2024-11-07T09:57:11-06:00 2023-12-31 990 2023-01-01 481009910 CARITAS CLINICS INC CARI 9136518860 818 NORTH 7TH STREET LEAVENWORTH KS 66048 JACOB HARRISON CHIEF CATHOLIC MISSION OFFICER 9136518860 2024-11-05 0 2023 2024-10-15 13:58:12Z JACOB HARRISON 818 NORTH 7TH STREET LEAVENWORTH KS 66048 3602020 0 0928 X SEE SCHEDULE O X 1985 KS 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. 8 8 67 3 0 0 2282765 2080911 847117 1519640 87969 1469 0 0 3217851 3602020 28843 34593 0 0 3867991 5664720 0 0 566472 1154354 1475318 5051188 7174631 -1833337 -3572611 3682088 3264797 136232 3543997 3545856 -279200 X WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THEPEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR ANDVULNERABLE. 0 0 5658278 34593 1519640 AS A SAFETY NET CLINIC, WE PROVIDE PRIMARY HEALTH CARE, CHRONIC DISEASE MANAGEMENT AND MEDICATION ASSISTANCE TO VERY LOW-INCOME UNINSURED RESIDENTS OF LEAVENWORTH COUNTY AT SAINT VINCENT CLINIC AND WYANDOTTE COUNTY AT DUCHESNE CLINIC.FOR OUR PATIENTS, WE ARE A DOCTOR'S OFFICE THAT ALSO PROVIDES SUPPORTING SERVICES. PATIENTS CAN COME TO SAINT VINCENT CLINIC AND DUCHESNE CLINIC FOR:PRIMARY HEALTH CAREDIAGNOSIS AND TREATMENT OF COMMON HEALTH CONCERNS / URGENT CARECARE OF MINOR INJURIESLABORATORY AND RADIOLOGY SERVICESCHRONIC DISEASE MANAGEMENT, FOR THE NEARLY 80% OF OUR PATIENTS WHO HAVE AT LEAST ONE CHRONIC DISEASE, LIKE DIABETES, HEART DISEASE OR ASTHMA.PREVENTIVE CARE SERVICES, INCLUDING CERVICAL EXAMS, MAMMOGRAMS, SIGMOIDOSCOPY, PNEUMONIA AND FLU VACCINES, AND PATIENT EDUCATION SERVICES ON NUTRITION, SMOKING CESSATION, AND DIABETES MANAGEMENT.CHRONIC DISEASE MANAGEMENT- DIAGNOSIS AND MANAGEMENT OF CHRONIC CONDITIONS SUCH AS DIABETES AND HYPERTENSION- HEALTH AND NUTRITION EDUCATION- DIABETES EDUCATION- SMOKING CESSATION PROGRAMMEDICATION ASSISTANCE- ACCESS TO MEDICATIONS AND ROUTINE REFILLS THROUGH PHARMACEUTICAL COMPANY PROGRAMS- ASSISTANCE (BASED ON FUNDING) TO MEDICATIONS THROUGH VOUCHERS TO LOCAL PHARMACIESSPECIALTY CARE- SUBSIDIZED VISION/DENTAL CARE REFERRALS- OTHER SPECIALTY CARE, BASED ON DONOR/PARTNER AVAILABILITYSOCIAL SERVICES- REFERRALS TO SOCIAL SERVICE AGENCIESON MAY 1, OF 2022 MARIAN CLINIC, INC. MERGED WITH CARITAS CLINICS, INC. MARIAN CLINIC PROVIDES HIGH-QUALITY, PATIENT-CENTERED, COMPLETE DENTAL CARE FOR THE UNINSURED, UNDERINSURED, AND THOSE WITH NO DENTAL HOME. REALIZING THAT ORAL HEALTH IS DIRECTLY CONNECTED TO OVERALL HEALTH, DIABETES, STROKE, HEART DISEASE, PNEUMONIA, MENTAL HEALTH, AND MISSED DAYS OF WORK/SCHOOL. THE MARIAN CLINIC BEGAN ITS DENTAL SERVICES IN 1989 TO HELP WITH UNMET NEEDS IN THE COMMUNITY. MARIAN CLINIC WILL CONTINUE TO PROVIDE QUALITY DENTAL CARE FROM EXPERIENCED, LICENSED DENTAL PROFESSIONALS THAT ARE DEDICATED TO HELPING THE WHOLE FAMILY ENJOY THE BENEFITS OF GOOD ORAL HEALTHCARE.CARITAS CLINICS, INC., IS AFFILIATED WITH SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFLIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA.AS PART OF INTERMOUNTAIN HEALTH (INTEGRATED HEALTH SYSTEM), CARITAS CLINICS HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL.CARITAS CLINICS HISTORY IN 1986, SISTER ROSALIE MAHONEY EXPRESSED CONCERN THAT MANY LOW-INCOME RESIDENTS OF LEAVENWORTH COUNTY HAD NO MEDICAL COVERAGE OR ACCESS TO CARE. HER INITIATIVE MADE POSSIBLE SAINT VINCENT CLINIC, ESTABLISHED IN 1986, TO PROVIDE A COST-EFFECTIVE, ACCESSIBLE HEALTH CARE FACILITY FOR LEAVENWORTH RESIDENTS.RECOGNIZING A SIMILAR NEED IN WYANDOTTE COUNTY, THE SISTERS OF CHARITY OF LEAVENWORTH AND MANY COMMUNITY PARTNERS BROUGHT SISTER ROSALIE'S VISION ALIVE AGAIN WITH THE ESTABLISHMENT OF DUCHESNE CLINIC IN 1989. THE TWO CLINICS HAVE BEEN INCORPORATED SINCE 1993 AS CARITAS CLINICS, INC; PROVIDING QUALITY, AFFORDABLE HEALTH CARE FOR THOSE IN NEED.FOUNDED ON THE BELIEF THAT HEALTH CARE IS A BASIC HUMAN RIGHT, SAINT VINCENT AND DUCHESNE CLINICS PROVIDE SERVICES TO INDIGENT PATIENTS, REGARDLESS OF RELIGIOUS AFFILIATION, WITH AN EMPHASIS ON THE VALUES OF COMPASSION, RESPECT OF PERSONAL DIGNITY, AND A SENSITIVITY TO HUMAN SUFFERING. THE CLINICS' MISSION IS TO, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.DUCHESNE CLINICDUCHESNE CLINIC IS A PRIMARY CARE DOCTOR'S OFFICE FOR LOW-INCOME UNINSURED RESIDENTS OF WYANDOTTE COUNTY. OFTEN REFERRED TO AS A "SAFETY-NET" CLINIC, DUCHESNE CLINIC PROVIDES THE SAME SERVICES AS MOST FAMILY DOCTORS IN A WELCOMING, COMPASSIONATE ENVIRONMENT. THE DIFFERENCE, OF COURSE, IS THAT OUR PATIENTS HAVE NO INSURANCE, NOT EVEN MEDICAID OR MEDICARE, AND NO WAY TO PAY FOR THEIR CARE. OUR SERVICES INCLUDE PRIMARY HEALTH CARE, MEDICATION ASSISTANCE, AND CHRONIC DISEASE MANAGEMENT.SAINT VINCENT CLINICSAINT VINCENT CLINIC IS A DOCTOR'S OFFICE FOR LOW-INCOME UNINSURED RESIDENTS OF LEAVENWORTH COUNTY. OFTEN REFERRED TO AS A "SAFETY-NET" CLINIC, SAINT VINCENT CLINIC PROVIDES THE SAME SERVICES AS MOST FAMILY DOCTORS IN A WELCOMING, COMPASSIONATE ENVIRONMENT. THE DIFFERENCE, OF COURSE, IS THAT OUR PATIENTS HAVE NO INSURANCE, NOT EVEN MEDICAID, TRI-CARE OR VETERAN'S BENEFITS AND NO WAY TO PAY FOR THEIR CARE. OUR SERVICES INCLUDE PRIMARY HEALTH CARE, MEDICATION ASSISTANCE, AND CHRONIC DISEASE MANAGEMENT.VALUES FRAMEWORK FOR STRATEGIC VISIONFOUNDED BY THE SISTERS OF CHARITY TO "SERVE THEIR BROTHERS AND SISTERS IN CHRIST", SAINT VINCENT AND DUCHESNE CLINICS CONTINUE TO EMPHASIZE CARE FOR THE WHOLE PERSON, PIECING TOGETHER SUPPORT TO HELP PEOPLE HEAL THEIR LIVES. TODAY, THOSE VALUES ARE REFLECTED IN FRAMEWORKS SUCH AS PATIENT-CENTERED CARE, CARE COORDINATION, AND THE HEALTH VILLAGE.GOVERNANCEOUR BOARD OF DIRECTORS INCLUDES STANDING COMMITTEES ON QUALITY, FINANCE, FUNDRAISING AND FACILITIES. ALL BOARD MEMBERS SUPPORT THE CLINIC THROUGH BOTH VOLUNTEER AND FINANCIAL COMMITMENTS. WITH THE EXECUTIVE DIRECTOR AND ADMINISTRATIVE LEADERSHIP, THE BOARD OF DIRECTORS COMPLETES AN ANNUAL STRATEGIC PLAN AND REVIEWS QUARTERLY PROGRESS TOWARD STRATEGIC GOALS AND OBJECTIVES.DIVERSITYSAINT VINCENT AND DUCHESNE CLINICS ARE CULTURALLY COMPETENT IN ADDRESSING THE NEEDS OF A DIVERSE PATIENT POPULATION. WE HAVE DEVELOPED AN INCLUSIVITY MATRIX FOR USE IN RECRUITING POTENTIAL BOARD MEMBERS WHO REPRESENT THE COMMUNITIES WE SERVE, UTILIZE TRAINED, CERTIFIED MEDICAL INTERPRETERS IN OUR CARE TEAMS, AND HAVE A DIVERSE STAFFING MIX THAT REFLECTS THE COMMUNITIES WE SERVE.STEWARDSHIPADDRESSING HEALTH DISPARITIES - ACTUALLY HELPING PEOPLE FROM DIVERSE COMMUNITIES GET HEALTHIER - TAKES A BROAD NETWORK OF PARTNERSHIPS AND COLLABORATIONS. SAINT VINCENT AND DUCHESNE CLINICS TAKE A "WHOLE PERSON" PATIENT-CENTERED APPROACH TO PROVIDE BETTER CARE WITH BETTER RESULTS ON A SHOESTRING BUDGET.SUSTAINABILITYSAINT VINCENT AND DUCHESNE CLINICS DEFINE SUSTAINABILITY AS HAVING THE FINANCIAL, HUMAN AND PHYSICAL RESOURCES TO CARE FOR PATIENTS WHILE MEETING THE CONTINUALLY CHANGING NEEDS OF THE COMMUNITY AND PREPARES AN ANNUAL INTEGRATED STRATEGIC PLAN (ISP) WHICH IS PUBLISHED ON SAINT VINCENT AND DUCHESNE CLINICS' GUIDESTAR PROFILE PAGE. THE ISP INCLUDES BUSINESS PLANNING; MARKET, COMMUNITY NEEDS AND SWOT ANALYSES; QUALITY ASSURANCE, STAFF AND BOARD LEADERSHIP DEVELOPMENT AND RETENTION; FINANCIAL REVIEW AND A DIVERSIFIED DEVELOPMENT PLAN, CONSIDERING MULTI-YEAR TRENDS INCLUDING THE EMERGING HEALTHCARE ENVIRONMENT.COLLABORATIONTHROUGH OUR EXPERIENCE AND EXPERTISE IN ESTABLISHING RELATIONSHIPS WITH COMMUNITY SUPPORTERS, THE CLINIC HAS CREATED A NETWORK OF CARE AND HAS A WELL-DESERVED REPUTATION FOR HELPING PATIENTS GET THE CARE THEY NEED. MANY OF OUR PATIENTS HAVE RECEIVED CARE AT THE CLINIC FOR A NUMBER OF YEARS, AND THE LONG-TERM HEALTH STATUS OF THOSE PATIENTS HAS BEEN GREATLY IMPROVED.ACCESS TO CAREAS A DOCTOR'S OFFICE FOR PEOPLE WITH FEW RESOURCES, SAINT VINCENT AND DUCHESNE CLINICS' SERVICES INCLUDE CHRONIC DISEASE MANAGEMENT, ACUTE AND PREVENTIVE CARE AND CARE COORDINATION. CHRONIC DISEASE MANAGEMENT CONSISTS OF DIAGNOSIS, ONGOING TREATMENT, PATIENT EDUCATION AND SUPPORT FOR THE 80% OF OUR PATIENTS WITH A CHRONIC CONDITION LIKE DIABETES, HEART DISEASE, ASTHMA/COPD AND DEPRESSION. ACUTE CARE APPOINTMENTS ARE AVAILABLE ON A SAME DAY/NEXT DAY BASIS FOR PATIENTS WITH COLD, FLU OR OTHER NON-EMERGENCY CHANGE IN HEALTH STATUS. PREVENTIVE CARE SERVICES INCLUDE CANCER AND VISION SCREENINGS, VACCINATIONS, SMOKING CESSATION AND PATIENT EDUCATION.FOR SAINT VINCENT AND DUCHESNE CLINICS' POOR, UNINSURED PATIENTS, ACCESS TO SPECIALTY CARE IS MORE THAN PROVIDING A NAME OF A PHYSICIAN PRACTICE. OUR EXTENSIVE CARE COORDINATION PROGRAM INCLUDES HELPING THE PATIENT AFFORD SPECIALTY CARE BY NEGOTIATING FREE, REDUCED-COST CARE OR SUBSIDIZED CARE, MAKING THE APPOINTMENT WITH THE PATIENT, EVEN PROVIDING BUS FARE IF THE PATIENT LACKS VIABLE TRANSPORTATION. CARE COORDINATION INCLUDES VISION, DENTAL AND OTHER SPECIALTY CARE FOR WHICH SAINT VINCENT AND DUCHESNE CLINICS NEGOTIATE FREE OR LOW-COST OPTIONS, AND COORDINATE CARE FOR OUR PATIENTS, INCLUDING SUBSIDIZING THE COST OF CARE WHEN POSSIBLE. 5658278 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 67 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JACOB HARRISON 9136518860 818 NORTH 7TH STREET LEAVENWORTH KS 66048 KENE MACKENZIE DENTIST 50.00 0.00 X 230691 0 22209 JANA ZAUDKE MEDICAL DIRECTOR 50.00 0.00 X 207401 0 26361 JANELLE RILEY MEDICAL DIRECTOR 50.00 0.00 X 198300 0 2645 NATHAN LASKOWSKI DENTIST 50.00 0.00 X 167709 0 19799 DESTE BAPTISTE MEDICAL DIRECTOR NURSE PRACTITIONER 50.00 0.00 X 168004 0 17655 MICHELE SURBER EXECUTIVE DIRECTOR 50.00 0.00 X 156417 0 23578 CANDESS SOUTHALL DIR FINANCE 50.00 0.00 X 124363 0 17905 BRETT BIBLER DIRECTOR 1.00 0.00 X 0 0 0 CAMALLA LEONHARD DIRECTOR (PARTIAL) 1.00 0.00 X 0 0 0 CHAD YEAGER CHAIR 1.00 0.00 X X 0 0 0 DAVE DULNY DIRECTOR 1.00 0.00 X 0 0 0 EDNA WAGNER DIRECTOR (PARTIAL) 1.00 0.00 X 0 0 0 JANET VITT SECRETARY 1.00 0.00 X X 0 0 0 JOSE HUGUEZ DIRECTOR (PARTIAL) 1.00 0.00 X 0 0 0 KICIA WAGNER DIRECTOR 1.00 0.00 X 0 0 0 MARSHALL MEEK DIRECTOR 1.00 0.00 X 0 0 0 MARY MACK DIRECTOR (PARTIAL) 1.00 0.00 X 0 0 0 MYRANDA AGNEW DIRECTOR (PARTIAL) 1.00 0.00 X 0 0 0 PATRICK ALTENHOFEN VICE CHAIR 1.00 0.00 X X 0 0 0 ROSEMARY PODREBARAC DIRECTOR 1.00 0.00 X 0 0 0 SAMUEL DANDAR MD DIRECTOR (PARTIAL) 1.00 0.00 X 0 0 0 1252885 0 130152 13 0 1 0 0 74372 625392 350556 1030591 2080911 PATIENT SERVICE REVENU 621110 1519640 1519640 1519640 1469 1469 3602020 1519640 0 1469 6000 6000 28593 28593 322262 256960 33076 32226 4202627 3320279 462085 420263 189761 143695 27090 18976 621766 505415 54174 62177 328304 258899 36575 32830 61117 61117 362 362 174493 128353 46140 23744 20588 3156 45159 42441 2718 78264 78264 58777 55559 3218 57402 36740 20662 24316 24316 31476 31476 228684 48221 180463 27545 25361 2184 MEDICAL SUPPLIES 261125 261125 PURCHASED SERVICES 210204 196700 13504 BAD DEBT 144660 144660 DUES AND MEMBERSHIPS 41129 41129 6861 3504 3357 7174631 5658278 949881 566472 33882 718 118839 188456 308599 148695 330562 701963 304 23650 1823000 392926 1516633 1430074 1373269 771241 3682088 3264797 136232 2764 0 3541233 136232 3543997 X 2480267 -1604384 1065589 1325184 3545856 -279200 3682088 3264797 X -3572611 -252445 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36190 36190 835930 73144 762786 487000 227694 259306 313750 92088 221662 150130 150130 1430074 OTHER WORKING CAPITAL 771241 771241 INTERCOMPANY PAYABLE 3541233 3541233 1 OPTICAL CARE FOR INDIGENT PATIENTS 246 17240 DENTAL CARE FOR INDIGENT PATIENTS 52 9925 MENTAL HEALTH CARE FOR INDIGENT PATIENTS 73 1428 PART I, LINE 2: GRANTS AND ASSISTANCE ARE MADE IN ACCORDANCE WITH ANY DONOR RESTRICTIONS. AS SUCH, RESTRICTED FUNDS ARE MAINTAINED UNTIL RESTRICTIONS ARE SATISFIED AND FUNDING SUBSEQUENTLY DISBURSED. RESTRICTED FUNDS ARE INTERNALLY AUDITED QUARTERLY. X X X X X 0 0 0 0 0 0 0 0 0 KENE MACKENZIE DENTIST 202186 0 27080 0 1425 0 10185 0 12024 0 252900 0 0 0 JANA ZAUDKE MEDICAL DIRECTOR 188738 0 0 0 18663 0 9384 0 16977 0 233762 0 0 0 JANELLE RILEY MEDICAL DIRECTOR 197482 0 0 0 818 0 317 0 2328 0 200945 0 0 0 NATHAN LASKOWSKI DENTIST 167150 0 0 0 559 0 7569 0 12230 0 187508 0 0 0 DESTE BAPTISTE MEDICAL DIRECTOR NURSE PRACTITIONER 158671 0 8647 0 686 0 5437 0 12218 0 185659 0 8647 0 MICHELE SURBER EXECUTIVE DIRECTOR 135637 0 20186 0 594 0 22474 0 1104 0 179995 0 10186 0 PART I, LINE 3 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY CARITAS CLINICS, INC. OR BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). 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 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. ADDITIONAL OFFICER AND BOARD DISCLOSURES INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. FORM 990, PART I, LINE J WEBSITE: WWW.CARITASCLINICS.ORG FORM 990, PART V, LINE 1A EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF CARITAS CLINICS, INC. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF CARITAS CLINICS, INC., HAS THE POWER TO APPOINT MEMBERS OF THE CARITAS CLINICS, INC., BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION BY THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS WHILE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. ("SCLHS") IS THE SOLE MEMBER OF CARITAS CLINICS, INC., RESERVED POWERS ARE PRIMARILY HELD BY INTERMOUNTAIN HEALTH CARE, INC. ("INTERMOUNTAIN"), WHO AS A RESULT OF AFFILIATION, IS A MEMBER OF SCLHS. SCLHS HAS THE POWER TO APPOINT TRUSTEES TO THE BOARD OF DIRECTORS, WHICH ARE SUBJECT TO RATIFICATION BY INTERMOUNTAIN. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE: - ESTABLISH THE MISSION, VISION, AND VALUES FOR THE CORPORATION; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR THE CORPORATION; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF THE CORPORATION; - FIX THE NUMBER OF TRUSTEES OF THE BOARD AND APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE CORPORATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. THE OTHER MEMBER OF SCLHS IS LEAVEN MINISTRIES, WHO WAS GRANTED THE FOLLOWING RESERVED POWERS: - TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BY ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF THE CONSOLIDATED SYSTEM PARENT SET FORTH IN THE MERGER AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE RESERVED POWERS GRANTED TO LEAVEN MINISTRIES AND THOSE OF INTERMOUNTAIN, THE LEAVEN RESERVED POWERS WILL CONTROL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF 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 CARITAS CLINICS, INC. OR BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). 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 TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: UNRECORDED CONTRIBUTIONS -239,970. FAIR VALUE ACQUISITION ADJUSTMENT -12,475. 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