2025-11-10T09:56:51-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 2005 MARKET ST STE 700 PHILADELPHIA PA 19103 990 2024-01-01 840425720 ST MARY'S HOSPITAL & MEDICAL CENTER INC STMA 8018427851 2635 N 7TH STREET GRAND JUNCTION CO 81501 SEAN FADDEN REGIONAL VP, FINANCE 3034252410 2025-11-10 0 0 LAUREN E BENNETT P01787029 2154485000 2024 2025-03-06 01:10:19Z BRYAN JOHNSON 2635 N 7TH STREET GRAND JUNCTION CO 81501 558092840 0 0928 X SEE SCHEDULE "O" FOR WEBSITE ADDRESS X 1975 CO WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OFTHE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POORAND VULNERABLE. 14 11 3056 431 5568484 1063528 5013454 4242907 487821499 529773473 16551268 15777777 5837882 6009752 515224103 555803909 20436841 20426789 0 0 181461726 182575420 0 0 0 323469860 340346836 525368427 543349045 -10144324 12454864 876818721 889594455 26349557 26271495 850469164 863322960 X WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OFTHE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POORAND VULNERABLE. 0 0 461321564 20426789 533787082 ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., (ST. MARY'S) IN GRAND JUNCTION, CO., IS THE LARGEST MEDICAL CENTER BETWEEN DENVER AND SALT LAKE CITY AND IS COMMITTED TO PUTTING PEOPLE FIRST. SERVING THE HEALTHCARE NEEDS OF WESTERN COLORADO AND EASTERN UTAH FOR NEARLY 130 YEARS, ST. MARY'S IS A FAITH-BASED, NON-PROFIT PROVIDER AND IS PART OF INTERMOUNTAIN HEALTH CARE, INC.FOUNDED IN 1896 BY THE SISTERS OF CHARITY OF LEAVENWORTH, ST. MARY'S HAS A RICH HISTORY OF SERVING THE MANY NEEDS OF ITS COMMUNITY, FROM ADVANCED MEDICAL CARE TO CHARITABLE GIVING.ST. MARY'S AND ITS LEADERS CONTINUE TO BE COMMITTED TO THE RENOWNED STATEMENT OF MOTHER XAVIER ROSS, FOUNDER OF THE SISTERS OF CHARITY OF LEAVENWORTH. IN ALL ST. MARY'S ACTIONS, WE WILL: "LOOK FORWARD TO THE GOOD THAT IS YET TO BE." THROUGHOUT OUR HISTORY, THE GENEROSITY OF WESTERN COLORADANS HAS ENABLED ST. MARY'S TO GROW TO MEET HEALTHCARE NEEDS. CONTRIBUTIONS OF LAND, FUNDS, TIME, AND TALENT ALLOWED US TO KEEP PACE WITH EXPANDING POPULATION AND MEDICAL ADVANCES.ST. MARY'S IS A FULL-SERVICE HOSPITAL PROVIDING QUALITY HEALTHCARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS THE LARGEST HEALTHCARE FACILITY IN A 250-MILE RADIUS, ST. MARY'S PROVIDES MANY ADVANCED HEALTHCARE SERVICES NOT OFFERED BY ANY OTHER FACILITIES IN WESTERN COLORADO AND EASTERN UTAH AND IS LICENSED FOR 346 BEDS.ST. MARY'S OPERATES THE ONLY LEVEL II TRAUMA CENTER AND LEVEL III NICU BETWEEN DENVER, CO AND SALT LAKE CITY, UT. WITH A 24-7 EMERGENCY DEPARTMENT STAFFED WITH EXPERIENCED EMERGENCY MEDICINE, TRAINED PHYSICIANS AND NURSES, TRAUMA AND NEUROSURGEONS ALWAYS AVAILABLE, AND AIR MEDICAL TRANSPORT SERVICES. ST. MARY'S CARES FOR SERIOUSLY ILL AND INJURED PATIENTS. MULTIPLE TRANSPORT HELICOPTERS PROVIDE ASSISTANCE IN BOTH RESCUE AND EVACUATION EFFORTS.ST. MARY'S IS RELATED TO INTERMOUNTAIN MEDICAL GROUP-GRAND JUNCTION, LLC FORMERLY KNOWN AS SCL HEALTH MEDICAL GROUP-GRAND JUNCTION, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, INTERMOUNTAIN FRONT RANGE, INC. FORMERLY KNOWN AS SCL HEALTH-FRONT RANGE, INC. INTERMOUNTAIN MEDICAL GROUP-GRAND JUNCTION, LLC IS A GROUP OF PHYSICIAN CLINICS THAT PROVIDE PROFESSIONAL SERVICES TO THE ST. MARY'S HOSPITAL COMMUNITY AND SUPPORTS THE MISSION OF ST. MARY'S HOSPITAL.ALTHOUGH INTERMOUNTAIN MEDICAL GROUP-GRAND JUNCTION, LLC IS NOT OWNED DIRECTLY BY ST. MARY'S, ST. MARY'S FUNDS ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP-GRAND JUNCTION, LLC. THROUGH EQUITY TRANSFERS TO INTERMOUNTAIN FRONT RANGE, INC. IN 2024, THE HOSPITAL PROVIDED $51,262,140 IN SUPPORT OF THE LOSSES OF THE PHYSICIAN CLINICS.ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN COLORADO, IDAHO, MONTANA, NEVADA, UTAH, 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, AN INTEGRATED HEALTH SYSTEM, ST. MARY'S HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL.ST. MARY'S RECEIVED AN 'A' RATING FROM THE LEAPFROG GROUP AND CMS 4 STARS FOR HOSPITAL SAFETY. U.S. NEWS & WORLD REPORT RECOGNIZED ST. MARY'S AS "HIGH PERFORMING" IN TREATING HEART ATTACK, HIP REPLACEMENT, PROSTATE CANCER SURGERY, AND STROKE. IN 2024, ST. MARY'S BECAME THE FIRST NONACADEMIC COMMUNITY-BASED HOSPITAL (AND ONE OF ONLY FIVE HOSPITALS NATIONWIDE) TO BE VERIFIED AT THE HIGHEST LEVEL BY THE AMERICAN COLLEGE OF SURGEONS AND THE SOCIETY FOR VASCULAR SURGERY'S COMPREHENSIVE INPATIENT VASCULAR VERIFICATION PROGRAM.ST. MARY'S HAS A VARIETY OF PROGRAMS AND SERVICES TO SERVE THE COMMUNITY INCLUDING BUT NOT LIMITED TO:- CANCER CARE - CARDIAC AND VASCULAR SERVICES- EMERGENCY AND TRAUMA SERVICES (LEVEL II TRAUMA CENTER)- LEVEL III NICU- FAMILY MEDICINE- LABOR AND DELIVERY (LEVEL III NEONATAL INTENSIVE CARE UNIT)- ORTHOPEDICS- PALLIATIVE CARE- RADIOLOGY, IMAGING AND ANCILLARY SERVICES- SPORTS MEDICINE- SURGERY CENTER- WOMEN'S HEALTHST. MARY'S IS AN ACCREDITED CHEST PAIN CENTER, COMPREHENSIVE STROKE CENTER, MAGNET DESIGNATED, JOINT COMMISSION MEMBER, AMERICAN COLLEGE OF RADIOLOGY ACCREDITED FACILITY, CERTIFIED BREAST CANCER CENTER, AND APEX ACCREDITATION FOR RADIATION ONCOLOGY.DURING 2024, THE FOLLOWING SERVICES WERE PROVIDED:ADMISSIONS - 12,986OUTPATIENT VISITS 253,854EMERGENCY ROOM VISITS 42,226BIRTHS - 1,282SURGERIES - 8,794LAB TESTS 1,065,901MISSION, VISION & VALUESMISSION:WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISION: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. 461321564 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 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 3056 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 0 X COLIN QUINCY 8014423491 36 SOUTH STATE STREET SUITE 1600 SALT LAKE CITY UT 84111 X BRYAN JOHNSON PRESIDENT 20.00 38.00 X X 789764 0 295366 ELIZABETH BUISKER MD FORMER KEY EMPLOYEE 0.00 52.00 X 0 649788 91045 TROY STOEHR VP, FINANCE SMGJ (PARTIAL) 17.00 33.00 X 0 627497 96553 LEE SYPHUS FORMER HIGHEST COMPENSATED 0.00 53.00 X 0 511984 192070 MICHELE ARNOLD MD CHIEF MEDICAL OFFICER SMGJ 50.00 0.00 X 0 538161 111399 DANIEL PRINSTER VP STRATEGY AND BUS DEVELOPMENT SMGJ 50.00 2.00 X 0 587404 22722 TERENCE MOLOUGHNEY SECRETARY (PARTIAL) 1.00 56.00 X 0 454404 62322 MICHELLE SHIAO VP CHIEF NURSING OFFICER SMGJ 50.00 0.00 X 333092 0 128950 GEORGE SCOTT MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 336183 60753 KELLY ADAMS SECRETARY (PARTIAL) 1.00 57.00 X 0 294501 90592 RYAN JACKMAN FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 290672 52132 SABRINA MITCHELL MEDICAL DIRECTOR FAMILY MED 50.00 0.00 X 297769 0 42009 KARLYNN SIEVERS MD PHYSICIAN FAMILY MEDICINE 50.00 0.00 X 291649 0 39461 JUSTIN MCCARTHY PHYSICIAN FAMILY MEDICINE 50.00 0.00 X 267817 0 45870 STEPHANIE VOYLES MD PHYSICIAN FAMILY MEDICINE 50.00 0.00 X 264182 0 47383 ANDREW GERDES PHYSICIAN FAMILY MEDICINE 50.00 0.00 X 262663 0 48430 VINCENT DONOHUE AVP, FINANCE WESTERN CO MARKET(PARTIAL) 50.00 1.00 X 211052 0 98181 ASHLEY THUROW VP, FINANCE SMGJ (PARTIAL) 50.00 3.00 X 262401 0 29357 AMY DAVIS MD TRUSTEE 1.00 50.00 X 0 245442 44518 SHAWN DUFFORD FORMER KEY EMPLOYEE 25.00 27.00 X 0 231412 0 SADIE SULLIVAN ASSISTANT SECRETARY (PARTIAL) 1.00 50.00 X 0 75622 3330 LENNA WATSON TRUSTEE 6.00 0.00 X 15951 0 953 TOM BENTON CHAIR 1.00 0.00 X X 812 0 0 JOE CARLSON TRUSTEE 1.00 0.00 X 0 0 0 TADD FERGUSON MD TRUSTEE 1.00 0.00 X 0 0 0 TIM FOSTER TRUSTEE 1.00 0.00 X 0 0 0 MARK GRIFFIN MD TRUSTEE 1.00 0.00 X X 0 0 0 BRIAN HILL TRUSTEE 1.00 0.00 X 0 0 0 ANGELA PADELECKI SECRETARY 1.00 0.00 X X 0 0 0 CHRISTIAN REECE TRUSTEE 1.00 0.00 X 0 0 0 JEFF TAETS VICE CHAIR 1.00 0.00 X X 0 0 0 RICK TAGGART TRUSTEE 1.00 0.00 X 0 0 0 VANCE WAGNER TRUSTEE 1.00 0.00 X X 0 0 0 2997152 4843070 1603396 341 1 1 0 0 2663326 1579581 4242907 PATIENT REVENUE 620000 517763461 517763461 IMAGING SERVICES 620000 5793614 5793614 MEDICAL LAB SERVICES 620000 3769611 3769611 CANCER CARE SERVICES 620000 1355483 1355483 AIR MEDICAL TRANSPORT 620000 987855 987855 103449 18615 84834 529773473 15866739 15866739 74711 2054745 116606 1530661 -41895 524084 482189 143633 338556 359813 448775 -88962 -88962 -88962 136437 192889 -56452 -56452 MANAGEMENT SERVICES 560000 3438108 1943763 1494345 CAFETERIA SALES 720000 1842930 1842930 IMAGE STORAGE 510000 302977 226916 76061 5584015 555803909 529932637 5568484 16059881 20311181 20311181 115608 115608 3675327 3654120 21207 140903052 140090291 812761 6194414 6194414 20814119 20814119 10988508 10925914 62594 10075 10075 30609192 29707318 901874 16175 15884 291 2119754 2028890 90864 29811817 189696 29622121 9573577 9145974 427603 639334 529901 109433 227216 221543 5673 5482859 5482859 23962550 23962550 679192 679192 MEDICAL SUPPLIES 123264237 123264237 MEDICAID PROVIDER TAXES 29571463 29571463 SHARED SERVICES - OTHER 19676288 19676288 SHARED SERVICES - RSC 18266297 18266297 46436810 34416410 12020400 543349045 461321564 82027481 0 4742 8236 2948183 2948183 66347875 78789939 927864 1017719 10795786 10992214 1516835 3000910 462851913 64942519 389098372 397909394 12430500 8888624 61811 392748564 385977425 876818721 889594455 24275967 23534824 2073590 2736671 26349557 26271495 X 850469164 863322960 850469164 863322960 876818721 889594455 X 12454864 398932 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10075 10075 0 PART II-B, LINE 1: THE LOBBYING EXPENDITURES REPRESENT PORTIONS OF VARIOUS MEMBERSHIP DUES THAT ARE DESIGNATED AS LOBBYING EXPENSES BY THOSE ORGANIZATIONS IN WHICH ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. IS A MEMBER. 17633091 3404255 958737 3136756 18859327 16103536 4419818 1051305 3941568 17633091 18258279 3651938 -1788101 4018580 16103536 17128359 3258508 1437882 3566470 18258279 16284424 3108968 1375860 3640893 17128359 0.00000 0.58400 0.41600 0 1 1 6730158 6730158 79874 342098352 28391398 313786828 5380250 1460566 3919684 90016169 35090555 54925614 18547110 18547110 397909394 INTERCOMPANY RECEIVABLES 382036342 OTHER RECEIVABLES 1032930 RIGHT OF USE ASSETS 2908153 385977425 ACCRUED LIABILITY - FINANCING LEASE 8026 ACCRUED LIABILITY - OPERATING LEASE 1637921 DEPOSITS 9350 ACCRUED LIABILITY - PLEDGE 500000 ACCRUED LIABILITY - MITIGATION 581374 2736671 PART V, LINE 4 ENDOWMENT FUNDS ARE HELD BY ST. MARY'S HOSPITAL FOUNDATION FOR THE BENEFIT OF ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. THE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. IN AREAS INCLUDING ASSOCIATE EDUCATION, GREATEST NEED, MOM/BABY & PEDIATRICS, PATIENT EXPERIENCE, RESPIRATORY, AND OTHER SERVICES AND PROGRAMS. 1 1 X 1 X 250.000000000000 1 X 500.000000000000 1 1 1 0 1 1 10071621 0 10071621 0.01900 121502762 86529427 34973335 0.06580 1257402 652895 604507 0.00110 132831785 87182322 45649463 0.08590 1290718 0 1290718 0.00240 17470036 2800533 14669503 0.02760 35997343 29830587 6166756 0.01160 0 0 19057844 0 19057844 0.03590 73815941 32631120 41184821 0.07750 206647726 119813442 86834284 0.16340 1 11959727 185875096 227397455 -41522359 X 1 1 1 PAVILION IMAGING LLC RADIOLOGY SERVICES 0.75000 0.00000 0.25000 2 GRAND VALLEY SURGERY CENTER LLC OUTPATIENT SURGERY 0.50170 0.00000 0.49830 3 SAN JUAN CANCER CENTER LLC OUTPATIENT SURGERY 0.33330 0.00000 0.33330 4 MONUMENT HEALTH LLC CLINICALLY INTEGRATED NETWORK 0.82000 0.00000 0.18000 1 1 ST MARY'S HOSPITAL & MEDICAL CENTER INC 2635 N 7TH STREET GRAND JUNCTION CO 81502 HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LO STATE LICENSE #011160 X X X ST MARY'S HOSPITAL & MEDICAL CENTERINC 0 0 1 X X X X X X X X X 24 1 1 1 1 X SEE PART V, SECTION C 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 ST. MARY'S HOSPITAL & MEDICAL CENTER,INC. PART V, SECTION B, LINE 5: ST. MARY'S HOSPITAL & MEDICAL CENTER (ST. MARY'S) CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS, WITH THE MOST RECENT ASSESSMENT COMPLETED IN 2024. IN CONDUCTING THE 2024 CHNA, ST. MARY'S COLLECTED PRIMARY DATA THROUGH A SOCIAL CAPITAL SURVEY ADMINISTERED IN 2023 AMONG MORE THAN 800 RESIDENTS. MESA COUNTY PUBLIC HEALTH DEPARTMENT, THE LOCAL PUBLIC HEALTH AGENCY, LED THE ASSESSMENT IN COLLABORATION WITH LOCAL NONPROFIT HOSPITALS, HEALTHCARE PROVIDERS, AND FEDERALLY QUALIFIED HEALTH CENTERS: FAMILY HEALTH WEST (FRUITA), MIND SPRINGS HEALTH (GRAND JUNCTION), COMMUNITY HOSPITAL (GRAND JUNCTION), VETERAN'S AFFAIRS (VA) WESTERN COLORADO HEALTH CARE SYSTEM, MARILLAC HEALTH (GRAND JUNCTION), MONUMENT HEALTH LLC (GRAND JUNCTION), AND HILLTOP COMMUNITY RESOURCES (GRAND JUNCTION).IN MESA COUNTY, THE COLLABORATIVE CHNA INCLUDED LOCAL HOSPITALS LED BY MESA COUNTY PUBLIC HEALTH, WHICH SOLICITED INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE SERVICE AREA AND THE MOST RECENT SECONDARY HEALTH DATA. IT ALSO CONSULTED WITH STAKEHOLDERS, COMMUNITY MEMBERS, AND COMMUNITY LEADERS WITH EXPERTISE AND EXPERIENCE IN PHYSICAL, MENTAL, AND SOCIAL HEALTH. THE PUBLIC VOICE WAS COLLECTED THROUGH COMMUNITY SURVEYS INCLUDING A LOCAL MENTAL HEALTH COMMUNITY ASSESSMENT SURVEY CONDUCTED IN 2023 WITH MORE THAN 850 RESPONSES.THE CHNA DATA ANALYSIS EXAMINED QUANTITATIVE AND QUALITATIVE DATA TO PROVIDE A COMPREHENSIVE ASSESSMENT OF COMMUNITY HEALTH ISSUES. ST. MARY'S HOSPITAL & MEDICAL CENTER,INC. PART V, SECTION B, LINE 6A: ST. MARY'S CONDUCTED THE 2024 CHNA IN COLLABORATION WITH NONPROFIT HOSPITALS ACROSS MESA COUNTY: FAMILY HEALTH WEST (FRUITA), MIND SPRINGS HEALTH (GRAND JUNCTION), COMMUNITY HOSPITAL (GRAND JUNCTION), AND VETERAN'S AFFAIRS (VA) WESTERN COLORADO HEALTH CARE SYSTEM (GRAND JUNCTION). ST. MARY'S HOSPITAL & MEDICAL CENTER,INC. PART V, SECTION B, LINE 6B: ST. MARY'S CONDUCTED THE 2024 CHNA IN COLLABORATION WITH THE MESA COUNTY PUBLIC HEALTH DEPARTMENT, THE FEDERALLY QUALIFIED HEALTH CENTER SERVING MESA COUNTY AND NONPROFIT HEALTHCARE PROVIDERS MARILLAC HEALTH (GRAND JUNCTION), MONUMENT HEALTH LLC (GRAND JUNCTION), AND HILLTOP COMMUNITY RESOURCES (GRAND JUNCTION).ST. MARY'S HOSPITAL & MEDICAL CENTER, INC.:FORM 990,SECTION B, LINE 7A:HOSPITAL FACILTY'S WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/CHNA-REPORTSST. MARY'S HOSPITAL & MEDICAL CENTER, INC.:FORM 990,SECTION B, LINE 7B:OTHER WEBSITE:HTTPS://WWW.MESACOUNTY.US/DEPARTMENTS-AND-SERVICES/PUBLIC-HEALTH/COMMUNITY-HEALTH-DATA/HEALTH-IMPROVEMENT-CYCLEST. MARY'S HOSPITAL & MEDICAL CENTER, INC.:FORM 990, SECTION B, LINE 10A:IMPLEMENTATION STRATEGY ON WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/CHNA-REPORTS ST. MARY'S HOSPITAL & MEDICAL CENTER,INC. PART V, SECTION B, LINE 11: THE 2024 CHNA WAS COMPLETED AND APPROVED BY THE GOVERNING BOARD IN DECEMBER 2024. AN ACCOMPANYING IMPLEMENTATION STRATEGY WAS ALSO ADOPTED. AS A RESULT, THE FOCUS OF ST. MARY'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 STILL CURRENT AND ACTIVE DURING THE TAX YEAR. THE IMPLEMENTATION STRATEGY APPROVED FOR 2024 WILL BE THE FOCUS OF 2025-2027. THE FOLLOWING INFORMATION REFLECTS THE ON-GOING EFFORTS TO ADDRESS THE HEALTH NEEDS IDENTIFIED IN THOSE ACTIVE CHNAS AND IMPLEMENTATION STRATEGY. THE 2021 ST. MARY'S CHNA, PRIORITIZED THE FOLLOWING SIGNIFICANT HEALTH NEEDS:- EDUCATION- HEALTH IMPLICATIONS (BEHAVIORS)- HEALTHCARE ACCESS EDUCATION: IN TERMS OF CAREER OPPORTUNITIES, LOCAL HEALTHCARE EMPLOYERS PROVIDE 27 JOB TYPES THAT EARN A DESIRABLE INCOME, AND 3,650 PEOPLE ARE EMPLOYED WITH THESE OCCUPATIONS IN THE COUNTY; HOWEVER, ONLY SIX OF THSE JOB TYPES HAD TRAINING OR EDUCATION PROGRAMS AVAILABLE IN MESA COUNTY. LOCAL STUDENTS OFTEN LEAVE THE AREA IF THEY DESIRE ADVANCED EDUCATION, INCLUDING A BACHELOR OF SCIENCE IN NURSING, ONE OF THE MOST SOUGHT-AFTER DEGREES. FURTHER, STUDENTS WHO QUALIFY FOR NEED-BASED FINANCIAL AID ARE LESS LIKELY TO COMPLETE THEIR DEGREES.ST. MARY'S PROVIDED CLINICAL ROTATIONS FOR NURSING, EMS/PARAMEDIC, DIETARY/NUTRITION, LABORATORY, RADIOLOGY, AND PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY STUDENTS. CLINICAL ROTATIONS ARE A NECESSARY COMPONENT OF HEALTHCARE PROFESSIONAL EDUCATION AND ENABLED STUDENTS TO COMPLETE THEIR EDUCATION IN MESA COUNTY AND INCREASE THE LIKELIHOOD OF GRADUATES LIVING AND WORKING LOCALLY AND EARNING A DESIREABLE INCOME. HEALTH IMPLICATIONS (BEHAVIORS):THE TOP CAUSES FOR YEARS OF POTENTIAL LIFE LOST (YPLL) ARE INTENTIONAL SELF-HARM AND ACCIDENTS. THESE CAUSES INCLUDE DEATH BY SUICIDE, A CRITICAL PUBLIC HEALTH ISSUE IN MESA COUNTY, WHERE RATES OF DEATH BY SUICIDE WERE CONSISTENTLY HIGHER THAN BOTH COLORADO AND THE UNITED STATES. THE COUNTY SUICIDE RATE (DEATHS PER 100,000 PEOPLE) FOR ADULTS AND TEENS IS MORE THAN DOUBLE THE NATIONAL RATE. OTHER ACCIDENTS, SUCH AS FALLS AND ACCIDENTAL POISONINGS, WERE THE SECOND LEADING CAUSE OF YPLL IN MESA COUNTY.IN 2024, ST. MARY'S OFFERED INJURY PREVENTION EDUCATION AT SEVERAL COMMUNITY EVENTS, INCLUDING LETHAL MEANS SAFETY WITH THE DISTRIBUTION OF GUN LOCKS, BIKE SAFETY AT LOCAL SCHOOLS, AND FALL SAFETY FOR SENIORS. ST. MARY'S USED ITS SUPPORT OF THE GRAND JUNCTION MARKET ON MAIN WEEKLY COMMUNITY EVENT TO PROVIDE PREVENTION EDUCATION ON STROKE AND CARDIAC HEALTH, WOMEN'S HEALTH, AND ONCOLOGY. ST. MARY'S SERVED ON THE HUNGER ALLIANCE, WHICH FOCUSED ON MESA COUNTY FOOD INSECURITY STRATEGIES, PARTICIPATED IN COLLABORATIONS AIMED AT PREVENTING HOMELESSNESS AND SUICIDE PREVENTION, AND WAS THE FISCAL SPONSOR FOR MEALS ON WHEELS MESA COUNTY.HEALTHCARE ACCESS: THE CHNA IDENTIFIED THREE AREAS OF NEED IN HEALTHCARE ACCESS: COST, AVAILABILITY OF TIMELY SERVICES, AND PERSONAL OBSTACLES. COMMUNITY STAKEHOLDERS PROVIDING PRIMARY CARE FOR UNINSURED PATIENTS RATED CONNECTING THIS POPULATION TO SPECIALTY CARE AS A SIGNIFICANT BARRIER. IN MESA COUNTY, 13% OF RESIDENTS WERE UNABLE TO ACCESS MEDICAL CARE DUE TO CAPACITY OF PROVIDERS, AND 10.4% DUE TO INSURANCE NOT BEING ACCEPTED. ADDITIONALLY, 3.7% OF RESIDENTS WENT WITHOUT CARE DUE TO INABILITY TO TRAVEL TO MEDICAL CARE, WHICH REPRESENTS 6,000 INDIVIDUALS UNABLE TO ACCESS CARE. THROUGH ITS COMMUNITY CONNECTIONS PROGRAM, ST. MARY'S SERVED HOMEBOUND COMMUNITY MEMBERS THROUGH A VOLUNTEER POOL. THESE VOLUNTEERS ASSISTED COMMUNITY MEMBERS WITH TRANSPORTATION, SOCIAL CONNECTEDNESS, SUPPORT ACCESSING FOOD AND MEDICAL NEEDS, AND RUNNING HOUSEHOLD ERRANDS. ST. MARY'S HOSTED A HEART HEALTH FAIR AND BILINGUAL HEALTH FAIR FOR THE COMMUNITY TO ACCESS THE TOOLS NEEDED TO LIVE A HEALTHIER LIFE.OTHER HEALTH NEEDS NOT PRIORITIZED:EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA PROCESS IS IMPORTANT. ST. MARY'S 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, ST. MARY'S LIMITED ITS THE FOCUS OF ITS IMPLEMENTATION STRATEGY TO THE SIGNIFICANT HEALTH ISSUES IDENTIFIED IN THE 2021 CHNA AND CONTINUED TO SUPPORT COMMUNITY EFFORTS AND COLLABORATIONS THAT ADDRESS ISSUES NOT PRIORITIZED IN THE 2022 COMMUNITY HEALTH IMPLEMENTATION STRATEGY.MENTAL HEALTH AND BEHAVIORAL HEALTH SERVICES: THE INCREASED NEED FOR MENTAL HEALTH SERVICES WITHIN MESA COUNTY WAS EVIDENT IN PATIENTS SEEN IN ST. MARY'S EMERGENCY DEPARTMENT FOR SUBSTANCE USE DISORDER, INTOXICATION, OR MENTAL HEALTH CRISIS WITH NO MEDICAL COMORBIDITIES. THESE VISITS POSED A SIGNIFICANT BURDEN TO THE HOSPITAL'S CAPACITY TO SERVE THE COMMUNITY. ST. MARY'S CONTINUED SUICIDE PREVENTION EFFORTS AND FOUND EFFORTS WERE MORE EFFECTIVE IN COLLABORATION WITH LAW ENFORCEMENT, D51 SCHOOL DISTRICT, MIND SPRINGS HEALTH, AND OTHER HEALTHCARE PROVIDERS. MESA COUNTY PRIMARY CARE PROVIDERS PRIORITIZED PATIENT CONVERSATIONS ABOUT MENTAL HEALTH AND WORKED TO INTEGRATE MENTAL HEALTH SERVICES WITH PRIMARY CARE.MORTALITY: HEART DISEASE WAS THE LEADING CAUSE OF DEATH IN MESA COUNTY AND THE RATE WAS HIGHER THAN THE COLORADO AVERAGE. ST. MARY'S FOCUSED ON HEALTHY BEHAVIORS TO ADDRESS CHRONIC DISEASES BY IMPROVING INDIVIDUAL BEHAVIORS THAT RESULT IN LONG-TERM IMPACTS ON HEART DISEASE. MORTALITY WAS INDIRECTLY ADDRESSED BY EFFORTS IN OTHER PRIORITY AREAS (E.G., ACCESS TO HEALTHCARE SERVICES, HEALTHY WEIGHT STATUS). ECONOMIC STABILITY: ST. MARY'S TOOK STEPS TO ADDRESS ECONOMIC STABILITY BY EVALUATING ITS WAGE STRUCTURE, INCREASING WAGES, AND BRINGING GREATER EARNING OPPORTUNITIES.NEIGHBORHOOD AND BUILT ENVIRONMENT: ST. MARY'S ACTIVELY SUPPORTED AND ATTENDED MESA COUNTY HUNGER ALLIANCE AND COLLABORATED WITH LAW ENFORCEMENT AND THE SCHOOL DISTRICT ON ACTIVITIES TO IMPROVE COMMUNITY NEIGHBORHOODS, AND THE PLANNING OF COMMUNITY RESOURCES SUCH AS THE COMMUNITY CENTER AND CLIFTON LIBRARY.SOCIAL AND COMMUNITY CONTEXT: THE HEALTH NEEDS ARE MOST EFFECTIVELY ADDRESSED WITH COLLABORATION AND CONTRIBUTIONS FROM MANY SECTORS. ST. MARY'S CONTINUED TO PARTICIPATE WITH THE COMMUNITY TRANSFORMATION GROUP AND HAD REPRESENTATION ON MANY KEY ORGANIZATIONS' BOARDS.PART V, SECTION B, LINE 13B & 13H:CATASTROPHIC ASSISTANCE: ST. MARY'S 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, ST. MARY'S ALLOWS FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES AND PROCEDURES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART V, SECTION B, LINE 16A, 16B, 16C:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGPART V, SECTION B, LINE 15E, 16I, 16J & 20E:SPECIFIC INFORMATION REGARDING AN ELECTRONIC APPLICATION TO APPLY FOR THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON ST. MARY'S WEBSITE 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 AVAIABLE 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 REGISTRATION ROOMS AND IN PATIENT CARE AREAS IN BOTH ENGLISH AND SPANISH. PART V, SECTION B, LINE 22B: ST. MARY'S 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). 9 1 - GRAND VALLEY SURGERY CENTER LLC 710 WELLINGTON AVE GRAND JUNCTION CO 81501 OUTPATIENT SURGERY 2 - SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE CO 81401 OUTPATIENT CANCER TREATMENT 3 - PAVILION IMAGING LLC 750 WELLINGTON AVE GRAND JUNCTION CO 81501 RADIOLOGY SERVICES 4 - CAREFLIGHT OF THE ROCKIES LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 AIR AMBULANCE SERVICES 5 - STMARY'S - FAMILY MEDICINE CLINIC 2698 PATTERSON RD GRAND JUNCTION CO 81506 OUTPATIENT PHYSICIAN CLINIC 6 - STMARY'S - AIM CLINIC 2698 PATTERSON RD GRAND JUNCTION CO 81506 OUTPATIENT PHYSICIAN CLINIC 7 - IH BLOOMIN' BABIES BIRTH CENTER 2241 N 7TH ST GRAND JUNCTION CO 81501 OUTPATIENT PHYSICIAN CLINIC 8 - ST MARY'S - PATHWAY FAMILY WELLNESS 562 29 RD GRAND JUNCTION CO 81501 OUTPATIENT PHYSICIAN CLINIC 9 - STMARY'S - ADVANCED MED ONCOLOGY 750 WELLINGTON AVE GRAND JUNCTION CO 81501 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 STATUS, 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, LN 7 COL(F): THE ADJUSTMENTS FOR UNPAID SERVICES INCLUDED ON FORM 990, PART IX, LINE 25, BUT EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, ARE $11,959,727. 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, ST. MARY'S 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.ST. MARY'S UTILIZES DATA SOURCES TO IDENTIFY NONRESPONDING PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS BELONGING TO QUALIFIED PATIENTS ARE ADJUSTED TO CHARITY CARE RATHER THAN ADJUSTMENTS FOR UNPAID SERVICES AT THE END OF THE INTERNAL COLLECTIONS CYCLE. ST. MARY'S ALSO ANALYZES THIS DATA TO ESTIMATE THE NUMBER OF PATIENTS THAT COULD POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE IF ADDITIONAL INFORMATION WERE AVAILABLE OR PROVIDED BY THE PATIENT.THE CHARITY CARE AMOUNTS INCLUDED IN THE FINANCIAL STATEMENTS ARE SEPARATE AND DISTINCT FROM ADJUSTMENTS FOR UNPAID SERVICES, WHICH GENERALLY REPRESENTS PATIENT SERVICES REVENUES THAT ARE NOT COLLECTIBLE DUE TO EITHER AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT OR ANINABILITY BY ST. MARY'S TO OBTAIN DOCUMENTATION FROM THOSE RESPONSIBLE FOR PAYMENT THAT WOULD SUBSTANTIATE THE PATIENT'S QUALIFICATION FOR CHARITY CONSIDERATION. ADJUSTMENTS FOR UNPAID SERVICES ARE REFLECTED AS REDUCTIONS TO PATIENT SERVICES REVENUES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AND WERE $13,685,432 AND $11,959,727 FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2024, RESPECTIVELY.PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT OF THE REGISTRATION, BILLING, OR COLLECTION PROCESSES. PART III, LINE 4: BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF ST. MARY'S UNINSURED AND UNDERINSURED PATIENTS ARE UNABLE TO PAY FOR THE SERVICES PROVIDED. ACCORDINGLY, ST. MARY'S 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 CLEARLY 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" CLEARLY 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: ST. MARY'S 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. ST. MARY'S 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 ST. MARY'S 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 ST. MARY'S. 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: IN ADDITION TO THE CHNA, ST. MARY'S PERIODICALLY ENGAGED OUTSIDE CONSULTATION TO ASSESS SPECIFIC HEALTHCARE ISSUES DEVELOPING IN THE COMMUNITY. ST. MARY'S UTILIZED DATA FROM THE COLORADO HOSPITAL ASSOCIATION TO ASSESS RESIDENTS RECEIVING HEALTH CARE SERVICES OUTSIDE OF MESA COUNTY AND WESTERN COLORADO. THIS ANALYSIS SHOWED OPPORTUNITIES TO STRENGTHEN LOCALLY-BASED SERVICES THAT CAN SUPPORT FAMILIES AND PROVIDE LOCAL SUPPORT SYSTEMS IN TIMES OF NEED.ST. MARY'S RECEIVED CONSULTATION DATA AND RESEARCH INFORMATION FROM SG2 HEALTHCARE INTELLIGENCE TO ANALYZE PREVALENCE AND UTILIZATION RATES TO FACILITATE COMPARISONS WITH COUNTY, STATE, OR NATIONAL TRENDS.ST MARY'S REVIEWED REPORTS FROM COMMUNITY STAKEHOLDERS TO UNDERSTAND THE CURRENT AND EMERGING COMMUNITY NEEDS AND AVAILABLE RESOURCES. PART VI, LINE 3: BY POLICY, ST. MARY'S 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 ST. MARY'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: ST. MARY'S DEFINED THE GEOGRAPHIC AREA FOR THE 2021 CHNA AS MESA COUNTY, LOCATED ON THE WESTERN BORDER OF COLORADO AND 250 MILES WEST OF DENVER. AS THE ONLY COUNTY WITH AN URBAN CENSUS TRACT WITHIN THE GEOGRAPHIC AREA CALLED THE WESTERN SLOPE, MESA COUNTY SPANS 3,313 SQUARE MILES. THE 38 SQUARE MILES WITHIN MESA COUNTY ALONG THE COLORADO RIVER ARE KNOWN AS THE GRAND VALLEY, AND THIS AREA IS THE MOST DENSELY POPULATED IN THE COUNTY. IT HAS AN ELEVATION OF 4,586 FEET. MESA COUNTY INCLUDES GRAND JUNCTION, FRUITA, COLLBRAN, DEBEQUE, PALISADE, AND SMALLER UNINCORPORATED AREAS. DATA WERE UPDATED WHERE POSSIBLE FROM DEMOGRAPHICS FROM 2021 CHNA.HOSPITALS SERVING MESA COUNTY INCLUDE: ST. MARY'S HOSPITAL & MEDICAL CENTER (NONPROFIT WITH LEVEL II TRAUMA CENTER); COMMUNITY HOSPITAL (NONPROFIT WITH LEVEL III TRAUMA CENTER); FAMILY HEALTH WEST (NONPROFIT CRITICAL ACCESS HOSPITAL); GRAND JUNCTION VETERANS AFFAIRS HEALTH CARE SYSTEM; AND WEST SPRINGS HOSPITAL (NONPROFIT PSYCHIATRIC CARE AND RECOVERY HOSPITAL).TOTAL POPULATION: THE POPULATION IN THE SERVICE AREA IS 155,703 (2020 CENSUS).POPULATION BY GENDER: IN THE SERVICE AREA, 49.7% OF THE POPULATION IS MALE AND 50.3% IS FEMALE.MEDIAN AGE: IN THE SERVICE AREA, THE MEDICAN AGE IS 41.1 YEARS.RACIAL AND ETHNIC DIVERSITY: THE MAJORITY OF THE SERVICE AREA IS WHITE (80.4%) AND HISPANIC/LATINO (15.3%). THE REMAINDER OF THE POPULATION IS BLACK/AFRICAN AMERICAN, AMERICAN INDIAN/ALASKA NATIVE, AND ASIAN AMERICAN/PACIFIC ISLANDER.EDUCATION ATTAINMENT FOR ADULTS (AGE 25 AND OLDER): THE ADULT POPULATION IN THE SERVICE AREA HAD A 91.5% HIGH SCHOOL GRADUATION RATE, AND 31.2% EARNED A BACHELOR'S DEGREE OR HIGHER.ECONOMICS: IN THE SERVICE AREA, THE MEDIAN HOUSEHOLD INCOME WAS $64,055 (2021), WHICH IS LOWER THAN THE STATE AVERAGE OF $80,254. PERSONS LIVING IN POVERTY: IN THE SERVICE AREA, 9.7% OF THE POPULATION LIVED IN POVERTY, WHICH IS COMPARABLE TO THE STATE AVERAGE. LIFE EXPECTANCY: IN THE SERVICE AREA, THE AVERAGE LIFE EXPECTANCY IS 78.9 YEARS, WHICH IS LOWER THAN THE STATE AVERAGE OF 80.5 YEARS.UNINSURED RATE: IN THE SERVICE AREA, THE UNINSURED RATE IS 11.0%, WHICH IS HIGHER THAN THE U.S. AVERAGE OF 9.3% (U.S. CENSUS).URBAN AND RURAL AREAS OF MESA COUNTY: MESA COUNTY INCLUDES AN URBAN AREA IN THE CITY OF GRAND JUNCTION AND RURAL AREAS IN THE UNINCORPORATED PARTS OF THE COUNTY. PART VI, LINE 5: ST. MARY'S IS DEDICATED TO PROVIDING SPECIALIZED HEALTHCARE SERVICES, EXPERT CARE, AND THE MOST CURRENT TREATMENTS AND TECHNOLOGY FOR THE COMMUNITIES OF WESTERN COLORADO AND THE REGION. COMMUNITY HEALTH PROMOTION ACTIVITIES IN 2024 WERE ALIGNED WITH THE ACTIVE IMPLEMENTATION STRATEGIES AND INCLUDED: CLASSES ON WEIGHT MANAGEMENT, DIABETES EDUCATION, HEALTHY SPINE AND BACK PAIN, PARENTING, SUPPORT GROUPS FOR CANCER PATIENTS AND EMPLOYEES, EMERGENCY RESPONSE AND TRIAGE TRAINING, AND PUBLIC EDUCATION FOCUSED ON INJURY AND SAFETY FOR CHILDREN AND FAMILIES. ST. MARY'S UTILIZED THE GENEROSITY OF VOLUNTEERS TO PROVIDE HOSPITAL AND COMMUNITY SERVICES. IN 2024, ST. MARY'S HAD 131 TOTAL ACTIVE VOLUNTEERS WHO DELIVERED 24,335 HOURS OF SERVICE, OR THE EQUIVALENT OF 11.7 FULL-TIME EMPLOYEES.TO IMPROVE HEALTH NEEDS IN UNDERSERVED AREAS, ST. MARY'S WAS PART OF A COMMUNITY TRANSFORMATION GROUP FOCUSED ON DEVELOPING COMMUNITY PROGRAMING IN THE CLIFTON COMMUNITY, AN UNINCORPORATED AREA OR MESA COUNTY. CLIFTON HAS APPROXIMATELY 20,000 RESIDENTS AND IS THE SECOND MOST POPULATED AREA IN MESA COUNTY BUT LACKED THE INFRASTRUCTURE TO SUPPORT CIVIC ENGAGEMENT AND COMMUNITY PROJECTS. FOUR YEARS OF THE GROUP'S WORK CULMINATED IN THE COMPLETION OF A NEW LIBRARY COMPLEX IN 2023 AND A COMMUNITY CENTER IN 2024.IN 2022, ST. MARY'S BEGAN A COLLABORATION WITH THE FOODBANK OF THE ROCKIES THAT PROVIDED A PROGRAM TO ADDRESS FOOD INSECURITY. ST. MARY'S SUPPORTED THE CONSTRUCTION OF THEIR NEW COMMERCIAL KITCHEN ALLOWING THE PROGRAM TO SERVE 147,821 MEALS FOR 979 UNDUPLICATED CLIENTS, WITH 30 DAILY ROUTES MANAGED BY PROGRAM STAFF AND 300 VOLUNTEERS.BASED ON THE HEALTH NEEDS IDENTIFIED AMONG THE AGING POPULATION, ST. MARY'S PROVIDED SPONSORSHIP AND IN-KIND SUPPORT FOR MEALS ON WHEELS OF MESA COUNTY. THE PROGRAM IS AN UNDUPLICATED NUTRITIONAL FOOD SECURITY PROGRAM FOR SENIORS THAT PROVIDES HOME DELIVERY AND MEALS AT NINE REGIONAL DINING SITES EVERY WEEKDAY TO THE FRAIL AND HOMEBOUND IN THE COUNTY. LIKEWISE, ST. MARY'S SUPPORTED A VOLUNTEER PROGRAM THAT PROMOTED SOCIAL CONNECTEDNESS AND INDEPENDENT LIVING FOR AGING RESIDENTS. IN 2024, 22 VOLUNTEERS PROVIDED 3,320 HOURS OF SERVICE THAT ASSISTED 34 HOMEBOUND INDIVIDUALS. VOLUNTEERS SUPPLIED TRANSPORTATION FOR 122 MEDICAL APPOINTMENTS, 727 GROCERY STORE TRIPS, 648 IN HOME VISITATION APPOINTMENTS, AND 631 BILL/BANKING/MISCELLANEOUS ERRANDS. THE PROGRAM RESULTED IN 100% OF CLIENTS REPORTING DECREASED FEELINGS OF BOREDOM, LONELINESS, OR SADNESS; IMPROVED ABILITY TO LIVE INDEPENDENTLY; AND MAINTAINED/IMPROVED QUALITY OF LIFE. ADDITIONALLY, ST. MARY'S OFFERED IN-HOME EDUCATION ON FALL PREVENTION, MEDICATION SAFETY, AND ESTABLISHING POWER OF ATTORNEY.ST. MARY'S ROSE HILL HOSPITALITY HOUSE PROVIDED PATIENTS AND FAMILIES WITH ECONOMICAL AND AFFORDABLE ACCOMMODATIONS WHILE RECEIVING CARE AT ST. MARY'S. IN 2024, 1,855 GUESTS STAYED A TOTAL OF 10,192 NIGHTS.ST. MARY'S PROVIDED MEDICAL TRAINING EDUCATION FOR SEVERAL PROFESSIONS, INCLUDING FAMILY MEDICINE RESIDENCY, NURSING, RADIOLOGY, AND OTHER HEALTH CARE PROGRAMS. STUDENTS WERE FROM PROGRAMS AT THE LOCAL UNIVERSITY AND PROGRAMS OUTSIDE MESA COUNTY.IN 2024, ST. MARY'S CONTINUED COMMUNITY BENEFIT INCLUDED TRADITIONAL CHARITY CARE AND THE UNPAID COST OF MEDICAID. THE HOSPITAL'S BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS AND ALL PROVIDED HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. 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 COLORADO, IDAHO, MONTANA, NEVADA, UTAH 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. 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/COMMUNITY-HEALTH/CHNA-REPORTS) AND IN SUMMARY BY THE STATE OF COLORADO (HTTPS://HCPF.COLORADO.GOV/HOSPITAL-COMMUNITY-BENEFIT-ACCOUNTABILITY). 1 INTERMOUNTAIN FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 501(C)(3) 17858330 0 SUPPORT COLORADO CLINICS ST MARY'S HOSPITAL FOUNDATION 2635 NORTH 7TH STREET GRAND JUNCTION CO 81501 237001007 501(C)(3) 1090984 0 SUPPORT OPERATIONS MARILLAC CLINIC INC 2333 NORTH 6TH STREET GRAND JUNCTION CO 81501 841085822 501(C)(3) 305000 0 PROGRAM SUPPORT/SPONSORSHIP PROJECT CURE INTERNATIONAL HEADQUARTERS 10377 E GEDDES AVENUE CENTENNIAL CO 80112 841568566 501(C)(3) 0 291469 BOOK MEDICAL SUPPLIES MEDICAL SUPPLIES DONATION MIND SPRINGS FOUNDATION INC 515 28 34 RD BLDG A GRAND JUNCTION CO 81501 352667413 501(C)(3) 250000 0 CAPITAL CAMPAIGN PLEDGE MESA COUNTY 544 ROOD AVENUE GRAND JUNCTION CO 81501 846000783 GOVERNMENT 80000 0 PATHWAYS STARTUP DONATION HOMEWARD BOUND OF THE GRAND VALLEY 2853 NORTH AVENUE GRAND JUNCTION CO 81501 260052916 501(C)(3) 60000 0 COMMUNITY BENEFIT DONATIONS HILLTOP HEALTH SERVICES CORPORATION 1331 HERMOSA STREET GRAND JUNCTION CO 81506 742321009 501(C)(3) 57500 0 SPONSORSHIPS COLORADO MESA UNIVERSITY FOUNDATION 1450 NORTH 12TH STREET GRAND JUNCTION CO 81501 846037667 501(C)(3) 53100 0 SPONSORSHIPS COMMUNITY FOOD BANK PO BOX 3614 GRAND JUNCTION CO 81501 840817696 501(C)(3) 38000 0 SPONSORSHIPS GRAND JUNCTION ECONOMIC PARTNERSHIP 122 N 6TH STREET GRAND JUNCTION CO 81501 840972492 501(C)(3) 35020 0 SPONSORSHIP/ANNUAL INVESTMENT GREATER GRAND JUNCTION SPORTS COMMISSION 1100 NORTH AVE GRAND JUNCTION CO 81501 813433847 501(C)(3) 20000 0 SPONSORSHIP GRAND JUNCTION AREA CHAMBER OF COMMERCE 360 GRAND AVENUE GRAND JUNCTION CO 81501 840215575 501(C)(6) 17150 0 AUCTION PURCHASE/SPONSORSHIPS/MEMBERSHIP HOLY FAMILY CATHOLIC SCHOOL 786 26 1/2 ROAD GRAND JUNCTION CO 81506 860297730 501(C)(3) 15000 0 MENTAL HEALTH DONATION SPECIAL OLYMPICS COLORADO 12450 E ARAPAHOE ROAD SUITE C CENTENNIAL CO 80112 840713739 501(C)(3) 10500 0 SPONSORSHIP CITIZENS FOR D51 SCHOOLS ISSUE COMMITTEE 2536 RIMROCK AVE SUITE 400 GRAND JUNCTION CO 81505 993892587 501(C)(4) 10000 0 SUPPORT VOTER ADVOCACY CENTER FOR ENRICHED COMMUNICATION 2708 PATTERSON RD GRAND JUNCTION CO 81506 742232416 501(C)(3) 10000 0 MISSION INTEGRATION FUND DONATION CITY OF GRAND JUNCTION 101 SOUTH 3RD STREET SUITE 100 GRAND JUNCTION CO 81501 846000592 GOVERNMENT 7500 0 MARKET ON MAIN SPONSORSHIP HOPEWEST 3090 NORTH 12TH ST UNIT B GRAND JUNCTION CO 81506 841207388 501(C)(3) 7250 0 GRAND JUNCTION GALA SPONSORSHIP FAMILY HEALTH WEST FOUNDATION 228 N CHERRY STREET FRUITA CO 81521 825487165 501(C)(3) 7000 0 SPONSORSHIPS 18 2 TRANSPORTATION SERVICES 179 24579 FMV TRANSPORTATION FOR INDIVIDUALS IN NEED TO SEE CAREGIVERS HOMELESS SHELTER LAUNDRY SERVICE 400 81504 FMV HOMELESS SHELTER LAUNDRY SERVICE PRESCRIPTION DRUGS 114 9473 FMV PRESCRIPTION DRUGS FOR INDIGENT CARE MEDICAL SERVICES 1 52 FMV HOME HEALTH SERVICES PART I, LINE 2: PROCESS FOR MONITORING GRANTS AND AWARDS THE ORGANIZATION'S PROCESS FOR MONITORING GRANTS AND AWARDS REQUIRES THAT EACH GRANT APPLICANT COMPLETE A LETTER OF REQUEST EXPLAINING THE NEED THAT THE ORGANIZATION WOULD LIKE TO ADDRESS. AFTER A MEETING WITH THE APPLYING ORGANIZATION'S REPRESENTATIVE, THE REQUESTOR MUST COMPLETE A COMMUNITY BENEFIT CONTRIBUTION RESTRICTION FORM, PROVIDED BY THE HOSPITAL, WHICH DETAILS IN WRITING HOW THE CONTRIBUTION IS TO BE USED FOR AN ACTIVITY OR PROGRAM THAT MEETS THE HOSPITAL'S COMMUNITY BENEFIT REQUIREMENTS. WITH THIS LETTER OF REQUEST, THE APPLICANT MUST SUBMIT A LISTING OF ITS BOARD OF DIRECTORS, A YEARLY FINANCIAL STATEMENT AND AN EXPLANATION OF HOW THE MONIES AWARDED FROM PREVIOUS GRANTS WERE USED. IF THE GRANT IS AWARDED, THE THE HOSPITAL INQUIRES OF THE RECIPIENT THE FOLLOWING YEAR FOR DOCUMENTATION ON HOW THE GRANT MONIES WERE USED. 1 1 0 0 0 0 0 0 0 BRYAN JOHNSON PRESIDENT 554316 0 175097 0 60351 0 265522 0 29844 0 1085130 0 228386 0 ELIZABETH BUISKER MD FORMER KEY EMPLOYEE 0 408759 0 125339 0 115690 0 53910 0 37135 0 740833 0 87171 TROY STOEHR VP, FINANCE SMGJ (PARTIAL) 0 233480 0 66804 0 327213 0 67017 0 29536 0 724050 0 164209 LEE SYPHUS FORMER HIGHEST COMPENSATED 0 391303 0 93431 0 27250 0 159340 0 32730 0 704054 0 118761 MICHELE ARNOLD MD CHIEF MEDICAL OFFICER SMGJ 0 417710 0 113736 0 6715 0 74300 0 37099 0 649560 0 94242 DANIEL PRINSTER VP STRATEGY AND BUS DEVELOPMENT SMGJ 0 94041 0 61152 0 432211 0 9528 0 13194 0 610126 0 173146 TERENCE MOLOUGHNEY SECRETARY (PARTIAL) 0 171180 0 69994 0 213230 0 48033 0 14289 0 516726 0 57779 MICHELLE SHIAO VP CHIEF NURSING OFFICER SMGJ 252775 0 58072 0 22245 0 96251 0 32699 0 462042 0 78722 0 GEORGE SCOTT MD FORMER HIGHEST COMPENSATED 0 299846 0 34602 0 1735 0 20700 0 40053 0 396936 0 0 KELLY ADAMS SECRETARY (PARTIAL) 0 238931 0 24559 0 31011 0 56058 0 34534 0 385093 0 24559 RYAN JACKMAN FORMER HIGHEST COMPENSATED 0 276277 0 13504 0 891 0 17623 0 34509 0 342804 0 0 SABRINA MITCHELL MEDICAL DIRECTOR FAMILY MED 275709 0 20504 0 1556 0 15961 0 26048 0 339778 0 0 0 KARLYNN SIEVERS MD PHYSICIAN FAMILY MEDICINE 273090 0 17247 0 1312 0 5982 0 33479 0 331110 0 0 0 JUSTIN MCCARTHY PHYSICIAN FAMILY MEDICINE 248243 0 19004 0 570 0 14242 0 31628 0 313687 0 0 0 STEPHANIE VOYLES MD PHYSICIAN FAMILY MEDICINE 244349 0 19004 0 829 0 16182 0 31201 0 311565 0 0 0 ANDREW GERDES PHYSICIAN FAMILY MEDICINE 241347 0 20504 0 812 0 13863 0 34567 0 311093 0 0 0 VINCENT DONOHUE AVP, FINANCE WESTERN CO MARKET(PARTI 135424 0 56699 0 18929 0 56617 0 41564 0 309233 0 0 0 ASHLEY THUROW VP, FINANCE SMGJ (PARTIAL) 216179 0 45519 0 703 0 11067 0 18290 0 291758 0 45519 0 AMY DAVIS MD TRUSTEE 0 221697 0 20504 0 3241 0 13301 0 31217 0 289960 0 0 SHAWN DUFFORD FORMER KEY EMPLOYEE 0 0 0 0 0 231412 0 0 0 0 0 231412 0 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 ST. MARY'S HOSPITAL & MEDICAL CENTER, 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 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: TROY STOEHR - $228,918; TERENCE MOLOUGHNEY - $212,179; DANIEL PRINSTER - $318,399; SHAWN DUFFORD - $178,010. 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. WHEN THE AMOUNTS BECOME TAXABLE THEY ARE INCLUDED ON THE PARTICIPANTS' W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2024 WERE: BRYAN JOHNSON - $56,888; TROY STOEHR - $97,405; DANIEL PRINSTER - $111,994; MICHELLE SHIAO - $20,650; LEE SYPHUS - $25,330. 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, PAGE 1, BOX J ORGANIZATION WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH-ST-MA RYS-REGIONAL-HOSPITAL 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 ANGELA PADELECKI & TOM BENTON - BUSINESS RELATIONSHIP. SADIE SULLIVAN / TERENCE MOLOUGHNEY / KELLY ADAMS - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION). FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., HAS THE POWER TO APPOINT TRUSTEES OF THE ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. BOARD OF TRUSTEES, SUBJECT TO THE RATIFICATION BY THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS WHILE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., RESERVED POWERS ARE PRIMARILY HELD BY INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN), WHO AS A RESULT OF AFFILIATION, IS A MEMBER OF SCLHS. SCLHS HAS THE POWER TO APPOINT TRUSTEES TO THE BOARD OF 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; - APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE CORPORATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. THE OTHER MEMBER OF SCLHS IS LEAVEN MINISTRIES, WHO WAS GRANTED THE FOLLOWING RESERVED POWERS: - TO APPROVE THE ADOPTION, AMENDMENT, OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BY ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF INTERMOUNTAIN HEALTH CARE, INC. SET FORTH IN THE MERGER AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE RESERVED POWERS GRANTED TO LEAVEN MINISTRIES AND THOSE OF INTERMOUNTAIN, THE LEAVEN RESERVED POWERS WILL CONTROL. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY EACH OFFICER, DIRECTOR, TRUSTEE, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B (POLICIES) LINES 15(A) & 15(B) COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR 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 PRESIDENTS 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 ST. MARY'S HOSPITAL & MEDICAL CENTER, 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 XI, LINE 9: BOOK/TAX DIFFERENCE IN JOINT VENTURE 217,013. BOOK/TAX DIFFERENCE IN PERSONAL PROPERTY EQUIPMENT RENTAL 606,960. HEALTHCARE MANAGEMENT SERVICES UNRELATED BUSINESS INCOME -116. DISTRIBUTION TO MINORITY INTEREST PARTNERS IN JOINT VENTURE -424,925. 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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