2023-10-31T11:34:37-05:00 2022-12-31 990 2022-01-01 840482695 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION BRIG 3034981600 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 TROY STOEHR VP FINANCE & CFO 3034981600 2023-10-24 TROY STOEHR 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z PLATTE VALLEY MEDICAL CENTER JAMIE CAMPBELL 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 195759464 0 X SEE SCHEDULE O X 1958 CO HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. 17 14 1197 65 98396 0 2703942 911869 176302493 189408781 3046510 1964741 1945510 1487371 183998455 193772762 214379 595521 0 0 73789378 85623180 0 0 0 105441366 120857168 179445123 207075869 4553332 -13303107 301542275 214738859 80752846 72592054 220789429 142146805 X HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. 0 0 177528903 595521 189894672 IN 1960, THE CITY OF BRIGHTON WANTED TO BRING HEALTHCARE TO OUR COMMUNITY. THEY FORMED AUXILIARY TEAMS, RALLIED TROOPS, AND WENT DOOR TO DOOR UNTIL THEY RAISED $500,000 TO OPEN BRIGHTON COMMUNITY HOSPITAL (BCH) IN 1960. BCH BECAME THE FIRST PRIVATE GENERAL MEDICAL-SURGICAL HOSPITAL IN ADAMS AND SOUTHERN WELD COUNTIES AND COLORADO'S FIRST TWO-STAGE HOSPITAL-NURSING HOME MEDICAL UNIT LICENSED UNDER ONE ROOF. IN 1980, BCH BECAME PLATTE VALLEY MEDICAL CENTER.WE AFFILIATED WITH SCL HEALTH IN 2015 TO STRENGTHEN OUR POSITION AND DELIVER MORE ADVANCED CARE THROUGH THE EXPANSION OF SPECIALTIES AND SERVICES. OUR WORK IS A REFLECTION OF OUR CARE AND CONCERN FOR EVERYONE.ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFLIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA.AS PART OF INTERMOUNTAIN HEALTH (INTEGRATED HEALTH SYSTEM), PLATTE VALLEY MEDICAL CENTER HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL.PLATTE VALLEY MEDICAL CENTER HAS A VARIETY OF PROGRAMS AND SERVICES TO SERVE THE COMMUNITY INCLUDING BUT NOT LIMITED TO:- CANCER CARE- EMERGENCY AND TRAUMA SERVICES- FAMILY MEDICINE- HOSPICE AND PALLIATIVE CARE- IMAGING- LABOR AND DELIVERY- ORTHOPEDICS- SPORTS MEDICINE- SURGERY CENTER- THERAPY AND REHAB SERVICES- WALK-IN CARE 7 DAYS A WEEK- WOMEN'S HEALTH SERVICESDURING 2022, PLATTE VALLEY MEDICAL CENTER HAD THE FOLLOWING RESULTS:ADMISSIONS 3,487OUTPATIENT VISITS 108,091EMERGENCY DEPARTMENT VISITS 29,729BIRTHS - 801SURGERIES 3,622LABORATORY TESTS 303,819MISSION, VISION, & VALUES MISSION: HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE.VISION: BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST.VALUES: INTEGRITY: WE ARE PRINCIPLED, HONEST, AND ETHICAL, AND WE DO THE RIGHT THING FOR THOSE WE SERVE.TRUST: WE COUNT ON AND SUPPORT ONE ANOTHER INDIVIDUALLY AND AS TEAM MEMBERS.EQUITY: WE ELIMINATE DISPARITIES AND CREATE OPPORTUNITIES FOR CAREGIVERS, PATIENTS, MEMBERS, AND COMMUNITIES TO THRIVE.EXCELLENCE: WE PERFORM AT THE HIGHEST LEVEL, ALWAYS LEARNING AND LOOKING FOR WAYS TO IMPROVE.ACCOUNTABILITY: WE ACCEPT RESPONSIBILITY FOR OUR ACTIONS, ATTITUDES AND HEALTH.MUTUAL RESPECT: WE EMBRACE DIVERSITY AND TREAT ONE ANOTHER WITH DIGNITY AND EMPATHY.OUR FUNDAMENTALS OF CARE INCLUDE:SAFETY: ENSURE PATIENTS, MEMBERS, AND CAREGIVERS ARE ALWAYS SAFE.QUALITY: DELIVER EVIDENCE-BASED CARE THAT MEETS EACH INDIVIDUAL'S HEALTH GOALS AND LEADS TO TOP PERFORMANCE.EXPERIENCE: DELIVER THE BEST CONSUMER EXPERIENCE.EQUITY: ELIMINATE DISPARITY AND CREATE OPPORTUNITIES FOR CAREGIVERS,PATIENTS, MEMBERS, AND COMMUNITIES TO THRIVE.ACCESS: PROVIDE CARE AND INFORMATION WHERE, WHEN, AND HOW OUR CONSUMERS PREFER, WITH SEAMLESS COORDINATION ACROSS THE SYSTEM.STEWARDSHIP: BE AN INDISPENSABLE COMMUNITY PARTNER, ACHIEVING THE HEALTHIEST COMMUNITIES WITH COST PER PERSON AMONG THE LOWEST IN THE NATION. BE A FINANCIALLY SOUND, FOREVER ORGANIZATION.ENGAGED CAREGIVERS: CREATE AN UNPARALLELED CAREGIVER EXPERIENCE THAT SUPPORTS US IN DELIVERING ON THE FUNDAMENTALS OF EXTRAORDINARY CARE AND SERVICE.GROWTH: ACHIEVE PURPOSEFUL GROWTH AND INNOVATE TO ENSURE OUR ABILITY TO BE A MODEL HEALTH SYSTEM.AWARDS AND RECOGNITIONPLATTE VALLEY MEDICAL CENTER HAS EARNED A 4-STAR RATING WHEN IT COMES TO PATIENT EXPERIENCE AS REPORTED BY CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS).PLATTE VALLEY MEDICAL CENTER IS PROUD TO HAVE RECEIVED AN 'A' GRADE IN SPRING 2022 FROM THE LEAPFROG GROUP FOR HOSPITAL SAFETY. THE LEAPFROG GROUP IS A WASHINGTON D.C. BASED ORGANIZATION AIMING TO IMPROVE HEALTHCARE QUALITY AND SAFETY FOR CONSUMERS AND PURCHASERS. THE LEAPFROG GROUP ASSIGNS LETTER GRADES BASED ON NUMEROUS HEALTH CARE QUALITY MEASURES.THE AMERICAN HEART ASSOCIATION AND AMERICAN STROKE ASSOCIATION RECOGNIZED PLATTE VALLEY MEDICAL CENTER WITH GOLD PLUS QUALITY ACHIEVEMENT AWARD, TARGET STROKE ELITE PLUS HONOR ROLE, AND TARGET TYPE 2 DIABETES HONOR ROLL AWARDS IN 2022 FOR THEIR CONTINUED SUCCESS FOLLOWING GUIDELINES TO SPEED RECOVERY AND REDUCE DEATH AND DISABILITY FOR STROKE PATIENTS.PLATTE VALLEY MEDICAL CENTER RECEIVED THE CHEST PAIN MI REGISTRY AWARD IN 2022 FROM THE AMERICAN COLLEGE OF CARDIOLOGY WHICH RECOGNIZES HOSPITALS THAT HAVE TOP-LEVEL PERFORMANCE IN THEIR CARE OF PATIENTS WHILE ADHERING TO THEIR SPECIFIC GUIDELINE RECOMMENDATIONS. 177528903 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 X 0 0 1 1197 1 1 1 0 0 0 0 0 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 1 1 1 0 X COLIN QUINCY 8014423491 36 SOUTH STREET SALT LAKE CITY UT 84111 TAJQUAH HUDSON DIRECTOR 1/1-4/27/22 1.00 51.00 X 0 1416515 292209 SHAWN DUFFORD MD DIRECTOR 1/1-2/23/22 1.00 51.00 X 0 1250773 108966 MATTHEW GAWART MD PHYSICIAN COMP PLAN 50.00 0.00 X 1046552 0 24926 DANIEL HAMMAN MD PHYSICIAN COMP PLAN 50.00 0.00 X 991804 0 53738 CHRISTOPHER AWTREY MD DIRECTOR 5/25-12/31/22 1.00 50.00 X 0 683130 194188 JOHN MANGELSON MD PHYSICIAN COMP PLAN 50.00 0.00 X 762358 0 37327 AARON BAXTER MD PHYSICIAN COMP PLAN 50.00 0.00 X 737868 0 41274 KYLE HAFFNER MD PHYSICIAN COMP PLAN 50.00 0.00 X 617004 0 38833 SEAN FADDEN FORMER OFFICER 0.00 51.00 X 0 472817 127656 PRAKASH KARKI MD VP CHIEF MEDICAL OFFICER PVMC 50.00 0.00 X 407748 0 150979 KURT GENSERT VP CHIEF OPERATING/NURSING OFFICER PVMC 50.00 1.00 X 426412 0 122304 JAIME CAMPBELL CEO/PRESIDENT 1/17-12/31/22 50.00 1.00 X X 432863 0 80523 CARL MOSS DIRECTOR 5/25-12/31/22 1.00 51.00 X 0 313281 90324 JOHN HICKS CEO/PRESIDENT 1/1 - 1/7/22 50.00 1.00 X X 300080 0 80983 TROY STOEHR VP FINANCE PVMC 25.00 25.00 X 234341 0 90234 JEFF BERNARD VICE CHAIR 3.00 0.00 X X 100 0 0 PRADEEP DHAR MD DIRECTOR 1.00 0.00 X 100 0 0 ANGELO DILULLO MD DIRECTOR 7/1-12/31/22 1.00 0.00 X 100 0 0 HUY DUONG DIRECTOR 1.00 0.00 X 100 0 0 MIKE DOLAN DIRECTOR 1.00 0.00 X 100 0 0 BOB FEIS PAST CHAIR 3.00 0.00 X X 100 0 0 RICHARD GONZALES DIRECTOR 1.00 0.00 X 100 0 0 FAYE HUMMEL DIRECTOR 1.00 2.00 X 100 0 0 PATTY MURRAY DIRECTOR 1.00 0.00 X 100 0 0 JEFFREY SIPPEL MD DIRECTOR 1.00 0.00 X 100 0 0 HEIDI STORZ DIRECTOR 1.00 1.00 X 100 0 0 BRUCE WALKER MD DIRECTOR 1.00 0.00 X 100 0 0 ANN KING WHITE DIRECTOR 1.00 0.00 X 100 0 0 SHAWN WIANT CHAIR 3.00 0.00 X X 100 0 0 STEVE BRIZENDINE MD DIRECTOR 1/1-6/30/22 1.00 0.00 X 0 0 0 5958430 4136516 1534464 202 1 1 0 0 541743 370126 911869 PATIENT SERVICE REVENU 622110 189408781 189310385 98396 189408781 1921191 1921191 2351182 1349702 1001480 1001480 1001480 680550 637000 43550 43550 43550 CAFETERIA REVENUE 722514 475540 475540 EDUCATION CLASSES 611710 10351 10351 485891 193772762 189796276 98396 2966221 595521 595521 2326468 2310319 16149 69211353 68575361 635992 2315820 2285903 29917 7016961 6963836 53125 4752578 4706705 45873 81357 81357 2093 2093 9672967 9379707 293260 1055065 78112 976953 415351 391585 23766 13473825 1283775 12190050 3503975 3503975 131374 118747 12627 133241 129666 3575 2223352 2223352 8129241 8129241 1615028 1615028 MEDICAL SUPPLIES 27891106 27891106 CONTRACT SERVICES 18871659 17874599 997060 BAD DEBT EXPENSE 8976121 8976121 PROVIDER FEE 7534957 7534957 17146456 2961287 14185169 207075869 177528903 29546966 0 8024419 10494482 24012528 22246861 593818 414423 4014412 3699585 773031 498459 133354403 5079230 171013804 128275173 21141867 20925953 10000000 61968396 28183923 301542275 214738859 23123087 23717288 3952144 242822 52810916 47929483 866699 702461 80752846 72592054 X 220789429 134885581 7261224 220789429 142146805 301542275 214738859 X -13303107 -1266068 -64073449 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2093 2093 0 PART II-B, LINE 1: BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PAID MEMBERSHIP DUES TO THE COLORADO HOSPITAL ASSOCIATION OF WHICH THE AMOUNT IS ATTRIBUTED TO LOBBYING. 2758255 8005936 -345840 535691 9882660 2334314 254430 357498 187987 2758255 2081684 251820 255617 254807 2334314 2015576 314611 121579 370082 2081684 1821097 312449 104128 222098 2015576 0.00000 0.19200 0.80800 0 1 1 9535534 9535534 88249769 2168170 86081599 2452756 159573 2293183 24078937 2751487 21327450 9037407 9037407 128275173 INTERCOMPANY RECEIVABLES 25909929 OTHER MISC RECEIVABLES 1176305 RENT RECEIVABLES 163650 RIGHT OF USE ASSETS 626381 THIRD PARTY SETTLEMENTS 307658 28183923 LESSEE DEPOSITS 18900 OTHER MISC PAYABLES 58716 LEASE LIABILITIES 624845 702461 PART V, LINE 4: PLATTE VALLEY MEDICAL CENTER FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT VARIOUS SERVICES AND PROGRAMS OF THE PLATTE VALLEY MEDICAL CENTER. PVMC OPERATES A COMMUNITY HEALTH INVESTMENT PROGRAM (CHIP) TO MAKE GRANTS TO COMMUNITY PARTNER ORGANIZATIONS FOR THE PROMOTION OF COMMUNITY HEALTH. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 3628608 3628608 0.01750 55617460 36348442 19269018 0.09310 319462 234455 85007 0.00040 59565530 36582897 22982633 0.11100 308255 4190 304065 0.00150 777267 777267 0.00380 13029809 9076070 3953739 0.01910 637338 637338 0.00310 14752669 9080260 5672409 0.02750 74318199 45663157 28655042 0.13850 1 8976121 33978513 54129469 -20150956 X 1 1 1 1 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 WEBSITE: SEE PART VI 010311 X X X X BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: PLATTE VALLEY MEDICAL CENTER (PVMC) IS AN ACUTE-CARE HOSPITAL LOCATED IN THE CITY OF BRIGHTON, COLORADO AND WHILE BRIGHTON IS SITUATED IN ADAMS COUNTY, THE HOSPITAL SERVICE AREA INCLUDES COMMUNITIES IN ADAMS AND WELD COUNTIES. WE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY. PVMC WORKED CLOSELY WITH COMMUNITY PARTNERS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2021. THE CHNA REVIEWED 1) EXISTING SECONDARY QUANTITATIVE DATA FROM GOVERNMENT AND NONGOVERNMENTAL SOURCES 2) PRIMARY QUALITATIVE DATA (FROM IN-PERSON COMMUNITY EVENTS REACHING 356 COMMUNITY MEMBERS); 3) PRIMARY QUALITATIVE DATA PERFORMED BY COLORADO HEALTH INSTITUTE (300 ONLINE COMMUNITY SURVEYS); AND PRIMARY QUALITATVE DATA PERFORMED BY BIEL CONSULTING, INC. (17 KEY INFORMANT PHONE INTERVIEWS). LOCAL ORGANIZATIONS WERE SELECTED TO WORK WITH US IN THIS PROCESS BECAUSE OF THEIR KNOWLEDGE OF THE NEEDS OF THE COMMUNITY AS IT RELATED TO THEIR FIELD OF EXPERTISE. ORGANIZATIONS THAT TOOK PART IN THESE MEETINGS REPRESENTED ISSUES AROUND SENIOR ACTIVITIES, CHILDREN, PRIMARY HEALTHCARE, MENTAL HEALTH SERVICES, INSURANCE, SUBSTANCE USE, TRANSPORTATION, EDUCATION, HOUSING INSECURITY, FOOD INSECURITY, AND INCLUDED BOTH GOVERNMENT AND NONGOVERNMENTAL ORGANIZATIONS. THESE ORGANIZATIONS HAVE GREAT INSIGHT INTO THE ISSUES THAT AFFECT THEIR CLIENTS AND ARE INVALUABLE TO THIS PROCESS. MOST OF THESE ORGANIZATIONS SERVE CLIENTS THAT ARE LOW-INCOME, UNINSURED OR UNDERSERVED. ON SEPTEMBER 15, 2021, OUR PARTNERS GATHERED WITH HOSPITAL LEADERS TO ANALYZE, DISCUSS, AND RANK THE HEALTH ISSUES BASED ON THE PRIMARY DATA THAT HAD BEEN GATHERED THROUGH THE CHNA PROCESS. BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS LISTED PARTICIPATED IN THE CHNA PROCESS: ADAMS COUNTY COMMISSIONERS ALMOST HOME, INC.BAARTSHOPNECK BOYS & GIRLS CLUBHOUSING AUTHORITY OF BRIGHTONBRIGHTON SCHOOL DISTRICT 27JCOLORADO ACCESSCOMMUNITY REACH CENTEREAGLE VIEW ADULT CENTERFOOD BANK OF THE ROCKIESPENNOCK CENTER FOR COUNSELINGRICHARD LAMBERT FOUNDATIONSALUD FAMILY HEALTH CENTERSTHE SENIOR HUBTRI COUNTY HEALTH DEPARTMENTVIA MOBILITY SERVICESWELD RE-8 SCHOOL DISTRICTWELD COUNTY HEALTH DEPARTMENTBRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 7A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 7D: COPIES OF THE CHNA WERE DISTRIBUTED AT VARIOUS COMMUNITY COALITIONS AND RESOURCE MEETINGS BY THE REGIONAL DIRECTOR OF COMMUNITY HEALTH IMPROVEMENT. PRESENTATIONS TO COMMUNITY ORGANIZATIONS ABOUT THE NEEDS ASSESSMENT ARE MADE AVAILABLE UPON REQUEST. THE CHNA IS ALSO AVAILABLE ON THE PVMC WEBSITE UNDER COMMUNITY BENEFIT. BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 10A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/ BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: A PRELIMINARY LIST OF SIGNIFICANT HEALTH NEEDS WAS IDENTIFIED THROUGH AN ANALYSIS OF SECONDARY QUANTITATIVE DATA AVAILABLE FROM GOVERNMENTAL AND NON-PROFIT DATABASES WHICH WAS THEN USED TO COLLECT PRIMARY DATA. SECONDARY DATA INCLUDED DEATH RATES, MORBIDITY RATES, DEMOGRAPHIC DATA, NUMBER OF CARE PROVIDERS, BRFSS DATA, AND BENCHMARK DATA. SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED USING THE SIZE AND SERIOUSNESS OF THE PROBLEM. THE PRELIMINARY LIST OF SIGNIFICANT HEALTH NEEDS INCLUDED (ALPHABETICALLY): ACCESS TO HEALTH CARE SERVICES; CANCER; COVID-19; DENTAL CARE; DIABETES; FOOD INSECURITY; HEART DISEASE & STROKE; HOUSING; LUNG DISEASE; MENTAL HEALTH; OVERWEIGHT AND OBESITY; SUBSTANCE USE; AND UNINTENDED INJURIES.FOLLOWING THE COLLECTION OF PRIMARY DATA AND THE ANALYSIS OF THAT DATA, OUR COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE CHOSE TWO PRIORITY ISSUES TO ADDRESS BASED ON THE SEVERITY OF THE PROBLEM, WORSENING OF THE PROBLEM, EXISTING RESOURCES, AND COMMUNITY PERCEPTION OF THE PROBLEMS. THE TOP TWO IDENTIFIED ISSUES WERE 1) ACCESS TO HEALTHCARE AND 2) MENTAL HEALTH.1) ACCESS TO HEALTHCARE: THE PVMC SERVICE AREA HAD A LOWER RATE OF HEALTH INSURANCE COVERAGE (90.6%) THAN THE STATE (93.5%) OR THE HEALTHY PEOPLE 2030 OBJECTIVE (92.1%). A HIGHER PERCENTAGE OF ADAMS COUNTY RESIDENTS (16.9%) AND WELD COUNTY RESIDENTS (21.1%) DID NOT GET DOCTOR CARE WITHIN THE LAST 12 MONTHS (2019) DUE TO COST AS COMPARED TO THE STATE AVERAGE (12.8%). 75% OF KEY INFORMANTS FELT THAT ACCESS TO HEALTHCARE HAD A SEVERE IMPACT ON THE COMMUNITY, 81.3% FELT THAT RESOURCES WERE INSUFFICIENT AND 50% FELT THAT IT HAD WORSENED OVER TIME. TO ADDRESS ACCESS TO HEALTHCARE THE FOLLOWING ACTIVITIES OCCURRED IN 2022: PVMC PROVIDED FUNDING AND PARTNERS WITH BENEFITS IN ACTION IN ORDER TO ASSIST HISPANIC/LATINO AND LOW-INCOME INDIVIDUALS IDENTIFY AND ENROLL IN INSURANCE PRODUCTS AND GOVERNMENTAL ASSISTANCE PROGRAMS. 59 PEOPLE WERE ENROLLED BETWEEN JULY AND DECEMBER 2022. 47% OF THOSE IDENTIFIED AS HISPANIC/LATINO.A $20,000 GRANT WAS GIVEN TO VIA MOBILITY TO PROVIDE DOOR-TO-DOOR TRANSPORTATION FOR HEALTHCARE VISITS FOR 100 PEOPLE.PVMC PAID $23,652.32 TO LYFT FOR TRANSPORTATION FOR PATIENTS DISCHARGED FROM THE FACILITY.IN 2022, PVMC AND ITS NON-PROFIT SPONSOR, SCL HEALTH, WORKED TO IMPROVE ACCESS TO CARE THROUGH EXPANSION OF TELEMEDICINE VISITS.2) MENTAL HEALTH: THE PERCENTAGE OF THE ADULT POPULATION REPORTING MORE THAN 14 DAYS OF POOR MENTAL HEALTH PER MONTH WAS HIGHER IN ADAMS (11.8%) AND WELD (12.6%) COUNTIES THAN IN THE STATE (11%) AS IDENTIFIED IN THE 2016-2018 BRFSS DATABASE. THERE WERE FEWER MENTAL HEALTH PROVIDERS PER 1,000 PERSONS IN ADAMS COUNTY (2.1) AND WELD COUNTY (1.7) THAN IN THE STATE (2.7). 93.8% OF KEY INFORMANTS IDENTIFIED MENTAL HEALTH AS HAVING A SEVERE IMPACT ON THE COMMUNITY AND HAVING INSUFFICIENT RESOURCES AND 87.5% THOUGHT THAT THE ISSUE HAD WORSENED OVER TIME. TO ADDRESS MENTAL HEALTH THE FOLLOWING ACTIVITIES OCCURRED IN 2022: PVMC PROVIDED FUNDING TO PLATTE VALLEY MEDICAL GROUP (PVMG) IN ORDER TO HIRE A BEHAVIORAL HEALTH PROVIDER TO BE EMBEDDED IN THE PVMG PRIMARY CARE CLINICS TO BETTER IDENTIFY AND PROVIDE TREATMENT FOR PEOPLE WITH MENTAL HEALTH CONCERNS.A $30,000 GRANT WAS GIVEN TO PENNOCK CENTER FOR COUNSELING SO THAT THEY WOULD BE ABLE TO ASSIST WITH THE INCREASED NEED FOR MENTAL HEALTH SERVICES; THE GRANT HELPED THE CENTER SERVE 100 CLIENTS.A $20,000 GRANT WAS GIVEN TO RICHARD LAMBERT FOUNDATION TO PROVIDE COMPREHENSIVE MENTAL HEALTH AND GRIEF SUPPORT TO COMMUNITY MEMBERS WHO ARE EXPERIENCING GRIEF OR TRAUMA; THE GRANT HELPED THE FOUNDATION SERVE 200 CLIENTS.A $27,000 GRANT WAS GIVEN TO NORTH RANGE BEHAVIORAL HEALTH FOR MENTAL HEALTH SERVICES; THE GRANT WAS INTENDED TO HELP SERVE 68 FAMILIES.PVMC PARTICIPATED IN THE COLORADO ALTERNATIVES TO OPIOIDS (ALTO) PROJECT. IN 2022 PVMC INCREASED THE PERCENTAGE OF E-PRESCRIBING OF CONTROLLED SUBSTANCES FOR DISCHARGED PATIENTS TO 96.11% (90% IN 2021, 87.32% IN 2020, AND 80.77% IN 2019). PVMC CONTINUED A PROGRAM TO DISTRIBUTE A NARCAN KIT AT DISCHARGE TO ANY PATIENT ADMITTED WITH A DIAGNOSIS OF HEROIN OR OPIOID OVERDOSE. 48 KITS WERE DISTRIBUTED IN 2022.PVMC PARTICIPATED IN THE COLORADO HOSPITALS SUBSTANCE EXPOSED NEWBORNS QUALITY IMPROVEMENT COLLABORATIVE TO IMPROVE OUTCOMES FOR NEWBORNS EXPOSED TO METHAMPHETAMINES OR OPIOIDS PRIOR TO BIRTH.PVMC HOSTED TWO MENTAL HEALTH FIRST AID TRAINING SESSIONS IN 2022, TRAINING 33 PARTICIPANTS.PVMC HOSTED TWO AGING MASTERY PROGRAM COURSES IN 2022 WHICH INCLUDED CLASSES ON HEALTHY RELATIONSHIPS AND COMMUNITY ENGAGEMENT, SERVING 14 PARTICIPANTS.NEEDS NOT ADDRESSED: EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA PROCESS ARE IMPORTANT AND PVMC ALONG WITH NUMEROUS PARTNERS THROUGHOUT THE COMMUNITY ARE ADDRESSING THESE NEEDS THROUGH VARIOUS PROGRAM INTERVENTIONS AND INITIATIVES. DUE TO LIMITED RESOURCES, EXPERTISE AND TIME TO ACHIEVE SUCCESSFUL IMPACT, WE CHOSE TO LIMIT THE ISSUES ADDRESSED DIRECTLY TO TWO TOP ISSUES. PVMC WILL CONTINUE TO LOOK FOR COMMUNITY PARTNERS WITH WHICH TO COLLABORATE IN ORDER TO WORK ON ISSUES NOT ADDRESSED IN THE 2022 COMMUNITY HEALTH IMPROVEMENT PLAN.BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION, B, LINE 16A, 16B, 16C:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-PRICING/FINANCIAL-ASSISTANCE/ 17 1 - PLATTE VALLEY AMBULANCE SERVICE LLC 1606 PRAIRIE CENTER PKWY BRIGHTON CO 80601 AMBULANCE SERVICES 2 - PLATTE VALLEY MEDICAL GROUP LLC 1600 PRAIRE CENTER PKWY BRIGHTON CO 80601 PHYSICIAN CLINICS 3 - PLATTE VALLEY MEDICAL IMAGING LLC 1606 PRAIRIE CENTER PKWY STE 130 BRIGHTON CO 80601 RADIOLOGY SERVICES 4 - SPECTRUM MEDICAL IMAGING 1610 PRAIRIE CENTER PKWY STE 2100 BRIGHTON CO 80601 RADIOLOGY SERVICES 5 - SCL HEALTH MEDICAL GROUP - BRIGHTON ORTHOP 1610 PRAIRIE CENTER PKWY BRIGHTON CO 806014008 OUTPATIENT PHYSICIAN CLINIC 6 - SCL HEALTH HEART & VASCULAR INSTITUTE - BR 1610 PRAIRIE CENTER PKWY BRIGHTON CO 806014003 OUTPATIENT PHYSICIAN CLINIC 7 - PLATTE VALLEY MEDICAL GROUP - BRIGHTON OB- 1606 PRAIRIE CENTER PKWY BRIGHTON CO 806014005 OUTPATIENT PHYSICIAN CLINIC 8 - PLATTE VALLEY MEDICAL GROUP - BRIGHTON FAM 217 N 50TH AVE BRIGHTON CO 806018364 OUTPATIENT PHYSICIAN CLINIC 9 - PLATTE VALLEY MEDICAL GROUP - REUNION OB-G 10569 CHAMBERS RD COMMERCE CITY CO 800228951 OUTPATIENT PHYSICIAN CLINIC 10 - PLATTE VALLEY MEDICAL GROUP - GENERAL & TR 1610 PRAIRIE CENTER PKWY BRIGHTON CO 806014003 OUTPATIENT PHYSICIAN CLINIC 11 - PLATTE VALLEY MEDICAL GROUP - BRIGHTON INT 1610 PRAIRIE CENTER PKWY BRIGHTON CO 806014001 OUTPATIENT PHYSICIAN CLINIC 12 - CERTIFIED NURSE-MIDWIVES AT PLATTE VALLEY 1606 PRAIRIE CENTER PARKWAY BRIGHTON CO 806014004 OUTPATIENT PHYSICIAN CLINIC 13 - PLATTE VALLEY MEDICAL GROUP - WALK IN CARE 1450 DEXTER ST FORT LUPTON CO 806211503 OUTPATIENT PHYSICIAN CLINIC 14 - PLATTE VALLEY MEDICAL GROUP - REUNION INTE 10569 CHAMBERS RD COMMERCE CITY CO 800228951 OUTPATIENT PHYSICIAN CLINIC 15 - PLATTE VALLEY MEDICAL CENTER - CANCER CENT 1606 PRAIRIE CENTER PKWY BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC 16 - PLATTE VALLEY MEDICAL GROUP - REUNION FAMI 10569 CHAMBERS RD COMMERCE CITY CO 800228951 OUTPATIENT PHYSICIAN CLINIC 17 - SCL HEALTH MEDICAL GROUP - FT MORGAN ORTHO 1000 LINCOLN ST FORT MORGAN CO 807013298 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 6A: THIS ORGANIZATION IS PART OF INTERMOUNTAIN HEALTH SYSTEM WHICH PREPARES AN ANNUAL REPORT TO THE COMMUNITY ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, INTERMOUNTAIN HEALTH CARE, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $8,976,121. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY-BUILDING ACTIVITIES ARE THOSE THAT IMPROVE THE HEALTH AND SAFETY OF COMMUNITY MEMBERS BY ADDRESSING THE ROOT CAUSES OF PROBLEMS (E.G. POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS). PVMC HOSTS QUARTERLY NETWORKING MEETINGS OF THE BRIGHTON SERVICE AGENCY COALITION (BSAC) AND PROVIDES GRANTS TO LOCAL NON-PROFITS. MANY OF THE COMMUNITY BUILDING ACTIVITIES FALL TO THE PERSON WHO OVERSEES COMMUNITY BENEFIT AND THOSE HOURS ARE TRACKED UNDER THE CLASSIFICATION OF "COMMUNITY BENEFIT OPERATIONS-DEDICATED STAFF". THE BSAC IS CHAIRED BY THE COMMUNITY BENEFIT STAFF AND IS A COLLABORATIVE GROUP OF SOCIAL SUPPORT ORGANIZATIONS WHO SEEK OPPORTUNITIES TO STAY IN TUNE WITH EMERGING NEEDS IN THE COMMUNITY, GRANTS, AND POTENTIAL JOINT SOLUTION STRATEGIES TO IMPACT RESIDENTS. HOSTING THESE MEETINGS DECREASES DUPLICATION OF SERVICES AND PROMOTES THE BEST POSSIBLE USE OF RESOURCES. THE DEDICATED STAFF ALSO SERVES ON REGIONAL HEALTH COALITIONS TO IMPROVE THE HEALTH OF THE COMMUNITIES SERVED BY PVMC.ADDITIONALLY, PVMC MAKES CONTRIBUTIONS TO LOCAL NON-PROFITS THAT SUPPORT COMMUNITY BUILDING AS THEY HELP TO BUILD AND SUSTAIN LOCAL NON-PROFITS THAT IMPACT THE SOCIAL DETERMINANTS OF HEALTH FOR THE COMMUNITY. THESE DONATIONS SUPPORT DIVERSE EFFORTS RELATED TO CHILD, SENIOR, AND MENTAL HEALTH SERVICES, AS WELL AS PROGRAMS INTENDED TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH INCLUDING HOUSING SECURITY, FOOD STABILITY AND TRANSPORTATION.PART III, LINE 1: THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE PATIENT SERVICE REVENUE FOOTNOTE WHICH DESCRIBES BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGES 13 AND 14 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS, WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. PART III, LINE 9B: AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.PART V, SECTION A, LINE 1WEBSITE:WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ PART VI, LINE 2: PVMC IS ALWAYS WORKING WITH AND REVIEWING THE NEEDS OF THE COMMUNITY IN ORDER TO PROVIDE THE BEST SERVICE TO THOSE IN THE PVMC SERVICE AREA. THROUGH CONTACTS WITH LOCAL AND STATE HEALTH AND SERVICE ORGANIZATIONS (SUCH AS TRI-COUNTY HEALTH DEPARTMENT, WELD COUNTY HEALTH DEPARTMENT, ADAMS COUNTY HEALTH ALLIANCE, AND WELD COUNTY AREA AGENCY ON AGING) AND NON-PROFITS (SUCH AS PENNOCK CENTER FOR COUNSELING, COMMUNITY REACH CENTER, COLORADO HOSPITAL ASSOCIATION, AND ALMOST HOME). PVMC MONITORS DATA AND IDENTIFIES AREAS OF NEED IN THE COMMUNITY AND WORKS TO IDENTIFY WAYS TO ENSURE THAT THE NEEDS ARE MET. INTERNAL TRACKING AND REVIEWS ARE COMPLETED IN ORDER TO CONFIRM THAT PVMC PROGRAMS ARE MEETING THEIR GOALS TO ADDRESS THE NEEDS OF THE COMMUNITY. IN ADDITION, THROUGH SCL HEALTH, PVMC IS REPRESENTED AND PARTICIPATES IN THE METRO DENVER PARTNERSHIP FOR HEALTH, A COLLABORATIVE OF COLORADO HEALTH SYSTEMS, PUBLIC HEALTH DEPARTMENTS AND COMMUNITY BASED PROVIDERS. THIS COLLABORATIVE WORKS TO ADDRESS CHALLENGING COMMUNITY HEALTH NEEDS USING COLLECTIVE IMPACT STRATEGIES. PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS AND THROUGH THE PATIENT PORTAL, MYCHART. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: PLATTE VALLEY MEDICAL CENTER (PVMC) IS AN ACUTE-CARE HOSPITAL LOCATED IN THE CITY OF BRIGHTON, COLORADO AND WHILE BRIGHTON IS SITUATED IN ADAMS COUNTY, THE HOSPITAL SERVICE AREA INCLUDES COMMUNITIES IN BOTH ADAMS AND WELD COUNTIES. THE FOLLOWING COMMUNITIES ARE IN THE HOSPITAL'S PRIMARY SERVICE AREA: BRIGHTON, LOCHBUIE, HUDSON, FORT LUPTON, HENDERSON, THORNTON, AND COMMERCE CITY.TOTAL POPULATION: ON AVERAGE, FROM 2015 TO 2019, THE POPULATION OF THE PVMC SERVICE AREA WAS 177,994. ADAMS COUNTY HAD A POPULATION OF 504,108, AND WELD COUNTY'S POPULATION WAS 305,345. COLORADO'S TOTAL POPULATION WAS 5,610,349. POPULATION BY GENDER: IN THE SERVICE AREA, 52.4% OF THE POPULATION WAS MALE AND 47.6% WAS FEMALE. POPULATION BY AGE: YOUTH, AGES 0 - 19, MAKE UP 30.3% OF THE POPULATION IN THE SERVICE AREA. ABOUT 60% OF THE POPULATION WAS 20 TO 64 YEARS OLD AND 10.4% WERE 65 YEARS AND OLDER. RACE/ETHNICITY IN THE SERVICE AREA: 60.0% OF THE POPULATION IS WHITE, 34.2% ARE HISPANIC/LATINX, 1.9% ARE ASIAN, AND 1.7% ARE BLACK/AFRICAN AMERICAN. LANGUAGE SPOKEN AT HOME FOR THE POPULATION 5 YEARS AND OVER: OVER THREE-QUARTERS OF THE SERVICE AREA POPULATION, AGES 5 YEARS AND OLDER, SPEAK ONLY ENGLISH IN THE HOME (76.9%). ABOUT 23% SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME, AND OF THOSE, 20.5% OF THE POPULATION SPEAKS SPANISH AT HOME SOCIAL AND ECONOMIC FACTORS RANKINGS: THE COUNTY HEALTH RANKINGS RANKS COUNTIES ACCORDING TO HEALTH FACTORS DATA. THIS RANKING EXAMINES: HIGH SCHOOL GRADUATION RATES; UNEMPLOYMENT; CHILDREN IN POVERTY; SOCIAL SUPPORT; AND OTHERS. COLORADO'S 64 COUNTIES ARE RANKED ACCORDING TO SOCIAL AND ECONOMIC FACTORS WITH 1 BEING THE COUNTY WITH THE BEST FACTORS TO 64 FOR THAT COUNTY WITH THE POOREST FACTORS. ADAMS COUNTY IS RANKED 38TH AND WELD COUNTY CAME IN 28TH. ECONOMICS, 2020: THE MEDIAN HOUSEHOLD INCOME IN THE STATE WAS $77,104. THE COUNTY INCOMES WERE: WELD COUNTY ($78,160) AND ADAMS ($75,341), EDUCATIONAL ATTAINMENT (AGE 25+): OF THE SERVICE AREA POPULATION, AGES 25 AND OLDER, 14.2% HAD NOT ATTAINED A HIGH SCHOOL DIPLOMA AND 85.8% WERE HIGH SCHOOL GRADUATES. JUST UNDER 24% OF THE POPULATION IN THE SERVICE AREA HAD SOME COLLEGE WITH NO DEGREE, AND 22.5% HAD A BACHELOR'S DEGREE OR HIGHER. HEALTH INSURANCE COVERAGE, CIVILIAN NON-INSTITUTIONALIZED POPULATION, AGES 18-64: IN THE SERVICE AREA, 90.6% OF THE POPULATION WERE INSURED. INSURANCE COVERAGE WAS HIGHER IN WELD COUNTY (95.9%) THAN IN ADAMS COUNTY (90.9%). PART VI, LINE 5: PVMC CAREGIVERS SERVED ON THE CHAMBER OF COMMERCE OF BRIGHTON AND THE NON-PROFIT COUNCIL OF THE BRIGHTON CHAMBER, FT. LUPTON CHAMBER OF COMMERCE, COMMERCE CITY CHAMBER OF COMMERCE, SOUTHEAST WELD COUNTY CHAMBER OF COMMERCE, BRIGHTON URBAN RENEWAL ASSOCIATION, KIWANIS, ALMOST HOME BOARD, SENIOR CENTER ADVISORY BOARD, COLORADO EMERGENCY NURSES ASSOCIATION, AND COLORADO HOSPITAL ASSOCIATION HOSPITAL PREPAREDNESS ADVISORY GROUP.COMMUNITY OUTREACH PROGRAMS- OUTREACH PROGRAMS WERE STILL IMPACTED IN 2022 BY COVID RESTRICTIONS AND NOT ALL CLASSES AND OUTREACH EFFORTS HAD RETURNED TO THE NORMAL SCHEDULE. CANCER SUPPORT GROUP- A SPANISH GROUP WAS ADDED IN 2022. MORE THAN 115 ENCOUNTERS WERE DOCUMENTED.BREAST CANCER GROUP- THIS GROUP WAS NEW IN 2022. THERE WERE 55 ENCOUNTERS.EMS PROGRAM TO PROVIDE CONTINUING EDUCATION TO LOCAL EMS PROVIDERS- 1,145 ENCOUNTERS (SOUTHEAST WELD FIRE DEPARTMENT, FT. LUPTON FIRE DEPARTMENT, HUDSON FIRE DEPARTMENT, BRIGHTON FIRE DEPARTMENT).EDUCATION CLASSES FOR EMS PROVIDERS- PARAMEDIC REFRESHER CLASS- 50 ENCOUNTERS, BASIC EKG TRAINING- 27 ENCOUNTERS.CITIZEN ACADEMY AT PLATTE VALLEY- 10 ATTENDEES. THIS IS A 6-CLASS COURSE OVER 6 WEEKS THAT ALLOWS THE COMMUNITY TO LEARN MORE ABOUT THE AMBULANCE SERVICE. STAND-BY FIRST AID ASSISTANCE AT 36 LOCAL EVENTS- SERVING CLOSE TO 87,000+ INDIVIDUALS (FOOTBALL GAMES, SAFETY FAIR, 5K RACE, CHRISTMAS PARADE TO NAME A FEW).DIABETES CLASSES "LET'S TALK DIABETES"- 45 PEOPLE ATTENDED THE CLASSES THROUGHOUT THE YEAR. THIS CLASS GIVES PARTICIPANTS AN OVERVIEW OF DIABETES AND PRE-DIABETES AND INCLUDES WAYS TO MANAGE IT BY CHANGING YOUR DIET AND LIFESTYLE CHOICES SUCH AS EXERCISE.PHYSICAL MEDICINE PROVIDED FREE PEDIATRIC SCREENINGS FOR CHILDREN THROUGHOUT THE YEAR. THE SCREENINGS ASSESS FOR DEVELOPMENTAL DELAYS RELATED TO ASPECTS OF PHYSICAL MEDICINE, THAT WOULD BENEFIT FROM EARLY INTERVENTION.IN KIND DONATIONS TO PROJECT CURE WORTH $58,010 WERE MADE DURING 2022.WALK WITH A DOC PROGRAM HELD EVENTS FROM APRIL THROUGH SEPTEMBER.IN CONJUCTION WITH VITALANT BLOOD DONATION, PVMC HELD SEVEN BLOOD DRIVES. EMPLOYEES DONATED 223 UNITS (EACH UNIT = 500 ML) OF BLOOD.STUDENT CLINICALS- 120 STUDENTS COMPLETED THEIR CLINICAL ROTATIONS IN NURSING, PHARMACY, RADIOLOGY, PHYSICAL MEDICINE, AND NUTRITION, AT PVMC.PVMC OPERATES A COMMUNITY HEALTH INVESTMENT PROGRAM (CHIP) TO MAKE GRANTS TO COMMUNITY PARTNER ORGANIZATIONS FOR THE PROMOTION OF COMMUNITY HEALTH. A PRINCIPAL INVESTMENT OF $5,000,000 IS UNTOUCHED BUT THE EQUITY IS USED TO PROVIDE GRANTS. IN 2022, CHIP PROVIDED $337,250 IN GRANTS TO LOCAL NON-PROFIT ORGANIZATIONS SERVING THE PVMC COMMUNITY. BASED ON THE PROPOSALS OF THE ORGANIZATIONS, AN ESTIMATED 12,000+ PEOPLE WILL BENEFIT FROM THE SERVICES PROVIDED BY THE GRANTEES. BY PARTNERING WITH LOCAL ORGANIZATIONS THAT PROVIDE SERVICES TO OUR COMMUNITY, WE CAN PROVIDE ACCESS TO SERVICES THAT WE DO NOT HAVE THE RESOURCES OR EXPERTISE TO PROVIDE.ORGANIZATIONS THAT RECEIVED CHIP GRANTS INCLUDED: 1) FOOD FOR HOPE, 2) BROTHERS REDEVELOPMENT, 3) ALMOST HOME, 4) RICHARD LAMBERT FOUNDATION, 5) A PRECIOUS CHILD, 6) CATHOLIC CHARITIES RURAL HISPANIC ELDERLY OUTREACH, 7) PENNOCK CENTER FOR COUNSELING, 8) SHOPNECK BOYS AND GIRLS CLUB, 9) VIA MOBILITY, 10) HOPE @ MIRACLE HOUSE, 11) COMMUNITY UPLIFT PARTNERSHIP, 12) NORTH RANGE BEHAVIORAL HEALTH, 13) WELD FOOD BANK, 14) PLATTE VALLEY MEDICAL GROUP, 15) CASA, 16) BENEFITS IN ACTION, 17) THE BIRD CONSERVANCY, AND 18) HOUSING AUTHORITY OF BRIGHTON.REQUESTS WERE RELATED TO THE SOCIAL DETERMINANTS OF HEALTH INCLUDING NEIGHBORHOOD AND BUILT ENVIRONMENT (HOUSING AND TRANSPORTATION), FOOD (HUNGER AND ACCESS TO HEALTHY OPTIONS), HEALTH CARE SYSTEM (HEALTH COVERAGE AND PROVIDER AVAILABILITY), AND ECONOMIC STABILITY (EMPLOYMENT AND EXPENSES).WE ARE AN IMPORTANT PART OF OUR COMMUNITY AND SERVE IN MANY WAYS, IN RESPONSE TO DIRECT REQUESTS FROM COMMUNITY ORGANIZATIONS AND RESIDENTS. FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORT OF OTHER CIVIC GROUPS, OUR COMMUNITY INVOLVEMENT TAKES MANY FORMS. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT RESIDENTS ARE INFORMED ABOUT AVAILABLE SERVICES. WHEN PVMC HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO CARE FOR UNMET NEED AREAS. PART VI, LINE 6: THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN), AN INTEGRATED HEALTH SYSTEM WHOSE VISION IS TO "BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICES AT AN AFFORDABLE COST." INTERMOUNTAIN STRIVES TO FULFILL THAT MISSION THROUGH ACCOMPLISHING ITS STATED MISSION OF "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE." INTERMOUNTAIN HEALTH CARE, INC., IS A NONPROFIT CORPORATION EXEMPT UNDER INTERNAL REVENUE CODE 501(C)(3). AFFILIATES WITHIN THE HEALTH SYSTEM NETWORK INCLUDE NONPROFIT CORPORATIONS EXEMPT UNDER IRS 501(C)(3) AND 501(C)(4), TAXABLE CORPORATIONS, PARTNERSHIPS WITH PHYSICIANS, STRATEGIC INVESTMENTS, AND JOINT VENTURES.HEADQUARTERED IN SALT LAKE CITY, UTAH, INTERMOUNTAIN CONSISTS OF A TEAM OF NEARLY 60,000 CAREGIVERS WHO SERVE THE HEALTHCARE NEEDS OF PEOPLE ACROSS THE INTERMOUNTAIN WEST, INCLUDING UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. INTERMOUNTAIN PROVIDES SERVICES TO AND PROMOTES THE HEALTH OF THESE COMMUNITIES THROUGH 33 HOSPITALS, HUNDREDS OF CLINICS, A MEDICAL GROUP, AFFILIATE NETWORKS, HOMECARE, TELEHEALTH, INSURANCE PLANS, MEDICAL AIR TRANSPORT, AND OTHER SERVICES. INTERMOUNTAIN IS WIDELY RECOGNIZED AS A LEADER IN TRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TO CONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS.INTERMOUNTAIN IS WORKING TO IMPROVE THE HEALTH AND WELL-BEING BY IMPROVING MENTAL WELL-BEING, PREVENTING AVOIDABLE DISEASE, IMPROVING AIR QUALITY, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND OTHER COMMUNITY HEALTH INITIATIVES.THROUGH MULTIPLE CHARITABLE FOUNDATIONS, INTERMOUNTAIN ALSO DEVELOPS FINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTING OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL SERVICES FOR LOW-INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS. 1 PLATTE VALLEY MEDICAL CENTER FOUNDATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 742255936 501( C )(3) 111690 0 SUPPORT MISSION ALMOST HOME INC 231 N MAIN ST BRIGHTON CO 80601 841220644 501( C )(3) 80000 0 TRANSPORATION FOR SENIORS AND DISABLED PENNOCK CENTER FOR COUNSELING 211 S 21ST AVE BRIGHTON CO 80601 200986823 501( C )(3) 60000 0 SUPPORT OPERATIONS BOYS & GIRLS CLUB OF METRO DENVER 1108 H STREET GREELEY CO 80631 840510404 501( C )(3) 50000 0 SUPPORT MISSION FOOD FOR HOPE 3853 E 120TH AVE THORNTON CO 80233 473117111 501( C )(3) 50000 0 SUPPORT MISSION BENEFITS IN ACTION 12157 W CEDAR DR SUITE 100 LAKEWOOD CO 80228 873774775 501( C )(3) 42250 0 SUPPORT MISSION HOUSING AUTHORITY OF BRIGHTON 530 REYNOLDS ST FORT LUPTON CO 80621 840687818 501( C )(6) 30000 0 SUPPORT MISSION NORTH RANGE BEHAVIORAL HEALTH 1300 N 17TH AVE GREELEY CO 80631 840622660 501( C )(3) 27000 0 SUPPORT MISSION VIA MOBILITY SERVICES 2855 N 63RD ST BOULDER CO 80301 840777296 501( C )(3) 20000 0 SUPPORT MISSION RICHARD LAMBERT FOUNDATION PO BOX 351594 WESTMINSTER CO 80035 463655727 501( C )(3) 20000 0 SUPPORT MISSION HOPE AT MIRACLE HOUSE PO BOX 762 FORT LUPTON CO 80621 465508034 501( C )(3) 20000 0 SUPPORT MISSION WELD FOOD BANK 1800 E LONGS PEAK ST BRIGHTON CO 80601 742244826 501( C )(3) 15000 0 SUPPORT MISSION CASA OF ADAMS & BROOMFIELD 11860 N PECOS ST WESTMINSTER CO 80234 311657019 501( C )(3) 12000 0 SUPPORT MISSION A PRECIOUS CHILD INC 7051 W 118TH AVE BROOMFIELD CO 80020 263349334 501( C )(3) 10000 0 SUPPORT MISSION SCHOOL DISTRICT 27J 18551 E 160TH AVE BRIGHTON CO 80601 841577255 501( C )(3) 10000 0 SUPPORT MISSION SOUTHEAST WELD COUNTY JUNIOR FAIR ASSOCIATION PO BOX 436 KEENESBURG CO 80643 237306107 501( C )(5) 8081 0 SUPPORT MISSION BROTHERS REDEVELOPMENT INC 2250 EATON ST GARDEN LEVEL EDGEWATER CO 80214 840615347 501( C )(3) 6000 0 SUPPORT MISSION GREATER BRIGHTON CHAMBER OF COMMERCE 269 E BRIDGE ST BRIGHTON CO 80601 840453833 501( C )(6) 6000 0 SUPPORT MISSION 15 3 PART I, LINE 2: ALL GRANT RECIPIENTS ARE FIRST REQUIRED TO SUBMIT APPLICATIONS WHICH DETAIL THE INTENDED USES OF GRANT FUNDS. AFTER GRANTS HAVE BEEN AWARDED, RECIPIENTS ARE REQUIRED TO COMPLETE A FINAL REPORT INDICATING HOW GRANT FUNDS WERE ACTUALLY SPENT. X 0 1 X X X X X X 1 1 0 0 0 0 0 1 0 TAJQUAH HUDSON DIRECTOR 1/1-4/27/22 0 647801 0 591630 0 177084 0 282369 0 9840 0 1708724 0 164654 SHAWN DUFFORD MD DIRECTOR 1/1-2/23/22 0 213503 0 188445 0 848825 0 92388 0 16578 0 1359739 0 324506 MATTHEW GAWART MD PHYSICIAN COMP PLAN 482504 0 562274 0 1774 0 18300 0 6626 0 1071478 0 0 0 DANIEL HAMMAN MD PHYSICIAN COMP PLAN 520783 0 470387 0 634 0 18300 0 35438 0 1045542 0 0 0 CHRISTOPHER AWTREY MD DIRECTOR 5/25-12/31/22 0 398324 0 124851 0 159955 0 165955 0 28233 0 877318 0 0 JOHN MANGELSON MD PHYSICIAN COMP PLAN 527118 0 233466 0 1774 0 4876 0 32451 0 799685 0 0 0 AARON BAXTER MD PHYSICIAN COMP PLAN 510085 0 225429 0 2354 0 10267 0 31007 0 779142 0 0 0 KYLE HAFFNER MD PHYSICIAN COMP PLAN 253290 0 362084 0 1630 0 8989 0 29844 0 655837 0 0 0 SEAN FADDEN FORMER OFFICER 0 340253 0 111907 0 20657 0 102280 0 25376 0 600473 0 19816 PRAKASH KARKI MD VP CHIEF MEDICAL OFFICER PVMC 328870 0 47018 0 31860 0 120246 0 30733 0 558727 0 0 0 KURT GENSERT VP CHIEF OPERATING/NURSING OFFICER P 324746 0 65830 0 35836 0 94071 0 28233 0 548716 0 33768 0 JAIME CAMPBELL CEO/PRESIDENT 1/17-12/31/22 337930 0 100 0 94833 0 78931 0 1592 0 513386 0 0 0 CARL MOSS DIRECTOR 5/25-12/31/22 0 220822 0 89867 0 2592 0 78243 0 12081 0 403605 0 0 JOHN HICKS CEO/PRESIDENT 1/1 - 1/7/22 21407 0 182094 0 96579 0 79304 0 1679 0 381063 0 93282 0 TROY STOEHR VP FINANCE PVMC 190438 0 43552 0 351 0 62108 0 28126 0 324575 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2022 WERE: PRAKASH KARKI - $8,447, JAIME CAMPBELL - $23,949 PART I, LINE 1B: TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - WRITTEN POLICY THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES. PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, PLATTE VALLEY MEDICAL CENTER (PVMC). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE INC.'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. PART I, LINES 4A-B PART I, LINE 4A SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2022 WERE: SEVERANCE SHAWN DUFFORD - $400,522 PART I, LINE 4B PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. IN 2019, THE RELATED ORGANIZATION CONSOLIDATED FOUR NON QUALIFED DEFERRED COMPENSATION PLANS INTO ONE PLAN. AS PART OF THIS EFFORT, ALL VESTED BALANCES FROM THE SERP PLANS PRIOR TO 2014 WERE PAID TO THE PARTICIPANTS IN 2020. THERE ARE NO REMAINING PARTICIPANTS IN THE LEGACY PLANS. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2022. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2022 WERE: SHAWN DUFFORD- $324,506, JOHN HICKS - $93,282, TAJQUAH HUDSON - $164,654, KURT GENSERT 33,768, SEAN FADDEN - $19,816. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. PART I, LINE 7 THE AT-RISK COMPENSATION (ARC) PLAN WAS ESTABLISHED TO ENABLE SCL HEALTH TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION AND STRATEGIC IMPERATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND AWARD OPPORTUNITIES ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR MANAGEMENT LEVEL AT SCL HEALTH. ACTUAL AWARDS WILL BE PAID OUT BASED ON ATTAINMENT OF SELECTED SCL HEALTH BOARD-APPROVED GOALS, INCLUDING EBIDA (EARNINGS BEFORE INTEREST, DEPRECIATION AND AMORTIZATION), STEWARDSHIP, QUALITY, PATIENT AND ASSOCIATE SAFETY, AND PATIENT EXPERIENCE AND FULFILLMENT OF OUR MISSION. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFLIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA. INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. 990, PAGE 1, LINE J WEBSITE HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/PLATTE-VALLEY-MEDICAL-CENTER/ FORM 990, PART V, LINE 1A EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART VI, SECTION A, LINE 6 FORM 990, PART VI, LINE 6 MEMBERS OR STOCKHOLDERS INTEGRITY HEALTH IS THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS INTEGRITY HEALTH, THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION, APPROVES MEMBERS OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION BOARD OF DIRECTORS FORM 990, PART VI, SECTION A, LINE 7B INTEGRITY HEALTH HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. INTEGRITY HEALTH ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH SYSTEM. THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DEPARTMENT PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY BRIGHTON COMMUNITY HOSPITAL ASSOCIATION AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND DIRECTOR LEVEL MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON HIRE/APPOINTMENT AND ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS DETERMINED TO CONSTITUTE A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SUPERVISOR AND/OR BOARD CHAIR. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, COMPLETE A DISCLOSURE, AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR, EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. THE INTERESTED PERSON'S LOCAL COMPLIANCE AND PRIVACY OFFICER AND/OR SUPERVISOR/BOARD OR COMMITTEE CHAIR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR AUDIT AND COMPLIANCE COMMITTEES. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE HEALTH CARE SYSTEM'S TAX DEPARTMENT FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY PLATTE VALLEY MEDICAL CENTER (PVMC). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE, INC.'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: BOOK VS TAX DIFFERENCE GRANT EXPENSE 404,814. FAIR VALUE ACQUISITION ADJUSTMENT -64,478,263. 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