TY 2022 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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) ALBERT ZIMMERLI...................................................................... TREASURER 12/14-12/31	2.00 ................. 63.00		X			0	4,298,891	1,390,538
(2) LYDIA JUMONVILLE...................................................................... PRES & CEO 1/1-4/1/22, CEO/DIRECTOR 4/1-12/31	50.00 ................. 6.00	X	X			3,193,207	0	695,330
(3) JANIE WADE...................................................................... TREAS 1/1-12/14/22 / EVP CFO	50.00 ................. 15.00		X			2,254,921	0	321,825
(4) ROSLAND MCLEOD...................................................................... SEC 1/1-4/1 / CHIEF LEGAL 1/1-6/3	50.00 ................. 3.00		X			2,102,345	0	190,295
(5) JAMES VALIN MD...................................................................... VICE PRES 1/1-12/14 / CHIEF CLINICAL OFFICER	50.00 ................. 2.00		X			1,799,242	0	335,906
(6) MARK KORTH...................................................................... EVP COO 1/1-4/1, PRES 4/1-12/31	50.00 ................. 5.00	X	X			1,741,709	0	320,302
(7) GREG MATIS...................................................................... SEC 12/14-12/31	3.00 ................. 50.00		X			0	1,380,583	561,819
(8) GREGORY M JOHNSON...................................................................... VP, FINANCE SERVICES 12/14-12/31	3.00 ................. 56.00		X			0	1,607,457	281,279
(9) TAJQUAH HUDSON...................................................................... EVP CHIEF STRATEGY & GROWTH OFFICER	50.00 ................. 2.00			X		1,416,515	0	292,209
(10) ANTHONY RUSSO MD...................................................................... MG PHYSICIAN	50.00 ................. 0.00				X	1,587,314	0	53,121
(11) J GRANT WICKLUND...................................................................... PRESIDENT REGIONAL WESTERN CO & LMC	1.00 ................. 51.00				X	1,113,263	0	468,497
(12) CLAY M ASHDOWN...................................................................... SVP, FINANCE OPS 12/14-12/31	3.00 ................. 50.00		X			0	1,012,822	436,297
(13) SHAWN DUFFORD MD...................................................................... SVP, CHIEF MEDICAL OFFICER 1/1-4/15	25.00 ................. 27.00			X		1,250,773	0	108,966
(14) CRAIG RICHARDVILLE...................................................................... SVP, CHIEF INFO AND DIGITAL OFFICER	50.00 ................. 0.00			X		1,089,369	0	201,411
(15) JENNIFER ALDERFER...................................................................... MONTANA MARKET PRESIDENT	3.00 ................. 50.00		X			948,294	0	253,601
(16) LOUIS ROSS MD...................................................................... PHYSICIAN CLINIC	50.00 ................. 0.00				X	1,082,718	0	46,412
(17) MEGAN MAHNCKE...................................................................... PRESIDENT SCL HLTH FOUNDATIONS & SVP MKTG COMMS 1/	50.00 ................. 7.00			X		896,080	0	170,062

(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/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) TAMARA SAUNAITIS........................................................................ SVP CHIEF HR OFFICER 1/1-4/1	50.00 .......................1.00			X		940,376	0	89,684
(19) SUZANNE DRAPER........................................................................ VP, ETHICS & COMPLIANCE 12/14-12/31	3.00 .......................56.00		X			0	585,787	439,552
(20) STUART GOODMAN MD........................................................................ PHYSICIAN ANESTHESIA	50.00 .......................0.00				X	925,976	0	40,580
(21) STACY JENNINGS........................................................................ VP, CHIEF INVEST OFFICER 12/14-12/31	3.00 .......................56.00		X			0	638,012	322,933
(22) JOHN BRAXTON MD........................................................................ PHYSICIAN CLINIC	50.00 .......................0.00				X	921,284	0	33,784
(23) THOMAS DONOHOE........................................................................ VP GENERAL COUNSEL OPERATIONS	50.00 .......................12.00			X		762,392	0	172,741
(24) DAVID PRINGLE........................................................................ CHIEF CATHOLIC MISSION OFFICER	50.00 .......................0.00		X			769,726	0	140,202
(25) CHRISTOPHER AWTREY MD........................................................................ CHIEF MEDICAL OFFICER, MEDICAL GROUP	50.00 .......................1.00		X			683,030	0	194,188
(26) HEIDI WALD........................................................................ VP CHIEF QUALITY & SAFETY OFFICER	50.00 .......................0.00			X		678,113	0	172,567
(27) BRYAN JOHNSON........................................................................ WESTERN CO MKT PRESIDENT	3.00 .......................54.00		X			635,785	0	207,161
(28) ALAN BAKER........................................................................ CHIEF OPERATING OFFICER, MEDICAL GROUP	50.00 .......................0.00		X			617,365	0	191,429
(29) SIMON PAYNE MD........................................................................ CMO, ACUTE CARE	50.00 .......................0.00		X			616,325	0	160,835
(30) BARBARA JAHN........................................................................ CHIEF OPERATING OFFICER	50.00 .......................0.00		X			618,352	0	149,179
(31) AMY CHURCH........................................................................ VP FINANCE OPERATIONS	50.00 .......................0.00			X		622,413	0	132,004
(32) LAURA WIGHTMAN........................................................................ SVP CHIEF NURSING OFFICER SYS 1/1-5/2/22	50.00 .......................3.00			X		678,322	0	55,730
(33) TROY SPRING........................................................................ VP REVENUE CYCLE	50.00 .......................0.00			X		571,481	0	153,633
(34) MARK WILKINSON........................................................................ VP TREASURER	50.00 .......................0.00			X		483,047	0	120,950
(35) SEAN FADDEN........................................................................ VP, STR FIN PLAN 1/1-4/13, REG VP, FIN 4/14-12/31	50.00 .......................1.00		X			472,817	0	127,656
(36) TROY HOLMES........................................................................ VP PAYER CONTRACTING	50.00 .......................0.00			X		456,186	0	117,694
(37) DINA BUSH........................................................................ CHIEF NURSING OFFICER	50.00 .......................0.00		X			407,774	0	161,014
(38) JAMES RITCHEY........................................................................ VP HUMAN RESOURCES OPERATIONS	50.00 .......................0.00			X		384,285	0	116,111
(39) SUSAN SCHAUB........................................................................ VP HR OPERATIONS	50.00 .......................0.00			X		321,852	0	109,416
(40) STEVEN CHYUNG........................................................................ SVP SUPPLY CHAIN & REAL ESTATE 1/1- 4/8/22	50.00 .......................0.00			X		332,535	0	75,556
(41) TERENCE MOLOUGHNEY........................................................................ ASST SECRETARY 12/14-12/31/22	50.00 .......................0.00		X			254,970	0	49,043
(42) KHADIJA MOHAMED........................................................................ ASST SECRETARY / BOARD GOV PROG MGR 1/1-12/14/22	50.00 .......................0.00		X			135,627	0	17,480
(43) PAMELA FEDERBUSCH........................................................................ DIRECTOR	1.00 .......................0.00	X				7,349	0	0
(44) BETH BECKMAN........................................................................ DIRECTOR	1.00 .......................0.00	X				5,349	0	0
(45) DOUGLAS ADEN........................................................................ DIRECTOR, SECRETARY	3.00 .......................0.00	X	X			5,000	0	0
(46) KATHRYN PAUL........................................................................ VICE CHAIR	3.00 .......................0.00	X	X			4,849	0	0
(47) ROBERT E WILSON........................................................................ DIRECTOR	1.00 .......................0.00	X				4,849	0	0
(48) C GORDON HOWIE........................................................................ DIRECTOR	1.00 .......................1.00	X				4,349	0	0
(49) MARIO CARRERA........................................................................ DIRECTOR 1/1-2/28/22	1.00 .......................0.00	X				3,849	0	0
(50) NGUYEN-VU PHAM........................................................................ DIRECTOR	1.00 .......................3.00	X				2,500	0	0
(51) MICHAEL FORDYCE........................................................................ CHAIR	3.00 .......................0.00	X	X			2,000	0	0
(52) SISTER MAUREEN HALL SCL........................................................................ DIRECTOR	1.00 .......................0.00	X				699	0	0
(53) MARY BETH MIKOLS........................................................................ DIRECTOR	1.00 .......................0.00	X				699	0	0
(54) ALAN YORDY........................................................................ DIRECTOR	1.00 .......................0.00	X				699	0	0
(55) SHERYL MANNING........................................................................ DIRECTOR 1/1-6/13/22	1.00 .......................0.00	X				0	0	0
(56) MICHAEL SALEM MD........................................................................ DIRECTOR	1.00 .......................3.00	X				0	0	0
(57) RITA TURLEY........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0
(58) BARTH WHITHAM........................................................................ DIRECTOR	1.00 .......................0.00	X				0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
BARTON MALOW-HASELDEN 26500 AMERICAN DRIVE SOUTHFIELD,MI48034	CONSTRUCTION SERVICES	192,754,907
RIGHTSOURCING INC 999 STEWART AVENUE SUITE 100 BETHPAGE,NY11714	CONTRACT LABOR	162,636,947
SAUNDERS EXPRESS LLC 86 INVERNESS PLACE NORTH ENGLEWOOD,CO80112	CONSTRUCTION SERVICES	20,331,943
MIDTOWN INPATIENT MEDICINE LLC 835 E 18TH AVE STE 110 DENVER,CO80218	MEDICAL SERVICES	19,026,308
ROCKY MOUNTAIN PRIMARY CARE 7625 W 92ND AVE WESTMINSTER,CO80021	MEDICAL SERVICES	18,577,169
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 286

- TIN:

SCHEDULE A
(Form 990)

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 instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

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).)

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 33 1/3% 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 33 1/3% 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 on 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 ...............................11

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

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(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)
(A) ST JAMES HEALTHCARE	810231785	3		No	0	0
(B) SAINT JOSEPH HOSPITAL INC	840417134	3		No	0	0
(C) SCL HEALTH - FRONT RANGE INC	841103606	3		No	247,517	0
(D) ST MARY'S HOSPITAL AND MEDICAL CENTER INC	840425720	3		No	0	0
(E) SCL HEALTH - MONTANA	810232124	3		No	8,900,000	0
(F) HOLY ROSARY HEALTHCARE	810231792	3		No	0	0
(G) CARITAS CLINICS INC	481009910	3		No	419,184	0
(H) MOUNT ST VINCENT HOME	840405260	10		No	500,000	0
(I) BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	840482695	3		No	0	0
(J) SCL HEALTH RESEARCH INSTITUTE INC	852014794	3		No	0	0
(K) MARIAN CLINIC INC	481046905	3		No	47,568	0
Total 11					10,114,269	0

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

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

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

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 5 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 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 on 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 5 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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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.

Yes

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) .

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

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 on 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 on 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) 2022

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2022

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 0.015 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 0.035	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) 2022

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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, PART IV, SECTION A, LINE 1	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE PARENT OF EACH OF ITS SUPPORTED ORGANIZATIONS AND CONTROLS THEM AS PART OF AN INTEGRATED HEALTH SYSTEM. EACH SUPPORTED ORGANIZATION IS CONTROLLED BY SCLHS. A CLOSE AND HISTORIC ORGANIZATIONAL RELATIONSHIP ENSURES THAT SCLHS AND ITS SUPPORTED ORGANIZATIONS SHARE A SUBSTANTIAL IDENTITY OF INTERESTS. THE SUPPORTED CLASS ALSO INCLUDES GOVERNMENT ORGANIZATIONS AND OTHER QUALIFIED NON-PROFIT ORGANIZATIONS UNDER 501(C)(3) THAT SHARE A SIMILAR MISSION OF IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES SERVED.
SCHEDULE A, PART IV, SECTION A, LINE 6	SUPPORT WAS PROVIDED TO MEDICAL AND OTHER CHARITABLE ORGANIZATIONS NOT CONSIDERED SUPPORTED ORGANIZATIONS. HOWEVER, THESE INSTITUTIONS ARE SUPPORTING MEDICAL AND OTHER ACTIVITIES BENEFITING THE COMMUNITIES SERVED BY SUPPORTED ORGANIZATIONS. AMOUNTS GRANTED ARE INSIGNIFICANT TO THE OVERALL OPERATIONS OF SCLHS.
SCHEDULE A, PART IV, SECTION C, LINE 1	EACH OF THE SUPPORTED ORGANIZATIONS IS PART OF AN INTEGRATED HEALTH SYSTEM. SCLHS' MEMBERS, INTERMOUNTAIN HEALTH CARE, INC. AND THE MEMBERS OF LEAVEN MINISTRIES, DIRECTLY CONTROL SCLHS AND INDIRECTLY CONTROL ALL OF THE SCLHS SUBSIDIARIES.

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2022

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

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) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC

Part I Contributors	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) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC		Employer identification number 23-7379161

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) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC			Employer identification number 23-7379161
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) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

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

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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|No

(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

480,978

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

480,978

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:	LOBBYING EXPENSES OF $81,715 WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION. ADDITIONAL LOBBYING EXPENSES OF $399,263 WERE DERIVED FROM FEES FOR ADVOCACY SERVICES RELATED TO COLORADO AND MONTANA LEGISLATIVE ACTIVITIES.

Schedule C (Form 990) 2021

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 instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

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 FASB 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 FASB 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 FASB 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) 2021

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 ....	2,000,000	2,000,000	2,000,000	2,000,000	2,000,000
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	2,000,000	2,000,000	2,000,000	2,000,000	2,000,000

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

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Term endowment SchDMd Bullet

0 %

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)

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

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 .....	15,159,976		15,159,976
b	Buildings ....	27,067,515	3,969,481	23,098,034
c	Leasehold improvements
d	Equipment ....	89,100,528	33,156,125	55,944,403
e	Other .....	18,691,604	1,602,434	17,089,170
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				111,291,583

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other 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) HEDGE FUNDS	127,158,474	F
(B) JOINT VENTURE - NORTHERN ROCKIES HEALTHCARE ALLIANCE, LLC	4,773	F
(C) JOINT VENTURE - DENVER WEST ENDOSCOPY CTR, LLC	249,331	F
(D) JOINT VENTURE - E + PET IMAGING X, LP	-7,179	F
(E) JOINT VENTURE - LUTHERAN CAMPUS ASC, LLC	2,868,749	F
(F) JOINT VENTURE - SCLH-GI ENDOSCOPY CENTER HOLDINGS, LLC	588,343	F
(G) JOINT VENTURE - SCLTDI JV, LLC	13,403,303	F
(H) JOINT VENTURE - THE REHABILITATION HOSPITAL OF MONTANA, LLC	1,872,786	F
(I) JOINT VENTURE - RED ROCKS RADIATION ONCOLOGY MANAGEMENT, LLC	-28,204	F
(J) JOINT VENTURE - SCL HEALTH PARTNERS, LLC	388,373	F
(K) JOINT VENTURE - SJ EAST CAMPUS ASC, LLC	615,573	F
(L) OPPORTUNISTIC INVESTMENTS	171,998,798	F
(M) REAL RETURN INVESTMENTS	236,647,303	F
(N) SWEEP ACCOUNTS	360,730,266	F
(O) VHA STOCK INVESTMENT	646,857	F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	917,137,546

Part VIII

Investments - Program 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)NOTES REC - INTERCOMPANY	195,617,113	C
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	195,617,113

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)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,095,724,834
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) 2021

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:	SCLHS HAS A PERMANENT ENDOWMENT IN THE AMOUNT OF $2,000,000. THE EARNINGS FROM THE PERMANENT ENDOWMENT ARE TO BE USED FOR EDUCATIONAL PURPOSES AS DETERMINED BY SCLHS MANAGEMENT.

Schedule D (Form 990) 2021

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

2022

Open to Public Inspection

Name of the organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" on 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 the region	(d) Activities conducted in region (by type) (such as, 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 the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA/CARIBBEAN	0	0	PROGRAM SERVICES	CAPTIVE INSURANCE PREMIUM	18,749,869
	EUROPE/CARIBBEAN	0	0	INVESTMENTS, PROGRAM-RELATED		7,347,032















3a	Sub-total ....	0	0			26,096,901
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			26,096,901

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022

Schedule F (Form 990) 2022

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on 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.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of noncash assistance	(h) Description of noncash assistance	(i) Method of valuation (book, FMV, appraisal, other)

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) 2022

Schedule F (Form 990) 2022Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on 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 noncash assistance	(g) Description of noncash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2022

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2022

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 III ACCOUNTING METHOD:
SCHEDULE F, PART I, LINE 3	INVESTMENTS REPORTED IN SCHEDULE F ARE ACCOUNTED FOR ON THE ACCRUAL BASIS OF ACCOUNTING. SCLHS' EXPENDITURES (PREMIUMS PAID) FOR ITS CAPTIVE INSURANCE PREMIUMS WERE $18,749,869 NET OF PREMIUM DISCOUNTS.

Schedule F (Form 990) 2022

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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

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 25000.0000000000 %

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) . . .	2,469,809	1,436,121	1,033,688	0.110 %
b	Medicaid (from Worksheet 3, column a) . . . . .	38,862,804	37,388,199	1,474,605	0.160 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	41,332,613	38,824,320	2,508,293	0.270 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	316,000		316,000	0.030 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	7,610,452	3,268,178	4,342,274	0.460 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	7,926,452	3,268,178	4,658,274	0.490 %
k	Total. Add lines 7d and 7j .	49,259,065	42,092,498	7,166,567	0.760 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

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.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(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
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

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare 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. ......

1,782,255

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).....

32,139,328

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

76,526,395

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

-44,387,067

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 DENVER WEST ENDOSCOPY CENTER LLC	OUTPATIENT ENDOSCOPY SERVICES	51.000 %	0 %	49.000 %
22 LUTHERAN CAMPUS ASC LLC	OUTPATIENT SURGERY	30.780 %	0 %	37.190 %
33 SCLH-GI ENDOSCOPY CENTER HOLDINGS LLC	ENDOSCOPY SERVICES	51.000 %	0 %	49.000 %
44 NORTHGLENN ENDOSCOPY CENTER LLC	ENDOSCOPY SERVICES	51.000 %	0 %	49.000 %
55 SJ EAST CAMPUS ASC LLC	AMBULATORY SURGICAL	24.990 %	0 %	49.000 %
66 GALLATIN VALLEY SURGERY CENTER LLC	AMBULATORY SURGICAL	51.000 %	0 %	49.000 %
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

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?1Name, 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	THE REHABILITATION HOSPITAL OF MONTANA LLC 3572 HESPER ROAD BILLINGS,MT59102 WWW.REHABHOSPITALOFMONTANA.COM LICENSE# 13564	X	X

Schedule H (Form 990) 2022

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)

	REHABILITATION HOSPITAL OF MONTANA LLC
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 21

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 22

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) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	REHABILITATION HOSPITAL OF MONTANA LLC
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 250.000000000000%
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) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	REHABILITATION HOSPITAL OF MONTANA LLC
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 (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

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) 2022

Page 7

Part VFacility Information (continued)

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

	REHABILITATION HOSPITAL OF MONTANA LLC
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) 2022

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, 20a, 20b, 20c, 20d, 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
REHABILITATION HOSPITAL OF MONTANA, LLC	PART V, SECTION B, LINE 5: A SURVEY WAS CONDUCTED WITH KEY INFORMANTS AT THE END OF JULY 2021. SURVEYS WERE EMAILED TO 29 KEY STAKEHOLDERS REPRESENTING HEALTHCARE, PUBLIC HEALTH, STATE HEALTH AGENCIES, AND STATEWIDE NON-PROFIT ORGANIZATIONS. THE SURVEY INSTRUMENT INCLUDED 8 QUESTIONS FOCUSED ON GENERAL HEALTH STATUS, SERIOUS HEALTH CONCERNS, NEEDS FOR A HEALTHY COMMUNITY INCLUDING SOCIAL DETERMINANTS OF HEALTH, SERVICES OF THE REHABILITATION HOSPITAL OF MONTANA, LLC, BARRIERS TO HEALTH FOR PATIENTS, AND OPPORTUNITIES TO ADDRESS HEALTH NEEDS. 15 KEY STAKEHOLDERS COMPLETED THE SURVEY, A 51% RESPONSE RATE.
REHABILITATION HOSPITAL OF MONTANA, LLC	PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH PARTNERING HOSPITAL FACILITIES BILLINGS CLINIC, KINDRED HEALTHCARE, AND SCL HEALTH - MONTANA D/B/A ST. VINCENT HEALTHCARE.
REHABILITATION HOSPITAL OF MONTANA, LLC	PART V, SECTION B, LINE 6B: RIVERSTONE HEALTH (YELLOWSTONE COUNTY PUBLIC HEALTH DEPARTMENT) AND THE HEALTHY BY DESIGN COMMUNITY HEALTH IMPROVEMENT MANAGER ASSISTED WITH CONDUCTING THE 2021 CHNA.PART V, SECTION B, LINE 7A: WEBSITEHTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: WEBSITEHTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
REHABILITATION HOSPITAL OF MONTANA, LLC	PART V, SECTION B, LINE 11: NINE AREAS OF NEED WERE IDENTIFIED IN THE CHNA THROUGH REVIEW OF THE PRIMARY DATA, SECONDARY DATA, AND KEY INFORMANT RESPONSES. THE NINE NEEDS IDENTIFIED INCLUDED: ACCESS TO HEALTHCARE SERVICES, BRAIN INJURY, HEALTHY BEHAVIORS AND LIFESTYLE (PHYSICAL ACTIVITY, NUTRITION, WEIGHT), INJURIES INCLUDING FALLS AND TRAUMA, MENTAL HEALTH, TOBACCO USE, SOCIOECONOMIC BARRIERS, STROKE, AND SUBSTANCE USE. A GROUP OF STAKEHOLDERS REPRESENTING THE REHABILITATION HOSPITAL OF MONTANA, LLC, BILLINGS CLINIC, KINDRED HEALTH, AND SCL HEALTH - MONTANA MET TO EVALUATE AND PRIORITIZE NEEDS ALONG TWO CRITERIA: SCOPE AND SEVERITY AND ABILITY TO IMPACT. FROM THIS PROCESS, THREE HEALTH NEED PRIORITIES EMERGED: ACCESS TO HEALTHCARE SERVICES, STROKE AND BRAIN INJURY, AND FALLS PREVENTION.ACCESS TO HEALTHCARE SERVICES: EFFORTS FOCUS ON INCREASING PROVIDER AWARENESS OF SERVICES THROUGH CLINICAL LIAISON AND MEDICAL DIRECTOR OUTREACH AND INCREASING WORKFORCE CAPACITY THROUGH HEALTHCARE STUDENT ROTATIONS FOR THERAPY STUDENTS, CERTIFIED NURSING ASSISTANTS, AND NURSING STUDENTS. IN 2022, THIRTEEN OUTREACH SESSIONS WERE PROVIDED TO TEN DIFFERENT COMMUNITIES THAT REACHED AN ESTIMATED 358 PROVIDERS, THERAPISTS, AND CASE MANAGERS. THE REHABILITATION HOSPITAL OF MONTANA, LLC PROVIDED A SUBJECT MATTER EXPERT TO SPEAK AT THE POST-ACUTE STROKE CONFERENCE. ONE THERAPY STUDENT COMPLETED CLINICAL ROTATIONS IN 2022. BRAIN INJURY AND STROKE: EFFORTS FOCUS ON PROVIDING COMMUNITY EDUCATION TO INCREASE AWARENESS OF SIGNS OF STROKE AND COMMUNITY EDUCATION ON BRAIN INJURY. STROKE AWARENESS INCLUDED SOCIAL MEDIA FACEBOOK POSTS AND A COMMUNITY AND MEDIA EVENT. THE REHABILITATION HOSPITAL OF MONTANA, LLC HOSTED A MONTHLY TRAUMATIC BRAIN INJURY SUPPORT GROUP IN PARTNERSHIP WITH THE MONTANA BRAIN ALLIANCE. THE SUPPORT GROUPS BEGAN IN NOVEMBER 2022. STAFF FROM THE REHABILITATION HOSPITAL OF MONTANA, LLC SERVE AS SUBJECT MATTER EXPERTS FOR THE SUPPORT GROUP. BRAIN INJURY AWARENESS INCLUDED SOCIAL MEDIA FACEBOOK POSTS. FALLS PREVENTION: EFFORTS FOCUS ON PROVIDING COMMUNITY HEALTH EDUCATION, IMPLEMENTING A FALL SCALE DESIGNED FOR THE REHABILITATION POPULATION, AND COLLABORATING WITH COMMUNITY EFFORTS FOR FALLS PREVENTION. SOCIAL MEDIA POSTS INCLUDED TIPS TO PREVENT FALLS WHILE AT HOME AND IN THE COMMUNITY.THE REHABILITATION HOSPITAL OF MONTANA, LLC RECOGNIZES THAT THE OTHER HEALTH NEEDS AND INDICATORS IDENTIFIED IN THE SJH 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 THE REHABILITATION HOSPITAL OF MONTANA, LLC HAS NARROWED ITS TOP PRIORITIES TO THE FOCUS AREAS LISTED ABOVE.
PART V, SECTION B, LINES 16A, 16B, 16C, FAP APPLICATION WEBSITE:	HTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/FINANCIAL-ASSISTANCE

Schedule H (Form 990) 2022

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?143
Name and address		Type of Facility (describe)
1	1 - CANCER CENTERS OF COLORADO LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021	CANCER CENTER
2	2 - GS CAMPUS ASC LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021	SURGERY CENTER
3	3 - RED ROCKS RADIATION ONCOLOGY MANAGEMENT 400 INDIANA ST SUITE 220 GOLDEN,CO80401	CANCER CENTER
4	4 - LUTHERAN CAMPUS ASC LLC 3455 LUTHERAN PKWY STE 150 WHEATRIDGE,CO80033	OUTPATIENT SURGERY
5	5 - SJ EAST CAMPUS ASC LLC 1830 FRANKLIN ST SUITE 200 DENVER,CO80218	SURGERY CENTER
6	6 - DENVER WEST ENDOSCOPY CENTER LLC 382 S ARTHUR AVENUE LOUISVILLE,CO80027	OUTPATIENT ENDOSCOPY
7	7 - NORTHGLENN ENDOSCOPY CENTER LLC 11900 GRANT STREET NORTHGLENN,CO80233	ENDOSCOPY SERVICES
8	8 - TOUCHSTONE MEDICAL IMAGING - AURORA 3055 SOUTH PARKER RD BLDG A SUITE 103 AURORA,CO80014	RADIOLOGY SERVICES
9	9 - TOUCHSTONE MEDICAL IMAGING - CASTLE ROCK 3911 AMBROSIA ST CASTLE ROCK,CO80109	RADIOLOGY SERVICES
10	10 - TOUCHSTONE MEDICAL IMAGING - DRY CREEK 125 INVERNESS DR EAST SUITE 140 ENGLEWOOD,CO80112	RADIOLOGY SERVICES
11	11 - TOUCHSTONE MEDICAL IMAGING - LAFAYETTE 390 EMPIRE ROAD SUITE 102 LAFAYETTE,CO80026	RADIOLOGY SERVICES
12	12 - TOUCHSTONE MEDICAL IMAGING - LAKEWOOD 14062 DENVER WEST PKWY BLDG 52 SUITE 1 LAKEWOOD,CO80401	RADIOLOGY SERVICES
13	13 - TOUCHSTONE MEDICAL IMAGING - MAMMOGRAPHY 7615 W 38TH AVENUE SUITE B-107 WHEAT RIDGE,CO80033	RADIOLOGY SERVICES
14	14 - TOUCHSTONE MEDICAL IMAGING - RED ROCKS 400 INDIANA ST SUITE 210 GOLDEN,CO80401	RADIOLOGY SERVICES
15	15 - TOUCHSTONE MEDICAL IMAGING - SUPERIOR 3 SUPERIOR WAY SUITE 150 SUPERIOR,CO80027	RADIOLOGY SERVICES
16	16 - TOUCHSTONE MEDICAL IMAGING - THORNTON 12021 PENNSYLVANIA ST SUITE 106 THORNTON,CO80241	RADIOLOGY SERVICES
17	17 - TOUCHSTONE MEDICAL IMAGING - UPTOWN 1007 E COLFAX AVE CO,CO80218	RADIOLOGY SERVICES
18	18 - TOUCHSTONE MEDICAL IMAGING - WHEAT RIDGE 7615 WEST 38TH AVENUE SUITE B115 WHEAT RIDGE,CO80033	RADIOLOGY SERVICES
19	19 - TOUCHSTONE MEDICAL IMAGING - BILLINGS 1739 SPRING CREEK LANE BILLINGS,MT59106	RADIOLOGY SERVICES
20	20 - SCL FRONT RANGE HOME HEALTH LLC 8300 W 38TH AVENUE WHEAT RIDGE,CO80033	HOME HEALTH
21	21 - SCL HEALTH HEART & VASCULAR INSTITUTE - BI 2900 12TH AVE N BILLINGS,MT59101	OUTPATIENT PHYSICIAN CLINIC
22	22 - SCL HEALTH MEDICAL GROUP - DOWNTOWN INTERN 2900 12TH AVE N BILLINGS,MT591017588	OUTPATIENT PHYSICIAN CLINIC
23	23 - SCL HEALTH ST VINCENT EMERGENCY MEDICINE 1233 N 30TH ST BILLINGS,MT591010127	OUTPATIENT PHYSICIAN CLINIC
24	24 - SCL HEALTH MEDICAL GROUP - MONTANA ORTHOPE 435 S CRYSTAL ST BUTTE,MT597011506	OUTPATIENT PHYSICIAN CLINIC
25	25 - CANCER CENTERS OF COLORADO - SLOAN'S LAKE 1601 LOWELL BLVD STE 150 DENVER,CO802041545	OUTPATIENT PHYSICIAN CLINIC
26	26 - SCL HEALTH MEDICAL GROUP - BROADWATER 2019 BROADWATER AVE BILLINGS,MT591024810	OUTPATIENT PHYSICIAN CLINIC
27	27 - SCL HEALTH MEDICAL GROUP - BROADWATER WALK 2019 BROADWATER AVE BILLINGS,MT591024810	OUTPATIENT PHYSICIAN CLINIC
28	28 - SCL HEALTH MEDICAL GROUP - HEIGHTS 32 WICKS LN BILLINGS,MT591053810	OUTPATIENT PHYSICIAN CLINIC
29	29 - SCL HEALTH MEDICAL GROUP - BUTTE 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
30	30 - SCL HEALTH HEART & VASCULAR INSTITUTE - BI 2900 12TH AVE N BILLINGS,MT591017504	OUTPATIENT PHYSICIAN CLINIC
31	31 - SCL HEALTH MEDICAL GROUP - BILLINGS GASTRO 1144 N BROADWAY BILLINGS,MT591010110	OUTPATIENT PHYSICIAN CLINIC
32	32 - SCL HEALTH MEDICAL GROUP - LAUREL 1035 1ST AVE LAUREL,MT590442119	OUTPATIENT PHYSICIAN CLINIC
33	33 - SCL HEALTH MEDICAL GROUP - N 27TH WALK-IN 1027 N 27TH STREET BILLINGS,MT591010701	OUTPATIENT PHYSICIAN CLINIC
34	34 - SCL HEALTH MEDICAL GROUP - BILLINGS UROLOG 2900 12TH AVE N BILLINGS,MT591017502	OUTPATIENT PHYSICIAN CLINIC
35	35 - SCL HEALTH MEDICAL GROUP - NORTH SHILOH 2223 MISSION WAY BILLINGS,MT591020160	OUTPATIENT PHYSICIAN CLINIC
36	36 - SCL HEALTH ST JAMES EMERGENCY PHYSICIANS 400 S CLARK ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
37	37 - SCL HEALTH MEDICAL GROUP - BILLINGS SLEEP 2900 12TH AVE N BILLINGS,MT591010127	OUTPATIENT PHYSICIAN CLINIC
38	38 - SCL HEALTH MEDICAL GROUP - WEST GRAND 2750 GRAND AVE BILLINGS,MT591022629	OUTPATIENT PHYSICIAN CLINIC
39	39 - SCL HEALTH MEDICAL GROUP - BILLINGS DIABET 2900 12TH AVE N BILLINGS,MT591017588	OUTPATIENT PHYSICIAN CLINIC
40	40 - SCL HEALTH MEDICAL GROUP - BILLINGS PAIN C 2900 12TH AVE N BILLINGS,MT591017506	OUTPATIENT PHYSICIAN CLINIC
41	41 - SCL HEALTH MEDICAL GROUP - BILLINGS MIDWIF 2900 12TH AVE N BILLINGS,MT591017506	OUTPATIENT PHYSICIAN CLINIC
42	42 - SCL HEALTH MEDICAL GROUP - HEIGHTS WALK-IN 32 WICKS LN BILLINGS,MT591053810	OUTPATIENT PHYSICIAN CLINIC
43	43 - SCL HEALTH MEDICAL GROUP - BILLINGS DERMAT 2900 12TH AVE N BILLINGS,MT591017513	OUTPATIENT PHYSICIAN CLINIC
44	44 - SCL HEALTH ST VINCENT INTENSIVISTS 1233 N 30TH ST BILLINGS,MT591010127	OUTPATIENT PHYSICIAN CLINIC
45	45 - SCL HEALTH MEDICAL GROUP - BILLINGS NEPHRO 2900 12TH AVE N BILLINGS,MT591017508	OUTPATIENT PHYSICIAN CLINIC
46	46 - SCL HEALTH ST VINCENT NEONATOLOGY 1233 N 30TH ST BILLINGS,MT591010127	OUTPATIENT PHYSICIAN CLINIC
47	47 - SCL HEALTH MEDICAL GROUP - BUTTE OB-GYN 305 W PORPHYRY BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
48	48 - SCL HEALTH MEDICAL GROUP - BUTTE UROLOGY 305 W PORPHYRY BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
49	49 - SCL HEALTH MEDICAL GROUP - BUTTE DOWNTOWN 3636 HARRISON AVE BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
50	50 - SCL HEALTH MEDICAL GROUP - BILLINGS TRANSI 2223 MISSION WAY BILLINGS,MT59102	OUTPATIENT PHYSICIAN CLINIC
51	51 - SCL HEALTH MEDICAL GROUP - HARDIN 16 N MILES HARDIN,MT590342356	OUTPATIENT PHYSICIAN CLINIC
52	52 - SCL HEALTH MEDICAL GROUP BUTTE EXPRESS CAR 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
53	53 - SCL HEALTH MEDICAL GROUP - RED LODGE 10 ROBINSON LN RED LODGE,MT590680070	OUTPATIENT PHYSICIAN CLINIC
54	54 - SCL HEALTH MEDICAL GROUP - BOZEMAN 711 W MAIN ST BOZEMAN,MT597153356	OUTPATIENT PHYSICIAN CLINIC
55	55 - SCL HEALTH MEDICAL GROUP - BILLINGS BEHAVI 2900 12TH AVE N BILLINGS,MT591017516	OUTPATIENT PHYSICIAN CLINIC
56	56 - SCL HEALTH MEDICAL GROUP - BILLINGS PEDIAT 1232 N 30TH BILLINGS,MT591010128	OUTPATIENT PHYSICIAN CLINIC
57	57 - SCL HEALTH MEDICAL GROUP - BUTTE SURGICAL 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
58	58 - SCL HEALTH MEDICAL GROUP - BILLINGS MATERN 2900 12TH AVE N BILLINGS,MT591017504	OUTPATIENT PHYSICIAN CLINIC
59	59 - SCL HEALTH MEDICAL GROUP - LEWISTOWN 70 CATTAIL DR LEWISTOWN,MT594574123	OUTPATIENT PHYSICIAN CLINIC
60	60 - SCL HEALTH MEDICAL GROUP - LAUREL WALK-IN 331 S WASHINGTON ST LAUREL,MT59044	OUTPATIENT PHYSICIAN CLINIC
61	61 - SCLHBI WOUND CARE 2900 12TH AVE N BILLINGS,MT59101	OUTPATIENT PHYSICIAN CLINIC
62	62 - SCL HEALTH MEDICAL GROUP - MONTANA ORTHOPE 435 S CRYSTAL ST BUTTE,MT597011506	OUTPATIENT PHYSICIAN CLINIC
63	63 - ST JAMES HEALTHCARE - CANCER CENTERS OF MO 400 S CLARK ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
64	64 - SCL HEALTH MEDICAL GROUP - BILLINGS WEIGHT 2900 12TH AVE N BILLINGS,MT591017588	OUTPATIENT PHYSICIAN CLINIC
65	65 - SCL HEALTH MEDICAL GROUP - BUTTE ENT 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
66	66 - SCL HEALTH MEDICAL GROUP - BILLINGS OCCUPA 2019 BROADWATER AVE BILLINGS,MT591024810	OUTPATIENT PHYSICIAN CLINIC
67	67 - SCL HEALTH MEDICAL GROUP - BUTTE DOWNTOWN 3636 HARRISON AVE BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
68	68 - ST JAMES HEALTHCARE - CANCER CENTERS OF MO 400 S CLARK ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
69	69 - SCL HEALTH MEDICAL GROUP - CODY 720 LINDSAY LN CODY,WY824144103	OUTPATIENT PHYSICIAN CLINIC
70	70 - SCL HEALTH HEART & VASCULAR INSTITUTE - BU 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
71	71 - SCL HEALTH MEDICAL GROUP - BOULDER 214 S MAIN ST BOULDER,MT59632	OUTPATIENT PHYSICIAN CLINIC
72	72 - SCL HEALTH MEDICAL GROUP - LOCKWOOD 2054 HWY 87 EAST BILLINGS,MT591016699	OUTPATIENT PHYSICIAN CLINIC
73	73 - SCL HEALTH ST VINCENT PEDIATRIC HOSPITALIS 1233 N 30TH ST BILLINGS,MT591075200	OUTPATIENT PHYSICIAN CLINIC
74	74 - SCL HEALTH MEDICAL GROUP - PEDIATRIC SPECI 1232 N 30TH BILLINGS,MT59101	OUTPATIENT PHYSICIAN CLINIC
75	75 - SCL HEALTH MEDICAL GROUP WHITEHALL PHYSICA 309 EAST LEGION WHITEHALL,MT59759	OUTPATIENT PHYSICIAN CLINIC
76	76 - SCL HEALTH MEDICAL GROUP - ABSAROKEE 55 N MONTANA ABSAROKEE,MT590010425	OUTPATIENT PHYSICIAN CLINIC
77	77 - SCL HEALTH ST VINCENT PALLIATIVE CARE 1233 N 30TH ST BILLINGS,MT59101	OUTPATIENT PHYSICIAN CLINIC
78	78 - SCL HEALTH ST VINCENT NEUROLOGY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
79	79 - SCL HEALTH MEDICAL GROUP BUTTE NEUROLOGY 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
80	80 - SCL HEALTH MEDICAL GROUP - PEDIATRIC SPECI 1232 N 30TH BILLINGS,MT591010128	OUTPATIENT PHYSICIAN CLINIC
81	81 - SCL HEALTH MEDICAL GROUP - BILLINGS PHYSIA 2900 12TH AVE N BILLINGS,MT591010136	OUTPATIENT PHYSICIAN CLINIC
82	82 - SCL HEALTH- ST VINCENT NEUROSURGERY 2600 WILSON MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
83	83 - SCL HEALTH ST VINCENT NEUROLOGY 621 3RD ST S GLASGOW,MT59230	OUTPATIENT PHYSICIAN CLINIC
84	84 - SCL HEALTH MEDICAL GROUP -MILES CITY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
85	85 - SCL HEALTH HEART & VASCULAR INSTITUTE - MI 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
86	86 - SCL HEALTH ST VINCENT NEUROLOGY 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
87	87 - SCL HEALTH MEDICAL GROUP - BOULDER 214 S MAIN BOULDER,MT59632	OUTPATIENT PHYSICIAN CLINIC
88	88 - SCL HEALTH HEART & VASCULAR INSTITUTE - BI 711 W MAIN ST BOZEMAN,MT597153356	OUTPATIENT PHYSICIAN CLINIC
89	89 - SCL HEALTH MEDICAL GROUP - BILLINGS UROLOG 181 12TH AVE SW SIDNEY,MT59270	OUTPATIENT PHYSICIAN CLINIC
90	90 - SCL HEALTH ST VINCENT NEUROSURGERY 621 3RD STREET SOUTH GLASGOW,MT59230	OUTPATIENT PHYSICIAN CLINIC
91	91 - SCL HEALTH HEART & VASCULAR INSTITUTE - SI 216 14TH AVE SW SIDNEY,MT59270	OUTPATIENT PHYSICIAN CLINIC
92	92 - SCL HEALTH MEDICAL GROUP - MILES CITY SLEE 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
93	93 - SCLHBI WOUND MILES CITY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
94	94 - SCL HEALTH HEART & VASCULAR INSTITUTE - CO 424 YELLOWSTONE AVE CODY,WY824144103	OUTPATIENT PHYSICIAN CLINIC
95	95 - SCL HEALTH ST VINCENT NEUROLOGY 181 12TH AVE SW SIDNEY,MT59270	OUTPATIENT PHYSICIAN CLINIC
96	96 - SCL HEALTH MEDICAL GROUP - SIDNEY MATERNAL 216 14TH AVE SW SIDNEY,MT59270	OUTPATIENT PHYSICIAN CLINIC
97	97 - SCL HEALTH HEART & VASCULAR INSTITUTE - BO 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
98	98 - SCL HEALTH HEART & VASCULAR INSTITUTE - LE 70 CATTAIL DR LEWISTOWN,MT59457	OUTPATIENT PHYSICIAN CLINIC
99	99 - SCL HEALTH MEDICAL GROUP - BILLINGS UROLOG 720 LINDSAY LN CODY,WY82414	OUTPATIENT PHYSICIAN CLINIC
100	100 - SCL HEALTH MEDICAL GROUP - CODY NEPH 720 LINDSAY LN CODY,WY824144103	OUTPATIENT PHYSICIAN CLINIC
101	101 - SCL HEALTH MEDICAL GROUP - SHERIDAN SHERIDAN MEMORIAL HOSPITAL WOMENS CLINIC SHERIDAN,WY82801	OUTPATIENT PHYSICIAN CLINIC
102	102 - SCL HEALTH ST VINCENT HOSPITALISTS 1233 N 30TH ST BILLINGS,MT591010127	OUTPATIENT PHYSICIAN CLINIC
103	103 - SCL HEALTH HEART & VASCULAR INSTITUTE - RE 10 ROBINSON LANE RED LODGE,MT590689010	OUTPATIENT PHYSICIAN CLINIC
104	104 - SCL HEALTH MEDICAL GROUP - BOULDER OBGYN 214 S MAIN ST BOULDER,MT59701	OUTPATIENT PHYSICIAN CLINIC
105	105 - SCL HEALTH MEDICAL GROUP - BILLINGS UROLOG 202 PROSPECT GLENDIVE,MT59330	OUTPATIENT PHYSICIAN CLINIC
106	106 - SCL HEALTH MEDICAL GROUP - HARDIN SLEEP AN 16 N MILES AVE HARDIN,MT59034	OUTPATIENT PHYSICIAN CLINIC
107	107 - SCL HEALTH ST VINCENT NEUROSURGERY 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
108	108 - SCL HEALTH MEDICAL GROUP - MONTANA ORTHOPE 2442 WINNE AVE HELENA,MT596014921	OUTPATIENT PHYSICIAN CLINIC
109	109 - SCL HEALTH MEDICAL GROUP - BOZEMAN ENT 711 W MAIN ST BOZEMAN,MT597153356	OUTPATIENT PHYSICIAN CLINIC
110	110 - SCL HEALTH MEDICAL GROUP - BILLINGS MIDWIF 16 N MILES AVE HARDIN,MT59034	OUTPATIENT PHYSICIAN CLINIC
111	111 - SCL HEALTH ST VINCENT NEUROLOGY 70 CATTAIL DRIVE LEWISTOWN,MT59457	OUTPATIENT PHYSICIAN CLINIC
112	112 - SCL HEALTH MEDICAL GROUP - DEER LODGE OB 1100 HOLLENBECK LANE DEER LODGE,MT59722	OUTPATIENT PHYSICIAN CLINIC
113	113 - SCL HEALTH MEDICAL GROUP - LEWISTOWN 70 CATTAIL DR LEWISTOWN,MT59457	OUTPATIENT PHYSICIAN CLINIC
114	114 - SCL HEALTH MEDICAL GROUP - BILLINGS UROLOG 1106 BIGHORN AVE WORLAND,WY82401	OUTPATIENT PHYSICIAN CLINIC
115	115 - SCL HEALTH MEDICAL GROUP - BOZEMAN 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
116	116 - SCL HEALTH HEART & VASCULAR INSTITUTE - MI 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
117	117 - SCL HEALTH MEDICAL GROUP - BILLINGS UROLOG 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
118	118 - SCL HEALTH MEDICAL GROUP - WORLAND 1106 BIG HORN AVE WORLAND,WY824012803	OUTPATIENT PHYSICIAN CLINIC
119	119 - SCL HEALTH ST VINCENT NEUROSURGERY 181 12TH AVE SW SIDNEY,MT59270	OUTPATIENT PHYSICIAN CLINIC
120	120 - SCL HEALTH MEDICAL GROUP - CODY PEDS 720 LINDSAY LANE CODY,WY82414	OUTPATIENT PHYSICIAN CLINIC
121	121 - SCL HEALTH MEDICAL GROUP - MILES CITY MATE 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
122	122 - SCL HEALTH ST VINCENT NEUROSURGERY 401 15TH AVE SOUTH GREAT FALLS,MT59405	OUTPATIENT PHYSICIAN CLINIC
123	123 - SCL HEALTH HEARTVASCULAR CODY CARDIOVASCU 720 LINDSEY LANE CODY,WY824144103	OUTPATIENT PHYSICIAN CLINIC
124	124 - SCL HEALTH ST VINCENT NEUROSURGERY 720 LINDSAY LN CODY,WY82414	OUTPATIENT PHYSICIAN CLINIC
125	125 - SCL HEALTH MEDICAL GROUP - SIDNEY PEDS 216 14TH AVENUE SW SIDNEY,MT592703521	OUTPATIENT PHYSICIAN CLINIC
126	126 - SCL HEALTH ST VINCENT NEUROSURGERY THE FOOT CARE CENTER SHERIDAN,WY828010000	OUTPATIENT PHYSICIAN CLINIC
127	127 - SCL HEALTH MEDICAL GROUP - BILLINGS UROLOG 70 CATTAIL DR LEWISTOWN,MT59457	OUTPATIENT PHYSICIAN CLINIC
128	128 - SCL HEALTH MEDICAL GROUP - BUTTE PEDS 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
129	129 - SCL HEALTH MEDICAL GROUP - BOZEMAN 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
130	130 - SCLHBI MW WMNS HEIGHTS 32 WICKS LANE BILLINGS,MT591058310	OUTPATIENT PHYSICIAN CLINIC
131	131 - SCL HEALTH MEDICAL GROUP - MILES CITY MATE 2600 WILSON ST MILES CITY,MT593010014	OUTPATIENT PHYSICIAN CLINIC
132	132 - SCL HEALTH MEDICAL GROUP - SIDNEY PEDS 216 14TH AVENUE SW SIDNEY,MT592703521	OUTPATIENT PHYSICIAN CLINIC
133	133 - SCL HEALTH HEART & VASCULAR INSTITUTE - BI 70 CATTAIL DR LEWISTOWN,MT594570000	OUTPATIENT PHYSICIAN CLINIC
134	134 - SCL HEALTH MEDICAL GROUP - HARDIN NEPHROLO 16 N MILES AVE HARDIN,MT59034	OUTPATIENT PHYSICIAN CLINIC
135	135 - SCLHBI UROLOGY BOZEMAN 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
136	136 - SCL HEALTH MEDICAL GROUP - CODY PEDS 720 LINDSAY LANE CODY,WY82414	OUTPATIENT PHYSICIAN CLINIC
137	137 - SCL HEALTH MEDICAL GROUP - BOULDER 214 S MAIN ST BOULDER,MT59701	OUTPATIENT PHYSICIAN CLINIC
138	138 - SCL HEALTH MEDICAL GROUP - BUTTE PEDS 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
139	139 - SCL HEALTH MEDICAL GROUP - RMAP OBGYN 435 S CRYSTAL STREET BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
140	140 - SCL HEALTH MEDICAL GROUP -BUTTE ST JAMES HEALTHCARE BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
141	141 - SCL HEALTH MEDICAL GROUP- RUBY VALLEY OBGY 321 MADISON SHERIDAN,MT59749	OUTPATIENT PHYSICIAN CLINIC
142	142 - SCL HEALTH MEDICAL GROUP - BOZEMAN 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
143	143 - SCL HEALTH MEDICAL GROUP -BUTTE OBGYN 445 CENTENNIAL AVE BUTTE,MT597012870	OUTPATIENT PHYSICIAN CLINIC

Schedule H (Form 990) 2022

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 3C:	SCLHS'S SLIDING SCALE FOR FREE AND DISCOUNTED CARE IS 0 TO 400% FEDERAL POVERTY LEVEL (FPL) IN ACCORDANCE WITH THE FEDERAL POVERTY GUIDELINES. PATIENTS BETWEEN 0-250% FPL WILL RECEIVE 100% DISCOUNT ON THEIR BALANCES WHILE PATIENTS BETWEEN 251-400% WILL RECEIVE PARTIAL DISCOUNT BASED ON WHERE THEY FALL. THE DETERMINATION IS BASED ON HOUSEHOLD INCOME AND THE HOUSEHOLD SIZE. PATIENTS ARE REQUIRED TO FILL OUT A SIMPLE ONE-PAGE APPLICATION AND SUPPLY SUPPORTING DOCUMENTATION. THE APPLICATION ASKS FOR INFORMATION ABOUT THE APPLICANT AND HOUSEHOLD MEMBERS. SUPPORTING DOCUMENTATION IS THE MOST RECENT PAYSTUB, OR SOME OTHER FORM FOR PROOF OF INCOME. IF THERE IS MORE THAN ONE FAMILY MEMBER WORKING AND COUNTED IN THE HOUSEHOLD DETERMINATION, THEY WOULD ALSO BE REQUIRED TO PROVIDE PROOF OF INCOME.
PART I, LINE 6A:	SCLHS IS PART OF THE INTERMOUNTAIN HEALTH CARE, INC. SYSTEM, WHICH PREPARES AN ANNUAL REPORT TO THE COMMUNITY ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, INTERMOUNTAIN HEALTH CARE, INC.
PART I, LINE 7:	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN SCLHS' FINANCIAL STATEMENTS. AMOUNTS REPORTED IN LINE 7G FOR COSTS INCURRED TO PROVIDE SUBSIDIZED HEALTH SERVICES AT PHYSICIAN CLINICS WERE $7,610,452.PART I, LINE 7, COLUMN (F):BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F), IS $1,782,255.
PART II, COMMUNITY BUILDING ACTIVITIES:	PART III, LINE 1:SCLHS 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 SCLHS' 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, AND 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, AND THIRD-PARTY PAYOR PROGRAMS; CHARITY CARE; UNINSURED DISCOUNTS; AND OTHER ADMINISTRATIVE ADJUSTMENTS.SCLHS 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 SCLHS' CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE SCLHS DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE PATIENT SERVICE REVENUE FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGES 13 AND 14 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	SCLHS BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS IT INCURS IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES 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, THE MEDICARE "ALLOWABLE COSTS" EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS, SCLHS IS 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, SCLHS 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 SCLHS' MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES SCLHS TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. SCLHS MAINTAINS A BALANCE THAT ENABLES SCLHS TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST AND ENSURE THAT SCLHS MANAGES OUR RESOURCES SO SCLHS CAN CONTINUE TO BE HERE WHEN PEOPLE NEED SCLHS MOST. SCLHS 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:	THE REHABILITATION HOSPITAL OF MONTANA, LLC IS A PARTNERSHIP BETWEEN SCL HEALTH - MONTANA, SCL HEALTH MEDICAL GROUP - BILLINGS CLINIC AND KINDRED HEALTHCARE, INC. OPENED IN AUGUST OF 2019, THE REHABILITATION HOSPITAL OF MONTANA, LLC PROVIDES A 34-BED INPATIENT REHABILITATION HOSPITAL TO TREAT PATIENTS RECOVERING FROM CONDITIONS SUCH AS STROKE, TRAUMATIC BRAIN INJURY AND SPINAL CORD INJURY. PARTNERING ORGANIZATIONS, SCL HEALTH MEDICAL GROUP - BILLINGS CLINIC AND SCL HEALTH - MONTANA CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2021 WITH THE PARTICIPATION OF REHABILITATION HOSPITAL OF MONTANA STAFF. THIS COMPREHENSIVE CHNA FOCUSED ON YELLOWSTONE COUNTY, MONTANA, WHICH SERVES AS THE PRIMARY SERVICE AREA FOR BOTH SCL HEALTH MEDICAL GROUP - BILLINGS CLINIC AND SCL HEALTH - MONTANA, REPRESENTING APPROXIMATELY 60% AND 64% OF HOSPITAL AND EMERGENCY ADMISSIONS, RESPECTIVELY. THIS COMPREHENSIVE CHNA PROVIDED AN IN-DEPTH VIEW OF COMMUNITY HEALTH NEEDS AND CAN BE ACCESSED ONLINE: HTTPS://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG/WP-CONTENT/UPLOADS/2021/09/2020-PRC-CHNA-REPORT-YELLOWSTONE-COUNTY-MT-FINAL-2020.02.07-1.PDFIN 2021, THE REHABILITATION HOSPITAL OF MONTANA, LLC CONDUCTED A CHNA TO INCLUDE ADDITIONAL STATEWIDE DATA RELATED TO APPLICABLE HEALTH CONDITIONS. THIS CHNA INCLUDES SECONDARY DATA FROM STATEWIDE SOURCES, DATA FROM THE YELLOWSTONE COUNTY CHNA, AND PRIMARY DATA FROM A KEY STAKEHOLDER SURVEY. STATEWIDE SECONDARY DATA FOR THE REHABILITATION HOSPITAL OF MONTANA, LLC COMMUNITY HEALTH NEEDS ASSESSMENT HAVE BEEN QUERIED FROM THE MONTANA PUBLIC HEALTH INFORMATION SYSTEM AND INCLUDE DATA FROM THE BEHAVIORAL HEALTH RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AND DATA FROM THE MONTANA HOSPITAL DISCHARGE DATA SYSTEM. A SURVEY WAS CONDUCTED WITH KEY INFORMANTS IN JULY 2021. SURVEYS WERE EMAILED TO 29 KEY STAKEHOLDERS. THE SURVEY INSTRUMENT INCLUDED 8 QUESTIONS FOCUSED ON GENERAL HEALTH STATUS, SERIOUS HEALTH CONCERNS, NEEDS FOR A HEALTHY COMMUNITY INCLUDING SOCIAL DETERMINANTS OF HEALTH, SERVICES OF THE MONTANA REHABILITATION HOSPITAL, LLC, BARRIERS TO HEALTH FOR PATIENTS, AND OPPORTUNITIES TO ADDRESS HEALTH NEEDS. 15 KEY STAKEHOLDERS COMPLETED THE SURVEY, A 51% RESPONSE RATE.
PART VI, LINE 3:	THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS AND THROUGH THE PATIENT PORTAL, MYCHART. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT-SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4:	THE REHABILITATION HOSPITAL OF MONTANA, LLC SERVES PATIENTS FROM ACROSS THE STATE OF MONTANA AND THE SURROUNDING STATES. APPROXIMATELY 88% OF PATIENTS COME FROM MONTANA AND 53% OF PATIENTS ARE LOCATED IN YELLOWSTONE COUNTY. THE REHABILITATION HOSPITAL OF MONTANA, LLC IS A STATE-OF-THE-ART, 34-BED INPATIENT ACUTE REHABILITATION HOSPITAL DEDICATED TO THE TREATMENT AND RECOVERY OF INDIVIDUALS WHO HAVE EXPERIENCED A LOSS OF FUNCTION DUE TO AN INJURY OR ILLNESS. POPULATION AND GEOGRAPHY: THE STATE OF MONTANA HAS A POPULATION OF 1,084,225. BETWEEN THE 2010 AND 2020 CENSUS, THE STATEWIDE POPULATION INCREASED BY 9.5%. MONTANA HAS A TOTAL LAND AREA OF 145,545.42 SQUARE MILES AND A POPULATION DENSITY OF 7.44 PEOPLE PER SQUARE MILE. (CENSUS.GOV/QUICKFACTS)DEMOGRAPHICS: MOST RESIDENTS OF MONTANA (88.9%) ARE WHITE. APPROXIMATELY 6.7% OF RESIDENTS ARE NATIVE AMERICAN/ALASKA NATIVE, 4.1% ARE HISPANIC OR LATINO, AND 2.8% REPORT TWO OR MORE RACES. LESS THAN 1% OF THE POPULATION ARE BLACK, ASIAN, OR NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER. (CENSUS.GOV/QUICKFACTS)DATA FROM THE U.S. CENSUS BUREAU REPORTS 86,787 VETERANS IN THE STATE, APPROXIMATELY 10.6% OF THE TOTAL POPULATION. APPROXIMATELY 93.6% OF MONTANA RESIDENTS HAVE A HIGH SCHOOL DIPLOMA, WITH 32% OF RESIDENTS HAVING A BACHELOR'S DEGREE OR HIGHER. AN ADDITIONAL 9.2% OF RESIDENTS UNDER AGE 65 HAVE A DISABILITY. POVERTY AND ECONOMICS: THE MEDIAN HOUSEHOLD INCOME (IN 2019 DOLLARS) FROM 2015-2019 WAS $54,970. APPROXIMATELY 12.6% OF RESIDENTS LIVE IN POVERTY. HEALTH STATUS: MOST RESIDENTS IN MONTANA HAVE HEALTHCARE COVERAGE, BUT 10.3% REPORT NO HEALTHCARE COVERAGE (BRFSS, 2018). A SIMILAR PERCENTAGE OF RESIDENTS (10.1%) REPORTED BEING UNABLE TO GET NEEDED MEDICAL CARE DUE TO COST IN 2018. NEARLY A THIRD OF RESIDENTS (27.2%) HAD NO PRIMARY CARE PROVIDER. MOST RESIDENTS (73%) REPORTED A ROUTINE HEALTH VISIT IN THE LAST YEAR. THE MAJORITY OF MONTANA RESIDENTS (84.5%) REPORT EXCELLENT TO GOOD OVERALL HEALTH, BUT 15.5% OF RESIDENTS REPORT FAIR TO POOR OVERALL HEALTH. RESIDENTS WITH LOWER INCOMES WERE MORE LIKELY TO REPORT FAIR/POOR OVERALL HEALTH THAN RESIDENTS OF HIGHER INCOMES. AN ADDITIONAL 9.2% OF RESIDENTS UNDER AGE 65 HAVE A DISABILITY. (BRFSS, 2015-2018).
PART VI, LINE 5:	THE REHABILITATION HOSPITAL OF MONTANA, LLC. PARTICIPATES IN COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE HEALTHY BY DESIGN COALITION, A COLLABORATIVE SPONSORED BY JOINT VENTURE PARTNERS SCL HEALTH MEDICAL GROUP - BILLINGS CLINIC AND SCL HEALTH - MONTANA IN CONJUNCTION WITH RIVERSTONE HEALTH AND COMMITS IN-KIND RESOURCES TO FULFILL GOALS OUTLINED IN THE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY.
PART VI, LINE 6:	THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN), AN INTEGRATED HEALTH SYSTEM WHOSE VISION IS TO "BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICES AT AN AFFORDABLE COST." INTERMOUNTAIN STRIVES TO FULFILL THAT MISSION THROUGH ACCOMPLISHING ITS STATED MISSION OF "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE." INTERMOUNTAIN HEALTH CARE, INC., IS A NONPROFIT CORPORATION EXEMPT UNDER IRC SECTION 501(C)(3). AFFILIATES WITHIN THE HEALTH SYSTEM NETWORK INCLUDE NONPROFIT CORPORATIONS EXEMPT UNDER IRC SECTIONS 501(C)(3) AND 501(C)(4), TAXABLE CORPORATIONS, PARTNERSHIPS WITH PHYSICIANS, STRATEGIC INVESTMENTS, AND JOINT VENTURES.HEADQUARTERED IN SALT LAKE CITY, UTAH, INTERMOUNTAIN CONSISTS OF A TEAM OF NEARLY 60,000 CAREGIVERS WHO SERVE THE HEALTHCARE NEEDS OF PEOPLE ACROSS THE INTERMOUNTAIN WEST, INCLUDING UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. INTERMOUNTAIN PROVIDES SERVICES TO AND PROMOTES THE HEALTH OF THESE COMMUNITIES THROUGH 33 HOSPITALS, HUNDREDS OF CLINICS, A MEDICAL GROUP, AFFILIATE NETWORKS, HOMECARE, TELEHEALTH, INSURANCE PLANS, MEDICAL AIR TRANSPORT, AND OTHER SERVICES. INTERMOUNTAIN IS WIDELY RECOGNIZED AS A LEADER IN TRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TO CONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS.INTERMOUNTAIN IS WORKING TO IMPROVE THE HEALTH AND WELL-BEING BY IMPROVING MENTAL WELL-BEING, PREVENTING AVOIDABLE DISEASE, IMPROVING AIR QUALITY, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND OTHER COMMUNITY HEALTH INITIATIVES.THROUGH MULTIPLE CHARITABLE FOUNDATIONS, INTERMOUNTAIN ALSO DEVELOPS FINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTING OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL SERVICES FOR LOW-INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS.PART VI, LINE 7:STATE FILING OF COMMUNITY BENEFIT REPORT - NOT APPLICABLE.

Schedule H (Form 990) 2022

Additional Data

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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

2022

Open to Public
Inspection

Name of the organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number
23-7379161

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) SCL HEALTH - MONTANA 1233 NORTH 30TH STREET BILLINGS,MT59101	81-0232124	501(C)(3)	8,900,000	0			SUPPORT MISSION
(2) MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER,CO80211	84-0405260	501(C)(3)	500,000	0			SUPPORT MISSION
(3) CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH,KS66048	48-1009910	501(C)(3)	419,184	0			SUPPORT MISSION
(4) SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021	84-1103606	501(C)(3)	247,517	0			SUPPORT MISSION
(5) MARIAN CLINIC INC 3164 SE SIXTH AVENUE TOPEKA,KS66607	48-1046905	501(C)(3)	47,569	0			SUPPORT MISSION
(6) FREDRICK - FIRESTONE FIRE PROTECTION DISTRICT 8426 KOSMERL PLACE FREDRICK,CO80504	84-0949589	COUNTY DISTRICT	0	5,290	FMV	LAND	LAND FOR FIRE STATION

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) 2022

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:	SCLHS' MISSION DEPARTMENT REQUIRES WRITTEN STATEMENTS THREE TIMES A YEAR REGARDING THE PROGRESS AND STATUS OF THE GRANT.

Schedule I (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

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

2022

Open to Public Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

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 on 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 on Line 1a? ....

Yes

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) 2022

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1ALBERT ZIMMERLI TREASURER 12/14-12/31	(i) (ii)	0 ------------- 1,206,132	0 ------------- 888,226	0 ------------- 2,204,533	0 ------------- 1,380,079	0 ------------- 10,459	0 ------------- 5,689,429	0 ------------- 759,188
2LYDIA JUMONVILLE PRES & CEO 1/1-4/1/22, CEO/DIRECTOR	(i) (ii)	1,457,019 ------------- 0	1,300,392 ------------- 0	435,796 ------------- 0	675,533 ------------- 0	19,797 ------------- 0	3,888,537 ------------- 0	382,586 ------------- 0
3JANIE WADE TREAS 1/1-12/14/22 / EVP CFO	(i) (ii)	911,292 ------------- 0	757,353 ------------- 0	586,276 ------------- 0	296,475 ------------- 0	25,350 ------------- 0	2,576,746 ------------- 0	581,138 ------------- 0
4ROSLAND MCLEOD SEC 1/1-4/1 / CHIEF LEGAL 1/1-6/3	(i) (ii)	281,361 ------------- 0	817,358 ------------- 0	1,003,626 ------------- 0	159,680 ------------- 0	30,615 ------------- 0	2,292,640 ------------- 0	580,472 ------------- 0
5JAMES VALIN MD VICE PRES 1/1-12/14 / CHIEF CLINICAL	(i) (ii)	1,018,982 ------------- 0	675,622 ------------- 0	104,638 ------------- 0	305,673 ------------- 0	30,233 ------------- 0	2,135,148 ------------- 0	98,880 ------------- 0
6MARK KORTH EVP COO 1/1-4/1, PRES 4/1-12/31	(i) (ii)	889,240 ------------- 0	847,403 ------------- 0	5,066 ------------- 0	294,602 ------------- 0	25,700 ------------- 0	2,062,011 ------------- 0	0 ------------- 0
7GREG MATIS SEC 12/14-12/31	(i) (ii)	0 ------------- 672,534	0 ------------- 398,107	0 ------------- 309,942	0 ------------- 551,190	0 ------------- 10,629	0 ------------- 1,942,402	0 ------------- 0
8GREGORY M JOHNSON VP, FINANCE SERVICES 12/14-12/31	(i) (ii)	0 ------------- 546,031	0 ------------- 305,661	0 ------------- 755,765	0 ------------- 260,012	0 ------------- 21,267	0 ------------- 1,888,736	0 ------------- 655,717
9TAJQUAH HUDSON EVP CHIEF STRATEGY & GROWTH OFFICER	(i) (ii)	647,801 ------------- 0	591,630 ------------- 0	177,084 ------------- 0	282,369 ------------- 0	9,840 ------------- 0	1,708,724 ------------- 0	164,654 ------------- 0
10ANTHONY RUSSO MD MG PHYSICIAN	(i) (ii)	1,149,418 ------------- 0	434,640 ------------- 0	3,256 ------------- 0	16,773 ------------- 0	36,348 ------------- 0	1,640,435 ------------- 0	0 ------------- 0
11J GRANT WICKLUND PRESIDENT REGIONAL WESTERN CO & LMC	(i) (ii)	604,937 ------------- 0	198,354 ------------- 0	309,972 ------------- 0	447,555 ------------- 0	20,942 ------------- 0	1,581,760 ------------- 0	0 ------------- 0
12CLAY M ASHDOWN SVP, FINANCE OPS 12/14-12/31	(i) (ii)	0 ------------- 584,531	0 ------------- 306,360	0 ------------- 121,931	0 ------------- 418,066	0 ------------- 18,231	0 ------------- 1,449,119	0 ------------- 0
13SHAWN DUFFORD MD SVP, CHIEF MEDICAL OFFICER 1/1-4/15	(i) (ii)	213,503 ------------- 0	188,445 ------------- 0	848,825 ------------- 0	92,388 ------------- 0	16,578 ------------- 0	1,359,739 ------------- 0	324,506 ------------- 0
14CRAIG RICHARDVILLE SVP, CHIEF INFO AND DIGITAL OFFICER	(i) (ii)	591,087 ------------- 0	485,833 ------------- 0	12,449 ------------- 0	179,164 ------------- 0	22,247 ------------- 0	1,290,780 ------------- 0	0 ------------- 0
15JENNIFER ALDERFER MONTANA MARKET PRESIDENT	(i) (ii)	570,549 ------------- 0	174,139 ------------- 0	203,606 ------------- 0	225,368 ------------- 0	28,233 ------------- 0	1,201,895 ------------- 0	72,010 ------------- 0
16LOUIS ROSS MD PHYSICIAN CLINIC	(i) (ii)	804,715 ------------- 0	275,659 ------------- 0	2,344 ------------- 0	18,300 ------------- 0	28,112 ------------- 0	1,129,130 ------------- 0	0 ------------- 0
17MEGAN MAHNCKE PRESIDENT SCL HLTH FOUNDATIONS & SVP	(i) (ii)	473,771 ------------- 0	391,051 ------------- 0	31,258 ------------- 0	141,612 ------------- 0	28,450 ------------- 0	1,066,142 ------------- 0	29,019 ------------- 0
18TAMARA SAUNAITIS SVP CHIEF HR OFFICER 1/1-4/1	(i) (ii)	284,696 ------------- 0	420,855 ------------- 0	234,825 ------------- 0	75,296 ------------- 0	14,388 ------------- 0	1,030,060 ------------- 0	227,610 ------------- 0
19SUZANNE DRAPER VP, ETHICS & COMPLIANCE 12/14-12/31	(i) (ii)	0 ------------- 329,217	0 ------------- 193,297	0 ------------- 63,273	0 ------------- 413,722	0 ------------- 25,830	0 ------------- 1,025,339	0 ------------- 0
20STUART GOODMAN MD PHYSICIAN ANESTHESIA	(i) (ii)	737,403 ------------- 0	178,795 ------------- 0	9,778 ------------- 0	14,372 ------------- 0	26,208 ------------- 0	966,556 ------------- 0	0 ------------- 0
21STACY JENNINGS VP, CHIEF INVEST OFFICER 12/14-12/31	(i) (ii)	0 ------------- 494,818	0 ------------- 142,904	0 ------------- 290	0 ------------- 300,529	0 ------------- 22,404	0 ------------- 960,945	0 ------------- 133,242
22JOHN BRAXTON MD PHYSICIAN CLINIC	(i) (ii)	898,487 ------------- 0	14,640 ------------- 0	8,157 ------------- 0	15,227 ------------- 0	18,557 ------------- 0	955,068 ------------- 0	0 ------------- 0
23THOMAS DONOHOE VP GENERAL COUNSEL OPERATIONS	(i) (ii)	439,403 ------------- 0	237,988 ------------- 0	85,001 ------------- 0	144,291 ------------- 0	28,450 ------------- 0	935,133 ------------- 0	83,350 ------------- 0
24DAVID PRINGLE CHIEF CATHOLIC MISSION OFFICER	(i) (ii)	374,613 ------------- 0	340,026 ------------- 0	55,087 ------------- 0	117,345 ------------- 0	22,857 ------------- 0	909,928 ------------- 0	0 ------------- 0
25CHRISTOPHER AWTREY MD CHIEF MEDICAL OFFICER, MEDICAL GROUP	(i) (ii)	398,324 ------------- 0	124,751 ------------- 0	159,955 ------------- 0	165,955 ------------- 0	28,233 ------------- 0	877,218 ------------- 0	0 ------------- 0
26HEIDI WALD VP CHIEF QUALITY & SAFETY OFFICER	(i) (ii)	439,844 ------------- 0	159,492 ------------- 0	78,777 ------------- 0	144,566 ------------- 0	28,001 ------------- 0	850,680 ------------- 0	73,757 ------------- 0
27BRYAN JOHNSON WESTERN CO MKT PRESIDENT	(i) (ii)	457,894 ------------- 0	141,306 ------------- 0	36,585 ------------- 0	181,461 ------------- 0	25,700 ------------- 0	842,946 ------------- 0	32,319 ------------- 0
28ALAN BAKER CHIEF OPERATING OFFICER, MEDICAL GRO	(i) (ii)	372,211 ------------- 0	201,674 ------------- 0	43,480 ------------- 0	164,579 ------------- 0	26,850 ------------- 0	808,794 ------------- 0	40,758 ------------- 0
29SIMON PAYNE MD CMO, ACUTE CARE	(i) (ii)	414,072 ------------- 0	149,703 ------------- 0	52,550 ------------- 0	134,947 ------------- 0	25,888 ------------- 0	777,160 ------------- 0	49,613 ------------- 0
30BARBARA JAHN CHIEF OPERATING OFFICER	(i) (ii)	416,100 ------------- 0	149,850 ------------- 0	52,402 ------------- 0	129,072 ------------- 0	20,107 ------------- 0	767,531 ------------- 0	45,450 ------------- 0
31AMY CHURCH VP FINANCE OPERATIONS	(i) (ii)	481,761 ------------- 0	117,839 ------------- 0	22,813 ------------- 0	130,189 ------------- 0	1,815 ------------- 0	754,417 ------------- 0	22,099 ------------- 0
32LAURA WIGHTMAN SVP CHIEF NURSING OFFICER SYS 1/1-5/	(i) (ii)	138,276 ------------- 0	117,216 ------------- 0	422,830 ------------- 0	47,583 ------------- 0	8,147 ------------- 0	734,052 ------------- 0	115,968 ------------- 0
33TROY SPRING VP REVENUE CYCLE	(i) (ii)	411,119 ------------- 0	121,675 ------------- 0	38,687 ------------- 0	123,900 ------------- 0	29,733 ------------- 0	725,114 ------------- 0	35,719 ------------- 0
34MARK WILKINSON VP TREASURER	(i) (ii)	314,752 ------------- 0	134,216 ------------- 0	34,079 ------------- 0	99,930 ------------- 0	21,020 ------------- 0	603,997 ------------- 0	31,683 ------------- 0
35SEAN FADDEN VP, STR FIN PLAN 1/1-4/13, REG VP, F	(i) (ii)	340,253 ------------- 0	111,907 ------------- 0	20,657 ------------- 0	102,280 ------------- 0	25,376 ------------- 0	600,473 ------------- 0	19,816 ------------- 0
36TROY HOLMES VP PAYER CONTRACTING	(i) (ii)	306,761 ------------- 0	111,901 ------------- 0	37,524 ------------- 0	97,587 ------------- 0	20,107 ------------- 0	573,880 ------------- 0	32,247 ------------- 0
37DINA BUSH CHIEF NURSING OFFICER	(i) (ii)	338,548 ------------- 0	64,160 ------------- 0	5,066 ------------- 0	133,114 ------------- 0	27,900 ------------- 0	568,788 ------------- 0	0 ------------- 0
38JAMES RITCHEY VP HUMAN RESOURCES OPERATIONS	(i) (ii)	288,560 ------------- 0	57,646 ------------- 0	38,079 ------------- 0	87,911 ------------- 0	28,200 ------------- 0	500,396 ------------- 0	36,276 ------------- 0
39SUSAN SCHAUB VP HR OPERATIONS	(i) (ii)	288,632 ------------- 0	31,757 ------------- 0	1,463 ------------- 0	99,071 ------------- 0	10,345 ------------- 0	431,268 ------------- 0	0 ------------- 0
40STEVEN CHYUNG SVP SUPPLY CHAIN & REAL ESTATE 1/1-	(i) (ii)	127,114 ------------- 0	146,930 ------------- 0	58,491 ------------- 0	64,775 ------------- 0	10,781 ------------- 0	408,091 ------------- 0	56,057 ------------- 0
41TERENCE MOLOUGHNEY ASST SECRETARY 12/14-12/31/22	(i) (ii)	239,255 ------------- 0	14,752 ------------- 0	963 ------------- 0	28,284 ------------- 0	20,759 ------------- 0	304,013 ------------- 0	0 ------------- 0
42KHADIJA MOHAMED ASST SECRETARY / BOARD GOV PROG MGR	(i) (ii)	122,820 ------------- 0	12,286 ------------- 0	521 ------------- 0	7,300 ------------- 0	10,180 ------------- 0	153,107 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

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 1A	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS SCLHS AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2022 WERE: JENNIFER ALDERFER - $30,036, CHRISTOPHER AWTREY, MD - $45,433
PART I, LINE 1B	SCLHS AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE, PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES.
PART I, LINE 3	COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR SCLHS' OFFICERS AND SENIOR MANAGEMENT ARE PAID BY SCLHS. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCLHS AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE INC.'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) 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 SCLHS AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2022 WERE: ROSLAND MCLEOD - $322,805, SHAWN DUFFORD - $400,522, LAURA WIGHTMAN - $233,910 SCHEDULE J, PART I, LINE 4B 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 NONPROFIT 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. 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. IN 2019, THE RELATED ORGANIZATION CONSOLIDATED FOUR NONQUALIFED DEFERRED COMPENSATION PLANS INTO ONE PLAN. AS PART OF THIS EFFORT, ALL VESTED BALANCES FROM THE SERP PLANS PRIOR TO 2014 WERE PAID TO THE PARTICIPANTS IN 2020. THERE ARE NO REMAINING PARTICIPANTS IN THE LEGACY PLANS. 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 2022. 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 2022 WERE: LYDIA JUMONVILLE - $382,586; ROSLAND MCLEOD - $580,472; JAMES VALIN - $98,880; JANIE WADE - $581,138; ALAN BAKER - $40,758; SEAN FADDEN - $19,816; DAVID PRINGLE - $42,516; BRYAN JOHNSON - $32,319; JENNIFER ALDERFER - $72,010; SIMON PAYNE - $49,613; BARBARA JAHN - $45,450; STEVEN CHYUNG - $56,057; SHAWN DUFFORD - $324,506; TAJQUAH HUDSON - $164,654; MEGAN MAHNCKE - $29,019; TAMARA SAUNAITIS - $227,610; TROY SPRING - $35,719; LAURA WIGHTMAN - $115,968; THOMAS DONOHOE - $83,350; HEIDI WALD - $73,757; AMY CHURCH - $22,099; TROY HOLMES - $32,247; JAMES RITCHEY - $36,276; MARK WILKINSON - $31,633; ALBERT ZIMMERLI - $360,375; GREG JOHNSON - $655,717. 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	OTHER NON-FIXED PAYMENTS THE AT-RISK COMPENSATION (ARC) PLAN WAS ESTABLISHED TO ENABLE SCLHS TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION AND STRATEGIC IMPERATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND AWARD OPPORTUNITIES ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR MANAGEMENT LEVEL AT SCLHS. ACTUAL AWARDS WILL BE PAID OUT BASED ON ATTAINMENT OF SELECTED SCLHS BOARD-APPROVED GOALS, INCLUDING EBIDA (EARNINGS BEFORE INTEREST, DEPRECIATION AND AMORTIZATION), STEWARDSHIP, QUALITY, PATIENT AND ASSOCIATE SAFETY, AND PATIENT EXPERIENCE AND FULFILLMENT OF OUR MISSION. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH 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 SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON.
ADDITIONAL OFFICER AND BOARD DISCLOSURES:	ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFLIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA. INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES.

Schedule J (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	CLAY M. ASHDOWN / SUZANNE DRAPER / STACY JENNINGS / GREGORY M. JOHNSON / GREG J. MATIS / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION) JAMES P. VALIN, MD / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES AND/OR OFFICERS OF SELECTHEALTH BENEFIT ASSURANCE COMPANY, INC., A RELATED TAXABLE ENTITY) CLAY M. ASHDOWN / ALBERT R. ZIMMERLI- BUSINESS RELATIONSHIP (TRUSTEES OF NAVICAN GENOMICS, INC., A RELATED TAXABLE ENTITY)
FORM 990, PART VI, SECTION A, LINE 4	SIGNIFICANT CHANGES TO ITS GOVERNING DOCUMENTS SINCE THE PRIOR FORM 990: ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFLIATED WITH INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN). AS A RESULT, THE GOVERNING DOCUMENTS OF SCLHS WERE UPDATED TO REFLECT THE NEW PARENT ORGANIZATION, INTERMOUNTAIN AS A MEMBER OF SCLHS. AS A RESULT OF THE AFFILIATION BETWEEN SCLHS AND INTERMOUNTAIN, RESERVED POWERS ARE HELD BY BOTH SCLHS AND INTERMOUNTAIN. SCLHS HAS THE POWER TO APPOINT TRUSTEES TO THE BOARD OF DIRECTORS, SUBJECT TO RATIFICATION BY INTERMOUNTAIN. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE THE FOLLOWING: - ESTABLISH THE MISSION, VISION, AND VALUES FOR THE CORPORATION; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR THE CORPORATION; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF THE CORPORATION; - FIX THE NUMBER OF TRUSTEES OF THE BOARD AND APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE CORPORATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. AS PART OF THE AFFILIATION, CERTAIN PROTECTIONS WERE INCLUDED IN THE BYLAWS TO ENSURE THE SCLHS CATHOLIC ENTITIES WERE ABLE TO RETAIN THEIR CATHOLICITY, WHICH MAY NOT BE NEGATED, RESTRICTED, RESCINDED, REVOKED, SUSPENDED, TERMINATED, ALTERED OR AMENDED WITHOUT THE APPROVAL OF LEAVEN MINISTRIES. THE CATHOLIC PROTECTIONS INCLUDE EACH SCLHS CATHOLIC ENTITY RETAINING ITS CATHOLIC MISSION AND ALL CATHOLIC MORAL PRINCIPLES, POLICIES, AND PRACTICES THAT ARE REQUIRED BY THE CATHOLIC CHURCH, CONTINUING TO BE SUBJECT TO THE ETHICAL AND RELIGIOUS DIRECTIVES FOR CATHOLIC HEALTHCARE SERVICES AS ADOPTED AND AMENDED BY THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS, RETAINING THE CATHOLIC REFERENCES IN EACH SCLHS ENTITY NAME, NOT PERFORMING ANY MEDICAL PROCEDURE, CLINICAL INTERVENTION, OR USE ANY DEVICE OR PRODUCT THAT HAS BEEN DEEMED MORALLY OBJECTIONABLE BY THE CHURCH'S TEACHINGS. RESERVED POWERS GRANTED TO LEAVEN MINISTRIES INCLUDE THE FOLLOWING: - TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BY ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF SCLHS AND INTERMOUNTAIN SET FORTH IN THE AFFILIATION AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE ENTITY BYLAWS AND EITHER THE CATHOLIC PROTECTIONS OR LEAVEN RESERVED POWERS, THE CATHOLIC PROTECTIONS AND LEAVEN RESERVED POWERS WILL CONTROL. THE TAX-EXEMPT PURPOSE OF SCLHS WAS UPDATED TO INCLUDE THE FURTHERANCE OF THE TAX-EXEMPT PURPOSES OF INTERMOUNTAIN. THE MAXIMUM NUMBER OF BOARD MEMBERS WAS INCREASED FROM 17 TO 22 TO PROVIDE ADDITIONAL FLEXIBILITY MOVING FORWARD. THE TERM THE BOARD CHAIR MAY SERVE WAS EXTENDED FROM 2 YEARS TO 3 YEARS. THE DISSOLUTION CLAUSE WAS UPDATED TO THE NEW ORGANIZATIONAL PARENT, INTERMOUNTAIN, WHO REPLACED SCLHS. CHANGES TO THE GOVERNING DOCUMENTS MAY BE PROPOSED BY THE MEMBER, BUT NEED TO BE APPROVED BY THE IHC BOARD, PRIOR TO ADOPTION.
FORM 990, PART VI, SECTION A, LINE 6	THE MEMBERS OF THE CORPORATION ARE INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION, AND THE MEMBERS OF LEAVEN MINISTRIES. EACH MEMBER OF LEAVEN MINISTRIES SHALL SERVE AS A MEMBER OF THE CORPORATION DURING THE MEMBER'S TERM OF OFFICE AS A MEMBER OF LEAVEN MINISTRIES, WHICH IS AN UNINCORPORATED PUBLIC JURIDIC PERSON AUTHORIZED BY THE CATHOLIC CHURCH.
FORM 990, PART VI, SECTION A, LINE 7A	POWER TO ELECT OR APPOINT MEMBERS THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE CHAIR OF LEAVEN MINISTRIES, OR HIS/HER DESIGNEE, SHALL BE TRUSTEES OF THE BOARD WITH FULL VOTING RIGHTS. THE CHAIR OF LEAVEN MINISTRIES SHALL APPOINT AN ADDITIONAL MEMBER OF LEAVEN MINISTRIES TO SERVE ON THE BOARD OF DIRECTORS OF SCLHS. LEAVEN MINISTRIES AND INTERMOUNTAIN WILL EACH HAVE THE POWER TO REMOVE A TRUSTEE AT ANY TIME WITH OR WITHOUT CAUSE IMMEDIATELY UPON GIVING NOTICE TO THE TRUSTEE AND TO THE OTHER MEMBER. AT THE ANNUAL MEETING OF THE BOARD OF TRUSTEES OF INTERMOUNTAIN, SUBJECT TO THE LEAVEN MINISTRIES APPOINTMENT AND REMOVAL RIGHTS, INTERMOUNTAIN WILL APPOINT TRUSTEES, ELECT BOARD OFFICERS, AND TRANSACT SUCH OTHER BUSINESS AS IT CONSIDERS APPROPRIATE. TRUSTEES AND BOARD OFFICERS MAY BE NOMINATED FOR APPOINTMENT BY THE BOARD OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. WHILE THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. WILL MAINTAIN A SET OF COMPETENCIES AND QUALIFICATIONS FOR BOARD APPOINTMENT THAT MAY BE UPDATED FROM TIME TO TIME.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS RESERVED POWERS ARE HELD BY BOTH MEMBERS OF SCLHS. THE MEMBERS ARE INTERMOUNTAIN AND LEAVEN MINISTRIES. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE: - ESTABLISH THE MISSION, VISION, AND VALUES FOR THE CORPORATION; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR THE CORPORATION; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF THE CORPORATION; - FIX THE NUMBER OF TRUSTEES OF THE BOARD AND APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE CORPORATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. RESERVED POWERS HELD BY LEAVEN MINISTRIES INCLUDE: - TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BYANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF BOTH SCLHS AND INTERMOUNTAIN FORTH IN THE AFFILIATION AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE RESERVED POWERS GRANTED TO LEAVEN MINISTRIES AND THOSE OF INTERMOUNTAIN, THE LEAVEN RESERVED POWERS WILL CONTROL.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT. 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.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND DIRECTOR LEVEL MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON HIRE/APPOINTMENT AND ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCLHS INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. THE BUSINESS AND AFFAIRS OF SCLHS WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCLHS 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 SCLHS 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 SUPERVISOR AND/OR BOARD CHAIR. 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, COMPLETE A DISCLOSURE, AND RETURN IT TO THE SCLHS 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 OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR, EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. THE INTERESTED PERSON'S LOCAL COMPLIANCE AND PRIVACY OFFICER, SUPERVISOR, AND/OR BOARD OR COMMITTEE CHAIR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCLHS 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 SCLHS' 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 SCLHS' 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 AUDIT AND COMPLIANCE COMMITTEES. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY INTERMOUNTAIN'S TAX DEPARTMENT FOR COMPLIANCE WITH THE FORM 990 TAX RETURN.
FORM 990, PART VI, SECTION B, LINE 15	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.'S PROCESS FOR DETERMINING COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCLHS AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE, INC.'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) 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	THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN SELF INSURED LIABILITY 849,829. FAIR VALUE ACQUISITION ADJUSTMENT -91,330,121. TRANSFERS TO SUBSIDIARIES 958,601. TRANSFER OF DEBT TO AFFILIATE 1,087,728,935. TRANSFER OF BOND PROCEEDS FROM AFFILIATE 257,541,778. OTHER TRANSFERS TO/FROM AFFILIATE -1,098,041.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

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) SCL HEALTH MEDICAL GROUP - MONTANA LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-1888400	PHYSICIAN SERVICES	MT	0	0	SCLHS
(2) SCL HEALTH MEDICAL GROUP - BILLINGS LLC 1233 NORTH 30TH STREET BILLINGS,MT59101 46-4056262	PHYSICIAN SERVICES	MT	141,206,223	43,518,521	SCL HEALTH MEDICAL GROUP - MONTANA LLC
(3) SCL HEALTH MEDICAL GROUP - BUTTE LLC 400 SOUTH CLARK STREET BUTTE,MT59701 27-3193107	PHYSICIAN SERVICES	MT	31,113,029	7,570,204	SCL HEALTH MEDICAL GROUP - MONTANA LLC
(4) SCL HEALTH PARTNERS LLC 8300 WEST 38TH AVENUE WHEAT RIDGE,CO80033 02-0749530	HEALTHCARE SERVICES	CO	1,155,145	20,803,472	SCLHS
(5) CANCER CENTERS OF COLORADO LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-3157615	OP CANCER CENTER	CO	4,031,962	587,752	SCL HEALTH PARTNERS LLC
(6) GS CAMPUS ASC LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-1536566	SURGERY CENTER	CO	1,877,124	4,904,083	SCL HEALTH PARTNERS LLC
(7) SCL HEALTH - EMERUS LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 80-0958129	HOSPITAL SERVICES	CO	0	0	SCL HEALTH PARTNERS LLC
(8) SCL HEALTH AURORA LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-2156361	EMERGENCY CARE SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(9) SCL HEALTH NORTHGLENN LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-2188745	HOSPITAL SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(10) SCL HEALTH SOUTHWEST LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-2175436	HOSPITAL SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(11) SCL HEALTH WESTMINSTER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-5180833	HOSPITAL SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(12) SCL HOME HEALTH SOLUTIONS LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-2418729	HOME HEALTH SERVICES	DE	0	0	SCL HEALTH PARTNERS LLC
(13) SCL FRONT RANGE HOME HEALTH LLC 8300 W 38TH AVENUE WHEAT RIDGE,CO80207 84-1195134	HOME HEALTH SERVICES	CO	3,790,493	645,651	SCL HOME HEALTH SOLUTIONS LLC
(14) 1227 LOWER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 81-0811084	REAL ESTATE INVESTMENT	CO	0	0	SCLHS
(15) 1227 UPPER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 81-0906413	REAL ESTATE INVESTMENT	CO	0	0	SCLHS

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)SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-3290526	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(2)SCL HEALTH RESEARCH INSTITUTE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 85-2014794	MEDICAL RESEARCH	CO	501(C)(3)	LINE 4	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(3)INTEGRITY HEALTH 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-4520350	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12C, III-FI	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(4)BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON,CO80601 84-0482695	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	INTEGRITY HEALTH	Yes
(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	Yes
(6)MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER,CO80211 84-0405260	RESIDENT CARE	CO	501(C)(3)	LINE 10	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(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	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(8)SAINT JOSEPH HOSPITAL INC 1375 EAST 19TH AVENUE DENVER,CO80218 84-0417134	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(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	Yes
(10)SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 84-1103606	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(11)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
(12)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
(13)ST MARY'S HOSPITAL & MEDICAL CENTER INC 2635 NORTH 7TH STREET GRAND JUNCTION,CO81501 84-0425720	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(14)ST MARY'S HOSPITAL FOUNDATION 2635 NORTH 7TH STREET GRAND JUNCTION,CO81501 23-7001007	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	ST MARY'S HOSPITAL & MEDICAL CENTER INC	Yes
(15)CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH,KS66048 48-1009910	CLINIC SERVICES	KS	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(16)MARIAN CLINIC INC 3164 SE 6TH AVENUE TOPEKA,KS66607 48-1046905	CLINIC SERVICES	KS	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(17)HOLY ROSARY HEALTHCARE 2600 WILSON STREET MILES CITY,MT59301 81-0231792	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(18)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	Yes
(19)ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE,MT59701 81-0231785	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(20)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	Yes
(21)SCL HEALTH - MONTANA 1233 NORTH 30TH STREET BILLINGS,MT59101 81-0232124	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes
(22)ST VINCENT HEALTHCARE FOUNDATION INC 1106 NORTH 30TH STREET BILLINGS,MT59101 81-0468034	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	MT	501(C)(3)	LINE 7	SCL HEALTH - MONTANA	Yes
(23)INTERMOUNTAIN HEALTH CARE INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 87-0269232	HOLDING COMPANY	UT	501(C)(3)	LINE 12B, II	N/A		No
(24)INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 94-2853320	COMMUNITY HEALTH	UT	501(C)(3)	LINE 12B, II	INTERMOUNTAIN HEALTH CARE INC	Yes
(25)SELECTHEALTH INC 5381 GREEN STREET MURRAY,UT84123 87-0409820	DELIVERY OF HEALTH BENEFITS	UT	501(C)(4)		INTERMOUNTAIN HEALTH CARE INC	Yes
(26)INTERMOUNTAIN HEALTH CARE RETIREE VEBA 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 74-2675605	RETIREE BENEFIT	UT	501(C)(9)		INTERMOUNTAIN HEALTH CARE INC	Yes
(27)INTERMOUNTAIN HEALTHCARE FOUNDATION INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 80-0225150	COMMUNITY HEALTH	UT	501(C)(3)	LINE 7	INTERMOUNTAIN HEALTH SERVICES INC	Yes
(28)INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC 6355 SOUTH BUFFALO LAS VEGAS,NV89113 00-0160881	HOLDING COMPANY	DE	501(C)(3)	LINE 3	INTERMOUNTAIN HEALTH SERVICES INC	Yes
(29)IHC HEALTH SERVICES INC 36 S STATE STREET SUITE 2200 SALT LAKE CITY,UT84111 94-2854057	HEALTHCARE	UT	501(C)(3)	LINE 3	INTERMOUNTAIN HEALTH CARE INC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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	(k) Percentage ownership
(1) SCLH-GI ENDOSCOPY HOLDINGS LLC 382 S ARTHUR AVENUE LOUISVILLE,CO80027 81-2979243	OP ENDOSCOPY	CO	SCLHS (VIA SCL HEALTH PARTNERS LLC)	RELATED	2,713,045	1,378,465		No			No	51.000 %
(2) SCLTDI JV LLC 4200 SIX FORKS ROAD SUITE 1000 RALEIGH,NC27609 47-2294770	RADIOLOGY	DE	SCLHS (VIA SCL HEALTH PARTNERS LLC)	RELATED	-698,436	12,786,255		No			No	51.000 %
(3) ATHLETIC MEDICINE & PERFORMANCE LLC (SVB IS PARTNER) 1144 NORTH 28TH STREET BILLINGS,MT59101 27-2270640	PHYSICAL THERAPY	MT	N/A					No			No
(4) SUMMIT SURGERY CENTER LLC 434 SOUTH CLARK STREET BUTTE,MT59701 81-0536068	OP SURGERY	MT	N/A					No			No
(5) GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON AVENUE SUITE 21 GRAND JUNCTION,CO81501 84-1505075	OP SURGERY	CO	N/A					No			No
(6) HEALTHCARE MANAGEMENT LLC PO BOX 1929 GRAND JUNCTION,CO81502 84-1238904	MANAGEMENT SERVICES	CO	N/A					No			No
(7) MONUMENT HEALTH LLC 744 HORIZON CT STE 260 GRAND JUNCTION,CO81506 47-4424617	HEALTH CARE NETWORK	CO	N/A					No			No
(8) PAVILION IMAGING LLC 750 WELLINGTON AVENUE GRAND JUNCTION,CO81501 03-0516198	RADIOLOGY	CO	N/A					No			No
(9) SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE,CO81401 20-2856331	OP CANCER	CO	N/A					No			No
(10) CAREFLIGHT OF THE ROCKIES LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-3525381	MEDICAL AIR TRANSPORT	CO	N/A					No			No
(11) MED-MAP LLC PO BOX 1295 BILLINGS,MT59103 81-0491356	RENTAL REAL ESTATE	MT	N/A					No			No
(12) YELLOWSTONE SURGERY CENTER LLC 1144 NORTH 28TH STREET BILLINGS,MT59101 72-1519467	OP SURGERY	MT	N/A					No			No
(13) GALLATIN VALLEY SURGERY CENTER LLC 2825 WEST MAIN STREET SUITE C BOZEMAN,MT59718 88-2505265	OP SURGERY	MT	SCLHS (VIA SCL HEALTH PARTNERS LLC)	RELATED				No			No	51.000 %
(14) FIRST FLIGHT OF WYOMING LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 92-1785143	MEDICAL AIR TRANSPORT	CO	N/A					No			No
(15) MCKAY DEE SURGICAL CENTER LLC 3895 HARRISON BLVD STE 200 OGDEN,UT84403 26-0286308	OP SURGERY	UT	N/A					No			No
(16) GRANDEUR PEAK INTERNATIONAL STALWARTS LP 136 S MAIN STREET STE 720 SALT LAKE CITY,UT84101 47-5468723	INVESTMENTS	DE	N/A					No			No
(17) INNOVATION FUND HOLDINGS COMPANY LLC 1000 WEST FULTON STREET STE 213 CHICAGO,IL60607 47-1525723	INNOVATION	DE	N/A					No			No
(18) HEALTHBOX SALT LAKE CITY I LLC 33 WEST MONROE STREET STE 1700 CHICAGO,IL60603 46-5338772	INNOVATION	DE	N/A					No			No
(19) INTERMOUNTAIN VENTURES FUND LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 84-4037085	INVESTMENTS	DE	N/A					No			No
(20) PELION OPPORTUNITY FUND III LLC 2750 E COTTONWOOD PARKWAY STE 600 SALT LAKE CITY,UT84121 84-2757193	INVESTMENTS	DE	N/A					No			No
(21) AACP KOREA BUYOUT INVESTORS II LP ONE EMBARCADERO 16TH FLOOR SAN FRANCISCO,CA94111 82-4971663	INVESTMENTS	CJ	N/A					No			No
(22) AACP SPECIAL SITUATIONS II LP ONE EMBARCADERO 16TH FLOOR SAN FRANCISCO,CA94111 83-2883726	INVESTMENTS	CJ	N/A					No			No
(23) AACP KOREA BUYOUT INVESTORS IV LP ONE EMBARCADERO 16TH FLOOR SAN FRANCISCO,CA94111 98-1549044	INVESTMENTS	CJ	N/A					No			No
(24) LOGAN SURGERY CENTER LLC 1300 NORTH 500 EAST LOGAN,UT84341 86-1965725	OP SURGERY	UT	N/A					No			No
(25) ST GEORGE SURGERY CENTER LLC 652 SOUTH MEDICAL CENTER DRIVE ST GEORGE,UT84790 85-3880188	OP SURGERY	UT	N/A					No			No
(26) SALTZER ASC TEN MILE LLC 875 S VANGUARD WAY SUITE 120 MERIDIAN,ID83642 84-5119941	OP SURGERY	ID	N/A					No			No
(27) NORTHPOINTE SURGICAL CENTER LLC 2326 NORTH 400 EAST STE 100 TOOELE,UT84074 46-1487986	OP SURGERY	UT	N/A					No			No
(28) HW AE CO-INVESTMENT PARTNERS LP 2500 N MILITARY TRAIL 470 BOCA RATON,FL33431 87-3405511	INVESTMENTS	DE	N/A					No			No
(29) PERFORMANCE EQUITY GROWTH OPPORTUNITIES FUND LP 5 GREENWICH OFFICE PARK THIRD FLOOR GREENWICH,CT06831 85-3942801	INVESTMENTS	DE	N/A					No			No
(30) MURRAY SURGERY CENTER LLC 5848 SOUTH FASHION BOULEVARD MURRAY,UT84107 87-3940183	OP SURGERY	UT	N/A					No			No
(31) PROVO SURGERY CENTER LLC 1157 NORTH 300 WEST PROVO,UT84604 87-3623664	OP SURGERY	UT	N/A					No			No
(32) SARATOGA SPRINGS SURGERY CENTER LLC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 87-3875864	OP SURGERY	UT	N/A					No			No
(33) PARK CITY SURGERY CENTER LLC 900 ROUND VALLEY DRIVE PARK CITY,UT84060 84-4898736	OP SURGERY	UT	N/A					No			No
(34) PARK CITY SURGICAL CENTER REAL ESTATE LLC 900 ROUND VALLEY DRIVE PARK CITY,UT84060 86-2568233	OP SURGERY	UT	N/A					No			No
(35) CDHC 3 LLC 265 N COUNTRY MANOR LANE ALPINE,UT84004 87-3215157	INVESTMENTS	UT	N/A					No			No
(36) ARK GLOBAL EMERGING COMPANIES LP 22 EAST 100 SOUTH 3RD FLOOR SALT LAKE CITY,UT84111 82-3044843	INVESTMENTS	UT	N/A					No			No

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	(h) Percentage ownership	(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	(h) Percentage ownership	Yes	No
(1) CARITAS INC AND SUBSIDIARIES 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 48-0941069	HEALTHCARE	KS	SCLHS	C	9,586,504	54,055,313	100.000 %	Yes
(2) WEST END ASSOCIATION INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 85-4261243	REAL ESTATE MANAGEMENT	MT	SCL HEALTH - MONTANA	C			57.350 %	Yes
(3) LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVENUE WEST BAY R GRAND CAYMAN KY CJ 98-0370522	INSURANCE	CJ	SCLHS	C	19,413,956	55,562,733	100.000 %	Yes
(4) ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-3632053	HEALTHCARE	MT	SCLHS	C	246,517	2,506	100.000 %	Yes
(5) SELECTHEALTH BENEFIT ASSURANCE COMPANY 5381 GREEN STREET MURRAY,UT84123 87-0497549	DELIVERY OF HEALTH BENEFITS	UT	N/A	C					No
(6) HEALTHCARE CAPTIVE INSURANCE COMPANY 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 20-1937561	INSURANCE	AZ	N/A	C					No
(7) NAVICAN GENOMICS INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 81-4153832	CANCER TREATMENT	DE	N/A	C					No
(8) ALLUCEO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 82-4614934	MENTAL HEALTH INTEGRATION SERVICES	DE	N/A	C					No
(9) SALTZER MEDICAL GROUP INC 215 EAST HAWAII AVENUE NAMPA,ID83686 82-0299231	MEDICAL SERVICES	ID	N/A	C					No
(10) CLASSIC MEDICAL INC 1021 SOUTH DOUGLAS STREET SALT LAKE CITY,UT84105 46-1141912	AIRCRAFT HOLDING COMPANY	UT	N/A	C					No
(11) CLASSIC HELICOPTERS INC 1021 SOUTH DOUGLAS STREET SALT LAKE CITY,UT84105 46-1153642	AIRCRAFT HOLDING COMPANY	UT	N/A	C					No
(12) CULMINATION BIO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 36-5016511	BIOREPOSITORY	DE	N/A	C					No

Schedule R (Form 990) 2021

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 .....................

Yes

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) ............................

Yes

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

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

Yes

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) ......................

Yes

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

Yes

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

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) ............................

Yes

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) SCL HEALTH-FRONT RANGE INC	A	2,196,638	FMV
(2) SAINT JOSEPH HOSPITAL INC	A	9,351,254	FMV
(3) SCL HEALTH - MONTANA	B	8,900,000	FMV
(4) MOUNT ST VINCENT HOME INC	B	500,000	FMV
(5) CARITAS CLINICS INC	B	419,184	FMV
(6) SCL HEALTH-FRONT RANGE INC	B	247,517	FMV
(7) SCL HEALTH - MONTANA	C	19,190,113	FMV
(8) ST JAMES HEALTHCARE	C	3,642,474	FMV
(9) ST VINCENT HEALTHCARE FOUNDATION INC	C	2,035,786	FMV
(10) SAINT JOSEPH HOSPITAL INC	D	191,078,540	FMV
(11) SCL HEALTH-FRONT RANGE INC	D	4,185,003	FMV
(12) INTERMOUNTAIN HEALTH CARE INC	E	1,087,728,935	FMV
(13) CARITAS INC AND SUBSIDIARIES	F	8,900,000	FMV
(14) SCL HEALTH - MONTANA	L	74,020,682	FMV
(15) HOLY ROSARY HEALTHCARE	L	11,164,755	FMV
(16) ST JAMES HEALTHCARE	L	20,907,780	FMV
(17) ST MARY'S HOSPITAL & MEDICAL CENTER INC	L	75,309,515	FMV
(18) SAINT JOSEPH HOSPITAL INC	L	96,697,360	FMV
(19) SCL HEALTH-FRONT RANGE INC	L	150,096,335	FMV
(20) BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	L	30,854,810	FMV
(21) ST JAMES HEALTHCARE FOUNDATION INC	L	86,151	FMV
(22) ST VINCENT HEALTHCARE FOUNDATION INC	L	496,685	FMV
(23) ST MARYS HOSPITAL FOUNDATION	L	226,093	FMV
(24) SAINT JOSEPH HOSPITAL FOUNDATION	L	249,355	FMV
(25) LUTHERAN MEDICAL CENTER FOUNDATION	L	150,671	FMV
(26) GOOD SAMARITAN MEDICAL CENTER FOUNDATION	L	204,247	FMV
(27) SCL HEALTH RESEARCH INSTITUTE INC	L	118,485	FMV
(28) IHC HEALTH SERVICES INC	S	257,541,778	FMV
(29) INTERMOUNTAIN HEALTH CARE INC	R	4,174,924,137	FMV

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

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 (SEE SCHEDULE O) 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	16
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	4,645
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,699,533
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	27,621,970	24,895,959
9	Program service revenue (Part VIII, line 2g) .........	662,550,827	773,189,629
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	230,222,738	56,470,107
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,524,380	6,666,614
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	928,919,915	861,222,309
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	6,781,746	10,155,110
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)	380,009,532	443,815,003
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)....	423,572,419	480,642,703
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	810,363,697	934,612,816
19	Revenue less expenses. Subtract line 18 from line 12.......	118,556,218	-73,390,507
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	3,670,085,821	2,693,225,086
21	Total liabilities (Part X, line 26).............	3,112,789,706	1,313,307,153
22	Net assets or fund balances. Subtract line 21 from line 20.....	557,296,115	1,379,917,933

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 866,413,189 including grants of $ 10,155,110 ) (Revenue $ 779,996,194 )
	ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFLIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA.SCLHS WAS FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH (SCL), WHO TRACE THEIR ORIGIN AS A RELIGIOUS COMMUNITY TO THE 1600S IN FRANCE, WHERE VINCENT DE PAUL AND LOUISE DE MARILLAC (SEE SCHEDULE O) ESTABLISHED THE DAUGHTERS OF CHARITY. THESE WOMEN WERE DEDICATED TO SERVING THE SICK AND POOR THROUGH AN ACTIVE MINISTRY.IN 1857, A SMALL CONGREGATION OF SISTERS FROM NASHVILLE, TENN., LED BY MOTHER XAVIER ROSS, VENTURED TO THE EDGE OF AN EXPANDING FRONTIER IN THE THEN INDIAN TERRITORY OF KANSAS. THEY OPENED THE FIRST PRIVATE HOSPITAL IN THE STATE IN 1864, WITH THE FIRST TRAINED NURSE IN THE STATE AND SURELY THE FIRST WOMAN IN THE WESTERN TERRITORY TO RUN A HOSPITAL. IN 1873, THE SISTERS FOUNDED WHAT IS NOW SAINT JOSEPH HOSPITAL IN DENVER, THE OLDEST PRIVATE TEACHING HOSPITAL IN COLORADO, AND ONE OF THE FIVE COLORADO HOSPITALS OF THE HEALTHCARE SYSTEM.SCLHS WAS FORMED IN 1972 TO STRENGTHEN AND UNIFY THE HEALTHCARE FACILITIES SPONSORED BY SCLHS. IN 2011, THE SISTERS TRANSFERRED SPONSORSHIP OF SCLHS TO LEAVEN MINISTRIES. SCLHS' RICH HERITAGE AND ENDURING LEGACY SERVE AS THE FOUNDATION FOR ITS HEALTH MINISTRY TODAY, AND ITS MISSION, VISION AND VALUES SERVE AS THE FRAMEWORK FOR ITS SUCCESS. SCLHS IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL SCLHS SUBSIDIARIES. SCLHS PERFORMS NUMEROUS COORDINATED AND CENTRALIZED SERVICES FOR THE ENTITIES AND CARE SITES THAT COMPRISE ITS SYSTEM, SUCH AS ADMINISTERING FINANCING AND CAPITAL FORMATION PROGRAMS; ETHICAL AND RELIGIOUS DIRECTION; FINANCIAL REPORTING; TAX SERVICES; HUMAN RESOURCES FUNCTIONS, INCLUDING EXECUTIVE RECRUITING AND ADMINISTERING AND MAINTAINING WELFARE; BENEFIT AND RETIREMENT PLANS; INFORMATION TECHNOLOGY SERVICES, INCLUDING ELECTRONIC MEDICAL RECORD SYSTEMS; BUSINESS MANAGEMENT SYSTEMS; EQUIPMENT AND CONNECTIVITY; INTERNAL AUDIT FUNCTIONS; LEGAL SERVICES; PHYSICIAN NETWORK DEVELOPMENT; PROCUREMENT AND SUPPLY CHAIN MANAGEMENT, INCLUDING MEDICAL DEVICES; SUPPLIES AND EQUIPMENT; PROFESSIONAL LIABILITY INSURANCE THROUGH A CAPTIVE PROVIDER, INCLUDING GROUP EXCESS COVERAGE AND REINSURANCE AND LITIGATION MANAGEMENT; PUBLIC RELATIONS; COMMUNICATIONS AND LEGISLATIVE AFFAIRS; REAL ESTATE MANAGEMENT SERVICES, INCLUDING LEASING AND CONSTRUCTION; PURCHASE AND SALE; REGULATORY COMPLIANCE SERVICES; REVENUE CYCLE MANAGEMENT SERVICES, INCLUDING BILLING AND COLLECTIONS; RISK MANAGEMENT SERVICES INCLUDING SELF-INSURANCE; GROUP EXCESS COVERAGE AND REINSURANCE; LITIGATION MANAGEMENT; INSPECTION AND CONTROLS. THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH QUALITY, COST EFFECTIVE AND COMPASSIONATE HEALTHCARE MANAGEMENT AND MEDICAL SERVICES FOR THE COMMUNITIES WE SERVE. THEREFORE, THESE MANAGEMENT SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF OWNING AND MANAGING PUBLIC HOSPITALS AND A HEALTHCARE SYSTEM. OUR MISSION, VISION AND VALUES ARE LISTED BELOW.MISSION, VISION, & VALUES 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.VISION:INSPIRED BY OUR FAITH, WE WILL PARTNER WITH OUR PATIENTS ANDCOMMUNITIES TO EXCEED THEIR EXPECTATIONS FOR HEALTH.VALUES:CARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON.EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS.GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS.INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE.SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES.STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.

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 expenses866,413,189

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	33,807,974	9,523,552	9,678,992

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	24,890,959
e	Government grants (contributions)		1e	5,000

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

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		24,895,959

		Business Code
2a	MANAGEMENT SERVICES	560000	481,215,832	481,125,832	90,000
b	PATIENT SERVICE	440000	290,008,976	288,579,727	1,429,249
c	JOINT VENTURES-MEDICAL	620000	995,438	995,438
d	PROGRAM RELATED INVEST	620000	969,383	969,383
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		773,189,629

3 Investment income (including dividends, interest, and othersimilar amounts) ......			61,118,095		180,284	60,937,811
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		40,333	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		40,333	6c
d	Net rental income or (loss).......			40,333			40,333
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	9,894,564		7a
b	Less: cost or other basis and sales expenses	9,717,222	4,825,330	7b
c	Gain or (loss)	177,342	-4,825,330	7c
d	Net gain or (loss).........			-4,647,988			-4,647,988
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	VENDOR ADMINISTRATION		900000	6,626,281	6,626,281
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			6,626,281
12	Total revenue. See instructions.....			861,222,309	778,296,661	1,699,533	56,330,156

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	10,155,110	10,155,110
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	31,612,910	1,044,309	30,568,601
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........	342,524,032	324,233,652	18,290,380
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	14,667,489	11,972,561	2,694,928
9	Other employee benefits .......	32,349,219	31,895,571	453,648
10	Payroll taxes ...........	22,661,353	22,443,254	218,099
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	5,424,639		5,424,639
c	Accounting ...........	979,572		979,572
d	Lobbying ...........	480,978		480,978
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	6,347,382		6,347,382
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	70,924,589	69,898,232	1,026,357
12	Advertising and promotion ....	11,876,846	11,856,521	20,325
13	Office expenses .......	13,764,204	13,748,231	15,973
14	Information technology ......	152,550	151,540	1,010
15	Royalties ..
16	Occupancy ...........	16,327,779	16,305,230	22,549
17	Travel ............	4,454,969	4,357,931	97,038
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,574,317	1,566,372	7,945
20	Interest ...........	85,773,037	85,771,063	1,974
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	55,399,822	54,709,178	690,644
23	Insurance ...	4,511,830	3,786,518	725,312
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	82,467,900	82,467,900
b	MAINTENANCE SERVICES	77,716,146	77,695,526	20,620
c	NON-MEDICAL SUPPLIES	11,857,738	11,855,389	2,349
d	SELF-INSURED MAINTENANC	8,633,402	8,633,402
e	All other expenses	21,975,003	21,865,699	109,304
25	Total functional expenses. Add lines 1 through 24e	934,612,816	866,413,189	68,199,627	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 ........				1
2	Savings and temporary cash investments .........			111,436,620	2	425,314,306
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			2,183,645	4	16,084,325
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			14,965,118	7	22,398,809
8	Inventories for sale or use ............			1,352,686	8	2,044,066
9	Prepaid expenses and deferred charges ......			33,746,854	9	24,899,982
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	150,019,623
b	Less: accumulated depreciation	10b	38,728,040	210,880,448	10c	111,291,583
11	Investments—publicly traded securities .			2,308,108,056	11	856,314,321
12	Investments—other securities. See Part IV, line 11 .....			582,255,639	12	917,137,546
13	Investments—program-related. See Part IV, line 11 ..			307,841,296	13	195,617,113
14	Intangible assets ...............				14	25,650,000
15	Other assets. See Part IV, line 11 ...........			97,315,459	15	96,473,035
16	Total assets. Add lines 1 through 15 (must equal line 33)...			3,670,085,821	16	2,693,225,086

17	Accounts payable and accrued expenses .....	211,574,268	17	214,573,891
18	Grants payable ...		18
19	Deferred revenue .........	4,497,706	19	3,008,428
20	Tax-exempt bond liabilities .........	1,153,635,325	20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
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	1,743,082,407	25	1,095,724,834
26	Total liabilities. Add lines 17 through 25..	3,112,789,706	26	1,313,307,153

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	542,816,510	27	1,361,588,499
28	Net assets with donor restrictions ...........	14,479,605	28	18,329,434
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	557,296,115	32	1,379,917,933
33	Total liabilities and net assets/fund balances ........	3,670,085,821	33	2,693,225,086

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