St. Luke's Health System is Idaho's largest not-for-profit health system with more than 10,000 employees, six hospitals and more than 100 clinics.

1. St. Luke’s Health System
“One St. Luke’s” Serving Our Community
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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
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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.
• 2000 – St. Luke’s Wood River opens.
St. Luke’s Hospital opened in this
• 2001 – St. Luke’s Meridian opens as full-service community hospital. Boise home on December 1, 1902.
• 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.
• 2010 – McCall Memorial Hospital joins St. Luke’s becoming St. Luke’s McCall.
• 2011 – St. Benedict’s joins St. Luke’s becoming St. Luke’s Jerome.
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• 2012 – St. Luke’s opens St. Luke’s Nampa Medical Plaza

4. St. Luke’s Health System 2012
St. Luke’s Magic Valley St. Luke’s Meridian
St. Luke’s Boise Beds: 167
Beds: 228
Beds: 399 Employees: 1,372
Employees: 1,978
Employees: 6,035*
St. Luke’s Wood River St. Luke’s Jerome St. Luke’s McCall
Beds: 25 Beds: 25 Beds: 15
Employees: 379 Employees: 178 Employees: 222
* Includes, St. Luke’s Eagle Health Plaza, outlying MSTI and medical clinics, and system staff.

5. St. Luke’s Health System
Idaho’s Largest Health Care Provider
• 6 hospitals
• 100+ clinics
• 866 licensed beds
• 1,000+ physicians
• 10,000+ employees
• 1.8 million outpatient
visits each year
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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.
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7. Idaho’s Most Awarded Health System
Recent Awards:
• St. Luke’s MSTI designated as an
National Cancer Institute Community
Cancer Center
• St. Luke’s Boise Meridian Medical
Centers are a Health Grades
Distinguished Hospital for Clinical
Excellence™.
• 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
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9. St. Luke’s Health System by the Numbers
St. Luke’s Boise St. Luke’s McCall
• Babies Delivered: 4,158 • Babies Delivered: 83
• Inpatient Visits: 25,309 • Inpatient Visits: 456
• Outpatient Visits: 796,693 • Outpatient Visits: 67,304
St. Luke’s Magic Valley St. Luke’s Meridian
• Babies Delivered: 1,613 • Babies Delivered: 1,185
• Inpatient Visits: 10,719 • Inpatient Visits: 10,046
• Outpatient Visits: 518,567 • Outpatient Visits: 311,067
St. Luke’s Wood River
• Babies Delivered: 221
• Inpatient Visits: 1,333
• Outpatient Visits: 78,351
FYE Numbers (9/30/2011)
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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.
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12. Transforming Healthcare
St. Luke’s is transforming so that our patients
experience better health and better care at lower
cost, our Triple Aim.
VALUE
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13. Our Income Comes from Three Places
Operations
Debt (Loans)
Philanthropy
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14. SLHS Payer Mix
Medicare
38%
Medicaid Commercial
14% 40%
Other
4% Self Pay
4%
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15. Financial Summary – Last 5 Years
($ in 000's) FY7 FY8 FY9 FY10 FY11
Net Operating Revenue 834,432 898,237 988,552 1,082,195 1,296,938
Cash Flow (EBITDA) 122,902 107,843 134,252 136,189 181,284
Cash Flow Margin (EBITDA) 14.7% 12.0% 13.6% 12.6% 14.0%
Capital Plan 111,013 130,466 158,327 190,559 185,000
Ending Cash 238,067 244,468 487,694 433,552 417,594
Total Debt 228,221 257,661 533,327 531,172 527,124
Cash to Debt Position 9,846 (13,193) (45,633) (97,620) (109,530)
Days Cash on Hand 119 111 189 159 130
Debt to Capital 31.6% 32.4% 48.2% 45.7% 42.7%
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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
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17. St. Luke’s Health System Economic Impact
• Idaho’s largest private employer: 10,000+ 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)
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18. 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
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19. Future Investments in St. Luke’s Communities
• New Facility in Nampa – Hospital, ED, and Medical Plaza
• New Facility in Fruitland – Medical Plaza
• Electronic Medical Records – “One Patient, One Record”
• A new Healthy Living Center in Meridian
• Expanded Cancer Services in Meridian, Boise, Nampa, and Fruitland
• Expansion of downtown Boise campus
• Children’s Hospital expansion
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20. 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.
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St. Luke’s Health System position paper: www.stlukesonline.org

21. 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). 21

22. 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.
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