2024-11-07T09:57:11-06:00 2023-12-31 990 2023-01-01 841649162 GOOD SAMARITAN MEDICAL CENTER FOUNDATION GOOD 8018427851 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 LESLIE MCKAY EXECUTIVE DIRECTOR 8018427851 2024-11-06 0 2023 2024-10-15 13:58:12Z LESLIE MCKAY 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 1063075 0 X SEE SCHEDULE O X TAX EXEMPT FOUNDATION 2004 CO HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. 18 14 0 22 0 0 1080557 893769 0 0 61228 110653 -9697 -21740 1132088 982682 687949 684423 0 0 329016 238582 0 0 97009 317791 308082 1334756 1231087 -202668 -248405 2326869 2195615 465386 563336 1861483 1632279 X HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. 0 0 721816 684423 GOOD SAMARITAN MEDICAL CENTER FIRST OPENED ITS DOORS TO THE COMMUNITY IN DECEMBER 2004. THE GOOD SAMARITAN MEDICAL CENTER FOUNDATION WAS ESTABLISHED THE SAME YEAR TO PROVIDE A WAY FOR THE COMMUNITY TO SUPPORT THE HOSPITAL.THE FOUNDATION WORKS WITH DONORS TO ENSURE THAT MEDICAL EXCELLENCE AND COMPASSIONATE CARE ARE ALWAYS AVAILABLE IN THE COMMUNITY WE SERVE. PARTNERING WITH DONORS, WE ARE ABLE TO ENHANCE THE CARE THE MEDICAL CENTER PROVIDES TO PATIENTS AND THEIR FAMILIES.GOOD SAMARITAN MEDICAL CENTER AND THE FOUNDATION WERE PART OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM. ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED, CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS MORE THAN 66,000 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.SOME OF OUR AREA'S OF FOCUS ARE:- PATIENT ASSISTANCE: THROUGH THE GENEROSITY OF OUR DONORS, THE FOUNDATION HAS FUNDS AVAILABLE TO SUPPORT PATIENTS IN NEED SO THEY CAN FOCUS THEIR ENERGY WHERE IT SHOULD BE - ON THEIR HEALTH.- MEDICAL EDUCATION: THE FOUNDATION HAS A VARIETY OF EDUCATION AND SCHOLARSHIP FUNDS, SUPPORTED BY OUR DONORS, THROUGH WHICH SCHOLARSHIPS ARE AWARDED TO ASSOCIATES WHO ARE ADVANCING THEIR KNOWLEDGE THROUGH COLLEGE AND OTHER TRAINING PROGRAMS.- PROGRAM AND PROJECT FUNDS: OUR DONORS INVEST IN PROGRAMS AND PROJECTS AT THE MEDICAL CENTER TO ENSURE THAT THE VERY BEST CARE IS ALWAYS AVAILABLE RIGHT HERE IN OUR NEIGHBORHOOD. THESE GIFTS ARE AN INVESTMENT IN THE HEALTH OF OUR COMMUNITY.- COMMUNITY HEALTH AND WELLNESS: THE FOUNDATION WORKS IN-CONJUNCTION WITH SEVERAL LOCAL PARTNERS BY INVESTING IN PROJECTS THAT ENHANCE LIFE AND HEALTH IN THE COMMUNITY WE LOVE. GOOD SAMARITAN MEDICAL CENTER FOUNDATION PROVIDES AND MANAGES THE FOLLOWING GRANT FUNDS.-HUMANITARIAN LOAN FUND - TO PROVIDE GRANTS AND NO INTEREST LOANS TO GSMC ASSOCIATES WHO ARE FACING HARDSHIPS.-GENERAL PATIENT ASSISTANCE FUND - TO PROVIDE SUPPORT TO GOOD SAMARITAN MEDICAL CENTER (GSMC) PATIENTS WITH NO OR LIMITED RESOURCES. THE FUND DOES NOT PAY THE COST OF MEDICAL CARE BUT HAS ASSISTED PATIENTS WITH RENT, FOOD, AND OTHER ITEMS THEY NEED.-CARDIAC CARE FUND - TO PAY FOR PROGRAMS, PROJECTS AND OTHER NEEDS OF THE GSMC CARDIAC CARE PROGRAM AND PATIENTS.-DAVID HAMM LEGACY FUND - TO PROVIDE SCHOLARSHIPS TO GSMC ASSOCIATES WHO ARE PURSUING EDUCATION THAT IMPROVES AND ENHANCES PATIENT CARE.-REHAB PATIENT ASSISTANCE FUND - TO PROVIDE ASSISTANCE TO GSMC PATIENTS WHO HAVE FINANCIAL NEED.-NICU FUND - TO SUPPORT PROGRAMS AND PROJECTS IN THE GSMC NEONATALINTENSIVE CARE UNIT.-BUSCH FAMILY SCHOLARSHIP FUND - TO PROVIDE SCHOLARSHIPS TO GSMC ASSOCIATES WHO ARE PURSUING EDUCATION THAT IMPROVES AND ENHANCES PATIENT CARE.-SIMULATION LAB FUND - TO SUPPORT TRAINING AND THE PURCHASE OF EQUIPMENT IN THE GSMC SIMULATION LAB. 721816 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X COLIN QUINCY 8014423491 36 SOUTH STATE STREET SUITE 1600 SALT LAKE CITY UT 84111 X DAWN ANUSZKIEWICZ DIRECTOR 1.00 50.00 X 0 557039 248605 EDWARD PYUN MD DIRECTOR 1.00 50.00 X 0 567394 46044 STEVEN HANKINS DIRECTOR 1.00 50.00 X 0 374616 167424 JANET BONNER EXECUTIVE DIRECTOR FOUNDATION 50.00 0.00 X 0 192109 41117 CATHERINE LAZER MD DIRECTOR 1.00 0.00 X 0 9225 0 TOM ALFORD PAST CHAIR 1/1-7/31/23 1.00 0.00 X X 0 0 0 SCOTT BUSCH CHAIR 1.00 0.00 X X 0 0 0 LOUIS CICIO DIRECTOR 1.00 0.00 X 0 0 0 DALE CLINGNER SECRETARY 1.00 0.00 X X 0 0 0 BEVERLEY DAHAN DIRECTOR 1.00 0.00 X 0 0 0 BOB DAVIS DIRECTOR 1.00 0.00 X 0 0 0 CORY DUVALL DIRECTOR 1.00 50.00 X 0 0 0 JEFF LEFTWICH MD DIRECTOR 4/19-12/31/23 1.00 0.00 X 0 0 0 MIKE MEINTS DIRECTOR 1.00 0.00 X 0 0 0 KYLE MENDENHALL DIRECTOR 1.00 0.00 X 0 0 0 JASON PAPPAS DIRECTOR 9/1-12/31/23 1.00 0.00 X 0 0 0 MARY BETH QUIRAM DIRECTOR 1/1-10/31/23 1.00 0.00 X 0 0 0 WYMAN ROBB VICE CHAIR 1.00 0.00 X X 0 0 0 JANET ROSS DIRECTOR 1.00 0.00 X 0 0 0 ANNIE SIMMONS DIRECTOR 1.00 0.00 X 0 0 0 MAX STITCH ESQ DIRECTOR 1.00 0.00 X 0 0 0 0 1700383 503190 0 0 1 0 0 80096 562081 251592 23296 893769 28594 28594 82059 0 82059 82059 82059 58653 80096 80393 -21740 -21740 982682 0 0 88913 483698 483698 200725 200725 225128 18010 137328 69790 13454 1076 8207 4171 17573 17573 4440 2975 1465 9957 6671 3286 SHARED SERVICES - ADMIN 202886 202886 SUPPLIES 42444 42444 SHARED SERVICES - OTHER 11026 11026 BANK FEES 7253 5804 725 724 12503 12503 1231087 721816 412262 97009 165997 533839 160184 143996 2000688 1517780 2326869 2195615 182224 283162 563336 465386 563336 X 388934 195378 1472549 1436901 1861483 1632279 2326869 2195615 X -248405 35767 760 -17326 X 0 1 X 1 0 X 1275198 1198380 1004809 1080557 893769 5452713 1275198 1198380 1004809 1080557 893769 5452713 5452713 39638 30655 25997 30195 28594 155079 74191 34516 48293 62461 58653 278114 5885906 0.92640 0.92710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1472549 367590 4269 407507 1436901 1592925 305968 -6381 419963 1472549 1757514 292896 4689 462174 1592925 1952292 571302 4565 770645 1757514 1704197 693734 1224 446863 1952292 0.00000 0.04470 0.95530 0 0 0 INTERCOMPANY PAYABLE 563336 563336 PART V, LINE 4: THE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT THE GOOD SAMARITAN MEDICAL CENTER IN AREAS INCLUDING ASSOCIATE EDUCATION. GOLF JAM 77487 45610 31877 500 21600 8687 2445 SIP & STROLL 61262 34486 26776 8237 6000 11166 800 20958 138749 80096 58653 500 8237 27600 19853 800 23403 80393 -21740 1 SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 501(C)(3) 481237 0 SUPPORT GOOD SAMARITAN MEDICAL CENTER 1 0 SCHOLARSHIPS 35 119515 PATIENT ASSISTANCE 90 25158 HUMANITARIAN GRANTS 20 35893 DRIVERS EDUCATION GRANTS 45 20159 PART I, LINE 2: FOR FUNDING RELATED TO PATIENT CARE, EQUIPMENT AND SERVICE LINE/PROGRAM SUPPORT AT GOOD SAMARITAN MEDICAL CENTER, LLC., (GSMC) THE GOOD SAMARITAN MEDICAL CENTER FOUNDATION'S (GSMCF) EXECUTIVE DIRECTOR FIRST SCREENS REQUESTS AND ENSURES THAT THE FUNDING MATCHES DONOR INTENT AND IS AVAILABLE FOR THAT SPECIFIC PURPOSE. THE REQUEST IS THEN FORWARDED TO GSMC'S SENIOR LEADERSHIP TEAM FOR VERIFICATION THAT MEET GSMC'S NEEDS AND PROVIDES FINAL APPROVAL. IN CASES WHERE APPROPRIATE, GSMC'S DEPARTMENT REQUESTING SUPPORT PAYS THE COST, PROVIDES DOCUMENTATION OF THE EXPENSE AND GSMCF REIMBURSES THE DEPARTMENT THROUGH INTERNAL TRANSFER. FOR FUNDING RELATED TO PATIENT AND ASSOCIATE ASSISTANCE (HUMANITARIAN FUND), GSMCF'S EXECUTIVE DIRECTOR, ALONG WITH OTHER COMMITTEE MEMBERS AS APPROPRIATE, APPROVE FUNDING REQUESTS AFTER THOROUGH REVIEW TO ENSURE THE REQUESTOR MEETS FUND REQUIREMENTS. IN THESE CASES, GSMCF STAFF WILL ISSUE A CHECK DIRECTLY TO THE PROVIDER, NOT DIRECTLY TO THE PATIENT OR ASSOCIATE. 0 0 0 0 0 0 0 0 0 DAWN ANUSZKIEWICZ DIRECTOR 0 449752 0 102393 0 4894 0 221067 0 27538 0 805644 0 100893 EDWARD PYUN MD DIRECTOR 0 493714 0 46761 0 26919 0 14508 0 31536 0 613438 0 0 STEVEN HANKINS DIRECTOR 0 334255 0 24054 0 16307 0 165641 0 1783 0 542040 0 24054 JANET BONNER EXECUTIVE DIRECTOR FOUNDATION 0 169780 0 15519 0 6810 0 26118 0 14999 0 233226 0 13208 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SCL HEALTH - FRONT RANGE, INC. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECURIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. PART I, LINE 4 PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT- FOR- PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COSTS AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2023. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2023 WERE: NONE. SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. JANET BONNER FOUNDATION EXECUTIVE DIRECTOR 4000 GRANT/SCHOLARSHIP EDUCATIONAL ASSISTANCE FORM 990, PART I, LINE J WEBSITE HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOUNDATION/GOOD-SAMARITAN-FOUNDATION FORM 990, PART V, LINE 1A EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART V, LINE 2A EXPLANATION FOR NUMBER REPORTED ON FORM W-3: THE ORGANIZATION LEASES EMPLOYEES FROM A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED W-3 AND RELATED W-2 TAX FORMS FOR THESE INDIVIDUALS. ACCORDING TO THE FORM 990 INSTRUCTIONS FOR PART IX, WE REFLECT THE LEASED EMPLOYEE'S COMPENSATION ON THE FORM 990, PART IX AS IF THE ORGANIZATION COMPENSATES THESE INDIVIDUALS. FORM 990, PART VI, SECTION A, LINE 2 DAWN ANUSZKIEWICZ / STEVEN HANKINS / JANET BONNER - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN GOOD SAMARITAN MEDICAL CENTER, LLC, A RELATED TAX-EXEMPT ORGANIZATION). FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS SCL HEALTH - FRONT RANGE INC., IS THE SOLE MEMBER OF GOOD SAMARITAN MEDICAL CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS SCL HEALTH - FRONT RANGE,INC., THE SOLE MEMBER OF GOOD SAMARITAN MEDICAL CENTER FOUNDATION, APPROVES MEMBERS OF GOOD SAMARITAN MEDICAL CENTER FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS SCL HEALTH - FRONT RANGE, INC., HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SCL HEALTH - FRONT RANGE, INC. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE, INC.'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION B, LINE 1 THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART XI, LINE 9: PRIOR YEAR PLEDGES RECEIVABLE WRITTEN-OFF IN 2023 -17,326. 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