2024-11-07T11:07:45-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 2005 MARKET ST STE 700 PHILADELPHIA PA 19103 990 2023-01-01 840425720 ST MARY'S HOSPITAL & MEDICAL CENTER INC STMA 8018427851 2635 N 7TH STREET GRAND JUNCTION CO 81501 SEAN FADDEN REGIONAL VP, FINANCE 3034252410 2024-11-07 0 0 LAUREN E BENNETT P01787029 2154485000 2023 2024-10-15 13:58:12Z BRYAN JOHNSON 2635 N 7TH STREET GRAND JUNCTION CO 81501 516301815 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. 13 10 2615 460 4484964 590382 6427799 5013454 460204024 487821499 19808470 16551268 4614316 5837882 491054609 515224103 19247107 20436841 0 0 165655747 181461726 0 0 0 307826769 323469860 492729623 525368427 -1675014 -10144324 900597639 876818721 33964484 26349557 866633155 850469164 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 444348967 20436841 491722848 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 OVER 120 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 IT'S 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 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. THE TRANSPORT HELICOPTER ALSO ASSISTS IN RESCUE OR EVACUATION EFFORTS.ST. MARY'S IS RELATED TO SCL HEALTH MEDICAL GROUP-GRAND JUNCTION, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, SCL HEALTH-FRONT RANGE, INC. SCL HEALTH 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 SCL HEALTH MEDICAL GROUP-GRAND JUNCTION, LLC IS NOT OWNED DIRECTLY BY ST. MARY'S, ST. MARY'S IS REQUIRED TO FUND ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP-GRAND JUNCTION, LLC. THROUGH EQUITY TRANSFERS TO SCL HEALTH-FRONT RANGE, INC. IN 2023, THE HOSPITAL PROVIDED $43,227,881 IN SUPPORT OF THE LOSSES OF THE PHYSICIAN CLINICS.ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFLIATED WITH INTERMOUNTAIN HEALTH CARE, INC., 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), ST. MARY'S HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL.ST. MARY'S RECEVIED AN 'A' RATING FROM THE LEAPFROG GROUP FOR HOSPITAL SAFETY.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)- 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 HEALTHDURING 2023, THE FOLLOWING SERVICES WERE PROVIDED:ADMISSIONS - 12,196OUTPATIENT VISITS - 245,040EMERGENCY ROOM VISITS - 41,002BIRTHS - 1,241SURGERIES - 8,723LAB TESTS - 998,515MISSION, 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:INSPIRED BY OUR FAITH, WE WILL PARTNER WITH OUR PATIENTS ANDCOMMUNITIES TO EXCEED THEIR EXPECTATIONS FOR HEALTH.VALUES:CARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON.EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS.GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS.INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE.SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES.STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US. 444348967 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 2615 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 10 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 35.00 X X 684612 0 282612 LEE SYPHUS FORMER HIGHEST COMPENSATED 0.00 51.00 X 0 614431 200422 MICHELE ARNOLD MD ASSOCIATE CHIEF MEDICAL OFFICER SMGJ 50.00 0.00 X 442461 0 236965 ELIZABETH BUISKER CHIEF MEDICAL OFFICER, W CO MED GRP (PARTIAL 50.00 0.00 X 0 383077 172978 LOGAN MCDANELD MD DIRECTOR 1.00 50.00 X 0 486772 44484 DANIEL PRINSTER VP STRATEGY AND BUS DEVELOPMENT SMGJ 50.00 0.00 X 0 332890 150801 MICHELLE SHIAO VP CHIEF NURSING OFFICER SMGJ 50.00 0.00 X 303643 0 155651 GEORGE SCOTT MD FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 322941 44119 KARL ZANDER VP OPERATIONS SMGJ (PARTIAL) 50.00 0.00 X 320632 0 27795 ERICA KINSEY MGR RADIATION ONC-BREAST CARE CTR 50.00 0.00 X 294088 0 42730 SABRINA MITCHELL MEDICAL DIRECTOR FAMILY MEDICINE 50.00 0.00 X 293398 0 40205 KARLYNN SIEVERS MD PHYSICIAN FAMILY MEDICINE 50.00 0.00 X 277599 0 32746 SARA WARZECKA MD PHYSICIAN FAMILY MEDICINE 50.00 0.00 X 272272 0 23559 ASHLEY THUROW VP, FINANCE SMGJ (PARTIAL) 50.00 2.00 X 222175 0 73140 TERRI CHINN VP, FINANCE SMGJ (PARTIAL) 50.00 1.00 X 0 265674 10736 LENNA WATSON DIRECTOR 6.00 0.00 X 12635 0 571 MARK GRIFFIN MD CHAIR 1.00 0.00 X X 634 0 0 TOM BENTON VICE CHAIR 1.00 0.00 X X 0 0 0 JOE CARLSON DIRECTOR 1.00 0.00 X 0 0 0 TADD FERGUSON DIRECTOR 1.00 0.00 X 0 0 0 TIM FOSTER DIRECTOR 1.00 0.00 X 0 0 0 BRIAN HILL DIRECTOR 1.00 0.00 X 0 0 0 JEFF KUHR DIRECTOR (PARTIAL) 1.00 0.00 X 0 0 0 ANGELA PADELECKI DIRECTOR 1.00 0.00 X 0 0 0 CHRISTIAN REECE DIRECTOR 1.00 0.00 X 0 0 0 JEFF TAETS SECRETARY 1.00 0.00 X X 0 0 0 VANCE WAGNER PAST CHAIR 1.00 2.00 X X 0 0 0 3124149 2405785 1539514 365 1 1 0 0 4081190 932264 5013454 PATIENT REVENUE 620000 474582941 474582941 IMAGING SERVICES 620000 6115239 6115239 MEDICAL LAB SERVICES 620000 3252983 3252983 AIR MEDICAL TRANSPORT 620000 2680511 2680511 CANCER CARE SERVICES 620000 1170436 1170436 19389 19389 487821499 17005191 17005191 56326 1227393 5845 272807 50481 954586 1005067 242398 762669 137624 591547 -453923 -453923 -5597 -448326 163188 207513 -44325 -44325 MANAGEMENT SERVICES 560000 2920466 2023675 896791 CAFETERIA SALES 720000 1688618 1688618 IMAGE STORAGE 510000 268056 189056 79000 4877140 515224103 488450476 4484964 17275209 20257020 20257020 179821 179821 3717417 3668406 49011 141210581 139349139 1861442 6054518 5965739 88779 19960950 19726006 234944 10518260 10380556 137704 7558 7558 41543983 39711234 1832749 34839 33339 1500 1159253 1074244 85009 28895658 229424 28666234 8316161 7943100 373061 853750 804357 49393 238129 235390 2739 4115698 4115698 24926914 24926914 1936759 1936759 MEDICAL SUPPLIES 102453366 102453366 MEDICAID PROVIDER TAXES 29347085 29347085 SHARED SERVICES - OTHER 20794963 20794963 FEDERAL INCOME TAXES 205096 205096 58640648 31806274 26834374 525368427 444348967 81019460 0 8250 4742 2948183 2948183 71690825 66347875 101438 927864 10472092 10795786 1082852 1516835 429959152 40860780 390373625 389098372 9568215 12430500 414352159 392748564 900597639 876818721 32215867 24275967 1748617 2073590 33964484 26349557 X 866633155 850469164 866633155 850469164 900597639 876818721 X -10144324 -308000 -5711667 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 7558 7558 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. 16103536 4419818 1051305 3941568 17633091 18258279 3651938 -1788101 4018580 16103536 17128359 3258508 1437882 3566470 18258279 16284424 3108968 1375860 3640893 17128359 14686783 1994367 1646149 2042875 16284424 0.00000 0.60200 0.39800 0 1 1 59980 6670178 6730158 2967952 330054952 17253684 315769220 5143706 943887 4199819 678512 75454877 22663209 53470180 8928995 8928995 389098372 INTERCOMPANY RECEIVABLES 385116864 OTHER RECEIVABLES 7340669 RIGHT OF USE ASSETS 190182 GOODWILL 100849 392748564 ACCRUED LIABILITY - FINANCING LEASE 69718 ACCRUED LIABILITY - OPERATING LEASE 194022 DEPOSITS 9850 ACCRUED LIABILITY - PLEDGE 1000000 ACCRUED LIABILITY - MITIGATION 800000 2073590 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 7657043 0 7657043 0.01500 118453342 86285932 32167410 0.06290 898893 478661 420232 0.00080 127009278 86764593 40244685 0.07870 406269 0 406269 0.00080 14564661 3025146 11539515 0.02260 40055251 29624897 10430354 0.02040 0 0 19557667 0 19557667 0.03820 74583848 32650043 41933805 0.08200 201593126 119414636 82178490 0.16070 1570 1570 0.00000 1570 1570 0.00000 1 13685432 170239712 227144980 -56905268 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 21 1 1 1 1 X SEE PART V, SECTION C 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 ST. MARY'S HOSPITAL & MEDICAL CENTER,INC. PART V, SECTION B, LINE 5: ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. (ST. MARY'S) CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) EVERY THREE YEARS, WITH THE MOST RECENT ASSESSMENT COMPLETED IN APRIL 2021. IN CONDUCTING THE 2021 CHNA, ST. MARY'S COLLECTED PRIMARY DATA THROUGH A SOCIAL CAPITAL SURVEY ADMINISTERED IN 2020, WHICH MORE THAN 1,500 RESIDENTS COMPLETED. MESA COUNTY PUBLIC HEALTH DEPARTMENT LED THE ASSESSMENT IN COLLABORATION WITH LOCAL NONPROFIT HOSPITALS: COLORADO CANYONS MEDICAL CENTER, COMMUNITY HOSPITAL, ST. MARY'S, VETERANS AFFAIRS HOSPITAL, AND WEST SPRINGS HOSPITAL, INC. IN MESA COUNTY, ST. MARY'S TOOK A COLLABORATIVE APPROACH WITH THE LOCAL PUBLIC HEALTH AGENCY, MESA COUNTY PUBLIC HEALTH, LEADING THE ASSESSMENT PROCESS AND LOCAL HOSPITALS PARTICIPATING. THE CHNA PROCESS INCLUDED INPUT FROM PERSONS WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED BY ST. MARY'S FACILITIES. THE COLLABORATION CONSULTED WITH STAKEHOLDERS, COMMUNITY MEMBERS, AND COMMUNITY LEADERS WITH EXPERTISE AND EXPERIENCE IN FIVE SOCIAL DETERMINANTS OF HEALTH FOCUS AREAS: ECONOMIC STABILITY, EDUCATION, HEALTH CARE ACCESS, NEIGHBORHOOD AND BUILT ENVIRONMENT, AND SOCIAL AND COMMUNITY CONTEXT. DATA ANALYSIS USED QUANTITATIVE AND QUALITATIVE DATA FOR A COMPREHENSIVE CONTEXT OF KEY HEALTH ISSUES. THE ASSESSMENT ALSO INCLUDED DATA COLLECTED FROM COMMUNITY SURVEYS INCLUDING A LOCAL MENTAL HEALTH COMMUNITY ASSESSMENT SURVEY CONDUCTED IN 2020 WITH MORE THAN 850 RESPONSES. ST. MARY'S HOSPITAL & MEDICAL CENTER,INC. PART V, SECTION B, LINE 6A: ST. MARY'S CONDUCTED THE 2021 CHNA IN COLLABORATION WITH COLORADO CANYONS MEDICAL CENTER (FRUITA), COMMUNITY HOSPITAL (GRAND JUNCTION), VETERANS AFFAIRS HOSPITAL (GRAND JUNCTION), AND WEST SPRINGS HOSPITAL, INC. (GRAND JUNCTION). ST. MARY'S HOSPITAL & MEDICAL CENTER,INC. PART V, SECTION B, LINE 6B: ST. MARY'S CONDUCTED THE 2021 CHNA IN COLLABORATION WITH THE MESA COUNTY PUBLIC HEALTH DEPARTMENT.ST. MARY'S HOSPITAL & MEDICAL CENTER, INC.:FORM 990,SECTION B, LINE 7A:HOSPITAL FACILTY'S WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/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/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-CHNAST. MARY'S HOSPITAL & MEDICAL CENTER, INC.:FORM 990, SECTION B, LINE 10A:IMPLEMENTATION STRATEGY ON WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS ST. MARY'S HOSPITAL & MEDICAL CENTER,INC. PART V, SECTION B, LINE 11: THE 2021 CHNA PROCESS IDENTIFIED THREE PRIORITY HEALTH NEEDS, WHICH WERE EDUCATION, HEALTH IMPLICATIONS (BEHAVIORS), AND HEALTHCARE ACCESS. ST. MARY'S ADDRESSED THE IDENTIFIED NEEDS WITH STRATEGIES OUTLINED IN THE THREE-YEAR COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) ADOPTED IN 2022: 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 THE 27 OCCUPATIONS AVAILABLE HAD TRAINING OR EDUCATION PROGRAMS ACCESSIBLE IN MESA COUNTY FOR RESIDENTS SEEKING THESE OCCUPATIONS. LOCAL STUDENTS OFTEN LEAVE THE AREA IF THEY DESIRE ADVANCED EDUCATION, INCLUDING THE MOST SOUGHT-AFTER TRAINING, THE BACHELOR OF SCIENCE IN NURSING. FURTHER, STUDENTS WHO QUALIFY FOR NEED-BASED FINANCIAL AID ARE LESS LIKELY TO COMPLETE THEIR DEGREES.ACTIVITIES: ST. MARY'S PROVIDED CLINICAL ROTATIONS FOR NURSING, EMS/PARAMEDIC, DIATARY/NUTRITION, LABORATORY, RADIOLOGY, AND PHYSICAL/OCCUPATIONAL/SPEECH THERAPY STUDENTS. CLINICAL ROTATIONS WERE AN IMPORTANT COMPONENT OF HEALTHCARE PROFESSIONAL EDUCATION AND ENABLED QUALIFIED GRADUATES TO COMPLETE THEIR EDUCATION IN MESA COUNTY AND CONTINUE TO RESIDE AND WORK HERE.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, WHICH WAS 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. ACTIVITIES: IN 2023, ST. MARY'S OFFERED INJURY PREVENTION EDUCATION AT SEVERAL COMMUNITY EVENTS: HOME SAFETY TIPS AT A LOCAL MIDDLE SCHOOL SAFETY FAIR, FALL SAFETY TO SENIORS AT BEACONFEST, AND SCHOOL SAFETY AT NATIONAL NIGHT OUT. ST. MARY'S ALSO USED ITS PRESENCE AT THE MARKET ON MAIN TO PROVIDE PREVENTION EDUCATION ON STROKE AND CARDIAC HEALTH, WOMEN'S HEALTH, AND ONCOLOGY. ST. MARY'S ALSO SERVED ON THE HUNGER ALLIANCE, ADDRESSING MESA COUNTY BLUEPRINT TO END HUNGER, UNITED TO SOLVE HOMELESSNESS AND SUICIDE PREVENTION, AND WAS THE SPONSOR FOR MEALS ON WHEELS MESA COUNTY.HEALTHCARE ACCESS: BARRIERS TO HEALTHCARE IN MESA COUNTY FALL INTO THREE CATEGORIES: COST, AVAILABILITY OF TIMELY SERVICES, AND PERSONAL OBSTACLES. PRIMARY CARE PROVIDERS WHO WORKED WITH MESA COUNTY'S UNINSURED PATIENTS REPORT THAT CONNECTING THEM TO SPECIALTY CARE WAS A SIGNIFICANT BARRIER TO ACCESS. IN MESA COUNTY, 13% OF RESIDENTS WERE UNABLE TO ACCESS MEDICAL CARE DUE TO FULL CLINIC CAPACITY AND 10.4% DUE TO INSURANCE NOT BEING ACCEPTED. TRANSPORTATION POSED A PERSONAL OBSTACLE FOR 3.7% OF MESA COUNTY RESIDENTS WHO WENT WITHOUT CARE DUE TO INABILITY TO TRAVEL TO MEDICAL CARE, WHICH REPRESENTS 6,000 INDIVIDUALS UNABLE TO ACCESS CARE. ACTIVITIES: THROUGH OUR 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. NEEDS NOT PRIORITIZED:THE OTHER HEALTH NEEDS IDENTIFIED IN THE 2021 CHNA ARE IMPORTANT AND ST. MARY'S CONTINUED TO COLLABORATE WITH OTHER COMMUNITY ORGANIZATIONS TO ENSURE ALL NEEDS AND HEALTH INDICATORS ARE ADDRESSED.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 AS IMPROVING INDIVIDUAL BEHAVIORS HAS LONG-TERM IMPACTS ON PREVENTING HEART DISEASE. MORTALITY WAS INDIRECTLY ADDRESSED BY EFFORTS IN OTHER PRIORITY AREAS (E.G., ACCESS TO HEALTHCARE SERVICES AND HEALTHY WEIGHT STATUS). ECONOMIC STABILITY: WHILE ST. MARY'S DID NOT HAVE THE CAPACITY OR EXPERTISE TO ADDRESS EACH NEED IDENTIFIED, THE HOSPITAL TOOK STEPS TO ADDRESS ECONOMIC STABILITY BY EVALUATING ITS WAGE STRUCTURE AND INCREASING WAGES. ST. MARY'S STRIVED TO BRING GREATER EQUITY TO EARNING A DESIRABLE INCOME.NEIGHBORHOOD AND BUILT ENVIRONMENT: ST. MARY'S ACTIVELY SUPPORTED AND ATTENDED MESA COUNTY HUNGER ALLIANCE, 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: SIMILAR TO THE COMMUNITY COLLABORATION NECESSARY TO TACKLE MENTAL HEALTH ISSUES, THE SOCIAL AND COMMUNITY CONTEXT WAS MOST EFFECTIVE 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.COMMUNITY BUILDING ACTIVITIESCOMMUNITY BUILDING ACTIVITIES IMPROVE THE HEALTH AND SAFETY OF COMMUNITY MEMBERS BY ADDRESSING THE ROOT CAUSES OF PROBLEMS (E.G., POVERTY, HOMELESSNESS, AND ENVIRONMENTAL HAZARDS). ST. MARY'S PARTICIPATED IN COLLABORATIVE MEETINGS WITH LOCAL NONPROFIT ORGANIZATIONS, SERVICE PROVIDERS, AND GOVERNMENTAL AGENCIES TO ASSESS ONGOING DATA, EXAMINE EMERGING NEEDS, AND DISCUSS ADDITIONAL COLLABORATIVE OPPORTUNITIES TO ADDRESS IDENTIFIED NEEDS. FOR EXAMPLE, ST. MARY'S PROVIDED PATIENT AND FAMILY LODGING AT ROSE HILL HOUSE FOR PEOPLE TRAVELING FROM RURAL OR OUTLYING COMMUNITIES. THIS SERVICE PROVIDES LOW-COST, SAFE, AND COMFORTABLE LODGING FOR PATIENTS AND CARETAKERS. IN 2023, ROSE HILL HOUSE HOSTED 1,719 INDIVIDUAL PEOPLE WHO STAYED FOR 9,204 NIGHTS. IN COLLABORATION WITH A UNITED WAY PROGRAM, ST. MARY'S HOSTED A POVERTY IMMERSION EXPERIENCE FOR OUR PHYSICIAN RESIDENCY PROGRAM, ENABLING OUR NEW PHYSICIANS TO EXPERIENCE THE BARRIERS OF SIMULATED POVERTY. THIS EVENT ALLOWED CAREGIVERS TO DEVELOP AN UNDERSTANDING OF WHAT THOSE IN POVERTY ARE FACING.ST. MARY'S HOSPITAL & MEDICAL CENTER,INC.:PART V, SECTION B, LINE 16A, 16B, 16C:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMING 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 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 PRACTICE RESIDENCY 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 - ST MARY'S 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 - BLOOMIN' BABIES BIRTH CENTER LLC 500 WEST PACIFIC AVE TELLURIDE CO 81435 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: ST. MARY'S 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. (87-0269232). 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 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 $13,685,432.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. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGE RATES FOR THE PATIENT SERVICES PROVIDED. THE BAD DEBT ALLOWANCE 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 BAD DEBT ALLOWANCE 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 BAD DEBT ALLOWANCE IS ON PAGES 12 AND 13 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. 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. BY ABSORBING THE MEDICARE SHORTFALL COSTS, THE ORGANIZATION IS 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, ST. MARY'S 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: ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. RECOGNIZES ITS RESPONSIBILITY TO MANAGE THE COST OF HEALTHCARE BY ASKING THOSE WHO CAN PAY TO DO SO AND IS COMMITTED TO ASSISTING PATIENTS BY PROVIDING VARIOUS OPTIONS FOR RESOLVING THEIR FINANCIAL OBLIGATION, INCLUDING DISCOUNTS FOR THE UNINSURED, PAYMENT PLANS, AND REDUCED OR WAIVED RESPONSIBILITY THROUGH FINANCIAL ASSISTANCE. ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. ALSO ASSISTS PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS TO APPLY FOR SUCH ASSISTANCE. DELINQUENT ACCOUNTS MAY BE REFERRED TO EXTERNAL COLLECTION AGENCIES ONLY AFTER REASONABLE ATTEMPTS ARE MADE TO CONTACT THE RESPONSIBLE PARTY AND NO ARRANGEMENT HAS BEEN MADE TO PAY THE ACCOUNT BALANCE. SUCH AGENCIES ARE EXPECTED TO TREAT PATIENTS WITH THE SAME RESPECT AND DIGNITY THAT ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. AFFORDS ALL ITS PATIENTS. FOR EXAMPLE, CONTACTS BY THE AGENCIES WILL INCLUDE FINANCIAL ASSISTANCE OPTIONS FOR PATIENTS UNABLE TO PAY. AGENCIES ARE RESTRICTED FROM PURSUING LEGAL PROCEEDINGS TO COLLECT DEBTS IN LIMITED CIRCUMSTANCES AND MAY ONLY DO SO UPON APPROVAL BY ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. STRONGER MEASURES, SUCH AS THE COURTS, ARE NOT USED UNLESS THERE IS EVIDENCE OF FRAUD OR A CLEAR ABILITY TO PAY ACCOMPANIED BY A REFUSAL TO PAY. PART VI, LINE 2: IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, 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 SERVICES LEAVING MESA COUNTY AND WESTERN COLORADO FOR DENVER. RESEARCH REVEALED OPPORTUNITIES TO STRENGTHEN LOCALLY BASED SERVICES, WHICH HELP FAMILIES ACCESS EXISTING SUPPORT STRUCTURES 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 VARIOUS REPORTS FROM COMMUNITY PARTNERS TO ENHANCE KNOWLEDGE OF COMMUNITY NEEDS AND AVAILABLE RESOURCES. PART VI, LINE 3: ST. MARY'S 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. ST. MARY'S 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: 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. MESA COUNTY IS ONE OF 64 IN COLORADO AND SPANS 3,313 SQUARE MILES. THE GRAND VALLEY, WHICH IS THE MOST DENSELY POPULATED IN THE GEOGRAPHIC AREA KNOWN AS COLORADO'S WESTERN SLOPE, COVERS MORE THAN 38 SQUARE MILES AND 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 THE 2021 CHNA.HOSPITALS SERVING MESA COUNTY: ST. MARY'S HOSPITAL & MEDICAL CENTERM, INC. LEVEL II TRUAMA CENTER; COMMUNITY HOSPITAL LEVEL III TRAUMA CENTER; FAMILY HEALTH WEST CRITICAL ACCESS HOSPITAL; GRAND JUNCTION VETERANS HEALTH CARE SYSTEM; WEST SPRINGS HOSPITAL PSYCHIATRIC CARE AND RECOVERY.POPULATION OF MESA COUNTY: 155,703 (2020 CENSUS).GENDER: MALE 49.7%, FEMALE 50.3%.MEDIAN AGE: 41.1 YEARS.RACIAL AND ETHNIC DIVERSITY: WHITE 80.4%, HISPANIC/LATINO 15.3%, REMAINDER OF THE POPULATION IS BLACK/AFRICAN AMERICAN, AMERICAN INDIAN/ALASKA NATIVE, AND ASIAN.EDUCATION: 91.5% OF PERSONS AGE 25+ ARE HIGH SCHOOL GRADUATES OR HIGHER, 31.2% OF PERSONS AGED 25 AND OLDER HAVE EARNED A BACHELOR'S DEGREE OR HIGHER.MEDIAN HOUSEHOLD INCOME: $64,055 (2021) WHICH IS LOWER THAN THE STATE AVERAGE $80,254.PERSONS LIVING IN POVERTY: 9.7% IN MESA COUNTY WHICH IS COMPARABLE TO THE STATE AVERAGE. LIFE EXPECTANCY: 78.9 YEARS IN MESA COUNTY, WHICH IS LOWER THAN THE STATE AVERAGE OF 80.5.UNINSURED RATE: THE UNINSURED RATE IN MESA COUNTY 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 SERVICES, EXPERIENCED PROFESSIONALS, AND THE LATEST IN TECHNIQUES AND TECHNOLOGY CLOSE TO HOME FOR THE PEOPLE OF WESTERN COLORADO AND EASTERN UTAH. COMMUNITY HEALTH PROMOTION ACTIVITIES IN 2023 INCLUDED A VARIETY OF CLASSES ON WEIGHT MANAGEMENT, DIABETES EDUCATION, HEALTHY SPINE AND BACK PAIN, PARENTING, SUPPORT GROUPS FOR CANCER PATIENTS AND CAREGIVERS, STOP THE BLEED TRAINING, AS WELL AS PUBLIC EDUCATION FOCUSED ON INJURY AND SAFETY FOR CHILDREN AND COMMUNITY EVENTS. ST. MARY'S UTILIZED THE GENEROSITY OF VOLUNTEERS TO PROVIDE HOSPITAL AND COMMUNITY SERVICES. DUE TO COVID-19, VOLUNTEERS WERE PLACED ON LEAVE IN 2020 AND HAVE SLOWLY RETURNED TO FILL ESSENTIAL, LOW-RISK POSITIONS. IN 2023, 460 TOTAL ACTIVE VOLUNTEERS DELIVERED OVER 19,501 HOURS OF SERVICE. THE EQUIVALENT OF 9.4 FULL-TIME EMPLOYEES.ST. MARY'S WAS PART OF A COMMUNITY TRANSFORMATION GROUP CALLED CLIFTON COMMUNITY OUTREACH, WHICH IS COMPRISED OF MORE THAN 60 ORGANIZATIONS THAT OVERSAW THE ORGANIZATION OF COMMUNITY WORKS FOR CLIFTON, AN UNINCORPORATED AREA. CLIFTON HAS APPROXIMATELY 20,000 RESIDENTS AND IS THE SECOND MOST POPULATED AREA IN MESA COUNTY, BUT THE INFRASTRUCTURE TO SUPPORT CIVIC ENGAGEMENT AND COMMUNITY PROJECTS WAS LARGELY MISSING. IN 2023, THE GROUP SAW THE CULMINATION OF FOUR YEARS OF WORK WITH THE PLANNING AND COMPLETION OF A NEW LIBRARY COMPLEX, AND A NEW COMMUNITY CENTER IS EXPECTED TO OPEN IN 2024.FOCUSING ON OUR AGING POPULATION, ST. MARY'S SPONSORS MEALS ON WHEELS OF MESA COUNTY. THE PROGRAM IS AN UNDUPLICATED NUTRITIONAL MEAL PROGRAM FOR SENIORS THAT PROVIDES HOME DELIVERY AND MEALS AT NINE REGIONAL DINING SITES EVERY WEEKDAY TO THE FRAIL AND HOMEBOUND IN THE COUNTY. IN 2022, ST. MARY'S BEGAN A COLLABORATION WITH FOODBANK OF THE ROCKIES WITH THE CONSTRUCTION OF A NEW COMMERCIAL KITCHEN TO MEET THE INCREASED NEEDS FOR THE PROGRAM. IT ALSO ALLOWS FOR FUTURE GROWTH. IN 2023, THE PROGRAM SERVED 206,665 MEALS TO 1,600 UNDUPLICATED CLIENTS, WITH 30 DAILY ROUTES MANAGED BY PROGRAM STAFF AND 300 VOLUNTEERS.COMMUNITY CONNECTIONS IS ST. MARY'S VOLUNTEER PROGRAM THAT ADDRESSES THE LACK OF SOCIAL CONNECTEDNESS AND PROVIDES ASSISTANCE TO HOMEBOUND INDIVIDUALS WHO NEED TRANSPORTATION TO APPOINTMENTS, ACCESSING GROCERIES, AND OTHER TASKS THAT HELP MAINTAIN INDEPENDENCE. ADDITIONALLY, ST. MARY'S OFFERED IN-HOME EDUCATION ON FALL PREVENTION, MEDICATION SAFETY, AND ESTABLISHING A MEDICAL DURABLE POWER OF ATTORNEY.IN 2023, 18 VOLUNTEERS GAVE 7,663 VOLUNTEER HOURS AND DROVE 40,545 MILES TO PROVIDE SERVICES TO 111 UNDUPLICATED CLIENTS. AS A RESULT, 100% OF CLIENTS REPORTED DECREASED FEELINGS OF BOREDOM, LONELINESS, OR SADNESS; 100% OF CLIENTS MAINTAINED/IMPROVED ABILITY TO LIVE INDEPENDENTLY; AND 100% OF CLIENTS MAINTAINED/IMPROVED QUALITY OF LIFE.ST. MARY'S ROSE HILL HOSPITALITY HOUSE PROVIDED PATIENTS AND FAMILIES WITH CLOSE, SAFE, AND AFFORDABLE ACCOMMODATIONS WHILE RECEIVING CARE AT ST. MARY'S. IN 2023, 1,719 GUESTS STAYED A TOTAL OF 9,204 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 OUR LOCAL UNIVERSITY AND PROGRAMS OUTSIDE MESA COUNTY. ST. MARY'S PROVIDED $1,796,328 IN HEALTH PROFESSIONS EDUCATION SERVICES.IN 2023, 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: ST. MARY'S 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 VISION THROUGH ACCOMPLISHING ITS STATED MISSION OF "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE." INTERMOUNTAIN 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 IS A NONPROFIT SYSTEM OF MORE THAN 66,000 CAREGIVERS, 33 HOSPITALS, 385 CLINICS, MEDICAL GROUPS, A HEALTH PLAN (SELECT HEALTH, INC.) 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. PART VI, LINE 7: THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING REQUIRES ALL NONPROFIT HOSPITALS TO HOST AN ANNUAL PUBLIC MEETING TO REVIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PROGRESS TOWARD A COMMUNITY HEALTH IMPROVEMENT PLAN. FOLLOWING THE MEETING, THE HOSPITALS ARE REQUIRED TO SUBMIT A REPORT TO THE STATE DETAILING THE MOST RECENTLY FILED FORM 990 AND OTHER DETAILS ABOUT THE HOSPITAL'S PUBLIC ENGAGEMENT ACTIVITIES. THE MEETING IS ADVERTISED IN LOCAL NEWSPAPERS AND SOCIAL MEDIA, AND THE REPORT IS POSTED ON THE HOSPITAL'S CHNA WEBSITE (HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS) AND IN SUMMARY BY THE STATE OF COLORADO (HTTPS://HCPF.COLORADO.GOV/HOSPITAL-COMMUNITY-BENEFIT-ACCOUNTABILITY). 1 SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 501 (C)(3) 18294220 0 SUPPORT COLORADO CLINICS ST MARY'S HOSPITAL FOUNDATION 2635 NORTH 7TH STREET GRAND JUNCTION CO 81501 237001007 501 (C)(3) 1178627 0 SUPPORT OPERATIONS MIND SPRINGS FOUNDATION INC 515 28 34 RD BLDG A GRAND JUNCTION CO 81501 352667413 501 (C)(3) 250000 0 CAPITAL CAMPAIGN PLEDGE PROJECT CURE INTERNATIONAL HEADQUARTERS 10377 E GEDDES AVENUE CENTENNIAL CO 80112 841568566 501 (C)(3) 0 149296 BOOK MEDICAL SUPPLIES MEDICAL SUPPLIES DONATION HILLTOP HEALTH SERVICES CORPORATION 1331 HERMOSA STREET GRAND JUNCTION CO 81506 742321009 501 (C)(3) 53800 0 PROGRAM SUPPORT/SPONSORSHIP GRAND JUNCTION AIR SHOW INC 501 MAIN STREET GRAND JUNCTION CO 81501 742528367 501 (C)(3) 52000 0 SPONSORSHIP GRAND JUNCTION ECONOMIC PARTNERSHIP 122 N 6TH STREET GRAND JUNCTION CO 81501 840972492 501 (C)(3) 35000 0 PLEDGE/SPONSORSHIP DISTRICT 51 FOUNDATION 2115 GRAND AVENUE GRAND JUNCTION CO 81501 273662704 501 (C)(3) 28000 0 GJHS PLEDGE/SPONSORSHIP CAREFLIGHT OF THE ROCKIES LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 473525381 LIMITED LIABILITY CO 0 25226 BOOK MEDICAL SUPPLIES MEDICAL SUPPLIES DONATION COLORADO MESA UNIVERSITY FOUNDATION 1450 NORTH 12TH STREET GRAND JUNCTION CO 81501 846037667 501 (C)(3) 17500 0 SPONSORSHIP HOLY FAMILY CATHOLIC SCHOOL 786 26 1/2 ROAD GRAND JUNCTION CO 81506 860297730 501 (C)(3) 15000 0 SUPPORT MENTAL HEALTH PROGRAM HOPEWEST 3090 NORTH 12TH ST UNIT B GRAND JUNCTION CO 81506 841207388 501 (C)(3) 12600 0 SPONSORSHIP/SUPPORT MISSION GREATER GRAND JUNCTION SPORTS COMMISSION 1100 NORTH AVE GRAND JUNCTION CO 81501 813433847 501 (C)(3) 10500 0 SPONSORSHIP GRAND JUNCTION AREA CHAMBER OF COMMERCE 360 GRAND AVENUE GRAND JUNCTION CO 81501 840215575 501 (C)(6) 10250 0 SPONSORSHIP RMO GOLF INC 2303 WEST RIDGES BLVD GRAND JUNCTION CO 81507 471284197 501 (C)(4) 10000 0 SPONSORSHIP CENTER FOR ENRICHED COMMUNICATION 2708 PATTERSON RD GRAND JUNCTION CO 81506 742232416 501 (C)(3) 10000 0 PROGRAM SUPPORT CITY OF GRAND JUNCTION 101 SOUTH 3RD STREET SUITE 100 GRAND JUNCTION CO 81501 846000592 GOVERNMENT 7500 0 SPONSORSHIP MARILLAC CLINIC INC 2333 NORTH 6TH STREET GRAND JUNCTION CO 81501 841085822 501 (C)(3) 6200 0 PROGRAM SUPPORT/SPONSORSHIP 15 3 TRANSPORTATION SERVICES 1651 105276 FMV TRANSPORTATION FOR INDIVIDUALS IN NEED TO SEE CAREGIVERS HOMELESS SHELTER LAUNDRY SERVICE 272 55467 FMV HOMELESS SHELTER LAUNDRY SERVICE HUMANITARIAN GRANTS 91 16600 FMV PRESCRIPTION DRUGS 131 2228 FMV PRESCRIPTION DRUGS FOR INDIGENT CARE FOOD CARDS 5 250 FMV 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 HOSPITAL THEN 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 502548 0 109425 0 72639 0 255252 0 27360 0 967224 0 162823 0 LEE SYPHUS FORMER HIGHEST COMPENSATED 0 350466 0 113655 0 150310 0 170375 0 30047 0 814853 0 66542 MICHELE ARNOLD MD ASSOCIATE CHIEF MEDICAL OFFICER SMGJ 408980 0 24188 0 9293 0 209605 0 27360 0 679426 0 24188 0 ELIZABETH BUISKER CHIEF MEDICAL OFFICER, W CO MED GRP 0 303187 0 54316 0 25574 0 144618 0 28360 0 556055 0 49316 LOGAN MCDANELD MD DIRECTOR 0 367258 0 118193 0 1321 0 14440 0 30044 0 531256 0 0 DANIEL PRINSTER VP STRATEGY AND BUS DEVELOPMENT SMGJ 0 261738 0 40867 0 30285 0 120689 0 30112 0 483691 0 66529 MICHELLE SHIAO VP CHIEF NURSING OFFICER SMGJ 246180 0 36688 0 20775 0 124339 0 31312 0 459294 0 56202 0 GEORGE SCOTT MD FORMER HIGHEST COMPENSATED 0 298303 0 22975 0 1663 0 13892 0 30227 0 367060 0 0 KARL ZANDER VP OPERATIONS SMGJ (PARTIAL) 130577 0 33861 0 156194 0 8472 0 19323 0 348427 0 33861 0 ERICA KINSEY MGR RADIATION ONC-BREAST CARE CTR 261052 0 14072 0 18964 0 13402 0 29328 0 336818 0 8123 0 SABRINA MITCHELL MEDICAL DIRECTOR FAMILY MEDICINE 271544 0 20000 0 1854 0 10412 0 29793 0 333603 0 0 0 KARLYNN SIEVERS MD PHYSICIAN FAMILY MEDICINE 256170 0 20000 0 1429 0 609 0 32137 0 310345 0 0 0 SARA WARZECKA MD PHYSICIAN FAMILY MEDICINE 228110 0 20000 0 24162 0 11113 0 12446 0 295831 0 0 0 ASHLEY THUROW VP, FINANCE SMGJ (PARTIAL) 191439 0 30000 0 736 0 57407 0 15733 0 295315 0 0 0 TERRI CHINN VP, FINANCE SMGJ (PARTIAL) 0 96463 0 47107 0 122104 0 7196 0 3540 0 276410 0 47107 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR 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 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. 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 OF 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: KARL ZANDER - $90,689. 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 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 PARTICIPANTS' W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2023 WERE: BRYAN JOHNSON - $53,398; TERRI CHINN - $120,724; DANIEL PRINSTER - $25,662; MICHELLE SHIAO - $19,514; KARL ZANDER - $43,932; LEE SYPHUS - $24,655. 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 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 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 MEMBERS OF THE ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. BOARD OF DIRECTORS, 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 DIRECTORS, WHICH ARE SUBJECT TO RATIFICATION BY INTERMOUNTAIN. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE: - ESTABLISH THE MISSION, VISION, AND VALUES FOR THE CORPORATION; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR THE CORPORATION; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF THE CORPORATION; - FIX THE NUMBER OF TRUSTEES OF THE BOARD AND APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE CORPORATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. 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 MINISTRIES 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 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 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 OF 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 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 -1,189,791. BOOK/TAX DIFFERENCE IN PERSONAL PROPERTY EQUIPMENT RENTAL 125,080. ENVIRONMENTAL REMEDITION LIABILITY ADJUSTMENT -800,000. THIRD PARTY MEDICARE ADJUSTMENT -586,000. FAIR VALUE ACQUISITION ADJUSTMENT -3,260,956. 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 SCLHS 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 DENVER CO 80211 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 SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 HOSPITAL SERVICES CO 501(C)(3) LINE 3 SCLHS 1 GOOD SAMARITAN MEDICAL CENTER FOUNDATION 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 841649162 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SCL HEALTH-FRONT RANGE INC 1 LUTHERAN MEDICAL CENTER FOUNDATION 8300 WEST 38TH AVENUE WHEAT RIDGE CO 80033 208846152 SUPPORT 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