TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) CHRISTINE FORKNER...................................................................... MEMBER	1.00 ................. 0.00	X		0	0	0
(2) LORI FOX...................................................................... CHAIR	2.00 ................. 0.00	X	X	0	0	0
(3) FAYE HUMMEL RN...................................................................... MEMBER	1.00 ................. 0.00	X		0	0	0
(4) MARK ISAKSON...................................................................... MEMBER	1.00 ................. 0.00	X		0	0	0
(5) LYDIA JUMONVILLE...................................................................... TREASURER 1/1-5/31	2.00 ................. 50.00	X	X	0	1,995,079	385,181
(6) DAVID KINNARD MD...................................................................... MEMBER	1.00 ................. 0.00	X		0	0	0
(7) KEVIN MILLER MD...................................................................... MEMBER	50.00 ................. 0.00	X		924,557	0	45,331
(8) BERRY MORTON MD...................................................................... MEMBER	1.00 ................. 0.00	X		0	0	0
(9) BARBARA RYAN...................................................................... MEMBER	1.00 ................. 0.00	X		0	0	0
(10) MICHAEL SALEM MD...................................................................... MEMBER	1.00 ................. 0.00	X		0	0	0
(11) MAREN STEWART...................................................................... MEMBER	1.00 ................. 0.00	X		0	0	0
(12) MICHAEL TAYLOR...................................................................... VICE CHAIR	2.00 ................. 50.00	X	X	0	1,573,286	156,970
(13) JANIE WADE...................................................................... TREASURER 6/1-12/31	2.00 ................. 50.00	X	X	0	852,889	13,525
(14) BRUCE WARING MD...................................................................... MEMBER	1.00 ................. 0.00	X		0	0	0
(15) BARTH WHITHAM...................................................................... MEMBER	1.00 ................. 0.00	X		0	0	0
(16) JENNIFER ALDERFER...................................................................... PRESIDENT-GSM SYSTEM TRANSFORM OFCR	50.00 ................. 0.00		X	0	439,776	89,547
(17) THOMAS DONOHOE...................................................................... SECRETARY	2.00 ................. 50.00		X	0	303,302	18,376

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) BETH FORSYTH........................................................................ CHIEF OPERATING OFFICER-GSMC	50.00 .......................0.00	X				0	424,541	66,211
(19) JOHN HIGGINS........................................................................ VICE PRESIDENT AND CFO EGSMC	50.00 .......................0.00	X				0	300,373	63,987
(20) J GRANT WICKLUND........................................................................ PRESIDENT-CEO LMC	50.00 .......................0.00	X				0	1,654,360	44,493
(21) FOREST BINDER........................................................................ VP-FINANCIAL SERVICES LMC	50.00 .......................0.00	X				0	416,498	72,779
(22) STEVEN BROWN MD........................................................................ VP-CHIEF MEDICAL OFFICER	50.00 .......................0.00		X			0	468,444	38,586
(23) ANDREA BURCH........................................................................ VP CHIEF NURSING OFFICER LMC	50.00 .......................0.00		X			0	287,512	33,853
(24) SCOTT DAY........................................................................ VP HUMAN RESOURCES LMC	50.00 .......................0.00		X			0	322,318	58,544
(25) NOOMI HIRSCH........................................................................ VP OPERATIONS ELMC 5/12-12/31	50.00 .......................0.00		X			0	204,947	32,465
(26) CHRISTINA JOHNSON........................................................................ VP OPERATIONS ELMC 1/1-5/12	50.00 .......................0.00		X			0	327,781	66,167
(27) SUSAN KERSCHEN MD........................................................................ VP CHIEF NURSING OFFICER LMC	50.00 .......................0.00		X			0	240,996	11,944
(28) THOMAS MYDLER MD........................................................................ VP-CHIEF MEDICAL OFFICER	50.00 .......................0.00		X			0	482,074	83,823
(29) ROBERT REPLOGLE MD........................................................................ PHYSICIAN	50.00 .......................0.00			X		1,022,051	0	45,266
(30) BRIAN WITWER MD........................................................................ PHYSICIAN	50.00 .......................0.00			X		968,263	0	48,539
(31) LEONARD LAPKIN MD........................................................................ PHYSICIAN	50.00 .......................0.00			X		937,353	0	48,751
(32) BASHEAL AGRAWAL MD........................................................................ PHYSICIAN	50.00 .......................0.00			X		910,533	0	43,671
(33) EDWARD MAURIN MD........................................................................ PHYSICIAN	50.00 .......................0.00			X		896,964	0	48,138
(34) ELIZABETH CARVER........................................................................ FORMER OFFICER	0.00 .......................50.00				X	0	285,126	17,099
(35) JAMES DOYLE........................................................................ FORMER OFFICER	0.00 .......................50.00				X	0	425,947	67,512
(36) ROSLAND MCLEOD........................................................................ FORMER OFFICER	0.00 .......................50.00				X	0	1,148,199	177,948
(37) KAREN SCREMIN........................................................................ FORMER OFFICER	0.00 .......................50.00				X	0	489,314	72,624
(38) AMY PACEY........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00				X	0	306,856	44,970
(39) GERALDINE TOWNDROW........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00				X	0	671,703	27,330

(A) Name and business address	(B) Description of services	(C) Compensation
ROCKY MOUNTAIN PRIMARY CARE 7625 W 92ND AVE WESTMINSTER,CO80021	MEDICAL SERVICES	8,598,323
SAUNDERS EXPRESS LLC 6950 SOUTH JORDAN ROAD CENTENNIAL,CO80112	CONSTRUCTION SERVICES	5,675,864
MIDTOWN INPATIENT MEDICINE LLC 535 16TH STREET DENVER,CO802024228	HOSPITALIST SERVICES	5,336,431
CHG COMPANIES INC PO BOX 972651 DALLAS,TX753972651	CONTRACT LABOR	4,975,999
COLORADO PATHOLOGY CONSULTANTS PO BOX 840274 DALLAS,TX752840274	PATHOLOGY SERVICES	4,053,627
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 84

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization SCL HEALTH - FRONT RANGE INC

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization SCL HEALTH - FRONT RANGE INC		Employer identification number 84-1103606

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization SCL HEALTH - FRONT RANGE INC			Employer identification number 84-1103606
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................
c	Total lobbying expenditures (add lines 1a and 1b) ...................................................................
d	Other exempt purpose expenditures ........................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

8,986

Total. Add lines 1c through 1i ....................................................................................................

8,986

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	SCHEDULE C, PART II-B, QUESTION 1I LOBBYING EXPENDITURES LOBBYING EXPENDITURES INCLUDES THE PORTIONS OF VARIOUS MEMBERSHIP DUES THAT ARE DESIGNATED AS LOBBYING EXPENSE BY THOSE ORGANIZATIONS IN WHICH SCL HEALTH - FRONT RANGE, INC. OR ITS ENTITIES ARE MEMBERS.

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	7,059,069	6,248,061	6,329,102	6,884,823	6,612,331
b	Contributions ...	189,134		3,500		177,166
c	Net investment earnings, gains, and losses	-191,643	905,286	250,818	98,225	95,326
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	420,352	94,278	335,359	653,946
f	Administrative expenses ....
g	End of year balance ......	6,636,208	7,059,069	6,248,061	6,329,102	6,884,823

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	23,929,573		23,929,573
b	Buildings ....	593,236,416	291,249,782	301,986,634
c	Leasehold improvements	48,528,052	39,461,270	9,066,782
d	Equipment ....	430,329,466	325,973,841	104,355,625
e	Other .....	11,733,526		11,733,526
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				451,072,140

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) INTERCOMPANY RECEIVABLES				215,085,706
(2) OTHER RECEIVABLES				2,103,002
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				217,188,708

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
CAPITALIZED LEASE OBLIGATIONS	12,760
LIABILITY-MITIGATION	2,349,776
NOTE PAYABLE TO SCLHS	217,334,000
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	219,696,536
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

THE SCL HEALTH - FRONT RANGE, INC., ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY THE RELATED ORGANIZATION LUTHERAN MEDICAL CENTER FOUNDATION. THE ENDOWMENT FUNDS CONSIST OF: 1) THE HEALTH EDUCATION ENDOWMENT FUND. THE PURPOSE IS TO SUPPORT HEALTH EDUCATION IN THE COMMUNITY. DISTRIBUTIONS ARE LIMITED BY BOARD ACTION TO THREE PERCENT OF ANNUAL VALUE. 2) THE FRIENDS OF HOSPICE ENDOWMENT FUND. THE PURPOSE IS LIMITED TO PROGRAMS AT LUTHERAN HOSPICE. DISTRIBUTIONS ARE LIMITED TO THREE PERCENT OF ANNUAL VALUE. 3) THE VOLUNTEER ENDOWMENT FUND. THE PURPOSE IS TO SUPPORT PROGRAMS AND ACTIVITIES OF THE VOLUNTEERS AT LUTHERAN MEDICAL CENTER. DISTRIBUTIONS FROM THE FUND CAN ONLY BE MADE IF THE FUND BALANCE IS GREATER THAN $1 MILLION AND IS DISTRIBUTED TWICE ANNUALLY - BASED ON THE BALANCE AS OF MARCH 31 AND SEPTEMBER 30. 4) THE SENIOR CARE ENDOWMENT FUND. THE PURPOSE IS TO SUPPORT THE HEALTH AND HEALING OF ELDERS IN OUR COMMUNITY BY PROVIDING A WELLNESS WAY OF LIFE WITH QUALITY, EFFICIENCY AND EMPATHY TO THOSE ENTRUSTED IN OUR CARE TO INCLUDE BUT NOT LIMITED TO HOSPICE CARE, SENIOR EMERGENCY CARE AND SENIOR CHARITY CARE. DISTRIBUTIONS FROM THE FUND CAN ONLY BE MADE IF THE FUND BALANCE IS GREATER THAN $1 MILLION. 5) HOSPICE ENDOWMENT FUND. THE PURPOSE IS LIMITED TO PROGRAMS AT LUTHERAN HOSPICE. DISTRIBUTIONS ARE DETERMINED UNDER THE SCL HEALTH ENDOWMENT SPENDING POLICY AND AMOUNT OF DISTRIBUTION DETERMINED BY THE SCL HEALTH PHILANTHROPIC IMPACT COMMITTEE. 6) COCHRAN FAMILY ONCOLOGY ENDOWMENT. THE PURPOSE IS TO PROVIDE CONTINUING EDUCATION SUPPORT TO ASSOCIATES EMPLOYED BY LUTHERAN MEDICAL CENTER. DISTRIBUTIONS ARE DETERMINED UNDER THE SCL HEALTH ENDOWMENT SPENDING POLICY AND AMOUNT OF DISTRIBUTION DETERMINED BY THE SCL HEALTH PHILANTHROPIC IMPACT COMMITTEE. ACCOUNTS FOR ENDOWMENT FUNDS WERE INVESTED, ALLOWING INCOME AND PRINCIPAL TO GROW OVER TIME.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	SUB-SAHARAN AFRICA	0	0	GRANT	HOSPITAL & MEDICAL CENTER	77,595
















3a	Sub-total .....	0	0			77,595
b	Total from continuation sheets to Part I ...					0
c	Totals (add lines 3a and 3b)	0	0			77,595

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(i) Method of valuation (book, FMV, appraisal, other)
SUB-SAHARAN AFRICA	SUPPORT SELIAN LUTHERAN HOSPITAL AND ITS SISTER HOSPITAL ARUSHA LUTHERAN MEDICAL CENTER IN TANZANIA.	77,595	WIRE TRANSFER	BOOK

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
PART I, LINE 2:	SCL HEALTH - FRONT RANGE, INC.(SCLHFR) PROVIDES ASSISTANCE TO ONLY ONE ORGANIZATION OUTSIDE THE U.S. SCLHFR OBTAINED AN INITIAL NEEDS ASSESSMENT REPORT FROM THE ORGANIZATION, WHICH ALSO OUTLINED THE COMMITMENT OF SCLHFR TO PROVIDE SUPPORT TO THE ORGANIZATION BASED ON AN INITIAL SITE VISIT. SCLHFR MAINTAINS REGULAR CONTACT WITH THE ORGANIZATION, SENDS A TEAM OF CLINICIANS FOR SITE VISITS TO THE ORGANIZATION EVERY YEAR AND REVIEWS THE ORGANIZATION'S ANNUAL REPORT.

Schedule F (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	5,577,997	0	5,577,997	0.670 %
b	Medicaid (from Worksheet 3, column a) . . . . .	160,909,039	111,094,087	49,814,952	5.950 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	570,551	344,656	225,895	0.030 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	167,057,587	111,438,743	55,618,844	6.650 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	853,878	5,470	848,408	0.100 %
f	Health professions education (from Worksheet 5) . . .	2,686,885	0	2,686,885	0.320 %
g	Subsidized health services (from Worksheet 6) . . . .	49,037,526	40,727,647	8,309,879	0.990 %
h	Research (from Worksheet 7) .	0	0
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	645,701	0	645,701	0.080 %
j	Total. Other Benefits . .	53,223,990	40,733,117	12,490,873	1.490 %
k	Total. Add lines 7d and 7j .	220,281,577	152,171,860	68,109,717	8.140 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support	600	0	600	0 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total	600		600	0 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

24,824,433

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

249,841,998

Enter Medicare allowable costs of care relating to payments on line 5.....

366,428,118

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-116,586,120

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 E PLUS PET IMAGING X LP	RADIOLOGY SERVICES	42.860 %	0 %	57.140 %
22 EKG INTERPRETATION SERVICE	EKG INTERPRETATION	85.670 %	0 %	14.330 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	LUTHERAN MEDICAL CENTER 8300 W 38TH AVENUE WHEAT RIDGE,CO80211 WWW.SCLHEALTH.ORG/LOCATIONS/ 010440	X	X	X
2	GOOD SAMARITAN MEDICAL CENTER 200 EXEMPLA CIRCLE LAFAYETTE,CO80026 WWW.SCLHEALTH.ORG/LOCATIONS/ 011529	X	X	X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	LUTHERAN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	LUTHERAN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	LUTHERAN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	LUTHERAN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	GOOD SAMARITAN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	GOOD SAMARITAN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	GOOD SAMARITAN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	GOOD SAMARITAN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 5: LUTHERAN MEDICAL CENTER, A COMMUNITY-BASED, ACUTE-CARE HOSPITAL LOCATED IN WHEAT RIDGE, COLORADO, IS COMMITTED TO IMPROVING THE HEALTH OF ITS COMMUNITY. LUTHERAN MEDICAL CENTER PARTNERED WITH JEFFERSON COUNTY PUBLIC HEALTH (JCPH) AND ST. ANTHONY HOSPITAL TO CONDUCT A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPROVEMENT PLAN PROCESS BEGINNING IN 2017 AND CONCLUDING IN 2018. THIS PROCESS WAS ADDITIONALLY SUPPORTED BY NUMEROUS COMMUNITY MEMBERS, PARTNER ORGANIZATIONS AND GOVERNMENT AGENCIES WHICH RESULTED IN AN ENHANCED COLLABORATIVE PROCESS. THE CHNA COMPREHENSIVELY REVIEWED THE CURRENT STATE OF HEALTH IN JEFFERSON COUNTY, COLORADO AND GATHERED INFORMATION ON GAPS AND OPPORTUNITIES FOR IMPROVEMENT. THE ASSESSMENT CONTAINS INFORMATION ON A BROAD RANGE OF FACTORS THAT IMPACT COMMUNITY HEALTH AS WELL AS EXISTING ASSETS AND RESOURCES TO ADDRESS THESE HEALTH ISSUES. PRIMARY (ORIGINAL) DATA WERE PROVIDED TO US THROUGH INTERVIEWS AND FOCUS GROUPS WITH COMMUNITY MEMBERS, PARTNER ORGANIZATIONS AND KEY STAKEHOLDERS. THIS DATA WAS COMBINED WITH SECONDARY (EXISTING) DATA TO CREATE OUR FINISHED ASSESSMENT THAT REPRESENTS A COMPREHENSIVE EXAMINATION OF THE HEALTH OF JEFFERSON COUNTY RESIDENTS. THE ASSESSMENT TEAM SOUGHT INPUT AND ENGAGEMENT FROM COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, BUSINESS LEADERS, NON-PROFIT PARTNERS REPRESENTING THE MEDICALLY UNDERSERVED, AS WELL AS INTERNAL STAKEHOLDERS AT LUTHERAN MEDICAL CENTER. THESE PARTNERS ACTIVELY PARTICIPATED IN THE QUALITATIVE REVIEW AND ASSESSMENT PRIORITIZATION COMPONENTS OF THE CHNA. PARTNERS INCLUDED BUT WERE NOT LIMITED TO JEFFERSON COUNTY PUBLIC HEALTH, CENTURA HEALTH/ST. ANTHONY HOSPITAL, METRO COMMUNITY PROVIDER NETWORK, JEFFERSON CENTER FOR MENTAL HEALTH, DENVER PUBLIC HEALTH, COLORADO COMMUNITY HEALTH ALLIANCE, JEFFERSON COUNTY HEALTH ALLIANCE, CITY OF LAKEWOOD, JEFFERSON HOUSING AUTHORITY, JEFFERSON COUNTY PUBLIC SCHOOLS, REGIS UNIVERSITY, THE ACTION CENTER, WEST METRO FIRE, WEST PINES, MEDICAL STAFF AT LUTHERAN MEDICAL, WEST CHAMBER SERVING JEFFERSON COUNTY'S YOUTH LEADERSHIP, MUNICIPALITIES, AREA NON-PROFITS, AND CIVIC, COMMUNITY, AND BUSINESS LEADERS. FOUR HEALTH FACTORS WERE IDENTIFIED AND PRIORITIZED AS FOCUS AREAS FOR THIS CHNA: (1) ACCESS TO MENTAL HEALTH CARE AND SUBSTANCE USE TREATMENT; (2) ALCOHOL AND SUBSTANCE USE; (3) FOOD INSECURITY; AND (4) HOUSING.
GOOD SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 5: GOOD SAMARITAN MEDICAL CENTER (GSMC) IS AN ACUTE-CARE HOSPITAL LOCATED IN THE CITY OF LAFAYETTE, COLORADO AND WHILE LAFAYETTE IS SITUATED IN BOULDER COUNTY, THE HOSPITAL SERVICE AREA INCLUDES COMMUNITIES IN BOULDER, BROOMFIELD, ADAMS, JEFFERSON, GILPIN AND WELD COUNTIES. WE ARE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY. IN SO DOING, GSMC WORKED CLOSELY WITH COMMUNITY PARTNERS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2018. THE GOAL FOR THE CHNA WAS TO DETERMINE CURRENT AND PROJECTED FUTURE HEALTH CARE NEEDS IN THE GSMC PRIMARY COMMITMENT AREA AND TO IDENTIFY GAPS IN SERVICES TO IMPROVE THE HEALTH OF OUR COMMUNITY. FOCUS GROUPSA GROUP OF HOSPITAL LEADERS AND DEPARTMENTAL REPRESENTATIVES, AS WELL AS COMMUNITY LEADERS, WAS CONVENED ON AUGUST 7, 2018 TO PRIORITIZE THE PRELIMINARY LIST AND NARROW THE LIST TO SEVEN KEY ISSUES THAT WOULD BE FURTHER DISCUSSED THROUGH COMMUNITY INTERVIEWS. THE GROUP RECEIVED A SUMMARY OF THE SECONDARY DATA COMPILED FROM LOCAL, COUNTY AND STATE SOURCES. FOLLOWING THE PRESENTATION, THE ATTENDEES WERE GIVEN TIME IN SMALL GROUPS TO DISCUSS THE ISSUES AND WERE ASKED TO RANK THE TWELVE ISSUES (ON A SCALE OF 1-10) BASED ON THE FOLLOWING TWO QUESTIONS: BASED ON YOUR UNDERSTANDING OF THE COMMUNITY HEALTH FINDINGS THAT HAVE BEEN DISCUSSED, PLEASE RATE EACH OF THE FOLLOWING HEALTH ISSUES BASED ON: 1. THE SCOPE AND SEVERITY OF THE HEALTH ISSUE, AND 2. THE ABILITY OF THE HOSPITAL TO HAVE A POSITIVE IMPACT ON THE HEALTH ISSUE. TOTAL SCORES FOR EACH HEALTH ISSUE WERE CALCULATED AND DIVIDED BY THE TOTAL NUMBER OF RESPONSES FOR WHICH DATA WERE PROVIDED, RESULTING IN AN OVERALL AVERAGE FOR EACH HEALTH NEED SEPARATELY BY QUESTION. THIS RESULTED IN TWO SCORES FOR EACH HEALTH ISSUE. THE COMBINED SCORE WAS ARRIVED AT BY AVERAGING THE TWO SCORES. CALCULATIONS FROM THIS GROUP ACTIVITY RESULTED IN THE FOLLOWING PRIORITIZATION. PHONE SURVEYGSMC CONDUCTED TARGETED INTERVIEWS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE MEDICAL CENTER. SIXTEEN INTERVIEWS WERE COMPLETED IN JULY 2018. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS AND HOSPITAL LEADERS WERE IDENTIFIED BY GSMC AND CONTACTED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH, OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE MEDICAL CENTER." INPUT WAS OBTAINED FROM AREA PUBLIC HEALTH DEPARTMENTS. PARTNERS ACTIVELY PARTICIPATED IN THE QUANTITATIVE REVIEW, INPUT ON QUALITATIVE ISSUES AND PRIORITIZATION COMPONENTS OF THE CHNA. PARTNERS INCLUDED BUT WERE NOT LIMITED TO:AVISTA HOSPITALBOULDER COUNTY PUBLIC HEALTH, BOULDER COUNTY HOUSING AND HUMAN SERVICESBROOMFIELD FISHBROOMFIELD PUBLIC HEALTH AND ENVIRONMENT, CANCER CENTER OF COLORADOCOMMUNITIES THAT CARECOMMUNITY REACH CENTER CLINICA FAMILY SERVICES, GOOD SAMARITAN MEDICAL CENTER: CARDIOLOGY, EMERGENCY, BUSINESS DEVELOPMENT, FOUNDATION, NURSING, MARKETING, MISSION INTEGRATION, TRAUMA OUTREACHFOOTHILLS UNITED WAYLAFAYETTE RECREATION CENTERMENTAL HEALTH PARTNERS, SISTER CARMEN COMMUNITY CENTERTRU COMMUNITY CAREVIA MOBILITYKEY FINDINGS IDENTIFIED GAPS AND UNMET NEEDS FOR HEALTHCARE IN THE SERVICE AREA AND INFORMED RECOMMENDATIONS AND STRATEGIC IMPLEMENTATIONS FOR THE GSMC SERVICE DELIVERY MODEL TO FILL THE GAPS. GSMC'S PRIORITIES FOR 2019-2021 INCLUDE: CARDIOVASCULAR DISEASE (HEART DISEASE AND STROKE)UNINTENTIONAL INJURIES FOR THE 2018 CHNA AND CHIP, GSMC PARTNERED WITH MELISSA BIEL CONSULTANTS TO COLLECT THE SECONDARY DATA, INTERVIEW KEY INFORMANTS AND TO ASSIST WITH THE WRITING OF THE DOCUMENTS.
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 6A: ST. ANTHONY HOSPITAL
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 6B: PARTNERS INCLUDED BUT WERE NOT LIMITED TO JEFFERSON COUNTY PUBLIC HEALTH, CENTURA/ST. ANTHONY HOSPITAL, JEFFERSON CENTER FOR MENTAL HEALTH, DENVER PUBLIC HEALTH, JEFFERSON COUNTY PUBLIC SCHOOLS, METRO COMMUNITY PROVIDER NETWORK, MEDICAL STAFF AT LUTHERAN MEDICAL CENTER, WEST CHAMBER SERVING JEFFERSON COUNTY'S YOUTH LEADERSHIP, WEST METRO FIRE, MUNICIPALITIES, AREA NON-PROFITS, CIVIC, COMMUNITY, AND BUSINESS LEADERS.SOME KEY PARTNERS IN THE PROCESS ARE:1) METRO COMMUNITY PROVIDER NETWORKA FEDERALLY QUALIFIED HEALTH CENTER PROVIDING SERVICES TO LOW-INCOME RESIDENTS OF ADAMS, ARAPAHOE, DOUGLASS, JEFFERSON, AND PARK COUNTIES IN COLORADO AND THE CITIES OF AURORA, ARVADA, EDGEWATER, ENGLEWOOD, LAKEWOOD, LITTLETON, PARKER AND WHEAT RIDGE. 2) JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENTKEY DATA SOURCE FOR DEMOGRAPHIC AND PUBLIC HEALTH DATA.
GOOD SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS LISTED PARTICIPATED IN PRIORITIZATION AND KEY INFORMANT INTERVIEWS. AVISTA HOSPITALBOULDER COUNTY PUBLIC HEALTH, BOULDER COUNTY HOUSING AND HUMAN SERVICESBROOMFIELD FISHBROOMFIELD PUBLIC HEALTH AND ENVIRONMENT, CANCER CENTER OF COLORADOCOMMUNITIES THAT CARECOMMUNITY REACH CENTER CLINICA FAMILY SERVICES, GOOD SAMARITAN MEDICAL CENTER: CARDIOLOGY, EMERGENCY, BUSINESS DEVELOPMENT, FOUNDATION, NURSING, MARKETING, MISSION INTEGRATION, TRAUMA OUTREACHFOOTHILLS UNITED WAYLAFAYETTE RECREATION CENTERMENTAL HEALTH PARTNERS SISTER CARMEN COMMUNITY CENTERTRU COMMUNITY CAREVIA MOBILITYLUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 7A, HOSPITAL FACILITY'S WEBSITE:HTTPS:/WWW.SCLHEALTH.ORG/LOCATIONS/LUTHERAN-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/GOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 7A, HOSPITAL FACILITY'S WEBSITE: HTTPS:/WWW.SCLHEALTH.ORG/LOCATIONS/GOOD-SAMARITAN-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/LUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 10A, HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY POSTED ON WEBSITE:HTTPS:/WWW.SCLHEALTH.ORG/LOCATIONS/LUTHERAN-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/GOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 10A, HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY POSTED ON WEBSITE:HTTPS:/WWW.SCLHEALTH.ORG/LOCATIONS/GOOD-SAMARITAN-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/
GOOD SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 7D: COPIES OF THE CHNA WERE DISTRIBUTED AT VARIOUS COMMUNITY COALITIONS AND RESOURCE MEETINGS BY THE REGIONAL DIRECTOR OF COMMUNITY HEALTH IMPROVEMENT.
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 11: ACCESS TO HEALTHCAREDURING 2018 LUTHERAN MEDICAL CENTER ADDRESSED THE SIGNIFICANT NEEDS IDENTIFIED IN THE 2015 CHNA/CHIP AS A PART OF THE THREE YEAR IMPLEMENTATION PROCESS. ACTIVITIES HIGHLIGHTED HERE WERE PROVIDED AS THE NEW ASSESSMENT WAS COMPLETED. THE AIM FOR ADDRESSING ACCESS INCLUDE EFFORTS TO PROVIDE COMMUNITY-BASED EVENTS AND ACTIVITIES THAT BRING HEALTHCARE TO FAMILIES AND CHILDREN WHERE THEY LIVE IN OUR PRIMARY SERVICE AREA. THE PRIMARY STRATEGY IS TO PARTNER WITH THE JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENT (JCPHD) ON JOINT EFFORTS TO IMPROVE ACCESS BY REMOVING BARRIERS AND CREATING CONNECTIVITY TO APPROPRIATE HEALTH SERVICES AND COMMUNITY RESOURCES. THIS WAS ACCOMPLISHED THROUGH THE DEVELOPMENT OF A 340B PHARMACEUTICAL PLAN; INCREASED ACCESS FOR PATIENTS TO SERVICES THAT SUPPORT CHRONIC DISEASE MANAGEMENT INCLUDING PAIN MANAGEMENT, DIABETES MANAGEMENT AND EDUCATION; CARDIOVASCULAR PROGRAMS, AND CANCER SERVICES. IN ADDITION, LMC PARTNERED WITH SAFETY NET CLINICS IN OUR PRIMARY SERVICE AREA INCLUDING METRO COMMUNITY PROVIDER NETWORK (MCPN), BRIDGES TO CARE, AND THE SENIOR RESOURCE CENTER IN ORDER TO ACHIEVE HIGHER LEVELS OF CARE COORDINATION THROUGH A PATIENT NAVIGATOR PROGRAM. IN 2018 LMC PARTNERED WITH SENIORS' RESOURCE CENTER TO OFFER HEALTH SCREENINGS TO THE ELDER POPULATION INCLUDING OVER 250 BLOOD PRESSURE CHECKS, HEARING SCREENINGS, AND PULSE OX TESTS. IN 2018, LMC PILOTED A FOOD FARMACY PROGRAM THAT PROVIDES NUTRITION EDUCATION AND ACCESS TO FOOD FOR DIABETIC PATIENTS WHO LEARN TO BETTER MANAGE THEIR DISEASE WITH FOOD AS MEDICINE. A SMALL COHORT OF 5 INDIVIDUALS WERE PART OF THE INITIAL PHASE OF THE PROGRAM AND ALL EXPEREINCED POSITIVE PHYSICAL CHANGES. THE PROGRAM WILL MOVE OUT OF THE PILOT STAGE IN 2019 TO SERVE A GREATER NUMBER OF CHRONIC AREAS FOR PATIENTS. ACCESS TO COMMUNITY BASED FALL PREVENTION TRAINING WAS AN EMPHASIS FOR THE PHYSICAL MEDICINE STAFF IN 2018. FIVE TRAININGS WERE OFFERED REACHING MORE THAN 85 OLDER ADULTS WHO IMPROVED THEIR BALANCE AND REDUCED THEIR FEAR OF FALLING BY 45%.PREVENTATIVE CARE AND BEHAVIORAL HEALTHTHE AIMS FOR ADDRESSING PREVENTATIVE CARE AND BEHAVIORAL HEALTH ARE TO INTEGRATE SERVICES AND BUILD NETWORKS WHICH ALLOW PRIMARY CARE PROVIDERS TO DIRECT THEIR PATIENTS TO APPROPRIATE RESOURCES AND SERVICES. THE PRIMARY STRATEGY IS TO COLLABORATE WITH THE JCPHD TO CREATE A COMPREHENSIVE COUNTY-WIDE PLAN TO CONNECT PATIENTS TO SERVICES ACROSS THE CONTINUUM OF PREVENTATIVE CARE, INCLUDING BEHAVIORAL HEALTH. THIS WAS ACCOMPLISHED THROUGH AN ASSESSMENT AND INVENTORY OF COMMUNITY RESOURCES TO LINK PATIENTS WITH SERVICES THAT TEACH THEM HOW TO BETTER MANAGE THEIR INDIVIDUAL CONDITIONS (E.G. MCPN, BRIDGES TO CARE, ETC.). IN ADDITION, LMC HAS DEVELOPED AND PROVIDED EDUCATIONAL OPPORTUNITIES FOR CANCER, CARDIOVASCULAR, AND OTHER SERVICES TO PROVIDE IMPORTANT PREVENTATIVE CARE AND BEHAVIORAL HEALTH MESSAGES SUCH AS WARNING SIGNS OF CHRONIC OR ACUTE CONDITIONS (E.G. STROKE, DIABETES, ETC.). TWO IMPORTANT INITIATIVES CONTINUED IN 2018 WHICH TAKE AIM AT THE AREAS OF PREVENTATIVE CARE AND MENTAL HEALTH.1. A PERFECT HOMECOMING IS A PROGRAM DESIGNED TO HELP PATIENTS WHO HAVE BEEN HOSPITALIZED RETURN HOME SAFELY AND REDUCE THE NEED FOR UNNECESSARY HOSPITAL READMISSION. A CARE MANAGER ENGAGES WITH THE PATIENT FOR UP TO 90 DAYS POST-DISCHARGE PROVIDING CARE MANAGEMENT AND COORDINATION, TRANSPORTATION, MEALS, IN HOME CARE, MEDICATION ADHERENCE, EQUIPMENT INSTALLATION, AND SOCIAL VISITS. MORE THAN 80% OF PATIENTS WHO WERE PART OF THIS SERVICES DID NOT NEED READMISSION FOR THEIR CONDITION.2. MENTAL HEALTH FIRST AID TRAININGS CONTINUED INCLUDING A SESSION FOCUSED ON STUDENTS AT THE MOUNTAIN PHEONIX SCHOOL AND HIGH SCHOOL STUDENTS PARTICPATING IN THE ALLIED HEALTH EDUCATION PROGRAM AT LMC.A NEW PROGRAM WAS LAUNCHED AT LMC IN 2018 THAT PROVIDES A WARM HANDOFF OF ANY PATIENT EXPERIENCING SUICIDAL IDEATION TO PARTNERS AT ROCKY MOUNTAIN CRSIS PARTNERS. WITHIN 24 HOURS OF DISCHARGE THE PATIENT RECEIVES A CALL CHECKING ON HOW THEY ARE FEELING AND TO MAKE A PLAN ABOUT ACCESSING ADDITIONAL RESOURCES. THE MASTER'S-LEVEL TRAINED CLINICIAN STAYS IN CONTACT WITH THE PATIENT FOR AS LONG AS THEY NEED ASSISTANCE. IN 2018, 96 PATIENTS PARTICPATED IN RECEIVING FOLLOW-UP.OBESITYTHE AIMS FOR ADDRESSING THIS SIGNIFICANT HEALTH NEED INCLUDE PROGRAMS AND SERVICES THAT PROMOTE PHYSICAL ACTIVITY AND HEALTHY EATING. THIS WAS ACCOMPLISHED THROUGH COLLABORATION WITH JCPHD AROUND INITIATIVES SUCH AS HEALTHY BEVERAGE CONSUMPTION, ACCESS TO HEALTHY FOOD, AND PHYSICAL ACTIVITY EDUCATION PROGRAMS. KEY GOALS FOR THIS AIM INCLUDE LINKING INDIVIDUALS TO WELLNESS RESOURCES INCLUDING FREE AND LOW-COST FITNESS AND HEALTH CLASSES, SUPPORT GROUPS, AND COUNSELING INCLUDING WEIGHT LOSS PROGRAMS. IN ADDITION, LMC CONTINUES PARTICIPATION IN THE COLORADO HEALTHY HOSPITAL COMPACT. THIS INITIATIVE ENCOURAGES AND SUPPORTS BREASTFEEDING ACCESS AND EDUCATION, AS WELL AS HEALTHY NUTRITION PRACTICES. 2018 SAW THE CONTINUATION OF THE LMC COMMITMENT THROUGH ITS EXAMPLE OF HEALTHY EATING THROUGH MAINTAINING GOLD STATUS AS A HEALTH HOSPITAL COMPACT (HHC) PARTNER. AS A PARTNER HOSPITAL, LMC AGREES TO PROTECT AND PROMOTE THE HEALTH OF OUR PATIENTS AND THEIR FAMILIES, VISITORS AND STAFF. WE ARE COMMITTED TO LEADING BY EXAMPLE AND IMPLEMENTING MEASURES TO IMPROVE THE QUALITY OF OUR NUTRITION. MORE THAN 25 EDUCATIONAL SESSIONS WERE OFFERED BY LMC CLINICAL DIETICIANS IN THE COMMUNITY WITH ALMOST 200 COMMUNITY MEMBERS ATTENDING PRESENTATIONS ABOUT HEALTHY EATING AND ACTIVE LIVING. LMC JOINED THE WHEAT RIDGE HEAL COMMITTEE AND ACTIVELY PLANNED AND PARTICIPATED IN TWO LARGE, COMMUNITY EVENTS AIMED AT PROMOTING HEALTHY EATING AND ACTIVE LIVING. MORE THAN 500 PEOPLE ATTENDED THESE EVENTS.HEALTH PRIORITIES NOT ADDRESSED LUTHERAN MEDICAL CENTER (LMC) RECOGNIZES THAT THE OTHER HEALTH NEEDS AND INDICATORS IDENTIFIED IN THE 2015 LMC COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ARE IMPORTANT FOR THE HOSPITAL AND THE COMMUNITIES IT SERVES. NUMEROUS OTHER ORGANIZATIONS ARE CONCURRENTLY ADDRESSING MANY OF THESE REMAINING NEEDS. THEREFORE, DUE TO LIMITED EXPERTISE AND RESOURCES AT THE INDIVIDUAL HOSPITAL LEVEL LMC HAS NARROWED ITS TOP PRIORITIES TO THE FOCUS AREAS LISTED ABOVE. LMC WILL, HOWEVER, CONTINUE TO BUILD PARTNERSHIPS WITH OTHER COMMUNITY AGENCIES IN OUR PRIMARY SERVICE AREA IN ORDER TO EXPAND OUR FOOTPRINT AS FAR AS POSSIBLE INTO ALL RELEVANT HEALTH PRIORITY AREAS.
GOOD SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 11: FOR THE 2015 CHNA, GOOD SAMARITAN MEDICAL CENTER (GSMC) ENGAGED PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) TO CONDUCT A CHNA CONCERNING THE HEALTH STATUS OF THE HOSPITAL'S COMMUNITY. BOULDER COUNTY PUBLIC HEALTH (BCPH) AND BROOMFIELD COUNTY PUBLIC HEALTH WERE ENGAGED TO PROVIDE HEALTH DATA USED IN THE SURVEY. COMMUNITY LEADERS AND HEALTHCARE LEADERS IN BOULDER AND BROOMFIELD COUNTIES WERE SURVEYED TO DETERMINE THE TOP HEALTH NEEDS. THE TOP HEALTH NEEDS IDENTIFIED BY SURVEY PARTICIPANTS WERE:* OLDER ADULTS & AGING* MENTAL HEALTH* CANCER* SUBSTANCE ABUSE, INCLUDING TOBACCO* EXERCISE, NUTRITION & WEIGHT* HEART DISEASE & STROKE* DIABETES* IMMUNIZATIONS & INFECTIOUS DISEASES* ORAL HEALTH* ACCESS TO HEALTH SERVICES* RESPIRATORY DISEASES* MATERNAL, FETAL & INFANT HEALTHA TASK FORCE OF KEY COMMUNITY HEALTHCARE LEADERS, PUBLIC HEALTH OFFICIALS,AND INTERNAL SENIOR HOSPITAL LEADERS MET TO RANK AND PRIORITIZE THE 12HEALTH NEEDS. THE SCOPE AND SEVERITY OF HEALTH ISSUES WERE EVALUATED ASWELL AS GOOD SAMARITAN MEDICAL CENTER'S ABILITY TO IMPACT THE IDENTIFIED HEALTH ISSUES. THE FINAL SELECTION OF THE TWO TOP HEALTH NEEDS GSMC WILL ADDRESS DURING 2016-2018 INCLUDE:1. MENTAL HEALTH2. ACCESS TO HEALTH SERVICESPRIORITY: MENTAL HEALTH/SUBSTANCE ABUSEMENTAL HEALTH FIRST AID (MHFA): GSMC PROVIDED 18 MENTAL HEALTH FIRST AID (MHFA) TRAININGS TO THE COMMUNITY IN 2017. 301 INDIVIDUALS WERE TRAINED THROUGH THIS PROGRAM IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS MENTAL HEALTH PARTNERS, COMMUNITY REACH CENTER AND JEFFERSON CENTER FOR MENTAL HEALTH. MENTAL HEALTH FIRST AID (MHFA) IS A POPULATION HEALTH, EVIDENCE BASED TRAINING THAT FOCUSES "UPSTREAM" TO TEACH MEMBERS OF THE PUBLIC HOW TO RESPOND IN A MENTAL HEALTH EMERGENCY, HOW TO OFFER SUPPORT TO SOMEONE WHO APPEARS TO BE IN EMOTIONAL DISTRESS AND HOW TO RECOGNIZE SIGNS AND SYMPTOMS OF A VARIETY OF DIAGNOSABLE MENTAL DISORDERS SUCH AS DEPRESSION, ANXIETY, SUBSTANCE USE, TRAUMA, PSYCHOSIS, AND DELIBERATE SELF-INJURY. MENTAL HEALTH FIRST AID TRAINING IS A GROUNDBREAKING PROGRAM OF THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH. MORE THAN 1 MILLION PEOPLE ACROSS THE UNITED STATES HAVE BEEN TRAINED IN THE PROGRAM THUS FAR. IT IS AN IMPORTANT COMMUNITY INITIATIVE TO INCREASE MENTAL HEALTH AWARENESS AND STIGMA REDUCTION.ADDITIONALLY, GSMC HAD 1 INDIVIDUAL TRAINED AS A MHFA INSTRUCTOR PROVIDING 4 MODULES TO THE COMMUNITY - ADULT, OLDER ADULTS, PUBLIC SAFETY AND VETERANS. DURING THE RESEARCH, IT WAS DETERMINED THAT THERE WAS NO MODULE APPROPRIATE FOR FIRE AND EMS. WE PARTNERED WITH COMMUNITY REACH CENTER, INSTRUCTORS FROM JEFFERSON CENTER FOR MENTAL HEALTH AND THE NATIONAL ORGANIZATION FOR MENTAL HEALTH FIRST AID TO PILOT A MHFA PROGRAM SPECIFIC TO FIRE AND EMS PROVIDERS. GSMC PROVIDED REVIEWS AND FEEDBACK TO THE NATIONAL ORGANIZATION FOR PUBLICATION OF THIS NEW MODULE.GSMC EVALUATED THE FEASIBILITY OF DEVELOPING A TELEHEALTH MODEL FOR ACCESS TO BEHAVIORAL HEALTH SERVICES: RESEARCH WAS COMPLETED IN 2017 WITH SCL HEALTH CONTRACTING FOR INSIGHT TELEPSYCHIATRIC SERVICES. INSIGHT IS THE NATION'S LEADING TELEPSYCHIATRIC SERVICES PROVIDER. THE GOAL WAS TO PROVIDE TELEPSYCH SERVICES FOR GSMC PATIENTS AND COMMUNITY MEMBERS ALONG WITH TWO OTHER HOSPITALS -LUTHERAN MEDICAL CENTER AND SAINT JOSEPH HOSPITAL. FINANCIAL FEASIBILITY REQUIRES ALL THREE HOSPITALS TO PARTICIPATE. IN ADDITION, GSMC CONTINUES TO PROVIDE PSYCHIATRIC CONSULTS THROUGH A CONTRACT WITH KAISER PERMANENTE. THE OPPORTUNITY NOW EXISTS FOR GSMC TO PARTNER WITH FOOTHILLS UNITED WAY TO PROMOTE THE 2-1-1 PHONE NUMBER. 2-1-1 IS A FREE, CONFIDENTIAL REFERRAL AND INFORMATION HELPLINE AND WEBSITE THAT CONNECTS PEOPLE FROM ALL COMMUNITIES AND OF ALL AGES TO THE ESSENTIAL HEALTH AND HUMAN SERVICES THEY NEED, 24 HOURS A DAY, SEVEN DAYS A WEEK. 2-1-1 CAN BE ACCESSED BY PHONE OR COMPUTER. THE 2-1-1 PHONE NUMBER HAS BEEN USED NATIONALLY FOR MORE THAN 20 YEARS.GSMC HAS ALSO PARTNERED WITH THE WORKLIFE ORGANIZATION TO PROVIDE MENTAL HEALTH NAVIGATOR SERVICES TO ALL ASSOCIATES. THROUGH INDIVIDUAL COUNCIL AND A COMMUNITY BASED RESOURCE DATABASE, WORKLIFE WILL DIRECT ASSOCIATES TO THE APPROPRIATE COMMUNITY RESOURCES FOR MENTAL HEALTH SERVICES. THIS IS A FREE SERVICE TO ALL SCL HEALTH ASSOCIATES IN THE DENVER REGION.GSMC IS A MEMBER PARTICIPANT ON THE BOULDER COUNTY BEHAVIORAL HEALTH TASK FORCE TO WORK WITH THE COMMUNITY TO ADDRESS MENTAL HEALTH ISSUES IN BOULDER COUNTY. ONE OF THE GOALS MET WAS TRAINING AN ADDITIONAL 2,000 INDIVIDUALS IN MHFA THROUGHOUT BOULDER COUNTY. GSMC IS ALSO A MEMBER PARTICIPANT OF THE HEALTHY FUTURES COALITION IN BOULDER COUNTY. THIS COALITION WORKS TO REDUCE SUBSTANCE USE IN BOULDER COUNTY, PRIMARILY FOR YOUTH.PRIORITY: IMPROVED ACCESS TO CAREEXPANDED ACCESS TO HEALTH SERVICES BY LEVERAGING TECHNOLOGY: GSMC PROMOTES "DOCTOR ON DEMAND" FOR PATIENTS, VISITORS AND ASSOCIATES TO ACCESS HEALTH CARE VIA THEIR ONLINE PLATFORM. PAMPHLETS ARE READILY AVAILABLE IN OUR EMERGENCY DEPARTMENT AND THROUGHOUT THE HOSPITAL. A VIRTUAL HEALTH LIBRARY IS AVAILABLE ON THE SCL HEALTH WEBSITE WHICH PROVIDES ONLINE ACCESS TO TRUSTED INFORMATION AND RESOURCES.EXPANDED ACCESS TO HEALTH SERVICES THROUGH COMMUNITY AWARENESS: GSMC PROVIDES THE FOLLOWING PROGRAMS TO INCREASE COMMUNITY AWARENESS OF RESOURCES AND HEALTH INFORMATION: TRAUMA SERVICES THROUGH EDUCATION, INJURY PREVENTION AND OUTREACH TO THE COMMUNITY; HEART HEALTH EDUCATION AND CHEST PAIN ACCREDITATION; STROKE PROGRAMS AND SERVICES; (DESIGNATION AS PRIMARY STROKE CENTER); BIRTHING AND FAMILY EDUCATION.EXPAND ACCESS TO HEALTH SERVICES THROUGH EFFECTIVE COMMUNITY PARTNERSHIPS: GSMC PARTNERS WITH THE FOLLOWING ORGANIZATIONS TO IMPROVE ACCESS TO HEALTH SERVICES INCLUDING MENTAL HEALTH AND SUBSTANCE ABUSE: CASH DONATIONS OF $11,917.00 HAVE BEEN MADE TO EACH ORGANIZATION IN 2017. CLINICA FAMILY HEALTH SERVICES (ACCESS TO COMPREHENSIVE HEALTH SERVICES; INTEGRATION OF MENTAL HEALTH WITHIN CLINICS); COLORADO CRISIS SERVICES LINE (SUPPORTING 24/7/365 CRISIS LINE WITH TRAINED CRISIS COUNSELORS IN MENTAL HEALTH); AND COMMUNITY REACH CENTER (CRC) (CONNECTS INDIVIDUALS TO PROGRAMS AND SERVICES WITH MENTAL HEALTH NEEDS WITH EMPHASIS ON ADAMS COUNTY).ADDITIONAL DONATIONS IN 2018 INCLUDED FUNDS TO: EDGE - MENTAL HEALTH DIVERSION PROGRAM $11,917.00 (CRISIS TEAM ACTIVATED IN REAL TIME TO DIVERT INDIVIDUALS WITH BEHAVIORAL HEALTH CONDITIONS BEFORE THEY FACE ARREST); INMI - INTERFAITH NETWORK ON MENTAL ILLNESS $11,917.00 (INCREASE AWARENESS AND UNDERSTANDING OF MENTAL ILLNESS AMONG CLERGY, STAFF, LAY LEADERS, AND MEMBERS OF FAITH COMMUNITIES; COMMUITY REACH CENTER (CRC) $12,917.00 (CONNECTS INDIVIDUALS TO PROGRAMS AND SERVICES WITH MENTAL HEALTH NEEDS WITH EMPHASIS ON ADAMS COUNTY); CLINICA FAMILY SERVICES $10,000; VIA MOBILITY $15,000 (PROVIDES DOOR TO DOOR TRANSPORTATION TO THE ELDERLY AND DISABLED TO HEALTHCARE APPOINTMENTS FOR FREE OR AT A REDUCED COST).EDUCATE THERAPEUTIC PROFESSIONALS, FAMILY MEMBERS, AND THE GENERAL PUBLIC ON MENTAL HEALTH ISSUES, COPING STRATEGIES AND MANAGEMENT, INCLUDING THEIR SPIRITUALITY/FAITH. ASSIST FAITH COMMUNITIES, MORE EFFECTIVELY DEVELOP AND NURTURE SUPPORTIVE ENVIRONMENTS FOR PERSONS DEALING WITH MENTAL ILLNESSES, AS WELL AS THEIR FAMILIES AND FRIENDS. THE FOLLOWING COMMUNITY BASED ORGANIZATIONS RECEIVE VARIOUS LEVELS OF GSMC COMMUNITY BENEFIT SUPPORT AND LEADERSHIP SUPPORT ON THEIR EFFORTS TO MEET THE ACCESS TO CARE AND BEHAVIORAL HEALTH NEEDS OF OUR SERVICE COMMUNITY.MENTAL HEALTH PARTNERS - PROVIDES SERVICES FOR THE COMMUNITY THROUGH PRIMARY CARE, PEER SUPPORT GROUPS, ONE ON ONE INTERVENTIONS, COMMUNITY KNOWLEDGE AND EDUCATION AROUND MENTAL HEALTH FIRST AID, WHILE PROVIDING ACCESS TO CARE TO THOSE WITH MENTAL ILLNESS. SERVE BOULDER AND BROOMFIELD COUNTIES.NAMI - NATIONAL ASSOCIATION MENTAL ILLNESS BOULDER/BROOMFIELD COUNTY - ADVOCACY GROUP THAT REPRESENTS FAMILIES AND INDIVIDUALS AFFECTED BY MENTAL ILLNESS. PROVIDES PSYCH EDUCATION, RESEARCH AND SUPPORT TO THOSE WITH MENTAL ILLNESS THROUGH VARIOUS PUBLIC EDUCATION AND AWARENESS ACTIVITIES.SISTER CARMEN CENTER - PROVIDES FOOD, TRAINING AND EDUCATION TO THOSE OF OUR COMMUNITY IN NEED WHILE PROVIDING ACCESS TO CARE THROUGH EMBEDDING MENTAL HEALTH CLINICIANS IN THEIR CENTER.ROCKY MOUNTAIN CRISIS PARTNERS- STATEWIDE, 24/7, YEAR-ROUND, COMMUNITY-BASED SYSTEM OF CRISIS INTERVENTION SERVICES FROM WHICH PEOPLE EXPERIENCING MENTAL HEALTH AND/OR SUBSTANCE ABUSE CRISES CAN BE ASSESSED, SAFELY AND EFFECTIVELY STABILIZED, AND EFFICIENTLY LINKED TO APPROPRIATE FOLLOW-UP CARE AND SERVICES.TRU COMMUNITY CARE - TRU IS A COMMUNITY HOSPICE THAT ADDRESSES NEEDS IN AND AROUND BOULDER WITH PROGRAMS THAT EXTEND BEYOND HOSPICE TO INCLUDE SUPPORTIVE SERVICES FOR THOSE WITH ADVANCED ILLNESS AND THEIR FAMILIES. SEE CONTINUATION BELOW
SCHEDULE H, PART V, SECTION B, LINE 11	CONTINUED NARRATIVEGOOD SAMARITAN MEDICAL CENTER:BROOMFIELD COUNTY AND COMMUNITY PEDIATRICIANS- GSMC COLLABORATED WITH THESE ORGANIZATIONS TO OFFER THE 'FITKIDS 360' PROGRAM TO THE COMMUNITY. FITKIDS 360 IS A HEALTHY LIFESTYLE PROGRAM INTERVENTION FOR KIDS AND THEIR FAMILIES. THE PROGRAM GOAL EMPHASIZES OBESITY PREVENTION USING NUTRITION, PHYSICAL ACTIVITY AND SOCIAL/BEHAVIORAL TOOLS TAUGHT OVER 7 WEEKS IN COMMUNITY SETTINGS. GSME WORKED TO EXPAND ACCESS TO HEALTH SERVICES THROUGH RELIABLE TRANSPORTATION: VIA MOBILITY- PROVIDE ACCESS TO CARE FOR PATIENTS THROUGH PROVIDING RIDES TO AND FROM THE HOSPITAL. PROGRAM EXPANDED IN 2018 TO A BROADER TRANSPORTATION ACCOMMODATION THROUGH AN SCL HEALTH SYSTEM CONTRACT WITH LYFT.IN ADDITION TO MENTAL HEALTH AND ACCESS TO HEALTH SERVICES, THE HOSPITAL SUPPORTS OTHER AREAS OF NEED IN THE COMMUNITY INCLUDING SUPPORT OF ORGANIZATIONS THAT ADDRESS FOOD INSECURITY, ORAL HEALTH NEEDS FOR BOTH ADULTS AND CHILDREN, CANCER CARE ASSISTANCE, CHILD SAFETY PROGRAMS AND MEDICAL FIELD RESIDENCIES AMONG OTHERS.HEALTH PRIORITIES NOT ADDRESSEDTHE REMAINDER OF NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT TO GSMC, BUT DUE TO LIMITED RESOURCES AT THE HOSPITAL LEVEL, AND THE AVAILABILITY OF COMMUNITY ORGANIZATIONS WHO ARE ALREADY ADDRESSING THESE NEEDS, GSMC WILL FOCUS PRIMARILY ON ITS SELECTED PRIORITIES. GSMC WILL CONTINUE TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE OTHER NEEDS AND HEALTH INDICATORS ARE SUPPORTED. SOME OF THE ORGANIZATIONS ACTIVELY ADDRESSING OTHER HEALTH PRIORITIES INCLUDE: BOULDER COUNTY PUBLIC HEALTH, BROOMFIELD PUBLIC HEALTH DEPARTMENT, CATHOLIC CHARITIES, UNITED WAY, AMERICAN CANCER SOCIETY, MENTAL HEALTH PARTNERS, WOMEN'S HEALTH, AND OTHERS.
SCHEDULE H, PART V, SECTION B, LINE 16	LUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 16A, FINANCIAL ASSISTANCE POLICY WEBSITE:WWW.SCLHEALTH.ORG/LOCATIONS/LUTHERAN-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/GOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 16A, FINANCIAL ASSISTANCE POLICY WEBSITE:WWW.SCLHEALTH.ORG/LOCATIONS/GOOD-SAMARITAN-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/LUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 16B, FINANCIAL ASSISTANCE APPLICATION WEBSITE:WWW.SCLHEALTH.ORG/LOCATIONS/LUTHERAN-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/GOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 16B, FINANCIAL ASSISTANCE APPLICATION WEBSITE:WWW.SCLHEALTH.ORG/LOCATIONS/GOOD-SAMARITAN-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/LUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 16C, FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:WWW.SCLHEALTH.ORG/LOCATIONS/LUTHERAN-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/GOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 16C, FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:WWW.SCLHEALTH.ORG/LOCATIONS/GOOD-SAMARITAN-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?99
Name and address		Type of Facility (describe)
1	1 - SCL HEART & VASCULAR INST - WHEAT RIDGE 3655 LUTHERAN PKWY STE 201 WHEAT RIDGE,CO800336010	OUTPATIENT PHYSICIAN CLINIC
2	2 - SCL HEALTH MEDICAL GROUP - THORNTON 1181 E 120TH AVE UNIT A THORNTON,CO802335729	OUTPATIENT PHYSICIAN CLINIC
3	3 - SCL HEALTH MEDICAL GROUP NEUROLOGY 750 WELLINGTON AVE STE 3C GRAND JUNCTION,CO815016124	OUTPATIENT PHYSICIAN CLINIC
4	4 - SCL HEALTH MEDICAL GROUP LUNG & SLEEP 1050 WELLINGTON AVE GRAND JUNCTION,CO815018121	OUTPATIENT PHYSICIAN CLINIC
5	5 - SCL HEALTH MEDICAL GROUP CTR FOR BRAIN 750 WELLINGTON AVE STE 3A GRAND JUNCTION,CO815016124	OUTPATIENT PHYSICIAN CLINIC
6	6 - SCL HEALTH MEDICAL GROUP - MIDTOWN 1960 OGDEN ST STE 120 DENVER,CO802183667	OUTPATIENT PHYSICIAN CLINIC
7	7 - SCL HEALTH MEDICAL GROUP ORTHOPAEDICS 627 25 1/2 ROAD GRAND JUNCTION,CO81505	OUTPATIENT PHYSICIAN CLINIC
8	8 - SCL HEALTH MEDICAL GROUP - BROOMFIELD 12169 SHERIDAN BLVD BROOMFIELD,CO800202459	OUTPATIENT PHYSICIAN CLINIC
9	9 - SCL HEALTH MEDICAL GROUP - LUTHERAN 3550 LUTHERAN PKWY G-20 WHEAT RIDGE,CO800336016	OUTPATIENT PHYSICIAN CLINIC
10	10 - SCL HEALTH HEART & VASCULAR- DENVER CTS 1960 OGDEN ST STE 540 DENVER,CO802183671	OUTPATIENT PHYSICIAN CLINIC
11	11 - SCL HEALTH MEDICAL GROUP - LAFAYETTE 2600 CAMPUS DR STE A LAFAYETTE,CO800263358	OUTPATIENT PHYSICIAN CLINIC
12	12 - SCL HEART & VASCULAR INST - LAFAYETTE 300 EXEMPLA CIR STE 310 LAFAYETTE,CO800263394	OUTPATIENT PHYSICIAN CLINIC
13	13 - SCL HEALTH MEDICAL GROUP - FOOTHILLS 7777 W 38TH AVE A-118 WHEAT RIDGE,CO800336170	OUTPATIENT PHYSICIAN CLINIC
14	14 - SCL HEART & VASCULAR INSTITUTE - DENVER 1960 OGDEN ST STE 110 DENVER,CO802183667	OUTPATIENT PHYSICIAN CLINIC
15	15 - SCL HEALTH HEART & VASCULAR INSTTHORA 2643 PATTERSON RD STE 403 GRAND JUNCTION,CO815061937	OUTPATIENT PHYSICIAN CLINIC
16	16 - SCL HEALTH MEDICAL GROUP - GREEN MTN 12790-A W ALAMEDA PKWY LAKEWOOD,CO802282850	OUTPATIENT PHYSICIAN CLINIC
17	17 - SCL HEALTH MEDICAL GROUP - COMM FOOT & A 11900 GRANT ST STE 220 NORTHGLENN,CO80233	OUTPATIENT PHYSICIAN CLINIC
18	18 - SCL HEALTH MEDICAL GROUP- GOOD SAM SURGE 300 EXEMPLA CIR STE 400 LAFAYETTE,CO800263396	OUTPATIENT PHYSICIAN CLINIC
19	19 - SCL HEALTH MEDICAL GROUP - CHERRY CREEK 360 S GARFIELD STE 500 DENVER,CO802093136	OUTPATIENT PHYSICIAN CLINIC
20	20 - SCL HEALTH MEDICAL GROUP - STAPLETON 2803 ROSLYN ST DENVER,CO802382624	OUTPATIENT PHYSICIAN CLINIC
21	21 - SCL HEALTH MEDICAL GROUP - LARKRIDGE 16570 WASHINGTON ST THORNTON,CO800238964	OUTPATIENT PHYSICIAN CLINIC
22	22 - SCL HEALTH MEDICAL GROUP - WESTMINSTER 8758 WOLFF CT STE 200 WESTMINSTER,CO800316904	OUTPATIENT PHYSICIAN CLINIC
23	23 - SCL HEALTH MEDICAL GROUP - STAPLETON OB- 2823 ROSLYN ST DENVER,CO802382624	OUTPATIENT PHYSICIAN CLINIC
24	24 - SCL HEALTH MEDICAL GROUP OBGYN SVCS 610 25 ROAD GRAND JUNCTION,CO81505	OUTPATIENT PHYSICIAN CLINIC
25	25 - SCL HEART & VASCULAR INST - NORTHGLENN 11900 GRANT ST SUITE 240 NORTHGLENN,CO80233	OUTPATIENT PHYSICIAN CLINIC
26	26 - WEST PINES TMS 3400 LUTHERAN PKWY WHEAT RIDGE,CO800336035	OUTPATIENT PHYSICIAN CLINIC
27	27 - LUTHERAN SPINE CENTER 1687 COLE BLVD STE 103 LAKEWOOD,CO804013322	OUTPATIENT PHYSICIAN CLINIC
28	28 - SCL HEALTH MEDICAL GROUP - BELMAR 325 S TELLER ST STE 250 LAKEWOOD,CO802267429	OUTPATIENT PHYSICIAN CLINIC
29	29 - SCL HEALTH MEDICAL GROUP OCC HEALTH 2686 PATTERSON RD GRAND JUNCTION,CO815068817	OUTPATIENT PHYSICIAN CLINIC
30	30 - SCL HEALTH MEDICAL GROUP- WHEAT RIDGE PT 9830 I-70 FRONTAGE ROAD S WHEAT RIDGE,CO800331724	OUTPATIENT PHYSICIAN CLINIC
31	31 - SCL HEALTH MEDICAL GROUP PHY MED & REH 2686 PATTERSON ROAD GRAND JUNCTION,CO81506	OUTPATIENT PHYSICIAN CLINIC
32	32 - SCL HEALTH CANCER CENTERS OF COLORADO 750 WELLINGTON AVE GRAND JUNCTION,CO81501	OUTPATIENT PHYSICIAN CLINIC
33	33 - SCL HEALTH MEDICAL GROUP - WHEAT RIDGE 9830 I-70 FRONTAGE ROAD S WHEAT RIDGE,CO800331724	OUTPATIENT PHYSICIAN CLINIC
34	34 - SCL HEALTH MEDICAL GROUP MATERNAL-FETA 610 25 ROAD GRAND JUNCTION,CO81505	OUTPATIENT PHYSICIAN CLINIC
35	35 - SCL HEALTH HEART & VASCULAR- WHEAT RIDGE 3555 LUTHERAN PARKWAY STE 380 WHEAT RIDGE,CO800336023	OUTPATIENT PHYSICIAN CLINIC
36	36 - SCL HEALTH MEDICAL GROUP - DENVER UROGYN 1960 OGDEN ST STE 520 DENVER,CO802183671	OUTPATIENT PHYSICIAN CLINIC
37	37 - LMC - RADIATION ONCOLOGY CLINIC - SCL HE 8300 W 38TH AVE WHEAT RIDGE,CO80033	OUTPATIENT PHYSICIAN CLINIC
38	38 - SCL HEALTH MEDICAL GROUP - DENVER OB-GYN 1960 OGDEN ST STE 230 DENVER,CO802183668	OUTPATIENT PHYSICIAN CLINIC
39	39 - SCL HEALTH HEART & VASCULAR-STRUCTURAL H 1960 OGDEN ST STE 540 DENVER,CO80218	OUTPATIENT PHYSICIAN CLINIC
40	40 - LUTHERAN MEDICAL CENTER - CANCER CTR OF 3550 LUTHERAN PKWY STE 100A WHEAT RIDGE,CO80033	OUTPATIENT PHYSICIAN CLINIC
41	41 - SCL HEALTH MEDICAL GROUP - FIRESTONE 8350 COLORADO BLVD STE 160 FIRESTONE,CO805046803	OUTPATIENT PHYSICIAN CLINIC
42	42 - SCL HEALTH MEDICAL GROUP- WHEAT RIDGE DI 3555 LUTHERAN PKWY STE 180 WHEAT RIDGE,CO800336000	OUTPATIENT PHYSICIAN CLINIC
43	43 - SCL HEALTH MEDICAL GROUP ENDOCRINOLOGY 2686 PATTERSON RD GRAND JUNCTION,CO81506	OUTPATIENT PHYSICIAN CLINIC
44	44 - SCL HEALTH MEDICAL GROUP - QUAIL CREEK 2055 WEST 136TH AVE UNIT B118 BROOMFIELD,CO800239308	OUTPATIENT PHYSICIAN CLINIC
45	45 - SCL HEALTH HEART & VASCULAR INSTVASCU 2643 PATTERSON RD SUITE 401 GRAND JUNCTION,CO815061937	OUTPATIENT PHYSICIAN CLINIC
46	46 - LUTHERAN MATERNAL FETAL MEDICINE 3455 LUTHERAN PARKWAY STE 210 WHEAT RIDGE,CO800336012	OUTPATIENT PHYSICIAN CLINIC
47	47 - SCL HEALTH MEDICAL GROUP-DENVER SURGERY 1960 OGDEN ST STE 530 DENVER,CO802183671	OUTPATIENT PHYSICIAN CLINIC
48	48 - LUTHERAN MEDICAL CENTER PALLIATIVE CARE 3210 LUTHERAN PKWY WHEAT RIDGE,CO800336019	OUTPATIENT PHYSICIAN CLINIC
49	49 - SCL HEALTH MEDICAL GROUP INFECTIOUS DI 2643 PATTERSON RD STE 406 GRAND JUNCTION,CO815061937	OUTPATIENT PHYSICIAN CLINIC
50	50 - SCL HEALTH MEDICAL GROUP - DENVER BREAST 1960 OGDEN ST STE 690 DENVER,CO802183671	OUTPATIENT PHYSICIAN CLINIC
51	51 - SCL HEALTH MEDICAL GROUP - LITTLETON 8515 W COAL MINE AVE STE 240 LITTLETON,CO80123	OUTPATIENT PHYSICIAN CLINIC
52	52 - SCL HEALTH MEDICAL GROUP - DENVER SPORTS 1960 OGDEN ST STE 30 DENVER,CO802183667	OUTPATIENT PHYSICIAN CLINIC
53	53 - SCL HEALTH MEDICAL GROUP- BROOMFIELD PT 12169 SHERIDAN BLVD BROOMFIELD,CO800202459	OUTPATIENT PHYSICIAN CLINIC
54	54 - SCL HEALTH MEDICAL GROUP- LARKRIDGE PT 16571 WASHINGTON ST THORNTON,CO800238964	OUTPATIENT PHYSICIAN CLINIC
55	55 - GSMC CRITICAL CARE & PULMONOLOGY 200 EXEMPLA CIR LAFAYETTE,CO80026	OUTPATIENT PHYSICIAN CLINIC
56	56 - SCL HEALTH MEDICAL GROUP-DENVER DIAB & E 1960 OGDEN ST STE 120A DENVER,CO802183667	OUTPATIENT PHYSICIAN CLINIC
57	57 - GOOD SAMARITAN MEDICAL CENTER - CANCER C 340 EXEMPLA CIR LAFAYETTE,CO80026	OUTPATIENT PHYSICIAN CLINIC
58	58 - SCL HEALTH MEDICAL GROUP- STAPLETON PT 2807 ROSLYN ST DENVER,CO802382624	OUTPATIENT PHYSICIAN CLINIC
59	59 - SCL HEALTH MEDICAL GROUP- ASSOCIATE HEAL 500 ELDORADO BLVD BLDG 4 STE 4250 BROOMFIELD,CO800213408	OUTPATIENT PHYSICIAN CLINIC
60	60 - SCL HEALTH MEDICAL GROUP-LAFAYETTE DIAB& 300 EXEMPLA CIR STE 300 LAFAYETTE,CO800263395	OUTPATIENT PHYSICIAN CLINIC
61	61 - SCL HEALTH MEDICAL GROUP PEDIATRIC SPE 2643 PATTERSON RD STE 603 GRAND JUNCTION,CO815061937	OUTPATIENT PHYSICIAN CLINIC
62	62 - SCL HEALTH CANCER CENTERS OF COLORADO 750 WELLINGTON AVE GRAND JUNCTION,CO81501	OUTPATIENT PHYSICIAN CLINIC
63	63 - SCL HEALTH MEDICAL GROUP - AURORA 23770 E SMOKEY HILL RD STE 240 AURORA,CO80016	OUTPATIENT PHYSICIAN CLINIC
64	64 - SCL HEALTH MEDICAL GROUP NEUROLOGY 20 S MARKET ST CORTEZ,CO81321	OUTPATIENT PHYSICIAN CLINIC
65	65 - SCL HEALTH MEDICAL GROUP RHEUMATOLOGY 1050 WELLINGTON AVE GRAND JUNCTION,CO81501	OUTPATIENT PHYSICIAN CLINIC
66	66 - WEST PINES MEDICATION MANAGEMENT CLINIC 3400 LUTHERAN PKWY WHEAT RIDGE,CO800336035	OUTPATIENT PHYSICIAN CLINIC
67	67 - SCL HEALTH MEDICAL GROUP- GREEN MOUNTAIN 12792 C-1 W ALAMEDA PKWY LAKEWOOD,CO802282850	OUTPATIENT PHYSICIAN CLINIC
68	68 - SCL HEALTH MEDICAL GROUP NEUROLOGY 785 RUSSELL ST CRAIG,CO81625	OUTPATIENT PHYSICIAN CLINIC
69	69 - SCL HEALTH MEDICAL GROUP NEUROLOGY 350 MARKET AVE STE 316 BASALT,CO816217405	OUTPATIENT PHYSICIAN CLINIC
70	70 - LUTHERAN WEIGHT LOSS CENTER 3455 LUTHERAN PKWY STE 220 WHEAT RIDGE,CO80033	OUTPATIENT PHYSICIAN CLINIC
71	71 - SCL HEALTH MEDICAL GROUP- WHEAT RIDGE DI 3555 LUTHERAN PKWY STE 180 WHEAT RIDGE,CO800336000	OUTPATIENT PHYSICIAN CLINIC
72	72 - GOOD SAMARITAN TRAUMA PROFESSIONAL FEES 200 EXEMPLA CIR LAFAYETTE,CO80026	OUTPATIENT PHYSICIAN CLINIC
73	73 - SCL HEALTH MEDICAL GROUP-COSMETIC&PLASTI 300 EXEMPLA CIR STE 400 LAFAYETTE,CO80026	OUTPATIENT PHYSICIAN CLINIC
74	74 - SCL HEALTH SAINT JOSEPH EMERGENCY DEPT-A 23770 E SMOKY HILL RD AURORA,CO800163089	OUTPATIENT PHYSICIAN CLINIC
75	75 - SCL HEALTH MEDICAL GROUP-LAFAYETTE UROGY 300 EXEMPLA CIR STE 300 LAFAYETTE,CO800263392	OUTPATIENT PHYSICIAN CLINIC
76	76 - SCL HEALTH MEDICAL GROUP NEUROLOGY 711 N TAYLOR ST GUNNISON,CO812302243	OUTPATIENT PHYSICIAN CLINIC
77	77 - SCL HEALTH MEDICAL GROUP NEUROLOGY 450 S CAMINO DEL RIO HWY 550 DURANGO,CO813016856	OUTPATIENT PHYSICIAN CLINIC
78	78 - SCL HEALTH MEDICAL GROUP- WHEATRIDGE URO 1960 OGDEN ST STE 520 DENVER,CO80218	OUTPATIENT PHYSICIAN CLINIC
79	79 - LUTHERAN ONCOLOGY 3550 LUTHERAN PKWY STE 100-A WHEAT RIDGE,CO800336013	OUTPATIENT PHYSICIAN CLINIC
80	80 - SCL HEALTH MEDICAL GROUP NEUROLOGY 476 WEST WILLIAM WAY MOAB,UT84532	OUTPATIENT PHYSICIAN CLINIC
81	81 - SCL HEALTH MEDICAL GROUP MAT-FETAL MED 711 N TAYLOR ST GUNNISON,CO812302243	OUTPATIENT PHYSICIAN CLINIC
82	82 - SCL HEALTH MEDICAL GROUP CTR FOR BRAIN 20 S MARKET ST CORTEZ,CO81321	OUTPATIENT PHYSICIAN CLINIC
83	83 - SCL HEALTH MEDICAL GROUP CTR FOR BRAIN 575 RIVERGATE LN STE 109 DURANGO,CO813017488	OUTPATIENT PHYSICIAN CLINIC
84	84 - SCL HEALTH MEDICAL GROUP LUNG & SLEEP 785 RUSSELL STREET CRAIG,CO816258750	OUTPATIENT PHYSICIAN CLINIC
85	85 - SCL HEART & VASCULAR INSTITUTE - EVERGRE 32135 CASTLE COURT PEAK BDG STE 100A EVERGREEN,CO80439	OUTPATIENT PHYSICIAN CLINIC
86	86 - SCL HEALTH MEDICAL GROUP CTR FOR BRAIN 785 RUSSELL ST CRAIG,CO81625	OUTPATIENT PHYSICIAN CLINIC
87	87 - SCL HEALTH MEDICAL GROUP LUNG & SLEEP 450 W WILLIAMS WAY MOAB,UT845322065	OUTPATIENT PHYSICIAN CLINIC
88	88 - LMC BRIDGES CHIROPRACTIC SERVICES 8098 W 38TH AVE WHEAT RIDGE,CO800336114	OUTPATIENT PHYSICIAN CLINIC
89	89 - SCL HEALTH MEDICAL GROUP CTR FOR BRAIN 711 N TAYLOR ST GUNNISON,CO812302296	OUTPATIENT PHYSICIAN CLINIC
90	90 - ORTHOPEDIC HOSPITALIST 3455 LUTHERAN PKWY WHEAT RIDGE,CO800336034	OUTPATIENT PHYSICIAN CLINIC
91	91 - SCL PHYSICIANS-UNION 355 UNION BLVD STE 200 LAKEWOOD,CO802281500	OUTPATIENT PHYSICIAN CLINIC
92	92 - SCL HEALTH MEDICAL GROUP BARIATRIC CLI 2440 N 11TH STREET GRAND JUNCTION,CO815018102	OUTPATIENT PHYSICIAN CLINIC
93	93 - HEART INSTITUTE OF COLORADO - UNION 355 UNION BLVD STE 200 LAKEWOOD,CO80228	OUTPATIENT PHYSICIAN CLINIC
94	94 - SCL PHYSICIANS-WELLMORE 7777 W 38TH AVE WHEAT RIDGE,CO80033	OUTPATIENT PHYSICIAN CLINIC
95	95 - SCL PHYSICIANS NEUROSCIENCES LMC 3550 LUTHERAN PKWY STE 200 WHEAT RIDGE,CO80033	OUTPATIENT PHYSICIAN CLINIC
96	96 - UNION FAMILY INTERNAL MEDICINE 355 UNION BLVD STE 200 LAKEWOOD,CO802281500	OUTPATIENT PHYSICIAN CLINIC
97	97 - GYNECOLOGIC ONCOLOGY - DENVER 1960 OGDEN ST STE 520A DENVER,CO802183671	OUTPATIENT PHYSICIAN CLINIC
98	98 - CLEAR CREEK FAMILY PRACTICE 4704 HARLAN ST STE 500 DENVER,CO80212	OUTPATIENT PHYSICIAN CLINIC
99	99 - E PLUS PET IMAGING X LP 104 WOODMONT BLVD STE 500 NASHVILLE,TN37205	RADIOLOGY SERVICES

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 6A:	THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, 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.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 24,824,433.
PART II, COMMUNITY BUILDING ACTIVITIES:	GOOD SAMARITAN MEDICAL CENTER:GOOD SAMARITAN MEDICAL CENTER (GSMC) CONTINUES TO BE INTENTIONAL IN BUILDING COMMUNITY RELATIONSHIPS WITH LOCAL ORGANIZATIONS TO ADDRESS THE HEALTH OF OUR COMMUNITY. THIS IS ADDRESSED THROUGH STAFF PARTICIPATION ON SEVERAL COMMUNITY BOARDS, INVESTMENT IN COMMUNITY WORK GROUPS AND COALITIONS, SUCH AS THE MENTAL HEALTH TASK FORCE AND THE BOULDER COUNTY PUBLIC HEALTH IMPROVEMENT PROCESS (PHIP) STEERING COMMITTEE. PROVIDED SUPPORT FOR EMERGENCY PREPAREDNESS AND DISASTER READINESS. ACTIVELY WORK WITH LOCAL STAKEHOLDERS TO ENSURE SOCIAL DETERMINANTS OF HEALTH ARE INCLUDED IN COMMUNITY IMPROVEMENT PROJECTS - HEALTH PROFESSIONS EDUCATION, HOUSING, AND SAFETY.PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF BAD DEBT.
PART III, LINE 2:	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. 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 FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: IN MAY 2014, THE FASB ISSUED ASU 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), AND HAS SUBSEQUENTLY ISSUED SUPPLEMENTAL AND/OR CLARIFYING ASUS (COLLECTIVELY, ACCOUNTING STANDARDS CODIFICATION (ASC) 606). ASC 606 OUTLINES A FIVE-STEP FRAMEWORK THAT INTENDS TO CLARIFY THE PRINCIPLES FOR RECOGNIZING REVENUE AND ELIMINATE INDUSTRY-SPECIFIC GUIDANCE. IN ADDITION, ASC 606 REVISES CURRENT DISCLOSURE REQUIREMENTS IN AN EFFORT TO HELP FINANCIAL STATEMENT USERS BETTER UNDERSTAND THE NATURE, AMOUNT, TIMING, AND UNCERTAINTY OF REVENUE THAT IS RECOGNIZED. SCL HEALTH ADOPTED ASC 606 EFFECTIVE JANUARY 1, 2018 USING THE MODIFIED RETROSPECTIVE APPROACH. AS A RESULT OF ADOPTION, AMOUNTS PREVIOUSLY CLASSIFIED AS PROVISION FOR BAD DEBTS IN THE CONSOLIDATED STATEMENT OF OPERATIONS ARE NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS AND THEREFORE INCLUDED AS A REDUCTION OF NET PATIENT SERVICE REVENUE IN 2018. FOR PERIODS PRIOR TO THE ADOPTION OF ASC 606, THE PROVISION FOR BAD DEBTS HAS BEEN PRESENTED CONSISTENT WITH PREVIOUS REVENUE RECOGNITION STANDARDS THAT REQUIRED IT TO BE PRESENTED SEPARATELY AS A COMPONENT OF NET PATIENT SERVICE REVENUE.
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.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. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE 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 VI, LINE 2:	LUTHERAN MEDICAL CENTER:AS PART OF OUR CORE VALUE OF SERVICE TO THE POOR AND VULNERABLE, LMC TAKES REGULAR STEPS TO IDENTIFY AND EVALUATE COMMUNITY NEED AREAS. LEARNING OPPORTUNITIES ARE INFORMED THROUGH ENGAGEMENT WITH COMMUNITY BASED ORGANIZATIONS, REQUESTS FOR SUPPORT, HOSPITAL FOUNDATION, ADVOCACY GROUPS, AND THROUGH PATIENT EXPERIENCE. IN PARTNERSHIP WITH JEFFERSON COUNTY PUBLIC HEALTH, LMC ACTIVELY PARTICIPATES IN ADDRESSING THE NEEDS OF THE LOCAL COMMUNITY. A NEWLY FORMED JEFFERSON COUNTY HEALTH ALLIANCE WHICH INCLUDES A BROAD REPRESENTATION OF HEALTH RELATED ORGANIZATIONS IS ANOTHER GROUP THAT PROVIDES VARIED EXPOSURE TO CRITICAL AREAS OF COMMUNITY NEED. THE ALLIANCE IS EXPLORING A STRATEGY TO INCREASE A COMMUNITY CULTURE OF HEALTH. LMC IS AN ACTIVE PARTICPANT AND CONTRIBUTOR IN THE HEALTH ALLIANCE. GOOD SAMARITAN MEDICAL CENTER:IN ADDITION TO THE CHNA PROCESS, GSMC ACTIVELY PARTICIPATES WITH COMMUNITY COALITIONS AND WORK GROUPS WHO WORK ON SPECIFIC HEALTH ISSUES WITHIN THE COMMUNITY. THESE PARTNERSHIPS ENABLE AN ABILITY TO REVIEW OUTCOME METRICS ON HEALTH ISSUES IN A MORE DYNAMIC FASHION EITHER THROUGH PROGRAM DELIVERY RESULTS, SERVICES TO VULNERABLE POPULATIONS AND/OR ANNUAL MEETINGS.
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. 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:	LUTHERAN MEDICAL CENTER:LMC IS SITUATED IN THE WESTERN PORTION OF THE DENVER METROPOLITAN AREA IN THE CITY OF WHEAT RIDGE, COLORADO. THIS ACUTE CARE FACILITY HAS A SERVICE AREA THAT SERVES SEVERAL COMMUNITIES IN THE WESTERN METROPOLITAN AREA INCLUDING WHEAT RIDGE, ARVADA, GOLDEN, LAKEWOOD, WESTMINSTER AS WELL AS COMMUNITIES IN THE FOOTHILLS OF THE FRONT RANGE. LMC'S PRIMARY SERVICE AREA CONSISTS OF 18 STANDARD ZIP CODES, MAINLY LOCATED IN JEFFERSON COUNTY (13 ZIP CODES), BUT ALSO REPRESENTED BY ZIP CODES IN THE COUNTIES OF DENVER (3 ZIP CODES), ADAMS (1 ZIP CODE) AND GILPIN (1 ZIP CODE). THE SECONDARY SERVICE AREA INCLUDES 20 ZIP CODES AND EXTENDS THROUGH ADAMS COUNTY, BROOMFIELD COUNTY, CLEAR CREEK COUNTY, DENVER COUNTY AND JEFFERSON COUNTY. THE PRIMARY SERVICE AREA IS DEFINED AS THE GEOGRAPHIC AREA OF CONTIGUOUS ZIP CODES FROM WHICH THE HOSPITAL DRAWS APPROXIMATELY 75% OF ITS INPATIENT DISCHARGES AND THE COMBINED PRIMARY AND SECONDARY SERVICE AREA IS BASED ON APPROXIMATELY 90% OF DISCHARGES. LMC'S MAIN CONCENTRATION OF CARE IS PROVIDED TO THE COMMUNITIES OF WHEAT RIDGE, ARVADA AND GOLDEN. 50% OF THE CARE SITE'S DISCHARGES COME FROM EIGHT ZIP CODES WITHIN THOSE CITIES. ADDITIONALLY, LMC SERVICES THE MOST PATIENTS WITHIN ITS PRIMARY SERVICE AREA WHEN COMPARED TO OTHER HOSPITALS PROVIDING CLOSE TO 30% OF THE INPATIENT CARE. LMC IS THE SOLE PROVIDER OF ACUTE CARE SERVICES WITHIN ITS PRIMARY SERVICE AREA AFTER ST. ANTHONY HOSPITAL, A CENTURA HEALTH AFFILIATE, RE-LOCATED ITS FACILITY TO AN AREA OUTSIDE THE LMC SERVICE AREA. THIS LEAVES ORTHO COLORADO HOSPITAL, AN ORTHOPEDIC SPECIALTY HOSPITAL JOINTLY OWNED BY CENTURA HEALTH AND LOCAL PHYSICIANS, AS THE REMAINING ACUTE CARE HOSPITAL LOCATED IN LMC'S PRIMARY SERVICE AREA. THERE ARE TWO ACUTE CARE HOSPITALS LOCATED IN THE SECONDARY SERVICE AREA, NORTH SUBURBAN MEDICAL CENTER (AN AFFILIATE OF THE FOR-PROFIT HEALTHONE SYSTEM) AND DENVER HEALTH (GOVERNMENT OWNED). BESIDES LMC AND GSMC, THERE ARE FIVE OTHER NOT-FOR-PROFIT HOSPITALS IN THE COMMUNITY:- ST. ANTHONY NORTH HOSPITAL-CENTURA HEALTH, WESTMINSTER- ST. ANTHONY WEST HOSPITAL-CENTURA HEALTH, LAKEWOOD- AVISTA ADVENTIST HOSPITAL-CENTURA HEALTH, LOUISVILLE- LONGMONT UNITED HOSPITAL, LONGMONT- BOULDER COMMUNITY HOSPITAL, BOULDERTHERE IS ALSO ONE FOR-PROFIT HOSPITAL, NORTH SUBURBAN MEDICAL CENTER-HEALTHONE, AND THORNTON.THE COMMUNITY SERVED BY LMC CONTAINS THE FOLLOWING DEMOGRAPHIC INFORMATION, UPDATED FOR 2016, USING THE RESOURCES OF COUNTY HEALTH RANKINGS, US CENSUS DATA, STATE HEALTH DEPARTMENT DATA AND THE EXISTING CHNA.IN 2016, THE POPULATION IN JEFFERSON COUNTY WAS 571,837. THE POPULATION IN JEFFERSON COUNTY WAS 50.3% FEMALE, AND 49.7% MALE.THE COUNTY POPULATION WAS PREDOMINATELY NON-HISPANIC WHITE (78.5%) COMPARED TO 70.1% FOR THE STATE. IN JEFFERSON COUNTY, 15.3% OF THE POPULATION WAS HISPANIC, 2.8% WERE ASIAN, 2.3% WERE NON-HISPANIC OTHER AND 1.1% WERE BLACK OR AFRICAN AMERICAN.89.6% OF THE POPULATION SPEAKS ONLY ENGLISH, COMPARED TO 83.1% FOR THE STATE AND 6.1% SPEAK SPANISH, COMPARED TO 11.8% FOR THE STATE. OF THE 10.4% IN JEFFERSON COUNTY WHO SPEAK ANOTHER LANGUAGE, 30.1% OF THOSE SPEAK ENGLISH "LESS THAN VERY WELL."THE PERCENT OF THE POPULATION LIVING BELOW PVERTY IN JEFFERSON COUNTY HAS REMAINED FAIRLY STABLE OVER TIME. HOWEVER, FEMALES, BLACKS, HISPANICS, AND THOSE 18 TO 34 YEARS OF AGE HAVE HIGHER RATES OF POVERTY.JEFFERSON COUNTY ADULTS (25 YEARS AND OLDER) TEND TO BE MORE EDUCATED COMPARED TO COLORADO. IN THE SERVICE AREA 94.4% OF THOSE 25 AND OLDER HAVE A HIGH SCHOOL DEGREE OR EQUIVALENT, AND 43.2% HOLD A BACHELOR'S DEGREE OR HIGHER DEGREE. THE COUNTY HAS A HIGH SCHOOL GRADUATION RATE OF 82.8%, WHICH IS LOWER THAN THE HEALTHY PEOPLE 2020 OBJECTIVE FOR HIGH SCHOOL GRADUATION (87%).GOOD SAMARITAN MEDICAL CENTER:GOOD SAMARITAN MEDICAL CENTER (GSMC) IS LOCATED IN THE CITY OF LAFAYETTE, COLORADO. WHILE LAFAYETTE IS SITUATED IN BOULDER COUNTY, THE HOSPITAL SERVICE AREA INCLUDES COMMUNITIES IN ADAMS, BOULDER AND BROOMFIELD COUNTIES. IN PREPARING FOR THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), GSMC SELECTED THE COUNTIES OF ADAMS, BOULDER AND BROOMFIELD AS THE DEFINED COMMUNITY FOR ITS CHNA IN ORDER TO FOCUS RESOURCES AND PLANNING ON THE MOST LOCAL GEOGRAPHIC AREA.DEMOGRAPHIC CONSTITUENTS, ACCORDING TO 2016 US CENSUS DATA:TOTAL POPULATION: ON AVERAGE, THE 2012 - 2016 ESTIMATED POPULATION OF GSMC SERVICE AREA WAS 1,072,775. ADAMS COUNTY HAD A POPULATION OF 479,977, BOULDER COUNTY'S POPULATION WAS 313,961, AND BROOMFIELD COUNTY'S POPULATION WAS 62,449.POPULATION BY GENDER: IN THIS SERVICE AREA, 50.1% WAS MALE AND 49.9% WAS FEMALE.POPULATION BY AGE: CHILDREN AND YOUTH, AGES 0-19, MAKE UP 27% OF THE POPULATION IN THE SERVICE AREA; 58.9% ARE ADULTS, AGES 20 - 64: AND 12% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER.POPULATION BY YOUTH, AGES 0-17 AND SENIORS, AGES 65+, AND MEDIAN AGE: WHEN THE HOSPITAL SERVICE AREA IS EXAMINED BY COMMUNITY, HENDERSON (23.9%) AND COMMERCE CITY (23.7%) HAD HIGH PERCENTAGES OF YOUTH, AGES 5-17. BOULDER HAD LOWER PERCENTAGES OF YOUTH IN THE SERVICE AREA. WHEAT RIDGE (19.3%) HAD THE HIGHEST PERCENTAGE OF SENIORS IN THE SERVICE AREA AND HENDERSON (5.3%) HAD THE LOWEST PERCENTAGE OF SENIORS IN THE SERVICE AREA.RACE/ ETHNICITY: THE SERVICE AREA POPULATION WAS PREDOMINATELY WHITE (64.7%). 23.1% OF THE POPULATION WERE HISPANIC OR LATINO, 3.5% WERE ASIAN, AND 3.4% WERE AMERICAN INDIAN OR ALASKAN NATIVE. 1.1% OF THE POPULATION IN THE SERVICE AREA WERE BLACK OR AFRICAN AMERICAN.RACE/ ETHNICITY BY PLACE: GOLDEN HAD THE HIGHEST PERCENTAGE OF WHITES (93.4%) IN THE SERVICE AREA. 62.3% OF DENVER (80221) WERE HISPANIC OR LATINO. LOUISVILLE (10.8%) AND BOULDER (80310) (10.5%) HAD THE HIGHEST PERCENTAGE OF ASIANS IN THE SERVICE AREA. COMMERCE CITY HAD THE HIGHEST PERCENTAGE OF BLACKS/AFRICAN AMERICANS (3.6%) IN THE SERVICE AREA.CITIZENSHIP: AMONG AREA COUNTIES, 15.3% OF ADAMS COUNTY RESIDENTS AND 10.7% OF BOULDER COUNTY RESIDENTS WERE FOREIGN BORN. THIS WAS HIGHER THAN 9.8% OF THE STATE POPULATION WHO WERE FOREIGN BORN. OF THE FOREIGN BORN IN ADAMS COUNTY, 69.5% WERE NOT U.S. CITIZENS. IN WELD COUNTY, 65.8% OF THE FOREIGN BORN POPULATION WAS NOT A US CITIZEN. LANGUAGE SPOKEN AT HOME FOR THE POPULATION 5 YEARS AND OVER: IN THE GSMC SERVICE AREA, 75.6% OF THE POPULATION SPEAKS ONLY ENGLISH AND 12.8% SPEAK SPANISH. 2.5% OF THE AREA POPULATION SPEAKS AN ASIAN AND PACIFIC ISLANDER LANGUAGE AND 2.3% SPEAK AN INDO-EUROPEAN LANGUAGE. SOCIAL AND ECOMONIC FACTORS RANKINGS: THE COUNTY HEALTH RANKINGS RANKS COUNTIES ACCORDING TO HEALTH FACTORS DATA. SOCIAL AND ECONOMIC INDICATORS ARE EXAMINED AS A CONTRIBUTOR TO THE HEALTH OF A COUNTY'S RESIDENTS. COLORADO'S 64 COUNTIES ARE RANKED ACCORDING TO SOCIAL AND ECONOMIC FACTORS WITH 1 BEING THE COUNTY WITH THE BEST FACTORS TO 64 FOR THAT COUNTY WITH THE POOREST FACTORS. THIS RANKING EXAMINES: HIGH SCHOOL GRADUATION RATES; UNEMPLOYMENT; CHILDREN IN POVERTY; SOCIAL SUPPORT; AND OTHERS. ADAMS COUNTY IS RANKED 51ST, IN THE BOTTOM THIRD OF ALL COLORADO COUNTIES ACCORDING TO SOCIAL AND ECONOMIC FACTORS. WELD COUNTY CAME IN 23RD, FOLLOWED BY GILPIN COUNTY AT 20TH, JEFFERSON COUNTY AT 15TH, BOULDER COUNTY 13TH, AND BROOMFIELD COUNTY RANKED 5TH OVER ALL. ECONOMICS: THE MEDIAN HOUSEHOLD INCOME IN 2014 WAS $108,857 AS COMPARED TO THE STATE AVERAGE OF $59,448. THE PERCENTAGE OF PERSONS LIVING IN POVERTY IN THE CITY OF LAFAYETTE IS 2.5%.ACCORDING TO 2015 COUNTY HEALTH RANKINGS DATA COMPILED BY THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE AND THE ROBERT WOOD JOHNSON FOUNDATION:OVERALL HEALTH RANK: THIS MEASURE RANKS THE OVERALL HEALTH OF COUNTY CITIZENS FOR ALL COUNTIES IN COLORADO. BOULDER COUNTY IS RANKED 4TH AND BROOMFIELD 13TH.HEALTH OUTCOMES RANKINGS: COUNTY HEALTH RANKINGS EXAMINES HEALTHY BEHAVIORS AND RANKS COUNTIES ACCORDING TO HEALTH BEHAVIOR DATA. COLORADO'S 64 COUNTIES ARE RANKED FROM 1 (HEALTHIEST) TO 64 (LEAST HEALTHY) BASED ON A NUMBER OF INDICATORS THAT INCLUDE: ADULT SMOKING, OBESITY, PHYSICAL INACTIVITY, EXCESSIVE DRINKING, SEXUALLY TRANSMITTED INFECTIONS, AND OTHERS. A RANKING OF 28 FOR ADAMS COUNTY, PUTS IT IN THE UPPER HALF OF COUNTIES, FOLLOWED BY GILPIN COUNTY AT 25, WELD COUNTY AT 17, JEFFERSON COUNTY AT 8, BROOMFIELD COUNTY AT 3, AND BOULDER COUNTY AT NUMBER 2 FOR COLORADO. EMPLOYMENT STATUS FOR THE POPULATION 16 AND OVER: WITHIN THE SERVICE AREA, UNEMPLOYMENT RATES RANGED FROM A LOW OF 2.3% IN DACONO AND ARVADA (80007) TO A HIGH OF 6.5% IN WESTMINSTER (80030). SEE CONTINUATION BELOW
PART VI, LINE 5:	LUTHERAN MEDICAL CENTER:LMC HAS A MULTITUDE OF PROGRAMS IN PLACE THROUGH ITS CANCER CENTER, NEUROVASCULAR CENTER, AND TRAUMA CENTER AND THROUGH COMMUNITY PROGRAM SUPPORT. A VARIETY OF CLASSES ARE OFFERED ON WEIGHT MANAGEMENT AND HEALTHY LIFESTYLE. SUPPORT GROUPS FOR CANCER PATIENTS ARE OFFERED. LMC ALSO ROUTINELY OFFERS COMMUNITY HEALTH EDUCATION, SKIN CANCER SCREENINGS, BREAST CANCER SURVIVORSHIP PROGRAMS, CLASSES FOR PROSPECTIVE PARENTS AND DIABETES MANAGEMENT CLASSES, TO NAME A FEW. LMC PARTNERS WITH SAFETY CLINICS SUCH AS METRO COMMUNITY PROVIDER NETWORK. LMC ALSO RECOGNIZES THE ESSENTIAL NEED TO ENHANCE AND IMPROVE MEDICAL OUTCOMES, QUALITY AND SERVICES. THE OBJECTIVES OF THE PROGRAM ARE TO BE A HIGHLY RELIABLE ORGANIZATION, OFFER HIGH QUALITY, PROVIDE SAFETY FOR PATIENTS AND STAFF AND BE COST EFFECTIVE. THE QUALITY INDICATORS ARE IN ALIGNMENT WITH MAJOR PUBLICLY COMPARABLE DATABASES INCLUDING THE COLORADO HEALTH AND HOSPITAL ASSOCIATION AND CENTERS FOR MEDICARE AND MEDICAID SERVICES. GOOD SAMARITAN MEDICAL CENTER:COLLECTIVELY WITH ITS 234 LICENSED BEDS, GOOD SAMARITAN MEDICAL CENTER (GSMC) HAS SERVED ITS COMMUNITY BY PROVIDING COMPREHENSIVE MEDICAL SERVICES INCLUDING CARDIOLOGY, ONCOLOGY, ORTHOPEDIC, WOMEN AND FAMILY, EMERGENCY AND TRAUMA, NEONATAL INTENSIVE CARE, NEUROLOGY, NEUROSURGERY,OB/GYN, GENERAL SURGICAL AND MEDICAL, PRIMARY CARE, INTERNAL MEDICINE, BEHAVIORAL HEALTH, SENIOR EMERGENCY DEPARTMENT CARE, PALLIATIVE & HOSPICE CARE AND INTEGRATIVE HEALTH SERVICES.COMMUNITY ACTIVITIES INCLUDE A VARIETY OF CLASSES OFFERED A NO, OR VERY LOW, COSTS ON SUCH TOPICS AS WEIGHT MANAGEMENT, MENTAL HEALTH AWARENESS, SAFETY AND FIRST AID/CPR CERTIFICATION. THERE ARE SUPPORT GROUPS FOR CANCER PATIENTS, STROKE PATIENTS AND FAMILIES, HEALTHY LIFESTYLE, SMOKING CESSATION, SKIN CANCER SCREENINGS, BREAST CANCER SURVIVORSHIP PROGRAMS, AS WELL AS CLASSES FOR PROSPECTIVE PARENTS AND DIABETES MANAGEMENT CLASSES. FITKIDS LAUNCHED IN 2017 AS A FREE COMMUNITY BASED PROGRAM FOR KIDS WITH AN ELEVATED BMI AND THEIR FAMILIES.THE HEALTH & HEALING CENTER CONDUCTS HEART HEALTH SCREENINGS IN THE COMMUNITY INCLUDING CHOLESTEROL TESTING AND BLOOD PRESSURE SCREENINGS SEVERAL TIMES THROUGHOUT THE YEAR. WE PROVIDE PRESENTATIONS TO COMMUNITY GROUPS ON SUBJECTS SUCH AS BALANCE, EXERCISE AND STRETCHING. WE HAVE PARTNERED WITH SUCH ORGANIZATIONS AS THE LAFAYETTE SENIOR CENTER, THE LAFAYETTE RECREATION CENTER, BOULDER COUNTY HEALTH AND HUMAN SERVICES AS WELL AS BROOMFIELD COUNTY HEALTH AND HUMAN SERVICES TO PROVIDE SERVICES TO OUR COMMUNITY.GSMC ALSO PROVIDES HEALTH SCREENINGS FOR EMPLOYEES OF BOULDER VALLEY SCHOOL DISTRICT AND SCREENINGS AT EVENTS SEVERAL TIMES THROUGHOUT THE YEAR TO RESIDENTS OF BROOMFIELD, LAFAYETTE AND OTHERS IN THE SURROUNDING AREAS. WE ARE AN IMPORTANT PART OF OUR COMMUNITY AND SERVE IN MANY WAYS, IN RESPONSE TO DIRECT REQUESTS FROM COMMUNITY ORGANIZATIONS AND RESIDENTS. FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORT OF 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 GSMC HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO CARE FOR UNMET NEED AREAS.
PART VI, LINE 6:	THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "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." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITY, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 210 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 16,000 FULL-TIME ASSOCIATES AND MORE THAN 600 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION.
SCHEDULE H, PART VI, LINE 4	CONTINUED NARRATIVEGOOD SAMARITAN MEDICAL CENTER:POVERTY LEVELS: POVERTY THRESHOLDS ARE USED FOR CALCULATING OFFICIAL POVERTY POPULATION STATISTICS AND ARE UPDATED EACH YEAR BY THE CENSUS BUREAU. FOR 2016, THE FEDERAL POVERTY THRESHOLD FOR ONE PERSON WAS $11,880, AND $24,300 FOR A FAMILY OF FOUR. IN THE SERVICE AREA, 13.4% OF THE POPULATION IN BOULDER COUNTY, 12.9% OF ADAMS COUNTY AND 12.6% OF WELD COUNTY RESIDENTS WERE LIVING AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL). 33.4% OF ADAMS COUNTY RESIDENTS AND 30.9% OF WELD COUNTY RESIDENTS WERE CONSIDERED LOW-INCOME (LIVING AT OR BELOW 200% FPL). THESE POVERTY RATES WERE HIGHER THAN COLORADO RATES OF POVERTY.POVERTY LEVELS OF INDIVIDUALS, CHILDREN UNDER AGE 18, AND SENIORS: EXAMINING POVERTY LEVELS BY COMMUNITY PAINTS AN IMPORTANT PICTURE OF THE POPULATION WITHIN THE SERVICE AREA. 10.7% OF THE SERVICE AREA POPULATION WAS LIVING AT 100% OF FPL. CHILDREN SUFFER FROM POVERTY AT HIGHER RATES AS 12.6% OF CHILDREN IN THE SERVICE AREA WERE LIVING IN POVERTY. 6.7% SENIORS IN THE GSMC SERVICE AREA WERE LIVING IN POVERTY. AREAS WITH HIGH RATES OF POVERTY WERE BOULDER (80302, 80303), DENVER (80260) AND LONGMONT (80501). 18% OF COMMERCE CITY SENIORS WERE LIVING IN POVERTY.FREE AND REDUCES PRICE MEALS ELIGIBILITY, 2017 - 2018: THE NUMBER OF STUDENTS ELIGIBLE FOR THE FREE AND REDUCED PRICE MEALS PROGRAM IS ONE INDICATOR OF THE SOCIOECONOMIC STATUS OF A SCHOOL DISTRICT'S STUDENT POPULATION. THE PERCENT OF STUDENTS IN ADAMS COUNTY ELIGIBLE FOR THE FREE AND REDUCED PRICE MEAL (FRPM) PROGRAM IS 49.4%, AND IN WELD COUNTY, 48.7% OF STUDENTS WERE ELIGIBLE FOR THE PROGRAM. ADAMS COUNTY AND WELD COUNTY HAVE HIGHER PERCENTAGES OF FRPM-ELIGIBLE CHILDREN THAN FOUND IN THE STATE (41.6%).MEDIAN HOUSEHOLD INCOME: THE MEDIAN HOUSEHOLD INCOME FOR THE SERVICE AREA RANGED FROM $13,750 IN BOULDER (80310- UNIVERSITY OF COLORADO RESIDENCE HALLS) TO $136,295 IN ARVADA (80007).HOUSEHOLD BY TYPE: THERE ARE 654,742 OCCUPIED HOUSING UNITS IN THE SERVICE AREA. IN THE SERVICE AREA, 32.8% OF HOUSEHOLDS WERE 2-PERSON HOUSEHOLDS. THE PERCENTAGE OF 4+ PERSON HOUSEHOLDS IN THE SERVICE AREA WAS 34.0%, WHICH WAS HIGHER THAN AREA COUNTIES AND THE STATE.EDUCATIONAL ATTAINMENT (25+): OF THE POPULATION AGE 25 YEARS AND OLDER IN THE SERVICE AREA, 9.4% HAD NO HIGH SCHOOL DIPLOMA; 20.1% WERE HIGH SCHOOL GRADUATES.HIGH SCHOOL GRADUATES, 2017 - 2018: HIGH SCHOOL GRADUATION RATES ARE THE PERCENTAGE OF HIGH SCHOOL GRADUATES THAT GRADUATED FOUR YEARS AFTER STARTING NINTH GRADE. IN THE SERVICE AREA THE HIGH SCHOOL GRADUATION RATES RANGED FROM 75.0% IN ADAMS COUNTY TO 87.7% IN BOULDER COUNTY. THE HEALTHY PEOPLE 2020 OBJECTIVE FOR HIGH SCHOOL GRADUATION IS 87%.HOMELESS POINT-IN-TIME COUNT, JANUARY 2017: THE POINT-IN-TIME (PIT) COUNT IS AN ANNUAL SURVEY OF THE NUMBER AND CHARACTERISTICS OF HOMELESS PERSONS AT A SINGLE POINT IN TIME. THE MAJORITY OF HOMELESS PERSONS WERE SHELTERED. HOWEVER, 81.8% OF HOMELESS INDIVIDUALS IN BROOMFIELD COUNTY WERE UNSHELTERED. APPROXIMATELY 25% OF HOMELESS INDIVIDUALS IN THE AREA COUNTIES WERE CHRONICALLY HOMELESS, EXCEPT FOR WELD COUNTY WHERE 15% WERE CHRONICALLY HOMELESS.LIVE BIRTHS AND AVERAGE ANNUAL CHANGE: IN 2016, THERE WERE 7,206 BIRTHS IN ADAMS COUNTY, AND IN BOULDER COUNTY 2,725 BIRTHS, BROOMFIELD COUNTY 718 BIRTHS, GILPIN COUNTY 41 BIRTHS, JEFFERSON COUNTY 6,033 BIRTHS, AND WELD COUNTY 4,318 BIRTHS.BIRTHS TO TEENAGE MOTHERS, 15 - 17 YEARS OF AGE, 2016: IN ADAMS COUNTY, 13.9% OF BIRTHS WERE TO TEENS UNDER THE AGE OF 20. 14.2% OF BIRTHS IN WELD COUNTY AND 11.1% OF BIRTHS IN JEFFERSON COUNTY WERE TO TEENAGE MOTHERS. THESE RATES OF TEEN BIRTH WERE HIGHER THAN IN THE STATE (10.5%).LATE ENTRY INTO PRENATAL CARE (AFTER FIRST TRIMESTER) / NO CARE, 2016: ADEQUATE PRENATAL CARE CAN PREVENT HEALTH RISKS IN WOMEN AND PREVENT HEALTH PROBLEMS FOR MOTHER AND CHILD. THE HEALTHY PEOPLE 2020 OBJECTIVE IS FOR 77.9% OF WOMEN TO RECEIVE CARE IN THE FIRST TRIMESTER. ALL COUNTIES IN THE SERVICE AREA, WITH THE EXCEPTION OF GILPIN COUNTY (76.9%), MET THIS OBJECTIVE. WHEN EXAMINING GEOGRAPHIC AREAS WITH A SMALL POPULATION, SUCH AS WITH GILPIN COUNTY, IT IS IMPORTANT TO USE CAUTION WHEN DRAWING CONCLUSIONS FROM DATA; A SMALL OCCURRENCE OF A HEALTH ISSUE MAY RESULT IN A HIGH RATE. LATE OR NO PRENATAL CARE RATES IN ADAMS COUNTY (19.7%), GILPIN COUNTY (23.1%) AND WELD COUNTY (20.7%) EXCEEDED THE STATE RATE (17.8%). LOW BIRTH WIEGHT (UNDER 2,500 G), 2016: LOW BIRTH WEIGHT IS A NEGATIVE BIRTH INDICATOR. BABIES BORN AT A LOW BIRTH WEIGHT ARE AT HIGHER RISK FOR DISEASE, DISABILITY AND POSSIBLY DEATH. FOR THIS MEASUREMENT, A LOWER RATE IS A BETTER INDICATOR. THE HEALTHY PEOPLE 2020 OBJECTIVE IS TO REDUCE LOW BIRTH WEIGHT BIRTHS TO 7.8% OF LIVE BIRTHS. ALL COUNTIES IN THE SERVICE AREA FELL SHORT OF THE HEALTHY PEOPLE 2020 OBJECTIVE FOR LOW BIRTH WEIGHT (UNDER 2,500 G). BROOMFIELD COUNTY (10.3%) AND GILPIN COUNTY (17.1%) EXCEEDED THE STATE RATE (8.9%) FOR LOW BIRTH WEIGHT BABIES.INFANT MORTALITY RATE, 2016: THE INFANT MORTALITY RATE IS THE NUMBER OF DEATHS OF INFANTS UNDER ONE YEAR OLD PER 1,000 LIVE BIRTHS. THE HEALTHY PEOPLE 2020 OBJECTIVE IS TO REDUCE THE INFANT MORTALITY RATE TO 6.0 PER 1,000 LIVE BIRTHS. THE INFANT MORTALITY RATE IN ADAMS COUNTY (6.5 PER 1,000 LIVE BIRTHS) AND WELD COUNTY (6.3) WERE HIGHER THAN THE HEALTHY PEOPLE 2029 OBJECTIVE. THE INFANT MORTALITY RATE IN BOULDER COUNTY (4.8) AND JEFFERSON COUNTY (5.1) ACHIEVED THE HEALTHY PEOPLE 2020 OBJECTIVE AND WERE LOWER THAN THE STATE RATE (5.6). AGE- ADJUSTED DEATH RATE, 2016: THE CRUDE DEATH RATE IS A RATIO OF THE NUMBER OF DEATHS TO THE ENTIRE POPULATION. AGE-ADJUSTED DEATH RATES ELIMINATE THE BIAS OF AGE IN THE MAKEUP OF THE POPULATIONS BEING COMPARED. WHEN COMPARING ACROSS GEOGRAPHIC AREAS, AGE-ADJUSTING IS TYPICALLY USED TO CONTROL FOR THE INFLUENCE THAT DIFFERENT POPULATION AGE DISTRIBUTIONS MIGHT HAVE ON HEALTH EVENT RATES. WHEN ADJUSTED FOR AGE, THE DEATH RATE RANGED FROM 775.9 PER 100,000 PERSONS FOR ADAMS COUNTY TO 508.4 FOR BROOMFIELD COUNTY. THE ADAMS COUNTY DEATH RATE (775.9) AND WELD COUNTY (662.0) EXCEEDED THE STATE AGE-ADJUSTED DEATH RATE (661.2). CANCER DEATH RATE, CRUDE AND AGE - ADJUSTED DEATH RATES PER 100,000 PERSONS, 2016: THE CANCER MORTALITY RATE IS THE NUMBER OF DEATHS, WITH CANCER AS THE UNDERLYING CAUSE OF DEATH, OCCURRING IN A SPECIFIED POPULATION DURING A YEAR. CANCER MORTALITY IS USUALLY EXPRESSED AS THE NUMBER OF DEATHS DUE TO CANCER PER 100,000 PERSONS. ADAMS COUNTY HAD THE HIGHEST CANCER DEATH RATES IN THE SERVICE AREA FOR DIGESTIVE SYSTEM CANCER (82.3 PER 100,000 PERSONS), COLORECTAL CANCER (37.8) AND LUNG CANCER (40.6). JEFFERSON COUNTY HAD THE HIGHEST AREA DEATH RATES FOR ORAL CAVITY CANCER (14.2) AND BREAST CANCER (69.0). GILPIN COUNTY HAD THE HIGHEST AREA DEATH RATES FOR RESPIRATORY SYSTEM CANCER (63.8). HEART DISEASE DEATH RATE, AGE - ADJUSTED DEATH RATE PER 100,000 PERSONS, 2016: ADAMS COUNTY HAS AN AGE- ADJUSTED RATE OF DEATH DUE TO HEART DISEASE OF 136.5 FOLLOWED BY JEFFERSON COUNTY OF 132.5, GILPIN COUNTY 132.0, WELD COUNTY 131.1, BROOMFIELD COUNTY 118.1, AND BOULDER COUNTY OF 115.2 PER 100,000 PERSONS.STROKE DEATH RATE, AGE - ADJUSTED PER 100,000 PERSONS, 2016: THE RATE OF DEATH FOR CEREBROVASCULAR DISEASE IN WELD COUNTY WAS 33.5, ADAMS COUNTY 33.1, BOULDER COUNTY 32.8, JEFFERSON COUNTY 32.3, BROOMFIELD COUNTY 30.2, AND GILPIN COUNTY 0 PER 100,000 PERSONS.UNINTENTIONAL INJURY DEATH RATE, AGE - ADJUSTED PER 100,000 PERSONS, 2016: IN GILPIN COUNTY THE RATE WAS 61.6, FOLLOWED BY ADAMS COUNTY WITH 53.8, JEFFERSON COUNTY 49.2, BOULDER COUNTY 46.5, WELD COUNTY 44.1, AND BROOMFIELD COUNTY 37.5 PER 100,000 PERSONS. THESE ALL EXCEED THE HEALTHY PEOPLE 2020 OBJECTIVE FOR UNINTENTIONAL INJURY DEATHS OF 36.4 PER 100,000 PERSONS.DIABETES DEATH RATE, AGE ADJUSTED PER 100,000 PERSONS, 2016: THE AGE - ADJUSTED DEATH RATE FOE DIABETES IN WELD COUNTY WAS 19.5, ADAMS COUNTY 18.9, JEFFERSON COUNTY 12.0, BOULDER COUNTY 9.0, BROOMFIELD COUNTY 8.4, AND GILPIN COUNTY 0 PER 100,000 PERSONS.PNEUMONIA DEATH RATE, AGE- ADJUSTED PER 100,000 PERSONS, 2016: THE DEATH RATE FROM PNEUMONIA WAS 37.8, ADAMS COUNTY 16.4, WELD COUNTY 13.6, BOULDER AND JEFFERSON COUNTIES AT 12.8, AND BROOMFIELD COUNTY AT 6.8 PER 100,000 PERSONS.SUICIDE DEATH RATE, AGE -ADJUSTED PER 100,000 PERSONS: THE RATE OF DEATH BY SUICIDE IN WELD COUNTY WAS 19.5, ADAMS COUNTY 17.6, JEFFERSON COUNTY 17.1, BOULDER COUNTY 16.3, BROOMFIELD COUNTY 13.6 AND GILPIN COUNTY 0 PER 100,000 PERSONS. THESE RATES EXCEED THE HEALTHY PEOPLE OBJECTIVE OF 10.2 DEATHS PER 100,000 PERSONS FROM SUICIDE.DRUG-INDUCED DEATH RATE, AGE - ADJUSTED PER 100,000 PERSONS. 2016: THE RATE OF DRUG- INDUCED DEATHS IN BROOMFIELD COUNTY WAS 21.1, ADAMS COUNY 18.6, JEFFERSON COUNTY 17.4, WELD COUNTY 13.6, BOULDER COUNTY 11.2, AND GILPIN COUNTY O PER 100,000 PERSONS.SEE CONTINUATION BELOW
SCHEDULE H, PART VI, LINE 4	CONTINUED NARRATIVEGOOD SAMARITAN MEDICAL CENTER:ALCOHOL LIVER DISEASE, AGE- ADJUSTED PER 100,000 PERSONS, 2016: THE RATE OF DEATH DUE TO ALCOHOL LIVER DISEASE WAS 13.9 IN ADAMS COUNTY, WELD COUNTY 11.9, GILPIN COUNTY 11.1, BOULDER COUNTY 10.2, JEFFERSON COUNTY 8.9, AND BROOMFIELD COUNTY 8.5 PER 100,000 PERSONS. HIV/ AIDS MORTALITY, AGE- ADJUSTED PER 100,000 PERSONS, 2016: THE RATE OF DEATH DUE TO HIV/AIDS WAS 0.6 IN ADAMS COUNTY AND 0.8 IN JEFFERSON COUNTY. THE RATES FOR THE OTHER COUNTIES WERE TOO LOW TO BE RECORDED.HEALTH INSURANCE COVERAGE, CIVILIAN NON-INSTUTIONALIZED POPULATION, AGES 18-64: HEALTH INSURANCE COVERAGE IS CONSIDERED A KEY COMPONENT TO ACCESS HEALTH CARE. IN THE SERVICE AREA, 89.7% OF THE POPULATION WAS INSURED. INSURANCE COVERAGE WAS HIGHER IN BROOMFIELD COUNTY (94.5%) AND LOWER IN ADAMS COUNTY (84.4%).UNINSURED CHILDREN, AGE 0-17: THE PERCENTAGE OF UNINSURED CHILDREN UNDER THE AGE OF 18 WAS HIGHEST ADAMS COUNTY AND GILPIN COUNTY (8.2%). BROOMFIELD COUNTY HAD THE LOWEST RATE OF UNINSURED CHILDREN IN THE SERVICE AREA (3.0%).ADULTS WITH UNMET MEDICAL NEED DUE TO COST: AMONG ADULTS IN BOULDER COUNTY AND BROOMFIELD COUNTY, 20.8% HAD AN UNMET MEDICAL NEED BECAUSE THEY WERE NOT ABLE TO AFFORD CARE OR BECAUSE THEY WERE UNABLE TO SCHEDULE MEDICAL APPOINTMENTS. WITH THE EXCEPTION OF JEFFERSON COUNTY, THE AREA COUNTIES HAD HIGHER RATES OF ADULTS WITH UNMET MEDICAL NEEDS THAN THE STATE (14%).PRIMARY CARE PHYSICIANS, NUMBER AND RATIO, 2016: THE PRIMARY CARE PHYSICIAN RATIO REPRESENTS THE NUMBER OF PERSONS TO ONE PROVIDER. THE RATIO OF THE POPULATION TO PRIMARY CARE PHYSICIANS WAS HIGHEST IN GILPIN COUNTY (2,910:1), AND LOWEST IN BOULDER COUNTY (820:1). GILPIN, ADAMS AND WELD COUNTIES HAD HIGHER POPULATION TO PRIMARY CARE PHYSICIANS (FEWER PROVIDERS) THAN THE STATE.DENTISTS, NUMBER AND RATIO, 2016: THE RATIO OF THE POPULATION TO DENTISTS WAS HIGHER THAN THE STATE (1,370:1) IN WELD COUNTY (2,594:1) AND ADAMS COUNTY (1,690:1). BOULDER COUNTY HAD MORE DENTISTS AS INDICATED BY THE LOWEST RATIO OF POPULATION TO DENTISTS (1,030:1) IN THE SERVICE AREA. THE HEALTHY PEOPLE 2020 OBJECTIVE IS FOR 55.3% OF THE POPULATION TO HAVE DENTAL INSURANCE. ADAMS COUNTY (61.6%), BOULDER COUNTY (61.3%), BROOMFIELD COUNTY (71.1%), JEFFERSON COUNTY (69.3%), AND WELD COUNTY (60.4%) EXCEEDED THIS RATE OF DENTAL INSURANCE FOR ADULTS. IN MOST CASES, THE RATE OF ADULTS VISITING THE DENTIST CLOSELY RELATES TO DENTAL INSURANCE COVERAGE.MENTAL HEALTH PROVIDERS, NUMBER AND RATIO, 2017: MENTAL HEALTH PROVIDERS INCLUDE PSYCHIATRISTS, CLINICAL PSYCHOLOGISTS, CLINICAL SOCIAL WORKERS, PSYCHIATRIC NURSE SPECIALISTS, AND MARRIAGE AND FAMILY THERAPISTS WHO MEET CERTAIN QUALIFICATIONS AND CERTIFICATIONS. AMONG SERVICE AREA COUNTIES, GILPIN COUNTY HAD THE HIGHEST RATIO (1,480:1) OF POPULATION TO MENTAL HEALTH PROVIDERS (FEWER PROVIDERS). BOULDER COUNTY HAD THE BEST RATIO (160:1) AMONG SERVICE AREA COUNTIES. THIS EXCEEDED THE STATE RATIO OF 392:1.FAIR OR POOR HEALTH, ADULTS, 2016: WHEN ASKED TO SELF-REPORT ON HEALTH STATUS, 17.1% OF ADULTS IN ADAMS COUNTY AND 14.8% IN WELD COUNTY INDICATED THEY WERE IN FAIR OR POOR HEALTH. THESE RATES WERE HIGHER THAN FOUND IN THE STATE (13.7%). THE FUNCTIONAL STATUS AND QUALITY OF LIFE INDICATORS INDICATED THAT ADAMS COUNTY RESIDENTS HAD AN AVERAGE OF 3.6 DAYS OF POOR PHYSICAL HEALTH IN THE PAST 30 DAYS, BOULDER COUNTY 3.2 DAYS, BROOMFIELD COUNTY 2.6 DAYS, GILPIN COUNTY 5.1 DAYS, JEFFERSON COUNTY, 3.2, AND WELD COUNTY 3.3 DAYS. ADAMS AND GILPIN COUNTIES HAD SCORES HIGHER THAN THE STATE AVERAGE.ASTHMA PREVALENCE, PERCENT OF POPULATION, 2016: THE PREVALENCE OF ASTHMA IS 9.7% IN ADAMS COUNTY, BEING THE HIGHEST, AND 6.5% IN BROOMFIELD COUNTY, BEING THE LOWEST PERCENTAGE.ADULT DIABETES PREVALENCE, 2016: THE PERCENTAGE OF ADULT DIABETES IS THE HIGHEST IN ADAMS COUNTY WITH 8.9% FOLLOWED BY GILPIN COUNTY 8.1%, BROOMFIELD COUNTY 7.1%, WELD COUNTY 7.0%, JEFFERSON COUNTY 5.6%, AND BOULDER COUNTY OF 4.8%, BEING THE LOWEST.HIGH BLOOD PRESSURE, 2016: IN THE SERVICE AREA, RESIDENTS OF BOULDER COUNTY, BROOMFIELD COUNTY, GILPIN COUNTY, AND JEFFERSON COUNTY HAVE ELEVATED CHOLESTEROL RATES THAT EXCEEDED THE STATE RATE (33.6%). ADAMS COUNTY AND BROOMFIELD COUNTY RESIDENTS HAVE HIGHER RATES OF ELEVATED BLOOD PRESSURE THAN THE STATE (25.8%).NEW DIAGNOSES OF TB, PER 100,000 PERSONS, 5- YEAR AVERAGE, 2016: ADAMS COUNTY AND BOULDER COUNTY HAVE THE SAME RATE OF NEWLY DIAGNOSED TB RATES OF 1.5 PER 100,000 PERSONS, BROOMFIELD CAME IN AT 1.1, AND JEFFERSON AND WELD COUNTIES EACH HAD A RATE OF 0.5 PER 100,000 PERSONS. RACIAL MINORITIES ARE AT THE GREATEST RISK: 86% OF NEW TB CASES IN THE STATE OCCURRED IN MINORITY POPULATIONS, YET THEY ONLY COMPRISE 31% OF THE STATE'S POPULATION. 21.9% OF TB CASES WERE IN THOSE OF ASIAN/ PACIFIC ISLANDER ORIGIN, 39.1% OF CASES WERE IN HISPANICS, AND 25.0% IN BLACK/AFERICAN AMERICANS.SEXUALLY TRANSMITTED INFECTIONS, PER 100,000 PERSONS, 2016: CHLAMYDIA OCCURES AT A RATE OF 1,731.6 IN ADAMS COUNTY. WELD COUNTY FOLLOWS WITH 1385.5 THEN, BROOMFIELD COUNTY WITH 1,306.3, BOULDER COUNTY AT 1,087.6, GILPIN AT 1,075.0, AND JEFFERSON COUNTY AT THE LOWEST WITH 891.4 PER 100,000 PERSONS. FEMALES ACCOUNT FOR MORE THAN TWO-THIRDS (66.3%) OF THE CHLAMYDIA CASES AMONG 15- 19 YEAR OLDS, THE CHLAMYDIA RATE FOR FEMALES, 2,657.3 PER 100,000, IS NEARLY FOUR TIMES GREATER THANT THE RATE FOR MALES, 681.7 PER 100,000 PERSONS. RATE OF GONORRHEA IN ADAMS COUNTY IS 200.5, BROOMFIELD COUNTY 169.7, WELD COUNTY 104.9, JEFFERSON COUNTY 103.0, AND BOULDER COUNTY 79.8. GILPIN COUNTY IS NOT REPORTED. ADULT OVERWEIGHT (BMI 25.5 TO 29.9), 2016: IN THE SERVICE AREA, WELD COUNTY HAD THE HIGHEST RATE OF ADULT OBESITY. OVER ONE-QUARTER OF ADULTS (27.9%) WERE OBESE AND 65.7% WERE OVERWEIGHT OR OBESE. AT 15.1%, WELD COUNTY HAD THE HIGHEST RATE OF CHILD OBESITY IN THE SERVICE AREA. ADAMS COUNTY HAD THE HIGHEST PERCENTAGE OF CHILDREN WHO WERE OVERWEIGHT OR OBESE (32.2%). EVEN WITH THE HIGH RATES OF OBESITY AMONG CHILDREN, 12.8% OF ADAMS COUNTY CHILDREN WERE CONSIDERED UNDERWEIGHT. BOULDER COUNTY (14.1%) AND JEFFERSON COUNTY (18.3%) HAD LOWER RATES OF ADULT OBESITY. JEFFERSON COUNTY (19.2%) HAD THE LOWEST AREA RATES OF CHILDHOOD OVERWEIGHT AND OBESITY.ADULT OBESE (BMI > 30), 2016: OVER ONE-FOURTH OF THE ADULT POPULATION IS OBESE IN ADAMS COUNTY (26.1%) AND WELD COUNTY (27.9%). GILPIN AND BROOMFIELD COUNTIES COME IN NEXT AT 24.4% AND 21.5% RESPECTIVELY. JEFFERSON AND BOULDER COUNTIES COME IN NEXT WITH 18.3% AND 14.1% RESPECTIVELY. MODERATELY PHYSICALLY ACTIVE, ADULTS, 2015: 54.6% OF ADULTS OF ADAMS COUNTY, 71.4% OF ADULTS IN BOULDER COUNTY, 56.1% OF ADULTS IN BROOMFIELD COUNTY, 73.5% OF ADULTS IN GILPIN COUNTY, 62.6% OF ADULTS IN JEFFERSON COUNTY, AND 52.6% OF WELD COUNTY ADULTS ENGAGED IN PHYSICAL ACTIVITY OVER 150 MINUTES IN A GIVEN WEEK. 23.5% OF ADULTS IN ADAMS COUNTY WERE SEDENTARY AND DID NOT PARTICIPATE IN ANY LEISURE TIME PHYSICAL ACTIVITY. 10.8% OF ADULTS IN BOULDER COUNTY, 11.4% OF ADULTS IN BROOMFIELD COUNTY, 16.7% OF ADULTS IN GILPIN COUNTY, 14.0% OF ADULTS IN JEFFERSON COUNTY, AND 21% OF ADULTS IN WELD COUNTY WERE SEDENTARY. SEDENTARY ADULTS, 2015: 23.5% OF ADULTS ARE SEDENTARY IN ADAMS COUNTY AND DO NOT PARTICIPATE IN ANY LEISURE TIME OF PHYSICAL ACTIVITY. WELD COUNTY'S RATE IS 21.0%. BOTH ARE ABOVE THE STATE LEVEL OF 17.4%. BOULDER (10.8%), BROOMFIELD (11.4%), GILPIN (16.7%) AND JEFFERSON (14.0%) COUNTIES COME IN LOWER THAN THE STATE LEVEL. YOUTH PHYSICAL ACTIVITY, AGES 5- 14, 2016: 34.2% OF ADAMS COUNTY CHILDREN, AGES 5-14, WERE PHYSICALLY ACTIVE FOR AT LEAST 60 MINUTES A DAY FOR THE PAST 7 DAYS, 53.9% OF CHILDREN IN BOULDER COUNTY, 43.7% OF CHILDREN IN JEFFERSON COUNTY AND 37.5% OF WELD COUNTY CHILDREN WERE PHYSICALLY ACTIVE. 77.7% OF CHILDREN, AGES 1-14, IN ADAMS COUNTY, 86.7% IN BOULDER COUNTY, 57.1% IN JEFFERSON COUNTY AND 87.6% OF WELD COUNTY CHILDREN SPENT TWO HOURS OR LESS IN FRONT OF TV, VIDEO OR COMPUTER SCREENS ON WEEKDAYS.ADULT SMOKERS, 2015- 2017: THE HEALTHY PEOPLE 2020 OBJECTIVE IS 12% OF THE POPULATION WHO SMOKE CIGARETTES. BOULDER COUNTY (11.4%) AND BROOMFIELD COUNTY (11.5%) RESIDENTS MET THIS OBJECTIVE. IN GILPIN COUNTY, 32.7% OF ADULTS SMOKED CIGARETTES. 3.5% OF CHILDREN IN ADAMS COUNTY WERE EXPOSED TO CIGARETTE SMOKE IN CARS. THIS WAS HIGHER THAN THE STATE RATE (3.3%). NONE OF THE AREA COUNTIES EXCEEDED THE STATE RATE (2.8%) FOR CHILDREN EXPOSED TO CIGARETTE SMOKE IN HOMES. 5.7% OF PREGNANT WOMEN IN ADAMS COUNTY, 4% IN BOULDER COUNTY, 4.4% IN JEFFERSON COUNTY AND 6.5% IN WELD COUNTY SMOKED DURING THEIR PREGNANCIES.

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
SCL HEALTH - FRONT RANGE INC

Employer identification number
84-1103606

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) GOOD SAMARITAN MEDICAL CENTER FOUNDATION 200 EXEMPLA CIRCLE LAFAYETTE,CO80026	84-1649162	501 ( C) (3)	729,340				PROGRAM SUPPORT
(2) LUTHERAN MEDICAL CENTER FOUNDATION 8300 WEST 38TH AVENUE WHEAT RIDGE,CO80033	20-8846152	501 ( C) (3)	599,566				PROGRAM SUPPORT
(3) PROJECT CURE INTERNATIONAL HEADQUARTERS 10377 E GEDDES AVENUE CENTENNIAL,CO80112	84-1568566	501 ( C) (3)		245,196	BOOK	SURGICAL SUPPLES	PROGRAM SUPPORT
(4) DENVER HEALTH FOUNDATION 601 BROADWAY MC 0111 DENVER,CO80203	84-1085196	501 ( C) (3)	75,000				PROGRAM SUPPORT
(5) HOSPITAL SISTERS MISSION OUTREACH CORP 4930 LAVERNA ROAD SPRINGFIELD,IL62705	35-2271729	501 ( C) (3)	30,573				PROGRAM SUPPORT
(6) BIG GREEN 1637 PEARL STREET UNIT 201 BOULDER,CO80302	27-5083595	501 ( C) (3)	30,000				PROGRAM SUPPORT
(7) METRO COMMUNITY PROVIDER NETWORK 3701 S BROADWAY ENGLEWOOD,CO80113	74-2477108	501 ( C) (3)	29,750				SUPPORT FOR ESTES STREET CLINIC.
(8) SENIORS RESOURCE CENTER INC 3227 CHASE STREET DENVER,CO80212	84-0877538	501 ( C) (3)	25,000				PROGRAM SUPPORT
(9) VIA MOBILITY SERVICES 2855 63RD ST BOULDER,CO80301	84-0777296	501 ( C) (3)	15,000				PROGRAM SUPPORT
(10) CLINICA CAMPESINA FAMILY HEALTH SERVICES 1345 PLAZA COURT N LAFAYETTE,CO80026	84-0743432	501 ( C) (3)	14,000				PROGRAM SUPPORT
(11) ROCKY MOUNTAIN CRISIS PARTNERS PO BOX 460695 DENVER,CO80246	27-0544143	501 ( C) (3)	11,917				PROGRAM SUPPORT
(12) INTERFAITH NETWORK ON MENTAL ILLNESS PO BOX 17293 BOULDER,CO80308	27-4436782	501 ( C) (3)	11,917				PROGRAM SUPPORT
(13) NAMI BOULDER COUNTY INC 3470 BROADWAY ST BOULDER,CO80304	84-1565503	501 ( C) (3)	11,917				PROGRAM SUPPORT
(14) YOUNG AMERICANS CENTER FOR FINANCIAL EDUCATION 3550 EAST FIRST AVE DENVER,CO80206	84-1564926	501 ( C) (3)	10,000				PROGRAM SUPPORT
(15) JUSTIN PARKER NEUROLOGICAL INSTITUTE 4743 ARAPAHOE AVE BOULDER,CO80303	26-3588986	501 ( C) (3)	10,000				PROGRAM SUPPORT
(16) SISTER CARMEN COMMUNITY CENTER 655 ASPEN RIDGE DR LAFAYETTE,CO80026	84-0820308	501 ( C) (3)	10,000				PROGRAM SUPPORT
(17) SISTERS OF CHARITY FEDERATION 7005 BAPTIST ROAD BETHEL PARK,PA15102	20-8570981		10,000				PROGRAM SUPPORT
(18) UPLIFT INTERNATIONAL PO BOX 2195 WHEAT RIDGE,CO80034	84-1129849	501 ( C) (3)	6,000				PROGRAM SUPPORT
(19) MENDING FACES 422 HUMBOLT STREET DENVER,CO80218	27-2151804	501 ( C) (3)	6,000				PROGRAM SUPPORT
(20) INROADS INC 10 SOUTH BROADWAY ST LOUIS,MO63102	62-0967197	501 ( C) (3)	5,220				PROGRAM SUPPORT

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE ORGANIZATION KEEPS RECORDS TO SUPPORT THE AMOUNTS PROVIDED OR REASON FOR SUCH SUPPORT. ELIGIBILITY FOR FUNDING IS DETERMINED ON AN INDIVIDUAL BASIS, CONSIDERING THE USE OF THE FUNDS AND HOW THE USE RELATES TO THE ORGANIZATION'S MISSION.

Schedule I (Form 990) 2018

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1LYDIA JUMONVILLE TREASURER 1/1-5/31	(i) (ii)	0 ------------- 1,019,409	0 ------------- 739,010	0 ------------- 236,660	0 ------------- 365,397	0 ------------- 19,784	0 ------------- 2,380,260	0 ------------- 218,055
2KEVIN MILLER MD MEMBER	(i) (ii)	816,709 ------------- 0	75,000 ------------- 0	32,848 ------------- 0	21,174 ------------- 0	24,157 ------------- 0	969,888 ------------- 0	0 ------------- 0
3MICHAEL TAYLOR VICE CHAIR	(i) (ii)	0 ------------- 745,975	0 ------------- 669,039	0 ------------- 158,272	0 ------------- 132,734	0 ------------- 24,236	0 ------------- 1,730,256	0 ------------- 129,032
4JANIE WADE TREASURER 6/1-12/31	(i) (ii)	0 ------------- 792,350	0 ------------- 0	0 ------------- 60,539	0 ------------- 0	0 ------------- 13,525	0 ------------- 866,414	0 ------------- 0
5JENNIFER ALDERFER PRESIDENT-GSM SYSTEM TRANSFORM OFCR	(i) (ii)	0 ------------- 387,690	0 ------------- 36,712	0 ------------- 15,374	0 ------------- 65,984	0 ------------- 23,563	0 ------------- 529,323	0 ------------- 0
6THOMAS DONOHOE SECRETARY	(i) (ii)	0 ------------- 302,361	0 ------------- 0	0 ------------- 941	0 ------------- 0	0 ------------- 18,376	0 ------------- 321,678	0 ------------- 0
7BETH FORSYTH CHIEF OPERATING OFFICER-GSMC	(i) (ii)	0 ------------- 280,820	0 ------------- 106,492	0 ------------- 37,229	0 ------------- 47,766	0 ------------- 18,445	0 ------------- 490,752	0 ------------- 29,639
8JOHN HIGGINS VICE PRESIDENT AND CFO EGSMC	(i) (ii)	0 ------------- 211,128	0 ------------- 59,667	0 ------------- 29,578	0 ------------- 37,877	0 ------------- 26,110	0 ------------- 364,360	0 ------------- 23,171
9J GRANT WICKLUND PRESIDENT-CEO LMC	(i) (ii)	0 ------------- 471,307	0 ------------- 195,651	0 ------------- 987,402	0 ------------- 19,800	0 ------------- 24,693	0 ------------- 1,698,853	0 ------------- 0
10FOREST BINDER VP-FINANCIAL SERVICES LMC	(i) (ii)	0 ------------- 289,969	0 ------------- 80,504	0 ------------- 46,025	0 ------------- 51,240	0 ------------- 21,539	0 ------------- 489,277	0 ------------- 33,962
11STEVEN BROWN MD VP-CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 330,370	0 ------------- 89,604	0 ------------- 48,470	0 ------------- 17,050	0 ------------- 21,536	0 ------------- 507,030	0 ------------- 0
12ANDREA BURCH VP CHIEF NURSING OFFICER LMC	(i) (ii)	0 ------------- 228,970	0 ------------- 57,123	0 ------------- 1,419	0 ------------- 33,409	0 ------------- 444	0 ------------- 321,365	0 ------------- 0
13SCOTT DAY VP HUMAN RESOURCES LMC	(i) (ii)	0 ------------- 227,696	0 ------------- 62,999	0 ------------- 31,623	0 ------------- 37,679	0 ------------- 20,865	0 ------------- 380,862	0 ------------- 22,146
14NOOMI HIRSCH VP OPERATIONS ELMC 5/12-12/31	(i) (ii)	0 ------------- 180,831	0 ------------- 22,879	0 ------------- 1,237	0 ------------- 8,313	0 ------------- 24,152	0 ------------- 237,412	0 ------------- 0
15CHRISTINA JOHNSON VP OPERATIONS ELMC 1/1-5/12	(i) (ii)	0 ------------- 162,750	0 ------------- 111,932	0 ------------- 53,099	0 ------------- 66,167	0 ------------- 0	0 ------------- 393,948	0 ------------- 51,407
16SUSAN KERSCHEN MD VP CHIEF NURSING OFFICER LMC	(i) (ii)	0 ------------- -1,833	0 ------------- 0	0 ------------- 242,829	0 ------------- 0	0 ------------- 11,944	0 ------------- 252,940	0 ------------- 0
17THOMAS MYDLER MD VP-CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 342,407	0 ------------- 93,545	0 ------------- 46,122	0 ------------- 58,037	0 ------------- 25,786	0 ------------- 565,897	0 ------------- 42,174
18ROBERT REPLOGLE MD PHYSICIAN	(i) (ii)	1,005,916 ------------- 0	0 ------------- 0	16,135 ------------- 0	18,794 ------------- 0	26,472 ------------- 0	1,067,317 ------------- 0	0 ------------- 0
19BRIAN WITWER MD PHYSICIAN	(i) (ii)	826,278 ------------- 0	126,331 ------------- 0	15,654 ------------- 0	21,200 ------------- 0	27,339 ------------- 0	1,016,802 ------------- 0	0 ------------- 0
20LEONARD LAPKIN MD PHYSICIAN	(i) (ii)	929,307 ------------- 0	0 ------------- 0	8,046 ------------- 0	21,216 ------------- 0	27,535 ------------- 0	986,104 ------------- 0	0 ------------- 0
21BASHEAL AGRAWAL MD PHYSICIAN	(i) (ii)	837,609 ------------- 0	59,068 ------------- 0	13,856 ------------- 0	17,518 ------------- 0	26,153 ------------- 0	954,204 ------------- 0	0 ------------- 0
22EDWARD MAURIN MD PHYSICIAN	(i) (ii)	832,934 ------------- 0	59,068 ------------- 0	4,962 ------------- 0	17,409 ------------- 0	30,729 ------------- 0	945,102 ------------- 0	0 ------------- 0
23ELIZABETH CARVER FORMER OFFICER	(i) (ii)	0 ------------- 39,579	0 ------------- 39,125	0 ------------- 206,422	0 ------------- 1,967	0 ------------- 15,132	0 ------------- 302,225	0 ------------- 0
24JAMES DOYLE FORMER OFFICER	(i) (ii)	0 ------------- 270,252	0 ------------- 111,265	0 ------------- 44,430	0 ------------- 43,466	0 ------------- 24,046	0 ------------- 493,459	0 ------------- 20,413
25ROSLAND MCLEOD FORMER OFFICER	(i) (ii)	0 ------------- 495,374	0 ------------- 454,541	0 ------------- 198,284	0 ------------- 150,132	0 ------------- 27,816	0 ------------- 1,326,147	0 ------------- 177,312
26KAREN SCREMIN FORMER OFFICER	(i) (ii)	0 ------------- 364,530	0 ------------- 98,002	0 ------------- 26,782	0 ------------- 64,050	0 ------------- 8,574	0 ------------- 561,938	0 ------------- 24,303
27AMY PACEY FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 226,996	0 ------------- 57,399	0 ------------- 22,461	0 ------------- 37,500	0 ------------- 7,470	0 ------------- 351,826	0 ------------- 20,941
28GERALDINE TOWNDROW FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 323,592	0 ------------- 291,509	0 ------------- 56,602	0 ------------- 17,461	0 ------------- 9,869	0 ------------- 699,033	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'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 SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'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, SCL HEALTH 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)WRITTEN EMPLOYMENT CONTRACTS 5)COMPENSATION SURVEYS AND STUDIES 6)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	SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2018 WERE: SUSAN KERSCHEN - $233,637, ELIZABETH CARVER - $206,250. SCHEDULE J, PART I, LINE 4B PAYMENTS FROM 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 COST 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 PRIOR TO 2014 PRIOR TO 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 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2018 WERE: ROSLAND MCLEOD - $18,776. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. 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. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2018. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. 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 2018 WERE: LYDIA JUMONVILLE - $218,055, MICHAEL TAYLOR - 129,032, BETH FORSYTH - $29,639, JOHN HIGGINS - $23,171, J. GRANT WICKLUND - $952,915, FOREST BINDER - $33,962, STEVEN BROWN - $38,102, SCOTT DAY - $22,146, CHRISTINA JOHNSON - $105,288, THOMAS MYDLER - $42,174, JAMES DOYLE - $20,413, ROSLAND MCLEOD - $127,904, KAREN SCREMIN - $24,303, AMY PACEY - $20,941, GERALDINE TOWNDROW - $36,588. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E.
PART I, LINE 7	THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT AND EMPLOYEE SAFETY, PATIENT EXPERIENCE AND COMMUNITY BENEFIT/MISSION TARGETS. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON.
SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES	THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF EIGHT HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 100 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 16,000 FULL-TIME ASSOCIATES AND MORE THAN 600 EMPLOYED PROVIDERS. SCL HEALTH AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCL HEALTH'S CORE VALUE OF STEWARDSHIP, SCL HEALTH'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.

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) JUDY CABOT	SEE PART V	57,280	ANDREA BURCH (KEY EMPLOYEE), IS THE DAUGHTER OF AN EMPLOYEE OF SCLHEALTH FRONT RANGE, INC., JUDY CABOT.		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Return Reference	Explanation
FORM 990, PART III, LINES 4A - 4D	DESCRIPTION OF PROGRAM SERVICE ACHIEVEMENTS SCL HEALTH - FRONT RANGE, INC. (SCLHFR) OPERATES LUTHERAN MEDICAL CENTER (LMC) SERVING PRIMARILY WESTERN AND SOUTHERN SUBURBAN AREAS OF METRO DENVER AND GOOD SAMARITAN MEDICAL CENTER (GSMC), SERVING PRIMARILY BOULDER AND NORTHWEST COUNTIES OF METRO DENVER, AND OTHER AFFILIATED MEDICAL OPERATIONS. THE SYSTEM'S COLLECTIVE PROGRAM SERVICES ACCOMPLISHMENTS INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: MEDICAL SERVICES ARE PROVIDED TO ALL WHO SEEK SERVICE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES IS CRITICAL FOR THE OPERATION AND STABILITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THE MISSION OF SCL HEALTH IS "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". THEREFORE, IN KEEPING WITH SCLHFR'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE WILL BE CONSIDERED AND PROVIDED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY EXIST. IN ADDITION, SCLHFR RECOGNIZES THE ESSENTIAL NEED TO BE EXCEPTIONAL STEWARDS OF MEDICARE, MEDICAID AND COMMUNITY/PRIVATE FUNDING DOLLARS. DURING THE YEAR, SCL HEALTH - FRONT RANGE, INC. PROVIDED BENEFITS TO THE COMMUNITY WHICH WENT TO CARING FOR THOSE WHO ARE POOR AND VULNERABLE THROUGH CHARITY CARE, UNREIMBURSED MEDICAID AND OTHER MEANS - TESTED GOVERNMENT PROGRAMS. SCLHFR PROVIDED ADDITIONAL BENEFITS TO THE COMMUNITY WHICH WENT TO IMPROVING THE HEALTH OF THE HOSPITAL'S COMMUNITY THROUGH HEALTH EDUCATION, COMMUNITY PROGRAMS, SUBSIDIZED HEALTH SERVICES AND ENVIRONMENTAL IMPROVEMENTS. SCLHFR ALSO RECOGNIZES THE ESSENTIAL NEED TO ENHANCE AND IMPROVE MEDICAL OUTCOMES, QUALITY AND SERVICES. IN RESPONSE, A BEST IN THE NATION STRATEGY AND PROGRAM WAS IMPLEMENTED. THE OBJECTIVES OF THE PROGRAM ARE TO BE THE BEST IN THE NATION IN PREDEFINED QUALITY, SERVICE AND COST INDICATORS. THE QUALITY INDICATORS ARE IN ALIGNMENT WITH MAJOR PUBLICLY COMPARABLE DATABASES, INCLUDING THE COLORADO HEALTH AND HOSPITAL ASSOCIATION AND CENTERS FOR MEDICARE AND MEDICAID SERVICES. COLLECTIVELY WITH ITS 572 LICENSED BEDS AT LMC AND GSMC, SCLHFR SERVED THE COMMUNITY WITH 27,679 INPATIENT ADMISSIONS AND 306,486 TOTAL OUTPATIENT VISITS WHILE PROVIDING SURGICAL SERVICES TO 17,508 RECIPIENTS. TOTAL BIRTHS AT SCLHFR WERE 3,951. TOTAL ER VISITS WERE 107,013. TOTAL LAB TESTS PERFORMED WERE 1,194,121. -COMPREHENSIVE MEDICAL SERVICES INCLUDE, BUT ARE NOT LIMITED TO, CARDIOLOGY, ONCOLOGY, ORTHOPEDIC, WOMEN AND FAMILY, PEDIATRICS, EMERGENCY AND TRAUMA, NEONATAL INTENSIVE CARE,NEUROLOGY, NEUROSURGERY, OB/GYN, GENERAL SURGICAL AND MEDICAL, PRIMARY CARE, INTERNAL MEDICINE, BEHAVIORAL HEALTH, HOSPICE CARE AND INTEGRATIVE HEALTH SERVICES. A STRONG COMMITMENT TO THE HEALTH OF THE COMMUNITY IS FURTHER EXEMPLIFIED BY, BUT NOT LIMITED TO, THE FOLLOWING PROGRAMS; -THE CANCER CENTER AT LMC INCLUDES ALL STAGES OF CARE INCLUDING INITIAL DIAGNOSIS; PROVIDING MONITORING, AND MANAGING MEDICATIONS. THE CENTER INCLUDES STATE-OF-THE-ART-RADIATION ONCOLOGY CENTER, INFUSION CENTER, ONCOLOGY UNIT, CLINICAL TRIALS, NUTRITION COUNSELING, SOCIAL WORK SERVICES, SITE SPECIFIC CARE TEAM, EDUCATION AND SUPPORT SERVICES. -AT THE HEART AND NEUROVASCULAR CENTER, PATIENTS ARE TREATED BY AN INTERDISCIPLINARY TEAM FOR CARDIAC AND NEUROLOGICAL CARE. PATIENTS DO NOT NEED TO BE TRANSFERRED TO ANOTHER FACILITY. THE CENTER FEATURES ADVANCED IMAGING EQUIPMENT AND NEUROLOGICAL SUITES TO SPEED PATIENTS' CARE. -THE BREAST CARE CENTER, ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY AND THE NATIONAL ACCREDITATION BREAST CARE CENTER, PROVIDES A FULL RANGE OF HIGH-TECH SERVICES IN ITS SCREENING AND DIAGNOSTIC SUITES INCLUDING DIGITAL MAMMOGRAPHY SCREENINGS AND DIAGNOSTIC SERVICES, ULTRASOUND, STEREOTACTIC BIOPSIES, MEDICAL CONSULTATION, EDUCATION, AS WELL AS AN ALTERNATIVE HEALTH CENTER AND EMOTIONAL SUPPORT. -THE WOMEN AND FAMILY CENTER INCLUDES A LEVEL III NEONATAL INTENSIVE CARE UNIT AND COMPREHENSIVE PRENATAL AND PARENTING EDUCATION. THE ANTEPARTUM FAMILY UNIT HELPS PREGNANT WOMEN WHO NEED SPECIALIZED CARE FOR THEMSELVES AND/OR THEIR UNBORN BABIES. SUPPORT FOR THE NEW UNIT HELPS US REACH OUR GOAL TO HELP WOMEN HAVE HEALTHY PREGNANCIES, BIRTHS AND BABIES. THE DIAGNOSTIC IMAGING CENTER IS ONE OF DENVER'S MOST ADVANCED IMAGING CENTERS FEATURING COMPREHENSIVE STATE-OF-THE-ART DIAGNOSTIC IMAGING SERVICES INCLUDING 40 SLICE CT SCANNER, 3.0 TESLA MRI SYSTEM, 3D MAMMO EQUIPMENT ULTRASOUND ROOMS WITH ADJOINED CHANGING ROOMS AND RESTROOMS AND DIAGNOSTIC TECHNOLOGY IN ALL-DIGITAL ENVIRONMENT. -THE HUMAN MOTION INSTITUTE (HMI) OFFERS STATE-OF-THE-ART MUSCULOSKELETAL CARE. HMI COMBINES THE MOST ADVANCED MEDICAL TECHNOLOGY WITH A DEDICATED TEAM OF PHYSICIANS AND MEDICAL PROFESSIONALS. THE FOCUS IS ON PREVENTION, ASSESSMENT, TREATMENT AND REHABILITATION OF MUSCULOSKELETAL INJURIES. -COLLIER HOSPICE CENTER PROVIDES COMPASSIONATE, COMPREHENSIVE, INTERDISCIPLINARY END-OF-LIFE CARE FOR TERMINALLY ILL PATIENTS AND SUPPORT FOR THEIR FAMILIES. PATIENTS ARE SERVED IN THEIR HOMES, IN NURSING HOMES AND IN THE HOSPICE INPATIENT UNIT LOCATED ON LMC'S CAMPUS. THERE ARE FREE COMMUNITY SERVICES INCLUDING VOLUNTEER-BASED PRE-HOSPICE SUPPORT, GRIEF SUPPORT GROUPS, GRIEF EDUCATION WORKSHOPS, CAREGIVER SUPPORT GROUPS AND GRIEF SUPPORT FOR YOUNG PEOPLE. -WEST PINES IS A BEHAVIORAL HEALTH FACILITY THAT PROVIDES INPATIENT AND OUTPATIENT PSYCHIATRIC AND ADDICTION SERVICES TO ADULTS. THE WEST PINES RECOVERY CENTER OFFERS AN INNOVATIVE TWO-WEEK ADDICTION RECOVERY PROGRAM TO CLIENTS AND THEIR FAMILIES WHO STRUGGLE WITH ADDICTION, OR ADDICTION PLUS MENTAL ILLNESS. AFTER THE TWO-WEEK STAY, CLIENTS RECEIVE INTENSIVE OUTPATIENT ASSISTANCE AND OPTIONAL MEDICATION MANAGEMENT. THE PROGRAM PROVIDES SHORTER STAYS AND LOWER COSTS. THE SENIOR BEHAVIORAL HEALTH IS A 20 BED UNIT LOCATED AT LMC TO TREAT SENIORS WITH PSYCHIATRIC ILLNESSES. -BRIDGES INTEGRATIVE HEALTH AND WELLNESS OFFERS INTEGRATIVE CARE ACUPUNCTURE, MASSAGE, HEALING TOUCH, PULMONARY REHABILITATION, PHYSICAL THERAPY AND CARDIAC REHABILITATION. -ESTES STREET COMMUNITY CLINIC IS A PARTNERSHIP BETWEEN LMC, THE JEFFCO ACTION CENTER AND METRO COMMUNITY PROVIDER NETWORK. THE CLINIC SERVES HOMELESS AND LOW-INCOME CHILDREN AND ADULTS WITHOUT INSURANCE. IT PROVIDES ACUTE AND PREVENTIVE CARE, IMMUNIZATIONS, WELL-CHILD AND WELL-WOMEN CHECKUPS. -LMC PROVIDES COMPREHENSIVE EDUCATION PROGRAMS WITH OPPORTUNITIES FOR ALL AGES. THROUGH EDUCATION, RELIABLE HEALTH INFORMATION AND SUPPORT, THE PROGRAM PARTNERS WITH DOCTORS AND OTHER HEALTH CARE EXPERTS TO IMPROVE COMMUNITY HEALTH. -CARDIAC AND VASCULAR SERVICES INCLUDES THE CARDIAC CALCIUM SCORE FOR DETECTING HEART DISEASE RISK. -EMERGENCY AND TRAUMA SERVICES INCLUDES A LEVEL III TRAUMA CENTER. -BONE AND JOINT INSTITUTE INCLUDES A COMPREHENSIVE TREATMENT OF ALL JOINT INJURIES AND REPLACEMENT. FULL SERVICE PHYSICAL THERAPY IS ALSO AVAILABLE. -NEUROSCIENCES: THE GOOD SAMARITAN MEDICAL CENTER ADDED TWO BREAKTHROUGH NEUROSCIENCE TECHNOLOGIES - THE INFRARED 800TM AND THE OPMI PENTERO - FOR TREATMENT OF STROKES, ANEURYSMS, BRAIN TUMORS AND OTHER CONDITIONS. THE HOSPITAL EMPLOYS A STROKE FELLOWSHIP-TRAINED PHYSICIAN AND HAS CREATED A STROKE CENTER. -OTOLARYNGOLOGY INCLUDES BALLOON SINUPLASTY. -WOMEN AND FAMILY CENTER INCLUDES A LEVEL II NEONATAL INTENSIVE CARE AND COMPREHENSIVE PRENATAL AND PARENTING EDUCATION. SUPPORT FOR THE UNIT HELPS US REACH OUR GOAL TO HELP WOMEN HAVE HEALTHY PREGNANCIES, BIRTHS AND BABIES. GSMC ALSO IS THE FIRST HOSPITAL TO RECEIVE THE BABY-FRIENDLY DESIGNATION IN COLORADO. INPATIENT AND OUTPATIENT SURGICAL SERVICES INCLUDES A BONE & JOINT INSTITUTE.
FORM 990, PART III, LINES 4A - 4D (CONT'D)	-NEUROSURGERY, INCLUDING O-ARM TECHNOLOGY FOR COMPLEX NEUROSURGICAL CASES AND THE OPMI PENTERO MICROSCOPE, A STATE OF THE ART IMPROVEMENT IN INTRA-OPERATIVE VISUALIZATION FOR BRAIN TUMORS AND ANEURYSMS, THE ONLY ONE OF ITS KIND IN THE REGION. GSMC ALSO BEGAN A DEEP BRAIN STIMULATION SERVICE FOR TREATMENT OF SEVERE MOVEMENT DISORDER LIKE ADVANCED PARKINSON'S DISEASE. -INTERVENTIONAL AND DIAGNOSTIC RADIOLOGY INCLUDING A 64-SLICE CT SCANNER. OTHER SERVICES INCLUDE MRI, ULTRASOUND AND DIAGNOSTIC IMAGING. -GSMC'S HEALTH & HEALING CENTER OFFERS INPATIENT AND OUTPATIENT INTEGRATIVE CARE (ACUPUNCTURE, MASSAGE, HEALING TOUCH, PULMONARY REHABILITATION, PHYSICAL THERAPY AND CARDIAC REHABILITATION). -GSMC PROVIDES WELLNESS QUEST, A COMPREHENSIVE EDUCATION PROGRAM WITH OPPORTUNITIES FOR ALL AGES. THROUGH EDUCATION, RELIABLE HEALTH INFORMATION AND SUPPORT, THE PROGRAM PARTNERS WITH DOCTORS, OTHER HEALTH CARE EXPERTS AND SCHOOLS TO IMPROVE COMMUNITY HEALTH. -GSMC WORKS CLOSELY WITH CLINICA CAMPESINA, A LAFAYETTE-BASED, FEDERALLY-QUALIFIED CLINIC FOR INDIGENT AND LOW INCOME INDIVIDUALS IN BOULDER COUNTY, PROVIDING ASSISTANCE TO FAMILIES IN NEED. LMC WORKS CLOSELY WITH METRO COMMUNITY PROVIDER NETWORK, A FEDERALLY QUALIFIED HEALTH CENTER ALSO SERVING INDIGENT AND LOW INCOME INDIVIDUALS AND FAMILIES IN JEFFERSON COUNTY. -GSMC AND LMC ARE DESIGNATED "BABY-FRIENDLY HOSPITALS" THAT SUPPORT BREASTFEEDING ON NEWBORNS AND PROMOTES THE INITIATION OF BREASTFEEDING WITHIN 1 HOUR OF BIRTH AND ALLOWS MOTHERS AND INFANTS TO REMAIN TOGETHER 24 HOURS A DAY. -GSMC AND LMC OFFER THE "BABY'S FIRST RIDE PROGRAM" AS A SERVICE TO ALL FAMILIES DELIVERING AT OUR HOSPITAL. PARENTS ARE TAUGHT THE PROPER WAY TO INSTALL AND USE A CAR SEAT TO ENSURE THEIR BABY'S FIRST RIDE IS A SAFE ONE.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF SCL HEALTH-FRONT RANGE, 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 SCL HEALTH - FRONT RANGE, INC., APPROVES MEMBERS OF SCL HEALTH - FRONT RANGE, INC. BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS; SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) 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. SCLHS 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 THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: SCL HEALTH - FRONT RANGE, INC., AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCL HEALTH'S PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS DETERMINED TO CONSTITUTE A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR SYSTEM INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN.
FORM 990, PART VI, SECTION B, LINE 15	FORM 990, PART VI, SECTION B (POLICIES) LINES 15(A) & 15(B) THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'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 SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'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, SCL HEALTH 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) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) 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:	EQUITY TRANSFER - FUND PHYSICIAN CLINIC LOSSES - INCLUDING PRIOR PERIOD LOSSES 108,189,291. BOOK VS. TAX DEPRECIATION 17,545.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) GOOD SAMARITAN MEDICAL CENTER LLC 200 EXEMPLA CIRCLE LAFAYETTE,CO80026 43-1982139	HOSPITAL SERVICES	CO	335,154,952	223,946,214	SCL HEALTH - FRONT RANGE INC
(2) SCL HEALTH MEDICAL GROUP - DENVER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80026 46-3778226	PHYSICIAN SERVICES	CO	66,837,164	16,325,656	SCL HEALTH - FRONT RANGE INC
(3) SCL PHYSICIANS - RMPC LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80026 35-2563201	PHYSICIAN SERVICES	CO	0	0	SCL HEALTH MEDICAL GROUP - DENVER LLC
(4) SCL HEALTH MEDICAL GROUP - GRAND JUNCTION LLC 2635 NORTH 7TH STREET GRAND JUNCTION,CO81502 46-3778277	PHYSICIAN SERVICES	CO	50,049,909	4,244,997	SCL HEALTH - FRONT RANGE INC

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 23-7379161	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	KS	501(C)(3)	LINE 12C, III-FI	N/A		No
(2)SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-3290526	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCLHS		No
(3)INTEGRITY HEALTH 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-4520350	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12C, III-FI	SCLHS		No
(4)BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON,CO80601 84-0482695	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	INTEGRITY HEALTH		No
(5)PLATTE VALLEY MEDICAL CENTER FOUNDATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON,CO80601 74-2255936	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	BRIGHTON COMMUNITY HOSPITAL ASSOCIATION		No
(6)MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER,CO80211 84-0405260	RESIDENT CARE	CO	501(C)(3)	LINE 10	SCLHS		No
(7)NJH-SJH INC 500 ELDORADO BLVD SUITE 4300 DENVER,CO80211 47-1194849	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	CO	501(C)(3)	LINE 12A, I	SCLHS		No
(8)SAINT JOSEPH HOSPITAL INC 1375 EAST 19TH AVENUE DENVER,CO80218 84-0417134	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SCLHS		No
(9)SAINT JOSEPH HOSPITAL FOUNDATION 1375 EAST 19TH AVENUE DENVER,CO80218 84-0735096	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SAINT JOSEPH HOSPITAL INC		No
(10)GOOD SAMARITAN MEDICAL CENTER FOUNDATION 200 EXEMPLA CIRCLE LAFAYETTE,CO80026 84-1649162	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCL HEALTH-FRONT RANGE INC	Yes
(11)LUTHERAN MEDICAL CENTER FOUNDATION 8300 WEST 38TH AVENUE WHEAT RIDGE,CO80033 20-8846152	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCL HEALTH-FRONT RANGE INC	Yes
(12)ST MARYS HOSPITAL & MEDICAL CENTER INC 2635 NORTH 7TH STREET GRAND JUNCTION,CO81501 84-0425720	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SCLHS		No
(13)ST MARYS HOSPITAL FOUNDATION 2635 NORTH 7TH STREET GRAND JUNCTION,CO81501 23-7001007	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	ST MARYS HOSPITAL & MEDICAL CENTER INC		No
(14)CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH,KS66048 48-1009910	CLINIC SERVICES	KS	501(C)(3)	LINE 3	SCLHS		No
(15)MARIAN CLINIC INC 3164 SE 6TH AVENUE TOPEKA,KS66607 48-1046905	CLINIC SERVICES	KS	501(C)(3)	LINE 3	SCLHS		No
(16)ST FRANCIS HEALTH CENTER INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 48-0547719	HOSPITAL SERVICES	KS	501(C)(3)	LINE 3	SCLHS		No
(17)ST FRANCIS HEALTH CENTER FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 48-1092520	SUPPORTING ORGANIZATION	KS	501(C)(3)	LINE 12A, I	ST FRANCIS HEALTH CENTER INC		No
(18)HOLY ROSARY HEALTHCARE 2600 WILSON STREET MILES CITY,MT59301 81-0231792	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SCLHS		No
(19)HOLY ROSARY HEALTHCARE FOUNDATION INC 2600 WILSON STREET MILES CITY,MT59301 20-2270238	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I	HOLY ROSARY HEALTHCARE		No
(20)ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE,MT59701 81-0231785	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SCLHS		No
(21)ST JAMES HEALTHCARE FOUNDATION INC 400 SOUTH CLARK STREET BUTTE,MT59701 65-1202190	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I	ST JAMES HEALTHCARE		No
(22)ST VINCENT HEALTHCARE 1233 NORTH 30TH STREET BILLINGS,MT59101 81-0232124	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SCLHS		No
(23)ST VINCENT HEALTHCARE FOUNDATION INC 1106 NORTH 30TH STREET BILLINGS,MT59101 81-0468034	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	MT	501(C)(3)	LINE 7	ST VINCENT HEALTHCARE		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) LUTHERAN CAMPUS ASC LLC 3455 LUTHERAN PKWY STE 150 WHEATRIDGE,CO80033 02-0749532	OP SURGERY	CO	N/A
(2) SCLH-GI ENDOSCOPY HOLDINGS LLC 382 S ARTHUR AVENUE LOUISVILLE,CO80027 81-2979243	OP ENDOSCOPY	CO	N/A
(3) SCLTDI JV LLC 1431 PERRONE WAY FRANKLIN,TN37069 47-2294770	RADIOLOGY	DE	N/A
(4) ATHLETIC MEDICINE & PERFORMANCE LLC 1144 NORTH 28TH STREET BILLINGS,MT59101 27-2270640	PHYSICAL THERAPY	MT	N/A
(5) GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON GRAND JUNCTION,CO81501 84-1505075	OP SURGERY	CO	N/A
(6) HEALTHCARE MANAGEMENT LLC PO BOX 1929 GRAND JUNCTION,CO81502 84-1238904	MANAGEMENT SERVICES	CO	N/A
(7) PAVILION IMAGING LLC 750 WELLINGTON GRAND JUNCTION,CO81501 03-0516198	RADIOLOGY	CO	N/A
(8) SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE,CO81401 20-2856331	OP CANCER	CO	N/A
(9) SMHMMH AIR MEDICAL TRANSPORT LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-3525381	MEDICAL AIR TRANSPORT	CO	N/A
(10) EKG INTERPRETATION SERVICE 3464 S WILLOW STREET SUITE 111 DENVER,CO80231 84-0927945	EKG INTERPRETATION	CO	SCL HEALTH MEDICAL GROUP - DENVER LLC	RELATED	137,309			No			No	85.670 %
(11) ST JOSEPH EKG READER PANEL 3464 S WILLOW STREET SUITE 174 DENVER,CO80231 84-1269895	EKG READING	CO	N/A
(12) MED-MAP LLC PO BOX 1295 BILLINGS,MT59103 81-0491356	RENTAL REAL ESTATE	MT	N/A
(13) YELLOWSTONE SURGERY CENTER LLC 1144 NORTH 28TH STREET BILLINGS,MT59101 72-1519467	OP SURGERY	MT	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) CARITAS INC AND SUBSIDIARIES 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 48-0941069	HEALTHCARE	KS	N/A	C				No
(2) ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-2874128	HEALTHCARE	KS	N/A	C				No
(3) LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVENUE WEST BAY R GRAND CAYMAN KY1-1102 CJ 98-0370522	INSURANCE	CJ	N/A	C				No

Schedule R (Form 990) 2018

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) GOOD SAMARITAN MEDICAL CENTER FOUNDATION	B	729,340	CASH
(2) GOOD SAMARITAN MEDICAL CENTER FOUNDATION	C	322,721	CASH
(3) LUTHERAN MEDICAL CENTER FOUNDATION	B	599,566	CASH
(4) LUTHERAN MEDICAL CENTER FOUNDATION	C	2,603,781	CASH

Schedule R (Form 990) 2018

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	11
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	5,948
6	Total number of volunteers (estimate if necessary) .............	6	1,038
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	666,751
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	581,638

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,472,716	3,019,799
9	Program service revenue (Part VIII, line 2g) .........	832,043,709	849,748,543
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	14,048,983	15,591,499
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,816,941	3,289,436
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	851,382,349	871,649,277
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,290,833	2,036,946
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	372,288,027	385,007,351
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	455,087,613	475,575,821
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	830,666,473	862,620,118
19	Revenue less expenses. Subtract line 18 from line 12.......	20,715,876	9,029,159
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	659,699,308	768,620,979
21	Total liabilities (Part X, line 26).............	292,892,788	284,577,830
22	Net assets or fund balances. Subtract line 21 from line 20.....	366,806,520	484,043,149

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 727,272,253 including grants of $ 2,036,946 ) (Revenue $ 852,550,742 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses727,272,253

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	5,659,721	13,621,321	1,923,630

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	2,941,969
e	Government grants (contributions)		1e	75,725

f	All other contributions, gifts, grants, and similar amounts not included above		1f	2,105

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		3,019,799

		Business Code
2a	NET PATIENT SERVICE REVENUE	621110	848,333,064	847,892,693	440,371
b	MEDICAL DIRECTOR FEES	621110	1,415,479	1,415,479
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		849,748,543

3 Investment income (including dividends, interest, and othersimilar amounts) ......			15,872,688			15,872,688
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		952,029
b	Less: rental expenses		848,800
c	Rental income or (loss)		103,229
d	Net rental income or (loss)......			103,229		-103,620	206,849
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	6,138,683
b	Less: cost or other basis and sales expenses	6,419,872
c	Gain or (loss)	-281,189
d	Net gain or (loss).....			-281,189			-281,189
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a		333,245
b	Less: cost of goods sold ..b		279,237
c	Net income or (loss) from sales of inventory..			54,008			54,008
Business Code			Miscellaneous Revenue
11a	CAFETERIA		722514	2,763,862	2,763,862
b	MED. DIRECTORS' FEES - DAVITA		621990	330,000		330,000
c	VENDING MACHINE INCOME		624210	38,337	38,337
d	All other revenue ....
e	Total. Add lines 11a–11d ......			3,132,199
12	Total revenue. See Instructions......			871,649,277	852,110,371	666,751	15,852,356

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	1,956,691	1,956,691
2	Grants and other assistance to domestic individuals. See Part IV, line 22	2,660	2,660
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	77,595	77,595
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	7,336,030	7,074,665	261,365
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	304,075,261	293,241,813	10,833,448
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	13,916,766	13,143,749	773,017
9	Other employee benefits .......	38,552,253	37,405,907	1,146,346
10	Payroll taxes ...........	21,127,041	20,501,628	625,413
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,576		2,576
c	Accounting ...........
d	Lobbying ...........	8,986		8,986
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	66,670,125	61,839,085	4,831,040
12	Advertising and promotion ....	5,356,526	2,623,538	2,732,988
13	Office expenses .......	2,806,574	2,504,141	302,433
14	Information technology ......	47,577,205		47,577,205
15	Royalties ..
16	Occupancy ...........	15,561,441	15,157,953	403,488
17	Travel ............	852,177	691,904	160,273
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,421,189	1,124,703	296,486
20	Interest ...........	20,555,368	20,555,368
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	32,604,312	32,604,312
23	Insurance ...	4,873,058	4,873,058
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MEDICAL SUPPLIES	115,981,938	115,981,938
b	MEDICAL PROVIDER TAXES	48,259,372	48,259,372
c	BAD DEBT	24,824,433	24,824,433
d	BILLING & COLLECTION -	21,584,422		21,584,422
e	All other expenses	66,636,119	22,827,740	43,808,379
25	Total functional expenses. Add lines 1 through 24e	862,620,118	727,272,253	135,347,865	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			31,902	1	26,595
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			82,390,916	4	77,478,286
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....			1,830,913	7	1,377,817
8	Inventories for sale or use ........			13,824,258	8	13,888,679
9	Prepaid expenses and deferred charges ......			7,380,139	9	6,647,714
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,107,757,033
b	Less: accumulated depreciation	10b	656,684,893	424,632,051	10c	451,072,140
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			941,040	14	941,040
15	Other assets. See Part IV, line 11 ...........			128,668,089	15	217,188,708
16	Total assets. Add lines 1 through 15 (must equal line 34)...			659,699,308	16	768,620,979

17	Accounts payable and accrued expenses .....	60,346,185	17	61,606,256
18	Grants payable ...		18
19	Deferred revenue .........	88,298	19	76,156
20	Tax-exempt bond liabilities .........	1,601,494	20	1,601,494
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	2,171,509	23	1,597,388
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	228,685,302	25	219,696,536
26	Total liabilities. Add lines 17 through 25..	292,892,788	26	284,577,830

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	366,806,520	27	484,043,149
28	Temporarily restricted net assets ...........		28
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	366,806,520	33	484,043,149
34	Total liabilities and net assets/fund balances ........	659,699,308	34	768,620,979

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No