBERTY ST BOISE ID 83704 GYNECOLOGY ONCOLOGY, MATERNAL FETAL MEDICINE, NEUROSURGERY, TRAUMA 19 - SAMG OVERLAND FAMILY MEDICINE 10255 W OVERLAND RD BOISE ID 83709 FAMILY MEDICINE 20 - SAMG MCMILLAN FAMILY MEDICINE 12273 W MCMILLAN RD BOISE ID 83713 FAMILY MEDICINE 21 - SAMG HEART CAREGYN ONCSLEEP MEDICINE 1050 SW 3RD AVE STE 3200 ONTARIO OR 97914 HEART CARE, GYNECOLOGY ONCOLOGY, SLEEP MEDICINE 22 - SAMG PEDIATRICS MERIDIAN 3653 N LOCUST GROVE RD MERIDIAN ID 83646 PEDIATRICS 23 - SAMG KUNA FAMILY MEDICINE 757 E WYTHE CREEK CT STE 100 KUNA ID 83634 FAMILY MEDICINE & URGENT CARE 24 - SAMG W CHINDEN FAMILY MEDICINE 3217 W BAVARIA EAGLE ID 83616 FAMILY MEDICINE, PEDIATRICS, OBGYN 25 - SAMG BAKER CITY 3175 POCAHONTAS RD BAKER CITY OR 97814 HEART CARE, GYNECOLOGY ONCOLOGY, SLEEP MEDICINE 26 - SAMG EAGLE HEALTH PLAZA 323 E RIVERSIDE DR EAGLE ID 83616 HEART CARE, INTERNAL MEDICINE, GERIATRICS, STARS PHYSICAL THERAPY 27 - SAMG GLOBAL HEALTH 6533 W EMERALD ST BOISE ID 83704 OBGYN, FAMILY MEDICINE 28 - STARS PHYSICAL THERAPY-BOISE (CURTIS) 901 N CURTIS RD ST 204 BOISE ID 83706 PHYSICAL THERAPY 29 - SAMG GLYCEMIC BOISE 1000 N CURTIS RD STE 305 BOISE ID 83706 GLYCEMIC 30 - SAMG BEHAVIORAL HEALTH EMERALD 6348 W EMERALD ST BOISE ID 83704 BEHAVIORAL HEALTH 31 - SAMG RADIATION ONCOLOGY MERIDIAN 2855 E MAGIC VIEW DR MERIDIAN ID 83642 RADIATION ONCOLOGY 32 - SAMG INTERNAL MED AND GERIATRICS 5966 W CURTISIAN AVE BOISE ID 83704 INTERNAL MED & GERIATRICS 33 - SAMG HEARING AND BALANCE BOISE 6094 W EMERALD ST BOISE ID 83704 ENT, STARS PHYSICAL THERAPY 34 - TEN MILE ASC & TEN MILE URGENT CARE 875 S VANGUARD WAY MERIDIAN ID 83642 AMBULATORY SURGERY CENTER AND URGENT CARE 35 - SAMG NEUROLOGY FHP 910 NW 16TH ST STE 102 FRUITLAND ID 83616 NEUROLOGY 36 - STARS PHYSICAL THERAPY MERIDIAN PEDIATRI 179 SW 5TH AVE MERIDIAN ID 83642 PHYSICAL THERAPY 37 - SAMG MEDICAL OUTREACH 1202 E LOCUST EMMETT ID 83617 HEART CARE, MEDICAL ONCOLOGY 38 - SAMG RADIATION ONCOLOGY CALDWELL 3123 MEDICAL DR SUITE A CALDWELL ID 83605 RADIATION ONCOLOGY 39 - SAMG GLYCEMIC CHERRY LANE 3250 W CHERRY LN MERIDIAN ID 83642 GLYCEMIC 40 - STARS PHYSICAL THERAPY MERIDIAN TALUS 3875 E OVERLAND MERIDIAN ID 83642 PHYSICAL THERAPY 41 - STARS PHYSICAL THERAPY YMCA W BOISE 5959 N DISCOVERY PL BOISE ID 83713 PHYSICAL THERAPY 42 - STARS PHYSICAL THERAPY-BOISE LIBERTY CLI 717 N LIBERTY ST BOISE ID 83704 PHYSICAL THERAPY 43 - SAMG HEART CARE SUN VALLEY 15 W GALENA ST HAILEY ID 83333 HEART CARE 44 - SAMG HEART CARE CASCADE 402 LAKE CASCADE PKWY CASCADE ID 83611 HEART CARE 45 - SAMG HEART CARE WEISER 645 E 5TH ST WEISER ID 83674 HEART CARE 46 - STARS PHYSICAL THERAPY DOWNTOWN YMCA 1050 W STATE ST BOISE ID 83702 PHYSICAL THERAPY 47 - INTERMOUNTAIN MEDICAL IMAGING 927 WEST MYRTLE ST BOISE ID 83702 IMAGING SERVICES 48 - EAGLE HEALTH PLAZA 323 E RIVERSIDE DR EAGLE ID 83616 IMAGING SERVICES 49 - INTERMOUNTAIN MEDICAL IMAGING - MAGIC 2929 E MAGIC VIEW DR MERIDIAN ID 83642 IMAGING SERVICES 50 - CALDWELL CANCER CENTER 3123 MEDICAL DR CALDWELL ID 83605 CANCER CARE CENTER 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 TRINITY HEALTH'S WEBSITE AT WWW.TRINITY-HEALTH.ORG/OUR-IMPACT/COMMUNITY-HEALTH-AND-WELL-BEING. 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, $23,375,481, 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 FY25 COMMUNITY BUILDING ACTIVITIES ARE DESCRIBED BELOW:COMMUNITY SUPPORT: SARMC'S DISASTER READINESS TEAM WORKED TO ENSURE THAT BOTH THE HOSPITAL AND THE COMMUNITY ARE PREPARED TO RESPOND TO DISASTER SCENARIOS. SARMC'S SKI AND MOUNTAIN TRAUMA CONFERENCE ENSURED ADEQUATE TRAINING AND PREPARATION OF EMERGENCY RESPONDERS, INCLUDING SKI PATROLS, BACKCOUNTRY RESCUE, FIRE, AND EMS.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 LEADERS SERVED ON THE TREASURE VALLEY YMCA BOARD OF DIRECTORS AND GUIDED PARTNERSHIPS BETWEEN OUR ORGANIZATIONS. - SARMC LEADERS SERVED ON SEVERAL OTHER NON-PROFIT BOARDS, INCLUDING BUT NOT LIMITED TO THE AMERICAN HEART ASSOCIATION, FACES OF HOPE (FAMILY JUSTICE CENTER), WOMEN'S AND CHILDREN'S ALLIANCE (PREVENT DOMESTIC ABUSE), IDAHO VOICES FOR CHILDREN, AND IDAHO COMMUNITY HEALTH WORKERS ASSOCIATION.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. STAFF ALSO SERVED ON MAYOR MCLEAN'S COMMUNITY RESPONSE PLAN LEADERSHIP TEAM TO ESTABLISH PROTOCOLS FOR ADDRESSING TRAUMATIC EVENTS, SUCH AS YOUTH SUICIDE, ACROSS THE COMMUNITY.-SARMC 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; THE GOOD SAMARITAN HOME, WHICH PROVIDES LOW-INCOME HOUSING; AND SHIF, THE SUPPORTIVE HOUSING INVESTMENT FUND. SARMC PARTICIPATED IN A MONTHLY IDAHO HOUSING WORK GROUP TO DEVELOP POLICY AGENDAS THAT INCLUDED SUPPORT AND 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 14 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. ESTIMATED RECEIVABLES FROM THIRD-PARTY PAYERS ALSO INCLUDES AMOUNTS RECEIVABLE UNDER STATE MEDICAID PROVIDER TAX PROGRAMS."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: THE IRS COMMUNITY BENEFIT OBJECTIVES INCLUDE RELIEVING OR REDUCING THE BURDEN OF GOVERNMENT TO IMPROVE HEALTH. TREATING MEDICARE PATIENTS CREATES SHORTFALLS THAT MUST BE ABSORBED BY HOSPITALS, WHICH PROVIDE CARE REGARDLESS OF THIS SHORTFALL AND THEREBY RELIEVE THE FEDERAL GOVERNMENT OF THE BURDEN OF PAYING THE FULL COST FOR MEDICARE BENEFICIARIES. THEREFORE, THE HOSPITAL BELIEVES ANY MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT. TRINITY HEALTH AND ITS HOSPITALS REPORT AS COMMUNITY IMPACT THE LOSS ON MEDICARE AND A HOST OF MANY OTHER EXPENSES DESIGNED TO SERVE PEOPLE EXPERIENCING POVERTY IN OUR COMMUNITIES. SEE SCHEDULE H, PART VI, LINE 5 FOR MORE INFORMATION.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 26, 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 OFFERED TO PATIENTS ABOUT THEIR PAYMENT OBLIGATIONS AND HEALTH CARE 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 FOR FINANCIAL SUPPORT 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 LATINX (2022):ADA COUNTY - 83.1%CANYON COUNTY - 69.4%GEM COUNTY - 86.2%PERCENT HISPANIC/LATINX 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 (SIOH). 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 HAS AFFILIATION AGREEMENTS WITH A VARIETY OF LOCAL HIGH SCHOOLS, COLLEGES AND UNIVERSITIES INCLUDING BOISE STATE UNIVERSITY, COLLEGE OF IDAHO, COLLEGE OF SOUTHERN IDAHO, COLLEGE OF WESTERN IDAHO, IDAHO COLLEGE OF OSTEOPATHIC MEDICINE, IDAHO STATE UNIVERSITY, UNIVERSITY OF IDAHO AND NORTHWEST NAZARENE UNIVERSITY. 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 THE UNITED WAY OF TREASURE VALLEY (UWTV) TO ADDRESS COMMUNITY NEEDS INCLUDING HEALTH, EDUCATION, AND INCOME. SARMC EMPLOYEES PARTICIPATE IN UWTV WORK GROUPS TO EXPAND COMMUNITY SCHOOLS STATEWIDE AND TO DEVELOP AND PROMOTE FINDHELPIDAHO, A COMMUNITY RESOURCE DIRECTORY OF FREE AND REDUCED-COST COMMUNITY SERVICES PROVIDED ACROSS THE REGION. ADDITIONALLY, AS PART OF SAHS, SARMC OFFERED MENTAL HEALTH FIRST AID (MHFA) TRAINING 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 TRAINING WAS OFFERED.TRANSPORTATION HAS BECOME A GROWING NEED IN THE COMMUNITY. SARMC HAS PARTNERED WITH VALLEY REGIONAL TRANSIT (VRT) TO INVEST IN RIDES2WELLNESS, WHICH PROVIDES FREE TRANSPORTATION FOR PATIENTS TO AND FROM HEALTH CARE APPOINTMENTS IN ADA COUNTY. SARMC ALSO AIDED VRT'S BEYOND ACCESS TRANSPORTATION SERVICES FOR OLDER ADULTS AND PEOPLE WITH DISABILITIES. ADDITIONALLY, SARMC SAW AN INCREASE IN PATIENT AND COMMUNITY FOOD INSECURITY RATES IN THE REGION. IN PARTNERSHIP WITH DAIRY WEST, THE IDAHO FOODBANK, AND THE IDAHO DIAPER PANTRY, SARMC STARTED THE FIRST PATIENT FOOD AND DIAPER PANTRY ON THE BOISE CAMPUS FOR PATIENTS EXPERIENCING FOOD INSECURITY OR FINANCIAL INSECURITY NEEDING DIAPERS FOR THEIR YOUNG CHILDREN. SARMC EMPLOYEES GUEST LECTURE FOR NURSING, PUBLIC HEALTH AND OTHER LOCAL STUDENTS AT BOISE STATE UNIVERSITY ON THE CONNECTION BETWEEN SIOH AND HEALTH CARE OUTCOMES.SARMC IS COMMITTED TO BEING NOT ONLY A TRUSTED HEALTH CARE PARTNER FOR LIFE FOR OUR PATIENTS, BUT A PARTNER IN ADDRESSING THE LEADING SIOH BY WORKING IN COLLABORATION WITH GOVERNMENTAL AGENCIES, COMMUNITY-BASED ORGANIZATIONS, AND SERVICE PROVIDERS TO ENSURE WE ARE HELPING OUR COMMUNITIES NOT JUST TO SURVIVE BUT TO THRIVE. SARMC PLAYS AN ACTIVE ROLE IN COMMUNITY GROUPS SUCH AS THE TREASURE VALLEY YMCA BOARD OF DIRECTORS, TREASURE VALLEY ECONOMIC PARTNERSHIP (TVEP), IDAHO SUICIDE PREVENTION COALITION, IDAHO SUPPORTS MEDICAID COALITION, IDAHO HOSPITAL ASSOCIATION AND IDAHO MEDICAL ASSOCIATION, BOISE PUBLIC LIBRARY BOARD OF TRUSTEES, WESTERN IDAHO COMMUNITY HEALTH COLLABORATIVE, FINDHELP IDAHO STEERING COMMITTEE, AND THE OUR PATH HOME COMMUNITY RESOURCE COMMITTEE. SARMC ADDRESSED MANY OF THE LEADING SIOH IN THE COMMUNITY THROUGH THE HOUSING AND HOMELESSNESS WORK, SUPPORTING BEHAVIORAL HEALTH INITIATIVES, AND BY SCREENING AND REFERRING OUR PATIENTS WITH SOCIAL NEEDS (I.E. HOUSING, FOOD, TRANSPORTATION) TO LOCAL COMMUNITY PARTNERS AND RESOURCES TO ADDRESS SAID NEEDS THROUGH OUR COMMUNITY HEALTH WORKER HUB. THESE SERVICES ARE FREE AND AVAILABLE TO ANYONE IN THE COMMUNITY, REGARDLESS OF THEIR PATIENT STATUS WITH SARMC.SAINT ALPHONSUS REGIONAL REHABILITATION HOSPITAL IS A JOINT VENTURE BETWEEN ENCOMPASS HEALTH AND SAINT ALPHONSUS HEALTH SYSTEM (SAHS), WITH MAJORITY OWNERSHIP BY ENCOMPASS HEALTH. THE JOINT VENTURE PROVIDES A PORTION OF SURPLUS REVENUES TO SAHS WHICH IS USED TO REINVEST IN FACILITIES, TECHNOLOGY, AND MEDICAL SERVICES FOR THE COMMUNITY, COLLABORATE WITH COMMUNITY PARTNERS, AND INVEST IN NEEDED COMMUNITY PROGRAMS. IN FY25, TRINITY HEALTH ASSESSED THE TOTAL IMPACT ITS HOSPITALS HAVE ON COMMUNITY HEALTH. THIS ASSESSMENT INCLUDES TRADITIONAL COMMUNITY BENEFIT AS REPORTED IN PART I, COMMUNITY BUILDING AS REPORTED IN PART II, THE SHORTFALL ON MEDICARE SERVICES AS REPORTED IN PART III, AS WELL AS EXPENSES THAT ARE EXCLUDED FROM THE PART I COMMUNITY BENEFIT CALCULATION BECAUSE THEY ARE OFFSET BY EXTERNAL FUNDING. ALSO INCLUDED ARE ALL COMMUNITY HEALTH WORKERS, INCLUDING THOSE OPERATING IN OUR CLINICALLY INTEGRATED NETWORKS. OUR GOAL IN SHARING THE COMMUNITY IMPACT IS TO DEMONSTRATE HOW OUR CATHOLIC NOT-FOR-PROFIT HEALTH SYSTEM MAKES A DIFFERENCE IN THE COMMUNITIES WE SERVE - FOCUSING ON IMPACTING PEOPLE EXPERIENCING POVERTY - THROUGH FINANCIAL INVESTMENTS. SAINT ALPHONSUS HEALTH SYSTEM'S COMMUNITY IMPACT IN FY25 TOTALED $ 185.2 MILLION. 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 & WELL-BEING (CHWB) STRATEGY PROMOTES OPTIMAL HEALTH FOR PEOPLE EXPERIENCING POVERTY AND OTHER VULNERABILITIES IN THE COMMUNITIES WE SERVE - EMPHASIZING THE NECESSITY TO INTEGRATE CLINICAL AND SOCIAL CARE. TRINITY HEALTH CHWB TEAMS LEAD THE DEVELOPMENT AND IMPLEMENTATION OF TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) AND IMPLEMENTATION STRATEGIES WITH INTENTIONAL FOCUS ON ENGAGING COMMUNITIES AND RESIDENTS EXPERIENCING POVERTY AND OTHER VULNERABILITIES. TO FURTHER OUR COMMITMENT TO ACHIEVING HEALTH EQUITY AND THE COMMON GOOD, THE CHNA AND IMPLEMENTATION STRATEGIES FOSTER COLLECTIVE ACTION TO EQUITABLY ALLOCATE RESOURCES FROM THE HOSPITAL AND OTHER SOURCES TO ADDRESS THESE NEEDS IN COMMUNITIES MOST IMPACTED. 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 WE 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 2025 (FY25), TRINITY HEALTH CONTRIBUTED NEARLY $1.4 BILLION IN IRS-DEFINED COMMUNITY BENEFIT SPENDING TO AID THOSE WHO ARE EXPERIENCING POVERTY AND OTHER VULNERABILITIES, AND TO IMPROVE THE HEALTH STATUS OF THE COMMUNITIES IN WHICH WE SERVE. TRINITY HEALTH FURTHERED ITS COMMITMENT THROUGH AN ADDITIONAL $1.5 BILLION IN PROGRAMS AND INITIATIVES THAT IMPACT OUR COMMUNITIES - YIELDING A TOTAL COMMUNITY IMPACT OF $2.9 BILLION IN FY25.TRINITY HEALTH'S COMMUNITY INVESTING PROGRAM FINISHED FY25 WITH MORE THAN $68 MILLION COMMITTED TO BUILDING VITAL COMMUNITY RESOURCES. THESE FUNDS, IN COLLABORATION WITH 30 PARTNERS, WERE PAIRED WITH OTHER RESOURCES TO GENERATE MORE THAN $1.1 BILLION IN INVESTMENTS THAT SERVED COMMUNITIES WITHIN TRINITY HEALTH'S SERVICE AREAS. BETWEEN 2018 AND APRIL 2025, THESE INVESTMENTS HAVE BEEN INSTRUMENTAL IN CREATING MUCH-NEEDED COMMUNITY RESOURCES FOR THE PEOPLE THAT WE SERVE, NOTABLY:- SUPPORTED THE CREATION OF 15,700 UNITS OF AFFORDABLE HOUSING OVER THE LAST EIGHT YEARS (INCLUDING APPROXIMATELY 380 SUPPORTIVE HOUSING BEDS).- CREATED OR RETAINED AT LEAST 1,300 CHILDCARE SLOTS; 7,600 K-HIGH SCHOOL EDUCATION SLOTS; AND 2,400 EARLY CHILDHOOD EDUCATION SLOTS.- DEVELOPED AT LEAST 9.3 MILLION SQUARE FEET OF GENERAL REAL ESTATE OVER THE LAST EIGHT YEARS.- SINCE 2014, 920 STUDENTS HAVE RECEIVED $2.65 MILLION IN SCHOLARSHIPS THROUGH THE FRESNO STATE AND BOISE STATE SCHOLARSHIPS FUNDS.- APPROXIMATELY 12,900 FULL- AND PART-TIME POSITIONS HAVE BEEN EITHER CREATED OR MAINTAINED THROUGH PARTNER LENDING. IN FY25, OVER ONE MILLION PATIENTS SYSTEM-WIDE WERE SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AT THEIR DOCTOR'S OFFICE. OF THOSE SCREENED, 27.4% IDENTIFIED AT LEAST ONE NEED AND MOST OFTEN IDENTIFIED FOOD ACCESS, FINANCIAL INSECURITY AND SOCIAL ISOLATION. AN ADDITIONAL 137,000 PATIENTS WERE SCREENED FOR SOCIAL NEEDS DURING AN IN-PATIENT HOSPITAL STAY WHERE TOP NEEDS INCLUDED FOOD ACCESS, TRANSPORTATION AND HOUSING.TRINITY HEALTH'S ELECTRONIC HEALTH RECORD (EPIC) INCLUDES A STANDARD SCREENING TOOL FOR PATIENT SOCIAL NEEDS, AND AN INTEGRATED COMMUNITY RESOURCE DIRECTORY THROUGH FINDHELP TO CONNECT PATIENTS TO FREE AND REDUCED COST SUPPORT PROGRAMS. THE COMMUNITY RESOURCE DIRECTORY YIELDED OVER 118,000 SEARCHES, AN INCREASE OF 34% OVER THE PRIOR YEAR. TOP SEARCHES INCLUDED HOUSING, FOOD ACCESS AND HEALTH CARE. BY COMBINING THEIR LIVED EXPERIENCE AND CONNECTIONS TO THE COMMUNITY WITH EFFECTIVE TRAINING AND INCLUSION IN THE CARE TEAM, COMMUNITY HEALTH WORKERS (CHW) PROVIDE PATIENT-CENTERED AND CULTURALLY RESPONSIVE INTERVENTIONS. CHW'S HAVE MANY COMPETENCIES, INCLUDING PATIENT OUTREACH AND ENGAGEMENT, CONDUCTING ASSESSMENTS, RESOURCE CONNECTION, HEALTH AND SOCIAL SERVICES SYSTEM NAVIGATION, GOAL-SETTING AND PROBLEM-SOLVING THROUGH ONGOING EDUCATION, ADVOCACY AND SUPPORT. IN FY25, TRINITY HEALTH'S 162 CHW'S SUCCESSFULLY ADDRESSED OVER 16,300 SOCIAL NEEDS. ONE SOCIAL NEED (SUCH AS ADDRESSING HOUSING OR FOOD NEEDS) CAN OFTEN TAKE MONTHS, OR EVEN A YEAR TO RESOLVE. WITH FUNDING THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, TRINITY HEALTH WORKED WITH 23 PARTNERS AND 47 CERTIFIED LIFESTYLE COACHES NATIONWIDE TO DELIVER THE NATIONAL DIABETES PREVENTION PROGRAM, AN EVIDENCE-BASED, 12-MONTH LIFESTYLE CHANGE PROGRAM. THE GOAL OF THE PROGRAM IS TO LOSE A PERCENTAGE OF BASELINE WEIGHT, ATTEND SESSIONS REGULARLY, AND ENGAGE IN 150 MINUTES OF PHYSICAL ACTIVITY A WEEK. GROUP SESSIONS ARE FACILITATED BY A CDC CERTIFIED LIFESTYLE COACH AND OFFERED IN-PERSON, REMOTELY, OR VIRTUALLY AT A SELF-PACED RATE. ALL PARTICIPANTS ARE REGULARLY SCREENED FOR HEALTH-RELATED SOCIAL NEEDS AND ARE REFERRED TO A CHW TO ADDRESS IDENTIFIED NEEDS. IN FY25, TRINITY HEALTH CONDUCTED FOCUSED OUTREACH WITH NEARLY 165,000 ELIGIBLE PARTICIPANTS AND ENROLLED 1,074 PARTICIPANTS INTO THE LIFESTYLE CHANGE PROGRAM.FOR MORE INFORMATION ABOUT TRINITY HEALTH, VISIT WWW.TRINITY-HEALTH.ORG. PART VI, LINE 7, REPORTS FILED WITH STATES ID 1 VALLEY REGIONAL TRANSIT 700 NE 2ND ST STE 100 MERIDIAN ID 83642 820515697 GOVERNMENT ORG 10000 0 BEYOND ACCESS PROGRAM IDAHO DIAPER BANK INC 599 E KING ST STE 150 MERIDIAN ID 83642 465573014 501(C)(3) 8000 0 WOMEN OF VISION CITY OF BOISE PO BOX 500 FINANCIAL MGT DV BOISE ID 83701 826000165 GOVERNMENT ORG 281251 0 ALLUMBAUGH CONTRIBUTIONS IDAHO COMMUNITY FOUNDATION INC 210 W STATE ST BOISE ID 83702 820425063 501(C)(3) 103500 0 SUPPORT HOUSING INVESTMENT FUND WOMEN'S AND CHILDREN'S ALLIANCE 720 W WASHINGTON ST BOISE ID 83702 820204464 501(C)(3) 11025 0 FREEDOM LEVEL DONATION TREASURE VALLEY FAMILY YMCA 1177 W STATE ST BOISE ID 83702 820200908 501(C)(3) 10778 0 THRIVE PROGRAM THE JESSE TREE OF IDAHO 1121 W MILLER ST BOISE ID 83702 820534777 501(C)(3) 10000 0 HOMELESSNESS CATCH INC 503 S AMERICANA BLVD BOISE ID 83702 273483457 501(C)(3) 7500 0 HOUSING CRISIS FUND TO SUPPORT ADA COUNTY VICTIM SVCS CENTER 417 S 6TH ST BOISE ID 83702 993583965 501(C)(3) 7500 0 VICTIMS SERVICE CENTER BOISE METRO CHAMBER OF COMMERCE INC 1101 W FRONT ST STE 100 BOISE ID 83702 820100595 501(C)(6) 6449 0 GENERAL SUPPORT GEM STATE RADIOLOGY LLP PO BOX 84207 SEATTLE WA 98124 826041596 22569 0 BREAST CARE IMAGING FINCH I LLC 1100 W IDAHO ST STE 630 BOISE ID 83702 331607655 50000 0 FINCH HOUSING DEVELOPMENT 9 3 SHELTER 16 19397 OTHER MISC SUPPORT 1 63 TRANSPORTATION 6 776 MEDICAL SUPPLY 3 605 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 2286992 0 0 0 7211 0 20425 0 33440 0 2348068 0 0 ADAM GRIMALDI MD CARDIAC ELECTROPHYSIOLOGIST 0 1579330 0 0 0 744 0 16675 0 13862 0 1610611 0 0 CHRISTOPHER REISING MD SURGEON 0 1247667 0 115000 0 1925 0 20425 0 27493 0 1412510 0 0 ODETTE BOLANO PRES SAHS & CEO W REGION THR 6/24 0 490378 0 612176 0 275683 0 20425 0 10662 0 1409324 0 166379 BENEDICT TAYLOR MD CARDIOTHORACIC SURGEON 0 1323431 0 0 0 1778 0 16675 0 20095 0 1361979 0 0 MICHAEL RICH MD CARDIOLOGIST 0 1252710 0 0 0 1135 0 16675 0 32434 0 1302954 0 0 DAVID MCFADYEN DIR; PRES SAHS & CEO WEST REGION 0 566269 0 154307 0 80135 0 141071 0 39594 0 981376 0 64525 B LANNIE CHECKETTS TREASURER; SAHS VP, FINANCE AND CFO 0 447108 0 118519 0 63250 0 20425 0 33349 0 682651 0 0 STEPHANIE WESTERMEIER SECRETARY; SAHS VP & MANAGING CNSL 0 365865 0 120752 0 70128 0 20082 0 31404 0 608231 0 54560 PATRICE BURGESS MD CHIEF MEDICAL OFFICER THR 1/25 0 358485 0 66015 0 2418 0 20425 0 17572 0 464915 0 0 SCOTT CHRISTENSEN VICE PRESIDENT OF OPERATIONS 0 214176 0 42409 0 2744 0 17632 0 33616 0 310577 0 0 MARCIE HARPER VICE PRESIDENT OF FINANCE 0 220579 0 42619 0 216 0 15578 0 26841 0 305833 0 0 MICHAEL BORN MD FORMER KEY EMPLOYEE 0 170000 0 0 0 0 0 0 0 0 0 170000 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 2024. THIS AMOUNT IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ODETTE BOLANO - $81,444 THE FOLLOWING ARE PARTICIPANTS IN A TRINITY HEALTH SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) IN 2024. 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 2024, AND THEIR NON-VESTED BENEFITS FOR 2024 WERE ACCRUED. THE FOLLOWING PAYOUTS FOR 2024 FOR THE PLAN ARE INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: ODETTE BOLANO - $174,019 B. LANNIE CHECKETTS - $40,750 DAVID MCFADYEN - $67,488 STEPHANIE WESTERMEIER - $57,065 COLUMN F OF SCHEDULE J, PART II INCLUDES THE PORTION OF THESE AMOUNTS THAT WERE REPORTED AS DEFERRED COMPENSATION IN PRIOR YEARS. THE FOLLOWING ACCRUAL FOR 2024 IS INCLUDED IN COLUMN C OF SCHEDULE J, PART II: DAVID MCFADYEN - $124,396 THE FOLLOWING IS A PARTICIPANT IN A TRINITY HEALTH RESTORATION PLAN. THE RESTORATION PLAN PROVIDES RETIREMENT BENEFITS FOR CERTAIN TRINITY HEALTH SYSTEM OFFICE EXECUTIVES WITH EARNINGS ABOVE THE IRS PAY CAP FOR QUALIFIED PLANS ($345,000 FOR 2024). THE FOLLOWING PAYOUT FOR 2024 FOR THIS PLAN IS INCLUDED IN COLUMN B(III) OF SCHEDULE J, PART II: B. LANNIE CHECKETTS - $6,166 MARIA STICHT FAMILY MEMBER OF BEA BLACK, BOARD MEMBER 114918 EMPLOYMENT ARRANGEMENT 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 93491978 SARMC PERFORMED SERVICES FOR DONOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 7085129 SARMC PERFORMED SERVICES FOR DONOR 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 824836 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 600400 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 14567315 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 576881 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 840161 DONOR PROVIDED GOODS/SERVICES TO SARMC 0 X 91 DONOR PROVIDED VALUE X 46147 DONOR PROVIDED VALUE X IN-KIND DONATIONS 1132 338874 DONOR PROVIDED VALUE 0 1 1 PART I, LINE 32B: FOR ANY STOCK CONTRIBUTIONS RECEIVED, THE TREASURY DEPARTMENT OF TRINITY HEALTH, A RELATED ORGANIZATION, HAS ESTABLISHED A PROCESS TO WORK WITH ITS EXTERNAL BANK TO ENSURE THE SECURITIES ARE SOLD IN A TIMELY MANNER AND THE PROCEEDS ARE INVESTED FOR THE BENEFIT OF THE ORGANIZATION. 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, WHO COLLABORATES WITH INTERNAL LEGAL COUNSEL TO ASSESS THE CONFLICT AND IDENTIFY A CONFLICT MANAGEMENT PLAN WHEN NECESSARY. ADDITIONALLY, THE INTEGRITY AND COMPLIANCE OFFICER ALONG WITH 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 CERTAIN 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 TRINITY HEALTH'S WEBSITE. SARMC'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINES 5-9: INDIVIDUALS WHO WORK AT SARMC ARE ON THE PAYROLL OF A RELATED ORGANIZATION. THESE INDIVIDUALS' SALARIES AND BENEFITS ARE ALLOCATED TO SARMC AND ARE REPORTED ON PART IX, LINES 5 THROUGH 9. FORM 990, PART XI, LINE 9: ASSET IMPAIRMENT -347,491. EQUITY TRANSFERS TO AFFILIATES -7,986,602. EQUITY GAIN IN UNCONSOLIDATED AFFILIATES 21,667,722. EQUITY TRANSFER FROM AFFILIATE UPON ITS CONVERSION FROM CORP TO DISREGARDED ENTITY 156,705,745. FORM 990, PART XII, LINE 2: SARMC'S FINANCIAL STATEMENTS WERE INCLUDED IN THE FY25 CONSOLIDATED FINANCIAL STATEMENTS OF TRINITY HEALTH, WHICH WERE AUDITED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. 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