2024-11-07T09:57:11-06:00 2023-12-31 990 2023-01-01 208846152 LUTHERAN MEDICAL CENTER FOUNDATION LUTH 8018427851 8300 WEST 38TH AVENUE WHEAT RIDGE CO 80033 KATHERINE REPOLA EXECUTIVE DIRECTOR 3034674430 2024-11-06 0 2023 2024-10-15 13:58:12Z KATHERINE REPOLA 8300 WEST 38TH AVENUE WHEAT RIDGE CO 80033 4070060 0 X SEE SCHEDULE O X 2007 CO BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST.LUTHERAN MEDICAL CENTER FOUNDATION WEBSITE ADDRESS:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOUNDATION/LUTHERAN-FOUNDATION 12 10 0 17 0 0 6600502 3649658 0 0 247210 375432 -44315 -13804 6803397 4011286 1512258 1850871 0 0 417575 464040 0 0 221074 293513 450639 2223346 2765550 4580051 1245736 19172663 21848890 180630 67096 18992033 21781794 X BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST. 0 0 1881987 1850871 THE LUTHERAN MEDICAL CENTER FOUNDATION IS A 501(C) 3 NOT FOR PROFIT ORGANIZATION THAT CREATES IMPACT TO SUPPORT EXCELLENT PATIENT CARE AND INNOVATIVE NEW IDEAS IN MEDICINE AT LUTHERAN MEDICAL CENTER. THROUGH THE GENEROSITY OF CORPORATIONS, FOUNDATIONS, INDIVIDUALS AND OTHER DONORS, OUR MISSION TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE IN A CHANGING WORLD IS ACHIEVED. LMC FOUNDATION PROVIDES FOR THE CHANGING HEALTHCARE NEEDS OF OUR COMMUNITY BY ASSISTING WITH THE BUILDING OF STATE-OF-ART FACILITIES, DEVELOPING INNOVATIVE CARE MODELS AND MAKING SURE THAT ALL PATIENTS HAVE ACCESS TO WORLD-CLASS CARE AND THE BEST PATIENT EXPERIENCE. LMC FOUNDATION TURNS GOOD HEALTHCARE INTO EXCEPTIONAL HEALTHCARE BY ENABLING LMC'S STAFF TO EXCEED THE EXPECTATIONS OF THE PEOPLE WE SERVE. LMC FOUNDATION WAS ESTABLISHED IN 2007 AND HAS POSITIVELY IMPACTED LUTHERAN MEDICAL CENTER AND ALL ITS AFFILIATED SERVICES INCLUDING LUTHERAN HOSPICE AT COLLIER HOSPICE CENTER AND WEST PINES BEHAVIORAL HEALTH. THE LMC FOUNDATION DISBURSED FUNDS TO LMC TO PURCHASE CRITICAL CARE EQUIPMENT, PROVIDE STAFF WITH EDUCATIONAL AND LEADERSHIP OPPORTUNITIES, PROVIDE COMPASSIONATE END-OF-LIFE CARE, SUPPORT BEHAVIORAL HEALTH NEEDS, AID IN THE BUILDING OF A NEW HOSPITAL AND ENHANCE THE HOSPITAL'S OVERALL BEST CARE OF PATIENTS.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, LUTHERAN MEDICAL CENTER HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT, AND STRATEGIC CAPITAL. MAJOR INITIATIVES IN 2023 INCLUDED: - THE LEGACY CONTINUES COMPREHENSIVE CAMPAIGN HAS RAISED MORE THAN 100% OF ITS GOAL OF $12M. THE CAMPAIGN SUPPORTS ALL DEPARTMENTS AT LUTHERAN WITH EMPHASIS ON THE NEW, REPLACEMENT LUTHERAN MEDICAL CENTER NEW BUILD. - SUPPORTED PALLIATIVE CARE AND HOSPICE PROGRAMS INCLUDING INTEGRATIVE THERAPIES FOR PATIENTS, EDUCATION FOR CAREGIVERS AND GRIEF SUPPORT FOR FAMILIES. - PROVIDED OPPORTUNITIES TO SUPPORT CLIENTS' ACCESS TO SUBSTANCE ABUSE TREATMENT AT WEST PINES BEHAVIORAL HEALTH. - SUPPORTING THE NURSE RECOVERY ASSISTANCE PROGRAM TO HELP PREGNANT MOTHERS STRUGGLING WITH SUBSTANCE ABUSE AND THEIR BABIES, WITH A SPECIAL FOCUS ON OPIOID ADDICTION. -OFFERED HUMANITARIAN FUNDS FOR OUR MOST VULNERABLE PATIENTS PROVIDING PRESCRIPTIONS, FOOD, TRANSPORTATION AND OTHER BASIC NEEDS. - GAVE SPECIAL EDUCATION OPPORTUNITIES TO OUR PHYSICIANS, CLINICIANS AND ASSOCIATES TO SUPPORT SPECIALIZED CARE AND PATIENT SAFETY. - PURCHASED NEW, STATE-OF-THE-ART EQUIPMENT FOR LUTHERAN HOSPICE AND OTHER HOSPITAL DEPARTMENTS. - SUPPORTED LMC'S ONCOLOGY PROGRAMS INCLUDING TESTING COUNSELING, PATIENT NAVIGATION AND COMFORT THERAPIES FOR ONCOLOGY PATIENTS. 1881987 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 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 10 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 JOHN WICKLUND DIRECTOR 1/1-2/28/23 1.00 51.00 X 0 1145372 24444 SCOTT PEEK DIRECTOR 3/1-12/31/23 1.00 53.00 X 0 1025813 397369 KRISTI DAVIS DIRECTOR 1.00 50.00 X 0 231033 68621 KATHERINE REPOLA EXECUTIVE DIRECTOR 50.00 0.00 X 0 185728 52208 JEFFREY BONTRAGER MD DIRECTOR 3/15-12/31/23 1.00 0.00 X 0 0 0 JENNIFER CASKEY MD DIRECTOR 1.00 0.00 X 0 0 0 CHRISTA DOBBS DIRECTOR 1.00 0.00 X 0 0 0 ROBERT HUNTER MD DIRECTOR 1.00 0.00 X 0 0 0 DOULGAS MARTEL MD DIRECTOR 1.00 0.00 X 0 0 0 JULIA MCVEY VICE CHAIR & SECRETARY 1.00 0.00 X X 0 0 0 JOHN O'DORISIO DIRECTOR 1.00 0.00 X 0 0 0 JAHI SIMBAI DIRECTOR 1/1-8/31/23 1.00 0.00 X 0 0 0 FRANK TEUNISSEN TREASURER 1.00 0.00 X X 0 0 0 BOB VAN WETTER CHAIR 1.00 0.00 X X 0 0 0 JOHN WITWER MD DIRECTOR 1.00 0.00 X 0 0 0 0 2587946 542642 0 0 1 0 0 86926 879270 6000 2677462 24869 3649658 277650 277650 97782 0 97782 97782 97782 44970 86926 58774 -13804 -13804 4011286 0 0 361628 1847971 1847971 2900 2900 237936 11897 130865 95174 193987 9699 106693 77595 6735 337 3704 2694 25382 1269 13960 10153 75800 75800 31599 31599 6548 3798 2750 1348 782 566 1292 749 543 SHARED SERVICES - ADMIN 277136 277136 SUPPLIES 26524 0 26524 SHARED SERVICES - OTHER 15062 15062 HUMANITARIAN LOAN EXP 7034 7034 8296 880 7416 2765550 1881987 662489 221074 338 338 3746157 743164 1076832 1901247 14349336 19204141 19172663 21848890 1268 180630 65828 180630 67096 X 3492354 4458344 15499679 17323450 18992033 21781794 19172663 21848890 X 1245736 1543079 4446 -3500 X 0 1 X 1 0 X 2640278 3264146 2202249 6600502 3649658 18356833 2640278 3264146 2202249 6600502 3649658 18356833 2076833 16280000 194369 162957 167859 212403 277650 1015238 68807 54289 71591 57955 44970 297612 19669683 0.82770 0.84710 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING EVENT RECEIPTS EXCL CHARITABLE CONTRIBUTIONS - 2019 AMOUNT: $ 68,807. 2020 AMOUNT: $ 54,289. 2021 AMOUNT: $ 71,591. 2022 AMOUNT: $ 57,955. 2023 AMOUNT: $ 44,970. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 15499679 2735194 714806 1626229 17323450 11811508 6148824 -1166987 1293666 15499679 10945080 1215030 1009550 1358152 11811508 9577917 2225759 914768 1773364 10945080 8364201 1607263 933537 1327084 9577917 0.00000 0.51900 0.48100 0 0 0 INTERCOMPANY PAYABLES 65828 65828 PART V, LINE 4: THE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT THE LUTHERAN MEDICAL CENTER IN AREAS INCLUDING ASSOCIATE EDUCATION, HOSPICE & PALLIATIVE CARE, AND OTHER SERVICES AND PROGRAMS. GOLF EVENT 131896 86926 44970 2500 10771 20020 11252 3000 11231 131896 86926 44970 2500 10771 20020 11252 3000 11231 58774 -13804 1 SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 501(C)(3) 1841272 0 SUPPORT LUTHERAN MEDICAL CENTER 1 0 PART I, LINE 2: FUND RECIPIENTS ARE REQUIRED TO UTILIZE A REIMBURSEMENT REQUEST SPREADSHEET TO RECORD EXPENDED COSTS ASSOCIATED WITH THEIR APPROVED FUNDING REQUEST. ONCE ALL EXPENSED COSTS ARE RECORDED, THE FUND RECIPIENT IS RESPONSIBLE FOR NOTIFYING AND SENDING THE REIMBURSEMENT REQUEST WORKSHEET TO THE FOUNDATION. AT THAT TIME THE FOUNDATION WILL TRANSFER FUNDS TO THE RECIPIENT. FUND RECIPIENT IS REQUIRED TO COMPLETE A FINAL REPORT AFTER THE FUNDS ARE SPENT AND BENEFIT REALIZED; ALL AWARDED FUNDS REQUIRE A FINAL REPORT. COMPLETED REPORTS ARE REQUIRED TO BE SUBMITTED TO THE FOUNDATION IN A TIMELY MANNER; INFORMATION MAY BE SHARED WITH THE FOUNDATION BOARD AND INTERNAL OR EXTERNAL AUDIENCES. AT TIMES, FUND RECIPIENTS MAY BE INVITED TO PRESENT THE FINAL REPORT TO THE FOUNDATION BOARD. APPROVED FUNDS MUST BE SPENT WITHIN SIX MONTHS OF THE FUNDING APPROVAL DATE. IF A LONGER PERIOD IS REQUIRED, THE RECIPIENT MUST CONTACT THE FOUNDATION TO DISCUSS AN EXTENSION. 1 1 0 0 0 0 0 0 0 JOHN WICKLUND DIRECTOR 1/1-2/28/23 0 173427 0 149635 0 822310 0 7846 0 16598 0 1169816 0 139635 SCOTT PEEK DIRECTOR 3/1-12/31/23 0 705729 0 135762 0 184322 0 365711 0 31658 0 1423182 0 0 KRISTI DAVIS DIRECTOR 0 174755 0 32914 0 23364 0 57146 0 11475 0 299654 0 11534 KATHERINE REPOLA EXECUTIVE DIRECTOR 0 167938 0 15498 0 2292 0 28470 0 23738 0 237936 0 13191 PART I, LINE 3 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SCL HEALTH - FRONT RANGE, INC. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. 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. 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. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECURIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. 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) COMPENSATION SURVEYS AND STUDIES 5) 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 DEPARTING EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2023 WERE: JOHN WICKLUND $433,300. 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: JOHN WICKLUND $299,497. SCHEDULE J - 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. X 1 8000 FMV X 5034 FMV X 1 10066 FMV X OTHER SUPPLIES 4 970 FMV X AUCITON ITEMS 1 799 FMV 0 0 0 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 JOHN WICKLUND / KRISTI DAVIS - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN SISTERS OF CHARITY HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION). FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS SCL HEALTH - FRONT RANGE, INC., IS THE SOLE MEMBER OF LUTHERAN MEDICAL CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS SCL HEALTH - FRONT RANGE, INC., THE SOLE MEMBER OF LUTHERAN MEDICAL CENTER FOUNDATION, APPROVES MEMBERS OF LUTHERAN MEDICAL CENTER FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS SCL HEALTH - FRONT RANGE, INC., 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 MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY 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 B, LINE 15 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SCL HEALTH - FRONT RANGE, INC. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. 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) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE 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 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. FORM 990, PART XI, LINE 9: UNRECORDED DONATION -3,500. 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