2025-11-03T11:36:02-06:00 2024-12-31 990 2024-01-01 208846152 LUTHERAN MEDICAL CENTER FOUNDATION LUTH 8018427851 12911 W 40TH AVE WHEAT RIDGE CO 80401 KATHERINE REPOLA EXECUTIVE DIRECTOR 3034674430 2025-11-03 0 2024 2025-03-06 01:10:19Z X KATHERINE REPOLA 12911 W 40TH AVE WHEAT RIDGE CO 80401 6509190 0 X SEE SCHEDULE O X 2007 CO BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST.LUTHERAN MEDICAL CENTER FOUNDATION WEBSITE ADDRESS:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOUNDATION/LUTHERAN-FOUNDATION 12 10 0 294 0 0 3649658 2416176 0 0 375432 4044175 -13804 -12371 4011286 6447980 1850871 3986678 0 0 464040 485962 0 0 255841 450639 393102 2765550 4865742 1245736 1582238 21848890 21503671 67096 650503 21781794 20853168 X BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST. 0 0 4022390 3986678 THE LUTHERAN MEDICAL CENTER FOUNDATION (LMC FOUNDATION) IS A 501(C) 3 NOT FOR PROFIT ORGANIZATION THAT CREATES IMPACT TO SUPPORT EXCELLENT PATIENT CARE AND INNOVATIVE NEW IDEAS IN MEDICINE AT LUTHERAN MEDICAL CENTER. THROUGH THE GENEROSITY OF CORPORATIONS, FOUNDATIONS, INDIVIDUALS AND OTHER DONORS, OUR MISSION TO IMPROVE THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE IN A CHANGING WORLD IS ACHIEVED. LMC FOUNDATION PROVIDES FOR THE CHANGING HEALTHCARE NEEDS OF OUR COMMUNITY BY ASSISTING WITH THE BUILDING OF STATE-OF-ART FACILITIES, DEVELOPING INNOVATIVE CARE MODELS AND MAKING SURE THAT ALL PATIENTS HAVE ACCESS TO WORLD-CLASS CARE AND THE BEST PATIENT EXPERIENCE. LMC FOUNDATION TURNS GOOD HEALTHCARE INTO EXCEPTIONAL HEALTHCARE BY ENABLING LMC'S STAFF TO EXCEED THE EXPECTATIONS OF THE PEOPLE WE SERVE. LMC FOUNDATION WAS ESTABLISHED IN 2007 AND HAS POSITIVELY IMPACTED LUTHERAN MEDICAL CENTER AND ALL ITS AFFILIATED SERVICES INCLUDING LUTHERAN HOSPICE AT COLLIER HOSPICE CENTER. THE LMC FOUNDATION DISBURSED FUNDS TO LMC TO PURCHASE CRITICAL CARE EQUIPMENT, PROVIDE STAFF WITH EDUCATIONAL AND LEADERSHIP OPPORTUNITIES, PROVIDE COMPASSIONATE END-OF-LIFE CARE, SUPPORT BEHAVIORAL HEALTH NEEDS, AID IN THE BUILDING OF A NEW HOSPITAL AND ENHANCE THE HOSPITAL'S OVERALL BEST CARE OF PATIENTS.ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED, CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, 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 UTAH, IDAHO AND NEVADA.AS PART OF INTERMOUNTAIN HEALTHCARE, LUTHERAN MEDICAL CENTER HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT, AND STRATEGIC CAPITAL. MAJOR INITIATIVES IN 2024 INCLUDED: - THE LEGACY CONTINUES COMPREHENSIVE CAMPAIGN HAS RAISED MORE THAN 100% OF ITS GOAL OF $12M. THE CAMPAIGN SUPPORTS ALL DEPARTMENTS AT LUTHERAN WITH EMPHASIS ON THE NEW, REPLACEMENT LUTHERAN MEDICAL CENTER NEW BUILD. - SUPPORTED PALLIATIVE CARE AND HOSPICE PROGRAMS INCLUDING INTEGRATIVE THERAPIES FOR PATIENTS, EDUCATION FOR CAREGIVERS AND GRIEF SUPPORT FOR FAMILIES. - SUPPORTED THE NURSE RECOVERY ASSISTANCE PROGRAM TO HELP PREGNANT MOTHERS STRUGGLING WITH SUBSTANCE ABUSE AND THEIR BABIES, WITH A SPECIAL FOCUS ON OPIOID ADDICTION. -OFFERED HUMANITARIAN FUNDS FOR OUR MOST VULNERABLE PATIENTS PROVIDING PRESCRIPTIONS, FOOD, TRANSPORTATION AND OTHER BASIC NEEDS. - GAVE SPECIAL EDUCATION OPPORTUNITIES TO OUR PHYSICIANS, CLINICIANS AND CAREGIVERS TO SUPPORT SPECIALIZED CARE AND PATIENT SAFETY. - PURCHASED NEW, STATE-OF-THE-ART EQUIPMENT FOR LUTHERAN HOSPICE AND OTHER HOSPITAL DEPARTMENTS. - SUPPORTED LMC'S ONCOLOGY PROGRAMS INCLUDING TESTING COUNSELING, PATIENT NAVIGATION AND COMFORT THERAPIES FOR ONCOLOGY PATIENTS.-PROVIDED ASSISTANCE FOR LACTATION SERVICES TO LOW-INCOME NEW MOTHERS. 4022390 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X COLIN QUINCY 8014423491 36 SOUTH STATE STREET SUITE 1600 SALT LAKE CITY UT 84111 X SCOTT PEEK TRUSTEE (PARTIAL) 1.00 57.00 X 0 1119277 385820 ANDREA BURCH MD TRUSTEE (PARTIAL) 1.00 50.00 X 0 502837 209503 KRISTI DAVIS TRUSTEE 1.00 50.00 X 0 249675 71051 KATHERINE REPOLA EXECUTIVE DIRECTOR 50.00 0.00 X 0 193630 66898 JEFFREY BONTRAGER MD TRUSTEE 1.00 0.00 X 0 0 0 JENNIFER CASKEY MD TRUSTEE 1.00 0.00 X 0 0 0 CHRISTA DOBBS TRUSTEE (PARTIAL) 1.00 0.00 X 0 0 0 ROBERT HUNTER MD TRUSTEE 1.00 0.00 X 0 0 0 CHRISTINE JENSEN TRUSTEE 1.00 0.00 X 0 0 0 DOULGAS MARTEL MD TRUSTEE 1.00 0.00 X 0 0 0 JULIA MCVEY CHAIR 1.00 0.00 X X 0 0 0 DIANE NYBERG ERICSSON TRUSTEE 1.00 0.00 X 0 0 0 JOHN O'DORISIO TRUSTEE 1.00 0.00 X 0 0 0 FRANK TEUNISSEN TRUSTEE 1.00 0.00 X 0 0 0 BLAKE WINTER MD TRUSTEE 1.00 0.00 X 0 0 0 0 2065419 733272 0 0 1 0 0 82171 901070 6000 1426935 3583 2416176 377259 377259 3666916 0 3666916 3666916 3666916 48839 82171 61210 -12371 -12371 6447980 0 0 4031804 3979723 3979723 6955 6955 254975 12749 140236 101990 205287 10264 112908 82115 25700 1285 14135 10280 32679 32679 52801 52801 790 458 332 143088 143088 7260 4211 3049 12557 7283 5274 SHARED SRVCS - ADMIN 72673 72673 SHARED SRVCS -RISK MGMT 29001 29001 SUPPLIES 15144 15144 SHARED SRVCS - HR 14270 14270 12839 11414 1425 4865742 4022390 587511 255841 338 338 743164 1013693 1901247 835291 19204141 19654349 21848890 21503671 1268 0 65828 650503 67096 650503 X 4458344 5244773 17323450 15608395 21781794 20853168 21848890 21503671 X 1582238 -2266662 -197052 -47150 X 0 1 X 1 0 X 3264146 2202249 6600502 3649658 2416176 18132731 3264146 2202249 6600502 3649658 2416176 18132731 2032983 16099748 162957 167859 212403 277650 377259 1198128 54289 71591 57955 44970 48839 277644 19608503 0.82110 0.82770 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING EVENT RECEIPTS EXCL CHARITABLE CONTRIBUTIONS - 2020 AMOUNT: $ 54,289. 2021 AMOUNT: $ 71,591. 2022 AMOUNT: $ 57,955. 2023 AMOUNT: $ 44,970. 2024 AMOUNT: $ 48,839. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17323450 1818249 460412 3993716 15608395 15499679 2735194 714806 1626229 17323450 11811508 6148824 -1166987 1293666 15499679 10945080 1215030 1009550 1358152 11811508 9577917 2225759 914768 1773364 10945080 0.00000 0.58865 0.41135 0 0 0 INTERCOMPANY PAYABLES 650503 650503 PART V, LINE 4: THE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT THE LUTHERAN MEDICAL CENTER IN AREAS INCLUDING ASSOCIATE EDUCATION, HOSPICE & PALLIATIVE CARE, AND OTHER SERVICES AND PROGRAMS. GOLF EVENT 131010 82171 48839 2500 11778 22670 14641 4000 5621 131010 82171 48839 2500 11778 22670 14641 4000 5621 61210 -12371 1 INTERMOUNTAIN FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 501(C)(3) 3708525 0 SUPPORT LUTHERAN MEDICAL CENTER SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 237379161 501(C)(3) 271198 0 SUPPORT FOR NEW LUTHERAN HOSPITAL 2 0 PATIENT TRANSPORTATION 159 4373 FMV 10-RIDE TICKET BOOKS FOR PATIENTS IN NEED OF TRANSPORTAITION PATIENT BLANKETS AND BEDDING 60 2582 FMV BLANKETS AND BEDDING GIVEN TO PATIENTS PART I, LINE 2: FUND RECIPIENTS ARE REQUIRED TO UTILIZE A REIMBURSEMENT REQUEST SPREADSHEET TO RECORD EXPENDED COSTS ASSOCIATED WITH THEIR APPROVED FUNDING REQUEST. ONCE ALL EXPENSED COSTS ARE RECORDED, THE FUND RECIPIENT IS RESPONSIBLE FOR NOTIFYING AND SENDING THE REIMBURSEMENT REQUEST WORKSHEET TO THE FOUNDATION. AT THAT TIME THE FOUNDATION WILL TRANSFER FUNDS TO THE RECIPIENT. FUND RECIPIENT IS REQUIRED TO COMPLETE A FINAL REPORT AFTER THE FUNDS ARE SPENT AND BENEFIT REALIZED; ALL AWARDED FUNDS REQUIRE A FINAL REPORT. COMPLETED REPORTS ARE REQUIRED TO BE SUBMITTED TO THE FOUNDATION IN A TIMELY MANNER; INFORMATION MAY BE SHARED WITH THE FOUNDATION BOARD AND INTERNAL OR EXTERNAL AUDIENCES. AT TIMES, FUND RECIPIENTS MAY BE INVITED TO PRESENT THE FINAL REPORT TO THE FOUNDATION BOARD. APPROVED FUNDS MUST BE SPENT WITHIN SIX MONTHS OF THE FUNDING APPROVAL DATE. IF A LONGER PERIOD IS REQUIRED, THE RECIPIENT MUST CONTACT THE FOUNDATION TO DISCUSS AN EXTENSION. 0 1 0 0 0 0 0 0 0 SCOTT PEEK TRUSTEE (PARTIAL) 0 778339 0 336241 0 4697 0 354414 0 31406 0 1505097 0 236241 ANDREA BURCH MD TRUSTEE (PARTIAL) 0 387444 0 79337 0 36056 0 175309 0 34194 0 712340 0 113579 KRISTI DAVIS TRUSTEE 0 200480 0 46915 0 2280 0 58772 0 12279 0 320726 0 46915 KATHERINE REPOLA EXECUTIVE DIRECTOR 0 171354 0 19883 0 2393 0 40529 0 26369 0 260528 0 19883 PART I, LINE 3 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, INTERMOUNTAIN FRONT RANGE, INC. (IFR). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF INTERMOUNTAIN FRONT RANGE, 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, LINE 4B PAYMENTS FROM A 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. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE PARTICIPANTS' W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2024 WERE: ANDREA BURCH - $34,243 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 V, LINE 1A EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART V, LINE 2A EXPLANATION FOR NUMBER REPORTED ON FORM W-3: THE ORGANIZATION LEASES EMPLOYEES FROM A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED W-3 AND RELATED W-2 TAX FORMS FOR THESE INDIVIDUALS. ACCORDING TO THE FORM 990 INSTRUCTIONS FOR PART IX, WE REFLECT THE LEASED EMPLOYEE'S COMPENSATION ON THE FORM 990, PART IX AS IF THE ORGANIZATION COMPENSATES THESE INDIVIDUALS. FORM 990, PART VI, SECTION A, LINE 2 ANDREA BURCH / SCOTT PEEK - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN INTERMOUNTAIN FRONT RANGE, INC., A RELATED TAX-EXEMPT ORGANIZATION). FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS INTERMOUNTAIN FRONT RANGE, INC., IS THE SOLE MEMBER OF LUTHERAN MEDICAL CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS INTERMOUNTAIN FRONT RANGE, INC., THE SOLE MEMBER OF LUTHERAN MEDICAL CENTER FOUNDATION, APPROVES TRUSTEES OF LUTHERAN MEDICAL CENTER FOUNDATION BOARD OF TUSTEES. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS INTERMOUNTAIN FRONT RANGE, INC., HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF TRUSTEES AND THE PRESIDENT/CEO. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR TRUSTEES, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED TO REVIEW THE FORM 990. THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION B, LINE 15 THE 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: - EXECUTIVE DIRECTOR 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 LUTHERAN MEDICAL CENTER FOUNDATION DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE (HTTPS://EMMA.MSRB.ORG/P11734936-P11333642-P11768080.PDF), A SERVICE PROVIDED BY THE MUNICIPAL SECURITIES RULEMAKING BOARD. FORM 990, PART VII, SECTION B INDEPENDENT CONTRACTORS THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART XI, LINE 9: BAD DEBT WRITE-OFFS ON PRIOR YEAR PLEDGES -47,150. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 237379161 MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES KS 501(C)(3) LINE 12C, III-FI INTERMOUNTAIN HEALTH CARE INC 1 SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 823290526 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SCLHS 1 SCL HEALTH RESEARCH INSTITUTE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 852014794 MEDICAL RESEARCH CO 501(C)(3) LINE 4 SCLHS 1 INTEGRITY HEALTH 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 474520350 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12C, III-FI INTERMOUNTAIN HEALTH CARE INC 1 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 840482695 HOSPITAL SERVICES CO 501(C)(3) LINE 3 INTEGRITY HEALTH 1 PLATTE VALLEY MEDICAL CENTER FOUNDATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 742255936 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12A, I BRIGHTON 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