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St. Luke’s Health System

“One St. Luke’s” Serving Our Community




                                         1
More Than a Century of Caring: 1902-2010




         Our Mission

 “To improve the health of
   people in our region”

  Not-for-profit
  No investors or stockholders
  Community Ownership
  Community Governance
  Excess revenues reinvested in people, facilities, and technology
  Philanthropic support stays at St. Luke’s and in Idaho
                                                                      2
St. Luke’s Health System
A Brief History

• 1902 – St. Luke’s Hospital founded in Boise.

• 1928 – St. Luke’s opens new four-story hospital at the corner
  of Bannock and First Street.

• 1952 – St. Luke’s opens a new $1 million expansion becoming
  Idaho’s largest hospital with 245 beds.

• 1968 – Dr. Rodney Herr performs the first open-heart surgery in
  Idaho at St. Luke’s.

• 1972 – Mountain States Tumor Institute (MSTI) created.

• 1996 – St. Luke’s Meridian opens as outpatient facility.              St. Luke’s Hospital opened in this
                                                                        Boise home on December 1, 1902.
• 2000 – St. Luke’s Wood River opens.

• 2001 – St. Luke’s Meridian opens as full-service community hospital.

• 2006 – St. Luke’s and Magic Valley Regional Medical Center form
  partnership; St. Luke’s Health System is created with St. Luke’s
  Boise/Meridian, St. Luke’s Wood River, and St. Luke’s Magic Valley.

• 2007 – Construction of new St. Luke’s Magic Valley hospital begins.
                                                                                                        3
• 2010 – McCall Memorial Hospital joins St. Luke’s becoming St. Luke’s
  McCall.
St. Luke’s Health System 2011




  St. Luke’s Magic Valley                                                   St. Luke’s Meridian
         Beds: 226                                                               Beds: 165
      Employees: 1,891                                                       Employees: 1,322




                                         St. Luke’s Boise
                                             Beds: 403
                                        Employees: 5,646*



 St. Luke’s Wood River
                                                                              St. Luke’s McCall
        Beds: 25                                                                   Beds: 15
     Employees: 357                                                            Employees: 205
                            * Includes outlying clinics and system staff.
St. Luke’s Health System
   Idaho’s Largest Health Care Provider
With 5 hospitals and more than 100 clinics, St. Luke’s Health
System serves thousands of patients throughout southwest
and central Idaho and eastern Oregon.

Hospitals:
    Magic Valley
    Boise
    Meridian
    Wood River**
    McCall**

•Mountain States Tumor Institute:
    Magic Valley
    Fruitland
    Nampa
    Meridian
    Boise

•Managed Hospitals/Clinics:
        Gooding
        Mountain Home
        Stanley
        Weiser
        Challis                                                5
**Critical Access hospital
St. Luke’s Health System – A Community Asset

 • St. Luke’s is community-owned.

 • St. Luke’s is Idaho-based and Idaho-
   led.
     • The only Idaho-based health system.
     • Governed by a volunteer board of
       directors comprised of local
       community leaders.

 • St. Luke’s is not-for-profit.
    • 100 percent of net revenue is
      reinvested in the organization and the
      communities served.
    • St. Luke’s accepts all patients
      regardless of their ability to pay.
                                               6
Idaho’s Most Awarded Health System




   Recent Awards:

   • St. Luke’s MSTI designated as an
     National Cancer Institute
     Community Cancer Center
   • Consumer Choice Award –
     ongoing since 2001
   • Thomson Reuters 50 Hospital for
     Cardiovascular Care
   • Proud to be a Magnet-designated
     Hospital for Nursing Excellence    7
St. Luke’s Areas of Focus: The 3 E’s


•Excellence:
   •In all that we do
       People



•Efficiency:                    R
                                       S
                                E
   •Good stewards of our        L      T
     community’s resources
                  S
                         Q
                         U
                                A      E
                                       W
                  E             T
   •Lean implementation A
                  R             I      A
                   V     L      O      R
                   I     I      N      D
•Engagement:       C     T      S      S
                   E
   •Of employees and     Y      H      H
                                       I
                                I
   physicians                   P      P
   •Our people are St. Luke’s   S

   most valuable resource
                                           8
St. Luke’s Health System by the Numbers

St. Luke’s Boise               St. Luke’s McCall
• Babies Delivered: 4,211      • Babies Delivered: 83
• Inpatient Visits: 25,309     • Inpatient Visits: 456
• Outpatient Visits: 596,584   • Outpatient Visits: 67,304

St. Luke’s Magic Valley        St. Luke’s Meridian
• Babies Delivered: 1,719      • Babies Delivered: 1,185
• Inpatient Visits: 10,719     • Inpatient Visits: 10,046
• Outpatient Visits: 517,636   • Outpatient Visits: 311,067

                               St. Luke’s Wood River
                               • Babies Delivered: 232
                               • Inpatient Visits: 1,333
                               • Outpatient Visits: 74,873


FYE Numbers (9/30/2010)

                                                              9
St. Luke’s Health System Main Service Lines




 St. Luke’s is home to        First open-heart           Founded in 1971, MSTI
  Idaho’s only Children's       surgery in Idaho            has become Idaho’s
  Hospital.                     performed at St.            largest cancer care
                                Luke’s in December          provider.
 St. Luke’s Children’s         1968.
  Hospital at our Boise                                    St. Luke’s MSTI treats
  facility is a hospital       St. Luke's provides         approximately 800
  within a hospital.            cardiac care for heart      patients each day from
                                patients throughout         Idaho, Nevada, Utah,
 St. Luke’s Children’s         Idaho, and in parts of      and Oregon.
  Hospital has Idaho’s          Oregon, Nevada, and
  largest and most              Utah.                      St. Luke’s MSTI is one
  experienced Level III                                     of only 30 National
  Newborn Intensive Care       St. Luke's provides         Cancer Institute
  Unit and the state’s only     more heart procedures       Community Cancer
  Pediatric ICU and             than any other hospital     Centers.
  Hospital School.              in Idaho.                                            10
St. Luke’s Health System Core Values


• Integrity – Being honest; doing the right thing,
  even when no one is looking.

• Compassion – Acting to help others in need, and doing so with
  kindness and understanding.

• Accountability – Being responsible for your job duties, the quality of
  your work, and the consequences of your actions.

• Respect – Being considerate of other people, their property, and
  their point of view.

• Excellence – Always doing your best and doing what is best, in
  every situation.

                                                                           11
St. Luke’s Health System Vision




“St. Luke’s Health System will
    transform health care by
 aligning with physicians and
   other providers to deliver
  integrated, seamless, and
 patient-centered quality care
       across all St. Luke’s
            settings.”
                                  12
St. Luke’s Pillars of Excellence




                               R
                               E   S
                               L   T
                        Q      A   E
           P       S
               P   E    U      T   W
           E
               e   R    A      I   A
           O
               o   V    L      O   R
           P
               p   I    I      N   D
           L       C
               l        T      S   S
           E       E
               e        Y      H   H
                               I   I
                               P   P
                               S


                                       13
Our Income Comes from Three Places

 Operations

                  Debt (Loans)




                                 Philanthropy




                                                14
St. Luke’s Health System Financials




                                      15
Community Benefit




                         R
                         E   S
                         L   T
                     Q   A   E
         P       S
             P   E   U   T   W
         E
             e   R   A   I   A
         O
             o   V   L   O   R
         P
             p   I   I   N   D
         L       C
             l       T   S   S
         E       E
             e       Y   H   H
                         I   I
                         P   P
                         S


                                 16
St. Luke’s Health System Financial Objectives




Achieve / maintain characteristics of an “AA”
 rated organization:
  • Sufficient cash resources
  • Solid operating and cash flow margins
  • Appropriate level of capital spending
  • Appropriate debt structure


                                                17
St. Luke’s Health System Economic Impact


• Idaho’s largest private employer: 9,000+ jobs

• Annual salaries and benefits for employees: $450 million.

University of Idaho Economic Impact Study - 2009
Economic Multiplier Effect of St. Luke’s

• Produced nearly $1.87 billion in sales

• Generated more than 18,700 jobs

• Produced $36.7 million in sales and
  property taxes (indirect business taxes)

                                                              18
St. Luke’s Health System – Building for the future

• In 2007, St. Luke’s broke
  ground on the new Magic Valley
  Medical Center a $238 million,
  700,000 square foot facility on
  40 acres. The project was
  Idaho’s largest commercial
  construction project. The state-
  of-the-art hospital opened on
  May 21, 2011.

• St. Luke’s invested nearly $20
  million in two former Micron
  buildings to transform those
  building into a new central
  laboratory and central laundry
  facility that opened in March
  2011

• St. Luke’s also has invested
  several million dollars in
  expansions of its cardiac cath
  labs in Meridian and the
  development of Idaho’s first
  Cardiac Rehabilitation Center.                     19
St. Luke’s Health System – 2010 to 2020

 St. Luke’s must invest $1.28 billion over the
 next decade to continue providing the
 exceptional level of care that people of our
 communities expect and deserve.

 Philanthropy is critical to achieving our
 long-term goals.

     • We will work with community leaders and
       donors to raise $128 million over the next
       decade
                                                    20
Philanthropic Support




                            R
                            E   S
                            L   T
                        Q   A   E
          P       S
              P   E     U   T   W
          E
              e   R     A   I   A
          O
              o   V     L   O   R
          P
              p   I     I   N   D
          L       C
              l         T   S   S
          E       E
              e         Y   H   H
                            I   I
                            P   P
                            S


                                    21
St. Luke’s Health System – The Next 10 Years


• St. Luke’s MSTI will expand and enhance cancer care services
  ($150 million)

• St. Luke’s Heart will usher in the next generation of heart and
  vascular care ($200 million)

• St. Luke’s Children’s Hospital will expand its services to better
  meet the medical needs of children ($25 million)

• Additional regional Centers of Excellence including Women’s
  Services, Medical Surgical, Ortho/Neuro, and overall expansion
  of capacity ($100 million)

• One patient, one medical record ($100 million)
                                                                      22
St. Luke’s Meridian Medical Center
Campus Expansion Proposal


                                     New Mountain States
                                     Tumor Institute (MSTI)
                                     Flagship hospital
St. Luke’s Boise Medical Center
Campus Expansion Proposal


                                  New St. Luke’s
Peds Oncology
                                  Heart Hospital




 Children’s Hospital
 Expanded with its
 own branded
 entrance
St. Luke’s Health System
Perspective on Health Care Reform


• Positive:
   • 10 million – 30+ million more people with health
    insurance; coverage for folks with a pre-existing
    condition

• Concerns:
   • Cuts to Medicare and Medicaid to pay for “reform”
   • Provision of health insurance for all not supported by
     adequate supply of primary care providers and health
     care services
   • Likely increase in number of Medicaid beneficiaries.
     Medicaid doesn’t cover our costs.
                                                                 25
St. Luke’s Health System position paper: www.stlukesonline.org
St. Luke’s Health System Challenge
Becoming an Integrated Health Care System

Driven by the unified efforts of physicians,
community leaders and committed
employees St. Luke’s will provide:

  • A comprehensive health care delivery
    system with convenient, timely access
    to care providers.
  • Safe, effective and efficient care with a
    strong focus on wellness and
    prevention throughout our patient’s
    lives and across our health system.
  • Timely and convenient access to
    health care data across St. Luke’s
    Health System with a system-wide
    electronic record system (one patient,
    one record).                                26
The St. Luke’s Health System Promise



• We will focus on providing
  value to those we serve.
  Our aim is to achieve
  superior outcomes at the
  lowest possible cost.

• In all that we do – we will
  never lose sight of the
  reason we are here… to
  serve patients.

                                       27

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St. Luke's Overview

  • 1. St. Luke’s Health System “One St. Luke’s” Serving Our Community 1
  • 2. More Than a Century of Caring: 1902-2010 Our Mission “To improve the health of people in our region” Not-for-profit No investors or stockholders Community Ownership Community Governance Excess revenues reinvested in people, facilities, and technology Philanthropic support stays at St. Luke’s and in Idaho 2
  • 3. St. Luke’s Health System A Brief History • 1902 – St. Luke’s Hospital founded in Boise. • 1928 – St. Luke’s opens new four-story hospital at the corner of Bannock and First Street. • 1952 – St. Luke’s opens a new $1 million expansion becoming Idaho’s largest hospital with 245 beds. • 1968 – Dr. Rodney Herr performs the first open-heart surgery in Idaho at St. Luke’s. • 1972 – Mountain States Tumor Institute (MSTI) created. • 1996 – St. Luke’s Meridian opens as outpatient facility. St. Luke’s Hospital opened in this Boise home on December 1, 1902. • 2000 – St. Luke’s Wood River opens. • 2001 – St. Luke’s Meridian opens as full-service community hospital. • 2006 – St. Luke’s and Magic Valley Regional Medical Center form partnership; St. Luke’s Health System is created with St. Luke’s Boise/Meridian, St. Luke’s Wood River, and St. Luke’s Magic Valley. • 2007 – Construction of new St. Luke’s Magic Valley hospital begins. 3 • 2010 – McCall Memorial Hospital joins St. Luke’s becoming St. Luke’s McCall.
  • 4. St. Luke’s Health System 2011 St. Luke’s Magic Valley St. Luke’s Meridian Beds: 226 Beds: 165 Employees: 1,891 Employees: 1,322 St. Luke’s Boise Beds: 403 Employees: 5,646* St. Luke’s Wood River St. Luke’s McCall Beds: 25 Beds: 15 Employees: 357 Employees: 205 * Includes outlying clinics and system staff.
  • 5. St. Luke’s Health System Idaho’s Largest Health Care Provider With 5 hospitals and more than 100 clinics, St. Luke’s Health System serves thousands of patients throughout southwest and central Idaho and eastern Oregon. Hospitals: Magic Valley Boise Meridian Wood River** McCall** •Mountain States Tumor Institute: Magic Valley Fruitland Nampa Meridian Boise •Managed Hospitals/Clinics: Gooding Mountain Home Stanley Weiser Challis 5 **Critical Access hospital
  • 6. St. Luke’s Health System – A Community Asset • St. Luke’s is community-owned. • St. Luke’s is Idaho-based and Idaho- led. • The only Idaho-based health system. • Governed by a volunteer board of directors comprised of local community leaders. • St. Luke’s is not-for-profit. • 100 percent of net revenue is reinvested in the organization and the communities served. • St. Luke’s accepts all patients regardless of their ability to pay. 6
  • 7. Idaho’s Most Awarded Health System Recent Awards: • St. Luke’s MSTI designated as an National Cancer Institute Community Cancer Center • Consumer Choice Award – ongoing since 2001 • Thomson Reuters 50 Hospital for Cardiovascular Care • Proud to be a Magnet-designated Hospital for Nursing Excellence 7
  • 8. St. Luke’s Areas of Focus: The 3 E’s •Excellence: •In all that we do People •Efficiency: R S E •Good stewards of our L T community’s resources S Q U A E W E T •Lean implementation A R I A V L O R I I N D •Engagement: C T S S E •Of employees and Y H H I I physicians P P •Our people are St. Luke’s S most valuable resource 8
  • 9. St. Luke’s Health System by the Numbers St. Luke’s Boise St. Luke’s McCall • Babies Delivered: 4,211 • Babies Delivered: 83 • Inpatient Visits: 25,309 • Inpatient Visits: 456 • Outpatient Visits: 596,584 • Outpatient Visits: 67,304 St. Luke’s Magic Valley St. Luke’s Meridian • Babies Delivered: 1,719 • Babies Delivered: 1,185 • Inpatient Visits: 10,719 • Inpatient Visits: 10,046 • Outpatient Visits: 517,636 • Outpatient Visits: 311,067 St. Luke’s Wood River • Babies Delivered: 232 • Inpatient Visits: 1,333 • Outpatient Visits: 74,873 FYE Numbers (9/30/2010) 9
  • 10. St. Luke’s Health System Main Service Lines  St. Luke’s is home to  First open-heart  Founded in 1971, MSTI Idaho’s only Children's surgery in Idaho has become Idaho’s Hospital. performed at St. largest cancer care Luke’s in December provider.  St. Luke’s Children’s 1968. Hospital at our Boise  St. Luke’s MSTI treats facility is a hospital  St. Luke's provides approximately 800 within a hospital. cardiac care for heart patients each day from patients throughout Idaho, Nevada, Utah,  St. Luke’s Children’s Idaho, and in parts of and Oregon. Hospital has Idaho’s Oregon, Nevada, and largest and most Utah.  St. Luke’s MSTI is one experienced Level III of only 30 National Newborn Intensive Care  St. Luke's provides Cancer Institute Unit and the state’s only more heart procedures Community Cancer Pediatric ICU and than any other hospital Centers. Hospital School. in Idaho. 10
  • 11. St. Luke’s Health System Core Values • Integrity – Being honest; doing the right thing, even when no one is looking. • Compassion – Acting to help others in need, and doing so with kindness and understanding. • Accountability – Being responsible for your job duties, the quality of your work, and the consequences of your actions. • Respect – Being considerate of other people, their property, and their point of view. • Excellence – Always doing your best and doing what is best, in every situation. 11
  • 12. St. Luke’s Health System Vision “St. Luke’s Health System will transform health care by aligning with physicians and other providers to deliver integrated, seamless, and patient-centered quality care across all St. Luke’s settings.” 12
  • 13. St. Luke’s Pillars of Excellence R E S L T Q A E P S P E U T W E e R A I A O o V L O R P p I I N D L C l T S S E E e Y H H I I P P S 13
  • 14. Our Income Comes from Three Places Operations Debt (Loans) Philanthropy 14
  • 15. St. Luke’s Health System Financials 15
  • 16. Community Benefit R E S L T Q A E P S P E U T W E e R A I A O o V L O R P p I I N D L C l T S S E E e Y H H I I P P S 16
  • 17. St. Luke’s Health System Financial Objectives Achieve / maintain characteristics of an “AA” rated organization: • Sufficient cash resources • Solid operating and cash flow margins • Appropriate level of capital spending • Appropriate debt structure 17
  • 18. St. Luke’s Health System Economic Impact • Idaho’s largest private employer: 9,000+ jobs • Annual salaries and benefits for employees: $450 million. University of Idaho Economic Impact Study - 2009 Economic Multiplier Effect of St. Luke’s • Produced nearly $1.87 billion in sales • Generated more than 18,700 jobs • Produced $36.7 million in sales and property taxes (indirect business taxes) 18
  • 19. St. Luke’s Health System – Building for the future • In 2007, St. Luke’s broke ground on the new Magic Valley Medical Center a $238 million, 700,000 square foot facility on 40 acres. The project was Idaho’s largest commercial construction project. The state- of-the-art hospital opened on May 21, 2011. • St. Luke’s invested nearly $20 million in two former Micron buildings to transform those building into a new central laboratory and central laundry facility that opened in March 2011 • St. Luke’s also has invested several million dollars in expansions of its cardiac cath labs in Meridian and the development of Idaho’s first Cardiac Rehabilitation Center. 19
  • 20. St. Luke’s Health System – 2010 to 2020 St. Luke’s must invest $1.28 billion over the next decade to continue providing the exceptional level of care that people of our communities expect and deserve. Philanthropy is critical to achieving our long-term goals. • We will work with community leaders and donors to raise $128 million over the next decade 20
  • 21. Philanthropic Support R E S L T Q A E P S P E U T W E e R A I A O o V L O R P p I I N D L C l T S S E E e Y H H I I P P S 21
  • 22. St. Luke’s Health System – The Next 10 Years • St. Luke’s MSTI will expand and enhance cancer care services ($150 million) • St. Luke’s Heart will usher in the next generation of heart and vascular care ($200 million) • St. Luke’s Children’s Hospital will expand its services to better meet the medical needs of children ($25 million) • Additional regional Centers of Excellence including Women’s Services, Medical Surgical, Ortho/Neuro, and overall expansion of capacity ($100 million) • One patient, one medical record ($100 million) 22
  • 23. St. Luke’s Meridian Medical Center Campus Expansion Proposal New Mountain States Tumor Institute (MSTI) Flagship hospital
  • 24. St. Luke’s Boise Medical Center Campus Expansion Proposal New St. Luke’s Peds Oncology Heart Hospital Children’s Hospital Expanded with its own branded entrance
  • 25. St. Luke’s Health System Perspective on Health Care Reform • Positive: • 10 million – 30+ million more people with health insurance; coverage for folks with a pre-existing condition • Concerns: • Cuts to Medicare and Medicaid to pay for “reform” • Provision of health insurance for all not supported by adequate supply of primary care providers and health care services • Likely increase in number of Medicaid beneficiaries. Medicaid doesn’t cover our costs. 25 St. Luke’s Health System position paper: www.stlukesonline.org
  • 26. St. Luke’s Health System Challenge Becoming an Integrated Health Care System Driven by the unified efforts of physicians, community leaders and committed employees St. Luke’s will provide: • A comprehensive health care delivery system with convenient, timely access to care providers. • Safe, effective and efficient care with a strong focus on wellness and prevention throughout our patient’s lives and across our health system. • Timely and convenient access to health care data across St. Luke’s Health System with a system-wide electronic record system (one patient, one record). 26
  • 27. The St. Luke’s Health System Promise • We will focus on providing value to those we serve. Our aim is to achieve superior outcomes at the lowest possible cost. • In all that we do – we will never lose sight of the reason we are here… to serve patients. 27