2025-11-05T11:43:09-06:00 2024-12-31 990 2024-01-01 841103606 INTERMOUNTAIN FRONT RANGE INC INTE 3038135342 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 ASHLEY DENTON AVP FINANCE 3038135342 2025-11-05 0 2024 2025-03-06 01:10:19Z SCOTT PEEK 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 1209041766 0 X HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS X 1988 CO HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. 12 9 10974 359 1386049 56839 27312106 28590620 1100383152 1176846966 226191 -582855 2643200 2837925 1130564649 1207692656 1898852 1976781 0 0 586239744 589298226 0 0 0 679113358 761860458 1267251954 1353135465 -136687305 -145442809 1109786535 1235509443 782531946 1051054140 327254589 184455303 X HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. 0 0 1177730186 1976781 1179301810 SEE SCHEDULE O 1177730186 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 1 1 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 X 0 0 10974 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 9 1 0 1 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 DANIEL POSSLEY MD PHYSICIAN 50.00 0.00 X 1858018 0 65707 SCOTT PEEK TRUSTEE/MKT PRES, FRONT RANGE MKT/PRES L 1.00 57.00 X X 1119277 0 385820 JESS JOYMON MD PHYSICIAN 50.00 0.00 X 1320703 0 67349 BASHEAL AGRAWAL MD PHYSICIAN 50.00 0.00 X 1119373 0 66569 ROBERT REPLOGLE MD PHYSICIAN 50.00 0.00 X 1120737 0 58646 JAKE CHANIN MD PHYSICIAN 50.00 0.00 X 1117671 0 40070 DAWN ANUSZKIEWICZ PRESIDENT GSMC 50.00 1.00 X 623411 0 242310 STEVEN HANKINS VP CHIEF OPERATING OFFICER GSMC 50.00 1.00 X 732674 0 80026 TROY STOEHR FORMER OFFICER 0.00 50.00 X 0 627497 96553 SEAN FADDEN TREASURER 1.00 56.00 X 0 531506 182934 ANDREA BURCH VP, COO/CNO (PARTIAL), PRESIDENT LMC 50.00 1.00 X 502837 0 209503 CHRISTOPHER AWTREY CMO, FRONT RANGE MEDICAL GROUP 50.00 6.00 X 518345 0 112360 TONI GREEN-CHEATWOOD VP CMO GSMC/LMC (PARTIAL), ACMO CO MKT 20.00 30.00 X 511233 0 105658 ANN GANTZER VP CNO GSMC, INT. CNO LMC (PARTIAL) 50.00 0.00 X 449891 0 104097 TERENCE MOLOUGHNEY SECRETARY (PARTIAL) 1.00 56.00 X 0 454404 62322 JOHN WICKLUND FORMER OFFICER 0.00 0.00 X 0 481282 0 ASHLEY DENTON VP FINANCE LMC (PARTIAL)/AVP FINANCE, FRONT RANGE 17.00 33.00 X 0 336235 139786 MICHELLE SHIAO FORMER OFFICER 0.00 50.00 X 0 333092 128950 SCOTT DAY FORMER KEY EMPLOYEE 0.00 50.00 X 0 437113 10605 KELLY ADAMS SECRETARY (PARTIAL) 1.00 57.00 X 0 294501 90592 PATRICE FARRELL-DELINE FORMER KEY EMPLOYEE 0.00 50.00 X 0 272169 103801 ELIZABETH WITHERS CMO, GSMC (PARTIAL) 50.00 0.00 X 343927 0 15895 CALVIN BEASLEY FORMER KEY EMPLOYEE 0.00 50.00 X 0 244570 76311 MEGAN DURNING VP STRATEGY AND BUS DEVELOPMENT LMC 50.00 0.00 X 246158 0 39414 REAGAN GOODNIGHT VP, CNO LMC (PARTIAL) 50.00 0.00 X 221973 0 59286 LARA ZARZECKI ASSISTANT SECRETARY (PARTIAL) 1.00 51.00 X 0 227964 38372 KATARZYNA CRABTREE MD CMO, LMC (PARTIAL) 50.00 0.00 X 220745 0 6465 CHRISTINA JOHNSON FORMER KEY EMPLOYEE 0.00 50.00 X 155112 0 26961 GRACE JIMENEZ ASSISTANT SECRETARY (PARTIAL) 1.00 51.00 X 0 65840 8710 CHRISTOPHER BATES MD TRUSTEE 1.00 1.00 X 0 56170 7034 STEVEN BROWN MD TRUSTEE 1.00 51.00 X 0 53594 1072 KATHY BOELTER VICE CHAIR 1.00 1.00 X X 0 0 0 JAMES CAPPS TRUSTEE 1.00 1.00 X 0 0 0 CHRISTINE FORKNER TRUSTEE 1.00 52.00 X 0 0 0 STEVEN FRANKEL MD TRUSTEE 1.00 1.00 X 0 0 0 FAYE HUMMEL TRUSTEE 1.00 2.00 X 0 0 0 DAVID KINNARD MD CHAIR 1.00 1.00 X X 0 0 0 GILLIAN MCKNIGHT-TUTEIN TRUSTEE 1.00 1.00 X 0 0 0 KELLY SNOW-DUNKIN TRUSTEE 1.00 1.00 X 0 0 0 MELISSA WHITMER TRUSTEE 1.00 1.00 X 0 0 0 12182085 4415937 2633178 1080 1 1 0 0 28589651 969 28590620 NET PATIENT SERVICE RE 620000 1176712135 1175643086 1069049 MEDICAL DIRECTOR FEES 620000 134831 134831 1176846966 134731 3326 131405 131405 131405 656353 1239208 -582855 -582855 -582855 41252 106576 -65324 -65324 CAFETERIA 720000 2456844 2454844 2000 MED. DIRECTORS' FEES 620000 315000 315000 2771844 1207692656 1178232761 1386049 -516774 X 1758748 1758748 161678 161678 56355 56355 7327327 7220328 106999 475631726 468705915 6925811 20495071 20495071 52152340 52152340 33691762 33170583 521179 12900 12900 12792 12792 155221090 145652579 9568511 1968168 1906714 61454 2095003 1744091 350912 52274713 52274713 36780889 36113399 667490 1417405 1114898 302507 1331109 1189052 142057 50160322 50160322 70297979 70297979 1468120 1468120 MEDICAL SUPPLIES 161363110 161363110 MEDICAL PROVIDER TAXES 58030829 58030829 SHARED SERVICES - OTHER 35856911 1064676 34792235 FEDERAL INCOME TAXES 32582 32582 133536536 63870817 69665719 1353135465 1177730186 175405279 0 24805 15484 104754944 115306309 1947550 2264961 13165205 13977266 6213621 3506969 1217737440 178233103 914272257 1039504337 69408153 60934117 1109786535 1235509443 86212061 72801031 696319885 978253109 782531946 1051054140 X 327254589 184455303 327254589 184455303 1109786535 1235509443 X -145442809 360 2643163 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12792 12792 0 PART II-B, LINE 1: SCHEDULE C, PART II-B, QUESTION 1I LOBBYING EXPENDITURES LOBBYING EXPENDITURES INCLUDES THE PORTIONS OF VARIOUS MEMBERSHIP DUES THAT ARE DESIGNATED AS LOBBYING EXPENSE BY THOSE ORGANIZATIONS IN WHICH INTERMOUNTAIN FRONT RANGE, INC. OR ITS ENTITIES ARE MEMBERS. 18760352 1860873 459358 4233000 16847583 16972228 3102784 719075 2033735 18760352 13404433 6454792 -1173368 1713629 16972228 12702594 1507926 1014239 1820326 13404433 11530209 2797061 919333 2544009 12702594 0.00000 0.54900 0.45100 0 1 1 20060499 20060499 12773299 836400512 93469782 755704029 113404360 27927947 85476413 214694564 56128698 158565866 20404206 706676 19697530 1039504337 LIABILITY-MITIGATION 2349776 ACCRUED LIABILITY - FINANCING LEASE 25083 ACCRUED LIABILITY - OPERATING LEASE 60423794 INTERCOMPANY PAYABLE 915454456 978253109 PART V, LINE 4: LUTHERAN MEDICAL CENTER FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT LUTHERAN MEDICAL CENTER IN AREAS INCLUDING ASSOCIATE EDUCATION, HOSPICE & PALLATIVE CARE, AND OTHER SERVICES AND PROGRAMS. GOOD SAMARITAN MEDICAL CENTER FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT GOOD SAMARITAN MEDICAL CENTER IN AREAS INCLUDING ASSOCIATE EDUCATION. 1 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA, FASO, BURUNDI 0 0 GRANT SUPPORT FOR HEALTHCARE ACCESSIBILITY 56355 0 0 0 0 0 0 56355 0 56355 SUB-SAHARAN AFRICA - ANGOLA, BENIN, BOTSWANA, BURKINA, FASO, BURUNDI HEALTHCARE ACCESSIBILITY 0 56355 42 HOSPITAL BEDS BOOK 1 0 0 0 0 0 0 0 1 1 X 1 X 250.000000000000 1 X 500.000000000000 1 1 1 0 1 1 15202322 3398131 11804191 0.00890 222401376 165922503 56478873 0.04280 949811 308678 641133 0.00050 238553509 169629312 68924197 0.05220 2284161 13730 2270431 0.00170 3616439 0 3616439 0.00270 190071614 142479634 47591980 0.03600 0 0 627585 0 627585 0.00050 196599799 142493364 54106435 0.04090 435153308 312122676 123030632 0.09310 1 32002274 0 323157885 519651281 -196493396 X 1 1 2 1 LUTHERAN MEDICAL CENTER 8300 W 38TH AVENUE WHEAT RIDGE CO 80211 HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LO 01L1WU X X X 2 GOOD SAMARITAN MEDICAL CENTER 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LO 01I529 X X X LUTHERAN MEDICAL CENTER 1 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, SECTION C X 1 24 1 SEE PART V, SECTION C 0 1 X 250.000000000000 500.000000000000 X X X X 1 1 X 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 X 1 X 0 X X X X X 1 X 0 0 GOOD SAMARITAN MEDICAL CENTER 2 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, SECTION C X X 1 24 1 SEE PART V, SECTION C 0 1 X 250.000000000000 500.000000000000 X X X X 1 1 X 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 X 1 X 0 X X X X X 1 X 0 0 LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 5: PARTICIPANTS IN THE LUTHERAN MEDICAL CENTER (LMC) CHNA PROCESS INCLUDED: - HEALTHCARE CONSUMERS AND CONSUMER ADVOCATES - NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS - ACADEMIC EXPERTS - LOCAL GOVERNMENT OFFICIALS - LOCAL SCHOOL DISTRICTS - HEALTH CARE PROVIDERS AND COMMUNITY HEALTH CENTERS - PUBLIC HEALTH PROFESSIONALS - HEALTH INSURANCE AND MANAGED CARE ORGANIZATIONS - PRIVATE BUSINESSES - LABOR AND WORKFORCE REPRESENTATIVES - COMMUNITY RESIDENTS THE COLORADO HEALTH INSTITUTE, A NONPROFIT, NONPARTISAN HEALTH RESEARCH ORGANIZATION LOCATED IN DENVER, GATHERED AND PROVIDED ANALYSIS OF EXISTING SECONDARY QUANTITATIVE (PUBLIC HEALTH) DATA FROM GOVERNMENT AND NONGOVERNMENTAL SOURCES FOR DISCUSSION AND COMMUNITY INPUT. PRIMARY QUALITATIVE DATA INCLUDED A COMMUNITY STAKEHOLDER MEETING TO REVIEW THE SECONDARY DATA AND IDENTIFY OTHER HEALTH NEEDS FOR FURTHER PRIORITIZATION. COUNTY PUBLIC HEALTH ORGANIZATIONS ALSO PRESENTED ON CURRENT COMMUNITY HEALTH TRENDS, DISPARITIES, AND EFFORTS TO ADDRESS HEALTH NEEDS.FURTHER COMMUNITY INPUT WAS COLLECTED FROM 1) AN ONLINE COMMUNITY STAKEHOLDER SURVEY PERFORMED BY COLORADO HEALTH INSTITUTE, 2) AN ONLINE PUBLIC SURVEY USING QUALTRICS OF A REPRESENTATIVE SAMPLE OF COMMUNITY MEMBERS FROM THE DENVER-METRO AREA, AND 3) PHONE INTERVIEWS OF COMMUNITY STAKEHOLDERS PERFORMED BY THE HEALTH SYSTEM'S OFFICE OF STRATEGIC RESEARCH.THE HEALTH NEEDS IDENTIFIED IN THE 2024 CHNA INCLUDE:- ACCESS TO HEALTHCARE- AFFORDABLE HOUSING AND FOOD INSECURITY- ECONOMIC STABILITY- CHILD SAFETY- MENTAL HEALTH- SUBSTANCE USE- TRANSPORTATION- CHRONIC DISEASETHE HEALTH SYSTEM'S OFFICE OF STRATEGIC RESEARCH USED AN EVIDENCE-BASED MODEL, THE HANLON METHOD FOR PRIORITIZATION, TO DETERMINE THE SIGNIFICANT AND SUSTAINING HEALTH NEEDS THAT WILL BE ADDRESSED IN THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY:- IMPROVING BEHAVIORAL HEALTH- ACHIEVING GREATER ECONOMIC STABILITY- INCREASING ACCESS TO CARE- IMPROVING CHILD AND FAMILY WELL-BEING GOOD SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 5: GOOD SAMARITAN MEDICAL CENTER (GSMC) IS AN ACUTE-CARE HOSPITAL LOCATED IN THE CITY OF LAFAYETTE, COLORADO, LOCATED IN BOULDER COUNTY. THE HOSPITAL SERVICE AREA INCLUDES COMMUNITIES IN BOULDER, BROOMFIELD, ADAMS, DENVER, GILPIN, JEFFERSON, AND WELD COUNTIES. GSMC IS COMMITTED TO HELPING ALL PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE AND WORKED CLOSELY WITH COMMUNITY COLLABORATORS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2024. PARTICIPANTS IN THE CHNA PROCESS INCLUDED: - HEALTHCARE CONSUMERS AND CONSUMER ADVOCATES - NONPROFIT AND COMMUNITY-BASED ORGANIZATIONS - ACADEMIC EXPERTS - LOCAL GOVERNMENT OFFICIALS - LOCAL SCHOOL DISTRICTS - HEALTH CARE PROVIDERS AND COMMUNITY HEALTH CENTERS - PUBLIC HEALTH PROFESSIONALS - HEALTH INSURANCE AND MANAGED CARE ORGANIZATIONS - PRIVATE BUSINESSES - LABOR AND WORKFORCE REPRESENTATIVES - COMMUNITY RESIDENTS THE COLORADO HEALTH INSTITUTE, A NONPROFIT, NONPARTISAN HEALTH RESEARCH ORGANIZATION LOCATED IN DENVER, GATHERED AND PROVIDED ANALYSIS OF EXISTING SECONDARY QUANTITATIVE (PUBLIC HEALTH) DATA FROM GOVERNMENT AND NONGOVERNMENTAL SOURCES FOR DISCUSSION AND COMMUNITY INPUT. PRIMARY QUALITATIVE DATA INCLUDED A COMMUNITY STAKEHOLDER MEETING TO REVIEW THE SECONDARY DATA AND IDENTIFY OTHER HEALTH NEEDS FOR FURTHER PRIORITIZATION. COUNTY PUBLIC HEALTH ORGANIZATIONS ALSO PRESENTED ON CURRENT COMMUNITY HEALTH TRENDS, DISPARITIES, AND EFFORTS TO ADDRESS HEALTH NEEDS.FURTHER COMMUNITY INPUT WAS COLLECTED FROM 1) AN ONLINE COMMUNITY STAKEHOLDER SURVEY PERFORMED BY COLORADO HEALTH INSTITUTE, 2) AN ONLINE PUBLIC SURVEY USING QUALTRICS OF A REPRESENTATIVE SAMPLE OF COMMUNITY MEMBERS FROM THE DENVER-METRO AREA, AND 3) PHONE INTERVIEWS OF COMMUNITY STAKEHOLDERS PERFORMED BY THE HEALTH SYSTEM'S OFFICE OF STRATEGIC RESEARCH.THE HEALTH NEEDS IDENTIFIED IN THE 2024 CHNA INCLUDE: - ACCESS TO HEALTHCARE - AFFORDABLE HOUSING AND FOOD INSECURITY - ECONOMIC STABILITY - CHILD SAFETY - MENTAL HEALTH - SUBSTANCE USE - TRANSPORTATION - CHRONIC DISEASE THE HEALTH SYSTEM'S OFFICE OF STRATEGIC RESEARCH USED AN EVIDENCE-BASED MODEL, THE HANLON METHOD FOR PRIORITIZATION, TO DETERMINE THE SIGNIFICANT AND SUSTAINING HEALTH NEEDS THAT WILL BE ADDRESSED IN THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY: - IMPROVING BEHAVIORAL HEALTH- ACHIEVING GREATER ECONOMIC STABILITY- INCREASING ACCESS TO CARE- IMPROVING CHILD AND FAMILY WELL-BEING LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 6A: THE FOLLOWING ORGANIZATION(S) LISTED PARTICIPATED IN THE CHNA PROCESS: SAINT JOSEPH HOSPITAL, GOOD SAMARITAN MEDICAL CENTER, AND PLATTE VALLEY MEDICAL CENTER. GOOD SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 6A: THE FOLLOWING ORGANIZATION(S) LISTED PARTICIPATED IN THE CHNA PROCESS: SAINT JOSEPH HOSPITAL, LUTHERAN MEDICAL CENTER, AND PLATTE VALLEY MEDICAL CENTER. LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING NONPROFIT HEALTH, LOCAL GOVERNMENT, COMMUNITY-BASED, AND OTHER ORGANIZATIONS PARTICIPATED IN THE 2024 CHNA: ADVENTHEALTH, FOOD BANK OF THE ROCKIES, KAISER PERMANENTE, APPLEWOOD BUSINESS ASSOCIATION, GOLDEN CHAMBER OF COMMERCE, COLORADO CONSUMER HEALTH INITIATIVE, HEALTHY JEFFCO ALLIANCE, LUTHERAN HOSPITAL FOUNDATION, JEFFERSON CENTER FOR MENTAL HEALTH, RECOVERYWORKS, COMMUNITY MEMBERS, JEFFERSON COUNTY DEPARTMENT OF PUBLIC HEALTH, STRIDE COMMUNITY HEALTH CENTER, EVERGREEN AREA CHAMBER OF COMMERCE, JEFFERSON COUNTY HUMAN SERVICES, THE ACTION CENTER, EVERGREEN FIRE/RESCUE, JEFFERSON COUNTY PUBLIC SCHOOLS, AND TRIAD BRIGHT FUTURES. GOOD SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 6B: THE FOLLOWING NONPROFIT AND GOVERNMENT ORGANIZATIONS PARTICIPATED IN THE CHNA PROCESS: ADVENT HEALTH, ADVOCATES FOR RECOVERY COLORADO, BENEFITS IN ACTION, BOULDER AREA AGENCY ON AGING, BOULDER COUNTY PUBLIC HEALTH, BROOMFIELD FISH, BROOMFIELD PUBLIC HEALTH AND ENVIRONMENT, BROOMFIELD SENIOR CENTER, COLORADO DEPARTMENT OF HEALTH CARE POLICY & FINANCING, CLINICA FAMILY HEALTH, COLORADO COMMUNITY HEALTH ALLIANCE, MENTAL HEALTH PARTNERS, ROCKY MOUNTAIN EQUITY, THE REFUGE, SISTER CARMEN COMMUNITY CENTER, AND VIA MOBILITY SERVICES.LUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 7A, HOSPITAL FACILITY'S WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/CHNA-REPORTSGOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 7A, HOSPITAL FACILITY'S WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/CHNA-REPORTS LUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 10A, HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY POSTED ON WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/CHNA-REPORTSGOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 10A, HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY POSTED ON WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/CHNA-REPORTS GOOD SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 7D: THE CHNA IS PUBLICLY AVAILABLE ON INTERMOUTAIN'S WEBSITE AND PAPER COPIES ARE AVAILABLE UPON REQUEST: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS.GSMC DISTRIBUTED COPIES OF THE CHNA AT COMMUNITY COALITIONS AND RESOURCE MEETINGS. LUTHERAN MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2024 CHNA WAS COMPLETED AND APPROVED BY THE HOSPITAL'S GOVERNING BOARD IN DECEMBER 2024. AS A RESULT, THE FOCUS OF LUTHERAN'S 2024 COMMUNITY BENEFIT WORK WAS THE FINAL YEAR OF THE THREE-YEAR CYCLE OF THE 2021 CHNA AND 2022 IMPLEMENTATION STRATEGY, WHICH WERE BOTH ACTIVE AND CURRENT DURING THE TAX YEAR. THE FOLLOWING INFORMATION REFLECTS THE ON-GOING EFFORTS TO ADDRESS THE HEALTH NEEDS IDENTIFIED IN THE ACTIVE CHNA CONDUCTED IN COLLABORATION WITH SAINT ANTHONY HOSPITAL AND JEFFERSON COUNTY DEPARTMENT OF PUBLIC HEALTH. THE 2021 LMC CHNA, PRIORITIZED THE FOLLOWING SIGNIFICANT HEALTH NEEDS:- MENTAL HEALTH AND SUBSTANCE USE- FOOD INSECURITY - HOUSINGMENTAL HEALTH AND SUBSTANCE USE:IN 2024, THE FOLLOWING ACTIVITIES ADDRESSED MENTAL HEALTH:LMC COLLABORATED WITH THE JEFFERSON COUNTY PUBLIC LIBRARY AND JEFFERSON CENTER FOR MENTAL HEALTH TO OFFER PROGRAMMING FOR INDIVIDUALS EXPERIENCING HOMELESSNESS WHO SEEK SHELTER IN LIBRARIES. THIS INCLUDED THE COFFEE AND CONVERSATIONS PROGRAM, WHICH CONNECTED 72 PARTICIPANTS IN 10 SESSIONS TO COMMUNITY RESOURCES IN A WELCOMING ENVIRONMENT. LMC PROVIDED A MEAL FOR PARTICIPANTS AND DISTRIBUTED WELLNESS BAGS FROM WHITNEY'S WISH, A LOCAL NONPROFIT.LMC PROVIDED SUICIDE INTERVENTION SKILLS TRAINING FOR 33 INDIVIDUALS IN A TWO-DAY WORKSHOP THAT TAUGHT PARTICIPANTS HOW TO RESPOND TO SOMEONE CONTEMPLATING SUICIDE THROUGH ASSESSMENT, MENTAL HEALTH FIRST AID TECHNIQUES, AND APPROPRIATE CONNECTION TO SERVICES.LMC PROVIDED A CHARITABLE CONTRIBUTION TO JEFFERSON COUNTY LIBRARIES WHO DISTRIBUTED ESSENTIAL SUPPLIES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. IN TOTAL 1,305 ITEMS RANGING FROM HYGIENE PRODUCTS, CLOTHING, AND FOOD WERE PROVIDED.LMC COLLABORATED WITH THE JEFFERSON CENTER FOR MENTAL HEALTH AND JEFFERSON COUNTY PUBLIC SCHOOLS TO SUPPORT SCHOOL-BASED MENTAL HEALTH PROGRAMS. LMC PROVIDED A CHARITABLE CONTRIBUTION THAT SUPPORTED COUNSELORS AT FOUR SCHOOLS FACING ELIMINATION OF SERVICES. COUNSELORS FUNDED BY THE CONTRIBUTION SERVED MORE THAN 135 STUDENTS AND ASSISTED STUDENTS AND FAMILIES WITH SAFETY PLANS FOR SUICIDE PREVENTION.LMC PARTNERED WITH COLORADO UNIVERSITY SCHOOL OF MEDICINE'S DEPARTMENT OF PSYCHIATRY TO PROVIDE FOLLOW UP CARE AND CONNECTION TO 1,358 PATIENTS AFTER DISCHARGE FROM THE EMERGENCY DEPARTMENT FOR SUICIDAL IDEATION OR ATTEMPT. LMC OFFERS THE RECOVERY NURSE ADVOCATE (RNA) PROGRAM TO SUPPORT PATIENTS WITH PERINATAL SUBSTANCE USE DISORDER (SUD). RNA PROVIDED 23 INDIVIDUALS HOME VISITATION SERVICES, REGULAR MENTAL HEALTH AND CHILD DEVELOPMENT SCREENINGS, CONNECTION TO COMMUNITY RESOURCES, AND WEEKLY SUD SUPPORT GROUP.FOOD INSECURITY:IN 2024, THE FOLLOWING ACTIVITIES ADDRESSED FOOD INSECURITY:LMC SCREENED OVER 90% OF PATIENTS FOR SOCIAL DETERMINANTS OF HEALTH NEEDS. INDIVIDUALS WHO SCREENED POSITIVE FOR FOOD INSECURITY WERE ELIGIBLE FOR A FOOD PROGRAM IN COLLABORATION WITH FOOD BANK OF THE ROCKIES. IN 2024, 310 INDIVIDUALS RECEIVED A FOOD BOX UPON DISCHARGE AND ACCESS TO WEEKLY DELIVERY OF FOOD FOR A YEAR. HOUSING:DURING THE CHNA PROCESS, THE CHNA PRIORITIZED FINDING PERMANENT HOUSING FOR PEOPLE EXPERIENCING HOMELESSNESS. IN 2024, THE FOLLOWING ACTIVITIES ADDRESSED HOUSING:LMC PROVIDED IN-KIND OFFICE SPACE IN SUPPORT OF THE JEFFERSON COUNTY HOMELESS NAVIGATORS, WHICH ARE ADDRESSING HOUSING FOR RESIDENTS FROM FIVE MUNICIPALITIES IN JEFFERSON COUNTY.LMC COLLABORATED WITH RECOVERY WORKS TO PROVIDE THE MEDICAL RESPITE PROGRAM FOR 37 INDIVIDUALS EXPERIENCING HOMELESSNESS. THE PROGRAM PROVIDES SAFE LODGING AND MEDICAL SUPERVISION AFTER DISCHARGE FROM A HOSPITAL STAY. OTHER HEALTH NEEDS NOT PRIORITIZED: EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA PROCESS IS IMPORTANT. LMC 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, LMC LIMITED ITS PRIMARY FOCUS TO THE SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE 2021 CHNA. LMC CONTINUED TO SUPPORT COMMUNITY EFFORTS AND COLLABORATIONS THAT ADDRESS ISSUES NOT PRIORITIZED IN THE 2022 COMMUNITY HEALTH IMPLEMENTATION STRATEGY. THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED WERE NOT ADDRESSED DUE THE AFOREMENTIONED REASONS: ACCESS TO HEALTHCARE, CHRONIC DISEASES (CANCER, DIABETES, HEART DISEASE AND STROKE, LUNG DISEASE), COVID-19, DENTAL CARE, OVERWEIGHT AND OBESITY, AND UNINTENTIONAL INJURIES. GOOD SAMARITAN MEDICAL CENTER PART V, SECTION B, LINE 11: THE 2024 CHNA WAS COMPLETED AND APPROVED BY THE HOSPITAL'S GOVERNING BOARD IN DECEMBER 2024. AS A RESULT, THE FOCUS OF GSMC'S 2024 COMMUNITY BENEFIT WORK WAS THE FINAL YEAR OF THE THREE-YEAR CYCLE OF THE 2021 CHNA AND 2022 IMPLEMENTATION STRATEGY, BOTH OF WHICH WERE ACTIVE AND CURRENT DURING THE TAX YEAR. THE FOLLOWING INFORMATION REFLECTS THE ON-GOING EFFORTS TO ADDRESS THE HEALTH NEEDS IDENTIFIED IN THE ACTIVE CHNA AND IMPLEMENTATION STRATEGY. THE 2021 GSMC CHNA IDENTIFIED A PRELIMINARY LIST OF SIGNIFICANT HEALTH NEEDS: - ACCESS TO HEALTH CARE SERVICES- CANCER - COVID-19 - DENTAL CARE - DIABETES - FOOD INSECURITY - HEART DISEASE & STROKE - HOUSING - LUNG DISEASE - MENTAL HEALTH - OVERWEIGHT AND OBESITY - SUBSTANCE USE - UNINTENDED INJURIESTHE PRIORITIZED SIGNIFICANT HEALTH NEEDS WERE: - ACCESS TO HEALTHCARE - BEHAVIORAL HEALTHACCESS TO HEALTHCARE:THE GSMC SERVICE AREA HAD A 93.8% RATE OF HEALTH INSURANCE COVERAGE, WHICH WAS HIGHER THAN THE STATE'S 93.5% RATE OR THE HEALTHY PEOPLE 2030 OBJECTIVE 92.1%. THE COUNTIES INCLUDED IN THE SERVICE AREA ARE ADAMS COUNTY RESIDENTS (90.9%), BOULDER AND BROOMFIELD COUNTY (94.7%), JEFFERSON COUNTY (97.4%) AND WELD COUNTY (95.9%). IN THE 2019 CENSUS, 16.9% OF ADAMS RESIDENTS, 12.1% OF WELD COUNTY, 9.0% OF JEFFERSON COUNTY, AND 8.1% OF BOULDER AND BROOMFIELD COUNTIES DID NOT RECEIVE CARE WITHIN THE LAST 12 MONTHS DUE TO COST AS COMPARED TO THE STATE'S 12.8% AVERAGE.THE RESULT OF KEY INFORMANT SURVEYS INDICATED THAT 62.5% OF PARTICIPANTS FELT THAT ACCESS TO HEALTHCARE HAD A SEVERE IMPACT ON THE COMMUNITY, 62.5% INDICATED RESOURCES WERE INSUFFICIENT, AND 12.5% INDICATED THE ISSUE HAD WORSENED OVER TIME. IN 2024, THE FOLLOWING ACTIVITIES ADDRESSED ACCESS TO HEALTHCARE:GSMC PROVIDED A $46,000 CHARITABLE CONTRIBUTION TO BENEFITS IN ACTION TO SUPPORT THE ENROLLMENT OF HISPANIC/LATINO AND LOW-INCOME INDIVIDUALS IN INSURANCE PRODUCTS AND GOVERNMENTAL ASSISTANCE PROGRAMS, WHO WERE IDENTIFIED AS POPULATIONS IN NEED THROUGH THE 2021 CHNA DATA. 2,446 PEOPLE RECEIVED ASSISTANCE ENROLLING FOR INSURANCE AND GOVERNMENTAL BENEFIT PROGRAMS AND 45.4% OF THOSE PEOPLE IDENTIFIED AS HISPANIC/LATINO.IN COLLABORATION WITH LYFT, GSMC PROVIDED TRANSPORTATION FOR PATIENTS TOTALING $12,966, WHICH ASSISTED PATIENTS RETURNING TO THEIR PLACE OF RESIDENCE AFTER DISCHARGE FROM THE HOSPITAL.GSMC PROVIDED A $10,000 CHARITABLE CONTRIBUTION TO VIA MOBILITY FOR NEARLY 2,000 DOOR-TO-DOOR TRANSPORTS FOR COMMUNITY MEMBERS FROM THEIR HOMES TO MEDICAL APPOINTMENTS.GSMC IMPROVED ACCESS TO CARE BY EXPANDING TELEMEDICINE VISITS TO 758 IN 2024.BEHAVIORAL HEALTH (MENTAL HEALTH/SUBSTANCE USE): WITHIN GSMC'S SERVICE AREA, THE PERCENTAGE OF THE ADULT POPULATION REPORTING MORE THAN 14 DAYS OF POOR MENTAL HEALTH PER MONTH WAS 11.8% IN ADAMS AND 12.6% IN WELD, WHICH WAS HIGHER THAN THE 11% STATE RATE (2016-2018 BRFSS DATABASE). ADAMS AND WELD COUNTIES HAD FEWER MENTAL HEALTH PROVIDERS, 2.1 AND 1.7, RESPECTIVELY, PER 1,000 THAN THE STATE'S AVERAGE OF 2.7. WHILE BOULDER COUNTY (6.3), BROOMFIELD COUNTY (3.5), AND JEFFERSON COUNTY (3.1) WERE HIGHER THAN THE STATE AVERAGE. DURING KEY INFORMANTS' SURVEYS, 87.5% OF PARTICIPANTS REPORTED MENTAL HEALTH AS HAVING A SEVERE AND VERY SEVERE IMPACT ON THE COMMUNITY AND 100% REPORTED THE SAME FOR SUBSTANCE USE. ADDITIONALLY, 75% OF PARTICIPANTS REPORTED THAT MENTAL HEALTH ISSUES WORSENED OVER TIME AND 85.7% REPORTED SUBSTANCE USE ISSUES WORSENED OVER TIME. IN 2024, THE FOLLOWING ACTIVITIES ADDRESSED BEHAVIORAL HEALTH (MENTAL HEALTH/SUBSTANCE USE): GSMC HOSTED THREE MENTAL HEALTH FIRST AID TRAINING SESSIONS THAT TRAINED 19 COMMUNITY MEMBERS. GSMC DISTRIBUTED 51 FREE NARCAN KITS AT THE TIME OF DISCHARGE TO PATIENTS ADMITTED FOR HEROIN OR OPIOID OVERDOSE. GSMC PARTICIPATED IN THE "FOLLOW UP PROJECT", AN EVIDENCE-BASED SUICIDE PREVENTION PROJECT WITH THE COLORADO OFFICE OF SUICIDE PREVENTION AT THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE). AS A RESULT, 150 PATIENTS ACCEPTED WEEKLY FOLLOW-UP PHONE CALLS FOR 30 DAYS FOLLOWING THE DISCHARGE FOR A MENTAL HEALTH CRISIS OR OVERDOSE.GSMC PARTICIPATED IN THE ZERO SUICIDE COLLABORATIVE TO IMPROVE TRAINING AND TREATMENT APPROACHES FOR SUICIDE PREVENTION THROUGH THE OFFICE OF SUICIDE PREVENTION (CDPHE) AND THE BOULDER COUNTY SUBSTANCE USE ADVISORY GROUP.GSMC PARTICIPATED IN THE COLORADO ALTERNATIVES TO OPIOIDS (ALTO) PROJECT. IN 2024, GSMC INCREASED THE PERCENTAGE OF EPRESCRIBING OF CONTROLLED SUBSTANCES FOR DISCHARGED PATIENTS TO 98.51%.GSMC DONATED $10,000 TO LOCAL NONPROFITS SUPPORTING BEHAVIORAL HEALTH.OTHER HEALTH NEEDS NOT PRIORITIZED: EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA PROCESS ARE IMPORTANT. GSMC 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, GSMC LIMITED ITS PRIMARY FOCUS TO THE SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE 2021 CHNA. GSMC CONTINUED TO SUPPORT COMMUNITY EFFORTS AND COLLABORATIONS THAT ADDRESS ISSUES NOT PRIORITIZED IN THE 2022 COMMUNITY HEALTH IMPLEMENTATION STRATEGY. THE FOLLOWING SIGNIFICANT HEALTH NEEDS IDENTIFIED WERE NOT ADDRESSED DUE TO THE AFORMENTIONED REASONS: CHRONIC DISEASES (CANCER, DIABETES, HEART DISEASE AND STROKE, AND LUNG DISEASE), COVID-19, DENTAL CARE, FOOD INSECURITY, HOUSING, OVERWEIGHT AND OBESITY, AND UNINTENDED INJURIES. PART V, SECTION B, LINE 13B & 13H:CATASTROPHIC ASSISTANCE. INTERMOUNTAIN FRONT RANGE, INC. ATTEMPTS TO LIMIT A PATIENT'S FINANCIAL RESPONSIBILITY WHEN ALL OUTSTANDING MEDICAL DEBT, INCLUDING DEBT OWED TO OTHER PROVIDERS, EXCEEDS 25% OF THE PATIENT'S GROSS HOUSEHOLD ANNUAL INCOME.EXTENUATING CIRCUMSTANCES. SINCE EACH PATIENT'S PERSONAL CIRCUMSTANCES VARY, INTERMOUNTAIN FRONT RANGE, INC. ALLOWS FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES AND PROCEDURES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. SCHEDULE H, PART V, SECTION B, LINE 16 LUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 16A, FINANCIAL ASSISTANCE POLICY WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGGOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 16A, FINANCIAL ASSISTANCE POLICY WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGLUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 16B, FINANCIAL ASSISTANCE APPLICATION WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGGOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 16B, FINANCIAL ASSISTANCE APPLICATION WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGLUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 16C, FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGGOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 16C, FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGPART V, SECTION B, LINE 15E, 16L, 16J & 20E:SPECIFIC INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM ALONG WITH APPLICATIONS TO APPLY FOR FINANCIAL ASSISTANCE CAN BE FOUND ON THE INTERMOUNTAIN HEALTH WEBSITE (HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE) IN ENGLISH, SPANISH, ARABIC, CHINESE, FRENCH, KOREAN, RUSSIAN AND VIETNAMESE. DETAILS INCLUDE AN EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, A TOLL-FREE, NUMBER AND A LINK TO THE APPLICATION. BROCHURES IN ENGLISH AND SPANISH ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF HOSPITALS AND CLINICS. OTHER LANGUAGES ARE AVAILABLE UPON REQUEST. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES AND HOW TO APPLY.ELIGIBILITY COUNSELORS AND PATIENT FINANCIAL ADVOCATES ARE AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING OR AFTER THE TIME OF SERVICE. SIGNS ARE POSTED AT PUBLIC REGISTRATION AREAS, IN PRIVATE REGISTRATIONROOMS AND IN PATIENT CARE AREAS IN BOTH ENGLISH AND SPANISH.PART V, SECTION B, LINE 22B:INTERMOUNTAIN FRONT RANGE, INC. DETERMINED THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO A FINANCIAL ASSISTANCE ELIGIBLE PATIENT BY CALCULATING THE AMOUNT GENERALLY BILLED USING THE LOOK-BACK METHOD DESCRIBED IN TREASURY REGULATION SECTION 1.501(R)-5(B)(3). 149 1 - ROCKY MOUNTAIN ORTHOPEDICS CLINIC 627 25 1/2 ROAD GRAND JUNCTION CO 81505 OUTPATIENT PHYSICIAN CLINIC 2 - IH HEART & VASCULAR - LUTHERAN CARDIOLOGY 12905 W 40TH AVE WHEAT RIDGE CO 80401 OUTPATIENT PHYSICIAN CLINIC 3 - IH HEART & VASCULAR - WEST PARK CARDIOLOGY 360 WEST PARK DR GRAND JUNCTION CO 815068817 OUTPATIENT PHYSICIAN CLINIC 4 - GRAND JUNCTION HOSPITALISTS 2635 N 7TH ST GRAND JUNCTION CO 815068209 OUTPATIENT PHYSICIAN CLINIC 5 - WELLINGTON NEUROLOGY CLINIC 750 WELLINGTON AVE GRAND JUNCTION CO 815016124 OUTPATIENT PHYSICIAN CLINIC 6 - LMC CANCER CENTERS OF CO - RADIATION ONCOL 400 INDIANA ST GOLDEN CO 80401 OUTPATIENT PHYSICIAN CLINIC 7 - PATTERSON PRIMARY CARE CLINIC 2570 PATTERSON RD GRAND JUNCTION CO 81505 OUTPATIENT PHYSICIAN CLINIC 8 - WELLINGTON NEUROSURGERY CLINIC 750 WELLINGTON AVE GRAND JUNCTION CO 815016124 OUTPATIENT PHYSICIAN CLINIC 9 - IH HEART & VASCULAR - DENVER 1818 N OGDEN ST DENVER CO 802183667 OUTPATIENT PHYSICIAN CLINIC 10 - WHEAT RIDGE CLINIC - PRIMARY CARE 8550 W 38TH AVE WHEAT RIDGE CO 800336016 OUTPATIENT PHYSICIAN CLINIC 11 - IH HEART & VASCULAR INSTITUTE - LAFAYETTE 300 EXEMPLA CIR LAFAYETTE CO 800263394 OUTPATIENT PHYSICIAN CLINIC 12 - DENVER WEST CLINIC - PRIMARY CARE 1726 COLE BLVD LAKEWOOD CO 80401 OUTPATIENT PHYSICIAN CLINIC 13 - IH BROOMFIELD CLINIC 12169 SHERIDAN BLVD BROOMFIELD CO 800202459 OUTPATIENT PHYSICIAN CLINIC 14 - DENVER MIDTOWN CLINIC - PRIMARY CARE 1960 N OGDEN ST DENVER CO 802183667 OUTPATIENT PHYSICIAN CLINIC 15 - PATTERSON OB-GYN & MIDWIFERY CLINIC 610 25 ROAD GRAND JUNCTION CO 81505 OUTPATIENT PHYSICIAN CLINIC 16 - IH SUPERIOR CLINIC 3 SUPERIOR DRIVE SUPERIOR CO 800278656 OUTPATIENT PHYSICIAN CLINIC 17 - IH THORNTON CLINIC 1181 E 120TH AVE THORNTON CO 802335729 OUTPATIENT PHYSICIAN CLINIC 18 - LAFAYETTE CLINIC - NEUROLOGY 300 EXEMPLA CIRCLE LAFAYETTE CO 80026 OUTPATIENT PHYSICIAN CLINIC 19 - IH LAFAYETTE CLINIC 2600 CAMPUS DR LAFAYETTE CO 800263358 OUTPATIENT PHYSICIAN CLINIC 20 - CENTRAL PARK CLINIC - OB-GYN 2823 ROSLYN ST DENVER CO 802382624 OUTPATIENT PHYSICIAN CLINIC 21 - CHERRY CREEK CLINIC - PRIMARY CARE 400 S COLORADO BLVD DENVER CO 80246 OUTPATIENT PHYSICIAN CLINIC 22 - GRAND JUNCTION CRITICAL CARE INTENSIVISTS 2635 NORTH 7TH GRAND JUNCTION CO 81501 OUTPATIENT PHYSICIAN CLINIC 23 - RAMPART CLINIC NEUROLOGY 130 RAMPART WAY DENVER CO 80230 OUTPATIENT PHYSICIAN CLINIC 24 - DENVER MIDTOWN CLINIC - OB-GYN 1960 N OGDEN ST DENVER CO 802183668 OUTPATIENT PHYSICIAN CLINIC 25 - WELLINGTON RADIATION ONCOLOGY CLINIC 750 WELLINGTON AVE GRAND JUNCTION CO 81501 OUTPATIENT PHYSICIAN CLINIC 26 - WELLINGTON OB-GYN CLINIC 2525 N 8TH ST GRAND JUNCTION CO 81501 OUTPATIENT PHYSICIAN CLINIC 27 - IH SUPERIOR CLINIC - OB-GYN 3 SUPERIOR DRIVE SUPERIOR CO 800278656 OUTPATIENT PHYSICIAN CLINIC 28 - LAFAYETTE CLINIC - ORTHOPEDIC SPINE 340 EXEMPLA CIR LAFAYETTE CO 80026 OUTPATIENT PHYSICIAN CLINIC 29 - IH HEART & VASCULAR - GRAND JUNCTION VASCU 2643 PATTERSON RD GRAND JUNCTION CO 815061937 OUTPATIENT PHYSICIAN CLINIC 30 - LAFAYETTE CLINIC - NEUROSURGERY 340 EXEMPLA CIRCLE LAFAYETTE CO 80026 OUTPATIENT PHYSICIAN CLINIC 31 - WHEAT RIDGE CLINIC - PHYSICAL THERAPY 8550 W 38TH AVE WHEAT RIDGE CO 800331724 OUTPATIENT PHYSICIAN CLINIC 32 - NORTHFIELD CLINIC - PRIMARY CARE 8900 E 46TH PL DENVER CO 802383143 OUTPATIENT PHYSICIAN CLINIC 33 - LOWRY CLINIC OB-GYN 63 N QUEBEC ST DENVER CO 80230 OUTPATIENT PHYSICIAN CLINIC 34 - IH HEART & VASCULAR - DENVER CARDIAC 1818 N OGDEN ST DENVER CO 802183671 OUTPATIENT PHYSICIAN CLINIC 35 - DENVER MIDTOWN CLINIC - WEIGHT LOSS 1960 N OGDEN ST DENVER CO 80218 OUTPATIENT PHYSICIAN CLINIC 36 - LUTHERAN CLINIC - WEIGHT LOSS CENTER 12905 W 40TH AVE WHEAT RIDGE CO 80401 OUTPATIENT PHYSICIAN CLINIC 37 - WELLINGTON MEDICAL ONCOLOGY CLINIC 750 WELLINGTON AVE GRAND JUNCTION CO 81501 OUTPATIENT PHYSICIAN CLINIC 38 - LUTHERAN CLINIC - ORTHOPEDIC TRAUMA 12905 W 40TH AVE WHEAT RIDGE CO 80401 OUTPATIENT PHYSICIAN CLINIC 39 - IH WESTMINSTER CLINIC 8758 WOLFF CT WESTMINSTER CO 800316904 OUTPATIENT PHYSICIAN CLINIC 40 - CANDELAS CLINIC - DIABETES & ENDOCRINOLOGY 15389 W 91ST DR ARVADA CO 800071400 OUTPATIENT PHYSICIAN CLINIC 41 - LAFAYETTE CLINIC - GENERAL SURGERY 300 EXEMPLA CIR LAFAYETTE CO 800263396 OUTPATIENT PHYSICIAN CLINIC 42 - GRAND JUNCTION PHYSICAL MEDICINE 2643 PATTERSON RD GRAND JUNCTION CO 815061937 OUTPATIENT PHYSICIAN CLINIC 43 - COMMUNITY FOOT & ANKLE CLINIC 11900 GRANT ST NORTHGLENN CO 80233 OUTPATIENT PHYSICIAN CLINIC 44 - IH HEART & VASCULAR - NORTHGLENN CLINIC 11900 GRANT ST NORTHGLENN CO 80233 OUTPATIENT PHYSICIAN CLINIC 45 - GREEN MOUNTAIN CLINIC - PRIMARY CARE 12790-A W ALAMEDA PKWY LAKEWOOD CO 802282850 OUTPATIENT PHYSICIAN CLINIC 46 - COPPERLEAF CLINIC - PRIMARY CARE 21750 E QUINCY AVE AURORA CO 800152894 OUTPATIENT PHYSICIAN CLINIC 47 - CONGRESS PARK CLINIC - PRIMARY CARE 1400 JACKSON ST DENVER CO 802062761 OUTPATIENT PHYSICIAN CLINIC 48 - ST MARY'S NEPHROLOGY CLINIC 2635 N 7TH ST 4TH FLOOR GRAND JUNCTION CO 815016100 OUTPATIENT PHYSICIAN CLINIC 49 - LUTHERAN CLINIC - NEUROSURGERY 12905 W 40TH AVE WHEAT RIDGE CO 80401 OUTPATIENT PHYSICIAN CLINIC 50 - GRAND JUNCTION NEONATOLOGY 2635 N 7TH ST GRAND JUNCTION CO 815068209 OUTPATIENT PHYSICIAN CLINIC 51 - CANDELAS CLINIC - PRIMARY CARE 15389 WEST 91ST DR ARVADA CO 80007 OUTPATIENT PHYSICIAN CLINIC 52 - WHEAT RIDGE CLINIC -OCCUPATIONAL MEDICINE 8550 W 38TH AVE WHEAT RIDGE CO 800331724 OUTPATIENT PHYSICIAN CLINIC 53 - BELMAR CLINIC - PRIMARY CARE 360 S TELLER ST LAKEWOOD CO 802267384 OUTPATIENT PHYSICIAN CLINIC 54 - LOWRY CLINIC - PRIMARY CARE 63 N QUEBEC ST DENVER CO 80230 OUTPATIENT PHYSICIAN CLINIC 55 - GREEN VALLEY RANCH CLINIC - PRIMARY CARE 4859 N YAMPA ST DENVER CO 80249 OUTPATIENT PHYSICIAN CLINIC 56 - IH HEART & VASCULAR - CARDIOTHORACIC 2643 PATTERSON RD GRAND JUNCTION CO 815061937 OUTPATIENT PHYSICIAN CLINIC 57 - SCL HEALTH - MSO WP PHYSICIAN BILLING 3400 LUTHERAN PKWY WHEAT RIDGE CO 800336035 OUTPATIENT PHYSICIAN CLINIC 58 - IH SAINT JOSEPH HOSPITAL - RADIATION ONC 1375 EAST 19TH AVE DENVER CO 80218 OUTPATIENT PHYSICIAN CLINIC 59 - ROCKY MOUNTAIN ORTHOPEDICS - PT 627 25 1/2 ROAD GRAND JUNCTION CO 81505 OUTPATIENT PHYSICIAN CLINIC 60 - LUTHERAN CLINIC - FOOT AND ANKLE 12905 W 40TH AVE WHEAT RIDGE CO 80401 OUTPATIENT PHYSICIAN CLINIC 61 - IH LARKRIDGE CLINIC 16570 WASHINGTON ST THORNTON CO 800238964 OUTPATIENT PHYSICIAN CLINIC 62 - DENVER MIDTOWN CLINIC - DIABETES 1960 N OGDEN ST DENVER CO 802183667 OUTPATIENT PHYSICIAN CLINIC 63 - LUTHERAN CLINIC - NEUROLOGY 12905 W 40TH AVE WHEAT RIDGE CO 80401 OUTPATIENT PHYSICIAN CLINIC 64 - WELLINGTON MATERNAL FETAL MEDICINE CLINIC 710 WELLINGTON AVE GRAND JUNCTION CO 81501 OUTPATIENT PHYSICIAN CLINIC 65 - DENVER MIDTOWN CLINIC - CERTIFIED NURSE MI 1960 N OGDEN ST DENVER CO 802183669 OUTPATIENT PHYSICIAN CLINIC 66 - DENVER MIDTOWN CLINIC - UROGYNECOLOGY 1960 N OGDEN ST DENVER CO 802183671 OUTPATIENT PHYSICIAN CLINIC 67 - WELLINGTON LUNG & SLEEP CLINIC 1050 WELLINGTON AVE GRAND JUNCTION CO 815018121 OUTPATIENT PHYSICIAN CLINIC 68 - DENVER MIDTOWN CLINIC - MATERNAL FETAL MED 1960 OGDEN ST DENVER CO 802183669 OUTPATIENT PHYSICIAN CLINIC 69 - IH VIRTUAL CARE COLORADOMONTANA 8550 W 38TH AVE WHEAT RIDGE CO 80033 OUTPATIENT PHYSICIAN CLINIC 70 - HIGHLANDS RANCH CLINIC - PRIMARY CARE 8671 S QUEBEC ST HIGHLANDS RANCH CO 80130 OUTPATIENT PHYSICIAN CLINIC 71 - PATTERSON OCCUPATIONAL MEDICINE CLINIC 2686 PATTERSON RD GRAND JUNCTION CO 815068817 OUTPATIENT PHYSICIAN CLINIC 72 - IH DENVER SPORTS MEDICINE CLINIC 1830 FRANKLIN ST DENVER CO 802183667 OUTPATIENT PHYSICIAN CLINIC 73 - IH HEART & VASCULAR - GOLDEN 400 INDIANA ST GOLDEN CO 804013426 OUTPATIENT PHYSICIAN CLINIC 74 - IH HEART & VASCULAR - DENVER HEART 1818 N OGDEN ST DENVER CO 80218 OUTPATIENT PHYSICIAN CLINIC 75 - LUTHERAN CLINIC - MATERNAL FETAL MEDICINE 12905 W 40TH AVE WHEAT RIDGE CO 80401 OUTPATIENT PHYSICIAN CLINIC 76 - LAFAYETTE WOMEN'S CLINIC - OB-GYN 300 EXEMPLA CIRCLE LAFAYETTE CO 800263395 OUTPATIENT PHYSICIAN CLINIC 77 - IH FIRESTONE CLINIC 8350 COLORADO BLVD FIRESTONE CO 805046803 OUTPATIENT PHYSICIAN CLINIC 78 - SAINT JOSEPH - CANCER CENTERS OF CO 1825 N MARION ST DENVER CO 80218 OUTPATIENT PHYSICIAN CLINIC 79 - IH QUAIL CREEK CLINIC 2055 WEST 136TH AVE BROOMFIELD CO 800239308 OUTPATIENT PHYSICIAN CLINIC 80 - ST MARY'S WOUND CARE CLINIC 2635 N 7TH ST GRAND JUNCTION CO 815018209 OUTPATIENT PHYSICIAN CLINIC 81 - WESTERN CO OBESITY MANAGEMENT CLINIC 2440 N 11TH STREET GRAND JUNCTION CO 815018102 OUTPATIENT PHYSICIAN CLINIC 82 - IH BROOMFIELD CLINIC - PT & OT 12169 SHERIDAN BLVD BROOMFIELD CO 800202459 OUTPATIENT PHYSICIAN CLINIC 83 - IH DENVER CLINIC - ORTHO SPINE 1830 FRANKLIN ST DENVER CO 80218 OUTPATIENT PHYSICIAN CLINIC 84 - IH HOSPICE - DENVER PALLIATIVE CARE 3210 LUTHERAN PKWY WHEAT RIDGE CO 800336019 OUTPATIENT PHYSICIAN CLINIC 85 - ST MARY'S RHEUMATOLOGY CLINIC 2635 NORTH 7TH ST GRAND JUNCTION CO 815018209 OUTPATIENT PHYSICIAN CLINIC 86 - LMC - CANCER CENTERS OF CO - MEDICAL ONCOL 400 INDIANA ST GOLDEN CO 80401 OUTPATIENT PHYSICIAN CLINIC 87 - IH HEART AND VASCULAR - LUTHERAN CARDIAC 12905 W 40TH AVE WHEAT RIDGE CO 80401 OUTPATIENT PHYSICIAN CLINIC 88 - IH LARKRIDGE CLINIC - PHYSICAL THERAPY 16570 WASHINGTON ST THORNTON CO 800238964 OUTPATIENT PHYSICIAN CLINIC 89 - IH - BUCKLEY CLINIC 550 S AIRPORT BLVD AURORA CO 800172253 OUTPATIENT PHYSICIAN CLINIC 90 - DENVER MIDTOWN CLINIC - BREAST CARE 1960 N OGDEN ST DENVER CO 802183671 OUTPATIENT PHYSICIAN CLINIC 91 - GSMC - CANCER CENTERS OF COLORADO 340 EXEMPLA CIR LAFAYETTE CO 80026 OUTPATIENT PHYSICIAN CLINIC 92 - LAFAYETTE CLINIC - TRAUMA SURGERY 300 EXEMPLA CIR LAFAYETTE CO 800263396 OUTPATIENT PHYSICIAN CLINIC 93 - IH - LAFAYETTE MATERNAL FETAL MEDICINE 300 EXEMPLA CIR LAFAYETTE CO 800263396 OUTPATIENT PHYSICIAN CLINIC 94 - LAFAYETTE WOMEN'S CLINIC - UROGYNECOLOGY 300 EXEMPLA CIR LAFAYETTE CO 800263392 OUTPATIENT PHYSICIAN CLINIC 95 - GSMC - CANCER CENTERS OF COLORADO 340 EXEMPLA CIR LAFAYETTE CO 80026 OUTPATIENT PHYSICIAN CLINIC 96 - GRAND JUNCTION INFECTIOUS DISEASE CLINIC 2643 PATTERSON RD GRAND JUNCTION CO 815061937 OUTPATIENT PHYSICIAN CLINIC 97 - DENVER MIDTOWN CLINIC - SURGERY 1960 N OGDEN ST DENVER CO 802183671 OUTPATIENT PHYSICIAN CLINIC 98 - GRAND JUNCTION PALLIATIVE CARE 2635 N 7TH ST GRAND JUNCTION CO 81506 OUTPATIENT PHYSICIAN CLINIC 99 - PLATTE VALLEY CLINIC - MATERNAL FETAL MED 1606 PRAIRIE CENTER PKWY BRIGHTON CO 806014004 OUTPATIENT PHYSICIAN CLINIC 100 - IH LUTHERAN HOSPITAL - MEDICAL ONCOLOGY 400 INDIANA ST GOLDEN CO 80401 OUTPATIENT PHYSICIAN CLINIC 101 - CENTRAL PARK CLINIC - PHYSICAL THERAPY 2807 ROSLYN ST DENVER CO 802382624 OUTPATIENT PHYSICIAN CLINIC 102 - IH HEART & VASCULAR - DELTA CARDIOLOGY 155 STAFFORD LN DELTA CO 814162243 OUTPATIENT PHYSICIAN CLINIC 103 - PATTERSON BEHAVIORAL HEALTH CLINIC 2570 PATTERSON RD GRAND JUNCTION CO 81505 OUTPATIENT PHYSICIAN CLINIC 104 - FIRESTONE CLINIC - NEUROLOGY 8350 COLORADO BLVD FIRESTONE CO 805046803 OUTPATIENT PHYSICIAN CLINIC 105 - CENTRAL PARK CLINIC - OCCUPATIONAL MED 2803 ROSLYN ST DENVER CO 80238 OUTPATIENT PHYSICIAN CLINIC 106 - PLATTE VALLEY CLINIC - SPINE 1610 PRAIRIE CENTER PKWY BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC 107 - PLATTE VALLEY CLINIC - DIABETES & ENDO 1610 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC 108 - WEST PINES BEHAVIORAL 3400 LUTHERAN PKWY WHEAT RIDGE CO 800336035 OUTPATIENT PHYSICIAN CLINIC 109 - EAST CROSSROADS CLINIC - PRIMARY CARE 23750 E 14TH AVE AURORA CO 80018 OUTPATIENT PHYSICIAN CLINIC 110 - SCL HEALTH - INPATIENT CONSULT SERVICES 2635 N 7TH ST GRAND JUNCTION CO 815068209 OUTPATIENT PHYSICIAN CLINIC 111 - CORTEZ NEUROLOGY OUTREACH CLINIC 1280 N MILDRED RD CORTEZ CO 81321 OUTPATIENT PHYSICIAN CLINIC 112 - ST MARY'S HYPERBARIC MEDICAL SVCS 2635 NORTH 7TH ST GRAND JUNCTION CO 815018209 OUTPATIENT PHYSICIAN CLINIC 113 - EAST CROSSROADS CLINIC - PODIATRY 23750 E 14TH AVE AURORA CO 80018 OUTPATIENT PHYSICIAN CLINIC 114 - PLATTE VALLEY CLINIC - SPINE 1610 PRAIRIE CENTER PKWY BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC 115 - IH CENTRAL PARK CLINIC - GYNECOLOGIC ONCOL 2823 ROSLYN ST DENVER CO 80238 OUTPATIENT PHYSICIAN CLINIC 116 - PATTERSON ENDOCRINOLOGY CLINIC 2686 PATTERSON RD GRAND JUNCTION CO 81506 OUTPATIENT PHYSICIAN CLINIC 117 - WEST PINES 3400 LUTHERAN PKWY WHEAT RIDGE CO 800336035 OUTPATIENT PHYSICIAN CLINIC 118 - CANDELAS CLINIC - DIABETES EDUCATION 15389 W 91ST DR ARVADA CO 800071400 OUTPATIENT PHYSICIAN CLINIC 119 - EAST CROSSROADS CLINIC - ORTHOPEDICS 23750 E 14TH AVE AURORA CO 80018 OUTPATIENT PHYSICIAN CLINIC 120 - IH LUTHERAN SPINE CENTER 1687 COLE BLVD LAKEWOOD CO 80401 OUTPATIENT PHYSICIAN CLINIC 121 - DENVER MIDTOWN CLINIC - LUNG NODULE 1960 N OGDEN ST DENVER CO 802183673 OUTPATIENT PHYSICIAN CLINIC 122 - GUNNISON NEUROLOGY OUTREACH CLINIC 711 N TAYLOR ST GUNNISON CO 812302243 OUTPATIENT PHYSICIAN CLINIC 123 - DELTA PHYSICAL MEDICINE & REHAB 155 STAFFORD LANE DELTA CO 81416 OUTPATIENT PHYSICIAN CLINIC 124 - SMMG - MEDICAL ONCOLOGY MOAB REGIONAL HOSPITAL MOAB UT 845322185 OUTPATIENT PHYSICIAN CLINIC 125 - IH LUTHERAN SPINE CENTER 1687 COLE BLVD LAKEWOOD CO 80401 OUTPATIENT PHYSICIAN CLINIC 126 - IH HEART AND VASCULAR - BUCKLEY 550 S AIRPORT BLVD AURORA CO 800172253 OUTPATIENT PHYSICIAN CLINIC 127 - ST MARY'S - CANCER CENTERS OF CO 750 HOSPITAL LOOP CRAIG CO 816258750 OUTPATIENT PHYSICIAN CLINIC 128 - ST MARY'S - CANCER CENTERS OF CO GRAND RIVER HEALTH RIFLE UT 816508510 OUTPATIENT PHYSICIAN CLINIC 129 - IH HEART & VASCULAR - MOAB CARDIOLOGY 450 WILLIAMS WAY MOAB CO 845322185 OUTPATIENT PHYSICIAN CLINIC 130 - IH LAFAYETTE WOMEN'S CLINIC 300 EXEMPLA CIR LAFAYETTE CO 800263396 OUTPATIENT PHYSICIAN CLINIC 131 - IH LUTHERAN SPINE CENTER 1687 COLE BLVD LAKEWOOD CO 80401 OUTPATIENT PHYSICIAN CLINIC 132 - GUNNISON MATERNAL FETAL MEDICINE 711 N TAYLOR ST GUNNISON UT 812302243 OUTPATIENT PHYSICIAN CLINIC 133 - IH LUTHERAN SPINE CENTER 1687 COLE BLVD LAKEWOOD CO 80401 OUTPATIENT PHYSICIAN CLINIC 134 - MOAB NEUROLOGY OUTREACH CLINIC 476 WEST WILLIAM WAY MOAB CO 84532 OUTPATIENT PHYSICIAN CLINIC 135 - CRAIG NEUROLOGY OUTREACH CLINIC 750 HOSPITAL LOOP CRAIG CO 81625 OUTPATIENT PHYSICIAN CLINIC 136 - EAST CROSSROADS CLINIC - SPINE OUTREACH 23750 E 14TH AVE STE 220 AURORA CO 80018 OUTPATIENT PHYSICIAN CLINIC 137 - SCL HEALTH - PODIATRY 627 25 1/2 ROAD GRAND JUNCTION CO 81505 OUTPATIENT PHYSICIAN CLINIC 138 - GRAND JUNCTION AIM CLINIC 2643 PATTERSON RD STE 603 GRAND JUNCTION CO 815061936 OUTPATIENT PHYSICIAN CLINIC 139 - GRAND JUNCTION RENAL REHAB CLINIC 2643 PATTERSON ROAD GRAND JUNCTION CO 81506 OUTPATIENT PHYSICIAN CLINIC 140 - GRAND JUNCTION PEDIATRIC SPECIALTY CLINIC 2643 PATTERSON RD GRAND JUNCTION CO 815061937 OUTPATIENT PHYSICIAN CLINIC 141 - GOOD SAMARITAN TRAUMA CLINIC 200 EXEMPLA CIR LAFAYETTE CO 80026 OUTPATIENT PHYSICIAN CLINIC 142 - GOOD SAMARITAN - CRITICAL CARE 200 EXEMPLA CIR LAFAYETTE CO 80026 OUTPATIENT PHYSICIAN CLINIC 143 - IH HEART & VASCULAR - EAST CROSSROADS 23750 E 14TH AVE AURORA CO 80018 OUTPATIENT PHYSICIAN CLINIC 144 - EAST CROSSROADS CLINIC - GENERAL SURGERY 23750 E 14TH AVE AURORA CO 80018 OUTPATIENT PHYSICIAN CLINIC 145 - SCL HEALTH - ASSOCIATE HEALTH CENTER 500 ELDORADO BLVD BROOMFIELD CO 800213408 OUTPATIENT PHYSICIAN CLINIC 146 - SCL HEALTH - MSO WHEATRIDGE HEM ONC 4045 WADSWORTH BLVD WHEAT RIDGE CO 80033 OUTPATIENT PHYSICIAN CLINIC 147 - SCL HEALTH FORESIGHT FAMILY PHYSICIANS 2503 FORESIGHT CIR GRAND JUNCTION CO 81505 OUTPATIENT PHYSICIAN CLINIC 148 - IH HEART & VASCULAR - HIGHLANDS RANCH 630 PLAZA DR HIGHLANDS RANCH CO 801292750 OUTPATIENT PHYSICIAN CLINIC 149 - LMC - CANCER CENTERS OF CO 400 INDIANA STREET GOLDEN CO 80401 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: MAXIMUM FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). APPLICANTS EQUAL TO OR BELOW THIS THRESHOLD RECEIVE A 100% WAIVER OF PATIENT FINANCIAL OBLIGATION.A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 250% AND 500% OF FPG.TO DETERMINE ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE, A VARIETY OF FACTORS IS USED, INCLUDING INCOME, MEDICAL INDIGENCE, INSURANCE STATUS, SOCIAL-ECONOMIC, GEOGRPAHICAL LOCATION, AND MEDICAID ELIGIBILITY.TOTAL CHARGES ARE LIMITED IN RELATION TO THE GROSS HOUSEHOLD INCOME. CHARGES ARE DISCOUNTED TO NOT EXCEED 25% OF GROSS ANNUAL HOUSEHOLD INCOME.SINCE EACH PATIENT'S CIRCUMSTANCES VARY, ALLOWANCE IS MADE FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART I, LINE 6A: THIS ORGANIZATION 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 ADJUSTMENTS FOR UNAPID SERVICES INCLUDED ON FORM 990, PART IX, LINE 25, BUT EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $ 32,002,274. PART III, LINE 2: MANAGEMENT ESTIMATES THE PROVISION FOR ADJUSTMENTS FOR UNPAID SERVICES BY ASSESSING THE COLLECTIBILITY, TIMING AND AMOUNT OF PATIENT SERVICES REVENUES BY CONSIDERING HISTORICAL COLLECTION RATES FOR EACH MAJOR PAYER SOURCE, GENERAL ECONOMIC TRENDS, AND OTHER INDICATORS. PART III, LINE 3: WHEN A PATIENT OR RESPONSIBLE PARTY IS UNINSURED OR UNDERINSURED AND EXPRESSES EITHER CONCERN ABOUT THEIR ABILITY TO PAY OR INTEREST IN APPLYING FOR FINANCIAL ASSISTANCE, INTERMOUNTAIN FRONT RANGE, INC. STAFF ARE EDUCATED TO GIVE THE PATIENT AN APPLICATION FOR FINANCIAL ASSISTANCE AND INSTRUCTIONS FOR COMPLETING AND RETURNING THE APPLICATION. IN SITUATIONS WHERE THE PATIENT FAILS TO RETURN THE APPLICATION AND THE ACCOUNT PROGRESSES THROUGH THE COLLECTION CYCLE, THE ACCOUNT MAY BE WRITTEN OFF AS AN ADJUSTMENT FOR UNPAID SERVICES. PART III, LINE 4: BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF INTERMOUNTAIN FRONT RANGE, INC. UNINSURED AND UNDERINSURED PATIENTS ARE UNABLE TO PAY FOR THE SERVICES PROVIDED. ACCORDINGLY, INTERMOUNTAIN FRONT RANGE, INC. RECORDS ADJUSTMENTS TO PATIENT SERVICES REVENUES IN THE PERIOD SERVICES ARE RENDERED FOR AMOUNTS NOT EXPECTED TO BE PAID.MANAGEMENT ESTIMATES THE ADJUSTMENTS RECORDED FOR THESE UNPAID SERVICES BY ASSESSING THE COLLECTIBILITY, TIMING AND AMOUNT OF PATIENT SERVICES REVENUES BY CONSIDERING HISTORICAL COLLECTION RATES FOR EACH MAJOR PAYER SOURCE, GENERAL ECONOMIC TRENDS AND OTHER INDICATORS. MANAGEMENT ALSO ASSESSES THE ADEQUACY OF THE ADJUSTMENTS FOR UNPAID SERVICES BASED ONHISTORICAL WRITE-OFFS, ACCOUNTS RECEIVABLE AGING AND OTHER FACTORS. PART III, LINE 8: MANAGEMENT BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS THE ORGANIZATION INCURS IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. 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.MEDICARE SHORTFALLS SHOULD BE TREATED AND REPORTED ON SCHEDULE H AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:(1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS;(2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, BURDENS BORNE BY GOVERNMENTS ARE RELIEVED;(3) A SIGNIFICANT POSSIBILITY EXISTS THAT CONTINUED REDUCTIONS TO MEDICARE PAYMENTS MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND(4) THE AMOUNT SPENT TO COVER THE REPORTED MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: INTERMOUNTAIN FRONT RANGE, 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. INTERMOUNTAIN FRONT RANGE, INC. ALSO ASSISTS PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS 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 INTERMOUNTAIN FRONT RANGE, INC. AFFORDS 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 BY INTERMOUNTAIN FRONT RANGE, INC. 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 VI, LINE 2: LUTHERAN MEDICAL CENTER:AS PART OF LMC'S COMMITMENT, THE HOSPITAL DOES REGULAR ASSESSMENTS TO UNDERSTAND WHERE NEED IS GREATEST IN THE COMMUNITY AND RESPOND WHERE IT CAN PROVIDE THE GREATEST IMPACT. AS A MEMBER AND LEADER IN THE NEW JEFFERSON COUNTY HEALTH ALLIANCE, THE HOSPITAL CAN MONITOR EMERGING HEALTH NEEDS WITH OTHER STAKEHOLDERS AND COORDINATE A PROMPT RESPONSE. FOR EXAMPLE, THE ALLIANCE IDENTIFIED A LAG IN COVID-19 VACCINATION AMONG HISPANIC COMMUNITY MEMBERS. IN RESPONSE, LMC INITIATED A SPANISH LANGUAGE COMMUNICATION EFFORT, UTILIZED SPANISH-SPEAKING COMMUNITY NAVIGATORS, AND IMPLEMENTED CHANGES THAT REMOVED INSURANCE BARRIERS. THE RESULT WAS A 112% INCREASE IN VACCINATIONS AMONG THIS POPULATION.GOOD SAMARITAN MEDICAL CENTER:COMMUNITY-BUILDING ACTIVITIES IMPROVE THE HEALTH AND SAFETY OF COMMUNITY MEMBERS BY ADDRESSING THE ROOT CAUSES OF HEALTH ISSUES INCLUDING POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS. GSMC INTENTIONALLY BUILT COMMUNITY COLLABORATIONS WITH LOCAL ORGANIZATIONS TO ADDRESS ROOT CAUSES BY PARTICIPATING IN EMERGENCY PREPAREDNESS AND DISASTER READINESS. GSMC ACTIVELY PARTICIPATED IN COMMUNITY COALITIONS AND WORK GROUPS FOCUSING ON SPECIFIC HEALTH NEEDS WITHIN THE COMMUNITY, INCLUDING COLLABORATIONS WITH THE FOLLOWING LOCAL AND STATE HEALTH ORGANIZATIONS AND COMMUNITY-BASED ORGANIZATIONS: ADAMS COUNTY HEALTH DEPARTMENT, BOULDER COUNTY HEALTH DEPARTMENT, BROOMFIELD COUNTY HEALTH DEPARTMENT, ADAMS COUNTY HEALTH ALLIANCE, HEALTHY FUTURES COALITION, SUBSTANCE USE ADVISORY GROUP, BROOMFIELD BEHAVIORAL HEALTH COALITION, BROOMFIELD HOUSING SOLUTIONS FORUM, COLORADO COMMUNITY HEALTH ALLIANCE PROGRAM IMPROVEMENT ADVISORY COMMITTEE, BOULDER COUNTY BEHAVIORAL HEALTH OPERATIONS GROUP, COMMUNITY REACH CENTER, COLORADO HOSPITAL ASSOCIATION, AND SISTER CARMEN COMMUNITY CENTER. GSMC CONTINUES TO MONITOR AND IDENTIFY HEALTH NEEDS IN THE COMMUNITY AS WELL AS EVALUATE GSMC PROGRAMS CURRENTLY ADDRESSING COMMUNITY NEEDS. IN ADDITION, GSMC IS REPRESENTED AND PARTICIPATED IN METRO DENVER PARTNERSHIP FOR HEALTH, A COLLABORATIVE OF COLORADO HEALTH SYSTEMS, PUBLIC HEALTH DEPARTMENTS, AND COMMUNITY-BASED PROVIDERS. THIS COLLABORATIVE WORKS TO ADDRESS CHALLENGING COMMUNITY HEALTH NEEDS USING COLLECTIVE IMPACT STRATEGIES.IN JANUARY 2023, GSMC BEGAN SCREENING PATIENTS FOR SOCIAL NEEDS IN FIVE AREAS: HOUSING, FOOD, UTILITIES, TRANSPORTATION, AND INTERPERSONAL SAFETY. OVERALL SCREENING RATES AT GSMC INCREASED FROM A 2022 BASELINE OF 18.3% TO 90.97% IN 2024. PART VI, LINE 3: BY POLICY, INTERMOUNTAIN FRONT RANGE, INC. PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS BASED ON MEDICAL NEED WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, NATIONAL ORIGIN, DISABILITY, PROTECTED VETERAN STATUS, OR ABILITY TO PAY. AN UNINSURED OR UNDERINSURED LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY. SPECIFIC INFORMATION ON HOW TO APPLY FOR THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON INTERMOUNTAIN FRONT RANGE, INC.'S WEBSITE IN ENGLISH, SPANISH, ARABIC, CHINESE, FRENCH, KOREAN, RUSSIAN, AND VIETNAMESE AND CAN BE SUBMITTED ELECTRONICALLY, BY MAIL, OR IN PERSON. DETAILS INCLUDE A PLAIN LANGUAGE EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, A TOLL-FREE NUMBER, AND A LINK TO THE APPLICATION. BROCHURES, IN ENGLISH, SPANISH, ARABIC, CHINESE, FRENCH, KOREAN, RUSSIAN AND VIETNAMESE, ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF HOSPITALS AND CLINICS. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES AND HOW TO APPLY. ELIGIBILITY COUNSELORS AND PATIENT FINANCIAL ADVOCATES ARE AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING AND AFTER THE TIME OF SERVICE. THE AVAILABILITY OF FINANCIAL ASSISTANCE CAN BE FOUND IN REGISTRATION AREAS AND PATIENT CARE AREAS IN ENGLISH AND SPANISH. EVERY BILLING STATEMENT STATES THE FOLLOWING: "YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE. TO APPLY VISIT WWW.INTERMOUNTAINHEALTH.ORG/FINANCIALASSISTANCE OR CALL US AT 866.665.2636. THIS STATEMENT IS PROVIDED ON THE FRONT OF EACH STATEMENT IN CONSPICUOUS FONT. PART VI, LINE 4: LUTHERAN MEDICAL CENTER:LMC IS LOCATED IN WHEAT RIDGE, COLORADO, IN THE WESTERN DENVER-METRO AREA. THIS ACUTE CARE FACILITY HAS A SERVICE AREA THAT SERVES THE WESTERN METRO AREA, INCLUDING WHEAT RIDGE, ARVADA, AND GOLDEN WHERE THE MAIN CONCENTRATION OF CARE IS PROVIDED AND OVER 50% OF DISCHARGES. ADDITIONAL COMMUNITIES IN THE PRIMARY SERVICE AREA ARE LAKEWOOD, WESTMINSTER, AND THE FOOTHILL COMMUNITIES IN THE FRONT RANGE. LMC'S PRIMARY SERVICE AREA CONSISTS OF 18 ZIP CODES - 13 ZIP CODES IN JEFFERSON COUNTY, 3 ZIP CODES IN DENVER COUNTY, AND 1 ZIP CODE EACH IN ADAMS COUNTY AND GILPIN COUNTY. THE PRIMARY SERVICE AREA IS DEFINED AS THE GEOGRAPHIC AREA OF CONTIGUOUS ZIP CODES WHERE THE HOSPITAL DRAWS APPROXIMATELY 75% OF ITS INPATIENT DISCHARGES AND PROVIDES 30% OF INPATIENT CARE. THE SECONDARY SERVICE AREA INCLUDES 20 ZIP CODES AND EXTENDS THROUGH ADAMS, BROOMFIELD, CLEAR CREEK, DENVER, AND JEFFERSON COUNTIES. THE COMBINED PRIMARY AND SECONDARY SERVICE AREA IS BASED ON APPROXIMATELY 90% OF DISCHARGES. NONPROFIT HOSPITALS IN THE SERVICE AREA: ST. ANTHONY NORTH HOSPITAL-CENTURA HEALTH (WESTMINSTER), ST. ANTHONY HOSPITAL-CENTURA HEALTH (LAKEWOOD), AVISTA ADVENTIST HOSPITAL-CENTURA HEALTH (LOUISVILLE), LONGMONT UNITED HOSPITAL (LONGMONT); BOULDER COMMUNITY HOSPITAL (BOULDER), GOOD SAMARITAN MEDICAL CENTER (LAFAYETTE), AND DENVER HEALTH (PUBLIC HEALTH HOSPITAL). FOR-PROFIT HOSPITALS IN THE SERVICE AREA: NORTH SUBURBAN MEDICAL CENTER IN THORNTON (ADAMS COUNTY) IS IN THE SECONDARY SERVICE AREA.THE COMMUNITY SERVED BY LMC CONTAINS THE FOLLOWING DEMOGRAPHIC INFORMATION, UPDATED FOR 2021, USING THE RESOURCES OF COUNTY HEALTH RANKINGS, US CENSUS DATA, STATE HEALTH DEPARTMENT DATA, AND THE EXISTING CHNA.POPULATION: THE AVERAGE POPULATION OF LMC'S SERVICE AREA WAS 595,832 AND JEFFERSON COUNTY'S POPULATION WAS 574,798 (2015-2019). COLORADO'S TOTAL POPULATION WAS 5,610,349.POPULATION BY AGE: IN THE SERVICE AREA 20% WERE AGES 19 YEARS AND YOUNGER, 63.5% WERE AGES 20 TO 64 YEARS, AND 16.4% WERE AGES 65 YEARS AND OLDER. THE SERVICE AREA HAD A LOWER PERCENTAGE OF YOUTH, AGES 0 TO 19, AND A HIGHER PERCENTAGE OF ADULTS, AGES 45 YEARS AND OLDER, THAN IN THE STATE.LITTLETON (80127) HAD THE LARGEST PERCENTAGE OF POPULATION AGES 5 TO 17 (23.7%) AND KITTREDGE HAD THE SMALLEST PERCENTAGE (4.2%). BUFFALO CREEK HAD THE HIGHEST PERCENTAGE OF POPULATION AGES 65 YEARS AND OLDER (26.8%) AND KITTREDGE HAD THE LOWEST PERCENTAGE (9.4%). THE MEDIAN AGE IN JEFFERSON COUNTY WAS 40.3 YEARS.RACE AND ETHNICITY: IN THE SERVICE AREA, 80.2% OF THE POPULATION WERE WHITE, 12.9% WERE HISPANIC/LATINO, 3.0% WERE ASIAN, AND 1.1% WERE BLACK/AFRICAN AMERICAN. THE LMC SERVICE AREA HAD MORE WHITE AND ASIAN RESIDENTS THAN JEFFERSON COUNTY.IN THE SERVICE AREA, BUFFALO CREEK HAD THE HIGHEST PERCENTAGE OF WHITE RESIDENTS (98.7%), DENVER (80226) HAD THE HIGHEST PERCENTAGE OF HISPANIC OR LATINO RESIDENTS (31.6%), IDLEDALE (80453) HAD THE HIGHEST PERCENTAGE OF ASIAN AMERICANS (17.3%), AND DENVER (80235) HAD THE HIGHEST PERCENTAGE OF BLACK/AFRICAN AMERICANS (5.8%).LANGUAGE: IN THE SERVICE AREA, 90.2% OF POPULATION (AGE 5 YEARS AND OLDER) SPOKE ONLY ENGLISH IN THE HOME, 9.8% SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME, AND 5.2% SPOKE SPANISH IN THE HOME. COLORADO'S RATES OF SPEAKING SPANISH AT HOME AND SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME WERE HIGHER THAN THE SERVICE AREA.EDUCATION (AGE 25 YEARS AND OLDER): IN THE SERVICE AREA, 95.2% OF THE POPULATION ARE HIGH SCHOOL GRADUATES OR HIGHER, 49.1% EARNED A BACHELOR'S DEGREE OR HIGHER.MEDIAN HOUSEHOLD INCOME: $103,167 (2022 DOLLARS), WHICH IS HIGHER THAN THE U.S. AVERAGE $75,149 (2022 DOLLARS). PERSONS LIVING IN POVERTY: 6.6% OF THE POPULATION IN JEFFERSON COUNTY, WHICH IS LOWER THAN THE U.S. AVERAGE OF 11.5%. UNINSURED RATE: 7.0% OF PEOPLE IN JEFFERSON COUNTY ARE UNINSURED, COMPARED WITH 9.3% ACROSS THE U.S. SEE CONTINUATION BELOW PART VI, LINE 5: LUTHERAN MEDICAL CENTER:DURING THE REPORTING PERIOD, LMC OFFERED NUMEROUS CLINICAL PROGRAMS AT THEIR CANCER CENTER, NEUROVASCULAR CENTER, AND TRAUMA CENTER THAT OFFERED COMMUNITY OUTREACH AND EDUCATION, INCLUDING WEIGHT MANAGEMENT AND MAINTAINING A HEALTHY LIFESTYLE, CANCER SUPPORT GROUPS, PREVENTIVE COMMUNITY HEALTH EDUCATION, SKIN CANCER SCREENINGS, BREAST CANCER SURVIVORSHIP PROGRAMS, CLASSES FOR PROSPECTIVE PARENTS, AND DIABETES MANAGEMENT CLASSES. LMC ALSO COLLABORATED WITH SAFETY NET CLINICS (I.E., STRIDE) TO ENHANCE AND IMPROVE MEDICAL OUTCOMES, QUALITY, AND SERVICES WITHIN THE COMMUNITY. THESE PROGRAMS ADHERE TO QUALITY INDICATORS IN ALIGNMENT WITH MAJOR PUBLICLY COMPARABLE DATABASES INCLUDING THE COLORADO HEALTH AND HOSPITAL ASSOCIATION AND CENTERS FOR MEDICARE AND MEDICAID SERVICES.GOOD SAMARITAN MEDICAL CENTER:COLLECTIVELY WITH ITS 234 LICENSED BEDS, GOOD SAMARITAN MEDICAL CENTER (GSMC) HAS SERVED ITS COMMUNITY BY PROVIDING COMPREHENSIVE MEDICAL SERVICES INCLUDING CARDIOLOGY, ONCOLOGY, ORTHOPEDIC, WOMEN AND FAMILY, EMERGENCY AND TRAUMA, NEONATAL INTENSIVE CARE, NEUROLOGY, NEUROSURGERY, OB/GYN, GENERAL SURGICAL AND MEDICAL, PRIMARY CARE, INTERNAL MEDICINE, BEHAVIORAL HEALTH, SENIOR EMERGENCY DEPARTMENT CARE, PALLIATIVE AND HOSPICE CARE, AND INTEGRATIVE HEALTH SERVICES.IN ADDITION TO COMMUNITY COLLABORATIONS THROUGH COMMUNITY HEALTH IN 2024 MENTIONED ABOVE IN PART VI, QUESTION 2, GSMC CAREGIVERS SERVED ON THE FOLLOWING COMMUNITY BOARDS OR COMMITTEES: NORTH CENTRAL REGION HEALTHCARE COALITION, DONOR ALLIANCE ADVISORY BOARD, ZERO SUICIDE LEARNING COLLABORATIVE, FOOTHILLS REGIONAL EMERGENCY MEDICAL AND TRAUMA ADVISORY COUNCIL (FRETAC), BROOMFIELD LOCAL EMERGENCY PLANNING COMMITTEE, COLORADO TRAUMA NETWORK, ERIE CHAMBER OF COMMERCE, LAFAYETTE CHAMBER OF COMMERCE, BOULDER MULTI-AGENCY COORDINATION GROUP OF BOULDER OFFICE OF EMERGENCY MANAGEMENT, HEALTH & MEDICAL RESPONSE (HAMR) BOULDER COUNTY HEALTHCARE COALITION, STATE EMERGENCY MEDICAL AND TRAUMA SERVICES ADVISORY COUNCIL (SEMTAC), AND STATEWIDE TRAUMA ADVISORY COMMITTEE (STAC).IN ADDITION TO PRIORITY HEALTH PROGRAMMING, GOOD SAMARITAN MEDICAL CENTER ALSO ENGAGED IN THE FOLLOWING COMMUNITY HEALTH IMPROVEMENT ACTIVITIES:- BABY'S FIRST RIDE: PROVIDED 999 CAR SEAT CHECKS.- CANCER SUPPORT GROUP OFFERED BY THE CANCER CENTERS OF COLORADO AT GSMC: 67 ENCOUNTERS.- "DOING GOOD" GRANT: DISTRIBUTED EIGHT CHARITABLE CONTRIBUTIONS TO NONPROFIT COMMUNITY ORGANIZATIONS IN 2024 FOR A TOTAL OF $65,000.- CONTINUING EDUCATION EMERGENCY MEDICAL SERVICES (EMS) PROGRAM: PROVIDED EDUCATION TO 1,660 LOCAL EMS PROVIDERS.- EDUCATIONAL FOLLOW-UP PROGRAM: PROVIDED EDUCATIONAL FOLLOW-UP AT 506 ENCOUNTERS WITH EMS PROVIDERS FOLLOWING DROP OFF AT GSMC.- EMS RECERTIFICATION: PROVIDED PARAMEDIC REFRESHER COURSE, CPR AND AED TRAINING, BASIC EKG TRAINING IN 29 ENCOUNTERS.- IN-KIND DONATIONS TO PROJECT CURE: $280,534.- STUDENT CLINICALS: 365 STUDENTS COMPLETED THEIR CLINICAL ROTATIONS IN LABORATORY, NURSING, PHARMACY, PHYSICAL MEDICINE, RADIOLOGY, RESPIRATORY, SOCIAL WORK, AND SURGERY AT GSMC.- BLOOD DRIVES: IN CONJUNCTION WITH VITALANT BLOOD DONATION, GSMC HELD FIVE BLOOD DRIVES. EMPLOYEES AND COMMUNITY MEMBERS DONATED 116 UNITS AND 16 DOUBLE UNITS. THESE BLOOD DONATIONS ARE ESTIMATED TO HELP 374 PEOPLE.- TRAUMA OUTREACH THROUGH COMMUNITY EDUCATION: - GSMC OFFERED ONE "STEPPING ON" CLASSES WITH 67 ENCOUNTERS.- TEN "STOP THE BLEED" TRAINING SESSIONS WITH 172 INDIVIDUALS COMPLETING THE COURSE.- EIGHT "THINK FIRST FOR FALL PREVENTION" CLASSES FOR SENIORS WITH 114 ENCOUNTERS.- ELEVEN FALL PREVENTION CLASSES WERE PROVIDED, REACHING 278 PARTICIPANTS.- TWO FIREARM SAFETY EVENTS REACHED 650 PARTICIPANTS GIVING AWAY 350 GUN LOCKS AND 300 GUN SAFES.- THREE TAI CHI CLASSES WITH 34 ENCOUNTERS.- 68 BIKE HELMETS WERE DISTRIBUTED TO CHILDREN AT THREE EVENTS WITH AN ATTENDANCE OF 169 PEOPLE.- THREE CAR FIT SESSIONS FOR SENIORS WITH 18 ATTENDEES.GSMC IS AN IMPORTANT PART OF THE COMMUNITY AND SERVES IN MANY WAYS IN RESPONSE TO DIRECT REQUESTS FROM COMMUNITY ORGANIZATIONS AND RESIDENTS. FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORTING OTHER CIVIC GROUPS, OUR COMMUNITY INVOLVEMENT TAKES MANY FORMS. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT RESIDENTS ARE INFORMED ABOUT AVAILABLE SERVICES. WHEN GSMC HAS EXCESS REVENUE OVER OPERATING EXPENSES, IT USES THOSE FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND EXPAND ACCESS TO CARE FOR UNMET NEED AREAS. PART VI, LINE 6: THE FILING ORGANIZATION IS PART OF INTERMOUNTAIN HEALTH ("IH"), AN INTEGRATED HEALTH SYSTEM WHOSE VISION IS TO "BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST." IH STRIVES TO FULFILL THAT MISSION THROUGH ACCOMPLISHING ITS STATED MISSION OF "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE."IH IS MANAGED BY A PARENT ORGANIZATION, INTERMOUNTAIN HEALTH CARE, INC., A NONPROFIT CORPORATION EXEMPT UNDER IRC SECTION 501(C)(3). AFFILIATES WITHIN THE IH NETWORK INCLUDE NONPROFIT CORPORATIONS EXEMPT UNDER IRC SECTIONS 501(C)(3) AND 501(C)(4), TAXABLE CORPORATIONS, PARTNERSHIPS WITH PHYSICIANS, STRATEGIC INVESTMENTS, AND JOINT VENTURES.HEADQUARTERED IN SALT LAKE CITY, UTAH, IH CONSISTS OF A TEAM OF MORE THAN 68,000 CAREGIVERS WHO SERVE THE HEALTHCARE NEEDS OF PEOPLE ACROSS THE INTERMOUNTAIN WEST, INCLUDING UTAH, IDAHO, NEVADA, COLORADO, MONTANA, AND WYOMING. IH PROVIDES SERVICES TO AND PROMOTES THE HEALTH OF THESE COMMUNITIES THROUGH 33 HOSPITALS, HUNDREDS OF CLINICS, A MEDICAL GROUP, AFFILIATE NETWORKS, HOMECARE, TELEHEALTH, INSURANCE PLANS, MEDICAL AIR TRANSPORT, AND OTHER SERVICES. IH IS WIDELY RECOGNIZED AS A LEADER IN TRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TO CONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS.IH IS WORKING TO IMPROVE 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, IH ALSO DEVELOPSFINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTING OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL WELL-BEING SERVICES FOR LOW-INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS. SCHEDULE H, PART VI, LINE 4 CONTINUED NARRATIVEGOOD SAMARITAN MEDICAL CENTER:GSMC IS AN ACUTE-CARE HOSPITAL LOCATED IN THE CITY OF LAFAYETTE, COLORADO, WHICH IS IN BOULDER COUNTY. THE HOSPITAL SERVICE AREA ALSO INCLUDES COMMUNITIES IN ADAMS, BOULDER, BROOMFIELD, GILPIN, JEFFERSON, AND WELD COUNTIES. OTHER NOT-FOR-PROFIT HOSPITALS IN THE SERVICE AREA INCLUDE: COMMON SPIRIT LONGMONT UNITED HOSPITAL (LONGMONT), COMMON SPIRIT ST. ANTHONY NORTH HOSPITAL (WESTMINSTER), ADVENT HEALTH AVISTA (LOUISVILLE), BOULDER COMMUNITY HOSPITAL (BOULDER), UCHEALTH LONGS PEAK HOSPITAL (LONGMONT), UCHEALTH BROOMFIELD HOSPITAL (BROOMFIELD), AND INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL (WHEAT RIDGE).FOR-PROFIT HOSPITAL IN THE SERVICE AREA: HEALTHONE MOUNTAIN RIDGE AT NORTH SUBURBAN HOSPITAL (THORNTON).TOTAL POPULATION: FROM 2015 TO 2019, THE AVERAGE POPULATION OF THE GSMC SERVICE AREA WAS 1,111,074. ADAMS COUNTY HAD A POPULATION OF 504,108, BOULDER COUNTY HAD A POPULATION OF 322,510, AND BROOMFIELD COUNTY HAD A POPULATION OF 67,886.POPULATION BY GENDER: IN THE GSMC SERVICE AREA, 50.3% OF THE POPULATION WAS MALE AND 49.7% WAS FEMALE.POPULATION BY AGE: IN THE GSMC SERVICE AREA, 26.5% WERE AGES 19 YEARS AND YOUNGER, 61% WERE 20 TO 64 YEARS, AND 12.6% WERE AGES 65 YEARS AND OLDER. ADAMS AND WELD COUNTIES HAD THE HIGHEST PERCENTAGE OF YOUTH, AGES 0 TO 19 YEARS (29.3%).RACE/ ETHNICITY: IN THE SERVICE AREA, 69.3% OF THE POPULATION WERE WHITE, 22.7% WERE HISPANIC/LATINX, 3.9% WERE ASIAN, AND 1.2% WERE BLACK/AFRICAN AMERICAN. THE SERVICE AREA HAD A GREATER PERCENTAGE OF WHITE, LATINX, AND ASIAN-AMERICAN INDIVIDUALS THAN STATE AVERAGE. LANGUAGE SPOKEN AT HOME FOR THE POPULATION (5 YEARS AND OLDER): IN THE SERVICE AREA, 87.9% OF THE POPULATION SPOKE ONLY ENGLISH IN THE HOME. JUST UNDER 18% SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME, AND 12.1% OF THE POPULATION SPOKE SPANISH AT HOME. ADAMS COUNTY HAD THE HIGHEST RATE OF RESIDENTS SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME (29.0%). ADAMS COUNTY HAD THE HIGHEST RATE OF RESIDENTS WHO SPOKE SPANISH AT HOME (23.6%).SOCIAL AND ECONOMIC FACTORS RANKINGS: COUNTY HEALTH RANKINGS EXAMINED DATA RELATED TO HEALTH FACTORS TO RANK COLORADO'S 64 COUNTIES ON SOCIAL AND ECONOMIC INDICATORS, WITH 1 BEING THE BEST FOR HEALTH FACTORS. THIS RANKING TOOK INTO CONSIDERATION HIGH SCHOOL GRADUATION RATES, UNEMPLOYMENT, CHILDREN IN POVERTY, SOCIAL SUPPORT, AND OTHER. THE COUNTIES IN GSH'S SERVICE AREA RANKED AS FOLLOWS: ADAMS COUNTY RANKED 38 OF 64, WELD COUNTY 28 OF 64, JEFFERSON COUNTY 15 OF 64, BOULDER COUNTY 13 OF 64, AND BROOMFIELD COUNTY 2 OF 64.PERSONS LIVING IN POVERTY: IN BOULDER COUNTY 11.8% OF PEOPLE LIVED IN POVERTY, WHICH IS HIGHER THAN THE U.S. AVERAGE OF 11.5%. (US CENSUS).ECONOMICS, 2020: THE MEDIAN HOUSEHOLD INCOME IN THE STATE WAS $77,104. THE MEDIAN INCOMES IN THE SERVICE AREAS WERE BROOMFIELD ($106,892), JEFFERSON ($89,696), BOULDER ($88,341), WELD ($78,160), AND ADAMS ($75,341).EDUCATIONAL ATTAINMENT FOR ADULTS (AGE 25 AND OLDER: THE POPULATION IN GSMC'S SERVICE AREA HAD A 91.6% HIGH SCHOOL GRADUATION RATE AND 8.4% HAD NOT ATTAINED A HIGH SCHOOL DIPLOMA. ADDITIONALLY, 19.3% HAD SOME COLLEGE WITH NO DEGREE, AND 43.9% HAD A BACHELOR'S DEGREE OR HIGHER. BOULDER COUNTY HAD THE HIGHEST RATE OF COLLEGE EDUCATION, WITH 62.1% OF ADULTS ATTAINING A BACHELOR'S DEGREE, AND ADAMS COUNTY HAD THE LOWEST ATTAINMENT AT 24.3%. ADAMS COUNTY HAD THE HIGHEST RATE OF ADULTS WITHOUT A HIGH SCHOOL DIPLOMA AT 16.2%. ADAMS COUNTY HAD THE LOWEST AT 83.8%. HEALTH INSURANCE COVERAGE, CIVILIAN NONINSTITUTIONALIZED POPULATION, (AGE 18 TO 64): HEALTH INSURANCE COVERAGE IS CONSIDERED A KEY COMPONENT TO ACCESS HEALTHCARE. THE HEALTHY PEOPLE 2030 OBJECTIVE IS 92.1% OF INDIVIDUALS HAVE HEALTH INSURANCE COVERAGE. IN GSMC'S SERVICE AREA, 93.8% OF THE POPULATION WAS INSURED. INSURANCE COVERAGE IN HSR 16 (BOULDER AND BROOMFIELD COUNTIES) WAS 94.7%. INSURANCE COVERAGE WAS HIGHER IN HSR 18, WELD COUNTY (95.9%) THAN IN HSR 14, ADAMS COUNTY (90.9%). INSURANCE COVERAGE WAS HIGHEST IN HSR 21, JEFFERSON COUNTY (97.4%). COLORADO AVERAGED 93.5% INSURANCE COVERAGE. URBAN AND RURAL AREAS OF BOULDER COUNTY: BOULDER COUNTY INCLUDES BOTH URBAN AREAS AND RURAL AREAS, PER U.S. HEALTH RESOURCES SERVICES ADMINISTRATION RURAL HEALTH GRANTS ELIGIBILITY ANALYZER (HTTPS://DATA.HRSA.GOV/TOOLS/RURAL-HEALTH). THE COUNTY'S RURAL AREAS ARE IN THE NORTHEAST QUADRANT OF THE COUNTY, AROUND THE TOWN OF LYONS. PART VI, LINE 7: THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING REQUIRES ALL NONPROFIT HOSPITALS TO HOST AN ANNUAL PUBLIC MEETING TO REVIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PROGRESS TOWARD A COMMUNITY HEALTH IMPROVEMENT PLAN. FOLLOWING THE MEETING, THE HOSPITALS ARE REQUIRED TO SUBMIT A REPORT TO THE STATE DETAILING THE MOST RECENTLY FILED FORM 990 AND OTHER DETAILS ABOUT THE HOSPITAL'S PUBLIC ENGAGEMENT ACTIVITIES. THE MEETING IS ADVERTISED IN LOCAL NEWSPAPERS AND SOCIAL MEDIA, AND THE REPORT IS POSTED ON THE HOSPITAL'S CHNA WEBSITE (HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS) AND IN SUMMARY BY THE STATE OF COLORADO (HTTPS://HCPF.COLORADO.GOV/HOSPITAL-COMMUNITY-BENEFIT-ACCOUNTABILITY). 1 LUTHERAN MEDICAL CENTER FOUNDATION 8300 WEST 38TH AVENUE WHEAT RIDGE CO 80033 208846152 501 ( C) (3) 901070 0 PROGRAM SUPPORT GOOD SAMARITAN MEDICAL CENTER FOUNDATION 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 841649162 501 ( C) (3) 365445 0 PROGRAM SUPPORT PROJECT CURE INTERNATIONAL HEADQUARTERS 10377 E GEDDES AVENUE CENTENNIAL CO 80112 841568566 501 ( C) (3) 0 280534 BOOK MEDICAL SUPPLIES MEDICAL SUPPLIES DONATION BENEFITS IN ACTION 12157 W CEDAR DR SUITE 100 LAKEWOOD CO 80228 873774775 501 ( C) (3) 96000 0 ACCESS TO CARE WORK DONATION/CORPORATE GRANTS JEFFERSON CENTER FOR MENTAL HEALTH 4851 INDEPENDENCE STREET STE 200 WHEAT RIDGE CO 80033 840474717 501 ( C) (3) 35000 0 SPONSORSHIP/SCHOOL BASED COUNSELING SERVICES GRANT SISTER CARMEN COMMUNITY CENTER 655 ASPEN RIDGE DRIVE LAFAYETTE CO 80026 840820308 501 ( C) (3) 15000 0 DOING GOOD GRANT VIA MOBILITY SERVICES 2855 N 63RD STREET BOULDER CO 80301 840777296 501 ( C) (3) 10000 0 DOING GOOD GRANT ST LOUIS CATHOLIC PARISH IN LOUISVILLE 902 GRANT AVE LOUISVILLE CO 80027 846012535 501 ( C) (3) 8700 0 DOING GOOD GRANT COAL CREEK MEALS ON WHEELS 455 N BURLINGTON LAFAYETTE CO 80026 840634856 501 ( C) (3) 8000 0 DOING GOOD GRANT A PRECIOUS CHILD INC 7051 W 118TH AVENUE BROOMFIELD CO 80020 263349334 501 ( C) (3) 7500 0 DOING GOOD GRANT COLORADO PERSONALIZED EDUCATION PROGRAM FOR PHYSICIANS 720 S COLORADO BLVD 1100-N DENVER CO 80246 742565416 501 ( C) (3) 6000 0 DONATIONS BROOMFIELD FISH 6 GARDEN CENTER BROOMFIELD CO 80020 841591870 501 ( C) (3) 5800 0 DOING GOOD GRANT MENTAL HEALTH PARTNERS 1455 DIXON AVE LAFAYETTE CO 80026 840520493 501 ( C) (3) 5500 0 DOING GOOD GRANT/SUICIDE PREVENTION TABLE SPONSORSHIP 13 0 HUMANITARIAN GRANTS 2695 161678 FMV TRANSPORTATION PART I, LINE 2: THE ORGANIZATION KEEPS RECORDS TO SUPPORT THE AMOUNTS PROVIDED OR REASON FOR SUCH SUPPORT. ELIGIBILITY FOR FUNDING IS DETERMINED ON AN INDIVIDUAL BASIS, CONSIDERING THE USE OF THE FUNDS AND HOW THE USE RELATES TO THE ORGANIZATION'S MISSION. 1 1 0 0 0 0 0 0 0 DANIEL POSSLEY MD PHYSICIAN 927827 0 924424 0 5767 0 20700 0 45007 0 1923725 0 0 0 SCOTT PEEK TRUSTEE/MKT PRES, FRONT RANGE MKT/PR 778339 0 336241 0 4697 0 354414 0 31406 0 1505097 0 236241 0 JESS JOYMON MD PHYSICIAN 949694 0 368244 0 2765 0 20700 0 46649 0 1388052 0 0 0 BASHEAL AGRAWAL MD PHYSICIAN 846269 0 270493 0 2611 0 20700 0 45869 0 1185942 0 0 0 ROBERT REPLOGLE MD PHYSICIAN 853658 0 257493 0 9586 0 20700 0 37946 0 1179383 0 0 0 JAKE CHANIN MD PHYSICIAN 621093 0 494095 0 2483 0 20700 0 19370 0 1157741 0 0 0 DAWN ANUSZKIEWICZ PRESIDENT GSMC 467583 0 152936 0 2892 0 219038 0 23272 0 865721 0 147087 0 STEVEN HANKINS VP CHIEF OPERATING OFFICER GSMC 297285 0 76364 0 359025 0 78413 0 1613 0 812700 0 163650 0 TROY STOEHR FORMER OFFICER 0 233480 0 66804 0 327213 0 67017 0 29536 0 724050 0 164209 SEAN FADDEN TREASURER 0 399078 0 106655 0 25773 0 163417 0 19517 0 714440 0 130898 ANDREA BURCH VP, COO/CNO (PARTIAL), PRESIDENT LMC 387444 0 79337 0 36056 0 175309 0 34194 0 712340 0 113579 0 CHRISTOPHER AWTREY CMO, FRONT RANGE MEDICAL GROUP 418573 0 95048 0 4724 0 80954 0 31406 0 630705 0 95048 0 TONI GREEN-CHEATWOOD VP CMO GSMC/LMC (PARTIAL), ACMO CO 419647 0 89513 0 2073 0 74252 0 31406 0 616891 0 89513 0 ANN GANTZER VP CNO GSMC, INT. CNO LMC (PARTIAL) 303103 0 67993 0 78795 0 72691 0 31406 0 553988 0 66846 0 TERENCE MOLOUGHNEY SECRETARY (PARTIAL) 0 171180 0 69994 0 213230 0 48033 0 14289 0 516726 0 57779 JOHN WICKLUND FORMER OFFICER 0 0 0 0 0 481282 0 0 0 0 0 481282 0 0 ASHLEY DENTON VP FINANCE LMC (PARTIAL)/AVP FINANCE 0 273142 0 62205 0 888 0 108380 0 31406 0 476021 0 62205 MICHELLE SHIAO FORMER OFFICER 0 252775 0 58072 0 22245 0 96251 0 32699 0 462042 0 78722 SCOTT DAY FORMER KEY EMPLOYEE 0 55101 0 67923 0 314089 0 7447 0 3158 0 447718 0 67923 KELLY ADAMS SECRETARY (PARTIAL) 0 238931 0 24559 0 31011 0 56058 0 34534 0 385093 0 24559 PATRICE FARRELL-DELINE FORMER KEY EMPLOYEE 0 205000 0 46597 0 20572 0 80672 0 23129 0 375970 0 63915 ELIZABETH WITHERS CMO, GSMC (PARTIAL) 321932 0 20000 0 1995 0 6876 0 9019 0 359822 0 0 0 CALVIN BEASLEY FORMER KEY EMPLOYEE 0 215401 0 27788 0 1381 0 51981 0 24330 0 320881 0 27788 MEGAN DURNING VP STRATEGY AND BUS DEVELOPMENT LMC 151725 0 55025 0 39408 0 39414 0 0 0 285572 0 79287 0 REAGAN GOODNIGHT VP, CNO LMC (PARTIAL) 184414 0 20109 0 17450 0 36925 0 22361 0 281259 0 20109 0 LARA ZARZECKI ASSISTANT SECRETARY (PARTIAL) 0 168910 0 25416 0 33638 0 12714 0 25658 0 266336 0 25416 KATARZYNA CRABTREE MD CMO, LMC (PARTIAL) 219750 0 0 0 995 0 4395 0 2070 0 227210 0 0 0 CHRISTINA JOHNSON FORMER KEY EMPLOYEE 148106 0 6612 0 394 0 24717 0 2244 0 182073 0 6612 0 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH, AN INTEGRATED HEALTH SYSTEM THAT IS NATIONALLY RECOGNIZED FOR PROVIDING QUALITY MEDICAL CARE THAT RANKS AMONG THE HIGHEST IN THE NATION WITH CHARGES THAT ARE AMONG THE LOWEST IN THE NATION. INTERMOUNTAIN HEALTH'S POLICY IS TO COMPENSATE ITS EMPLOYEES, INCLUDING SENIOR MANAGEMENT, AT MARKET COMPETITIVE RATES. THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) OR INTERMOUNTAIN 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 HEALTHY SYSYTEM, INC. AND ALL OF ITS AFFILIATES. THE COMPENSATION COMMITTEE OF THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. (PARENT ORGANIZATION) RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO BECOME A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID, AS REQUIRED IN THE REPORTING SCHEDULE INSTRUCTIONS. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO DEPARTING EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2024 WERE: TERENCE MOLOUGHNEY - $212,179; STEVEN HANKINS - $269,763; JOHN WICKLUND - $480,143; SCOTT DAY - $284,613; TROY STOEHR - $228,918. SCHEDULE J, PART I, LINE 4B: PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: A RELATED ORGANIZATION 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, 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 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 2024. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. WHEN THE AMOUNTS BECOME TAXABLE THEY ARE INCLUDED ON THE PARTICIPANTS' W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2024 WERE:- SEAN FADDEN - $24,243; ANDREA BURCH - $34,243; ANN GANTZER - $69,740; MEGAN DURNING - $24,261; STEVEN HANKINS - $87,285; PATRICE FARRELL-DELINE - $17,318; SCOTT DAY - $27,597; MICHELLE SHIAO - $20,650; TROY STOEHR - $97,405. SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES 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 III, LINES 4A - 4D DESCRIPTION OF PROGRAM SERVICE ACHIEVEMENTS: INTERMOUNTAIN FRONT RANGE, INC. (FORMERLY KNOWN AS SCL HEALTH - FRONT RANGE, INC.) OPERATES LUTHERAN MEDICAL CENTER (LMC) SERVING PRIMARILY WESTERN AND SOUTHERN SUBURBAN AREAS OF METRO DENVER AND GOOD SAMARITAN MEDICAL CENTER (GSMC), SERVING PRIMARILY BOULDER AND NORTHWEST COUNTIES OF METRO DENVER, AND OTHER AFFILIATED MEDICAL OPERATIONS. LUTHERAN MEDICAL CENTER BEGAN IN 1905 AS THE EVANGELICAL LUTHERAN SANITARIUM, A TENT COLONY FOR TUBERCULOSIS PATIENTS. IN 1961, LUTHERAN HOSPITAL, A GENERAL MEDICAL FACILITY LOCATED ON A 100-ACRE CAMPUS OPENED. IN 1973, A SIX-FLOOR TOWER WAS ADDDED AND IN 1985 A CRITCAL CARE UNIT WAS ADDED, BRINGING THE NUMBER OF LICENSED BEDS TO 338. IN AUGUST 2024, THE NEW INTERMOUNTAIN LUTHERAN HOSPITAL OPENED, REPLACING THE PREVIOUS HOSPITAL CAMPUS WITH A NEW STATE OF THE ART HOSPITAL CONSISTING OF SIX STORIES AND 226 LICENSED BEDS. IT EXPANDS ACCESS TO EMERGENCY AND CRITICAL CARE FOR FAMILIES IN JEFFERSON COUNTY AND WEST DENVER SUBURBS. IN JANUARY 1998, LUTHERAN MEDICAL CENTER JOINED SAINT JOSEPH HOSPITAL AND EXEMPLA MEDICAL GROUP TO FORM EXEMPLA HEALTHCARE, A NON-PROFIT COMMUNITY BASED ORGANIZATION, TO MANAGE OPERATIONS OF THE HOSPITAL AND MEDICAL GROUP. IN DECEMBER 2004, GOOD SAMARITAN MEDICAL CENTER, A COMMUNITY-BASED, ACUTE-CARE HOSPITAL, WAS CONSTRUCTED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IN 2010, EXEMPLA HEALTHCARE WAS ACQUIRED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IN DECEMBER 2013, THE NAME WAS CHANGED FROM EXEMPLA HEALTHCARE TO SCL HEALTH FRONT RANGE, INC. 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, AND WYOMING. THE ORGANIZATION EMPLOYS MORE THAN 68,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN COLORADO, IDAHO, NEVADA, AND UTAH. AS PART OF INTERMOUNTAIN HEALTH (INTEGRATED HEALTH SYSTEM), INTERMOUNTAIN FRONT RANGE, INC. HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL. GOOD SAMARITAN MEDICAL CENTER IS RECOGNIZED AS ONE OF THE BEST MATERNITY HOSPITALS IN THE COUNTRY BY US NEWS AND WORLD REPORT. LUTHERAN MEDICAL CENTER IS NATIONALLY RECOGNIZED WITH MAGNET ACCREDITATION FOR NURSING EXCELLENCE. INTERMOUNTAIN FRONT RANGE, INC. HAS A VARIETY OF PROGRAMS AND SERVICES TO SERVE THE COMMUNITY INCLUDING BUT NOT LIMITED TO: LUTHERAN MEDICAL CENTER: - CANCER CARE (CANCER CENTERS OF COLORADO, BREAST CARE CENTER) - CERTIFIED COMPREHENSIVE STROKE CENTER - EMERGENCY AND TRAUMA SERVICES (LEVEL II TRAUMA CENTER) - FAMILY MEDICINE - HEART AND NEUROVASCULAR CENTER - HOSPICE AND PALLIATIVE CARE - LABOR AND DELIVERY - ORTHOPEDICS - RADIOLOGY, IMAGING AND ANCILLARY SERVICES - SENIOR BEHAVIORAL HEALTH - SPORTS MEDICINE - SURGERY CENTER (INCLUDING ROBOTIC-ASSISTED SURGERY) - REHABABILITATION SERVICES - WOMEN'S HEALTH GOOD SAMARITAN MEDICAL CENTER: - CANCER CARE (CANCER CENTERS OF COLORADO) - CHEST PAIN CENTER AND CARDIOVASCULAR CENTER OF EXCELLENCE - EMERGENCY AND TRAUMA SERVICES (LEVEL II TRAUMA CENTER) - INTEGRATIVE HEALTH AND HEALING CENTER - LABOR AND DELIVERY, LEVEL II NEONATAL CARE UNIT - ORTHOPEDICS, BONE AND JOINT INSTITUTE - PALLIATIVE CARE - RADIOLOGY, IMAGING AND ANCILLARY SERVICES - STROKE CENTER - SURGERY CENTER (INCLUDING ROBOTIC-ASSISTED SURGERY) - REHABILITATION SERVICES - WOMEN'S HEALTH DURING 2024, INTERMOUNTAIN FRONT RANGE, INC. HAD THE FOLLOWING RESULTS: ADMISSIONS - 26,384 OUTPATIENT VISITS - 263,002 EMERGENCY ROOM VISITS - 96,453 BIRTHS - 2,781 SURGERIES - 14,022 LAB TESTS - 1,692,297 MISSION, VISION, AND VALUES: MISSION: HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. VISION: BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST. VALUES: - WE ARE LEADERS IN CLINICAL EXCELLENCE, DELIVERING SAFE, BEST-IN-QUALITY CARE. - WE BELIEVE IN WHAT WE DO, LIVING OUR MISSION EVERY DAY. - WE SERVE WITH EMPATHY, CARING FOR EACH CAREGIVER, PATIENT, AND MEMBER WITH COMPASSION AND RESPECT. - WE ARE PARTNERS IN HEALTH, COLLABORATING TO KEEP PEOPLE WELL. - WE DO THE RIGHT THING, LEARNING AND ACTING WITH PURPOSE. - WE ARE BETTER TOGETHER, BUILDING COMMUNITY THROUGH TEAMWORK AND BELONGING. 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 2 STEVEN BROWN, MD / LARA ZARZECKI / GRACE JIMENEZ / TERENCE MOLOUGHNEY / KELLY ADAMS / SEAN FADDEN - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN SISTERS OF CHARITY HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION). CHRISTINE FORKNER / STEPHEN FRANKEL - BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 THE GOVERNING DOCUMENTS WERE UPDATED TO REFLECT A MEMBER SUBSTITUTION AND A NAME CHANGE, BOTH OF WHICH WERE IN CONNECTION WITH AN INTERNAL REORGANIZATION TO CLARIFY SECULAR AND CATHOLIC ENTITIES WITHIN THE INTERMOUNTAIN HEALTH SYSTEM. IN THE MEMBER SUBSTITUTION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. ("SCL HEALTH") TRANSFERRED ITS MEMBERSHIP INTEREST TO INTEGRITY HEALTH. BOTH SCL HEALTH AND INTEGRITY HEALTH ARE SUBSIDIARIES WITHIN THE INTERMOUNTAIN HEALTH SYSTEM. ALONG WITH THE SUBSTITUTION, THE CORPORATION, FORMERLY KNOWN AS SCL HEALTH - FRONT RANGE, INC., CHANGED ITS NAME TO INTERMOUNTAIN FRONT RANGE, INC. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: INTEGRITY HEALTH IS THE SOLE MEMBER OF INTERMOUNTAIN FRONT RANGE, INC. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS: INTEGRITY HEALTH, THE SOLE MEMBER OF INTERMOUNTAIN FRONT RANGE, INC., HAS THE POWER TO APPOINT TRUSTEES TO THE INTERMOUNTAIN FRONT RANGE, INC. BOARD OF TRUSTEES, SUBJECT TO RATIFICATION BY INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS: WHILE INTEGRITY HEALTH IS THE SOLE MEMBER OF INTERMOUNTAIN FRONT RANGE, INC., RESERVED POWERS ARE PRIMARILY HELD BY INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN), WHICH IS THE SOLE MEMBER OF INTEGRITY HEALTH. INTEGRITY HEALTH HAS THE POWER TO APPOINT TRUSTEES TO THE BOARD OF TRUSTEES, 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. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B (POLICIES) LINES 15(A) & 15(B): THE COMPENSATION COMMITTEE ("COMPENSATION COMMITTEE"), A SUBSET OF INTERMOUNTAIN HEALTH CARE, INC.'S GOVERNING BODY (A RELATED NONPROFIT ORGANIZATION), IS RESPONSIBLE FOR THE PROCESS OF ANNUALLY DETERMINING THE TOTAL COMPENSATION PACKAGES (INCLUDING CASH AND NONCASH BENEFITS) FOR THE FOLLOWING OFFICERS: - PRESIDENT - VICE PRESIDENT THE COMPENSATION COMMITTEE ANNUALLY RETAINS AN INDEPENDENT, EXTERNAL CONSULTING FIRM TO PROVIDE AN ANALYSIS OF COMPARABLE MARKET DATA. THE CONSULTANTS REVIEW THE VARIOUS TYPES OF DIRECT COMPENSATION, INCLUDING BASE SALARY, TOTAL CASH, AND ANNUAL AND LONG-TERM INCENTIVES. INFORMATION FROM A SELECTED GROUP OF COMPARABLE NONPROFIT ORGANIZATIONS IS USED TO SUPPLEMENT PUBLISHED SURVEY DATA. THE CONSULTANTS ALSO CONDUCT AN IN-DEPTH ANALYSIS OF THE ASSOCIATED BENEFITS AND PERQUISITES. INFORMATION PROVIDED BY THE EXTERNAL CONSULTANTS IS REVIEWED BY THE COMPENSATION COMMITTEE ALONG WITH THE PERFORMANCE DATA FOR EACH OFFICER LISTED ABOVE. DECISIONS BY THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THE COMPENSATION COMMITTEE PRESENTS THE COLLECTED INFORMATION AND THE ASSOCIATED COMPENSATION DECISIONS TO THE ENTIRE BOARD OF TRUSTEES. THE PHILOSOPHY IS TO PAY COMPENSATION AT MARKET COMPETITIVE RATES. THE DETERMINATION OF EXECUTIVE COMPENSATION IS ALSO DESIGNED TO MEET THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" STANDARD AS OUTLINED IN THE TREASURY REGULATIONS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC: INTERMOUNTAIN FRONT RANGE, INC. DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. A COPY OF THE CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDES THE FILING ORGANIZATION IS ATTACHED TO THIS RETURN. THE CONSOLIDATED FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE (HTTPS://EMMA.MSRB.ORG/P21914280-P21463550-P21912552.PDF), A SERVICE PROVIDED BY THE MUNICIPAL SECURITIES RULEMAKING BOARD. FORM 990, PART VII, SECTION B, LINE 2 INDEPENDENT CONTRACTORS: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART IX, LINE 11G CONTRACT LABOR: PROGRAM SERVICE EXPENSES 42,958,474. MANAGEMENT AND GENERAL EXPENSES 2,822,117. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,780,591. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 27,671,431. MANAGEMENT AND GENERAL EXPENSES 1,817,849. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,489,280. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 75,022,674. MANAGEMENT AND GENERAL EXPENSES 4,928,545. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,951,219. FORM 990, PART XI, LINE 9: TRANSFER TO/FROM PARENT 2,643,163. 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