2024-11-07T09:57:11-06:00 2023-12-31 990 2023-01-01 651202190 ST JAMES HEALTHCARE FOUNDATION INC STJA 4067825640 400 SOUTH CLARK ST BUTTE MT 59701 JANET COE CHAIR 4067825640 2024-11-05 0 2023 2024-10-15 13:58:12Z JANET COE 400 SOUTH CLARK ST BUTTE MT 59701 1362930 0 0928 X SEE SCHEDULE O X 2003 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. 9 6 0 24 0 0 1057000 1217699 0 0 21283 63682 -18942 5266 1059341 1286647 467847 784448 0 0 190272 213022 0 0 144527 139127 159569 797246 1157039 262095 129608 2472829 2830750 61656 146256 2411173 2684494 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 813278 784448 0 ST. JAMES HEALTHCARE FOUNDATION, A 501(C)(3) NOT-FOR-PROFIT CHARITABLE ORGANIZATION WAS FORMED IN 2003, AND IT OPERATES TO ADDRESS THREE MAIN PURPOSES:1. TO RAISE FUNDS TO AUGMENT CAPITAL PURCHASES AND PROGRAM DEVELOPMENT AT ST. JAMES HEALTHCARE.2. TO PROVIDE DIRECT ASSISTANCE TO INDIVIDUALS AND ORGANIZATIONS IN BUTTE AND SURROUNDING COMMUNITIES IN RELATION TO HEALTH CARE AND HEALTHY LIVING.3. TO CONDUCT OUTREACH AND AWARENESS ACTIVITIES TO MAINTAIN ST. JAMES AND ITS FOUNDATION AS VISIBLE COMMUNITY PARTNERS IN IMPROVING THE LIVING EXPERIENCE OF LOCAL CITIZENS AND VISITORS. ST. JAMES HEALTHCARE COVERS THE ADMINISTRATIVE COSTS OF THE FOUNDATION SO 100% OF ASSOCIATE AND COMMUNITY CONTRIBUTIONS GO DIRECTLY TOWARD HELPING PEOPLE IN NEED. ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED, 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 MORE THAN 66,000 CAREGIVES, 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 HEALTHCARE, ST. JAMES HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL.THE ST. JAMES HEALTHCARE FOUNDATION OFFERS MANY HELPFUL PROGRAMS AND SERVICES INCLUDING:PATIENT COMPASSION PROGRAMTHE PATIENT COMPASSION PROGRAM OFFERS FINANCIAL ASSISTANCE TO INDIVIDUALS AND THEIR FAMILIES THROUGHOUT SOUTHWEST MONTANA WHO MUST TRAVEL OUT OF TOWN TO GET SPECIALIZED MEDICAL TREATMENT NOT AVAILABLE IN BUTTE. THE PROGRAM ALSO PROVIDES ASSISTANCE TO PATIENTS FROM THE SURROUNDING AREA TO TRAVEL TO BUTTE FOR THEIR MEDICAL CARE. IT HELPS FAMILIES AND INDIVIDUALS WITH FUEL COSTS, HOTEL EXPENSES, BUS VOUCHERS, AIRLINE TICKETS, AND OTHER EXPENSES. IN ADDITION TO TRAVEL ASSISTANCE, THE PROGRAM HELPS PATIENTS AFTER BEING DISCHARGED FROM THE HOSPITAL WITH RECOVERY MEDICATION, EQUIPMENT AT HOME, AND CO-PAYS. DIABETES PROGRAMSEVERAL YEARS AGO, ST. JAMES HEALTHCARE ESTABLISHED A COMMUNITY-WIDE DIABETES PROGRAM WITH THE HELP OF A FEDERAL PLANNING GRANT THROUGH THE U. S. DEPARTMENT OF HEALTH & HUMAN SERVICES' HEALTH RESOURCES AND SERVICE ADMINISTRATION (HRSA). THE GOAL OF THE PROGRAM IS TO DEVELOP A NETWORK WITHIN THE COMMUNITY AND TO HAVE A CENTRAL PLAN OF ACTION FOR THOSE AT RISK OF DEVELOPING OR PREVIOUSLY DIAGNOSED WITH DIABETES. THROUGH THE PROGRAM, ST. JAMES HEALTHCARE COLLABORATES WITH ORGANIZATIONS AND HEALTH CARE PROVIDERS THROUGHOUT SOUTHWEST MONTANA WHO DEAL WITH DIABETES. A DIABETES PREVENTION PROGRAM GRANT FROM THE MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES HELPS PREVENT DIABETES IN THOSE AT RISK THROUGH TEACHING PEOPLE ABOUT NUTRITION AND ACTIVITIES TO PREVENT THE ONSET OF DIABETES.SCHOLARSHIPSST. JAMES HEALTHCARE FOUNDATION IS PROUD TO OFFER SCHOLARSHIPS TO INDIVIDUALS WHO HAVE CHOSEN HEALTH CARE AS THEIR FIELD OF STUDY. THERE ARE TWO SCHOLARSHIPS THAT ARE CURRENTLY AVAILABLE:BERN AND RUTH DENNEHY SCHOLARSHIPST. JAMES NURSING ALUMNI SCHOLARSHIPST. JAMES HEALTHCARE FOUNDATION PROVIDES AND MANAGES GRANT FUNDS IN SUPPORT OF THE HEALTHCARE NEEDS OF THE COMMUNITY. 813278 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X COLIN QUINCY 8014423491 36 SOUTH STATE STREET SUITE 1600 SALT LAKE CITY UT 84111 X MICHELE MORRISON MD DIRECTOR 1.00 50.00 X 0 503745 18820 HOLLY FERGUSON DIRECTOR 1.00 50.00 X 0 167510 76783 KACIE BRINEY DIRECTOR 50.00 0.00 X 0 101641 32862 JANET COE CHAIR 1.00 0.00 X X 0 0 0 DAN DENNEHY DIRECTOR 1.00 0.00 X 0 0 0 LIZ DENNEHY DIRECTOR 1.00 0.00 X 0 0 0 SOPHIE KITSON DIRECTOR 1.00 0.00 X 0 0 0 KRISSY KRACZKOWSKY DIRECTOR 1.00 0.00 X 0 0 0 JOHN MORGAN DIRECTOR 1.00 0.00 X 0 0 0 0 772896 128465 0 0 1 0 0 209023 396842 286683 325151 17430 1217699 52302 52302 11380 0 11380 11380 11380 54573 209023 70633 -16060 -16060 26976 5650 21326 21326 1286647 0 0 68948 742010 742010 42438 42438 121156 12116 36347 72693 66525 6652 19958 39915 3228 323 968 1937 9544 954 2863 5727 12569 1257 3771 7541 11549 11549 9554 9554 14518 14518 3294 1098 2196 PHILANTHROPY ADMINISTRA 100154 100154 SUPPLIES 12108 6054 6054 SHARED SERVICES - MISC 5443 5443 AWARD & RECOGNITION 1187 593 594 1762 881 881 1157039 813278 199234 144527 229306 458880 35000 20000 2048460 2351870 160063 0 2472829 2830750 57300 0 4356 146256 61656 146256 X 677004 854402 1734169 1830092 2411173 2684494 2472829 2830750 129608 133193 10520 0 X 0 1 X 1 0 X X 1 ST JAMES HEALTHCARE 810231785 3 1 688827 0 1 688827 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1734169 878858 30621 813556 1830092 1499543 714391 -30367 449398 1734169 4368820 472377 10491 3352145 1499543 4773804 1819711 14882 2239577 4368820 4194521 729022 9111 158850 4773804 0.00000 0.26800 0.73200 0 0 0 DEFERRED GIFT ANNUITY PAYABLES 12156 INTERCOMPANY PAYABLE 134100 146256 PART V, LINE 4: THE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT ST. JAMES HOSPITAL IN AREAS INCLUDING EMPLOYEE ASSISTANCE, ONCOLOGY, PATIENT EXPERIENCE, AND OTHER SERVICES AND PROGRAMS. SPIRIT GALA 235603 184590 51013 3420 28540 3500 24400 4966 SIP N SUPPORT 27993 24433 3560 200 1760 1200 1000 600 1047 263596 209023 54573 3620 30300 4700 25400 600 6013 70633 -16060 26976 5650 1 1.00000 26976 5650 5650 21326 MT 0 STATE OF MONTANA DOES NOT REQUIRE A GAMING LICENSE 0 1 0 0.00000 1.00000 KACIE BRINEY 400 SOUTH CLARK ST BUTTE MT 59701 0 KACIE BRINEY 0 PLANNING, ORGANIZING, AND RECORD KEEPING X 0 0 1 ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE MT 59701 810231785 501(C)(3) 688827 0 SUPPORT CHARITABLE MISSION CITY OF BOULDER MONTANA PO BOX 68 BOULDER MT 59632 816006799 GOVERNMENT 25000 0 SUPPORT CHARITABLE MISSION SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 237379161 501(C)(3) 15182 0 SUPPORT CHARITABLE MISSION CANCER SUPPORT COMMUNITY MONTANA 102 S 11TH AVE BOZEMAN MT 59715 810542266 501(C)(3) 7500 0 SUPPORT CHARITABLE MISSION 4 SCHOLARSHIPS 3 3000 0 PATIENT ASSISTANCE FUND 83 21329 0 EMPLOYEE ASSISTANCE 19 18109 0 PART I, LINE 2: ST. JAMES HEALTHCARE FOUNDATION FOLLOWS GRANT GUIDELINES SPECIFIED BY THE GRANTOR OF FUNDS FOR SPECIFIED PROGRAMS. MONITORING ACTIVITIES INCLUDE DETAILED BUDGET REPORTING, OVERSIGHT BY THE PROGRAM OFFICER, AND COMMITTEE REVIEW. PERIODIC PROGRESS REPORTS ARE PROVIDED TO GRANTORS. 0 1 0 0 0 0 0 0 0 MICHELE MORRISON MD DIRECTOR 0 477996 0 22767 0 2982 0 14573 0 4247 0 522565 0 0 HOLLY FERGUSON DIRECTOR 0 144132 0 12109 0 11269 0 48127 0 28656 0 244293 0 12109 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 COSTS 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 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. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2023. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. 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 2023 WERE: NONE ADDITIONAL OFFICER AND BOARD DISCLOSURES: 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. FORM 990, PART I, LINE J WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOUNDATION/ST-JAMES-FOUNDATION/ 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 V, LINE 2A EXPLANATION FOR NUMBER REPORTED ON FORM W-3: THE ORGANIZATION LEASES EMPLOYEES FROM A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED W-3 AND RELATED W-2 TAX FORMS FOR THESE INDIVIDUALS. ACCORDING TO THE FORM 990 INSTRUCTIONS FOR PART IX, WE REFLECT THE LEASED EMPLOYEE'S COMPENSATION ON THE FORM 990, PART IX AS IF THE ORGANIZATION COMPENSATES THESE INDIVIDUALS. FORM 990, PART VI, SECTION A, LINE 2 DAN DENNEHY, A BOARD MEMBER OF ST. JAMES HEALTHCARE FOUNDATION, INC. IS A BROTHER-IN-LAW TO LIZA DENNEHY AND KRISSY KRACZKOWSKY. LIZA DENNEHY AND KRISSY KRACZKOWSKY ARE ALSO BOARD MEMBERS OF ST. JAMES HEALTHCARE FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: ST. JAMES HEALTHCARE IS THE SOLE MEMBER OF ST. JAMES HEALTHCARE FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS: ST. JAMES HEALTHCARE, THE SOLE MEMBER OF ST. JAMES HEALTHCARE FOUNDATION, INC., APPROVES MEMBERS OF ST. JAMES HEALTHCARE FOUNDATION, INC. BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS: ST. JAMES HEALTHCARE 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. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. 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 PROCESS USED TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. 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 VII, SECTION B, LINE 2 INDEPENDENT CONTRACTORS: 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. 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 12C, III-FI INTERMOUNTAIN HEALTH CARE INC 1 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 MARY'S 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 MARY'S 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 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 SCL HEALTH - MONTANA 1233 NORTH 30TH STREET BILLINGS MT 59101 810232124 HOSPITAL SERVICES MT 501(C)(3) LINE 3 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 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 200160881 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 N/A 0 0 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 PELION OPPORTUNITY FUND IV LLC 14761 S FUTURE WAY SUITE 500 SALT LAKE CITY UT 84020 853909188 INVESTMENTS UT N/A 0 0 CARENT LABORATORY SOLUTIONS LLC 22240 COUNTRY ROAD 39 LASALLE CO 80645 320557616 MEDICAL LABORATORY CO N/A C 1 CARITAS INC AND SUBSIDIARIES 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 480941069 HEALTHCARE KS N/A C 1 WEST END ASSOCIATION INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 854261243 HEALTHCARE MT N/A C 1 LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVENUE WEST BAY R GRAND CAYMAN KY CJ 980370522 INSURANCE CJ N/A C 1 ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 463632053 HEALTHCARE MT N/A C 1 SELECTHEALTH BENEFIT ASSURANCE COMPANY 5381 GREEN STREET MURRAY UT 84123 870497549 DELIVERY OF HEALTH BENEFITS UT N/A C 1 HEALTHCARE CAPTIVE INSURANCE COMPANY 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 201937561 INSURANCE AZ N/A C 1 ALLUCEO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 824614934 MENTAL HEALTH INTEGRATION SERVICES DE N/A C 1 SALTZER MEDICAL GROUP INC 215 EAST HAWAII AVENUE NAMPA ID 83686 820299231 MEDICAL SERVICES ID N/A C 1 CLASSIC MEDICAL INC 1021 SOUTH DOUGLAS STREET SALT LAKE CITY UT 84105 461141912 AIRCRAFT HOLDING COMPANY UT N/A C 1 CLASSIC HELICOPTERS INC 1021 SOUTH DOUGLAS STREET SALT LAKE CITY UT 84105 461153642 AIRCRAFT HOLDING COMPANY UT N/A C 1 CULMINATION BIO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY UT 84111 365016511 BIOREPOSITORY DE N/A C 1 CAN YOU PLAY INC 1541 SOUTH 120 EAST SALT LAKE CITY UT 84025 880846977 SOFTWARE DEVELOPMENT UT N/A C 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 ST JAMES HEALTHCARE B 688827 CASH ST JAMES HEALTHCARE C 388667 CASH SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC M 105597 FMV