2024-11-07T14:27:26-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 2005 MARKET ST STE 700 PHILADELPHIA PA 19103 990 2023-01-01 237379161 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC SIST 8018427851 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 SEAN FADDEN REGIONAL VP, FINANCE 8018427851 2024-11-07 0 0 LAUREN E BENNETT P01787029 2154485000 2023 2024-10-15 13:58:12Z JIM SHEETS 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 899115601 0 X HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ X 1972 KS WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE (SEE SCHEDULE O) AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 9 9 4837 9 1702183 0 24895959 24958963 773189629 815609669 56470107 54408583 6666614 3138021 861222309 898115236 10155110 8736934 0 0 443815003 471459225 0 0 0 480642703 358766425 934612816 838962584 -73390507 59152652 2693225086 2723371503 1313307153 920499710 1379917933 1802871793 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 771135646 8736934 818747690 ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) AFFILIATED 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 OVER 66,000 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.SCLHS WAS FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH, WHO TRACE THEIR ORIGIN AS A RELIGIOUS COMMUNITY TO THE 1600S IN FRANCE, WHERE VINCENT DE PAUL AND LOUISE DE MARILLAC ESTABLISHED THE (SEE SCHEDULE O) DAUGHTERS OF CHARITY. THESE WOMEN WERE DEDICATED TO SERVING THE SICK AND POOR THROUGH AN ACTIVE MINISTRY.IN 1857, A SMALL CONGREGATION OF SISTERS FROM NASHVILLE, TENNESSEE, LED BY MOTHER XAVIER ROSS, VENTURED TO THE EDGE OF AN EXPANDING FRONTIER IN THE THEN INDIAN TERRITORY OF KANSAS. THEY OPENED THE FIRST PRIVATE HOSPITAL IN THE STATE IN 1864, WITH THE FIRST TRAINED NURSE IN THE STATE AND SURELY THE FIRST WOMAN IN THE WESTERN TERRITORY TO RUN A HOSPITAL. IN 1873, THE SISTERS FOUNDED WHAT IS NOW SAINT JOSEPH HOSPITAL IN DENVER, THE OLDEST PRIVATE TEACHING HOSPITAL IN COLORADO, AND ONE OF THE FIVE COLORADO HOSPITALS OF THE HEALTH SYSTEM.SCLHS WAS FORMED IN 1972 TO STRENGTHEN AND UNIFY THE HEALTHCARE FACILITIES SPONSORED BY SCLHS. IN 2011, THE SISTERS TRANSFERRED SPONSORSHIP OF SCLHS TO LEAVEN MINISTRIES. SCLHS' RICH HERITAGE AND ENDURING LEGACY SERVE AS THE FOUNDATION FOR ITS HEALTH MINISTRY TODAY, AND ITS MISSION, VISION AND VALUES SERVE AS THE FRAMEWORK FOR ITS SUCCESS. SCLHS IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL SCLHS SUBSIDIARIES. SCLHS PERFORMS NUMEROUS COORDINATED AND CENTRALIZED SERVICES FOR THE ENTITIES AND CARE SITES THAT COMPRISE ITS SYSTEM, SUCH AS ADMINISTERING FINANCING AND CAPITAL FORMATION PROGRAMS; ETHICAL AND RELIGIOUS DIRECTION; FINANCIAL REPORTING; TAX SERVICES; HUMAN RESOURCES FUNCTIONS, INCLUDING EXECUTIVE RECRUITING AND ADMINISTERING AND MAINTAINING WELFARE, BENEFIT AND RETIREMENT PLANS; INFORMATION TECHNOLOGY SERVICES, INCLUDING ELECTRONIC MEDICAL RECORD SYSTEMS, BUSINESS MANAGEMENT SYSTEMS, EQUIPMENT AND CONNECTIVITY; INTERNAL AUDIT FUNCTIONS; LEGAL SERVICES; PHYSICIAN NETWORK DEVELOPMENT; PROCUREMENT AND SUPPLY CHAIN MANAGEMENT, INCLUDING MEDICAL DEVICES, SUPPLIES AND EQUIPMENT; PROFESSIONAL LIABILITY INSURANCE THROUGH A CAPTIVE PROVIDER, INCLUDING GROUP EXCESS COVERAGE, REINSURANCE AND LITIGATION MANAGEMENT; PUBLIC RELATIONS; COMMUNICATIONS AND LEGISLATIVE AFFAIRS; REAL ESTATE MANAGEMENT SERVICES, INCLUDING LEASING, CONSTRUCTION, PURCHASE AND SALE; REGULATORY COMPLIANCE SERVICES; REVENUE CYCLE MANAGEMENT SERVICES, INCLUDING BILLING AND COLLECTIONS; RISK MANAGEMENT SERVICES, INCLUDING SELF-INSURANCE, GROUP EXCESS COVERAGE AND REINSURANCE; AND LITIGATION MANAGEMENT. THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH-QUALITY, COST-EFFECTIVE AND COMPASSIONATE HEALTHCARE MANAGEMENT AND MEDICAL SERVICES FOR THE COMMUNITIES WE SERVE. THEREFORE, THESE MANAGEMENT SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF OWNING AND MANAGING PUBLIC HOSPITALS AND A HEALTH SYSTEM. OUR MISSION, VISION AND VALUES ARE LISTED BELOW.MISSION, VISION, & VALUES MISSION: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.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. 771135646 1 1 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 1079 0 1 4837 1 1 1 1 CJ EI LU ID PO RS KS SW 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 1 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 0 0 1 0 X COLIN QUINCY 8014423491 36 SOUTH STATE STREET SUITE 1600 SALT LAKE CITY UT 84111 ALBERT R ZIMMERLI FORMER OFFICER 0.00 57.00 X 0 8266670 30965 JANIE WADE TREASURER/EVP CFO (PARTIAL) 50.00 10.00 X 5604292 0 93879 LYDIA JUMONVILLE CHIEF EXECUTIVE OFFICER (PARTIAL) 50.00 7.00 X 3796732 0 566589 JAMES VALIN MD EVP CHIEF CLINICAL OFFICER 50.00 7.00 X 2029528 0 1073539 MARK KORTH SYSTEM PRESIDENT (PARTIAL) 50.00 6.00 X X 1810663 0 626752 GREG J MATIS SECRETARY 2.00 58.00 X 0 1467943 832676 GREGORY M JOHNSON VP, FINANCE SERVICES (PARTIAL) 2.00 54.00 X 0 2061569 55570 CRAIG RICHARDVILLE CHIEF DIGITAL & INFORMATION OFFICER 50.00 2.00 X 1244905 0 615022 TAJQUAH HUDSON CHIEF INTEGRATION OFFICER 50.00 0.00 X 1550185 0 225137 CLAY M ASHDOWN TREASURER, SVP, CFO (PARTIAL) 2.00 57.00 X 0 1122424 441443 MEGAN MAHNCKE CHIEF MARKETING & COMM. OFFICER 50.00 4.00 X 944666 0 507282 LOUIS ROSS MD PHYSICIAN 50.00 0.00 X 1377143 0 46609 SCOTT PEEK FRONT RANGE MKT PRESIDENT (PARTIAL) 2.00 52.00 X 0 1025813 397369 ALAN BAKER COO, MEDICAL GROUP/CHIEF ADMIN OFF. 50.00 0.00 X 883631 0 337579 YEVGENIY AREFIEV MD PHYSICIAN 50.00 0.00 X 1150512 0 50783 JOHN WICKLUND PRESIDENT REGIONAL WESTERN CO & LMC 1.00 51.00 X 1145372 0 24444 STACY JENNINGS VP, CHIEF INVESTMENT OFFICER 2.00 52.00 X 0 805712 277524 AMY CHURCH VP, FINANCIAL PLANNING AND ANALYTICS 50.00 7.00 X 759559 0 262044 SIMON MALTAIS MD PHYSICIAN 50.00 0.00 X 976857 0 38542 HEIDI WALD CHIEF QUALITY AND SAFETY OFFICER 50.00 0.00 X 736826 0 273490 DAVID PRINGLE CHIEF CATHOLIC MISSION OFF(PARTIAL) 50.00 0.00 X 733476 0 255635 SIMON PAYNE MD CHIEF MEDICAL OFFICER 50.00 1.00 X 712751 0 257604 BRYAN JOHNSON W CO MKT PRES/SMGJ PRES/MT MKT PRES 2.00 53.00 X 0 684612 282612 JOHN BRAXTON MD PHYSICIAN 50.00 0.00 X 916689 0 34488 TROY SPRING VP REVENUE CYCLE 50.00 0.00 X 654040 0 242081 CHRISTOPHER AWTREY MD CMO, MEDICAL GROUP/CMO MEDICAL GROUP, FRONT RANGE 2.00 52.00 X 0 635362 236228 BARBARA JAHN VP, SERVICE LINES AND OPERATIONS 50.00 0.00 X 639182 0 218464 LEE SYPHUS VP OPS, MEDICAL GROUP (PARTIAL) 50.00 1.00 X 614431 0 200422 JENNIFER ALDERFER MONTANA MKT PRESIDENT (PARTIAL) 2.00 51.00 X 756683 0 42121 ROSLAND MCLEOD FORMER OFFICER 0.00 0.00 X 765565 0 22722 SHAWN DUFFORD MD FORMER KEY EMPLOYEE 0.00 0.00 X 751089 0 10240 DINA BUSH VP, CHIEF NURSING OFFICER 50.00 0.00 X 511079 0 244261 SEAN FADDEN VP, FINANCE 50.00 2.00 X 508929 0 197193 SUZANNE DRAPER VP, BUS. ETHICS & COMP. (PARTIAL) 2.00 54.00 X 0 603752 90926 JOHN CASEY MKT VP STRATEGY AND BUS DEVELOPMENT 50.00 0.00 X 491863 0 165656 MARK WILKINSON VP TREASURER (PARTIAL) 50.00 0.00 X 604195 0 17708 JAMES RITCHEY VP HR STRATEGY & DELIVERY 50.00 0.00 X 434421 0 181079 TROY HOLMES VP PAYER CONTRACTING (PARTIAL) 50.00 0.00 X 561168 0 23565 GREGG MOSS VP, MKT AND COMMUNICATIONS (PARTIAL) 50.00 2.00 X 412190 0 133267 SUSAN SCHAUB VP TOTAL REWARDS 50.00 0.00 X 369069 0 143923 TERENCE MOLOUGHNEY ASSISTANT SECRETARY 50.00 3.00 X 340536 0 94453 JEREMY ROGERS VICE PRESIDENT HUMAN RESOURCES - PEAKS 50.00 0.00 X 323947 0 88032 JACOB HARRISON CHIEF CATHOLIC MISSION OFF(PARTIAL) 50.00 0.00 X 253003 0 149818 THOMAS DONOHOE VP GEN. COUNSEL OPS. & TRANS. 50.00 4.00 X 194619 0 5954 KHADIJA MOHAMED FORMER OFFICER 50.00 0.00 X 145064 0 26571 MELINDA MENDOZA VP, BUSINESS ETHICS AND COMPLIANCE, CHIEF COMPLIAN 2.00 54.00 X 0 73366 1467 DOUGLAS ADEN VICE CHAIR 2.00 0.00 X X 0 0 0 SISTER BARBARA ALDRICH DIRECTOR 2.00 0.00 X 0 0 0 KAREN FAGG DIRECTOR 2.00 3.00 X 0 0 0 BERRY MORTON MD DIRECTOR 2.00 2.00 X 0 0 0 NGUYEN-VU PHAM SECRETARY 2.00 3.00 X 0 0 0 MICHAEL SALEM MD DIRECTOR 2.00 1.00 X 0 0 0 RITA TURLEY DIRECTOR 2.00 0.00 X 0 0 0 VANCE WAGNER DIRECTOR 2.00 1.00 X 0 0 0 BARTH WHITHAM CHAIR 2.00 0.00 X 0 0 0 35704860 16747223 10143728 895 1 1 0 BARTON MALOW-HASELDEN 26500 AMERICAN DRIVE SOUTHFIELD MI 48034 CONSTRUCTION SERVICES 167387537 RIGHTSOURCING INC 999 STEWART AVENUE SUITE 100 BETHPAGE NY 11714 CONTRACT LABOR 62860175 MIDTOWN INPATIENT MEDICINE LLC 835 E 18TH AVE STE 110 DENVER CO 80218 MEDICAL SERVICES 23383421 ROCKY MOUNTAIN PRIMARY CARE 7625 W 92ND AVE WESTMINSTER CO 80021 MEDICAL SERVICES 20482551 COMPHEALTH PO BOX 972670 DALLAS TX 75397 MEDICAL SERVICES 19677013 279 24320752 637687 524 24958963 MANAGEMENT SERVICES 560000 480011518 480011518 PATIENT SERVICE 620000 195269217 195269217 PHARMACY 440000 137662670 135653525 2009145 JOINT VENTURES-MEDICAL 620000 2666264 2666264 815609669 31237589 -306962 31544551 23319420 851939 0 1000365 23319420 -148426 23170994 23170994 RETIREMENT PLAN CREDIT 900099 3138021 3138021 3138021 898115236 816738545 1702183 54715545 8736934 8736934 35719120 3900609 31818511 358952707 353475741 5476966 18700447 14832857 3867590 34430958 31563031 2867927 23655993 22623290 1032703 536373 536373 62483 62483 7566672 7566672 54602664 45855309 8747355 7358007 7358007 12893853 12834511 59342 63335260 63333286 1974 14210142 14208536 1606 4639159 4252792 386367 1337003 1328530 8473 2998457 2998457 37182074 36535974 646100 3316443 3262365 54078 MEDICAL SUPPLIES 104250870 104250870 SELF-INSURED MAINTENANC 9289750 9289750 CONTRACT LABOR 8705410 8664740 40670 NON-MEDICAL SUPPLIES 6323079 6322284 795 20158726 15507773 4650953 838962584 771135646 67826938 0 425314306 84538059 16084325 12735006 22398809 14268860 2044066 3457964 24899982 22925463 158754516 68431111 111291583 90323405 856314321 1462413845 917137546 685334351 195617113 187256672 25650000 23850000 96473035 136267878 2693225086 2723371503 214573891 262861953 3008428 2313569 1095724834 655324188 1313307153 920499710 X 1361588499 1784047058 18329434 18824735 1379917933 1802871793 2693225086 2723371503 X 59152652 157817861 205983347 X 0 1 X 1 1 1 X X 10 ST JAMES HEALTHCARE 810231785 3 0 12849 0 SAINT JOSEPH HOSPITAL INC 840417134 3 0 454352 0 SCL HEALTH - FRONT RANGE INC 841103606 3 0 0 0 ST MARY'S HOSPITAL AND MEDICAL CENTER INC 840425720 3 0 0 0 SCL HEALTH - MONTANA 810232124 3 0 6950045 0 HOLY ROSARY HEALTHCARE 810231792 3 0 4734 0 CARITAS CLINICS INC 481009910 3 0 625392 0 MOUNT ST VINCENT HOME 840405260 10 0 500000 0 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 840482695 3 0 0 0 SCL HEALTH RESEARCH INSTITUTE INC 852014794 3 0 0 0 10 8547372 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 SCHEDULE A, PART IV, SECTION A, LINE 1 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE PARENT OF EACH OF ITS SUPPORTED ORGANIZATIONS AND CONTROLS THEM AS PART OF AN INTEGRATED HEALTH SYSTEM. A CLOSE AND HISTORIC ORGANIZATIONAL RELATIONSHIP ENSURES THAT SCLHS AND ITS SUPPORTED ORGANIZATIONS SHARE A SUBSTANTIAL IDENTITY OF INTERESTS. THE SUPPORTED CLASS ALSO INCLUDES OTHER QUALIFIED NON-PROFIT ORGANIZATIONS UNDER 501(C)(3) THAT SHARE A SIMILAR MISSION OF IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES SERVED. SCHEDULE A, PART IV, SECTION A, LINE 5A MARIAN CLINIC, INC. (EIN 48-1046905) WAS REMOVED AS A SUPPORTED ORGANIZATION AS IT MERGED INTO CARITAS CLINICS, INC. (EIN 48-1009910), WHICH IS ALSO A SUPPORTED ORGANIZATION OF SCLHS. SCHEDULE A, PART IV, SECTION A, LINE 6 SUPPORT WAS PROVIDED TO MEDICAL AND OTHER CHARITABLE ORGANIZATIONS NOT CONSIDERED SUPPORTED ORGANIZATIONS. HOWEVER, THESE INSTITUTIONS ARE SUPPORTING MEDICAL AND OTHER ACTIVITIES BENEFITING THE COMMUNITIES SERVED BY SUPPORTED ORGANIZATIONS. AMOUNTS GRANTED ARE INSIGNIFICANT TO THE OVERALL OPERATIONS OF SCLHS. SCHEDULE A, PART IV, SECTION C, LINE 1 EACH OF THE SUPPORTED ORGANIZATIONS IS PART OF AN INTEGRATED HEALTH SYSTEM. SCLHS' MEMBERS, INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN) AND THE MEMBERS OF LEAVEN MINISTRIES, DIRECTLY CONTROL SCLHS AND INDIRECTLY CONTROL ALL OF THE SCLHS SUBSIDIARIES. SCHEDULE A, PART IV, SECTION E, LINE 3A THE MEMBERS OF SCLHS ARE INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION, AND THE MEMBERS OF LEAVEN MINISTRIES. EACH MEMBER OF LEAVEN MINISTRIES SHALL SERVE AS A MEMBER OF THE CORPORATION DURING THE MEMBER'S TERM OF OFFICE AS A MEMBER OF LEAVEN MINISTRIES, WHICH IS AN UNINCORPORATED PUBLIC JURIDIC PERSON AUTHORIZED BY THE CATHOLIC CHURCH. SCLHS IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS. SCLHS APPROVES MEMBERS OF THE SUPPORTED ORGANIZATIONS' BOARDS OF DIRECTORS SUBJECT TO RATIFICATION BY INTERMOUNTAIN. SCHEDULE A, PART IV, SECTION E, LINE 3B SCLHS HAS THE FOLLOWING RESERVE POWERS THAT ARE USED TO EXERCISE A SUBSTANTIAL DEGREE OF DIRECTION OVER ITS SUPPORTED ORGANIZATIONS: - INTEGRATE SCLHS INTO THE INTERMOUNTAIN HEALTH CARE INC. INTERMOUNTAIN GOVERNANCE AND OPERATING MODEL; - IMPLEMENT SCLHS' MISSION, VISION, VALUES, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES AND ADOPT ANY NEEDED SUPPLEMENTAL POLICIES, PROCEDURES, AND GUIDELINES, SO LONG AS SUCH DO NOT CONFLICT WITH INTERMOUNTAIN POLICY, PROCEDURE, OR GUIDELINE; - ENSURE COMMUNITY BOARDS IMPLEMENT INTERMOUNTAIN POLICIES, PROCEDURES, AND GUIDELINES AND, TO THE EXTENT COMMUNITY BOARDS ADOPT ANY SUPPLEMENTAL POLICIES, PROCEDURES, AND GUIDELINES, ENSURE SUCH DO NOT CONFLICT WITH AN INTERMOUNTAIN POLICY, PROCEDURE, OR GUIDELINE; - FACILITATE RELATIONSHIPS WITH GOVERNMENT OFFICIALS AND BUSINESS AND CIVIC LEADERS WITHIN THE REGION AND ITS COMMUNITIES; - PURSUE SHARED RESPONSIBILITY FOR MEANINGFUL PHILANTHROPIC DEVELOPMENT WITHIN THE STATES AND COMMUNITIES IN WHICH SCLHS OPERATES; - NOMINATE TRUSTEES AND BOARD OFFICERS OF SCLHS FOR APPOINTMENT AND ELECTION BY THE MEMBERS; - APPOINT TRUSTEES TO THE COMMUNITY BOARDS, SUBJECT TO RATIFICATION BY INTERMOUNTAIN; - ENSURE COMPLIANCE WITH THE LEAVEN MINISTRIES RESERVED POWERS AND CATHOLIC PROTECTIONS, AS APPROPRIATE; AND - EXERCISE ANY OTHER APPLICABLE DELEGATED OR RETAINED POWERS, AS SET FORTH IN THE GOVERNANCE MATRIX. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2000000 2000000 2000000 2000000 2000000 2000000 2000000 2000000 2000000 2000000 0.00000 1.00000 0.00000 0 0 12007061 12007061 36223742 9754768 26468974 98423304 56466094 41957210 12100409 2210249 9890160 90323405 HEDGE FUNDS 166409438 F JOINT VENTURE - DENVER WEST ENDOSCOPY CTR, LLC 195176 F JOINT VENTURE - LUTHERAN CAMPUS ASC, LLC 2704176 F JOINT VENTURE - SCLH-GI ENDOSCOPY CENTER HOLDINGS, LLC 356289 F JOINT VENTURE - SCLTDI JV, LLC 15192338 F JOINT VENTURE - THE REHABILITATION HOSPITAL OF MONTANA, LLC 1379041 F JOINT VENTURE - SCL HEALTH PARTNERS, LLC 1850000 F JOINT VENTURE - SJ EAST CAMPUS ASC, LLC 512181 F OPPORTUNISTIC INVESTMENTS 236522651 F REAL RETURN INVESTMENTS 251688028 F SWEEP ACCOUNTS 4760033 F OTHER INVESTMENTS 3765000 F 685334351 NOTES REC - INTERCOMPANY 187256672 C 187256672 RENT ACCOUNTS RECEIVABLE 264628 RIGHT OF USE ASSETS 30508929 AR DUE FROM BROKER 96431006 OTHER ACCOUNTS RECEIVABLE 9063315 136267878 INTERCOMPANY PAYABLE 453455912 DEFERRED COMPENSATION PLAN PAYABLE 6477530 BROKER PAYABLE 164197937 ACCRUED LIABILITY - OPERATING LEASE 28630279 GUARANTEE FEE PAYABLE 2562530 655324188 PART V, LINE 4: SCLHS HAS A PERMANENT ENDOWMENT IN THE AMOUNT OF $2,000,000. THE EARNINGS FROM THE PERMANENT ENDOWMENT ARE TO BE USED FOR EDUCATIONAL PURPOSES AS DETERMINED BY SCLHS MANAGEMENT. CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 PROGRAM SERVICES CAPTIVE INSURANCE PREMIUM 19683150 CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS 331324923 EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, 0 0 INVESTMENTS 32439713 EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM 0 0 INVESTMENTS 109793318 NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 0 0 INVESTMENTS 3561608 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, 0 0 INVESTMENTS 3192817 SOUTH ASIA-AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, 0 0 INVESTMENTS 1318118 0 0 0 0 0 0 501313647 0 501313647 1 0 1 1 1 0 SCHEDULE F, PART I, LINE 3 INVESTMENTS REPORTED IN SCHEDULE F ARE ACCOUNTED FOR ON THE ACCRUAL BASIS OF ACCOUNTING. SCLHS' EXPENDITURES (PREMIUMS PAID) FOR ITS CAPTIVE INSURANCE PREMIUMS WERE $19,683,150 NET OF PREMIUM DISCOUNTS. 1 1 X 1 X 250.000000000000 1 X 500.000000000000 1 1 1 0 1 1 3328122 2164824 1163298 0.00140 37342674 37557511 0 0.00000 40670796 39722335 1163298 0.00140 19089 19089 0.00000 7114985 2947236 4167749 0.00500 7134074 2947236 4186838 0.00500 47804870 42669571 5350136 0.00640 1 3184870 34046946 82242853 -48195907 X 1 1 1 DENVER WEST ENDOSCOPY CENTER LLC OUTPATIENT ENDOSCOPY SERVICES 0.51000 0.00000 0.49000 2 LUTHERAN CAMPUS ASC LLC OUTPATIENT SURGERY 0.35220 0.00000 0.37190 3 SCLH-GI ENDOSCOPY CENTER HOLDINGS LLC ENDOSCOPY SERVICES 0.51000 0.00000 0.49000 4 NORTHGLENN ENDOSCOPY CENTER LLC ENDOSCOPY SERVICES 0.51000 0.00000 0.49000 5 SJ EAST CAMPUS ASC LLC AMBULATORY SURGICAL 0.24990 0.00000 0.49000 6 GALLATIN VALLEY SURGERY CENTER LLC AMBULATORY SURGICAL 0.51000 0.00000 0.49000 1 1 THE REHABILITATION HOSPITAL OF MONTANA LLC 3572 HESPER ROAD BILLINGS MT 59102 WWW.REHABHOSPITALOFMONTANA.COM LICENSE# 13564 X X THE REHABILITATION HOSPITAL OF MONTANA 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X SEE PART V, SECTION C X X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 400.000000000000 X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 THE REHABILITATION HOSPITAL OF MONTANA, LLC PART V, SECTION B, LINE 5: IN 2023, THE REHABILITATION HOSPITAL OF MONTANA, LLC CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH SCL HEALTH - MONTANA; BILLINGS CLINIC, A NONPROFIT HOSPITAL LOCATED IN BILLINGS, MT; RIVERSTONE HEALTH; THE CITY-COUNTY HEALTH DEPARTMENT AND OPERATOR OF A FEDERALLY QUALIFIED HEALTH CENTER; AND PRC, A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM. A STEERING COMMITTEE PROVIDED GUIDANCE CONSISTING OF REPRESENTATIVES FROM PUBLIC HEALTH, FAITH-BASED ORGANIZATIONS, GOVERNMENT ENTITIES, SOCIAL SERVICE AGENCIES, AND PRIVATE BUSINESS. THE CHNA INCORPORATED INPUT FROM THE FOLLOWING: PRIMARY QUANTITATIVE DATA INCLUDING TELEPHONE SURVEYS OF 400 HOUSEHOLDS AND ADDITIONAL ONLINE SURVEYS, SECONDARY QUANTITATIVE DATA INCLUDING EXISTING PUBLIC HEALTH DATA, AND PRIMARY QUALITATIVE DATA INCLUDING ONLINE KEY INFORMANT SURVEYS. THE SAMPLE 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. IN ADDITION, COMMUNITY OUTREACH CONDUCTED AN ONLINE SURVEY. COMMUNITY HEALTH WORKERS CONDUCTED ADDITIONAL SURVEYS TO OVERSAMPLE KEY DEMOGRAPHIC POPULATIONS, WHICH YIELDED AN ADDITIONAL 294 RESPONSES. BASED ON THE SAMPLE SIZE OF 694 RESPONDENTS, WE ARE 95% CONFIDENT THAT THE RESPONSES TO THE SURVEY QUESTIONS ARE REPRESENTATIVE OF THE SERVICE AREA POPULATION, PLUS OR MINUS 3.7%. THE 2023 CHNA WAS A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED IN 2020, 2017, 2014, 2011, AND 2006, WHICH ALLOWED FOR TRENDING OVER TIME.AN ONLINE SURVEY SOLICITED INPUT FROM KEY INFORMANTS. A TOTAL OF 86 COMMUNITY STAKEHOLDERS TOOK PART, INCLUDING REPRESENTATIVES OF COMMUNITY-BASED ORGANIZATIONS, EDUCATION, GOVERNMENT, BUSINESS, HEALTHCARE, AND PUBLIC HEALTH. THROUGHOUT THE PROCESS, REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS PROVIDED INPUT. THE REHABILITATION HOSPITAL OF MONTANA, LLC PART V, SECTION B, LINE 6A: THE HOSPITAL CONDUCTED THE 2023 CHNA IN COLLABORATION WITH BILLINGS CLINIC, AND SCL HEALTH - MONTANA. THE REHABILITATION HOSPITAL OF MONTANA, LLC PART V, SECTION B, LINE 6B: THE HOSPITAL CONDUCTED THE 2023 CHNA IN COLLABORATION WITH RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT. IN ADDITION, 93 REPRESENTATIVES FROM BUSINESS, COMMUNITY, EDUCATION, FAITH-BASED ORGANIZATIONS, SOCIAL SERVICE AGENCIES, AND GOVERNMENT ENTITIES WERE INVOLVED IN THE CHNA PROCESS AS MEMBERS OF THE CHNA ADVISORY GROUP THAT PROVIDED GUIDANCE IN THE CHNA PROCESS.PART V, SECTION B, LINE 7A: WEBSITEHTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: WEBSITEHTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT THE REHABILITATION HOSPITAL OF MONTANA, LLC PART V, SECTION B, LINE 7D: A PRESS CONFERENCE WAS HELD ON JANUARY 1, 2023, TO REPORT THE CHNA RESULTS AND PROVIDE A SUMMARY OF KEY FINDINGS. THE CHNA IS ALSO AVAILABLE ON THE HEALTHY BY DESIGN COALITION WEBSITE: HTTP://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG THE REHABILITATION HOSPITAL OF MONTANA, LLC PART V, SECTION B, LINE 11: THE 2023 CHNA IDENTIFIED 11 AREAS OF OPPORTUNITY THAT WERE EVALUATED AND PRIORITIZED BY APPLYING THE FOLLOWING CRITERIA: RANKING IN COMPARISON TO NATIONAL AND STATE LEVEL BENCHMARK DATA; IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; MAGNITUDE IN TERMS OF NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. AREAS OF OPPORTUNITY IDENTIFIED IN THE 2023 CHNA:1. ACCESS TO HEALTHCARE SERVICES2. CANCER3. DIABETES4. HEART DISEASE AND STROKE5. INJURY AND VIOLENCE6. MENTAL HEALTH7. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT8. POTENTIALLY DISABLING CONDITIONS9. RESPIRATORY DISEASES 10. SEXUAL HEALTH11. SUBSTANCE ABUSECOMMUNITY STAKEHOLDERS REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS CONVENED TO EVALUATE, DISCUSS, AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY. PARTICIPANTS EVALUATED EACH OF THE 11 IDENTIFIED AREAS OF OPPORTUNITY USING THE CRITERIA OF SCOPE AND SEVERITY, AND ABILITY TO IMPACT. THIS PROCESS YIELDED THE TOP PRIORITIZED COMMUNITY NEEDS, WITH THE TOP FOUR IDENTIFIED AS: 1. MENTAL HEALTH2. SUBSTANCE ABUSE 3. ACCESS TO HEALTHCARE SERVICES4. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHTFOLLOWING THE COMMUNITY'S PRIORITIZATION OF THE NEEDS, THE REHABILITATION HOSPITAL OF MONTANA LLC'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 COLLABORATORS, AND ALIGNMENT WITH CURRENT EFFORTS AND STRATEGIES. THEY IDENTIFIED THE TOP PRIORITY NEEDS AS:1. ACCESS TO HEALTHCARE SERVICES2. MENTAL HEALTH 3. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHTTHE HOSPITAL WILL ADDRESS THESE PRIORITY AREAS IN THE 2024 COMMUNITY HEALTH IMPROVEMENT PLAN. IN 2023, THE COMMUNITY HEALTH IMPROVEMENT PLAN ADDRESSED THE PREVIOUSLY PRIORITIZED AREAS OF ACCESS TO HEALTHCARE SERVICES, BRAIN INJURY AND STROKE, AND FALLS PREVENTION. ACCESS TO HEALTHCARE SERVICES: THE HOSPITAL'S EFFORTS FOCUSED ON INCREASING EXTERNAL PROVIDER AWARENESS OF SERVICES THROUGH CLINICAL LIAISON OUTREACH AND INCREASING WORKFORCE CAPACITY THROUGH HEALTHCARE STUDENT ROTATIONS FOR THERAPY STUDENTS, WHICH INCLUDED FIVE STUDENTS WHO COMPLETED CLINICAL ROTATIONS IN 2023. IN 2023, THE HOSPITAL PROVIDED OUTREACH EDUCATION SESSIONS TO THERAPISTS AND HOSPITALISTS AT BOZEMAN HEALTH; CARE MANAGEMENT AND THERAPY TEAMS AT BILLINGS CLINIC AND ST. VINCENT HEALTHCARE; AND 10 SECONDARY AND TERTIARY MARKET FACILITIES. THE REHABILITATION HOSPITAL OF MONTANA WAS A PART OF THE STROKE AND POST-ACUTE STROKE CONFERENCE IN BUTTE MONTANA. BRAIN INJURY AND STROKE: THE HOSPITAL'S EFFORTS FOCUSED ON PROVIDING COMMUNITY EDUCATION TO INCREASE AWARENESS OF SIGNS OF STROKE AND COMMUNITY EDUCATION ON BRAIN INJURY. STROKE AWARENESS INCLUDED SOCIAL MEDIA FACEBOOK POSTS AND A COMMUNITY AND STROKE AWARENESS MEDIA EVENT. THE HOSPITAL ALSO HOSTED A MONTHLY TRAUMATIC BRAIN INJURY SUPPORT GROUP IN PARTNERSHIP WITH THE MONTANA BRAIN ALLIANCE. HOSPITAL STAFF SERVED AS SUBJECT MATTER EXPERTS FOR THE SUPPORT GROUP. BRAIN INJURY AWARENESS INCLUDED SOCIAL MEDIA FACEBOOK POSTS. FALLS PREVENTION: THE HOSPITAL'S EFFORTS FOCUSED ON PROVIDING COMMUNITY HEALTH EDUCATION INCLUDING SOCIAL MEDIA POSTS REGARDING FALL PREVENTION WHILE AT HOME OR IN THE COMMUNITY. NEEDS NOT ADDRESSED: EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA PROCESS IS IMPORTANT. THE REHABILITATION HOSPITAL OF MONTANA, LLC AND NUMEROUS COMMUNITY COLLABORATORS ARE ADDRESSING THESE NEEDS THROUGH OTHER PROGRAMS, INTERVENTIONS, AND INITIATIVES. HOWEVER, DUE TO LIMITED RESOURCES, EXPERTISE, AND TIME TO ACHIEVE SUCCESSFUL IMPACT, THE REHABILITATION HOSPITAL OF MONTANA, LLC LIMITED ITS PRIMARY FOCUS TO THE PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THE CHNA AND DID NOT ADDRESS THE FOLLOWING PRIORITY HEALTH NEEDS: CANCER, DIABETES, HEART DISEASE AND STROKE, INJURY AND VIOLENCE, POTENTIALLY DISABLING CONDITIONS, RESPIRATORY DISEASES, SEXUAL HEALTH, AND SUBSTANCE ABUSE. THE REHABILITATION HOSPITAL OF MONTANA CONTINUED TO SUPPORT COMMUNITY EFFORTS AND COLLABORATIONS THAT ADDRESS ISSUES NOT PRIORITIZED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN. PART V, SECTION B, LINES 16A, 16B, 16C, FAP APPLICATION WEBSITE: HTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/FINANCIAL-ASSISTANCE 134 1 - GALLATIN VALLEY SURGERY CENTER LLC 2825 WEST MAIN STREET SUITE C BOZEMAN MT 59718 SURGERY CENTER 2 - CANCER CENTERS OF COLORADO LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 CANCER CENTER 3 - GS CAMPUS ASC LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 SURGERY CENTER 4 - RED ROCKS RADIATION ONCOLOGY MANAGEMENT 400 INDIANA ST SUITE 220 GOLDEN CO 80401 CANCER CENTER 5 - LUTHERAN CAMPUS ASC LLC 3455 LUTHERAN PKWY STE 150 WHEATRIDGE CO 80033 OUTPATIENT SURGERY 6 - SJ EAST CAMPUS ASC LLC 1830 FRANKLIN ST SUITE 200 DENVER CO 80218 SURGERY CENTER 7 - DENVER WEST ENDOSCOPY CENTER LLC 382 S ARTHUR AVENUE LOUISVILLE CO 80027 OUTPATIENT ENDOSCOPY 8 - NORTHGLENN ENDOSCOPY CENTER LLC 11900 GRANT STREET NORTHGLENN CO 80233 ENDOSCOPY SERVICES 9 - TOUCHSTONE MEDICAL IMAGING - AURORA 3055 SOUTH PARKER RD BLDG A SUITE 103 AURORA CO 80014 RADIOLOGY SERVICES 10 - TOUCHSTONE MEDICAL IMAGING - CASTLE ROCK 3911 AMBROSIA ST CASTLE ROCK CO 80109 RADIOLOGY SERVICES 11 - TOUCHSTONE MEDICAL IMAGING - DRY CREEK 125 INVERNESS DR EAST SUITE 140 ENGLEWOOD CO 80112 RADIOLOGY SERVICES 12 - TOUCHSTONE MEDICAL IMAGING - LAFAYETTE 390 EMPIRE ROAD SUITE 102 LAFAYETTE CO 80026 RADIOLOGY SERVICES 13 - TOUCHSTONE MEDICAL IMAGING - LAKEWOOD 14062 DENVER WEST PKWY BLDG 52 SUITE 1 LAKEWOOD CO 80401 RADIOLOGY SERVICES 14 - TOUCHSTONE MEDICAL IMAGING - MAMMOGRAPHY 7615 W 38TH AVENUE SUITE B-107 WHEAT RIDGE CO 80033 RADIOLOGY SERVICES 15 - TOUCHSTONE MEDICAL IMAGING - RED ROCKS 400 INDIANA ST SUITE 210 GOLDEN CO 80401 RADIOLOGY SERVICES 16 - TOUCHSTONE MEDICAL IMAGING - SUPERIOR 3 SUPERIOR WAY SUITE 150 SUPERIOR CO 80027 RADIOLOGY SERVICES 17 - TOUCHSTONE MEDICAL IMAGING - THORNTON 12021 PENNSYLVANIA ST SUITE 106 THORNTON CO 80241 RADIOLOGY SERVICES 18 - TOUCHSTONE MEDICAL IMAGING - UPTOWN 1007 E COLFAX AVE CO CO 80218 RADIOLOGY SERVICES 19 - TOUCHSTONE MEDICAL IMAGING - WHEAT RIDGE 7615 WEST 38TH AVENUE SUITE B115 WHEAT RIDGE CO 80033 RADIOLOGY SERVICES 20 - TOUCHSTONE MEDICAL IMAGING - BILLINGS 1739 SPRING CREEK LANE BILLINGS MT 59106 RADIOLOGY SERVICES 21 - SCL FRONT RANGE HOME HEALTH LLC 8300 W 38TH AVENUE WHEAT RIDGE CO 80033 HOME HEALTH 22 - IH HEART & VASCULAR - CARDIOLOGY CLINIC 2900 12TH AVE N BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 23 - ST VINCENT EMERGENCY MED 1233 N 30TH ST BILLINGS MT 591010127 OUTPATIENT PHYSICIAN CLINIC 24 - CANCER CENTERS OF COLORADO - SLOAN'S LAKE 1601 LOWELL BLVD STE 150 DENVER CO 802041545 OUTPATIENT PHYSICIAN CLINIC 25 - DOWNTOWN CLINIC - INTERNAL MEDICINE 2900 12TH AVE N BILLINGS MT 591017588 OUTPATIENT PHYSICIAN CLINIC 26 - DOWNTOWN CLINIC - GASTROENTEROLOGY 1144 N BROADWAY BILLINGS MT 591010110 OUTPATIENT PHYSICIAN CLINIC 27 - BROADWATER CLINIC - FAMILY MEDICINE 2019 BROADWATER AVE BILLINGS MT 591024810 OUTPATIENT PHYSICIAN CLINIC 28 - BUTTE CLINIC - FAMILY MEDICINE 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 29 - IH HEART & VASCULAR - CARDIOTHORACIC SUR 2900 12TH AVE N BILLINGS MT 591017504 OUTPATIENT PHYSICIAN CLINIC 30 - HEIGHTS CLINIC - FAMILY MEDICINE 32 WICKS LN BILLINGS MT 591053810 OUTPATIENT PHYSICIAN CLINIC 31 - DOWNTOWN CLINIC - UROLOGY 2900 12TH AVE N BILLINGS MT 591017502 OUTPATIENT PHYSICIAN CLINIC 32 - SCL HEALTH - MONTANA ORTHOPEDICS 435 S CRYSTAL ST BUTTE MT 597011506 OUTPATIENT PHYSICIAN CLINIC 33 - LAUREL CLINIC - FAMILY MEDICINE 1035 1ST AVE LAUREL MT 590442119 OUTPATIENT PHYSICIAN CLINIC 34 - BROADWATER CLINIC - WALK-IN 2019 BROADWATER AVE BILLINGS MT 591024810 OUTPATIENT PHYSICIAN CLINIC 35 - NORTH SHILOH CLINIC - FAMILY MEDICINE 2223 MISSION WAY BILLINGS MT 591020160 OUTPATIENT PHYSICIAN CLINIC 36 - N 27TH WALK-IN CLINIC 1027 N 27TH STREET BILLINGS MT 591010701 OUTPATIENT PHYSICIAN CLINIC 37 - ST JAMES EMERGENCY PHYSICIANS 400 S CLARK ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 38 - WEST GRAND CLINIC - FAMILY MEDICINE 2750 GRAND AVE BILLINGS MT 591022629 OUTPATIENT PHYSICIAN CLINIC 39 - DOWNTOWN CLINIC - SLEEP & RESPIRATORY CARE 2900 12TH AVE N BILLINGS MT 591010127 OUTPATIENT PHYSICIAN CLINIC 40 - DOWNTOWN CLINIC - DERMATOLOGY 2900 12TH AVE N BILLINGS MT 591017513 OUTPATIENT PHYSICIAN CLINIC 41 - DOWNTOWN CLINIC - DIABETES & ENDOCRINOLOGY 2900 12TH AVE N BILLINGS MT 591017588 OUTPATIENT PHYSICIAN CLINIC 42 - LAUREL CLINIC - WALK-IN 331 S WASHINGTON ST LAUREL MT 59044 OUTPATIENT PHYSICIAN CLINIC 43 - DOWNTOWN CLINIC - PAIN CENTER 2900 12TH AVE N BILLINGS MT 591017506 OUTPATIENT PHYSICIAN CLINIC 44 - DOWNTOWN CLINIC-MIDWIFERY & WOMEN'S HEAL 2900 12TH AVE N BILLINGS MT 591017506 OUTPATIENT PHYSICIAN CLINIC 45 - SCL HEALTH - BUTTE FLATS CLINIC 3636 HARRISON AVE BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 46 - ST VINCENT NEONATOLOGY 1233 N 30TH ST BILLINGS MT 591010127 OUTPATIENT PHYSICIAN CLINIC 47 - HEIGHTS CLINIC - WALK-IN 32 WICKS LN BILLINGS MT 591053810 OUTPATIENT PHYSICIAN CLINIC 48 - SCL HEALTH BUTTE CLINIC - OB-GYN 305 W PORPHYRY BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 49 - ST VINCENT INTENSIVISTS 1233 N 30TH ST BILLINGS MT 591010127 OUTPATIENT PHYSICIAN CLINIC 50 - DOWNTOWN CLINIC - NEPHROLOGY 2900 12TH AVE N BILLINGS MT 591017508 OUTPATIENT PHYSICIAN CLINIC 51 - BILLINGS PEDIATRIC SPECIALTY CLINIC 1232 N 30TH BILLINGS MT 591010128 OUTPATIENT PHYSICIAN CLINIC 52 - BOZEMAN CLINIC - FAMILY MEDICINE 711 W MAIN ST BOZEMAN MT 597153356 OUTPATIENT PHYSICIAN CLINIC 53 - SCL HEALTH BUTTE UROLOGY CLINIC 305 W PORPHYRY BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 54 - SCL HEALTH BUTTE SURGICAL ASSOCIATES 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 55 - DOWNTOWN CLINIC - MATERNAL FETAL MEDICINE 2900 12TH AVE N BILLINGS MT 591017504 OUTPATIENT PHYSICIAN CLINIC 56 - NORTH SHILOH CLINIC - TRANSITIONAL CARE GR 2223 MISSION WAY BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 57 - RED LODGE CLINIC - FAMILY MEDICINE 10 ROBINSON LN RED LODGE MT 590680070 OUTPATIENT PHYSICIAN CLINIC 58 - LOCKWOOD CLINIC - FAMILY MEDICINE 2054 HWY 87 EAST BILLINGS MT 591016699 OUTPATIENT PHYSICIAN CLINIC 59 - SCL HEALTH BUTTE DOWNTOWN WALK-IN CLINIC 3636 HARRISON AVE BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 60 - SCL HEALTH MEDICAL GROUP - BUTTE ENT 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 61 - LEWISTOWN CLINIC - FAMILY MEDICINE 70 CATTAIL DR LEWISTOWN MT 59457 OUTPATIENT PHYSICIAN CLINIC 62 - DOWNTOWN CLINIC - BEHAVIORAL HEALTH ASSOCI 2900 12TH AVE N BILLINGS MT 591017516 OUTPATIENT PHYSICIAN CLINIC 63 - ST JAMES HEALTHCARE - CANCER CENTERS 400 S CLARK ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 64 - DOWNTOWN CLINIC - WOUND HEALING CENTER 2900 12TH AVE N BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 65 - SCL HEALTH BUTTE EXPRESS CARE 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 66 - ST JAMES HEALTHCARE - CANCER CENTERS 400 S CLARK ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 67 - SCL HEALTH MEDICAL GROUP - HARDIN CLINIC 16 N MILES HARDIN MT 590342356 OUTPATIENT PHYSICIAN CLINIC 68 - SCL HEALTH HEART & VASCULAR INSTIT-BUTTE 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 69 - SCL HEALTH - MONTANA ORTHOPEDICS 435 S CRYSTAL ST BUTTE MT 597011506 OUTPATIENT PHYSICIAN CLINIC 70 - DOWNTOWN CLINIC - WEIGHT MANAGEMENT 2900 12TH AVE N BILLINGS MT 591017588 OUTPATIENT PHYSICIAN CLINIC 71 - INTERMOUNTAIN HEALTH - CODY CLINIC 424 YELLOWSTONE AVE CODY WY 82414 OUTPATIENT PHYSICIAN CLINIC 72 - SCL HEALTH - WHITEHALL PHYSICAL THERAPY 309 EAST LEGION WHITEHALL MT 59759 OUTPATIENT PHYSICIAN CLINIC 73 - BROADWATER CLINIC-OCCUPATIONAL HEALTH 2019 BROADWATER AVE BILLINGS MT 591024810 OUTPATIENT PHYSICIAN CLINIC 74 - ST VINCENT PEDIATRIC HOSPITALIS 1233 N 30TH ST BILLINGS MT 591075200 OUTPATIENT PHYSICIAN CLINIC 75 - BOULDER CLINIC - FAMILY MEDICINE 214 S MAIN ST BOULDER MT 59632 OUTPATIENT PHYSICIAN CLINIC 76 - ABSAROKEE CLINIC - FAMILY MEDICINE 55 N MONTANA ABSAROKEE MT 59001 OUTPATIENT PHYSICIAN CLINIC 77 - ST VINCENT NEUROLOGY 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 78 - ST VINCENT HOSPITAL PALLIATIVE CARE 1233 N 30TH ST BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 79 - SCL HEALTH - PEDIATRIC SPECIALTY CARE 1232 N 30TH BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 80 - SCL HEALTH - BILLINGS PHYSIATRY 2900 12TH AVE N BILLINGS MT 591010136 OUTPATIENT PHYSICIAN CLINIC 81 - ST VINCENT NEUROSURGERY 2600 WILSON MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 82 - SCL HEALTH - PEDIATRIC SPECIALTY CARE 1232 N 30TH BILLINGS MT 591010128 OUTPATIENT PHYSICIAN CLINIC 83 - SCL HEALTH MILES CITY NEPHROLOGY 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 84 - SCL HEALTH HEART & VASCULAR - MILES CITY 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 85 - ST VINCENT NEUROLOGY 711 W MAIN ST BOZEMAN MT 59715 OUTPATIENT PHYSICIAN CLINIC 86 - ST VINCENT NEUROLOGY 621 3RD ST S GLASGOW MT 59230 OUTPATIENT PHYSICIAN CLINIC 87 - INTERMOUNTAIN HEART & VASCULAR - BOZEMAN 711 W MAIN ST BOZEMAN MT 59715 OUTPATIENT PHYSICIAN CLINIC 88 - ST VINCENT NEUROSURGERY 621 3RD STREET SOUTH GLASGOW MT 59230 OUTPATIENT PHYSICIAN CLINIC 89 - SCL HEALTH - BUTTE NEUROLOGY 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 90 - SCL HEALTH-MILES CITY SLEEP &RESPIRATORY 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 91 - IH BOZEMAN CARDIAC & VASCULAR SURGERY 711 W MAIN ST BOZEMAN MT 597153356 OUTPATIENT PHYSICIAN CLINIC 92 - SCL HEALTH - SIDNEY MATERNAL FETAL MED 216 14TH AVE SW SIDNEY MT 59270 OUTPATIENT PHYSICIAN CLINIC 93 - SCL HEALTH HEART & VASCULAR - SIDNEY 216 14TH AVE SW SIDNEY MT 59270 OUTPATIENT PHYSICIAN CLINIC 94 - SCL HEALTH - BILLINGS UROLOGY 181 12TH AVE SW SIDNEY MT 59270 OUTPATIENT PHYSICIAN CLINIC 95 - SCL HEALTH - BILLINGS UROLOGY 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 96 - SHERIDAN CLINIC - MATERNAL FETAL MEDICINE SHERIDAN MEMORIAL HOSPITAL WOMENS CLINIC SHERIDAN WY 82801 OUTPATIENT PHYSICIAN CLINIC 97 - ST VINCENT NEUROSURGERY 711 W MAIN ST BOZEMAN MT 59715 OUTPATIENT PHYSICIAN CLINIC 98 - SCL HEALTH WOUND CARE - MILES CITY 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 99 - IH HEART & VASCULAR - CODY CLINIC 424 YELLOWSTONE AVE CODY WY 824144103 OUTPATIENT PHYSICIAN CLINIC 100 - ST VINCENT NEUROLOGY 181 12TH AVE SW SIDNEY MT 59270 OUTPATIENT PHYSICIAN CLINIC 101 - SCL HEALTH HEART & VASCULAR - RED LODGE 10 ROBINSON LANE RED LODGE MT 590689010 OUTPATIENT PHYSICIAN CLINIC 102 - SCL HEALTH - BUTTE PEDIATRIC SPECIALTY 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 103 - SCL HEALTH - HARDIN SLEEP & RESPIRATORY 16 N MILES AVE HARDIN MT 59034 OUTPATIENT PHYSICIAN CLINIC 104 - BOULDER CLINIC - OB-GYN 214 S MAIN ST BOULDER MT 59701 OUTPATIENT PHYSICIAN CLINIC 105 - SCL HEALTH - WORLAND NEPHROLOGY 1106 BIG HORN AVE WORLAND WY 824012803 OUTPATIENT PHYSICIAN CLINIC 106 - SCL HEALTH - DEER LODGE OB-GYN 1100 HOLLENBECK LANE DEER LODGE MT 59722 OUTPATIENT PHYSICIAN CLINIC 107 - SCL HEALTH - BOZEMAN PEDIATRIC CLINIC 711 W MAIN ST BOZEMAN MT 59715 OUTPATIENT PHYSICIAN CLINIC 108 - SCL HEALTH - BUTTE MATERNAL FETAL MED ST JAMES HEALTHCARE BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 109 - SCL HEALTH HEART & VASCULAR - MILES CITY 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 110 - SCL HEALTH MEDICAL GROUP - BUTTE OB-GYN 445 CENTENNIAL AVE BUTTE MT 597012870 OUTPATIENT PHYSICIAN CLINIC 111 - SCL HEALTH - BILLINGS WOMEN'S HEALTH 16 N MILES AVE HARDIN MT 59034 OUTPATIENT PHYSICIAN CLINIC 112 - SCL HEALTH - HARDIN NEPHROLOGY 16 N MILES AVE HARDIN MT 59034 OUTPATIENT PHYSICIAN CLINIC 113 - SCL HEALTH - CODY NEPHROLOGY 720 LINDSAY LN CODY WY 824144103 OUTPATIENT PHYSICIAN CLINIC 114 - SCL HEALTH - RUBY VALLEY OB-GYN 321 MADISON SHERIDAN MT 59749 OUTPATIENT PHYSICIAN CLINIC 115 - SCL HEALTH MEDICAL GROUP - ABSAROKEE 55 N MONTANA ABSAROKEE MT 590010425 OUTPATIENT PHYSICIAN CLINIC 116 - ST VINCENT NEUROSURGERY 401 15TH AVE SOUTH GREAT FALLS MT 59405 OUTPATIENT PHYSICIAN CLINIC 117 - SCL HEALTH - SIDNEY PEDIATRIC GASTRO 181 12TH AVE SW SIDNEY MT 592703613 OUTPATIENT PHYSICIAN CLINIC 118 - SCL HEALTH - SIDNEY PEDIATRIC SPECIALTY 216 14TH AVENUE SW SIDNEY MT 592703521 OUTPATIENT PHYSICIAN CLINIC 119 - SCL HEALTH - BUTTE PEDIATRIC CARDIOLOGY 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 120 - SCL HEALTH - MILES CITY PEDIATRIC CARDIO 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 121 - SCL HEALTH - MONTANA ORTHOPEDICS 2442 WINNE AVE HELENA MT 596014921 OUTPATIENT PHYSICIAN CLINIC 122 - SCL HEALTH MEDICAL GROUP - BOZEMAN 711 W MAIN ST BOZEMAN MT 59715 OUTPATIENT PHYSICIAN CLINIC 123 - BOZEMAN CLINIC - UROLOGY 711 W MAIN ST BOZEMAN MT 59715 OUTPATIENT PHYSICIAN CLINIC 124 - LEWISTOWN CLINIC - NEUROLOGY 70 CATTAIL DRIVE LEWISTOWN MT 59457 OUTPATIENT PHYSICIAN CLINIC 125 - SCL HEALTH - CODY CLINIC 720 LINDSAY LN CODY WY 824144103 OUTPATIENT PHYSICIAN CLINIC 126 - SCL HEALTH MEDICAL GROUP - RMAP OB-GYN 435 S CRYSTAL STREET BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 127 - ST VINCENT HOSPITALISTS 1233 N 30TH ST BILLINGS MT 591010127 OUTPATIENT PHYSICIAN CLINIC 128 - ST VINCENT NEUROSURGERY 720 LINDSAY LN CODY WY 82414 OUTPATIENT PHYSICIAN CLINIC 129 - SCL HEALTH - LEWISTOWN NEPHROLOGY 70 CATTAIL DR LEWISTOWN MT 59457 OUTPATIENT PHYSICIAN CLINIC 130 - BOZEMAN CLINIC - ENT 711 W MAIN ST BOZEMAN MT 597153356 OUTPATIENT PHYSICIAN CLINIC 131 - ST VINCENT NEUROSURGERY THE FOOT CARE CENTER SHERIDAN WY 828010000 OUTPATIENT PHYSICIAN CLINIC 132 - BOULDER CLINIC - PHYSICAL THERAPY 214 S MAIN BOULDER MT 59632 OUTPATIENT PHYSICIAN CLINIC 133 - SCL HEALTH - LEWISTOWN CLINIC 70 CATTAIL DR LEWISTOWN MT 594574123 OUTPATIENT PHYSICIAN CLINIC 134 - SCL HEALTH - BOULDER CLINIC 214 S MAIN ST BOULDER MT 59632 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.'S (SCLHS) SLIDING SCALE FOR FREE AND DISCOUNTED CARE IS 0 TO 500% FEDERAL POVERTY LEVEL (FPL) IN ACCORDANCE WITH THE FEDERAL POVERTY GUIDELINES. PATIENTS BETWEEN 0-250% FPL WILL RECEIVE 100% DISCOUNT ON THEIR BALANCES WHILE PATIENTS BETWEEN 251-500% WILL RECEIVE PARTIAL DISCOUNT BASED ON WHERE THEY FALL. THE DETERMINATION IS BASED ON HOUSEHOLD INCOME AND THE HOUSEHOLD SIZE. PATIENTS ARE REQUIRED TO FILL OUT A SIMPLE ONE-PAGE APPLICATION AND SUPPLY SUPPORTING DOCUMENTATION. THE APPLICATION ASKS FOR INFORMATION ABOUT THE APPLICANT AND HOUSEHOLD MEMBERS. SUPPORTING DOCUMENTATION IS THE MOST RECENT PAYSTUB, OR SOME OTHER FORM FOR PROOF OF INCOME. IF THERE IS MORE THAN ONE FAMILY MEMBER WORKING AND COUNTED IN THE HOUSEHOLD DETERMINATION, THEY WOULD ALSO BE REQUIRED TO PROVIDE PROOF OF INCOME. PART I, LINE 6A: SCLHS IS PART OF THE INTERMOUNTAIN HEALTH CARE, INC. SYSTEM WHICH PREPARES AN ANNUAL REPORT TO THE COMMUNITY ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, INTERMOUNTAIN HEALTH CARE, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST.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 $3,184,870. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGE RATES FOR THE PATIENT SERVICES PROVIDED. 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 12 AND 13 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT A PORTION OF THE COSTS INCURRED IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR MEDICAL SERVICES PROVIDED TO MEDICARE PROGRAM BENEFICIARIES (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES LESSENS THE BURDENS OF THE GOVERNMENT FROM PROVIDING SUCH MEDICAL SERVICES DIRECTLY. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, THE ORGANIZATION'S MEDICARE "ALLOWABLE COSTS" EXCEED THE MEDICARE PROGRAM PAYMENTS RECEIVED. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS. 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: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. RECOGNIZES ITS RESPONSIBILITY TO MANAGE THE COST OF HEALTHCARE BY ASKING THOSE WHO CAN PAY TO DO SO AND IS COMMITTED TO ASSISTING PATIENTS BY PROVIDING VARIOUS OPTIONS FOR RESOLVING THEIR FINANCIAL OBLIGATION, INCLUDING DISCOUNTS FOR THE UNINSURED, PAYMENT PLANS, AND REDUCED OR WAIVED RESPONSIBILITY THROUGH FINANCIAL ASSISTANCE. PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS ARE PROVIDED HELP TO APPLY FOR SUCH ASSISTANCE. DELINQUENT ACCOUNTS MAY BE REFERRED TO EXTERNAL COLLECTION AGENCIES ONLY AFTER REASONABLE ATTEMPTS ARE MADE TO CONTACT THE RESPONSIBLE PARTY AND NO ARRANGEMENT HAS BEEN MADE TO PAY THE ACCOUNT BALANCE. SUCH AGENCIES ARE EXPECTED TO TREAT PATIENTS WITH THE SAME RESPECT AND DIGNITY THAT IS AFFORDED TO ALL ITS PATIENTS. FOR EXAMPLE, CONTACTS BY THE AGENCIES WILL INCLUDE FINANCIAL ASSISTANCE OPTIONS FOR PATIENTS UNABLE TO PAY. AGENCIES ARE RESTRICTED FROM PURSUING LEGAL PROCEEDINGS TO COLLECT DEBTS IN LIMITED CIRCUMSTANCES AND MAY ONLY DO SO UPON APPROVAL. STRONGER MEASURES, SUCH AS THE COURTS, ARE NOT USED UNLESS THERE IS EVIDENCE OF FRAUD OR A CLEAR ABILITY TO PAY ACCOMPANIED BY A REFUSAL TO PAY. PART III, SECTION A, LINE 1: THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT. PART VI, LINE 2: THE REHABILITATION HOSPITAL OF MONTANA, LLC PROVIDES OUTREACH TO SURROUNDING SECONDARY AND TERTIARY MARKET FACILITIES TO UNDERSTAND COMMUNITY NEEDS BETTER. THROUGH THOSE OUTREACH EFFORTS, UNMET COMMUNITY NEEDS ARE IDENTIFIED BY OUTREACH STAFF AND ARE BROUGHT BACK TO THE ORGANIZATION. ADDITIONAL ASSESSMENT OF NEEDS IS PROVIDED THROUGH ASSESSMENTS INCLUDING SECONDARY DATA SOURCES OF THE HEALTHCARE PARTNERS, BILLINGS CLINIC AND INTERMOUNTAIN HEALTH ST. VINCENT REGIONAL HOSPITAL. ALL COMMUNITY HEALTH NEEDS ARE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. PART VI, LINE 3: THE REHABILITATION HOSPITAL OF MONTANA, LLC 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 REHABILITATION HOSPITAL OF MONTANA, LLC 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: THE REHABILITATION HOSPITAL OF MONTANA, LLC SERVES PATIENTS FROM ACROSS THE STATE OF MONTANA AND THE SURROUNDING STATES. APPROXIMATELY 88% OF PATIENTS COME FROM MONTANA AND 53% OF PATIENTS RESIDE IN YELLOWSTONE COUNTY. THE REHABILITATION HOSPITAL OF MONTANA IS A STATE-OF-THE-ART, 34-BED INPATIENT ACUTE REHABILITATION HOSPITAL DEDICATED TO THE TREATMENT AND RECOVERY OF INDIVIDUALS WHO HAVE EXPERIENCED A LOSS OF FUNCTION DUE TO AN INJURY OR ILLNESS. POPULATION AND GEOGRAPHY: THE REHABILITATION HOSPITAL OF MONTANA, LLC'S PRIMARY SERVICE AREA INCLUDES YELLOWSTONE COUNTY. YELLOWSTONE COUNTY ENCOMPASSES 2,633 SQUARE MILES AND INCLUDES A POPULATION OF 160,390 RESIDENTS. BETWEEN THE 2000 AND 2020 US CENSUSES, THE POPULATION OF YELLOWSTONE COUNTY INCREASED BY 11.3%, 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.HOSPITALS IN THE SERVICE AREA: THERE ARE TWO NONPROFIT ACUTE CARE HOSPITALS IN YELLOWSTONE COUNTY: ST. VINCENT HEALTHCARE AND BILLINGS CLINIC. AGE: IN YELLOWSTONE COUNTY, 23.4% OF THE POPULATION ARE CHILDREN AGED 0-17; THE OTHER 59.6% ARE AGE 18 TO 64, WHILE 17.0% ARE AGE 65 AND OLDER. RACE AND ETHNICITY: THE MAJORITY OF YELLOWSTONE COUNTY RESIDENTS OR 89.2% ARE WHITE, 4.0% ARE NATIVE AMERICAN, 2.8% ARE ANOTHER RACE, AND 4.1% MULTIPLE RACES. A TOTAL OF 5.9% OF YELLOWSTONE COUNTY RESIDENTS ARE HISPANIC OR LATINO, WHICH IS HIGHER THAN THE PREVALENCE IN THE STATE OF MONTANA. POVERTY AND ECONOMICS: THE LATEST CENSUS ESTIMATE SHOWS 9.6% OF THE YELLOWSTONE COUNTY POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 4,176 CHILDREN. IN YELLOWSTONE COUNTY, 5.2% OF ADULTS OVER AGE 25 DO NOT HAVE A HIGH SCHOOL EDUCATION. THE UNEMPLOYMENT RATE IS 2.5% AND DECREASED SINCE 2020. OTHER ECONOMIC INDICATORS INCLUDE 26.1% OF COUNTY RESIDENTS ARE WORRIED OR STRESSED ABOUT HAVING ENOUGH MONEY TO PAY THEIR RENT OR MORTGAGE AND 30.8% OF PERSONS OF COLOR REPORT HAVING LIVED WITH A FRIEND OR RELATIVE BECAUSE OF AN EMERGENCY. APPROXIMATELY 31,000 RESIDENTS HAVE LOW FOOD ACCESS, AND 21.3% OF ADULTS FIND IT DIFFICULT TO ACCESS AFFORDABLE FRESH FRUITS AND VEGETABLES. HEALTH STATUS: MOST YELLOWSTONE COUNTY RESIDENTS RATED THEIR OVERALL HEALTH FAVORABLY, WITH 84.7% RATING IT AS EXCELLENT, VERY GOOD, OR GOOD. HOWEVER, 15.3% OF ADULTS BELIEVED THEIR HEALTH WAS FAIR OR POOR. LOW-INCOME ADULTS, PERSONS OF COLOR, AND ADULTS 65 AND OLDER HAD HIGHER RATES OF IDENTIFYING THEIR HEALTH AS FAIR OR POOR.UNINSURED RATE: 9.6% OF PEOPLE IN YELLOWSTONE COUNTY ARE UNINSURED, WHICH IS HIGHER THAN THE MONTANA AVERAGE OF 9.3%. PART VI, LINE 5: THE REHABILITATION HOSPITAL OF MONTANA, LLC PARTICIPATES IN COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE HEALTHY BY DESIGN COALITION. THE COALITION IS A COLLABORATION WITH BILLINGS CLINIC AND SCL HEALTH - MONTANA IN CONJUNCTION WITH RIVERSTONE HEALTH. THE HOSPITAL COMMITS IN-KIND RESOURCES TO FULFILL GOALS OUTLINED IN THE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY. PART VI, LINE 6: SCLHS 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 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 UTAH WITH LOCATIONS IN SEVEN STATES AND ADDITIONAL OPERATIONS ACROSS THE WESTERN U.S., INTERMOUNTAIN IS A NONPROFIT SYSTEM OF MORE THAN 66,000 CAREGIVERS, 33 HOSPITALS, 385 CLINICS, MEDICAL GROUPS, A HEALTH PLAN (SELECTHEALTH, INC.) WITH MORE THAN ONE MILLION MEMBERS, AND OTHER HEALTH SERVICES. HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE, INTERMOUNTAIN IS COMMITTED TO IMPROVING COMMUNITY HEALTH AND 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.PART VI, LINE 7:STATE FILING OF COMMUNITY BENEFIT REPORT - NOT APPLICABLE. 1 SCL HEALTH - MONTANA 1233 NORTH 30TH STREET BILLINGS MT 59101 810232124 501(C)(3) 6950045 0 SUPPORT MISSION CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH KS 66048 481009910 501(C)(3) 625392 0 SUPPORT MISSION MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER CO 80211 840405260 501(C)(3) 500000 0 SUPPORT MISSION SAINT JOSEPH HOSPITAL INC 1375 E 19TH AVENUE DENVER CO 80218 840417134 501(C)(3) 454352 0 SUPPORT MISSION MENNINGER FOUNDATION 1231 MAIN ST HOUSTON TX 77035 480543752 501(C)(3) 0 153221 FMV LAND LAND DONATION ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE MT 59701 810231785 501(C)(3) 12849 0 SUPPORT MISSION SWALLOW HILL MUSIC ASSOCIATION 71 E YALE AVE DENVER CO 80210 840781725 501(C)(3) 10000 0 SUPPORT MISSION CENTER FOR PERSONALIZED EDUCATION FOR PHYSICIANS 720 S COLORADO BLVD SUITE 1100-N DENVER CO 80246 742565416 501(C)(3) 10000 0 SUPPORT MISSION LION GLOBAL FOUNDATION (AKA MIZEL INSTITUTE) 4350 S MONACO ST DENVER CO 80237 680561084 501(C)(3) 6667 0 SUPPORT MISSION 9 0 PART I, LINE 2: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.'S MISSION DEPARTMENT REQUIRES WRITTEN STATEMENTS THREE TIMES A YEAR REGARDING THE PROGRESS AND STATUS OF THE GRANT. X 0 1 1 1 0 0 0 0 0 0 0 ALBERT R ZIMMERLI FORMER OFFICER 0 256243 0 1019415 0 6991012 0 13200 0 17765 0 8297635 0 892202 JANIE WADE TREASURER/EVP CFO (PARTIAL) 814842 0 278696 0 4510754 0 71363 0 22516 0 5698171 0 691795 0 LYDIA JUMONVILLE CHIEF EXECUTIVE OFFICER (PARTIAL) 1335578 0 1836066 0 625088 0 544613 0 21976 0 4363321 0 600047 0 JAMES VALIN MD EVP CHIEF CLINICAL OFFICER 1146947 0 710621 0 171960 0 1043427 0 30112 0 3103067 0 280469 0 MARK KORTH SYSTEM PRESIDENT (PARTIAL) 907305 0 700064 0 203294 0 599392 0 27360 0 2437415 0 302323 0 GREG J MATIS SECRETARY 0 767063 0 391369 0 309511 0 800888 0 31788 0 2300619 0 329119 GREGORY M JOHNSON VP, FINANCE SERVICES (PARTIAL) 0 80048 0 314641 0 1666880 0 43451 0 12119 0 2117139 0 276304 CRAIG RICHARDVILLE CHIEF DIGITAL & INFORMATION OFFICER 675447 0 444966 0 124492 0 591496 0 23526 0 1859927 0 159739 0 TAJQUAH HUDSON CHIEF INTEGRATION OFFICER 654106 0 698412 0 197667 0 214172 0 10965 0 1775322 0 262203 0 CLAY M ASHDOWN TREASURER, SVP, CFO (PARTIAL) 0 671465 0 329198 0 121761 0 406292 0 35151 0 1563867 0 283009 MEGAN MAHNCKE CHIEF MARKETING & COMM. OFFICER 546966 0 353256 0 44444 0 477170 0 30112 0 1451948 0 115493 0 LOUIS ROSS MD PHYSICIAN 868855 0 505032 0 3256 0 15631 0 30978 0 1423752 0 0 0 SCOTT PEEK FRONT RANGE MKT PRESIDENT (PARTIAL) 0 705729 0 135762 0 184322 0 365711 0 31658 0 1423182 0 0 ALAN BAKER COO, MEDICAL GROUP/CHIEF ADMIN OFF. 618386 0 213845 0 51400 0 317347 0 20232 0 1221210 0 146055 0 YEVGENIY AREFIEV MD PHYSICIAN 499838 0 626774 0 23900 0 13200 0 37583 0 1201295 0 0 0 JOHN WICKLUND PRESIDENT REGIONAL WESTERN CO & LMC 173427 0 149635 0 822310 0 7846 0 16598 0 1169816 0 139635 0 STACY JENNINGS VP, CHIEF INVESTMENT OFFICER 0 554542 0 250940 0 230 0 242066 0 35458 0 1083236 0 212735 AMY CHURCH VP, FINANCIAL PLANNING AND ANALYTICS 549369 0 176239 0 33951 0 260261 0 1783 0 1021603 0 106972 0 SIMON MALTAIS MD PHYSICIAN 941475 0 11500 0 23882 0 692 0 37850 0 1015399 0 0 0 HEIDI WALD CHIEF QUALITY AND SAFETY OFFICER 495575 0 188886 0 52365 0 243610 0 29880 0 1010316 0 111207 0 DAVID PRINGLE CHIEF CATHOLIC MISSION OFF(PARTIAL) 346936 0 331349 0 55191 0 231344 0 24291 0 989111 0 56529 0 SIMON PAYNE MD CHIEF MEDICAL OFFICER 500243 0 157856 0 54652 0 229178 0 28426 0 970355 0 116334 0 BRYAN JOHNSON W CO MKT PRES/SMGJ PRES/MT MKT PRES 0 502548 0 109425 0 72639 0 255252 0 27360 0 967224 0 162823 JOHN BRAXTON MD PHYSICIAN 897532 0 11000 0 8157 0 15277 0 19211 0 951177 0 0 0 TROY SPRING VP REVENUE CYCLE 451171 0 160964 0 41905 0 209969 0 32112 0 896121 0 105458 0 CHRISTOPHER AWTREY MD CMO, MEDICAL GROUP/CMO MEDICAL GROUP 0 458263 0 152715 0 24384 0 206116 0 30112 0 871590 0 68714 BARBARA JAHN VP, SERVICE LINES AND OPERATIONS 427190 0 151411 0 60581 0 197023 0 21441 0 857646 0 110935 0 LEE SYPHUS VP OPS, MEDICAL GROUP (PARTIAL) 350466 0 113655 0 150310 0 170375 0 30047 0 814853 0 66542 0 JENNIFER ALDERFER MONTANA MKT PRESIDENT (PARTIAL) 549575 0 130931 0 76177 0 14518 0 27603 0 798804 0 203684 0 ROSLAND MCLEOD FORMER OFFICER 0 0 0 0 765565 0 0 0 22722 0 788287 0 0 0 SHAWN DUFFORD MD FORMER KEY EMPLOYEE 0 0 0 0 751089 0 0 0 10240 0 761329 0 0 0 DINA BUSH VP, CHIEF NURSING OFFICER 389162 0 87138 0 34779 0 215172 0 29089 0 755340 0 115989 0 SEAN FADDEN VP, FINANCE 373991 0 113292 0 21646 0 169153 0 28040 0 706122 0 77261 0 SUZANNE DRAPER VP, BUS. ETHICS & COMP. (PARTIAL) 0 336147 0 194894 0 72711 0 58568 0 32358 0 694678 0 144395 JOHN CASEY MKT VP STRATEGY AND BUS DEVELOPMENT 334703 0 120082 0 37078 0 138296 0 27360 0 657519 0 86185 0 MARK WILKINSON VP TREASURER (PARTIAL) 11349 0 130786 0 462060 0 1120 0 16588 0 621903 0 179571 0 JAMES RITCHEY VP HR STRATEGY & DELIVERY 327797 0 62403 0 44221 0 150869 0 30210 0 615500 0 73082 0 TROY HOLMES VP PAYER CONTRACTING (PARTIAL) 167504 0 113067 0 280597 0 9739 0 13826 0 584733 0 176744 0 GREGG MOSS VP, MKT AND COMMUNICATIONS (PARTIAL) 267048 0 112905 0 32237 0 122532 0 10735 0 545457 0 34646 0 SUSAN SCHAUB VP TOTAL REWARDS 300001 0 59426 0 9642 0 133005 0 10918 0 512992 0 59426 0 TERENCE MOLOUGHNEY ASSISTANT SECRETARY 284437 0 21022 0 35077 0 71556 0 22897 0 434989 0 19162 0 JEREMY ROGERS VICE PRESIDENT HUMAN RESOURCES - PEA 159982 0 48511 0 115454 0 66563 0 21469 0 411979 0 0 0 JACOB HARRISON CHIEF CATHOLIC MISSION OFF(PARTIAL) 219171 0 32112 0 1720 0 123193 0 26625 0 402821 0 32112 0 THOMAS DONOHOE VP GEN. COUNSEL OPS. & TRANS. 33934 0 90379 0 70306 0 3434 0 2520 0 200573 0 116571 0 KHADIJA MOHAMED FORMER OFFICER 140680 0 3564 0 820 0 15670 0 10901 0 171635 0 3564 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS SCLHS AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2023 WERE: LEE SYPHUS - $33,243; JEREMY ROGERS - $30,673. PART I, LINE 1B SCLHS DOES NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE, PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES. PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, 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 HEALTHY SYSYTEM, 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 OF 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 SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS SCLHS AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2023 WERE: LYDIA JUMONVILLE - $45,708; JANIE WADE - $3,903,603; TROY HOLMES - $148,195; MARK WILKINSON - $311,020; TAJQUAH HUDSON - $19,519; J. GRANT WICKLUND - $433,300; ROSLAND MCLEOD - $578,822; SHAWN DUFFORD - $578,531; GREGORY M. JOHNSON - $1,655,170; ALBERT ZIMMERLI - $6,640,096. SCHEDULE J, PART I, LINE 4B SCLHS PROVIDES A NONQUALIFIED DEFERRED COMPENSATION PLAN (NQDC) KNOWN AS THE 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 NONPROFIT HEALTH SYSTEMS. THIS PLAN ENABLES THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR OF PARTICIPATION. 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 PLAN STARTING IN 2014 STARTING IN 2014, SCLHS' NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS A 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 PARTICIPANTS' W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2023 WERE: MARK KORTH - $168,447; LYDIA JUMONVILLE - $395,839; JAMES P. VALIN, MD - $112,355; JANIE WADE - $552,445; LEE SYPHUS - $24,655; DAVID PRINGLE - $42,376; SEAN FADDEN - $19,923; BRYAN JOHNSON - $53,398; JENNIFER ALDERFER - $72,753; SIMON PAYNE - $51,509; BARBARA JAHN - $46,050; DINA BUSH - $28,851; ALAN BAKER - $43,407; AMY CHURCH - $24,440; TROY SPRING - $36,267; HEIDI WALD - $42,146; TROY HOLMES - $128,289; JAMES RITCHEY - $25,482; THOMAS DONOHOE - $47,631; MARK WILKINSON - $130,114; JOHN CASEY - $34,724; TAJQUAH HUDSON - $165,536; MEGAN MAHNCKE - $40,914; CRAIG RICHARDVILLE - $67,665; J. GRANT WICKLUND - $299,497. A RELATED ORGANIZATION OFFERS A SUPPLEMENTAL RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES DESIGNATED BY THE BOARD. THE AMOUNTS IN THE PLAN ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. CERTAIN PHYSICIANS AND MANAGEMENT LEVEL EMPLOYEES HIRED AFTER APRIL 4, 2020, WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD, MAY PARTICIPATE IN THE INTERMOUNTAIN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPANTS ARE NOT ALLOWED TO CONTRIBUTE TO THIS PLAN, AS IT IS AN EMPLOYER-FUNDED BENEFIT. THE AMOUNTS WITHDRAWN FROM THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN 2023 WERE: ALBERT R. ZIMMERLI - $339,021. 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 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 VI, SECTION A, LINE 2 CLAY M. ASHDOWN / GREG J. MATIS / JANIE WADE / JAMES P. VALIN, MD - BUSINESS RELATIONSHIP (TRUSTEES IN LEAVEN INSURANCE COMPANY, LTD., A RELATED TAXABLE ORGANIZATION). CLAY M. ASHDOWN / GREG J. MATIS - BUSINESS RELATIONSHIP (OFFICERS IN NORTHPOINTE SURGICAL CENTER, LLC, A RELATED TAXABLE ORGANIZATION). CLAY M. ASHDOWN / JANIE WADE - BUSINESS RELATIONSHIP (TRUSTEES IN NATIONAL PURCHASING PARTNERS, LLC, AN UNRELATED TAXABLE ORGANIZATION). JENNIFER ALDERFER / CHRISTOPHER AWTREY, MD / SEAN FADDEN / BRYAN JOHNSON / SIMON PAYNE, MD / LEE SYPHUS - BUSINESS RELATIONSHIP (OFFICERS AND/OR TRUSTEES IN ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK, INC., A RELATED TAXABLE ORGANIZATION) CLAY M. ASHDOWN / SUZANNE DRAPER / STACY JENNINGS / GREGORY M. JOHNSON / GREG J. MATIS / ALBERT R. ZIMMERLI / MELINDA MENDOZA - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION) FORM 990, PART VI, SECTION A, LINE 4 SIGNIFICANT CHANGES TO ITS GOVERNING DOCUMENTS SINCE THE PRIOR FORM 990 THE GOVERNING DOCUMENTS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. WERE UPDATED TO CLARIFY THE SUPPORTING SERVICES PROVIDED BY THE ORGANIZATION TO ITS AFFILIATES AND TO CLARIFY ITS STATUS AS AN IRC SECTION 509(A)(3) FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATION. THE GOVERNING DOCUMENTS CONTINUE TO SUPPORT THE HISTORIC AND CONTINUING RELATIONSHIP THAT EXISTS BETWEEN SCLHS AND ITS SUPPORTED ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION ARE INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION, AND THE MEMBERS OF LEAVEN MINISTRIES. EACH MEMBER OF LEAVEN MINISTRIES SERVES AS A MEMBER OF THE CORPORATION DURING THE MEMBER'S TERM OF OFFICE AS A MEMBER OF LEAVEN MINISTRIES, WHICH IS AN UNINCORPORATED PUBLIC JURIDIC PERSON AUTHORIZED BY THE CATHOLIC CHURCH. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND THE CHAIR OF LEAVEN MINISTRIES, OR HIS/HER DESIGNEE, SHALL BE TRUSTEES OF THE BOARD WITH FULL VOTING RIGHTS. THE CHAIR OF LEAVEN MINISTRIES SHALL APPOINT AN ADDITIONAL MEMBER OF LEAVEN MINISTRIES TO SERVE ON THE BOARD OF DIRECTORS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. LEAVEN MINISTRIES AND INTERMOUNTAIN HEALTH CARE, INC. WILL EACH HAVE THE POWER TO REMOVE A TRUSTEE AT ANY TIME WITH OR WITHOUT CAUSE IMMEDIATELY UPON GIVING NOTICE TO THE TRUSTEE AND TO THE OTHER MEMBER. AT THE ANNUAL MEETING OF THE BOARD OF TRUSTEES OF MEMBER INTERMOUNTAIN HEALTH CARE, INC., SUBJECT TO THE LEAVEN MINISTRIES APPOINTMENT AND REMOVAL RIGHTS, THE INTERMOUNTAIN MEMBER WILL APPOINT TRUSTEES, ELECT BOARD OFFICERS, AND TRANSACT SUCH OTHER BUSINESS AS IT CONSIDERS APPROPRIATE. TRUSTEES AND BOARD OFFICERS MAY BE NOMINATED FOR APPOINTMENT BY THE BOARD OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. WHILE THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. WILL MAINTAIN A SET OF COMPETENCIES AND QUALIFICATIONS FOR BOARD APPOINTMENT THAT MAY BE UPDATED FROM TIME TO TIME. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS RESERVED POWERS ARE HELD BY MEMBERS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. THE MEMBERS ARE INTERMOUNTAIN HEALTH CARE, INC. AND LEAVEN MINISTRIES. 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 ORGANIZATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. RESERVED POWERS HELD BY LEAVEN MINISTRIES INCLUDE: - 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 INTERMOUNTAIN HEALTH CARE, INC. 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 MINISTRIES RESERVED POWERS WILL CONTROL. FORM 990, PART VI, SECTION B, LINE 11B 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 COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCLHS 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 OF 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 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FROM RESTRICTION 495,351. TRANSFERS TO SUBSIDIARIES 14,506,621. TRANSFER OF BOND PROCEEDS FROM AFFILIATE 200,287,142. FAIR VALUE ACQUISITION ADJUSTMENT -9,305,767. SCL HEALTH MEDICAL GROUP - MONTANA LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 471888400 PHYSICIAN SERVICES MT 0 0 SCLHS SCL HEALTH MEDICAL GROUP - BILLINGS LLC 1233 NORTH 30TH STREET BILLINGS MT 59101 464056262 PHYSICIAN SERVICES MT 173195854 53670489 SCL HEALTH MEDICAL GROUP - MONTANA LLC SCL HEALTH MEDICAL GROUP - BUTTE LLC 400 SOUTH CLARK STREET BUTTE MT 59701 273193107 PHYSICIAN SERVICES MT 34814823 7755808 SCL HEALTH MEDICAL GROUP - MONTANA LLC SCL HEALTH PARTNERS LLC 8300 WEST 38TH AVENUE WHEAT RIDGE CO 80033 020749530 HEALTHCARE SERVICES CO 2443172 18972845 SCLHS CANCER CENTERS OF COLORADO LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 823157615 OUTPATIENT CANCER CENTER CO 4508321 770354 SCL HEALTH PARTNERS LLC GS CAMPUS ASC LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 821536566 SURGERY CENTER CO 3802053 4576982 SCL HEALTH PARTNERS LLC SCL HEALTH - EMERUS LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 800958129 HOSPITAL SERVICES CO 0 0 SCL HEALTH PARTNERS LLC SCL HEALTH AURORA LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 472156361 EMERGENCY CARE SERVICES CO 0 0 SCL HEALTH - EMERUS LLC SCL HEALTH NORTHGLENN LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 472188745 HOSPITAL SERVICES CO 0 0 SCL HEALTH - EMERUS LLC SCL HEALTH SOUTHWEST LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 472175436 HOSPITAL SERVICES CO 0 0 SCL HEALTH - EMERUS LLC SCL HEALTH WESTMINSTER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 465180833 HOSPITAL SERVICES CO 0 0 SCL HEALTH - EMERUS LLC SCL HOME HEALTH SOLUTIONS LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 462418729 HOME HEALTH SERVICES DE 0 0 SCL HEALTH PARTNERS LLC SCL FRONT RANGE HOME HEALTH LLC 8300 W 38TH AVENUE WHEAT RIDGE CO 80207 841195134 HOME HEALTH SERVICES CO 5196323 702793 SCL HOME HEALTH SOLUTIONS LLC 1227 LOWER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 810811084 REAL ESTATE INVESTMENT CO 0 0 SCLHS 1227 UPPER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 810906413 REAL ESTATE INVESTMENT CO 0 0 SCLHS SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 823290526 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SCLHS 1 SCL HEALTH RESEARCH INSTITUTE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 852014794 MEDICAL RESEARCH CO 501(C)(3) LINE 4 SCLHS 1 INTEGRITY HEALTH 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 474520350 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12C, III-FI SCLHS 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 SCLHS 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 SCLHS 1 SAINT JOSEPH HOSPITAL INC 1375 EAST 19TH AVENUE DENVER CO 80218 840417134 HOSPITAL SERVICES CO 501(C)(3) LINE 3 SCLHS 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 SCLHS 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 SCLHS 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 SCLHS 1 HOLY ROSARY HEALTHCARE 2600 WILSON STREET MILES CITY MT 59301 810231792 HOSPITAL SERVICES MT 501(C)(3) LINE 3 SCLHS 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 SCLHS 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 SCL HEALTH - MONTANA 1233 NORTH 30TH STREET BILLINGS MT 59101 810232124 HOSPITAL SERVICES MT 501(C)(3) LINE 3 SCLHS 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 OUTPATIENT ENDOSCOPY CO SCLHS (VIA SCL HEALTH PARTNERS LLC) RELATED 2970990 1905499 0 0 0.51000 SCLTDI JV LLC 4200 SIX FORKS ROAD SUITE 1000 RALEIGH NC 27609 472294770 RADIOLOGY DE SCLHS (VIA SCL HEALTH PARTNERS LLC) RELATED -106387 13814513 0 0 0.51000 ATHLETIC MEDICINE & PERFORMANCE LLC 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 OUTPATIENT SURGERY MT N/A 0 0 GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON AVENUE SUITE 21 GRAND JUNCTION CO 81501 841505075 OUTPATIENT 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 OUTPATIENT 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 OUTPATIENT SURGERY MT N/A 0 0 GALLATIN VALLEY SURGERY CENTER LLC 2825 WEST MAIN STREET SUITE C BOZEMAN MT 59718 882505265 OUTPATIENT SURGERY MT SCLHS (VIA SCL HEALTH PARTNERS LLC) RELATED 0 0 0.51000 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 OUTPATIENT 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 OUTPATIENT SURGERY UT N/A 0 0 ST GEORGE SURGERY CENTER LLC 652 SOUTH MEDICAL CENTER DRIVE ST GEORGE UT 84790 853880188 OUTPATIENT SURGERY UT N/A 0 0 SALTZER ASC TEN MILE LLC 875 S VANGUARD WAY SUITE 120 MERIDIAN ID 83642 845119941 OUTPATIENT SURGERY ID N/A 0 0 NORTHPOINTE SURGICAL CENTER LLC 2326 NORTH 400 EAST STE 100 TOOELE UT 84074 461487986 OUTPATIENT 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 OUTPATIENT SURGERY UT N/A 0 0 PROVO SURGERY CENTER LLC 1157 NORTH 300 WEST PROVO UT 84604 873623664 OUTPATIENT SURGERY UT N/A 0 0 SARATOGA SPRINGS SURGERY CENTER LLC 316 W MEDICAL DR SARATOGA SPRINGS UT 84045 873875864 OUTPATIENT SURGERY UT N/A 0 0 PARK CITY SURGERY CENTER LLC 900 ROUND VALLEY DRIVE PARK CITY UT 84060 844898736 OUTPATIENT SURGERY UT N/A 0 0 PARK CITY SURGICAL CENTER REAL ESTATE LLC 900 ROUND VALLEY DRIVE PARK CITY UT 84060 862568233 LEASES LAND 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 REAL ESTATE MANAGEMENT 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 FARMINGTON UT 84025 880846977 SOFTWARE DEVELOPMENT UT N/A C 1 1 1 1 1 0 1 0 0 0 0 1 1 0 0 0 0 1 0 1 SAINT JOSEPH HOSPITAL INC A 9034971 FMV SCL HEALTH - MONTANA B 6950045 FMV MOUNT ST VINCENT HOME INC B 500000 FMV CARITAS CLINICS INC B 625392 FMV SAINT JOSEPH HOSPITAL INC B 454352 FMV SCL HEALTH - MONTANA C 17659243 FMV ST JAMES HEALTHCARE C 4349664 FMV ST VINCENT HEALTHCARE FOUNDATION INC C 2235192 FMV CARITAS INC AND SUBSIDIARIES F 6950045 FMV LEAVEN INSURANCE COMPANY LTD F 1985000 FMV SCL HEALTH - MONTANA L 77531408 FMV HOLY ROSARY HEALTHCARE L 12327433 FMV ST JAMES HEALTHCARE L 19744495 FMV ST MARY'S HOSPITAL & MEDICAL CENTER INC L 77491208 FMV SAINT JOSEPH HOSPITAL INC L 89970081 FMV SCL HEALTH-FRONT RANGE INC L 134998906 FMV BRIGHTON COMMUNITY HOSPITAL ASSOCIATION L 27978112 FMV ST JAMES HEALTHCARE FOUNDATION INC L 105597 FMV ST VINCENT HEALTHCARE FOUNDATION INC L 539820 FMV ST MARYS HOSPITAL FOUNDATION L 357195 FMV SAINT JOSEPH HOSPITAL FOUNDATION L 402130 FMV LUTHERAN MEDICAL CENTER FOUNDATION L 292198 FMV GOOD SAMARITAN MEDICAL CENTER FOUNDATION L 213912 FMV SCL HEALTH RESEARCH INSTITUTE INC L 227079 FMV SAINT JOSEPH HOSPITAL INC Q 2582865 FMV SCL HEALTH-FRONT RANGE INC Q 3159078 FMV BRIGHTON COMMUNITY HOSPITAL ASSOCIATION Q 765211 FMV ST MARY'S HOSPITAL & MEDICAL CENTER INC Q 2222734 FMV SCL HEALTH - MONTANA Q 2136273 FMV ST JAMES HEALTHCARE Q 632220 FMV HOLY ROSARY HEALTHCARE Q 258129 FMV INTERMOUNTAIN HEALTH CARE INC S 200287142 FMV ST JAMES HEALTHCARE S 2794349 FMV SCL HEALTH - MONTANA S 19577840 FMV MOUNT ST VINCENT HOME INC Q 7751507 FMV