2025-11-05T15:26:08-06:00 2024-12-31 990 2024-01-01 841649162 GOOD SAMARITAN MEDICAL CENTER FOUNDATION GOOD 8018427851 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 TYLER WILTGEN INTERIM REGION VP FOUNDATION 8018427851 2025-11-05 0 2024 2025-03-06 01:10:19Z TYLER WILTGEN 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 880347 0 X SEE SCHEDULE O X TAX EXEMPT FOUNDATION 2004 CO HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. 16 13 0 29 0 0 893769 542729 0 0 110653 291202 -21740 -2471 982682 831460 684423 300555 0 0 238582 67797 0 0 59995 308082 252742 1231087 621094 -248405 210366 2195615 1668771 563336 32366 1632279 1636405 X HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. 0 0 322133 300555 GOOD SAMARITAN MEDICAL CENTER FIRST OPENED ITS DOORS TO THE COMMUNITY IN DECEMBER 2004. THE GOOD SAMARITAN MEDICAL CENTER FOUNDATION WAS ESTABLISHED THE SAME YEAR TO PROVIDE A WAY FOR THE COMMUNITY TO SUPPORT THE HOSPITAL.THE FOUNDATION WORKS WITH DONORS TO ENSURE THAT MEDICAL EXCELLENCE AND COMPASSIONATE CARE ARE ALWAYS AVAILABLE IN THE COMMUNITY WE SERVE. PARTNERING WITH DONORS, WE ARE ABLE TO ENHANCE THE CARE THE MEDICAL CENTER PROVIDES TO PATIENTS AND THEIR FAMILIES.GOOD SAMARITAN MEDICAL CENTER AND THE FOUNDATION WERE PART OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM. ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED, CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, 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 AND IDAHO.SOME OF OUR AREA'S OF FOCUS ARE:- PATIENT ASSISTANCE: THROUGH THE GENEROSITY OF OUR DONORS, THE FOUNDATION HAS FUNDS AVAILABLE TO SUPPORT PATIENTS IN NEED SO THEY CAN FOCUS THEIR ENERGY WHERE IT SHOULD BE - ON THEIR HEALTH.- MEDICAL EDUCATION: THE FOUNDATION HAS A VARIETY OF EDUCATION AND SCHOLARSHIP FUNDS, SUPPORTED BY OUR DONORS, THROUGH WHICH SCHOLARSHIPS ARE AWARDED TO ASSOCIATES WHO ARE ADVANCING THEIR KNOWLEDGE THROUGH COLLEGE AND OTHER TRAINING PROGRAMS.- PROGRAM AND PROJECT FUNDS: OUR DONORS INVEST IN PROGRAMS AND PROJECTS AT THE MEDICAL CENTER TO ENSURE THAT THE VERY BEST CARE IS ALWAYS AVAILABLE RIGHT HERE IN OUR NEIGHBORHOOD. THESE GIFTS ARE AN INVESTMENT IN THE HEALTH OF OUR COMMUNITY.- COMMUNITY HEALTH AND WELLNESS: THE FOUNDATION WORKS IN CONJUNCTION WITH SEVERAL LOCAL PARTNERS BY INVESTING IN PROJECTS THAT ENHANCE LIFE AND HEALTH IN THE COMMUNITY WE LOVE.-HUMANITARIAN LOAN FUND - TO PROVIDE GRANTS AND NO INTEREST LOANS TO GSMC ASSOCIATES WHO ARE FACING HARDSHIPS.-GENERAL PATIENT ASSISTANCE FUND - TO PROVIDE SUPPORT TO GSMC PATIENTS WITH NO OR LIMITED RESOURCES. THE FUND DOES NOT PAY THE COST OF MEDICAL CARE BUT HAS ASSISTED PATIENTS WITH RENT, FOOD, AND OTHER ITEMS THEY NEED.-CARDIAC CARE FUND - TO PAY FOR PROGRAMS, PROJECTS AND OTHER NEEDS OF THE GSMC CARDIAC CARE PROGRAM AND PATIENTS.-DAVID HAMM LEGACY FUND - TO PROVIDE SCHOLARSHIPS TO GSMC ASSOCIATES WHO ARE PURSUING EDUCATION THAT IMPROVES AND ENHANCES PATIENT CARE.-REHAB PATIENT ASSISTANCE FUND - TO PROVIDE ASSISTANCE TO GSMC PATIENTS WHO HAVE FINANCIAL NEED.-NICU FUND - TO SUPPORT PROGRAMS AND PROJECTS IN THE GSMC NEONATALINTENSIVE CARE UNIT.-BUSCH FAMILY SCHOLARSHIP FUND - TO PROVIDE SCHOLARSHIPS TO GSMC ASSOCIATES WHO ARE PURSUING EDUCATION THAT IMPROVES AND ENHANCES PATIENT CARE. 322133 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 16 13 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X COLIN QUINCY 8014423491 36 SOUTH STATE STREET SUITE 1600 SALT LAKE CITY UT 84111 X DAWN ANUSZKIEWICZ TRUSTEE 1.00 50.00 X 0 623411 242310 STEVEN HANKINS TRUSTEE (PARTIAL) 1.00 50.00 X 0 732674 80026 EDWARD PYUN MD TRUSTEE 1.00 50.00 X 0 574865 56594 LESLIE MCKAY EXECUTIVE DIRECTOR (PARTIAL) 25.00 25.00 X 0 254477 30353 JANET BONNER EXECUTIVE DIRECTOR (PARTIAL) 50.00 0.00 X 0 219982 10747 CRAIG BELGARD TRUSTEE (PARTIAL) 1.00 0.00 X 0 0 0 SCOTT BUSCH CHAIR 1.00 0.00 X X 0 0 0 LOUIS CICIO TRUSTEE 1.00 0.00 X 0 0 0 DALE CLINGNER SECRETARY 1.00 0.00 X X 0 0 0 BOB DAVIS TRUSTEE 1.00 0.00 X 0 0 0 KADY DOELLING TRUSTEE 1.00 0.00 X 0 0 0 SARAH INGRAHAM TRUSTEE 1.00 0.00 X 0 0 0 CATHERINE LAZER MD TRUSTEE 1.00 0.00 X 0 0 0 JEFF LEFTWICH MD TRUSTEE (PARTIAL) 1.00 0.00 X 0 0 0 MIKE MEINTS TRUSTEE 1.00 0.00 X 0 0 0 KYLE MENDENHALL TRUSTEE 1.00 0.00 X 0 0 0 JASON PAPPAS TRUSTEE (PARTIAL) 1.00 0.00 X 0 0 0 WYMAN ROBB VICE CHAIR 1.00 0.00 X X 0 0 0 JANET ROSS TRUSTEE 1.00 0.00 X 0 0 0 DALE SCHNEIDER TRUSTEE (PARTIAL) 1.00 50.00 X 0 0 0 ANNIE SIMMONS TRUSTEE 1.00 0.00 X 0 0 0 0 2405409 420030 0 0 1 0 0 43759 365445 133525 540 542729 29815 29815 261387 0 261387 261387 261387 46416 43759 48887 -2471 -2471 831460 0 0 288731 158376 158376 142179 142179 63433 5075 38694 19664 4364 349 2662 1353 1000 173 190 637 35902 35902 3700 2479 1221 104751 104751 2107 1412 695 SHRD SVCS - ADMIN 63650 63650 SHRD SVCS - RISK MGMT 21231 21231 SHRD SVCS -SUPPLY CHAIN 10273 10273 BANK FEES 5230 4184 523 523 4898 1524 3374 621094 322133 238966 59995 533839 33853 143996 63152 1517780 1571766 2195615 1668771 563336 32366 563336 32366 X 195378 397219 1436901 1239186 1632279 1636405 2195615 1668771 X 210366 -157188 -9555 -39497 X 0 1 X 1 0 X 1198380 1004809 1080557 893769 542729 4720244 1198380 1004809 1080557 893769 542729 4720244 4720244 30655 25997 30195 28594 29815 145256 34516 48293 62461 58653 46416 250339 5115839 0.92270 0.92640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1436901 42624 -1054 239284 1239187 1472549 367590 4269 407507 1436901 1592925 305968 -6381 419963 1472549 1757514 292896 4689 462174 1592925 1952292 571302 4565 770645 1757514 0.00000 0.05461 0.94539 0 0 0 INTERCOMPANY PAYABLE 32366 32366 PART V, LINE 4: THE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT THE GOOD SAMARITAN MEDICAL CENTER IN AREAS INCLUDING ASSOCIATE EDUCATION. GOLF JAM 90175 43759 46416 7446 27500 10320 1150 2471 90175 43759 46416 7446 27500 10320 1150 2471 48887 -2471 1 INTERMOUNTAIN FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 501(C)(3) 154733 0 SUPPORT GOOD SAMARITAN MEDICAL CENTER 1 0 SCHOLARSHIPS 25 79915 PATIENT ASSISTANCE 15 29781 HUMANITARIAN GRANTS 10 11358 DRIVERS EDUCATION GRANTS 45 21125 PART I, LINE 2: FOR FUNDING RELATED TO PATIENT CARE, EQUIPMENT AND SERVICE LINE/PROGRAM SUPPORT AT GOOD SAMARITAN MEDICAL CENTER, LLC., (GSMC) THE GOOD SAMARITAN MEDICAL CENTER FOUNDATION'S (GSMCF) EXECUTIVE DIRECTOR FIRST SCREENS REQUESTS AND ENSURES THAT THE FUNDING MATCHES DONOR INTENT AND IS AVAILABLE FOR THAT SPECIFIC PURPOSE. THE REQUEST IS THEN FORWARDED TO GSMC'S SENIOR LEADERSHIP TEAM FOR VERIFICATION THAT MEET GSMC'S NEEDS AND PROVIDES FINAL APPROVAL. IN CASES WHERE APPROPRIATE, GSMC'S DEPARTMENT REQUESTING SUPPORT PAYS THE COST, PROVIDES DOCUMENTATION OF THE EXPENSE AND GSMCF REIMBURSES THE DEPARTMENT THROUGH INTERNAL TRANSFER. FOR FUNDING RELATED TO PATIENT AND ASSOCIATE ASSISTANCE (HUMANITARIAN FUND), GSMCF'S EXECUTIVE DIRECTOR, ALONG WITH OTHER COMMITTEE MEMBERS AS APPROPRIATE, APPROVE FUNDING REQUESTS AFTER THOROUGH REVIEW TO ENSURE THE REQUESTOR MEETS FUND REQUIREMENTS. IN THESE CASES, GSMCF STAFF WILL ISSUE A CHECK DIRECTLY TO THE PROVIDER, NOT DIRECTLY TO THE PATIENT OR ASSOCIATE. 0 0 0 0 0 0 0 0 0 DAWN ANUSZKIEWICZ TRUSTEE 0 467583 0 152936 0 2892 0 219038 0 23272 0 865721 0 147087 STEVEN HANKINS TRUSTEE (PARTIAL) 0 297285 0 76364 0 359025 0 78413 0 1613 0 812700 0 163650 EDWARD PYUN MD TRUSTEE 0 501616 0 41718 0 31531 0 15483 0 41111 0 631459 0 0 LESLIE MCKAY EXECUTIVE DIRECTOR (PARTIAL) 0 149827 0 18874 0 85776 0 19297 0 11056 0 284830 0 18874 JANET BONNER EXECUTIVE DIRECTOR (PARTIAL) 0 52967 0 19909 0 147106 0 5536 0 5211 0 230729 0 19909 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). 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, LINE 4 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: STEVEN HANKINS - $87,285. 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 I, LINE J WEBSITE HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOUNDATION/GOOD-SAMARITAN-FOUNDATION FORM 990, PART V, LINE 1A EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART V, LINE 2A EXPLANATION FOR NUMBER REPORTED ON FORM W-3: THE ORGANIZATION LEASES EMPLOYEES FROM A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED W-3 AND RELATED W-2 TAX FORMS FOR THESE INDIVIDUALS. ACCORDING TO THE FORM 990 INSTRUCTIONS FOR PART IX, WE REFLECT THE LEASED EMPLOYEE'S COMPENSATION ON THE FORM 990, PART IX AS IF THE ORGANIZATION COMPENSATES THESE INDIVIDUALS. FORM 990, PART VI, SECTION A, LINE 2 DAWN ANUSZKIEWICZ / STEVEN HANKINS / JANET BONNER - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN GOOD SAMARITAN MEDICAL CENTER, LLC, A RELATED TAX-EXEMPT ORGANIZATION). FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS INTERMOUNTAIN FRONT RANGE, INC., IS THE SOLE MEMBER OF GOOD SAMARITAN MEDICAL CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS INTERMOUNTAIN FRONT RANGE, INC., THE SOLE MEMBER OF GOOD SAMARITAN MEDICAL CENTER FOUNDATION, APPROVES MEMBERS OF GOOD SAMARITAN MEDICAL CENTER FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS 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 DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION B, LINE 15 THE 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 DIRECTORS 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 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, LINE 1 THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART XI, LINE 9: PRIOR YEAR PLEDGES RECEIVABLE WRITTEN-OFF IN 2024 -39,497. 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 COMMUNITY HOSPITAL ASSOCIATION 1 MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER CO 80211 840405260 RESIDENT CARE CO 501(C)(3) LINE 10 SCLHS 1 NJH-SJH INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 471194849 MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES CO 501(C)(3) LINE 12A, I SCLHS 1 SAINT JOSEPH HOSPITAL INC 1375 EAST 19TH AVENUE DENVER CO 80218 840417134 HOSPITAL SERVICES CO 501(C)(3) LINE 3 SCLHS 1 SAINT JOSEPH HOSPITAL FOUNDATION 1375 EAST 19TH AVENUE DENVER CO 80218 840735096 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SAINT JOSEPH HOSPITAL INC 1 INTERMOUNTAIN FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 HOSPITAL SERVICES CO 501(C)(3) LINE 3 INTEGRITY HEALTH 1 LUTHERAN MEDICAL CENTER FOUNDATION 8300 WEST 38TH AVENUE WHEAT RIDGE CO 80033 208846152 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 INTERMOUNTAIN FRONT RANGE INC 1 ST MARY'S HOSPITAL & MEDICAL CENTER INC 2635 NORTH 7TH STREET 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