St. Luke's Health System

What it reported doing in 2024

Medical & Surgical: St. Luke's Regional Medical Center is comprised of three hospital campuses (Boise, Meridian and Elmore in Mountain Home), two urgent care centers (Eagle and Fruitland), a free-standing emergency department in Fruitland and physician clinics throughout the Treasure Valley. St. Luke's Boise/Meridian: Founded in 1902, St. Luke's Boise Medical Center in downtown Boise is St. Luke's main tertiary hospital and the home of St. Luke's Children's Hospital. Surrounding the campus are various medical office buildings that SLRMC either is affiliated with or owns substantially all of the available space within. Most of the available space is utilized by employed physicians or leased to other physician practices. St. Luke's Boise has 430 licensed beds as of 2024 and is the largest healthcare facility in the State of Idaho. In 2023, St. Luke's Boise expanded operation of its inpatient rehabilitation unit by doubling capacity to 38 beds, spanning two floors. The hospital is in the midst of an ongoing, significant expansion meant to enhance infrastructure and address the growing demand for healthcare services in the Treasure Valley. Significant components within the project include construction of a north tower, medical office plaza, renovations of existing spaces and significant new equipment.St. Luke's Meridian is a 550,000-square foot facility that opened as an outpatient facility in 1996 and in 2001 expanded into a full-service community hospital. The hospital has 157 licensed beds and is designated as a Level IV Trauma Center; attached to and surrounding St.Luke's Meridian are medical offices, the majority of which SLRMC operates through owned or leased space. Substantially all available space is utilized by employed physicians or leased to other physician practices. In Fiscal Year 2025, St. Luke's Boise and Meridian provided inpatient care for 38,816 admissions and care associated with 1.98 million outpatient visits. St. Luke's Boise and Meridian Medical Centers, St. Luke's cancer centers and all St. Luke's physician clinics in the Treasure Valley have received Magnet recognition, the gold standard for nursing excellence. St. Luke's Elmore: Formerly Elmore Medical Center, the hospital was founded in 1955 and became St. Luke's Elmore Medical Center when it integrated with the health system in 2013. St. Luke's Elmore is a 60,000-square-foot hospital located in Mountain Home, designated by the Centers for Medicare and Medicaid Services as a Critical Access Hospital providing essential health care services to a rural community, with 25 licensed beds as of 2025. The hospital provides 24-hour emergency services, lab and imaging services, family birthing suites, inpatient acute care, outpatient clinics and services, respiratory therapy and a long-term care unit. St. Luke's Elmore operates using facilities owned by Elmore Medical Center Hospital District and leased to SLRMC. The hospital is a health care option for personnel affiliated with the nearby Air Force Base and provides skilled nursing and rehabilitation care in its long-term care unit, a Medicare-certified skilled nursing facility. In Fiscal Year 2025, St. Luke's Elmore provided inpatient care for 896 admissions and care associated with 80,214 outpatient visits.

Financial Efficiency

• Mission deployment rate: 87.5%; rating input score 88
• Program expense ratio: 93.1%; rating input score 93
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
  • Compensation committee: Missing
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Missing
  • Compensation survey or study: Missing
  • Board or committee approval: Missing
• Foreign activity oversight: Scored; rating input score 0
• Grant itemization coverage: 99.5%; rating input score 99; 41st percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 93.8%; rating input score 94; 44th percentile among comparable filings
• Governance controls: 7 of 9 controls in place; rating input score 78
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Fail
  • Other executive compensation review process: Fail
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 6.4%; rating input score 62; 62nd percentile among comparable filings
• Total-asset coverage ratio: 0.84; rating input score 33; 33rd percentile among comparable filings
• Liabilities to assets ratio: 0.29; rating input score 57; 57th percentile among comparable filings
• Officer compensation ratio: 0%; rating input score 95; 95th percentile among comparable filings

Growth

• Program expense growth: 8.4% per year; rating input score 100; 66th percentile among comparable filings
• Revenue growth: 8.6% per year; rating input score 100; 70th percentile among comparable filings
• Asset growth: 5.4% per year; rating input score 100; 39th percentile among comparable filings