4A (Expenses $ 482993144 including grants of $ 949424) (Revenue $ 504372758)
Medical & SurgicalSt. Luke's Magic Valley Medical Center began as Twin Falls County Hospital in 1918, and in 2011 opened the doors of its 186-bed, 700,000 square-foot, state-of-the-art health care facility. Serving eight southern Idaho counties and parts of northern Nevada, St. Luke's Magic Valley provides inpatient and outpatient surgery, 24-hour emergency services, cancer treatment, imaging, inpatient and outpatient psychiatric and addiction services, women's and children's health care, inpatient and outpatient rehabilitation, home care, hospice and more.During Fiscal Year 2022, St. Luke's Magic Valley Regional Medical Center provided qualified inpatient care for 11,528 admissions covering 45,904 patient days. The hospital also provided care associated with 208,642 outpatient visits.St. Luke's Jerome Medical Center is a 25-bed critical access hospital that integrated with St. Luke's Health System in 2011. St. Luke's Jerome has a strong focus on emergency medicine, OB/GYN, family medicine, geriatric care, disease prevention and wellness. The former St. Benedicts opened in 1952 as to serve the people of south-central Idaho as a primary care facility. St. Luke's Jerome today builds on its proud heritage to meet the challenges of 21st century rural health care.During Fiscal Year 2022, St. Luke's Jerome provided patient care for 290 admissions covering 2,561 patient days. They also provided patient care associated with 19,340 outpatient visits.

4B (Expenses $ 13973914 including grants of $ 27469) (Revenue $ 14592468)
Behavioral HealthSt. Luke's Canyon View Behavioral Health Services, a 28-bed inpatient facility, provides treatment for adults over the age of 17. St. Luke's Canyon View offers intensive inpatient programs that address acute psychiatric issues in addition to medical detoxification from alcohol and drugs. Canyon View utilizes individual, family, and group counseling to address personal, family, emotional, psychiatric, behavioral, and addiction-related problems. Our wide variety of services allows Canyon View to carefully match the needs of each person who comes to us for help with the most appropriate, cost-effective level of care. The goal of our programs are to help people find positive solutions to resolve the challenges and crises in their lives. The service is staffed with a diverse group of dedicated, caring professionals. Psychiatrists and other physicians, psychologists, social workers, nurses, technicians, and discharge planners work as a team to provide comprehensive, personalized care to each person.During Fiscal Year 2022, Canyon View had 756 admissions covering 5,406 patient days.

4C (Expenses $ 4206002 including grants of $ 8268) (Revenue $ 4392180)
Comprehensive Rehabilitation and Therapy ServicesThe Gwen Neilson Anderson Rehabilitation Center at St. Luke's Magic Valley is a licensed, comprehensive, 14-bed acute inpatient rehabilitation center. Our inpatient unit provides state-of-the-art, evidenced-based rehabilitation care for patients requiring:- Intensive physical, occupational, and/or speech therapy (at least three hours per day).- Specialized 24-hour rehabilitative nursing in an inpatient setting.- Daily oversight by a medical doctor who specializes in physical medicine and rehabilitation (a physiatrist).- Individualized case management provided by a licensed social worker.Our rehabilitation services are highly coordinated to optimize clinical outcomes and maximize a patient's independence. All members of the rehabilitation team (physicians, therapists, nurses, case workers, etc.) meet daily to ensure that treatments are tailored to each patient's specific diagnosis and unique needs. Our inpatient programs include:- Spinal cord injury- Stroke- Brain injury- Neuromuscular diseases, such as multiple sclerosis, Guillain-Barre syndrome, and cerebral palsy- Orthopedics- Major multiple trauma- Amputation- Arthritis- Medically complex conditionsAll 14 inpatient rehabilitation rooms at St. Luke's are private, and designed specifically to enhance the safety, comfort, and independence of patients recovering from and adapting to a variety of injuries and illnesses. Room features include ADA design, bed-side environmental controls (lights, nurse call light, window shades, etc.), free wireless, broadband internet access, pull-out couch, and reclining chair for visiting family members, and video surveillance capability for patients with confusion due to brain injury, stroke, or other illness.The rehabilitation gymnasium in the Gwen Neilson Anderson Rehabilitation Center contains state-of-the-art equipment and design features. The spacious gym includes private treatment rooms for one-on-one therapy sessions and a large, open space for wheelchair training, advanced mobility training, and group interaction.The transitional apartment is a fully functional apartment in which patients can practice basic activities of daily living under the supervision of a trained therapist. The activity area offers a place for patients and their visitors to gather and engage in therapeutic recreation.During Fiscal Year 2022, the inpatient rehabilitation unit provided qualified inpatient care for 229 admissions covering 2,856 patient days.

Part V, Section B
Facility Reporting Group A

Facility Reporting Group A consists of:
- Facility 1: St Lukes Magic Valley Regional Medical Center, - Facility 2: St. Luke's Jerome

Group A-Facility 1 -- St Lukes Magic Valley Regional Medical C Part V, Section B, line 5:
A series of interviews with people representing the broad interests of our community are conducted in order to assist in defining, prioritizing, and understanding our most important community health needs. Many of the representatives participating in the process have devoted decades to helping others lead healthier lives. We sincerely appreciate the time, thought, and valuable input they provide during our CHNA process. The openness of the community representatives allow us to better explore a broad range of health needs and issues. The representatives we interview have significant knowledge of our community. To ensure they come from distinct and varied backgrounds, we include multiple representatives from each of the following categories:Category I: Persons with special knowledge of public health. This includes persons from state, local, and/or regional governmental public health departments with knowledge, information, or expertise relevant to the health needs of our community. Category II: Individuals or organizations serving or representing the interests of the medically underserved, low-income, and minority populations in our community. Medically underserved populations include populations experiencing health disparities or at risk populations not receiving adequate medical care as a result of being uninsured or underinsured or due to geographic, language, financial, or other barriers. Category III: Additional people located in or serving our community including, but not limited to, health care advocates, nonprofit and community-based organizations, health care providers, community health centers, local school districts, and private businesses. Each potential need is scored by the community representatives on a scale from negative six (-6) to six (6). A high score signifies the representative believes the health need is both important and needs to be addressed with additional resources. Lower scores typically mean the representative believes the need is relatively less important or that it is already being addressed effectively with the current set of programs and services available.Representatives from the following organizations were contacted and interviewed:1) Affiliation: Blue Cross of Idaho Foundation2) Affiliation: Boys & Girls Clubs of Magic Valley3) Affiliation: Buhl Drug4) Affiliation: City of Twin Falls5) Affiliation: College of Southern Idaho6) Affiliation: College of Southern Idaho7) Affiliation: Jerome County Commissioner8) Affiliation: Community Council of Idaho9) Affiliation: College of Southern Idaho - Refugee Center10) Affiliation: St. Luke's Health Partners11) Affiliation: Family Health Services12) Affiliation: Idaho Department of Health and Welfare13) Affiliation: Idaho Department of Health and Welfare14) Affiliation: Idaho Division of Public Health15) Affiliation: Idaho Food Bank16) Affiliation: Idaho Milk Products17) Affiliation: Idaho Office of Refugees18) Affiliation: Idaho Office of the Governor19) Affiliation: La Posada Inc.20) Affiliation: Murtaugh School District21) Affiliation: South Central Community Action Partnership22) Affiliation: South Central Public Health District23) Affiliation: St. Edwards Catholic Church24) Affiliation: St. Luke's Physicians Center - Buhl25) Affiliation: The Speedy Foundation26) Affiliation: Twin Falls County Commissioner27) Affiliation: Twin Falls School District28) Affiliation: United Way of South-Central Idaho29) Affiliation: University of Idaho Extension30) Affiliation: Wellness Tree Community Clinic

Group A-Facility 1 -- St Lukes Magic Valley Regional Medical C Part V, Section B, line 6a:
St. Luke's Jerome Hospital

Group A-Facility 1 -- St Lukes Magic Valley Regional Medical C Part V, Section B, line 11:
The following health needs received the highest score within each category, signifying the importance of addressing these needs to improve community health.Significant Health Needs(1) Health Behaviors - Nutrition Programs/Education/Opportunities(2) Clinical Care - Availability of Behavioral Health Services(3) Social and Economic Factors - Academic Achievement from Early Learning Through Post-Secondary Education(4) Physical Environment - Accessible Modes of TransportationThe following implementation plan illustrates the strategies St. Luke's and its community partners will employ in fiscal year 2023 to address the most significant health needs identified in our 2022 Community Health Needs Assessment for the Magic Valley area.(1) Health Behaviors - Nutrition Programs/Education/OpportunitiesMost Americans today do not have a healthy diet. The role of nutrition in chronic disease prevention and management is particularly crucial as diet is a modifiable risk factor for most chronic conditions.Improve availability and access to healthy foods.- Support community health workers and cultural liaisons within local foodbanks.- SNAP and WIC promotion and outreach.- Fresh Fruit and Veggies Prescription Program.Improve understanding, education and skills to utilize healthy foods.- Deliver and support healthy eating as well as nutrition education and skill buildingSupport sustainable systems to lessen instances and duration of food insecurity.- Identify and implement advocacy opportunities to address food/nutrition insecurity.- Explore value-based-care payment models and benefits design for nutrition support.(2) Clinical Care Availability of Mental and Behavioral Health ServicesAccording to the National Alliance on Mental Illness, nearly a quarter of Idahoans are living with a mental illness. Substance Abuse and Mental Health Services Administration reports that all Idaho counties have shortages of mental health professionals.Awareness, education and skill building.- Support delivery of gatekeeper trainings.- Provide and promote mental and behavioral health education.Population identification and intervention.- Support the community-school model.- Support school-based mental health initiatives.Increase access to mental and behavioral health services.- Participate and appropriately contribute to Governor's Behavioral Health Council.- Support co-location of mental and behavioral health services within community settings.- Build suicide prevention and postvention strategies.(3) Social and Economic Factors Academic Achievement From Early Learning to Post- Secondary EducationIdaho consistently ranks in the bottom quartile for education, nationally, and is 1 of only 6 states that doesn't require school districts to offer kindergarten. Access to high-quality early childhood learning promotes social-emotional development and advanced literacy, vocabulary and math skills.Increase quality early learning.- Support quality early learning programs.Increase academic supports within schools.- Support and expansion of the community-school model.Increase academic supports outside of school settings.- Help children become kindergarten ready.(4) Physical Environment Accessible Modes of TransportationThose facing the biggest transportation challenges are often those who are economically and/or socially marginalized, including lower income families, children and older adults. Ensuring access to transportation also improves access to healthier food options, medical care and employment.Create and maintain safe walking/biking paths and programs.- Completion of the Filer walking path.- School physical activity and nutrition mini grants.Support infrastructure for public transportation and shared ridership models.- Support entities that provide transportation solutions to the community

Group A-Facility 1 -- St Lukes Magic Valley Regional Medical C Part V, Section B, line 13b:
Financial Care: Eligible applicants will receive the following assistance:1. Full Discount: The full amount for eligible services will be covered under the Financial Care Policy for any patient or guarantor whose income is at or below 200 percent of the federal poverty level.2. Partial Discount: A sliding fee schedule will be used to determine the amount eligible for financial care assistance for any uninsured or underinsured patient or guarantor. For such applicants, assistance will be provided based on a combination of household income and assets. Partial discounts will be provided if the combination of income and assets is greater than 200 percent but equal to or less than 400 percent of the FPL. Assistance is granted only after all third-party reimbursement possibilities available to the applicant have been exhausted.3. Uninsured and underinsured individuals deemed medically indigent may qualify for a highly discounted rate.4. If the patient balance exceeds 30 percent of household income, patients will qualify for a one-time reduction.5. Assets for evaluation include, but are not limited to:a. home equity;b. IRAs, 403(b) accounts, 401k accounts, stocks/bonds;c. savings/money market accounts; andd. other investments (rental properties, etc.).WWW.STLUKESONLINE.ORG/RESOURCES/BEFORE-YOUR-VISIT/FINANCIAL-CARE

Group A-Facility 1 -- St Lukes Magic Valley Regional Medical C Part V, Section B, line 16j:
A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information.

Group A-Facility 2 -- St. Luke's Jerome Part V, Section B, line 5:
A series of interviews with people representing the broad interests of our community are conducted in order to assist in defining, prioritizing, and understanding our most important community health needs. Many of the representatives participating in the process have devoted decades to helping others lead healthier lives. We sincerely appreciate the time, thought, and valuable input they provide during our CHNA process. The openness of the community representatives allow us to better explore a broad range of health needs and issues. The representatives we interview have significant knowledge of our community. To ensure they come from distinct and varied backgrounds, we include multiple representatives from each of the following categories:Category I: Persons with special knowledge of public health. This includes persons from state, local, and/or regional governmental public health departments with knowledge, information, or expertise relevant to the health needs of our community. Category II: Individuals or organizations serving or representing the interests of the medically underserved, low-income, and minority populations in our community. Medically underserved populations include populations experiencing health disparities or at risk populations not receiving adequate medical care as a result of being uninsured or underinsured or due to geographic, language, financial, or other barriers. Category III: Additional people located in or serving our community including, but not limited to, health care advocates, nonprofit and community-based organizations, health care providers, community health centers, local school districts, and private businesses. Each potential need is scored by the community representatives on a scale from negative six (-6) to six (6). A high score signifies the representative believes the health need is both important and needs to be addressed with additional resources. Lower scores typically mean the representative believes the need is relatively less important or that it is already being addressed effectively with the current set of programs and services available.Representatives from the following organizations were contacted and interviewed:1) Affiliation: Blue Cross of Idaho Foundation2) Affiliation: Boys & Girls Clubs of Magic Valley3) Affiliation: Buhl Drug4) Affiliation: City of Twin Falls5) Affiliation: College of Southern Idaho6) Affiliation: College of Southern Idaho7) Affiliation: Jerome County Commissioner8) Affiliation: Community Council of Idaho9) Affiliation: College of Southern Idaho - Refugee Center10) Affiliation: St. Luke's Health Partners11) Affiliation: Family Health Services12) Affiliation: Idaho Department of Health and Welfare13) Affiliation: Idaho Department of Health and Welfare14) Affiliation: Idaho Division of Public Health15) Affiliation: Idaho Food Bank16) Affiliation: Idaho Milk Products17) Affiliation: Idaho Office of Refugees18) Affiliation: Idaho Office of the Governor19) Affiliation: La Posada Inc.20) Affiliation: Murtaugh School District21) Affiliation: South Central Community Action Partnership22) Affiliation: South Central Public Health District23) Affiliation: St. Edwards Catholic Church24) Affiliation: St. Luke's Physicians Center - Buhl25) Affiliation: The Speedy Foundation26) Affiliation: Twin Falls County Commissioner27) Affiliation: Twin Falls School District28) Affiliation: United Way of South-Central Idaho29) Affiliation: University of Idaho Extension30) Affiliation: Wellness Tree Community Clinic

Group A-Facility 2 -- St. Luke's Jerome Part V, Section B, line 6a:
St. Luke's Magic Valley Medical Center

Group A-Facility 2 -- St. Luke's Jerome Part V, Section B, line 11:
The following health needs received the highest score within each category, signifying the importance of addressing these needs to improve community health.Significant Health Needs(1) Health Behaviors - Nutrition Programs/Education/Opportunities(2) Clinical Care - Availability of Behavioral Health Services(3) Social and Economic Factors - Academic Achievement from Early Learning Through Post-Secondary Education(4) Physical Environment - Accessible Modes of TransportationThe following implementation plan illustrates the strategies St. Luke's and its community partners will employ in fiscal year 2023 to address the most significant health needs identified in our 2022 Community Health Needs Assessment for the Magic Valley area.(1) Health Behaviors - Nutrition Programs/Education/OpportunitiesMost Americans today do not have a healthy diet. The role of nutrition in chronic disease prevention and management is particularly crucial as diet is a modifiable risk factor for most chronic conditions.Improve availability and access to healthy foods.- Support community health workers and cultural liaisons within local foodbanks.- SNAP and WIC promotion and outreach.- Fresh Fruit and Veggies Prescription Program.Improve understanding, education and skills to utilize healthy foods.- Deliver and support healthy eating as well as nutrition education and skill buildingSupport sustainable systems to lessen instances and duration of food insecurity.- Identify and implement advocacy opportunities to address food/nutrition insecurity.- Explore value-based-care payment models and benefits design for nutrition support.(2) Clinical Care Availability of Mental and Behavioral Health ServicesAccording to the National Alliance on Mental Illness, nearly a quarter of Idahoans are living with a mental illness. Substance Abuse and Mental Health Services Administration reports that all Idaho counties have shortages of mental health professionals.Awareness, education and skill building.- Support delivery of gatekeeper trainings.- Provide and promote mental and behavioral health education.Population identification and intervention.- Support the community-school model.- Support school-based mental health initiatives.Increase access to mental and behavioral health services.- Participate and appropriately contribute to Governor's Behavioral Health Council.- Support co-location of mental and behavioral health services within community settings.- Build suicide prevention and postvention strategies.(3) Social and Economic Factors Academic Achievement From Early Learning to Post- Secondary EducationIdaho consistently ranks in the bottom quartile for education, nationally, and is 1 of only 6 states that doesn't require school districts to offer kindergarten. Access to high-quality early childhood learning promotes social-emotional development and advanced literacy, vocabulary and math skills.Increase quality early learning.- Support quality early learning programs.Increase academic supports within schools.- Support and expansion of the community-school model.Increase academic supports outside of school settings.- Help children become kindergarten ready.(4) Physical Environment Accessible Modes of TransportationThose facing the biggest transportation challenges are often those who are economically and/or socially marginalized, including lower income families, children and older adults. Ensuring access to transportation also improves access to healthier food options, medical care and employment.Create and maintain safe walking/biking paths and programs.- Completion of the Filer walking path.- School physical activity and nutrition mini grants.Support infrastructure for public transportation and shared ridership models.- Support entities that provide transportation solutions to the community

Group A-Facility 2 -- St. Luke's Jerome Part V, Section B, line 13b:
Financial Care: Eligible applicants will receive the following assistance:1. Full Discount: The full amount for eligible services will be covered under the Financial Care Policy for any patient or guarantor whose income is at or below 200 percent of the federal poverty level.2. Partial Discount: A sliding fee schedule will be used to determine the amount eligible for financial care assistance for any uninsured or underinsured patient or guarantor. For such applicants, assistance will be provided based on a combination of household income and assets. Partial discounts will be provided if the combination of income and assets is greater than 200 percent but equal to or less than 400 percent of the FPL. Assistance is granted only after all third-party reimbursement possibilities available to the applicant have been exhausted.3. Uninsured and underinsured individuals deemed medically indigent may qualify for a highly discounted rate.4. If the patient balance exceeds 30 percent of household income, patients will qualify for a one-time reduction.5. Assets for evaluation include, but are not limited to:a. home equity;b. IRAs, 403(b) accounts, 401k accounts, stocks/bonds;c. savings/money market accounts; andd. other investments (rental properties, etc.).WWW.STLUKESONLINE.ORG/RESOURCES/BEFORE-YOUR-VISIT/FINANCIAL-CARE

Group A-Facility 2 -- St. Luke's Jerome Part V, Section B, line 16j:
A Financial Care application is provided to the patient which contains Patient Financial Advocate contact information.

Part V, Section B, Line 7a:
https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments

Part V, Section B, Line 10a:
https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments

Part I, Line 3c:
Please refer to the disclosure for Part V, Section B, Line 13b - which describes methods used to determine eligibility for financial assistance.

Part I, Line 7:
The cost to charge ratio was used to calculate the financial assistance provided to the community. Other Community benefits come from a data repository maintained by St. Luke's Employees that tracks community benefit costs and hours.

Part I, Line 7g:
Subsidized services represent unreimbursed costs incurred (excluding the impact of unreimbursed Medicare and Medicaid) for the following services: Emergency and Trauma Services Home Care Palliative Care and Medicine Behavioral Health

Part 1, Line 7i, Cash and in-kind contributions for community benefit:
During the fiscal year 2022, St. Luke's administrated and dispensed the majority of community grants, cash, and in-kind donations at the system level. Those grants and donations were still awarded and continued to support health initiatives through all the communities we serve and were reported on form 990 for St. Luke's Health System.

Part 1, Line 5a, Discounted Care:
Financial assistance is provided to any qualifying patients, regardless of budget.

Part II, Community Building Activities:
St. Luke's is an active participant in the community, and provides support to address public health issues, and works with coalitions to address local health needs. St. Luke's takes on initiatives as need arises to help the long term development of the community particularly to shape and improve public health and access to medical services.

Part III, Line 2:
The Cost to Charge ratio method was used to calculate bad debt expense at cost.

Part III, Line 3:
St. Luke's has a very robust financial assistance program, therefore, no estimate is made for bad debt attributable to patients eligible under the financial assistance policy.

Part III, Line 4:
Per the audited financial statements in footnote three, St. Luke's grants credit without collateral to its patients, most of whom are local residents and many of whom are insured under third-party agreements. The allowance for estimated uncollectible amounts is determined by analyzing both historical information (write-offs by payor classification), as well as current economic conditions.

Part III, Line 8:
The source of the information is the Medicare Cost Report for fiscal year 2022. The amount is calculated by comparing the total Medicare apportioned costs (allowable costs) to payments (including IME and GME) received during FY'22.St. Luke's provides medical care to all patients eligible for Medicare regardless of the shortfall and thereby relieves the Federal Government of the burden for paying the full cost of Medicare.

Part III, Line 9b:
All subsidiaries within the St. Luke's Health System have policies in place to provide financial assistance to those who meet established criteria and need assistance in paying for the amounts billed for their provided health care services. In addition, the collection policies and practices in place within the St. Luke's Health System provide guidance to patients on how to apply for this assistance. Collection of amounts due may be pursued in cases where the patient is unable to qualify for charity care or financial assistance and the patient has the financial resources to pay for the billed amounts.

Part VI, Line 2:
"A Community Health Needs Assessment (CHNA) was conducted for the fiscal year ending 9/30/2022. Information related to the CHNA is shown in the responses to questions 3 and 7 of ""Part V, Section B, Facility Policies and Practices"".A complete copy of the CHNA assessments for all of the hospitals operating within the St. Luke's Health System can be found at the following website:https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessments"

Part VI, Line 3:
(A) St. Luke's provides notice of the availability of financial assistance via: 1. Signage 2. Patient brochure 3. Billing Statement 4. Written collection action letter 5. Online at www.stlukesonline.org/billing (B) Financial assistance policy is translated into the following language: Spanish (C) St. Luke's provides individual notice of the availability of financial assistance to a patient expected to incur charges that may not be paid in full by third party coverage, along with an estimate of the patient's liability. (D) For cases in which St. Luke's independently determines patient eligibility for financial assistance, St. Luke's provides written notice of determination that the patient is or is not eligible within 10 business days of receiving a completed application and the required supporting documentation.

Part VI, Line 4:
Twin Falls and Jerome counties represent the geographic area used to define the community we serve, also referred to here as our primary service area or service area. The criteria we use in selecting the service area is the identification of what counties our hospitalized patients reside in. Those counties that make up 70% or greater of the inpatient hospitalizations are identified as our service area.From St. Luke's Jerome CHNA (i.e., page 18). See link below for CHNA's: The residents of Jerome and Twin Falls counties comprise about 76% of our inpatients with approximately 55% of our inpatients living in Jerome County and 21% in Twin Falls County. Jerome and Twin Falls counties are part of Idaho HealthFrom St. Luke's Magic Valley (i.e., page 14). See link below for CHNA's: The residents of Twin Falls and Jerome counties comprise about 75% of our inpatients with approximately 62% of our inpatients living in Twin Falls County and 12% in Jerome County. Twin Falls and Jerome counties are part of Idaho Health.https://www.stlukesonline.org/about-st-lukes/supporting-the-community/community-health-needs-assessmentsBoth Idaho and our service area are comprised of about a 96% white population while the nation, as a whole, is 76% white. The Hispanic population in Idaho represents 13% of the overall population and about 22% of our defined service area. Jerome County is approximately 37% Hispanic, and Twin Falls County is 17% Hispanic.Idaho experienced a 14% increase in population from 2010 to 2019, ranking it as one of fastest growing states in the country. Jerome and Twin Falls counties have followed that trend, experiencing a 12% increase in population within that timeframe. St. Luke's Magic Valley is working to manage the volume and scope of services in order to meet the needs of a growing population.Over the past 10 years the population in all age groups has increased proportionately. Currently, about 15% of the people in our community are over the age of 65.The official United States poverty rate has been decreasing since 2012. Our service area poverty rate is increasing and higher than the national average. The poverty rate in Jerome County, a part of our service area, has seen increasing poverty rates for adults and children since 2017, with a rate higher than the national average.Median income in the United States has risen steadily since 2009 and at approximately the same rate in our service area during that period. However, median income in our service area is well below the national median and lower than Idaho's median income.

Part VI, Line 5:
The people who serve on the various boards for subsidiaries within the St. Luke's Health System are local citizens who have a vested interest in the health of their communities. These committed leaders volunteer on our boards because they are dedicated to ensuring that the people of southern Idaho and the surrounding area have access to the most advanced, most comprehensive health care possible. St. Luke's believes that locally owned and governed hospitals can take the best measure of community health care needs. We are grateful to our board leadership for giving generously of their time and talents and bringing to the table their unique perspectives and intimate knowledge of their communities. St. Luke's would not be the organization it is today without our volunteer board members. The vision of dedicated community leaders has guided St. Luke's for many decades, and will continue to guide us well into the future. As a not-for-profit organization,100% of St. Luke's revenue after expenses is reinvested in the organization to serve the community in the form of staff, buildings, or new technology. Also, St. Luke's Magic Valley Regional Medical Center, Ltd. maintains an open medical staff. Any physician can apply for practicing privileges as long as they meet the standards for St. Luke's Magic Valley Regional Medical Center, Ltd.

Part VI, Line 6:
"As the only Idaho-based not-for-profit health system, St. Luke's Health System is part of the communities we serve, with local physicians and boards who further our organization's mission ""To improve the health of people in the communities we serve."" Working together, we share resources, skills, and knowledge to provide the best possible care, no matter which of our hospitals provide that care. Each St. Luke's Health System hospital is nationally recognized for excellence in patient care, with prestigious awards and designations reflecting the exceptional care that is synonymous with the St. Luke's name. St. Luke's Health System provides facilities and services across the region, covering a 150-mile radius that encompasses southern and central Idaho, northern Nevada, and eastern Oregon-bringing care close to home and family. The following entities are part of the St. Luke's Health System: (1) St. Luke's Regional Medical Center, Ltd. with the following locations: --St. Luke's Boise Hospital --St. Luke's Meridian Hospital --St. Luke's Children's Hospital --St. Luke's Boise/Meridian/Caldwell/Fruitland Physician Clinics --St. Luke's Eagle Urgent Care --St. Luke's Elmore Hospital with physician clinic --St. Luke's Fruitland Emergency Department/Urgent Care (2) St. Luke's Wood River Medical Center, Ltd. which consists of a critical access hospital located in Ketchum, Idaho as well as various physician clinics (3) St. Luke's Magic Valley Regional Medical Center, Ltd. which consists of the following: --St. Luke's Magic Valley Hospital-Twin Falls, Idaho --Various St. Luke's Physician Clinics in Twin Falls --Canyon View-(Behavioral Health) --St. Luke's Jerome Hospital-Jerome, Idaho --Various Physician clinics in Jerome (4) St. Luke's McCall, Ltd. which consists of a critical access hospital located in McCall, Idaho as well as various physician clinics. (5) St. Luke's Nampa Medical Center, Ltd. which consists of a critical access hospital located in Nampa, Idaho as well as various physician clinics. St. Luke's physician clinics and services are provided in partnership with area physicians and other health care professionals. These include: Cardiovascular; Child Abuse and Neglect Evaluation; Endocrinology; Ear, Nose, and Throat; Family Medicine; Gastroenterology; General Surgery; Hypertensive Disease; Internal Medicine; Maternal/Fetal Medicine; Medical Imaging; Metabolic and Bariatric Surgery; Nephrology; Neurology; Neurosurgery; Obstetrics/Gynecology; Occupational Medicine; Orthopedics; Outpatient Rehabilitation; Plastic Surgery; Psychiatry and Addiction; Pulmonary Medicine; Sleep Disorders; and Urology. In addition, St. Luke's works with other regional facilities, including Weiser Memorial Hospital and Salmon River Clinic, through a combination of management and other contracts for select specified services."

Part VI, Line 7, Reports Filed With States
ID