2024-11-07T09:57:11-06:00 2023-12-31 990 2023-01-01 840482695 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION BRIG 3034981600 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 ASHLEY DENTON VP FINANCE & CFO 3034981600 2024-11-06 0 2023 2024-10-15 13:58:12Z PLATTE VALLEY MEDICAL CENTER JAMIE CAMPBELL 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 211786184 0 X SEE SCHEDULE O X 1958 CO HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. 17 13 1392 101 102869 0 911869 961982 189408781 209876665 1964741 80776 1487371 721955 193772762 211641378 595521 725966 0 0 85623180 96417788 0 0 0 120857168 127110811 207075869 224254565 -13303107 -12613187 214738859 171280226 72592054 42090266 142146805 129189960 X HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. 0 0 194746084 725966 210479178 IN 1960, THE CITY OF BRIGHTON WANTED TO BRING HEALTHCARE TO OUR COMMUNITY. THEY FORMED AUXILIARY TEAMS, RALLIED TROOPS, AND WENT DOOR TO DOOR UNTIL THEY RAISED $500,000 TO OPEN BRIGHTON COMMUNITY HOSPITAL (BCH) IN 1960. BCH BECAME THE FIRST PRIVATE GENERAL MEDICAL-SURGICAL HOSPITAL IN ADAMS AND SOUTHERN WELD COUNTIES AND COLORADO'S FIRST TWO-STAGE HOSPITAL-NURSING HOME MEDICAL UNIT LICENSED UNDER ONE ROOF. IN 1980, BCH BECAME PLATTE VALLEY MEDICAL CENTER.WE AFFILIATED WITH SCL HEALTH IN 2015 TO STRENGTHEN OUR POSITION AND DELIVER MORE ADVANCED CARE THROUGH THE EXPANSION OF SPECIALTIES AND SERVICES. OUR WORK IS A REFLECTION OF OUR CARE AND CONCERN FOR EVERYONEON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED, CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS MORE THAN 66,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA.AS PART OF INTERMOUNTAIN HEALTH (INTEGRATED HEALTH SYSTEM), PLATTE VALLEY MEDICAL CENTER HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL. PLATTE VALLEY IS RECOGNIZED AS ONE OF THE BEST MATERNITY HOSPITALS IN THE COUNTRY BY US NEWS AND WORLD REPORT.PLATTE VALLEY MEDICAL CENTER HAS A VARIETY OF PROGRAMS AND SERVICES TO SERVE THE COMMUNITY INCLUDING BUT NOT LIMITED TO:- CANCER CARE- EMERGENCY AND TRAUMA SERVICES- FAMILY MEDICINE- HOSPICE AND PALLIATIVE CARE- IMAGING- LABOR AND DELIVERY- ORTHOPEDICS- SPORTS MEDICINE- SURGERY CENTER- THERAPY AND REHAB SERVICES- WALK-IN CARE 7 DAYS A WEEK- WOMEN'S HEALTH SERVICESDURING 2023, PLATTE VALLEY MEDICAL CENTER HAD THE FOLLOWING RESULTS:ADMISSIONS - 3,699OUTPATIENT VISITS - 113,013EMERGENCY DEPARTMENT VISITS - 30,980BIRTHS - 876SURGERIES - 3,587LABORATORY TESTS - 394,728MISSION, VISION, & VALUESMISSION:HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE.VISION:BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST.VALUES:WE ARE LEADERS IN CLINICAL EXCELLENCE, DELIVERING SAFE, BEST-IN-QUALITY CARE.WE BELIEVE IN WHAT WE DO, LIVING OUR MISSION EVERY DAY. WE SERVE WITH EMPATHY, CARING FOR EACH CAREGIVER, PATIENT, AND MEMBER WITH COMPASSION AND RESPECT.WE ARE PARTNERS IN HEALTH, COLLABORATING TO KEEP PEOPLE WELL.WE DO THE RIGHT THING, LEARNING AND ACTING WITH PURPOSE.WE ARE BETTER TOGETHER, BUILDING COMMUNITY THROUGH TEAMWORK AND BELONGING. 194746084 1 1 0 1 0 0 0 0 0 1 1 0 0 0 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 1 1 1 1 0 0 1 X 0 0 1 1392 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 13 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 STREET SALT LAKE CITY UT 84111 CHRISTOPHER AWTREY MD DIRECTOR 1.00 53.00 X 0 635362 236228 DONALD RABOR MD PHYSICIAN COMP PLAN 50.00 0.00 X 758567 0 47679 SEAN FADDEN FORMER OFFICER 0.00 52.00 X 0 508929 197193 JAIME CAMPBELL CEO/PRESIDENT 50.00 1.00 X X 477826 0 221516 TONI GREEN-CHEATWOOD INTERIM CMO 10.00 40.00 X 0 449253 221552 CHRISTOPHER CANNON MD PHYSICIAN COMP PLAN 50.00 0.00 X 623651 0 46916 MARK CHOU MD PHYSICIAN COMP PLAN 50.00 0.00 X 617494 0 49464 SHARAN SHARMA MD PHYSICIAN COMP PLAN 50.00 0.00 X 529726 0 41479 KURT GENSERT VP COO/CNO PVMC 50.00 1.00 X 388970 0 179177 CARL MOSS DIRECTOR 1.00 51.00 X 0 412190 133267 TROY STOEHR VP FINANCE PVMC 25.00 25.00 X 339787 0 152810 PRAKASH KARKI VP CHIEF MEDICAL OFFICER PVMC 50.00 0.00 X 411490 0 67171 DENISE SLUSHER MD PHYSICIAN COMP PLAN 50.00 0.00 X 411438 0 47781 ESTHER MIN MD DIRECTOR 50.00 0.00 X 395532 0 27439 JEFF BERNARD VICE CHAIR 1.00 0.00 X 0 0 0 PRADEEP DHAR MD DIRECTOR 1.00 0.00 X 0 0 0 ANGELO DILULLO MD DIRECTOR 1.00 0.00 X 0 0 0 MIKE DOLAN DIRECTOR 1.00 0.00 X 0 0 0 HUY DUONG DIRECTOR 1.00 0.00 X 0 0 0 RICHARD GONZALES DIRECTOR 1.00 0.00 X 0 0 0 FAYE HUMMEL DIRECTOR 1.00 2.00 X 0 0 0 SIMONE JONES DIRECTOR 1.00 1.00 X 0 0 0 PATTY MURRAY DIRECTOR 1.00 0.00 X 0 0 0 JEFFREY SIPPEL MD DIRECTOR 1.00 0.00 X 0 0 0 HEIDI STORZ DIRECTOR 1.00 1.00 X 0 0 0 ANN KING WHITE DIRECTOR 1.00 0.00 X 0 0 0 SHAWN WIANT CHAIR 1.00 0.00 X 0 0 0 4954481 2005734 1669672 212 1 1 0 0 961982 961982 PATIENT SERVICE REVENU 622110 209876665 209773796 102869 209876665 196496 196496 131424 11982 119442 119442 119442 17104 132824 -115720 -115720 -115720 CAFETERIA REVENUE 722514 596468 596468 EDUCATION CLASSES 611710 6045 6045 602513 211641378 210376309 102869 200218 709236 709236 16730 16730 2874211 2864961 9250 76465308 76058944 406364 3127315 3100608 26707 8565128 8527959 37169 5385826 5353537 32289 297 297 2262 2262 12321629 11849714 471915 120225 120225 395280 389071 6209 10411455 54750 10356705 3990086 3990086 167994 166728 1266 104955 103996 959 2228824 2228824 8924603 8924603 1208167 1208167 MEDICAL SUPPLIES 28969326 28969326 CONTRACT SERVICES 14442062 12697271 1744791 BAD DEBT EXPENSE 13585308 13585308 PROVIDER FEE 8503472 8503472 21734866 5322568 16412298 224254565 194746084 29508481 0 10494482 1589501 22246861 22745684 414423 390950 3699585 2355934 498459 721932 150195076 13784046 128275173 136411030 20925953 25000 28183923 7040195 214738859 171280226 23717288 14880437 242822 685317 47929483 0 702461 26524512 72592054 42090266 X 134885581 122116506 7261224 7073454 142146805 129189960 214738859 171280226 X -12613187 1069908 -1413566 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2262 2262 0 PART II-B, LINE 1: BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PAID MEMBERSHIP DUES TO THE COLORADO HOSPITAL ASSOCIATION OF WHICH THE AMOUNT IS ATTRIBUTED TO LOBBYING. 9882660 1164608 407194 1161096 10293366 2758255 8005936 -345840 535691 9882660 2334314 254430 357498 187987 2758255 2081684 251820 255617 254807 2334314 2015576 314611 121579 370082 2081684 0.00000 0.22400 0.77600 0 1 1 70157 9465377 9535534 770813 103995777 6536881 98229709 2498999 329999 2169000 228362 30809877 6917166 24121073 2355714 2355714 136411030 LESSEE DEPOSITS 18900 OTHER MISC PAYABLES 70272 LEASE LIABILITIES 410385 INTERCOMPANY PAYABLE 26024955 26524512 PART V, LINE 4: PLATTE VALLEY MEDICAL CENTER FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT VARIOUS SERVICES AND PROGRAMS OF THE PLATTE VALLEY MEDICAL CENTER. PVMC OPERATES A COMMUNITY HEALTH INVESTMENT PROGRAM (CHIP) TO MAKE GRANTS TO COMMUNITY PARTNER ORGANIZATIONS FOR THE PROMOTION OF COMMUNITY HEALTH. 1 1 X 1 X 250.000000000000 1 X 500.000000000000 1 1 1 0 1 1 3761420 3761420 0.01790 55785535 36888883 18896652 0.08970 413318 386676 26642 0.00010 59960273 37275559 22684714 0.10770 340510 8530 331980 0.00160 915740 915740 0.00430 18003850 11637589 6366261 0.03020 952463 952463 0.00450 20212563 11646119 8566444 0.04060 80172836 48921678 31251158 0.14830 1 13585308 38667070 66907041 -28239971 X 1 1 1 1 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 WEBSITE: SEE PART VI 010311 X X X X BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X SEE PART V, SECTION C X 1 22 1 SEE PART V, SECTION C 0 1 X 250.000000000000 500.000000000000 X X 1 1 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 1 X 0 X X X X 1 X 0 0 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 5: PLATTE VALLEY MEDICAL CENTER (PVMC) IS AN ACUTE-CARE HOSPITAL LOCATED IN THE CITY OF BRIGHTON, COLORADO, WHICH IS IN ADAMS COUNTY. THE HOSPITAL SERVICE AREA ALSO INCLUDES COMMUNITIES IN ADAMS AND WELD COUNTIES. PVMC IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY. PVMC WORKED CLOSELY WITH COMMUNITY COLLABORATORS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2021. THE CHNA REVIEWED 1) EXISTING SECONDARY QUANTITATIVE DATA FROM GOVERNMENT AND NONGOVERNMENTAL SOURCES; 2) PRIMARY QUALITATIVE DATA FROM IN-PERSON COMMUNITY EVENTS REACHING 356 COMMUNITY MEMBERS; 3) PRIMARY QUALITATIVE DATA PERFORMED BY COLORADO HEALTH INSTITUTE INCLUDING 300 ONLINE COMMUNITY SURVEYS AND PRIMARY QUALITATVE DATA PERFORMED BY BIEL CONSULTING, INC. INCLUDING 17 KEY INFORMANT PHONE INTERVIEWS. LOCAL ORGANIZATIONS PARTICIPATED IN THE CHNA PROCESS BECAUSE OF THEIR KNOWLEDGE OF THE NEEDS OF THE COMMUNITY AS IT RELATED TO THEIR FIELD OF EXPERTISE. ORGANIZATIONS THAT TOOK PART IN THESE MEETINGS REPRESENTED ISSUES AROUND SENIOR ACTIVITIES, CHILDREN, PRIMARY HEALTHCARE, MENTAL HEALTH SERVICES, INSURANCE, SUBSTANCE USE, TRANSPORTATION, EDUCATION, HOUSING INSECURITY, FOOD INSECURITY, AND INCLUDED BOTH GOVERNMENT AND NONGOVERNMENTAL ORGANIZATIONS. THESE ORGANIZATIONS HAVE GREAT INSIGHT INTO THE ISSUES THAT AFFECT THEIR CLIENTS AND ARE INVALUABLE TO THIS PROCESS. MOST OF THESE ORGANIZATIONS SERVE CLIENTS LOW-INCOME, UNINSURED, OR UNDERSERVED. ON SEPTEMBER 15, 2021, PVMC HOSPITAL LEADERS GATHERED WITH COMMUNITY COLLABORATORS TO ANALYZE, DISCUSS, AND RANK THE HEALTH ISSUES BASED ON THE PRIMARY DATA GATHERED THROUGH THE CHNA PROCESS. BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS LISTED PARTICIPATED THE CHNA PROCESS: ADAMS COUNTY COMMISSIONERSALMOST HOME, INC.BAARTSHOPNECK BOYS & GIRLS CLUBHOUSING AUTHORITY OF BRIGHTONBRIGHTON SCHOOL DISTRICT 27JCOLORADO ACCESSCOMMUNITY REACH CENTEREAGLE VIEW ADULT CENTERFOOD BANK OF THE ROCKIESPENNOCK CENTER FOR COUNSELINGRICHARD LAMBERT FOUNDATIONSALUD FAMILY HEALTH CENTERSTHE SENIOR HUBTRI-COUNTY HEALTH DEPARTMENTVIA MOBILITY SERVICESWELD RE-8 SCHOOL DISTRICTWELD COUNTY HEALTH DEPARTMENTBRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 7A: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 7D: PVMC DISTRIBUTED PAPER COPIES OF THE CHNA AT VARIOUS COMMUNITY COALITIONS AND RESOURCE MEETINGS. THE CHNA IS ALSO AVAILABLE ON THE PVMC WEBSITE AT HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS PRESENTATIONS TO COMMUNITY ORGANIZATIONS ABOUT THE CHNA WERE MADE AVAILABLE UPON REQUEST. BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION B, LINE 10A: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS BRIGHTON COMMUNITY HOSPITAL ASSOCIATION PART V, SECTION B, LINE 11: PVMC IDENTIFIED A PRELIMINARY LIST OF SIGNIFICANT HEALTH NEEDS THROUGH AN ANALYSIS OF SECONDARY QUANTITATIVE DATA AVAILABLE FROM GOVERNMENTAL AND NONPROFIT DATABASES, WHICH WAS THE BASIS FOR PRIMARY DATA SURVEYS AND INTERVIEWS. SECONDARY DATA INCLUDED DEATH RATES, MORBIDITY RATES, DEMOGRAPHIC DATA, NUMBER OF CARE PROVIDERS, BRFSS DATA, AND BENCHMARK DATA. PVMC IDENTIFIED SIGNIFICANT HEALTH NEEDS BY ANALYZING THE SIZE AND SERIOUSNESS OF IDENTIFIED ISSUES. THE PRELIMINARY LIST OF SIGNIFICANT HEALTH NEEDS INCLUDED (ALPHABETICALLY): ACCESS TO HEALTH CARE SERVICES; CANCER; COVID-19; DENTAL CARE; DIABETES; FOOD INSECURITY; HEART DISEASE & STROKE; HOUSING; LUNG DISEASE; MENTAL HEALTH; OVERWEIGHT AND OBESITY; SUBSTANCE USE; AND UNINTENDED INJURIES.FOLLOWING THE COLLECTION OF PRIMARY DATA AND THE ANALYSIS OF THAT DATA, OUR COMMUNITY HEALTH NEEDS ASSESSMENT COMMITTEE PRIORITIZED TWO HEALTH ISSUES TO ADDRESS BASED ON THE SEVERITY OF THE PROBLEM, WORSENING OF THE PROBLEM, EXISTING RESOURCES, AND COMMUNITY PERCEPTION OF THE PROBLEMS. THE PRIORITIZED HEALTH ISSUES WERE 1) ACCESS TO HEALTHCARE AND 2) MENTAL HEALTH.1) ACCESS TO CARE:THE PVMC SERVICE AREA HAD A 90.6% HEALTH INSURANCE COVERAGE RATE, WHICH IS LOWER THAN THE STATE'S RATE OF 93.5% AND THE HEALTHY PEOPLE 2030 OBJECTIVE OF A 92.1% RATE. BASED ON 2019 CENSUS DATA, A HIGHER PERCENTAGE OF ADAMS COUNTY RESIDENTS (16.9%) AND WELD COUNTY RESIDENTS (21.1%) DID NOT GET DOCTOR CARE WITHIN THE LAST 12 MONTHS DUE TO COST AS COMPARED TO THE STATE AVERAGE (12.8%). KEY INFORMANT SURVEYS INDICATED 75% OF PARTICIPANTS FELT THAT ACCESS TO HEALTHCARE HAD A SEVERE IMPACT ON THE COMMUNITY, 81.3% FELT THAT RESOURCES WERE INSUFFICIENT, AND 50% FELT THAT IT HAD WORSENED OVER TIME. TO ADDRESS ACCESS TO HEALTHCARE, THE FOLLOWING ACTIVITIES OCCURRED IN 2023: PVMC PROVIDED A $42,852 CHARITABLE CONTRIBUTION TO BENEFITS IN ACTION TO SUPPORT THE ENROLLMENT OF HISPANIC/LATINO AND LOW-INCOME INDIVIDUALS IN INSURANCE PRODUCTS AND GOVERNMENTAL ASSISTANCE PROGRAMS. IN 2023, 521 PEOPLE RECEIVED ASSISTANCE IN ENROLLING FOR INSURANCE AND GOVERNMENTAL BENEFIT PROGRAMS, AND 48% OF THOSE PEOPLE IDENTIFIED AS HISPANIC/LATINO.A $24,000 CHARITABLE CONTRIBUTION WAS GIVEN TO VIA MOBILITY TO PROVIDE NEARLY 5,000 DOOR-TO-DOOR TRANSPORTS FOR COMMUNITY MEMBERS FROM THEIR HOMES TO THEIR MEDICAL APPOINTMENTS.IN 2023, PVMC IMPROVED ACCESS TO CARE THROUGH EXPANSION IN TELEMEDICINE VISITS. PVMC'S GOAL WAS TO PROVIDE 165 VISITS AND THE HOSPITAL SURPASSED THIS GOAL BY 55% BY PROVIDING 256 TELEMEDICINE VISITS IN 2023.PVMC PROVIDED TRANSPORTATION FOR PATIENTS TOTALING $16,730. IN COLLABORATION WITH LYFT, PVMC ASSISTED PATIENTS RETURNING TO THEIR PLACE OF RESIDENCE AFTER DISCHARGED FROM THE HOSPITAL.2) MENTAL HEALTH: THE PERCENTAGE OF THE ADULT POPULATION REPORTING MORE THAN 14 DAYS OF POOR MENTAL HEALTH PER MONTH WAS 11.8% IN ADAMS AND 12.6% IN WELD, WHICH WAS HIGHER THAN THE 11% STATE RATE (2016-2018 BRFSS DATABASE). WITHIN PVMC'S SERVICE AREA, ADAMS AND WELD COUNTIES HAD FEWER MENTAL HEALTH PROVIDERS, 2.1 AND 1.7, RESPECTIVELY, PER 1,000, THAN THE STATE'S AVERAGE OF 2.7. DURING KEY INFORMANTS' SURVEYS, 93.8% OF PARTICIPANTS REPORTED MENTAL HEALTH AS HAVING A SEVERE IMPACT AND HAVING INSUFFICIENT RESOURCES. ADDITIONALLY, 87.5% THOUGHT THAT THE ISSUE HAD WORSENED OVER TIME.TO ADDRESS MENTAL HEALTH THE FOLLOWING ACTIVITIES OCCURRED IN 2023: PVMC PROVIDED A CHARITABLE CONTRIBUTION OF $115,323 TO PLATTE VALLEY MEDICAL GROUP (PVMG) FOR A BEHAVIORAL HEALTH PROVIDER TO BE EMBEDDED IN THE PVMG PRIMARY CARE CLINICS TO IDENTIFY BETTER AND PROVIDE TREATMENT FOR PEOPLE WITH MENTAL HEALTH CONCERNS.PVMC PROVIDED A $30,400 CHARITABLE CONTRIBUTION TO PENNOCK CENTER FOR COUNSELING TO ASSIST WITH THE INCREASED NEED FOR MENTAL HEALTH SERVICES. THE FUNDING PROVIDED SERVICES FOR 100 CLIENTS. ADDITIONALLY, A $20,000 CHARITABLE CONTRIBUTION TO THE RICHARD LAMBERT FOUNDATION ASSISTED 200 COMMUNITY MEMBERS WITH COMPREHENSIVE MENTAL HEALTH AND GRIEF SUPPORT.PVMC PARTICIPATED IN THE COLORADO ALTERNATIVES TO OPIOIDS (ALTO) PROJECT. IN 2023, PVMC INCREASED THE PERCENTAGE OF EPRESCRIBING OF CONTROLLED SUBSTANCES FOR DISCHARGED PATIENTS TO 97.63%, WHICH IS AN INCREASE FROM 96.11% IN 2022, 90% IN 2021, 87.32% IN 2020, AND 80.77% IN 2019.THIS METHOD OF PRESCRIBING OPIOIDS IMPROVES FRAUD AND ABUSE OF PAPER PRESCRIBING AND ALLOWS BETTER OVERSIGHT AND TRACKING OF PATIENT PRESCRIPTIONS.PVMC CONTINUED A PROGRAM TO DISTRIBUTE NARCAN KITS FREE OF CHARGE TO PATIENTS ADMITTED FOR A HEROIN OR OPIOID OVERDOSE. IN 2023, PVMC PROVIDED 30 KITS AT DISCHARGE. PVMC PARTICIPATED IN THE COLORADO HOSPITALS' SUBSTANCE-EXPOSED NEWBORNS QUALITY IMPROVEMENT COLLABORATIVE TO IMPROVE OUTCOMES FOR NEWBORNS EXPOSED TO METHAMPHETAMINES OR OPIOIDS BEFORE BIRTH.IN 2023, PVMC HOSTED THREE MENTAL HEALTH FIRST AID TRAINING SESSIONS WITH 66 PARTICIPANTS.PVMC HOSTED ONE AGING MASTERY PROGRAM COURSE IN 2023, WHICH INCLUDED CLASSES ON HEALTHY RELATIONSHIPS AND COMMUNITY ENGAGEMENT AND SERVED 4 PARTICIPANTS.NEEDS NOT ADDRESSED: EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA PROCESS IS IMPORTANT. PVMC 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, PVMC LIMITED ITS PRIMARY FOCUS TO THE PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THE CHNA. PVMC CONTINUED TO SUPPORT COMMUNITY EFFORTS AND COLLABORATIONS THAT ADDRESS ISSUES NOT PRIORITIZED IN THE 2023 COMMUNITY HEALTH IMPROVEMENT PLAN.BRIGHTON COMMUNITY HOSPITAL ASSOCIATION:PART V, SECTION, B, LINE 16A, 16B, 16C:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/PATIENT-TOOLS/FINANCIAL-ASSISTANCE/FINANCIAL-ASSISTANCE-CO-KS-MT/ 26 1 - PLATTE VALLEY MEDICAL GROUP LLC 1600 PRAIRE CENTER PKWY BRIGHTON CO 80601 PHYSICIAN CLINICS 2 - PLATTE VALLEY AMBULANCE SERVICE LLC 1606 PRAIRIE CENTER PKWY BRIGHTON CO 80601 AMBULANCE SERVICES 3 - SPECTRUM MEDICAL IMAGING 1610 PRAIRIE CENTER PKWY STE 2100 BRIGHTON CO 80601 RADIOLOGY SERVICES 4 - PLATTE VALLEY MEDICAL IMAGING LLC 1606 PRAIRIE CENTER PKWY STE 130 BRIGHTON CO 80601 RADIOLOGY SERVICES 5 - PLATTE VALLEY CLINIC - ORTHOPEDICS 1610 PRAIRIE CENTER PKWY BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC 6 - INTERMOUNTAIN HEALTH HEART & VASCULAR - AM 13421 QUEBEC ST THORNTON CO 80602 OUTPATIENT PHYSICIAN CLINIC 7 - INTERMOUNTAIN HEALTH BRIGHTON CLINIC 217 N 50TH AVE BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC 8 - PLATTE VALLEY CLINIC OB-GYN 1606 PRAIRIE CENTER PKWY BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC 9 - INTERMOUNTAIN HEALTH REUNION CLINIC - OB-G 10569 CHAMBERS RD COMMERCE CITY CO 80022 OUTPATIENT PHYSICIAN CLINIC 10 - INTERMOUNTAIN HEALTH REUNION CLINIC 10569 CHAMBERS RD COMMERCE CITY CO 80022 OUTPATIENT PHYSICIAN CLINIC 11 - PLATTE VALLEY CLINIC - GENERAL & TRAUMA SU 1610 PRAIRIE CENTER PKWY BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC 12 - PLATTE VALLEY CLINIC - NURSE MIDWIVES 1606 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC 13 - INTERMOUNTAIN HEALTH FORT LUPTON CLINIC - 1450 DEXTER ST FORT LUPTON CO 80621 OUTPATIENT PHYSICIAN CLINIC 14 - CANCER CENTERS OF COLORADO - PLATTE VALLEY 1606 PRAIRIE CENTER PKWY BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC 15 - INTERMOUNTAIN HEALTH FORT LUPTON CLINIC 1450 DEXTER ST FORT LUPTON CO 80621 OUTPATIENT PHYSICIAN CLINIC 16 - AMBER CREEK CLINIC - PRIMARY CARE 13421 QUEBEC ST THORNTON CO 80602 OUTPATIENT PHYSICIAN CLINIC 17 - SCL HEALTH MEDICAL GROUP - ORTHOPEDICS GRE 4859N YAMPA ST DENVER CO 80249 OUTPATIENT PHYSICIAN CLINIC 18 - PLATTE VALLEY MEDICAL GROUP - BRIGHTON INT 1610 PRAIRIE CENTER PKWY BRIGHTON CO 80601 OUTPATIENT PHYSICIAN CLINIC 19 - INTERMOUNTAIN HEALTH FORT LUPTON CLINIC 1450 DEXTER ST FORT LUPTON CO 80621 OUTPATIENT PHYSICIAN CLINIC 20 - AMBER CREEK CLINIC - OB-GYN 13421 QUEBEC ST THORNTON CO 80602 OUTPATIENT PHYSICIAN CLINIC 21 - INTERMOUNTAIN HEALTH HEART & VASCULAR - AM 13421 QUEBEC ST THORNTON CO 80602 OUTPATIENT PHYSICIAN CLINIC 22 - AMBER CREEK CLINIC - ORTHOPEDICS 13421 QUEBEC ST THORNTON CO 80602 OUTPATIENT PHYSICIAN CLINIC 23 - INTERMOUNTAIN HEALTH LARKRIDGE CLINIC - OR 16570 WASHINGTON ST THORNTON CO 80023 OUTPATIENT PHYSICIAN CLINIC 24 - INTERMOUNTAIN HEALTH HEART & VASCULAR INST 13421 QUEBEC ST THORNTON CO 80602 OUTPATIENT PHYSICIAN CLINIC 25 - INTERMOUNTAIN HEALTH REUNION CLINIC - INTE 10569 CHAMBERS RD COMMERCE CITY CO 80022 OUTPATIENT PHYSICIAN CLINIC 26 - SCL HEALTH MEDICAL GROUP - FT MORGAN ORTHO 1000 LINCOLN ST FORT MORGAN CO 80701 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: MAXIMUM FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). APPLICANTS EQUAL TO OR BELOW THIS THRESHOLD RECEIVE A 100% WAIVER OF PATIENT FINANCIAL OBLIGATION.A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 250% AND 500% OF FPG.TO DETERMINE ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE, A VARIETY OF FACTORS IS USED, INCLUDING INCOME, MEDICAL INDIGENCE, INSURANCE STATUS, SOCIAL-ECONOMIC, GEOGRPAHICAL LOCATION, AND MEDICAID ELIGIBILITY.TOTAL CHARGES ARE LIMITED IN RELATION TO THE GROSS HOUSEHOLD INCOME. CHARGES ARE DISCOUNTED TO NOT EXCEED 25% OF GROSS ANNUAL HOUSEHOLD INCOME.SINCE EACH PATIENT'S CIRCUMSTANCES VARY, ALLOWANCE IS MADE FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART I, LINE 6A: THIS ORGANIZATION IS PART OF THE INTERMOUNTAIN HEALTH CARE, INC. SYSTEM WHICH PREPARES AN ANNUAL REPORT TO THE COMMUNITY ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, INTERMOUNTAIN HEALTH CARE, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $13,585,308.PART III, LINE 1:THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT. THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. PART III, LINE 2: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE PATIENT SERVICE REVENUE FOOTNOTE WHICH DESCRIBES BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGES 12 AND 13 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR 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. BY ABSORBING THE MEDICARE SHORTFALL COSTS, WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, BURDENS BORNE BY GOVERNMENTS ARE RELIEVED. 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. PART III, LINE 9B: AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.PART V, SECTION A, LINE 1WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH-PLATTE-VALLEY-HOSPITAL PART VI, LINE 2: PVMC CONSISTENTLY COLLABORATED WITH COMMUNITY ORGANIZATIONS AND EVALUATED COMMUNITY NEEDS TO PROVIDE THE BEST SERVICE TO THOSE IN PVMC'S SERVICE AREA. PVMC MONITORED DATA TO IDENTIFY NEEDS AND WORKED WITH LOCAL AND STATE HEALTH AND SERVICE ORGANIZATIONS AND OTHER NONPROFITS INCLUDING: TRI-COUNTY HEALTH DEPARTMENT, WELD COUNTY HEALTH DEPARTMENT, ADAMS COUNTY HEALTH ALLIANCE, WELD COUNTY AREA AGENCY ON AGING, PENNOCK COUNSELING CENTER, COMMUNITY REACH CENTER, COLORADO HOSPITAL ASSOCIATION, AND ALMOST HOME. PVMC MONITORED AND EVALUATED PVMC PROGRAMS TO MEET GOALS TO ADDRESS COMMUNITY NEEDS. IN ADDITION, PVMC WAS REPRESENTED AND PARTICIPATED IN THE METRO DENVER PARTNERSHIP FOR HEALTH, A COLLABORATIVE OF COLORADO HEALTH SYSTEMS, PUBLIC HEALTH DEPARTMENTS, AND COMMUNITY-BASED PROVIDERS. THIS COLLABORATIVE WORKED TO ADDRESS CHALLENGING COMMUNITY HEALTH NEEDS USING COLLECTIVE IMPACT STRATEGIES.IN JANUARY 2023, PVMC BEGAN SCREENING PATIENTS FOR SOCIAL NEEDS IN FIVE AREAS: HOUSING, FOOD, UTILITIES, TRANSPORTATION, AND INTERPERSONAL SAFETY. SCREENING PROVIDED AN OPPORTUNITY TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, AND MEDICAID PATIENTS WHO SCREENED POSITIVE WERE CONNECTED TO THE REGIONAL ACCOUNTABLE ENTITY. PATIENTS ALSO WERE CONNECTED TO COMMUNITY RESOURCES THROUGH THE TECHNOLOGY PLATFORM, FINDHELP, WHICH WAS INTEGRATED INTO PVMC'S ELECTRONIC MEDICAL RECORD AND PROVIDED A CLOSED-LOOP REFERRAL. OVERALL SCREENING RATES AT PVMC INCREASED FROM 25.8% TO 93.4% FROM JANUARY TO DECEMBER. PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS AND THROUGH THE PATIENT PORTAL, MYCHART. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: PLATTE VALLEY MEDICAL CENTER (PVMC) IS AN ACUTE-CARE HOSPITAL LOCATED IN THE CITY OF BRIGHTON, COLORADO, WHICH IS IN ADAMS COUNTY. THE HOSPITAL SERVICE AREA ALSO INCLUDES COMMUNITIES IN BOTH ADAMS AND WELD COUNTIES. THE FOLLOWING COMMUNITIES ARE IN THE HOSPITAL'S PRIMARY SERVICE AREA: BRIGHTON, LOCHBUIE, HUDSON, FORT LUPTON, HENDERSON, THORNTON, AND COMMERCE CITY.HOSPITALS IN THE SERVICE AREA: THERE ARE OTHER NOT-FOR-PROFIT HOSPITALS IN ADAMS COUNTY: ST. ANTHONY NORTH HOSPITAL-CENTURA HEALTH, WESTMINSTER; UCHEALTH UNIVERSITY OF COLORADO HOSPITAL, AURORA. THERE IS ONE FOR-PROFIT HOSPITAL, NORTH SUBURBAN MEDICAL CENTER-HEALTHONE IN THORNTON. THERE ARE OTHER NOT-FOR-PROFIT HOSPITALS IN WELD COUNTY, THOUGH THEY ARE ALL LOCATED FAR AWAY FROM THE BRIGHTON COMMUNITY IN GREELEY, COLORADO: BANNER NORTH COLORADO MEDICAL CENTER-BANNER, GREELEY; UCHEALTH GREELEY HOSPITAL-UCHEALTH, GREELEY.TOTAL POPULATION: ON AVERAGE, FROM 2015 TO 2019, THE POPULATION OF THE PVMC SERVICE AREA WAS 177,994. ADAMS COUNTY HAD A POPULATION OF 504,108, AND WELD COUNTY'S POPULATION WAS 305,345. COLORADO'S TOTAL POPULATION WAS 5,610,349. POPULATION BY GENDER: IN THE SERVICE AREA, 52.4% OF THE POPULATION WAS MALE AND 47.6% WAS FEMALE. POPULATION BY AGE: IN THE SERVICE AREA, 30% WERE AGES 19 YEARS OLD AND YOUNGER, 60% WERE 20 TO 64 YEARS OLD, AND 10% WERE AGES 65 YEARS OLD AND OLDER. RACE/ETHNICITY: IN THE SERVICE AREA, 60.0% OF THE POPULATION WERE WHITE, 34.2% WERE HISPANIC/LATINX, 1.9% WERE ASIAN, AND 1.7% WERE BLACK/AFRICAN AMERICAN. LANGUAGE SPOKEN AT HOME FOR THE POPULATION 5 YEARS AND OVER: OVER THREE-QUARTERS OF THE SERVICE AREA POPULATION OR 76.9% SPOKE ONLY ENGLISH IN THE HOME. ABOUT 23% SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME, AND 20.5% OF THE POPULATION SPOKE SPANISH AT HOME. SOCIAL AND ECONOMIC FACTORS RANKINGS: COUNTY HEALTH RANKINGS EXAMINED DATA RELATED TO HEALTH FACTORS TO RANK COLORADO'S 64 COUNTIES ON SOCIAL AND ECONOMIC INDICATORS, WITH 1 BEING THE BEST FACTORS AND 64 THE POOREST FACTORS. THIS RANKING TOOK INTO CONSIDERATION HIGH SCHOOL GRADUATION RATES, UNEMPLOYMENT, CHILDREN IN POVERTY, SOCIAL SUPPORT, AND OTHERS. THE COUNTIES IN GSMC'S SERVICE AREA RANKED AS FOLLOWS: ADAMS COUNTY WAS RANKED 38TH, AND WELD COUNTY WAS 28TH. MEDIAN HOUSEHOLD INCOME: THE MEDIAN HOUSEHOLD INCOME IN THE STATE WAS $77,104. THE INCOME BY COUNTY WAS: WELD COUNTY $78,160, ADAMS $75,341.PERSONS LIVING IN POVERTY: IN WELD COUNTY, 9.1% OF PEOPLE LIVE IN POVERTY. IN ADAMS COUNTY, 10.2% OF PEOPLE LIVE IN POVERTY. THE U.S. AVERAGE IS 11.5% (US CENSUS 2020).EDUCATIONAL ATTAINMENT FOR ADULTS AGED 25 AND OLDER: THE POPULATION IN PVMC'S SERVICE AREA HAD A 85.8% HIGH SCHOOL GRADUATION RATE AND 14.2% HAD NOT ATTAINED A HIGH SCHOOL DIPLOMA. ADDITIONALLY. JUST UNDER 24% OF THE POPULATION HAD SOME COLLEGE WITH NO DEGREE, AND 22.5% HAD A BACHELOR'S DEGREE OR HIGHER. HEALTH INSURANCE COVERAGE, CIVILIAN NON-INSTITUTIONALIZED POPULATION, AGES 18-64: IN THE SERVICE AREA, 90.6% OF THE POPULATION WAS INSURED. INSURANCE COVERAGE WAS HIGHER IN WELD COUNTY (95.9%) THAN ADAMS COUNTY (90.9%). URBAN AND RURAL AREAS OF HOSPITAL SERVICE AREA: ADAMS COUNTY HAS BOTH URBAN AND RURAL AREAS, PER U.S. HEALTH RESOURCES SERVICES ADMINISTRATION RURAL HEALTH GRANTS ELIGIBILITY ANALYZER (HTTPS://DATA.HRSA.GOV/TOOLS/RURAL-HEALTH). RURAL AREAS OF ADAMS COUNTY ARE LOCATED IN THE EASTERN HALF OF THE COUNTY. WELD COUNTY HAS BOTH URBAN AND RURAL AREAS, PER U.S. HEALTH RESOURCES SERVICES ADMINISTRATION RURAL HEALTH GRANTS ELIGIBILITY ANALYZER (HTTPS://DATA.HRSA.GOV/TOOLS/RURAL-HEALTH). RURAL AREAS OF WELD COUNTY ARE LOCATED IN ALL PARTS OF THE COUNTY WITH THE EXCEPTION OF THE CITIES OF GREELEY, WINDSOR, HISTORIC FREDERICK, FORT LUPTON, AND COMMUNITIES LOCATED ALONG I-25 IN THE COUTHERN HALF OF THE COUNTY. PART VI, LINE 5: PVMC CAREGIVERS SUPPORT COMMUNITY HEALTH PROMOTION BY SERVING ON THE CHAMBER OF COMMERCE OF BRIGHTON AND THE NONPROFIT COUNCIL OF THE BRIGHTON CHAMBER, SOUTHEAST WELD COUNTY CHAMBER OF COMMERCE, ADAMS COUNTY HEALTH ALLIANCE (STEERING COMMITTEE AND FULL ALLIANCE), ALMOST HOME BOARD OF DIRECTORS, BRIGHTON LEGACY FOUNDATION, SENIOR CENTER ADVISORY BOARD, COLORADO EMERGENCY NURSES ASSOCIATION, AND COLORADO HOSPITAL ASSOCIATION'S HOSPITAL PREPAREDNESS ADVISORY GROUP.OTHER 2023 CONTRIBUTIONS:THE BIMONTHLY CANCER SUPPORT GROUP: 196 ENCOUNTERS SPANISH CANCER GROUP: 326 ENCOUNTERS BREAST CANCER GROUP: 62 ENCOUNTERSEMS CONTINUING EDUCATION PROGRAM: 704 ENCOUNTERS WITH LOCAL EMS PROVIDER (SOUTHEAST WELD FIRE DEPARTMENT, FT. LUPTON FIRE DEPARTMENT, HUDSON FIRE DEPARTMENT, BRIGHTON FIRE DEPARTMENT).EDUCATIONAL CLASSES FOR EMS PROVIDERS: 169 ENCOUNTERS INCLUDING PARAMEDIC REFRESHER CLASS, FIRST RESPONDER TRAINING, CERT TRAINING, AND ICE RESCUE TRAINING. STAND-BY FIRST AID ASSISTANCE: PROVIDED AT 38 LOCAL EVENTS SERVING NEARLY 73,000 INDIVIDUALS INCLUDING COMMUNITY FOOTBALL GAMES, SAFETY FAIR, 5K RACE, AND CHRISTMAS PARADE."LET'S TALK DIABETES": 31 PEOPLE ATTENDED THE CLASSES, WHICH PROVIDED PARTICIPANTS WITH AN OVERVIEW OF DIABETES AND PRE-DIABETES DISEASE MANAGEMENT INCLUDING MANAGING DIET AND EXERCISE. PHYSICAL MEDICINE: PROVIDED FREE PEDIATRIC SCREENINGS FOR CHILDREN THAT ASSESSED DEVELOPMENTAL DELAYS THAT WOULD BENEFIT FROM EARLY INTERVENTION.IN-KIND DONATIONS: PROVIDED $61,934.86 TO PROJECT CUREWALK WITH A DOC PROGRAM: HELD EVENTS FROM APRIL THROUGH SEPTEMBER.BLOOD DRIVES: PVMC HELD FOUR BLOOD DRIVES IN CONJUNCTION WITH VITALANT BLOOD DONATION. EMPLOYEES DONATED 288 UNITS OF BLOOD, HELPING AN ESTIMATED 864 PEOPLE.STUDENT CLINICALS: 101 STUDENTS COMPLETED THEIR CLINICAL ROTATIONS IN NURSING, PHARMACY, MEDICAL IMAGING, PHYSICAL MEDICINE, PHLEBOTOMY, NUTRITION, AND SURGICAL TECH AT PVMC.PVMC OPERATES A COMMUNITY HEALTH INVESTMENT PROGRAM (CHIP) TO MAKE CHARITABLE CONTRIBUTIONS TO COMMUNITY ORGANIZATIONS FOR THE PROMOTION OF COMMUNITY HEALTH. THE EQUITY FROM A PRINCIPAL INVESTMENT OF $5,000,000 IS USED TO PROVIDE CONTRIBUTIONS. IN 2023, CHIP PROVIDED $343,605 TO LOCAL NONPROFIT ORGANIZATIONS SERVING THE PVMC COMMUNITY. BASED ON THE ORGANIZATIONS' PROPOSALS, AN ESTIMATED 12,300 PEOPLE BENEFITED FROM SERVICES PROVIDED BY THE RECIPIENTS. BY COLLABORATING WITH LOCAL ORGANIZATIONS PROVIDING SERVICES TO OUR COMMUNITY, PVMC SUPPORTED ACCESS TO SERVICES OUTSIDE OUR EXPERTISE OR ABILITY. ORGANIZATIONS THAT RECEIVED CHIP GRANTS INCLUDED: FOOD FOR HOPE, BROTHERS REDEVELOPMENT, ALMOST HOME, RICHARD LAMBERT FOUNDATION, A PRECIOUS CHILD, CATHOLIC CHARITIES RURAL HISPANIC ELDERLY OUTREACH, PENNOCK CENTER FOR COUNSELING, SHOPNECK BOYS AND GIRLS CLUB, VIA MOBILITY, BRIGHTON 27J SCHOOL DISTRICT, CALVARY CHAPEL FOOD PANTRY, PVMC SANE PROGRAM, WELD FOOD BANK, PLATTE VALLEY MEDICAL GROUP, CASA, BENEFITS IN ACTION, FRIENDS OF BARR LAKE, HOUSING AUTHORITY OF BRIGHTON, AND PVMG CANCER CENTERS OF COLORADO.REQUESTS WERE RELATED TO SOCIAL DETERMINANTS OF HEALTH INCLUDING NEIGHBORHOOD AND BUILT ENVIRONMENT (HOUSING AND TRANSPORTATION), FOOD (HUNGER AND ACCESS TO HEALTHY OPTIONS), HEALTH CARE SYSTEM (HEALTH COVERAGE AND PROVIDER AVAILABILITY), AND ECONOMIC STABILITY (EMPLOYMENT AND EXPENSES).PVMC IS AN IMPORTANT PART OF OUR COMMUNITY AND SERVES IN MANY WAYS IN RESPONSE TO DIRECT REQUESTS FROM COMMUNITY ORGANIZATIONS AND RESIDENTS. FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORTING OTHER CIVIC GROUPS, OUR COMMUNITY INVOLVEMENT TAKES MANY FORMS. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT RESIDENTS ARE INFORMED ABOUT AVAILABLE SERVICES. WHEN PVMC HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND EXPAND ACCESS TO CARE FOR UNMET NEED AREAS. PART VI, LINE 6: THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN), AN INTEGRATED HEALTH SYSTEM WHOSE VISION IS TO "BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICES AT AN AFFORDABLE COST." INTERMOUNTAIN STRIVES TO FULFILL THAT MISSION THROUGH ACCOMPLISHING ITS STATED MISSION OF "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE." INTERMOUNTAIN HEALTH CARE, INC., IS A NONPROFIT CORPORATION EXEMPT UNDER INTERNAL REVENUE CODE 501(C)(3). AFFILIATES WITHIN THE HEALTH SYSTEM NETWORK INCLUDE NONPROFIT CORPORATIONS EXEMPT UNDER IRS 501(C)(3) AND 501(C)(4), TAXABLE CORPORATIONS, PARTNERSHIPS WITH PHYSICIANS, STRATEGIC INVESTMENTS, AND JOINT VENTURES.HEADQUARTERED IN UTAH WITH LOCATIONS IN SEVEN STATES AND ADDITIONAL OPERATIONS ACROSS THE WESTERN U.S., INTERMOUNTAIN HEALTH IS A NONPROFIT SYSTEM OF MORE THAN 66,000 CAREGIVERS, 33 HOSPITALS, 385 CLINICS, MEDICAL GROUP, A HEALTH PLAN DIVISION CALLED SELECT HEALTH WITH MORE THAN ONE MILLION MEMBERS, AND OTHER HEALTH SERVICES. HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE, INTERMOUNTAIN IS COMMITTED TO IMPROVING COMMUNITY HEALTH AND IS WIDELY RECOGNIZED AS A LEADER IN TRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TO CONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS. INTERMOUNTAIN IS WORKING TO IMPROVE THE 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, INTERMOUNTAIN ALSO DEVELOPS FINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTING OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL SERVICES FOR LOW-INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS. 1 PLATTE VALLEY MEDICAL CENTER FOUNDATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 742255936 501( C )(3) 214698 0 SUPPORT MISSION PROJECT CURE INTERNATIONAL HEADQUARTERS 10377 E GEDDES AVENUE CENTENNIAL CO 80112 841568566 501( C )(3) 0 61935 BOOK MEDICAL SUPPLIES SUPPORT MISSION BENEFITS IN ACTION 12157 W CEDAR DR SUITE 100 LAKEWOOD CO 80228 873774775 501( C )(3) 42852 0 SUPPORT MISSION ALMOST HOME INC 231 N MAIN ST BRIGHTON CO 80601 841220644 501( C )(3) 42750 0 TRANSPORATION FOR SENIORS AND DISABLED PENNOCK CENTER FOR COUNSELING 211 S 21ST AVE BRIGHTON CO 80601 200986823 501( C )(3) 30400 0 SUPPORT OPERATIONS BOYS & GIRLS CLUB OF METRO DENVER 1108 H STREET GREELEY CO 80631 840510404 501( C )(3) 25000 0 SUPPORT MISSION FOOD FOR HOPE 3853 E 120TH AVE THORNTON CO 80233 473117111 501( C )(3) 25000 0 SUPPORT MISSION VIA MOBILITY SERVICES 2855 N 63RD ST BOULDER CO 80301 840777296 501( C )(3) 24000 0 SUPPORT MISSION HOUSING AUTHORITY OF BRIGHTON 530 REYNOLDS ST FORT LUPTON CO 80621 840687818 501( C )(6) 20000 0 SUPPORT MISSION RICHARD LAMBERT FOUNDATION PO BOX 351594 WESTMINSTER CO 80035 463655727 501( C )(3) 20000 0 SUPPORT MISSION WELD FOOD BANK 1800 E LONGS PEAK ST BRIGHTON CO 80601 742244826 501( C )(3) 15000 0 SUPPORT MISSION A PRECIOUS CHILD INC 7051 W 118TH AVE BROOMFIELD CO 80020 263349334 501( C )(3) 15000 0 SUPPORT MISSION SCHOOL DISTRICT 27J 18551 E 160TH AVE BRIGHTON CO 80601 841577255 501( C )(3) 14000 0 SUPPORT MISSION CASA OF ADAMS & BROOMFIELD 11860 N PECOS ST WESTMINSTER CO 80234 311657019 501( C )(3) 13200 0 SUPPORT MISSION FRIENDS OF BARR LAKE PO BOX 1323 BRIGHTON CO 80601 462017236 501( C )(3) 13081 0 SUPPORT MISSION CITY OF FORT LUPTON 130 S MCKINLEY AVE FORT LUPTON CO 80621 846000665 501( C )(6) 10000 0 SUPPORT MISSION CALVARY CHAPEL BRIGHTON 103 E BRIDGE ST BRIGHTON CO 80601 841512645 501( C )(3) 9600 0 SUPPORT MISSION BROTHERS REDEVELOPMENT INC 2250 EATON ST GARDEN LEVEL EDGEWATER CO 80214 840615347 501( C )(3) 6000 0 SUPPORT MISSION BRIGHTON ECONOMIC DEVELOPMENT CORPORATION 22 S 4TH AVE STE 305 BRIGHTON CO 80601 841128053 501( C )(6) 5500 0 SUPPORT MISSION 16 3 HUMANITARIAN GRANTS 337 0 16730 FMV TRANSPORTATION PART I, LINE 2: ALL GRANT RECIPIENTS ARE FIRST REQUIRED TO SUBMIT APPLICATIONS WHICH DETAIL THE INTENDED USES OF GRANT FUNDS. AFTER GRANTS HAVE BEEN AWARDED, RECIPIENTS ARE REQUIRED TO COMPLETE A FINAL REPORT INDICATING HOW GRANT FUNDS WERE ACTUALLY SPENT. X X X X X 1 1 0 0 0 0 0 0 0 CHRISTOPHER AWTREY MD DIRECTOR 0 458263 0 152715 0 24384 0 206116 0 30112 0 871590 0 68714 DONALD RABOR MD PHYSICIAN COMP PLAN 409933 0 311051 0 37583 0 15146 0 32533 0 806246 0 0 0 SEAN FADDEN FORMER OFFICER 0 373991 0 113292 0 21646 0 169153 0 28040 0 706122 0 77261 JAIME CAMPBELL CEO/PRESIDENT 365125 0 78931 0 33770 0 211763 0 9753 0 699342 0 78931 0 TONI GREEN-CHEATWOOD INTERIM CMO 0 386918 0 58830 0 3505 0 191440 0 30112 0 670805 0 58830 CHRISTOPHER CANNON MD PHYSICIAN COMP PLAN 546447 0 52025 0 25179 0 14650 0 32266 0 670567 0 0 0 MARK CHOU MD PHYSICIAN COMP PLAN 556723 0 57233 0 3538 0 14542 0 34922 0 666958 0 0 0 SHARAN SHARMA MD PHYSICIAN COMP PLAN 478859 0 48922 0 1945 0 9198 0 32281 0 571205 0 0 0 KURT GENSERT VP COO/CNO PVMC 307733 0 46344 0 34893 0 149065 0 30112 0 568147 0 75443 0 CARL MOSS DIRECTOR 0 267048 0 112905 0 32237 0 122532 0 10735 0 545457 0 34646 TROY STOEHR VP FINANCE PVMC 287337 0 30661 0 21789 0 123120 0 29690 0 492597 0 49545 0 PRAKASH KARKI VP CHIEF MEDICAL OFFICER PVMC 86568 0 52246 0 272676 0 42661 0 24510 0 478661 0 52246 0 DENISE SLUSHER MD PHYSICIAN COMP PLAN 369317 0 36983 0 5138 0 14343 0 33438 0 459219 0 0 0 ESTHER MIN MD DIRECTOR 357760 0 36358 0 1414 0 14313 0 13126 0 422971 0 0 0 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY PLATTE VALLEY MEDICAL CENTER (PVMC). 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 COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECURIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. PART I, 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 2023 WERE: PRAKASH KARKI - $252,334 PART I, LINE 4B PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT- FOR- PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COSTS AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2023. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2023 WERE: KURT GENSERT - $29,099, TROY STOEHR - $18,884, SEAN FADDEN - $19,923. SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. 990, PAGE 1, LINE J WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH-PLATT E-VALLEY-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 MIKE DOLAN & JEFF BERNARD - BUSINESS RELATIONSHIP SHAWN WHITE & JEFF BERNARD - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS: INTEGRITY HEALTH IS THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS: INTEGRITY HEALTH, THE SOLE MEMBER OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION, APPROVES MEMBERS OF BRIGHTON COMMUNITY HOSPITAL ASSOCIATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS: INTEGRITY HEALTH HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. INTEGRITY HEALTH ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY PLATTE VALLEY MEDICAL CENTER (PVMC). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE, INC.'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC: THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: BOOK VS TAX DIFFERENCE GRANT EXPENSE -187,769. THIRD PARTY MEDICARE ADJUSTMENT -190,020. FAIR VALUE ACQUISITION ADJUSTMENT -1,035,777. 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