2023-10-31T11:34:37-05:00 2022-12-31 990 2022-01-01 810232124 SCL HEALTH - MONTANA SCLH 4062377000 1233 NORTH 30TH STREET BILLINGS MT 59101 PAM PALAGI VP FINANCE & CFO 4062377000 2023-10-31 PAM PALAGI XXX-XX-XXXX 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z ST VINCENT HEALTHCARE JENNIFER ALDERFER 1233 NORTH 30TH STREET BILLINGS MT 59101 539105532 0 0928 X SEE SCHEDULE O X 1972 MT WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 16 14 2320 129 3241211 0 25782773 18363128 466003781 488203847 28318520 28000751 1513324 1371522 521618398 535939248 17036430 24192754 0 0 141468698 146524753 0 0 0 304318107 366608856 462823235 537326363 58795163 -1387115 989559217 1015591872 88260703 59198069 901298514 956393803 X WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 468948952 24192754 489187488 MOTHER XAVIER ROSS LED THE SISTERS OF CHARITY INTO THE INDIAN TERRITORY OF KANSAS IN 1858. IN 1869, THE SISTERS EXTENDED THEIR CHARITABLE WORKS INTO MONTANA TERRITORY AT THE REQUEST OF FATHER PIERRE JEAN DESMET. SAINT VINCENT HOSPITAL IN BILLINGS WAS FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH IN 1898. THE HOSPITAL OFFICIALLY OPENED ON FEBRUARY 1, 1899. THE CITY AND REGION GREW QUICKLY AND THE DEMAND FOR HEALTHCARE INCREASED DRAMATICALLY. BY 1915, THE SISTERS AND AREA MEDICAL PERSONNEL HAD CARED FOR MORE THAN 20,000 PATIENTS.DURING THE NEXT THIRTY YEARS, RAPID MEDICAL ADVANCEMENTS AND THE AREA'S GROWING POPULATION KEPT THE HOSPITAL IN A CONSTANT STATE OF CHANGE AND GROWTH, BUT TRUE TO ITS MISSION, COMPASSION AND CHARITY REMAINED AT THE FOREFRONT OF THE HOSPITAL'S ENDEAVORS. DURING THE GREAT DEPRESSION OF THE 1930S, THE SISTERS AT SAINT VINCENT HOSPITAL HELPED FEED THE HUNGRY. WITH THE ADVENT OF WORLD WAR II, VOLUNTEER SERVICES BECAME ESSENTIAL TO THE OPERATION OF THE HOSPITAL.ADAPTING TO THE CHANGES IN HEALTHCARE MEANT A NEW NAME FOR SAINT VINCENT HOSPITAL. IN NOVEMBER 2000, WE BECAME ST. VINCENT HEALTHCARE. FROM ITS MODEST BEGINNINGS OVER 100 YEARS AGO, ST. VINCENT HEALTHCARE HAS GROWN INTO ONE OF MONTANA'S LARGEST COMPREHENSIVE HOSPITALS, SERVING THE HEALTHCARE NEEDS OF OVER 400,000 PEOPLE IN A FOUR-STATE AREA. RENOWNED FOR A MISSION OF COMPASSIONATE CARE AND SERVICE TO THE POOR, THE ST. VINCENT HEALTHCARE TEAM IS CONTINUALLY RECOGNIZED AS A TECHNOLOGICAL LEADER IN THE HEALTHCARE INDUSTRY. THE NAME WAS AGAIN CHANGED IN 2021 TO SCL HEALTH - MONTANA. SCL HEALTH - MONTANA IS PART OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM.SCL HEATLH - MONTANA IS RELATED TO SCL HEALTH MEDICAL GROUP -BILLINGS, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS A GROUP OF PHYSICIAN CLINICS THAT PROVIDE PROFESSIONAL SERVICES TO THE SCL HEALTH - MONTANA COMMUNITY AND SUPPORTS THE MISSION OF SCL HEALTH - MONTANA.ALTHOUGH SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS NOT OWNED DIRECTLY BY SCL HEALTH - MONTANA, SCL HEALTH - MONTANA IS REQUIRED TO FUND ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP - BILLINGS, LLC. IN 2022, THE HOSPITAL PROVIDED $39,581,668 IN SUPPORT OF THE LOSSES OF THE PHYSICIAN CLINICS.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), SCL HEALTH - MONTANA HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL.SCL HEALTH - MONTANA HAS A VARIETY OF PROGRAMS AND SERVICES TO SERVE THE COMMUNITY INCLUDING BUT NOT LIMITED TO:- CANCER CARE- CARDIOTHORACIC AND VASCULAR MEDICINE- EMERGENCY AND TRAUMA SERVICES (LEVEL II TRAUMA CENTER)- FAMILY MEDICINE- LABOR AND DELIVERY (LEVEL III NEONATAL INTENSIVE CARE UNIT)- ORTHOPEDICS- PALLIATIVE CARE- PEDIATRIC INTENSIVE CARE UNIT- RADIOLOGY, IMAGING AND ANCILLARY SERVICES- SPORTS MEDICINE- SURGERY CENTER- THERAPY AND REHAB SERVICES- WALK-IN CARE 7 DAYS A WEEK- WOMEN'S HEALTHDURING 2022, THE FOLLOWING STATISTICAL DATA WAS GATHERED:ADMISSIONS 11,154OUTPATIENT VISTS 194,702EMERGENCY DEPARTMENT VISITS 35,954BIRTHS 1,655SURGERIES 7,875LABORATORY TESTS 1,143,375MISSION, VISION & VALUESMISSION:WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THEPEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISION:INSPIRED BY OUR FAITH, WE WILL PARTNER WITH OUR PATIENTS ANDCOMMUNITIES TO EXCEED THEIR EXPECTATIONS FOR HEALTH.VALUES:CARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON.EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS.GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS.INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE.SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES.STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.AWARDS AND RECOGNITIONSCL HEALTH - MONTANA 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.SCL HEALTH - MONTANA RECEIVED ACCREDITATION FROM THE PRESTIGIOUS MAGNET RECOGNITION PROGRAM IN 2021. MAGNET ACCREDITATION IS THE NATION'S TOP HONOR FOR NURSING EXCELLENCE, QUALITY PATIENT CARE, AND INNOVATIONS IN PRACTICE. ONLY 9.4% OF U.S. HOSPITALS HAVE ACHIEVED THIS DESIGNATION. SCL HEALTH - MONTANA 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. 468948952 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 1 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 2320 1 1 1 0 0 0 0 0 0 0 0 0 X 16 14 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 0 X COLIN QUINCY 8014423491 36 SOUTH STATE STREET SALT LAKE CITY UT 84111 JENNIFER ALDERFER PRESIDENT, MONTANA REGION 36.00 17.00 X X 0 948294 253601 YEVGENIY AREFIEV MD PHYSICIAN ESB MT 50.00 0.00 X 0 908179 32942 STEVE LOVELESS FORMER OFFICER 0.00 0.00 X 0 703304 18755 CHRISTOFFER SPOJA VP CHIEF MEDICAL OFFICER SVB 50.00 0.00 X 0 523687 144663 MICHAEL BUSH MD FORMER KEY EMPLOYEE 0.00 50.00 X 0 437176 136031 FRANK LAMM MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 490703 51402 TRENT MIHALICK MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 493355 48178 SHELDON NELSON MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 482658 46666 RONALD SNYDER MD PHYSICIAN 50.00 0.00 X 470040 0 50140 RICHARD LAMMERS MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 470227 49361 MICHAEL SKEHAN FORMER OFFICER 0.00 51.00 X 0 434952 77109 KRIKOR JANSEZIAN VP CHIEF OPERATING OFFICER 1/1-11/1/22 50.00 0.00 X 0 410848 92193 JAMES RITCHEY FORMER KEY EMPLOYEE 0.00 50.00 X 0 384285 116111 PAMELA PALAGI VP FINANCE REGION MT 36.00 14.00 X 0 400190 95848 DANIEL LEWIS MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 433668 46717 EDWIN RODRIGUEZ MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 425704 37546 MARJORIE TEVLIN MD PHYSICIAN 50.00 0.00 X 411598 0 45754 BENJAMIN BEASLEY MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 409339 45195 EDEN JONES MD PHYSICIAN 50.00 0.00 X 418280 0 30867 MICHAEL HAMILTON VP STRATEGY & BUS DEVELOPMENT SVB 1/1-7/28/22 50.00 0.00 X 0 367980 59573 JAMES RICHARDS MD PHYSICIAN 50.00 0.00 X 0 327305 41205 TRACY NEARY VP MISSION INTEGRATION REGION MT 36.00 14.00 X 0 256523 80002 SUSAN PETERSEN MD DIRECTOR 1.00 52.00 X 0 294535 17473 JESSE LASLOVICH VP NETWORK DEVELOPMENT, REGION MT 1/1-5/31/22 36.00 14.00 X 0 184852 44621 NGUYEN-VU PHAM DIRECTOR 1.00 3.00 X 0 2500 0 CHRISTOPHER EDWARDS VICE CHAIR 3.00 6.00 X X 0 0 0 KAREN FAGG PAST CHAIR 3.00 6.00 X X 0 0 0 DANETTE GLEASON CHAIR 3.00 6.00 X X 0 0 0 SISTER EILEEN HURLEY DIRECTOR 1.00 2.00 X 0 0 0 SISTER JUDITH JACKSON DIRECTOR 1.00 2.00 X 0 0 0 MJ JANSSEN DIRECTOR 1.00 2.00 X 0 0 0 BERNARD MCCARTHY DIRECTOR 1.00 2.00 X 0 0 0 CHARLES NOTBOHM SECRETARY 3.00 6.00 X X 0 0 0 COLLEEN O'LEARY DIRECTOR 1.00 2.00 X 0 0 0 BECKY RENO DIRECTOR 1.00 2.00 X 0 0 0 MAJEL RUSSELL DIRECTOR 1.00 2.00 X 0 0 0 CINDY SORICH DIRECTOR 1.00 2.00 X 0 0 0 MISTY STEADMAN DIRECTOR 1.00 2.00 X 0 0 0 1299918 9790264 1661953 298 1 1 0 0 15877653 2485475 18363128 PATIENT SERVICES 620000 490182409 487184952 2997457 ROCKY MTN HEATLH - JV 620000 52393 52393 BIG HORN BSN RAC ONC - 620000 -344045 -344045 JOINT VENTURE OTHER 620000 -552490 -552490 MISSION UNITED - JV 620000 -1134420 -1134420 488203847 25005500 25005500 1029119 884992 144127 144127 144127 5276543 2281292 2995251 2995251 2995251 CAFETERIA SALES 720000 1210117 966363 243754 PARKING LOT FEES 530000 65164 65164 LAUNDRY SERVICE - JV 810000 -47886 -47886 1227395 535939248 486190031 3241211 28144878 X 24192754 24192754 2968407 2915354 53053 116309429 114230681 2078748 4274793 4274793 14185072 13990583 194489 8787052 8637729 149323 57295 57295 19968 19968 113123853 112941503 182350 2732752 32447 2700305 1803523 1794937 8586 35086020 3808615 31277405 9330760 9168760 162000 627379 446965 180414 176332 115189 61143 3523 3523 18256759 18256759 2191657 2191657 MEDICAL SUPPLIES 108233946 108233946 SHARED SERVICES BILLING 12351410 12351410 MAINTENANCE SERVICES 10066332 9816235 250097 3RD PARTY PROVIDER FEE 9004551 9004551 43542796 24891971 18650825 537326363 468948952 68377411 0 7230 8261 60000035 67831692 102345 42438 9916615 9521182 4363813 1531860 291285438 12686467 217874333 278598971 8785336 7181285 688509510 650876183 989559217 1015591872 37657578 40382537 30797948 517619 19805177 18297913 88260703 59198069 X 901298514 956393803 901298514 956393803 989559217 1015591872 X -1387115 56482404 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 19968 19968 0 PART II-B, LINE 1: ST VINCENT HEALTHCARE PAID MEMBERSHIP DUES TO THE MONTANA HOSPITAL ASSOCIATION OF WHICH $146 IS ATTRIBUTED TO LOBBYING. ADDITIONAL LOBBYING EXPENSES OF $19,822 WERE DERIVED FROM FEES FOR ADVOCACY SERVICES RELATED TO MONTANA LEGISLATIVE ACTIVITIES. 56646748 4202307 -6202412 7385596 47261047 54363477 1844356 3880208 3441293 56646748 48881586 4723259 4256990 3498358 54363477 42024169 5005363 4621764 2769710 48881586 45782228 6316389 -1572849 8501599 42024169 0.28140 0.35430 0.36430 0 1 1 41181525 41181525 166160860 4330806 161830054 1910243 143268 1766975 66144414 8200709 57943705 15888396 11684 15876712 278598971 INTERCOMPANY RECEIVABLE 587388837 RIGHT OF USE ASSETS 18161548 OTHER ACCT RECEIVABLE 2953497 3RD PARTY SETTLEMENTS 41177696 JOINT VENTURE RECEIVABLES 512487 DEFERRED TAXES 77288 RENT RECEIVABLES 604830 650876183 OPERATING LEASE 18166698 FINANCING LEASE 131215 18297913 PART V, LINE 4: ST. VINCENT HEALTHCARE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT ST. VINCENT HOSPITAL IN AREAS INCLUDING ASSOCIATE EDUCATION, CARDIOVASCULAR, CHARITY CARE, COMMUNITY HEALTH & WELLNESS, GREATEST NEED, MOM/BABY & PEDIATRICS, NEUROSCIENCES, ONCOLOGY, SPIRITUAL CARE, WOMEN'S SERVICES, AND OTHER SERVICES AND PROGRAMS. THERE ARE ALSO BOARD-DESIGNATED ENDOWMENTS WHICH THE BOARD HAS THE RIGHT TO EXPEND AT ANY TIME. 1 1 X 1 X 250.000000000000 1 X 1 1 1 0 1 1 5891335 5891335 0.01100 86781894 83431704 3350190 0.00620 1178973 1241367 0 0.00000 93852202 84673071 9241525 0.01720 725723 725723 0.00140 1423704 1423704 0.00260 81562801 62752737 18810064 0.03500 19321244 19321244 0.03600 103033472 62752737 40280735 0.07500 196885674 147425808 49522260 0.09220 488 488 0.00000 218440 118020 100420 0.00020 2821 2821 0.00000 221749 118020 103729 0.00020 1 8458107 141385069 191214292 -49829223 X 1 1 1 ATHLETIC MEDICINE & PERFORMANCE LLC PHYSICAL THERAPY 0.33330 0.49580 2 ROCKY MOUNTAIN HEALTH NETWORK INC PHO - ADMINISTRATIVE SERVICES 0.50000 0.50000 1 1 ST VINCENT HEALTHCARE 1233 NORTH 30TH STREET BILLINGS MT 59101 SEE PART VI SUPP INFO 13258 X X X X ST VINCENT HEALTHCARE 1 0 0 1 X X X X X X X X X 20 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X X 1 20 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 ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 5: THE 2020 CHNA WAS CONDUCTED BY ST. VINCENT HEALTHCARE IN PARTNERSHIP WITH BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT, AND THE CITY-COUNTY HEALTH DEPARTMENT, RIVERSTONE HEALTH UTILIZING PRC, A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM. THE CHNA ADVISORY COMMITTEE INCLUDED AREA RESIDENTS AND ORGANIZATIONAL REPRESENTATIVES EITHER IDENTIFYING AS OR SERVING LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. THE ADVISORY GROUP PROVIDED INPUT THROUGHOUT THE CHNA/CHIP PROCESS INCLUDING MAJOR ACTIVITIES SUCH AS THE QUESTIONNAIRE, STAKEHOLDERS INVOLVED IN THE KEY INFORMANT SURVEY AND INVITEES FOR THE PRIORITIZATION PROCESS. THE CHNA INCORPORATED: 1) PRIMARY QUANTITATIVE DATA (A 400 HOUSEHOLD TELEPHONE COMMUNITY HEALTH SURVEY), 2) SECONDARY QUANTITATIVE DATA (EXISTING PUBLIC HEALTH DATA) AND 3) PRIMARY QUALITATIVE DATA (ONLINE KEY INFORMANT SURVEYS). THE SAMPLE DRAWN FOR THE 400 HOUSEHOLD TELEPHONE SURVEY IS REPRESENTATIVE OF THE YELLOWSTONE COUNTY POPULATION IN TERMS OF DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS, AS WELL AS GEOGRAPHIC LOCATION. THE 2020 CHNA WAS A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED IN 2017, 2014, 2011, AND 2006 WHICH ALLOWED FOR TRENDING OVER TIME.TO SOLICIT INPUT FOR KEY INFORMANTS, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED. 154 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF COMMUNITY BASED ORGANIZATIONS, EDUCATION, GOVERNMENT, BUSINESS, HEALTHCARE AND PUBLIC HEALTH. THROUGHOUT THE PROCESS, INPUT WAS GATHERED FROM INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. MINORITY/MEDICALLY UNDERSERVED POPULATIONS REPRESENTED BY KEY INFORMANTS INCLUDED: AMERICAN INDIANS, CHILDREN, COLLEGE STUDENTS, THOSE WITH CO-OCCURRING DISORDERS, CRIMINAL OFFENDERS, THOSE WITH DISABILITIES, THE ELDERLY, ENGLISH AS A SECOND LANGUAGE, HISPANICS, HOMELESS INDIVIDUALS, HUTTERITES, IMMIGRANTS, LGBTQ+, LOW INCOME, THE MENTALLY ILL, MULTI-RACIAL INDIVIDUALS, PREGNANT TEENS, RUNAWAYS, RURAL RESIDENTS, SINGLE PARENTS, SUBSTANCE ABUSERS, UNINSURED/UNDERINSURED RESIDENTS, VETERANS, VICTIMS OF VIOLENCE, WOMEN, AND INDIVIDUALS WITH CHRONIC DISEASE SUCH AS CANCER, DIABETES, HIGH BLOOD PRESSURE, AND HIV/AIDS. IN ADDITION, FEEDBACK FROM DIVERSE GROUPS WAS COLLECTED USING STREETWYZE/ISEEED, AN ONLINE COMMUNITY ENGAGEMENT PLATFORM. STREETWYZE PROVIDED THE OPPORTUNITY FOR COMMUNITY MEMBERS TO SHARE FIRST-HAND PERCEPTIONS AND EXPERIENCES OF THEIR COMMUNITY. A SPECIFIC PROMPT WAS CREATED TO SOLICIT FEEDBACK SPECIFICALLY RELATED TO COMMUNITY HEALTH BARRIERS AND OPPORTUNITIES. A TOTAL OF 428 DATA POINTS WERE COLLECTED THROUGH 120 UNIQUE USER ACCOUNTS. ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 6A: THE 2020 CHNA WAS CONDUCTED IN PARTNERSHIP WITH BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT. ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE CITY-COUNTY HEALTH DEPARTMENT (RIVERSTONE HEALTH). IN ADDITION, 93 REPRESENTATIVES FROM BUSINESS, COMMUNITY, EDUCATION, FAITH-BASED ORGANIZATIONS, SOCIAL SERVICE, AND GOVERNMENT WERE INVOLVED IN THE CHNA PROCESS AS MEMBERS OF THE CHNA ADVISORY GROUP WHICH PROVIDED OVERSIGHT TO THE CHNA PROCESS.ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7A: HTTPS://WWW.SCLHEALTH.ORG/-/MEDIA/FILES/CARE-SITES/ST-VINCENT/ABOUT/COMMUNITY-BENEFIT/2020-PRC-CHNA-REPORT-SVB.PDF ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7B: HTTPS://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG/WP-CONTENT/UPLOADS/2021/09/2020-PRC-CHNA-REPORT-YELLOWSTONE-COUNTY-MT-FINAL-2020.02.07-1.PDF ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 7D: A PRESS CONFERENCE WAS HELD ON FEBRUARY 7, 2020, TO PUBLICIZE THE CHNA. PRINTED COPIES OF THE CHNA SUMMARY REPORT WERE DISTRIBUTED TO LOCAL NON-PROFIT ORGANIZATIONS. THE CHNA IS ALSO AVAILABLE ELECTRONICALLY ON THE HEALTHY BY DESIGN COALITION WEBSITE: HTTP://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORGST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 10A:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/ ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 11: THE 2020 CHNA IDENTIFIED 13 AREAS OF OPPORTUNITY AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. IN ALPHABETICAL ORDER, THEY ARE:1. ACCESS TO HEALTHCARE SERVICES2. CANCER3. DIABETES4. HEART DISEASE AND STROKE5. INFANT HEALTH 6. INJURY AND VIOLENCE7. MENTAL HEALTH8. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT9. POTENTIALLY DISABLING CONDITIONS10. RESPIRATORY DISEASES 11. SEXUAL HEALTH12. SUBSTANCE ABUSE13. TOBACCO USEA GROUP OF COMMUNITY STAKEHOLDERS, REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS, WAS CONVENED TO EVALUATE, DISCUSS, AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY. PARTICIPANTS EVALUATED EACH OF THE 13 IDENTIFIED AREAS OF OPPORTUNITY ALONG TWO CRITERIA: SCOPE AND SEVERITY, AND ABILITY TO IMPACT. THIS PROCESS YIELDED A PRIORITIZED LIST OF COMMUNITY NEEDS WITH THE TOP THREE IDENTIFIED NEEDS AS: 1. MENTAL HEALTH2. SUBSTANCE ABUSE 3. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHTFOLLOWING THE COMMUNITY'S PRIOIRITIZATION, ST. VINCENT HEALTHCARE'S COMMUNITY BENEFIT COMMITTEE OF THE MONTANA REGION BOARD OF DIRECTORS AND ST. VINCENT HEALTHCARE'S LEADERSHIP TEAM REVIEWED THE DATA AND PRIORITIZED BASED ON THE FOLLOWING CRITERIA: ABILITY TO IMPACT, SCOPE AND SEVERITY OF THE ISSUE, COMMUNITY PRIORITIZATION OF ISSUES, POTENTIAL COMMUNITY PARTNERS, AND ALIGNMENT WITH CURRENT EFFORTS AND STRATEGIES. FROM THIS PROCESS, THREE PIORITY NEEDS WERE IDENTIFIED:1. ACCESS TO HEALTHCARE SERVICES2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE) 3. HEALTHY WEIGHT STATUS ST. VINCENT HEALTHCARE IS ADDRESSING THESE IDENTIFIED HEALTH NEEDS THROUGH BOTH COLLABORATIVE COMMUNITY EFFORTS AND SPECIFIC HOSPITAL EFFORTS.ACCESS TO HEALTHCARE SERVICES:IN THE 2020 CHNA, 32.1% OF YELLOWSTONE COUNTY ADULTS REPORTED SOME TYPE OF DIFFICULTY OR DELAY IN OBTAINING HEALTHCARE SERVICES IN THE PAST YEAR. RATES OF ROUTINE CHECKUPS (67.2%) WERE LOWER THAN MONTANA OVERALL (73%). YELLOWSTONE COUNTY IS SURROUNDED BY HEALTHCARE PROVIDER SHORTAGE AREAS BASED ON GEOGRAPHIES AND LOW INCOME. TO ENHANCE ACCESS TO HEALTHCARE SERVICES, ESPECIALLY FOR RESIDENTS IN RURAL AND TRIBAL COMMUNITIES, ST. VINCENT HEALTHCARE PROVIDES OUTREACH SERVICES SUCH AS MOBILE MAMMOGRAPHY, VISITING CLINICS, PEDIATRIC OUTREACH, AND VIRTUAL HEALTH SERVICES. IN 2022, A PRIMARY CARE AND WALK-IN CLINIC WAS OPENED LAUREL MONTANA. AN AVERAGE OF 1,273 VIRTUAL HEALTH VISITS WERE PROVIDED EACH MONTH AND 22 COMMUNITIES WERE PROVIDED TELEMEDICINE ACCESS TO 41 SPECIALTIES. MOBILE MAMMOGRAPHY SCREENINGS WERE PROVIDED TO 3,429 WOMEN AT 62 LOCATIONS, INCLUDING 590 SCREENINGS AT INDIAN HEALTH SERVICE SITES ON THE CROW AND NORTHERN CHEYENNE RESERVATIONS. MIDWIFERY CLINICS PROVIDED ADDITIONAL OUTREACH TO WOMEN IN THE NORTHERN CHEYENNE COMMUNITY, INCREASING ACCESS TO EARLY PRENATAL CARE. TO INCREASE WORKFORCE CAPACITY TO PROVIDE HEALTHCARE SERVICES, ST. VINCENT HEALTHCARE PROVIDES CLINICAL ROTATIONS FOR NURSING, DIETITIAN, PHYSICAL THERAPY, AND PHARMACY STUDENTS. ST. VINCENT HEALTHCARE OFFERS THE ONLY ACCREDITED CLINICAL PASTORAL EDUCATION (CPE) PROGRAM IN THE STATE. IN 2022, 111 NURSING STUDENTS, 6 PHARMACY STUDENTS, 3 PHYSICAL THERAPY STUDENTS, 8 OCCUPATIONAL THERAPY, 8 SURGICAL TECHNICIAN STUDENTS, 4 DIETETIC INTERNS AND 12 CPE STUDENTS COMPLETED CLINICAL ROTATIONS. TO TRAIN FUTURE PHYSICIANS, ST. VINCENT HEALTHCARE PROVIDED LEADERSHIP AND FINANCIAL SUPPORT TO THE MONTANA FAMILY PRACTICE RESIDENCY PROGRAM. IN ADDITION, ST. VINCENT HEALTHCARE OFFERS A MEDICATION ASSISTANCE PROGRAM PROVIDING ASSISTANCE TO LOW INCOME, UNINSURED INDIVIDUALS TO OBTAIN FREE OR DISCOUNTED PRESCRIPTION MEDICATIONS DIRECTLY FROM PHARMACEUTICAL COMPANIES. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE):YELLOWSTONE COUNTY ADULTS REPORTED HIGHER RATES OF DEPRESSIVE DISORDER (32.2%) THAN THE STATE OF MONTANA AND US. THE PERCENTAGE OF ADULTS REPORTING THEIR OVERALL MENTAL HEALTH AS FAIR OR POOR WAS 20.2%, WHICH HAS INCREASED SIGNIFICANTLY SINCE 2005. IN THE 2020 CHNA, 36.1% OF LOW-INCOME RESIDENTS REPORTED CONSIDERING SUICIDE. OVER HALF OF YELLOWSTONE COUNTY ADULTS (53.8%) REPORTED THEIR LIVES HAD BEEN NEGATIVELY IMPACTED BY SUBSTANCE USE. ST. VINCENT HEALTHCARE HAS INTEGRATED BEHAVIORAL HEALTH INTO OUR PRIMARY CARE CLINICS AND MIDWIFERY CLINIC. EMBEDDED MENTAL HEALTH SPECIALISTS PROVIDE INCREASED ACCESS TO MENTAL HEALTH TREATMENTS AND REDUCE BARRIERS RELATED TO STIGMA. IN 2022 5,787 INDIVIDUALS WERE REFERRED TO BEHAVIORAL HEALTH SPECIALISTS WITH 1,335 IN-PERSON, TELEPHONE, OR TELEVIDEO VISITS COMPLETED. WE CONTINUE TO PROVIDE SUPPORT TO THE COMMUNITY CRISIS CENTER. THE COMMUNITY CRISIS CENTER PROVIDES ASSESSMENTS, CASE MANAGEMENT, GROUPS, ADDICTIONS COUNSELING, REFERRALS, AND STABILIZATION SERVICES TO PEOPLE 24 HOURS PER DAY 365 DAYS PER YEAR. THESE SERVICES ARE PROVIDED FOR PERSONS IN CRISIS WHO NEED ACCESS TO INTEGRATED MENTAL HEALTH, CHEMICAL DEPENDENCY AND SOCIAL SERVICES, REGARDLESS OF ABILITY TO PAY FOR THESE SERVICES. THIS INCLUDES A 24-HOUR STABILIZATION AREA FOR THOSE MOST AT RISK THAT DO NOT NEED HOSPITALIZATION. THE COMMUNITY CRISIS CENTER ALSO PROVIDES CRISIS INTERVENTION TEAM TRAINING FOR LAW ENFORCEMENT. IN 2022, 12,926 RESOLVED CLIENT VISITS WERE MADE TO THE COMMUNITY CRISIS CENTER WITH 80-85% OF CLIENTS EXPERIENCING HOMELESSNESS. ST. VINCENT HEALTHCARE ALSO PROVIDED FINANCIAL SUPPORT TO A STUDENT RUN MENTAL HEALTH CLINIC AT WALLA WALLA UNIVERSITY-BILLINGS. IN 2022, THIS CLINIC HAS PROVIDED AN AVERAGE OF 76 NO-COST MENTAL HEALTH APPOINTMENTS EACH MONTH TO INDIVIDUALS WITHOUT INSURANCE COVERAGE WHILE AT THE SAME TIME PROVIDING CLINICAL HOURS NEEDED FOR STUDENTS TO COMPLETE THEIR MSW DEGREES, INCREASING ACCESS TO MENTAL HEALTH SERVICES. WE CONTINUE SUPPORT TO COMMUNITY COLLABORATIONS ADDRESSING SUICIDE AND MENTAL HEALTH INCLUDING THE YELLOWSTONE VALLEY SUICIDE PREVENTION COALITION. IN 2022, 134 PEOPLE ATTENDED A SUICIDE PREVENTION CONFERENCE HOSTED BY ST. VINCENT HEALTHCARE WITH THE YELLOWSTONE VALLEY SUICIDE PREVENTION COALITION. THROUGH COLLABORATION WITH THE COALITION, 724 COMMUNITY MEMBERS WERE TRAINED IN QPR, A SUICIDE PREVENTION TRAINING. ST. VINCENT HEALTHCARE IS ADDRESSING PRENATAL SUBSTANCE USE THROUGH MIDWIFERY CLINICS WHICH INCLUDE CARE COORDINATORS TO FOCUS ON SOCIAL NEEDS AND SCREENINGS FOR MENTAL HEALTH NEEDS AND SUBSTANCE USE. THE HEALTHY SPARK PROGRAM IS PROVIDING TWO-WAY COMMUNICATION VIA A TEXTING APPLICATION FOR HIGH-RISK NEW MOTHERS. 489 NEW MOTHERS ENROLLED IN THE PROGRAM. ST. VINCENT HEALTHCARE IS AN ACTIVE MEMBER OF THE SUBSTANCE ABUSE CONNECT COALITION, FOCUSED ON DECREASING METH USE IN OUR COMMUNITY, WITH STAFF SERVING ON THE EXECUTIVE COMMITTEE. ST. VINCENT HEALTHCARE COLLABORATES WITH COMMUNITY PARTNERS IN THE HEALTHY BY DESIGN COALITION ON A COLLECTIVE COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS BEHAVIORAL HEALTH CONCERNS THROUGH AN UPSTREAM APPROACH. THESE COLLECTIVE EFFORTS INCLUDE THE CREATION OF HEALTHY NEIGHBORHOODS, HEALTHY CONNECTIONS TO DECREASE SOCIAL ISOLATION, AND HEALTHY INVESTMENTS TO IMPROVE QUALITY OF LIFE AND LIVABILITY THROUGHOUT THE COMMUNITY. NUTRITION, PHYSICAL ACTIVITY & WEIGHT: THE 2020 CHNA REPORTED 72.7% OF YELLOWSTONE COUNTY ADULTS AS OVERWEIGHT OR OBESE, 27.7% OF ADULTS CONSUMING 5 OR MORE SERVINGS OF FRUITS OR VEGETABLES, AND 23.3% OF ADULTS MEETING PHYSICAL ACTIVITY RECOMMENDATIONS. IN ADDITION, 24.3% OF CHILDREN IN YELLOWSTONE COUNTY ARE OVERWEIGHT OR OBESE. ST. VINCENT HEALTHCARE OFFERS THE EVIDENCE-BASED DIABETES AND HEART DISEASE PREVENTION PROGRAM. LOCATED AT THE BILLINGS FAMILY YMCA, THE PROGRAM IS OFFERED TWICE A YEAR. IN 2022, 115 INDIVIDUALS ENROLLED IN THE PROGRAM WHICH FOCUSES ON NUTRITION EDUCATION AND PHYSICAL ACTIVITY, SUPPORTING HEALTHY LIFESTYLE CHANGES FOR ADULTS WHO ARE AT RISK FOR DEVELOPING TYPE 2 DIABETES OR HEART DISEASE. PARTICIPANTS FINISHED THE YEAR LONG PROGRAM WITH AN AVERAGE WEIGHT LOSS OF 7%. AS PRESENTING SPONSOR OF KIDS IN MOTION, ST. VINCENT HEALTHCARE COLLABORATES WITH THE CITY OF BILLINGS AND SCHOOL DISTRICT 2 TO PROVIDE BICYCLE TUNE-UP CLINICS AND IN-CLASS EDUCATION TO EMPOWER YOUTH WITH SKILLS AND CONFIDENCE NEEDED TO RIDE THEIR BICYCLES EVERY DAY. IN 2022, A TOTAL OF 299 STUDENT BICYCLES WERE INSPECTED AND, IF NEEDED, REPAIRED AT 10 SCHOOLS. CONTINUED IN SCHED H PART V SUPPLEMENTAL INFORMATION PART V, SECTION B, LINE 11 CONTINUED AS A SPONSORING ENTITY AND MEMBER OF THE HEALTHY BY DESIGN COALITION, ST. VINCENT HEALTHCARE IS COLLABORATING TO INCREASE THE PROPORTION OF RESIDENTS WHO ARE AT A HEALTHY WEIGHT IN YELLOWSTONE COUNTY THROUGH POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE EFFORTS. THIS INCLUDES THE HEALTHY BY DESIGN COALITION'S GARDENERS' MARKET. LOCATED IN A FEDERALLY IDENTIFIED FOOD DESERT WITHIN A LOW-INCOME NEIGHBORHOOD AND ACCEPTING SNAP AND WIC BENEFITS TO INCREASE ACCESS TO AFFORDABLE FRUITS AND VEGETABLES, THE GARDENERS' MARKET SERVED AN AVERAGE OF 174 RESIDENTS EACH WEEK FROM JUNE TO OCTOBER. SURVEYS OF PARTICIPANTS FOUND 86% REPORTED EATING MORE FRUITS AND VEGETABLES AS A RESULT OF THE MARKET. ST. VINCENT HEALTHCARE ALSO PROVIDES INDIVIDUAL INTERVENTIONS FOR HEALTHY WEIGHT THROUGH THE WEIGHT MANAGEMENT CLINIC. BARIATRIC PATIENTS REDUCED THEIR BMI AT ONE YEAR POST OP FROM 44.5 TO 31.67. PEDIATRIC WEIGHT MANAGEMENT SERVICES WERE OFFERED AT THE PEDIATRIC SPECIALITY CLINIC. OTHER SIGNIFICANT NEEDS NOT PRIORITIZEDST. VINCENT HEALTHCARE CONTINUES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE THESE HEALTH NEEDS ARE ADDRESSED.CANCER: ST. VINCENT HEALTHCARE SCREENED 490 PATIENTS FOR LUNG CANCER USING LOW-DOSE CT SCANS. THE MOBILE MAMMOGRAPHY COACH PROVIDED MAMMOGRAMS TO 3,429 WOMEN AT 62 LOCATIONS, INCLUDING 503 SCREENINGS AT INDIAN HEALTH SERVICE SITES. DIABETES: ST. VINCENT HEALTHCARE OFFERS TWO SESSIONS OF THE DIABETES HEART DISEASE AND PREVENTION AT THE BILLINGS FAMILY YMCA EACH YEAR. FREE DIABETES SCREENINGS ARE OFFERED AT EVENTS INCLUDING THE MATE SHOW AND POWWOWS TO SCREEN AT-RISK POPULATIONS. DIABETES IS ALSO ADDRESSED THROUGH OUR HEALTHY WEIGHT STATUS PRIORITY. HEART DISEASE AND STROKE: ST. VINCENT HEALTHCARE OFFERS A BROAD ARRAY OF SERVICES INCLUDING CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, ADVANCED THROMBECTOMY-CAPABLE STROKE CENTER CERTIFICATION, AND CARDIAC REHABILITATION. PREVENTION OF HEART DISEASE IS ADDRESSED THROUGH OUR HEALTHY WEIGHT STATUS PRIORITY.INFANT HEALTH AND SEXUAL HEALTH: ST. VINCENT HEALTHCARE OFFERS MATERNAL FETAL MEDICINE WITH OUTREACH TO RURAL COMMUNITIES. OUR MIDWIFERY CLINIC PROVIDES OUTREACH TO TRIBAL COMMUNITIES. BEHAVIORAL HEALTH SCREENINGS ARE PROVIDED AT PRENATAL APPOINTMENTS AND TARGETED INTERVENTIONS HAVE BEEN DEVELOPED FOR HIGH-RISK PARENTS. INJURY AND VIOLENCE: STEPPING ON FALL PREVENTION CLASSES ARE OFFERED. PRESENTATIONS ON WINTER SAFETY AND FALLS PREVENTION WERE CONDUCTED AT 4 LOCATIONS. STOP THE BLEED PRESENTATIONS WERE OFFERED TO 8 GROUPS. IN PARTNERSHIP WITH VITALANT, ST. VINCENT HEALTHCARE CONDUCTED BLOOD DRIVES WHICH RESULTED IN 482 BLOOD DONATIONS. POTENTIAL DISABLING CONDITIONS: ST. VINCENT HEALTHCARE IS A MEMBER OF THE DEMENTIA FRIENDLY BILLINGS COALITION AND PARTICIPATES IN LOCAL MEMORY CAFE EVENTS. RESPIRATORY DISEASE AND TOBACCO USE: ST. VINCENT HEALTHCARE PROVIDED FREEDOM FROM SMOKING TOBACCO CESSATION CLASSES. LOW-DOSE CT SCANS WERE OFFERED TO 490 CURRENT AND FORMER HEAVY SMOKERS TO SCREEN FOR LUNG CANCER AND TOBACCO CESSATION INFORMATION WAS PROVIDED IN CONJUNCTION WITH THESE SCREENINGS. COMMUNITY BUILDING ACTIVITIES: ST. VINCENT HEALTHCARE RECOGNIZES THE NEED TO ADDRESS UNDERLYING FACTORS WHICH INFLUENCE HEALTH IN OUR COMMUNITY SUCH AS EDUCATION, HOUSING, EARLY CHILDHOOD DEVELOPMENT AND ECONOMIC SECURITY. WE SPONSOR THE FOSTER GRANDPARENT PROGRAM WITH 30 LOW-INCOME SENIORS MENTORING STUDENTS IN NEED AT SCHOOLS, AFTER SCHOOL PROGRAMS AND HEAD START CENTERS IN SIX COUNTIES AND ON THREE RESERVATIONS, RESULTING IN IMPROVED ACADEMIC SCORES. ST. VINCENT HEALTHCARE PARTICPATES WITH THE CONTINUUM OF CARE COALITION TO ADDRESS HOUSING FOR INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. IN ADDITION, ST. VINCENT ALSO PROVIDED FINANCIAL SUPPORT FOR EDUCATIONAL AND YOUTH DEVELOPMENT ACTIVITIES FOR SEVERAL SCHOOLS IN THE BILLINGS AREA. FINALLY, ST. VINCENT PROVIDED FINANCIAL SUPPORT FOR RELIEF EFFORTS IN RED LODGE AND ABSORKEE FOLLOWING A SEVERE FLOODING EVENT THAT IMPACTED THOSE COMMUNITIES IN EARLY 2022.ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 16A, 16B, 16C: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/PATIENTS-VISITORS/BILLING-PRICING/FINANCIAL-ASSISTANCE/ 12 1 - SCL HEALTH ST VINCENT MS CENTER 1041 N 29TH ST BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 2 - SCL HEALTH ST VINCENT NEUROLOGY 1041 N 29TH ST BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 3 - SCL HEALTH ST VINCENT NEUROSURGERY 1041 N 29TH ST BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 4 - SCL HEALTH ST VINCENT RHEUMATOLOGY 2900 12TH AVE N BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 5 - SCL HEALTH ST VINCENT ORTHOPEDICS 2900 12TH AVE N BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 6 - CANCER CENTERS OF MONTANA 1315 GOLDEN VALLEY CIR BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 7 - CANCER CENTERS OF MONTANA 1315 GOLDEN VALLEY CIR BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 8 - ST VINCENT NEUROLOGY HOSPITALISTS 1233 N 30TH ST BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 9 - SCL HEALTH MEDICAL GROUP - RED LODGE 810 N BROADWAY REDLODGE MT 59086 OUTPATIENT PHYSICIAN CLINIC 10 - CANCER CENTERS OF MONTANA 1315 GOLDEN VALLEY CIR BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 11 - SCL CANCER CENTERS OF MONTANA 2600 WILSON STREET MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 12 - ATHLETIC MEDICINE & PERFORMANCE LLC 1144 NORTH 28TH STREET BILLINGS MT 59101 PHYSICAL THERAPY PART I, LINE 6A: THE 2020 CHNA WAS CONDUCTED IN PARTNERSHIP WITH BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT. 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.PART I, LINE 7, COLUMN (F): 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 $8,458,107 PART II, COMMUNITY BUILDING ACTIVITIES: ST. VINCENT HEALTHCARE RECOGNIZES THE NEED TO ADDRESS UNDERLYING FACTORS WHICH INFLUENCE HEALTH IN OUR COMMUNITY SUCH AS EDUCATION, HOUSING, EARLY CHILDHOOD DEVELOPMENT AND ECONOMIC SECURITY. WE SPONSOR THE FOSTER GRANDPARENT PROGRAM WITH 30 LOW-INCOME SENIORS MENTORING STUDENTS IN NEED AT SCHOOLS, AFTER SCHOOL PROGRAMS AND HEAD START CENTERS IN SIX COUNTIES AND ON THREE RESERVATIONS, RESULTING IN IMPROVED ACADEMIC SCORES. ST. VINCENT HEALTHCARE PARTICPATES WITH THE CONTINUUM OF CARE COALITION TO ADDRESS HOUSING FOR INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. IN ADDITION, ST. VINCENT HEALTHCARE ALSO PROVIDED FINANCIAL SUPPORT FOR EDUCATIONAL AND YOUTH DEVELOPMENT ACTIVITIES FOR SEVERAL SCHOOLS IN THE BILLINGS AREA. ST. VINCENT HEALTHCARE ALSO PROVIDED FINANCIAL SUPPORT FOR RELIEF EFFORTS IN RED LODGE AND ABSORKEE FOLLOWING A SEVERE FLOODING EVENT THAT IMPACTED THOSE COMMUNITIES IN EARLY 2022. SCHEDULE H, PART III, LINE 1THE 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 SO WE 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 WEBSITE: WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/ PART VI, LINE 2: ST. VINCENT HEALTHCARE LEADERS SERVE ON VARIOUS COMMUNITY BOARDS TO UNDERSTAND SPECIFIC NEEDS. OUTREACH AND RELATIONSHIPS WITH OTHER HOSPITALS AND CLINICS ALSO ENABLES ST. VINCENT TO BETTER ASSESS HEALTH CARE NEEDS OF OUR RURAL MONTANA COMMUNITIES.IN ADDITION TO THE CHNA, ST. VINCENT HEALTHCARE USES SECONDARY DATA SUCH AS COUNTY HEALTH RANKINGS AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) TO DETERMINE HEALTH NEEDS FOR COUNTIES BEYOND OUR PRIMARY SERVICE AREA. WE ALSO UTILIZE OTHER LOCAL NEEDS ASSESSMENTS AND REPORTS FROM COMMUNITY ORGANIZATIONS SUCH AS UNITED WAY OF YELLOWSTONE COUNTY AND HRDC. 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: POPULATION AND GEOGRAPHY: ST. VINCENT HEALTHCARE'S PRIMARY SERVICE AREA INCLUDES YELLOWSTONE COUNTY. YELLOWSTONE COUNTY ENCOMPASES 2,633 SQUARE MILES AND INCLUDES A POPULATION OF 164,731 RESIDENTS. BETWEEN THE 2000 AND 2010 US CENSUSES, THE POPULATION OF YELLOWSTONE COUNTY INCREASED BY 14.4%, A GREATER PROPORTIONAL INCREASE THAN SEEN ACROSS BOTH MONTANA AND THE NATION OVERALL. YELLOWSTONE COUNTY IS PREDOMINANTLY URBAN WITH 83.3% OF THE POPULATION LIVING IN AREAS DESIGNATED AS URBAN AND IS SURROUNDED BY RURAL AND FRONTIER COUNTIES.AGE: IN YELLOWSTONE COUNTY, 23.3% OF THE POPULATION ARE CHILDREN AGED 0-17; THE OTHER 59.3% ARE AGE 18 TO 64, WHILE 17.4% ARE AGE 65 AND OLDER. RACE AND ETHNICITY: THE MAJORITY OF YELLOWSTONE COUNTY RESIDENTS ARE WHITE (90.5%), 4.9% ARE NATIVE AMERICAN, 0.8% ARE BLACK, 0.8% ARE ASIAN, AND 3% MULTIPLE RACES. A TOTAL OF 5.8% OF YELLOWSTONE COUNTY RESIDENTS ARE HISPANIC OR LATINO WHICH IS HIGHER THAN THE STATE OF MONTANA PREVALENCE. POVERTY AND ECONOMICS: THE LATEST CENSUS ESTIMATE SHOWS 10.6% OF THE YELLOWSTONE COUNTY POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 4,222 CHILDREN LIVING BELOW THE FEDERAL POVERTY LEVEL. 5.9% OF YELLOWSTONE COUNTY ADULTS OVER AGE 25 DO NOT HAVE A HIGH SCHOOL EDUCATION. THE UNEMPLOYMENT RATE WAS 2.9% AND HAS DECREASED SINCE 2010. 27.8% OF ADULTS REPORTED BEING WORRIED OR STRESSED ABOUT HAVING ENOUGH MONEY TO PAY THEIR RENT OR MORTGAGE IN THE PAST YEAR. APPROXIMATELY 33,651 RESIDENTS HAVE LOW FOOD ACCESS AND 17.1% OF ADULTS FOUND IT DIFFICULT TO ACCESS AFFORDABLE FRESH FRUITS AND VEGETABLES. HEALTH STATUS: MOST YELLOWSTONE COUNTY RESIDENTS RATE THEIR OVERALL HEALTH FAVORABLY WITH 83.3% RATING IT AS EXCELLENT, VERY GOOD, OR GOOD. HOWEVER, 16.7% OF ADULTS BELIEVE THEIR HEALTH IS FAIR OR POOR. IN 2020, COUNTY HEALTH RANKINGS AND ROADMAPS PROGRAM RANKED YELLOWSTONE COUNTY 24 OF 48 COUNTIES FOR HEALTH OUTCOMES AND 15 OF 48 COUNTIES FOR HEALTH FACTORS. PART VI, LINE 5: ST. VINCENT HEALTHCARE ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT." ST. VINCENT HEALTHCARE'S COMMUNITY BENEFIT WORK IS DRIVEN BY IDENTIFIED COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS AND THE BROADER COMMUNITY. A COMMUNITY BENEFIT REPORT TO THE COMMUNITY IS PUBLISHED ANNUALLY AND CAN BE FOUND AT: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/REPORTS-TO-THE-COMMUNITY/ COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION AND STAFF AND BOARD EDUCATION IS CONDUCTED. ST. VINCENT HEALTHCARE HAS DEDICATED STAFF COMMITTED TO COMMUNITY BENEFIT EFFORTS. HOSPITAL LEADERS, MANAGERS, AND SUPERVISORS ARE REQUIRED TO PARTICIPATE ANNUALLY IN COMMUNITY BENEFIT SERVICE EVENTS WITH NON-PROFIT ORGANIZATIONS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. IN 2022, OUR LEADERS PERFORMED OVER 1,120 HOURS OF SERVICE IN THE COMMUNITY, BENEFITING MORE THAN 83 ORGANIZATIONS FOCUSED ON BEHAVIORAL HEALTH, INJURY PREVENTION, EDUCATION, HOMELESSNESS, PHYSICAL ACTIVITY, NUTRITION, ECONOMIC DEVELOPMENT, SENIORS, EMERGENCY RESPONSE, AND HEALTHCARE PROVIDER TRAINING. ST. VINCENT HEALTHCARE'S BOARD OF DIRECTORS IS A VOLUNTEER GOVERNING BODY WHICH INCLUDES INDEPENDENT PERSONS THAT REPRESENT THE COMMUNITY. WITHIN THE BOARD OF DIRECTORS, THERE IS A SPECIFIC COMMUNITY BENEFIT BOARD LEVEL COMMITTEE. THIS COMMITTEE IS DEEPLY INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND PROVIDES DIRECTION TO DEVELOPMENT OF THE ORGANIZATION'S IMPROVEMENT PLAN IN RESPONSE TO RESULTS OF COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL'S COMMUNITY BENEFIT BOARD COMMITTEE MONITORS IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND PROVIDES REPORTS BACK TO THE FULL REGIONAL BOARD. ST. VINCENT HEALTHCARE OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. ST. VINCENT HEALTHCARE ENGAGES IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND PARTICIPATES IN MEDICAID, MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. ST. VINCENT HEALTHCARE EMPLOYS THE STAFF OF THE ST. VINCENT HEALTHCARE FOUNDATION, A NON-PROFIT ORGANIZATION THAT PROVIDES FUNDRAISING FOR BOTH ST. VINCENT HEALTHCARE PROGRAMS AND FOR COMMUNITY BENEFIT PROGRAMS THAT REACH BOTH THE POOR AND BROADER COMMUNITY. OPERATIONS OF THE ST. VINCENT HEALTHCARE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN ST. VINCENT HEALTHCARE HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE WILL BE ABLE TO CARE FOR FUTURE GENERATIONS. ST. VINCENT HEALTHCARE CO-LEADS COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE ALLIANCE, A COLLABORATIVE WITH BILLINGS CLINIC AND RIVERSTONE HEALTH, AND COMMITS TIME AND FINANCIAL RESOURCES TO FULFILLING GOALS OUTLINED IN THE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY. 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 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 237379161 501(C)(3) 19190113 0 SUPPORT MONTANA CLINICS MONTANA STATE UNIVERSITY FOUNDATION PO BOX 172750 BOZEMAN MT 59717 816001649 501(C)(3) 3042500 0 CERTIFIED NURSE MIDWIFERY PROGRAM AND SCHOLARSHIPS ST VINCENT HEALTHCARE FOUNDATION 1106 NORTH 30TH STREET BILLINGS MT 59101 810468034 501(C)(3) 1560617 0 SUPPORT OPERATIONS COMMUNITY CRISIS CENTER 704 N 30TH BILLINGS MT 59101 203231164 501(C)(3) 82000 0 PROGRAM SUPPORT RIVERSTONE HEALTH 123 S 27TH STREET BILLINGS MT 59101 352332179 501(C)(3) 77656 0 PROGRAM SUPPORT MONTANA AMATEUR SPORTS INC PO BOX 7136 BILLINGS MT 59103 810431595 501(C)(3) 17500 0 SUPPORT COMMUNITY HEALTH ROCKY MOUNTAIN COLLEGE 1511 POLY DR BILLINGS MT 59102 810235407 501(C)(3) 16250 0 TUITION AND SCHOLARSHIPS BILLINGS CHAMBER OF COMMERCE 815 S 27TH ST BILLINGS MT 59101 810111570 501(C)(3) 15500 0 PUBLIC SAFTEY INITIATIVE SUPPORT ABSAROKEE COMMUNITY FOUNDATION PO BOX 72 ABSAROKEE MT 59001 731658638 501(C)(3) 15000 0 FLOOD RELIEF RED LODGE AREA COMMUNITY FOUNDATION PO BOX 1871 RED LODGE MT 59068 200192255 501(C)(3) 15000 0 FLOOD RELIEF AMERICAN CANCER SOCIETY 1903 CENTRAL AVE BILLINGS MT 59102 131788491 501(C)(3) 12500 0 PROGRAM SUPPORT YMCA 402 NORTH 32ND STREET BILLINGS MT 59101 810229386 501(C)(3) 12500 0 PROGRAM SUPPORT RIMROCK FOUNDATION 1231 N 29TH STREET BILLINGS MT 59101 810302870 501(C)(3) 10500 0 PROGRAM SUPPORT EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS 415 N 30TH STREET BILLINGS MT 59101 810452904 501(C)(3) 10000 0 PROGRAM SUPPORT BOYS AND GIRLS CLUB OF YELLOWSTONE COUNTY 505 ORCHARD LANE BILLINGS MT 59101 810308003 501(C)(3) 8060 0 PROGRAM SUPPORT NATIONAL MULTIPLE SCLEROSIS SOCIETY 900 S BROADWAY SUITE 200 DENVER CO 80209 135661935 501(C)(3) 8000 0 SPONSORSHIP BILLINGS DISTRICT COUNCIL OF THE SOCIETY OF ST VINCENT DE PAUL 3005 1ST AVE S BILLINGS MT 59101 910879988 501(C)(3) 8000 0 PROGRAM SUPPORT ST JOHNS FOUNDATION 3940 RIMROCK RD BILLINGS MT 59102 810459472 501(C)(3) 7500 0 PROGRAM SUPPORT 18 0 PART I, LINE 2: MISSION FUND POLICIES ST VINCENT HEALTHCARE PROVIDES A LIMITED NUMBER OF GRANTS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN OUR COMMUNITY. GUIDED BY HOSPITAL POLICY, MISSION FUND AWARD PROJECTS MUST: (1) DEMONSTRATE A COMMITTMENT TO THE ST VINCENT HEALTHCARE MISSION, VISION, AND VALUES; (2) MEET CRITERIA FOR INCLUSION IN THE COMMUNITY BENEFIT REPORT; AND (3) DOCUMENT MEASURABLE OUTCOMES THAT DEMONSTRATE THE SUCCESS OF THE PROJECT. PREFERENCE WILL BE GIVEN WHEN THE PROJECT CAN: (1) ADDRESS CREATIVELY THE UNMET NEEDS OF THE ECONOMICALLY DISADVANTAGED; (2) FORM COLLABORATIVE PARTNERSHIPS THAT IMPROVE THE HEALTH OF THE COMMUNITY; (3) AID A SIGNIFICANT POPULATION OF THE POOR, UNDERSERVED AND/OR UNINSURED; (4) REFLECT ST VINCENT HEALTHCARE'S ANNUAL AND STRATEGIC GOALS; AND (5) DEMONSTRATE THE POSSIBILITY FOR SUSTAINABILITY BEYOND THE GRANT PERIOD. APPLICATIONS ARE REVIEWED ON AN ANNUAL BASIS BY COMMITTEE. GRANTEES ARE REQUIRED TO PROVIDE A 6-MONTH AND 1-YEAR REPORT TO ST VINCENT HEALTHCARE AND PROVIDE FOR AN ON-SITE VISIT OF THE PROGRAM. AS NOTED IN THE MISSION FUND APPLICATION, IF FUNDS ARE USED OUTSIDE OF PROJECT GUIDELINES THE GRANTEE MAY BE ASKED TO REIMBURSE ST VINCENT HEALTHCARE FOR FUNDS ALREADY DISTRIBUTED FOR THE PROJECT. 1 1 0 0 0 0 0 1 0 JENNIFER ALDERFER PRESIDENT, MONTANA REGION 0 570549 0 174139 0 203606 0 225368 0 28233 0 1201895 0 72010 YEVGENIY AREFIEV MD PHYSICIAN ESB MT 0 490688 0 393695 0 23796 0 0 0 32942 0 941121 0 0 STEVE LOVELESS FORMER OFFICER 0 0 0 90130 0 613174 0 0 0 18755 0 722059 0 0 CHRISTOFFER SPOJA VP CHIEF MEDICAL OFFICER SVB 0 356822 0 32438 0 134427 0 113680 0 30983 0 668350 0 0 MICHAEL BUSH MD FORMER KEY EMPLOYEE 0 303321 0 81131 0 52724 0 113174 0 22857 0 573207 0 0 FRANK LAMM MD FORMER HIGHEST COMPENSATED 0 482640 0 0 0 8063 0 18300 0 33102 0 542105 0 0 TRENT MIHALICK MD FORMER HIGHEST COMPENSATED 0 484805 0 0 0 8550 0 15400 0 32778 0 541533 0 0 SHELDON NELSON MD FORMER HIGHEST COMPENSATED 0 313834 0 166628 0 2196 0 18300 0 28366 0 529324 0 0 RONALD SNYDER MD PHYSICIAN 441892 0 22000 0 6148 0 18300 0 31840 0 520180 0 0 0 RICHARD LAMMERS MD FORMER HIGHEST COMPENSATED 0 401818 0 67159 0 1250 0 16024 0 33337 0 519588 0 0 MICHAEL SKEHAN FORMER OFFICER 0 268254 0 107589 0 59109 0 62867 0 14242 0 512061 0 45184 KRIKOR JANSEZIAN VP CHIEF OPERATING OFFICER 1/1-11/1/ 0 347246 0 61135 0 2467 0 62760 0 29433 0 503041 0 0 JAMES RITCHEY FORMER KEY EMPLOYEE 0 288560 0 57646 0 38079 0 87911 0 28200 0 500396 0 36276 PAMELA PALAGI VP FINANCE REGION MT 0 303369 0 66784 0 30037 0 85767 0 10081 0 496038 0 27944 DANIEL LEWIS MD FORMER HIGHEST COMPENSATED 0 386592 0 42151 0 4925 0 18300 0 28417 0 480385 0 0 EDWIN RODRIGUEZ MD FORMER HIGHEST COMPENSATED 0 335450 0 85963 0 4291 0 9344 0 28202 0 463250 0 0 MARJORIE TEVLIN MD PHYSICIAN 385650 0 20000 0 5948 0 16664 0 29090 0 457352 0 0 0 BENJAMIN BEASLEY MD FORMER HIGHEST COMPENSATED 0 293309 0 113981 0 2049 0 16670 0 28525 0 454534 0 0 EDEN JONES MD PHYSICIAN 373335 0 20000 0 24945 0 18300 0 12567 0 449147 0 0 0 MICHAEL HAMILTON VP STRATEGY & BUS DEVELOPMENT SVB 1/ 0 157318 0 54602 0 156060 0 34233 0 25340 0 427553 0 40307 JAMES RICHARDS MD PHYSICIAN 0 317478 0 6451 0 3376 0 18300 0 22905 0 368510 0 0 TRACY NEARY VP MISSION INTEGRATION REGION MT 0 194912 0 46078 0 15533 0 60682 0 19320 0 336525 0 14163 SUSAN PETERSEN MD DIRECTOR 0 212288 0 80855 0 1392 0 15610 0 1863 0 312008 0 0 JESSE LASLOVICH VP NETWORK DEVELOPMENT, REGION MT 1/ 0 106083 0 56226 0 22543 0 31757 0 12864 0 229473 0 22142 PART I, LINE 3 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). 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: MICHAEL HAMILTON - $106,366, STEVE LOVELESS - $557,128 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: JENNIFER ALDERFER - $72,010, PAMELA PALAGI - $27,944, MICHAEL BUSH - $46,418, MICHAEL HAMILTON - $40,307, JESSE LASLOVICH - $22,142, TRACY NEARY - $14,163, JAMES RITCHEY - $36,276, MICHAEL SKEHAN - $45,184 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. 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. GREGORY BUSH SEE PART V 18449 EMPLOYMENT 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: MICHAEL BUSH (FORMER KEY EMPLOYEE), IS THE FATHER OF GREGORY BUSH, AN EMPLOYEE OF ST. VINCENT HEALTHCARE FORM 990, LINE J WEBSITE: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/ 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 4 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. ("SCLHS"), THE SOLE MEMBER OF SCL HEALTH - MONTANA, AFFILIATED WITH INTERMOUNTAIN HEALTH CARE, INC. ("INTERMOUNTAIN") EFFECTIVE APRIL 1, 2022. AS A RESULT, THE GOVERNING DOCUMENTS OF SCL HEALTH - MONTANA WERE UPDATED TO REFLECT THE NEW PARENT ORGANIZATION, INTERMOUNTAIN AS A MEMBER OF SCLHS, HOWEVER SCLHS CONTINUES TO BE THE SOLE MEMBER OF SCL HEALTH - MONTANA. AS A RESULT OF THE MERGER BETWEEN SCLHS AND INTERMOUNTAIN, RESERVED POWERS ARE HELD BY BOTH SCLHS AND INTERMOUNTAIN. SCLHS HAS THE POWER TO APPOINT TRUSTEES TO THE BOARD OF DIRECTORS, SUBJECT TO RATIFICATION BY INTERMOUNTAIN. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE THE FOLLOWING: - ESTABLISH THE MISSION, VISION, AND VALUES FOR THE CORPORATION; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR THE CORPORATION; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF THE CORPORATION; - FIX THE NUMBER OF TRUSTEES OF THE BOARD AND APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE CORPORATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. AS PART OF THE MERGER, CERTAIN PROTECTIONS WERE INCLUDED IN THE BYLAWS TO ENSURE THE SCLHS CATHOLIC ENTITIES WERE ABLE TO RETAIN THEIR CATHOLICITY, WHICH MAY NOT BE NEGATED, RESTRICTED, RESCINDED, REVOKED, SUSPENDED, TERMINATED, ALTERED OR AMENDED WITHOUT THE APPROVAL OF LEAVEN MINISTRIES. THE CATHOLIC PROTECTIONS INCLUDE EACH SCL CATHOLIC ENTITY RETAINING THEIR CATHOLIC MISSION AND ALL CATHOLIC MORAL PRINCIPLES, POLICIES, AND PRACTICES THAT ARE REQUIRED BY THE CATHOLIC CHURCH, CONTINUE TO BE SUBJECT TO THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTH CARE SERVICES AS ADOPTED AND AMENDED BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, RETAIN THE CATHOLIC REFERENCES IN EACH SCL ENTITY NAME, WILL NOT PERFORM ANY MEDICAL PROCEDURE, CLINICAL INTERVENTION, OR USE ANY DEVICE OR PRODUCT THAT HAS BEEN DEEMED MORALLY OBJECTIONABLE BY THE CHURCH'S TEACHINGS. RESERVED POWERS GRANTED TO LEAVEN MINISTRIES INCLUDE THE FOLLOWING: - TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BY ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF THE CONSOLIDATED SYSTEM PARENT SET FORTH IN THE MERGER AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE ENTITY BYLAWS AND EITHER THE CATHOLIC PROTECTIONS OR LEAVEN RESERVED POWERS, THE CATHOLIC PROTECTIONS AND LEAVEN RESERVED POWERS WILL CONTROL. THE TAX-EXEMPT PURPOSE OF SCL HEALTH - MONTANA WAS UPDATED TO INCLUDE THE FURTHERANCE OF THE TAX-EXEMPT PURPOSES OF INTERMOUNTAIN. THE MAXIMUM NUMBER OF BOARD MEMBERS WAS INCREASED FROM 17 TO 22 TO PROVIDE ADDITIONAL FLEXIBILITY MOVING FORWARD. THE TERM THE BOARD CHAIR MAY SERVE WAS EXTENDED FROM 2 YEARS TO 3 YEARS. THE DISSOLUTION CLAUSE WAS UPDATED TO THE NEW ORGANIZATIONAL PARENT, INTERMOUNTAIN, WHO REPLACED SCLHS. CHANGES TO THE GOVERNING DOCUMENTS MAY BE PROPOSED BY THE MEMBER, BUT NEED TO BE APPROVED BY THE INTERMOUNTAIN BOARD, PRIOR TO ADOPTION. FORM 990, PART VI, SECTION A, LINE 6 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF SCL HEALTH - MONTANA. FORM 990, PART VI, SECTION A, LINE 7A SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF SCL HEALTH - MONTANA, HAS THE POWER TO APPOINT MEMBERS OF THE SCL HEALTH - MONTANA BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION BY THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION A, LINE 7B WHILE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMEBER OF SCL HEALTH - MONTANA , RESERVED POWERS ARE PRIMARILY HELD BY INTERMOUNTAIN HEALTH CARE, INC. ("INTERMOUNTAIN"), WHO AS A RESULT OF AFFILIATION, IS A MEMBER OF SCLHS. SCLHS, HAS THE POWER TO APPOINT TRUSTEES TO THE BOARD OF DIRECTORS, WHICH ARE SUBJECT TO RATIFICATION BY INTERMOUNTAIN. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE: - ESTABLISH THE MISSION, VISION, AND VALUES FOR THE CORPORATION; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR THE CORPORATION; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF THE CORPORATION; - FIX THE NUMBER OF TRUSTEES OF THE BOARD AND APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE CORPORATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. THE OTHER MEMBER OF SCLHS IS LEAVEN MINISTRIES, WHO WAS GRANTED THE FOLLOWING RESERVED POWERS: - TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BY ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF THE CONSOLIDATED SYSTEM PARENT SET FORTH IN THE MERGER AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE RESERVED POWERS GRANTED TO LEAVEN MINISTRIES AND THOSE OF INTERMOUNTAIN, THE LEAVEN RESERVED POWERS WILL CONTROL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE 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 SCL HEALTH - MONTANA 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 A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) . 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 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PROFESSIONAL MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 39,752,223. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,752,223. PHYSICIAN MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 68,415,111. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,415,111. OUTSIDE LABORATORY FEES: PROGRAM SERVICE EXPENSES 4,774,169. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,774,169. PROFESSIONAL CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 182,350. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 182,350. FORM 990, PART XI, LINE 9: FAIR VALUE ACQUISITION ADJUSTMENT 56,482,404. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 237379161 MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES KS 501(C)(3) LINE 12B, II INTERMOUNTAIN HEALTH CARE INC 0 SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 823290526 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 SCL HEALTH RESEARCH INSTITUTE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 852014794 MEDICAL RESEARCH CO 501(C)(3) LINE 4 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 INTEGRITY HEALTH 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 474520350 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12C, III-FI SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 840482695 HOSPITAL SERVICES CO 501(C)(3) LINE 3 INTEGRITY HEALTH 1 PLATTE VALLEY MEDICAL CENTER FOUNDATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 742255936 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12A, I BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1 MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER CO 80211 840405260 RESIDENT CARE CO 501(C)(3) LINE 10 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 NJH-SJH INC 500 ELDORADO BLVD SUITE 4300 DENVER CO 80211 471194849 MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES CO 501(C)(3) LINE 12A, I SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 SAINT JOSEPH HOSPITAL INC 1375 EAST 19TH AVENUE DENVER CO 80218 840417134 HOSPITAL SERVICES CO 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 SAINT JOSEPH HOSPITAL FOUNDATION 1375 EAST 19TH AVENUE DENVER CO 80218 840735096 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SAINT JOSEPH HOSPITAL INC 1 SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 HOSPITAL SERVICES CO 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 GOOD SAMARITAN MEDICAL CENTER FOUNDATION 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 841649162 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SCL HEALTH-FRONT RANGE INC 1 LUTHERAN MEDICAL CENTER FOUNDATION 8300 WEST 38TH AVENUE WHEAT RIDGE CO 80033 208846152 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SCL HEALTH-FRONT RANGE INC 1 ST MARYS HOSPITAL & MEDICAL CENTER INC 2635 NORTH 7TH STREET GRAND JUNCTION CO 81501 840425720 HOSPITAL SERVICES CO 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 ST MARYS HOSPITAL FOUNDATION 2635 NORTH 7TH STREET GRAND JUNCTION CO 81501 237001007 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12A, I ST MARYS HOSPITAL & MEDICAL CENTER INC 1 CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH KS 66048 481009910 CLINIC SERVICES KS 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 MARIAN CLINIC INC 3164 SE 6TH AVENUE TOPEKA KS 66607 481046905 CLINIC SERVICES KS 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 HOLY ROSARY HEALTHCARE 2600 WILSON STREET MILES CITY MT 59301 810231792 HOSPITAL SERVICES MT 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 HOLY ROSARY HEALTHCARE FOUNDATION INC 2600 WILSON STREET MILES CITY MT 59301 202270238 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12A, I HOLY ROSARY HEALTHCARE 1 ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE MT 59701 810231785 HOSPITAL SERVICES MT 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 1 ST JAMES HEALTHCARE FOUNDATION INC 400 SOUTH CLARK STREET BUTTE MT 59701 651202190 SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12A, I ST JAMES HEALTHCARE 1 ST VINCENT HEALTHCARE FOUNDATION INC 1106 NORTH 30TH STREET BILLINGS MT 59101 810468034 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS MT 501(C)(3) LINE 7 SCL HEALTH - MONTANA 1 INTERMOUNTAIN HEALTH CARE INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 870269232 HOLDING COMPANY UT 501(C)(3) LINE 12B, II N/A 0 INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 942853320 COMMUNITY HEALTH UT 501(C)(3) LINE 12B, II INTERMOUNTAIN HEALTH CARE INC 1 SELECTHEALTH INC 5381 GREEN STREET MURRAY UT 84123 870409820 DELIVERY OF HEALTH BENEFITS UT 501(C)(4) INTERMOUNTAIN HEALTH CARE INC 1 INTERMOUNTAIN HEALTH CARE RETIREE VEBA 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 742675605 RETIREE BENEFIT UT 501(C)(9) INTERMOUNTAIN HEALTH CARE INC 1 INTERMOUNTAIN HEALTHCARE FOUNDATION INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 800225150 COMMUNITY HEALTH UT 501(C)(3) LINE 7 INTERMOUNTAIN HEALTH SERVICES INC 1 INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC 6355 SOUTH BUFFALO LAS VEGAS NV 89113 000160881 HOLDING COMPANY DE 501(C)(3) LINE 3 INTERMOUNTAIN HEALTH SERVICES INC 1 IHC HEALTH SERVICES INC 36 S STATE STREET SUITE 2200 SALT LAKE CITY UT 84111 942854057 HEALTHCARE UT 501(C)(3) LINE 3 INTERMOUNTAIN HEALTH CARE INC 1 SCLH-GI ENDOSCOPY HOLDINGS LLC 382 S ARTHUR AVENUE LOUISVILLE CO 80027 812979243 OP ENDOSCOPY CO N/A 0 0 SCLTDI JV LLC 4200 SIX FORKS ROAD SUITE 1000 RALEIGH NC 27609 472294770 RADIOLOGY DE N/A 0 0 ATHLETIC MEDICINE & PERFORMANCE LLC (SVB IS PARTNER) 1144 NORTH 28TH STREET BILLINGS MT 59101 272270640 PHYSICAL THERAPY MT N/A 0 0 SUMMIT SURGERY CENTER LLC 434 SOUTH CLARK STREET BUTTE MT 59701 810536068 OP SURGERY MT N/A 0 0 GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON AVENUE SUITE 21 GRAND JUNCTION CO 81501 841505075 OP SURGERY CO N/A 0 0 HEALTHCARE MANAGEMENT LLC PO BOX 1929 GRAND JUNCTION CO 81502 841238904 MANAGEMENT SERVICES CO N/A 0 0 MONUMENT HEALTH LLC 744 HORIZON CT STE 260 GRAND JUNCTION CO 81506 474424617 HEALTH CARE NETWORK CO N/A 0 0 PAVILION IMAGING LLC 750 WELLINGTON AVENUE GRAND JUNCTION CO 81501 030516198 RADIOLOGY CO N/A 0 0 SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE CO 81401 202856331 OP CANCER CO N/A 0 0 CAREFLIGHT OF THE ROCKIES LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 473525381 MEDICAL AIR TRANSPORT CO N/A 0 0 MED-MAP LLC PO BOX 1295 BILLINGS MT 59103 810491356 RENTAL REAL ESTATE MT N/A 0 0 YELLOWSTONE SURGERY CENTER LLC 1144 NORTH 28TH STREET BILLINGS MT 59101 721519467 OP SURGERY MT N/A 0 0 GALLATIN VALLEY SURGERY CENTER LLC 2825 WEST MAIN STREET SUITE C BOZEMAN MT 59718 882505265 OP SURGERY MT N/A 0 0 FIRST FLIGHT OF WYOMING LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 921785143 MEDICAL AIR TRANSPORT CO ST VINCENT HEALTHCARE RELATED 0 0 0.65000 MCKAY DEE SURGICAL CENTER LLC 3895 HARRISON BLVD STE 200 OGDEN UT 84403 260286308 OP SURGERY UT N/A 0 0 GRANDEUR PEAK INTERNATIONAL STALWARTS LP 136 S MAIN STREET STE 720 SALT LAKE CITY UT 84101 475468723 INVESTMENTS DE N/A 0 0 INNOVATION FUND HOLDINGS COMPANY LLC 1000 WEST FULTON STREET STE 213 CHICAGO IL 60607 471525723 INNOVATION DE N/A 0 0 HEALTHBOX SALT LAKE CITY I LLC 33 WEST MONROE STREET STE 1700 CHICAGO IL 60603 465338772 INNOVATION DE N/A 0 0 INTERMOUNTAIN VENTURES FUND LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 844037085 INVESTMENTS DE N/A 0 0 PELION OPPORTUNITY FUND III LLC 2750 E COTTONWOOD PARKWAY STE 600 SALT LAKE CITY UT 84121 842757193 INVESTMENTS DE N/A 0 0 AACP KOREA BUYOUT INVESTORS II LP ONE EMBARCADERO 16TH FLOOR SAN FRANCISCO CA 94111 824971663 INVESTMENTS CJ N/A 0 0 AACP SPECIAL SITUATIONS II LP ONE EMBARCADERO 16TH FLOOR SAN FRANCISCO CA 94111 832883726 INVESTMENTS CJ N/A 0 0 AACP KOREA BUYOUT INVESTORS IV LP ONE EMBARCADERO 16TH FLOOR SAN FRANCISCO CA 94111 981549044 INVESTMENTS CJ N/A 0 0 LOGAN SURGERY CENTER LLC 1300 NORTH 500 EAST LOGAN UT 84341 861965725 OP SURGERY UT N/A 0 0 ST GEORGE SURGERY CENTER LLC 652 SOUTH MEDICAL CENTER DRIVE ST GEORGE UT 84790 853880188 OP SURGERY UT N/A 0 0 SALTZER ASC TEN MILE LLC 875 S VANGUARD WAY SUITE 120 MERIDIAN ID 83642 845119941 OP SURGERY ID N/A 0 0 NORTHPOINTE SURGICAL CENTER LLC 2326 NORTH 400 EAST STE 100 TOOELE UT 84074 461487986 OP SURGERY UT N/A 0 0 HW AE CO-INVESTMENT PARTNERS LP 2500 N MILITARY TRAIL 470 BOCA RATON FL 33431 873405511 INVESTMENTS DE N/A 0 0 PERFORMANCE EQUITY GROWTH OPPORTUNITIES FUND LP 5 GREENWICH OFFICE PARK THIRD FLOOR GREENWICH CT 06831 853942801 INVESTMENTS DE N/A 0 0 MURRAY SURGERY CENTER LLC 5848 SOUTH FASHION BOULEVARD MURRAY UT 84107 873940183 OP SURGERY UT N/A 0 0 PROVO SURGERY CENTER LLC 1157 NORTH 300 WEST PROVO UT 84604 873623664 OP SURGERY UT N/A 0 0 SARATOGA SPRINGS SURGERY CENTER LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 873875864 OP SURGERY UT N/A 0 0 PARK CITY SURGERY CENTER LLC 900 ROUND VALLEY DRIVE PARK CITY UT 84060 844898736 OP SURGERY UT N/A 0 0 PARK CITY SURGICAL CENTER REAL ESTATE LLC 900 ROUND VALLEY DRIVE PARK CITY UT 84060 862568233 OP SURGERY UT N/A 0 0 CDHC 3 LLC 265 N COUNTRY MANOR LANE ALPINE UT 84004 873215157 INVESTMENTS UT N/A 0 0 ARK GLOBAL EMERGING COMPANIES LP 22 EAST 100 SOUTH 3RD FLOOR SALT LAKE CITY UT 84111 823044843 INVESTMENTS UT N/A 0 0 CARITAS INC AND SUBSIDIARIES 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 480941069 HEALTHCARE KS N/A C 0 WEST END ASSOCIATION INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 854261243 REAL ESTATE MANAGEMENT MT SCL HEALTH - MONTANA C 0.57350 0 LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVENUE WEST BAY R GRAND CAYMAN KY CJ 980370522 INSURANCE CJ N/A C 0 ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 463632053 HEALTHCARE MT N/A C 0 SELECTHEALTH BENEFIT ASSURANCE COMPANY 5381 GREEN STREET MURRAY UT 84123 870497549 DELIVERY OF HEALTH BENEFITS UT N/A C 0 HEALTHCARE CAPTIVE INSURANCE COMPANY 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 201937561 INSURANCE AZ N/A C 0 NAVICAN GENOMICS INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 814153832 CANCER TREATMENT DE N/A C 0 ALLUCEO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 824614934 MENTAL HEALTH INTEGRATION SERVICES DE N/A C 0 SALTZER MEDICAL GROUP INC 215 EAST HAWAII AVENUE NAMPA ID 83686 820299231 MEDICAL SERVICES ID N/A C 0 CLASSIC MEDICAL INC 1021 SOUTH DOUGLAS STREET SALT LAKE CITY UT 84105 461141912 AIRCRAFT HOLDING COMPANY UT N/A C 0 CLASSIC HELICOPTERS INC 1021 SOUTH DOUGLAS STREET SALT LAKE CITY UT 84105 461153642 AIRCRAFT HOLDING COMPANY UT N/A C 0 CULMINATION BIO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 365016511 BIOREPOSITORY DE N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 ST VINCENT HEALTHCARE FOUNDATION B 1560617 ST VINCENT HEALTHCARE FOUNDATION C 6977653