TY 2023 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) JANIE WADE...................................................................... FORMER OFFICER	0.00 ................. 60.00					X	0	5,604,293	93,879
(2) LYDIA JUMONVILLE...................................................................... FORMER OFFICER	0.00 ................. 52.00					X	0	3,796,732	566,589
(3) MARK KORTH...................................................................... DIRECTOR (PARTIAL)	1.00 ................. 55.00	X					0	1,810,663	626,752
(4) DANIEL POSSLEY MD...................................................................... PHYSICIAN	50.00 ................. 0.00				X		1,901,052	0	58,689
(5) SCOTT PEEK...................................................................... DIR/MKT PRES, FRONT RANGE MKT	50.00 ................. 4.00	X	X				1,025,813	0	397,369
(6) JESS JOYMON MD...................................................................... PHYSICIAN	50.00 ................. 0.00				X		1,282,786	0	55,945
(7) JOHN WICKLUND...................................................................... PRESIDENT REGIONAL WESTERN CO & LMC (PARTIAL)	50.00 ................. 2.00		X				0	1,145,372	24,444
(8) ADAM SMITH MD...................................................................... PHYSICIAN	50.00 ................. 0.00				X		1,081,299	0	57,722
(9) JAMES TREADWELL MD...................................................................... PHYSICIAN	50.00 ................. 0.00				X		1,072,950	0	53,956
(10) JORDAN MCCOY MD...................................................................... PHYSICIAN	50.00 ................. 0.00				X		1,058,238	0	53,778
(11) CHRISTOPHER AWTREY...................................................................... CMO, FRONT RANGE MED GROUP (PARTIAL)	50.00 ................. 4.00			X			635,362	0	236,228
(12) DAWN ANUSZKIEWICZ...................................................................... PRESIDENT GSMC	50.00 ................. 1.00		X				557,039	0	248,605
(13) JENNIFER ALDERFER...................................................................... FORMER OFFICER	0.00 ................. 53.00					X	0	756,683	42,121
(14) SEAN FADDEN...................................................................... FORMER OFFICER	0.00 ................. 52.00					X	0	508,929	197,193
(15) TONI GREEN-CHEATWOOD...................................................................... VP CHIEF MEDICAL OFFICER GSMC	40.00 ................. 10.00			X			449,253	0	221,552
(16) ANDREA BURCH...................................................................... VP CHIEF OP/NURSING OFFICER LMC	50.00 ................. 0.00			X			423,384	0	198,418
(17) SCOTT DAY...................................................................... VP HUMAN RESOURCE OPS LMC (PARTIAL)	50.00 ................. 0.00			X			0	445,586	139,354

(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) ANN GANTZER........................................................................ VP CHIEF NURSING OFFICER GSMC	50.00 .......................0.00			X		377,961	0	164,254
(19) STEVEN HANKINS........................................................................ VP CHIEF OPERATING OFFICER GSMC	50.00 .......................0.00			X		374,616	0	167,424
(20) TROY STOEHR........................................................................ VP, FINANCE GSMC (PARTIAL)	25.00 .......................25.00		X			0	339,787	152,810
(21) STEVEN BROWN........................................................................ VP CHIEF MED OFFICER LMC (PARTIAL)	50.00 .......................0.00			X		0	351,105	109,104
(22) MICHELLE SHIAO........................................................................ FORMER OFFICER	0.00 .......................50.00				X	0	303,643	155,651
(23) MEGAN DURNING........................................................................ VP STRATEGY AND BUS DEVELOPMENT LMC	50.00 .......................0.00			X		0	307,155	108,639
(24) ASHLEY DENTON........................................................................ VP FINANCE LMC	50.00 .......................0.00		X			274,196	0	138,276
(25) PATRICE FARRELL-DELINE........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00				X	0	252,207	110,951
(26) CALVIN BEASLEY........................................................................ VP INTEGRATIVE SVCS LMC (PARTIAL)	50.00 .......................0.00			X		0	279,576	66,939
(27) SADIE SULLIVAN........................................................................ SECRETARY (PARTIAL)	1.00 .......................51.00		X			0	233,662	45,985
(28) LARA ZARZECKI........................................................................ SECRETARY (PARTIAL)	1.00 .......................51.00		X			0	225,278	46,951
(29) THOMAS DONOHOE........................................................................ FORMER OFFICER	0.00 .......................54.00				X	0	194,619	5,954
(30) CHRISTINA JOHNSON........................................................................ FORMER KEY EMPLOYEE	0.00 .......................50.00				X	146,702	0	25,201
(31) KATHY BOELTER........................................................................ DIRECTOR/VICE CHAIR (PARTIAL)	1.00 .......................1.00	X	X			0	0	0
(32) CHRISTINE FORKNER........................................................................ DIRECTOR	1.00 .......................2.00	X				0	0	0
(33) STEVEN FRANKEL MD........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0	0
(34) FAYE HUMMEL........................................................................ DIRECTOR	1.00 .......................2.00	X				0	0	0
(35) MARK ISAKSON........................................................................ CHAIR/DIRECTOR (PARTIAL)	1.00 .......................1.00	X	X			0	0	0
(36) DAVID KINNARD MD........................................................................ VICE CHAIR/CHAIR (PARTIAL)	1.00 .......................1.00	X	X			0	0	0
(37) GILLIAN MCKNIGHT-TUTEIN........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0	0
(38) BERRY MORTON MD........................................................................ DIRECTOR	1.00 .......................3.00	X				0	0	0
(39) KELLY SNOW-DUNKIN........................................................................ DIRECTOR	1.00 .......................1.00	X				0	0	0

- 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

2023

Open to Public
Inspection

Name of the organization

INTERMOUNTAIN FRONT RANGE INC
F/K/A SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

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

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

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

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

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

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

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


Total

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

Cat. No. 11285F

Schedule A (Form 990) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

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.

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) 2023

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) 2023

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) 2023

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 2023 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-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

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

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

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

2023

Name of the organization

INTERMOUNTAIN FRONT RANGE INC
F/K/A SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization INTERMOUNTAIN FRONT RANGE INC F/K/A SCL HEALTH - FRONT RANGE 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) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization INTERMOUNTAIN FRONT RANGE INC F/K/A SCL HEALTH - FRONT RANGE INC		Employer identification number 84-1103606

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (2023)

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

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2022

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

INTERMOUNTAIN FRONT RANGE INC
F/K/A SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I-A

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

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

Political campaign activity expenditures. See instructions .................................................................... right arrow

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 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

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 ..... right arrow

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

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

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) 2022

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 right arrow

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 right arrow

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) 2019	(b) 2020	(c) 2021	(d) 2022	(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) 2022

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

9,602

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

9,602

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

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

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

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

Part III-A

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

Yes

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

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

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

Part III-B

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

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

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

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

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

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

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

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

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

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

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

Schedule C (Form 990) 2022

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.
right arrow

Attach to Form 990.
right arrow

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

INTERMOUNTAIN FRONT RANGE INC
F/K/A SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

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 ....	16,972,228	13,404,433	12,702,594	11,530,209	10,068,398
b	Contributions ...	3,102,784	6,454,792	1,507,926	2,797,061	2,300,997
c	Net investment earnings, gains, and losses	719,075	-1,173,368	1,014,239	919,333	934,761
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	2,033,735	1,713,629	1,820,326	2,544,009	1,773,947
f	Administrative expenses ....
g	End of year balance ......	18,760,352	16,972,228	13,404,433	12,702,594	11,530,209

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

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

48.300 %

Term endowment right arrow

51.700 %

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

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

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

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

Yes

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

Part VI

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

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

1a	Land .....	1,584,817	16,908,138		18,492,955
b	Buildings ....	565,775	292,076,622	59,329,947	233,312,450
c	Leasehold improvements		54,094,509	17,466,970	36,627,539
d	Equipment ....		123,973,517	47,375,637	76,597,880
e	Other .....		550,245,641	1,004,208	549,241,433
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..					914,272,257

Schedule D (Form 990) 2022

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)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

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

Part IX

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

(a) Description				(b) Book value
(1)OTHER RECEIVABLES				7,623,275
(2)RIGHT OF USE ASSETS				61,784,878
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				69,408,153

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
LIABILITY-MITIGATION	2,349,235
ACCRUED LIABILITY - FINANCING LEASE	146,853
ACCRUED LIABILITY - OPERATING LEASE	62,927,201
INTERCOMPANY PAYABLE	630,896,596





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	696,319,885
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) 2022

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:

LUTHERAN MEDICAL CENTER FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT LUTHERAN MEDICAL CENTER IN AREAS INCLUDING ASSOCIATE EDUCATION, HOSPICE & PALLATIVE CARE, AND OTHER SERVICES AND PROGRAMS. GOOD SAMARITAN MEDICAL CENTER FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT GOOD SAMARITAN MEDICAL CENTER IN AREAS INCLUDING ASSOCIATE EDUCATION.

Schedule D (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.
Medium right arrow

Attach to Form 990.
Medium right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

INTERMOUNTAIN FRONT RANGE INC
F/K/A SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other 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 50000.0000000000 %

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? . . . . . .

Yes

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) . . .	10,270,005	2,694,784	7,575,221	0.610 %
b	Medicaid (from Worksheet 3, column a) . . . . .	234,725,483	174,737,123	59,988,360	4.860 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	350,113	150,981	199,132	0.020 %
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	245,345,601	177,582,888	67,762,713	5.490 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	807,729	16,490	791,239	0.060 %
f	Health professions education (from Worksheet 5) . . .	3,260,651	0	3,260,651	0.260 %
g	Subsidized health services (from Worksheet 6) . . . .	94,834,839	73,143,308	21,691,531	1.760 %
h	Research (from Worksheet 7) .	0	0
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	836,701	0	836,701	0.070 %
j	Total. Other Benefits . .	99,739,920	73,159,798	26,580,122	2.150 %
k	Total. Add lines 7d and 7j .	345,085,521	250,742,686	94,342,835	7.640 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

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. ......

32,050,332

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).....

320,106,822

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

520,729,003

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

-200,622,181

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 E PLUS PET IMAGING X LP	RADIOLOGY SERVICES	42.860 %	0 %	57.140 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?2Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	LUTHERAN MEDICAL CENTER 8300 W 38TH AVENUE WHEAT RIDGE,CO80211 HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LO 010440	X	X	X
2	GOOD SAMARITAN MEDICAL CENTER 200 EXEMPLA CIRCLE LAFAYETTE,CO80026 HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LO 01I529	X	X	X

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

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

Yes

Community Health Needs Assessment

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

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 500.000000000000%

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) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

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

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (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) 2023

Page 7

Part VFacility Information (continued)

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

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

Yes

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

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

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

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

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

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

Yes

Community Health Needs Assessment

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

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

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 21

Yes

6 a

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

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

Yes

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

Yes

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

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

Other website (list url):

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

Other (describe in Section C)

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

Yes

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

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) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

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

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

SEE PART V, SECTION C

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

SEE PART V, SECTION C

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

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

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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

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

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) 2023

Page 7

Part VFacility Information (continued)

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

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

Yes

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

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

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

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

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

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
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 5: LUTHERAN MEDICAL CENTER (LMC) PARTICIPATED IN A COLLABORATIVE PROCESS TO CONDUCT THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) ALONG WITH JEFFERSON COUNTY PUBLIC HEALTH AND ST. ANTHONY HOSPITAL (CENTURA). SEVERAL COMMUNITY-BASED ORGANIZATIONS WERE INVOLVED IN THE PROCESS AS WELL.COMMUNITY SURVEY: THE 2021 PUBLIC HEALTH PARTNERSHIP COMMUNITY HEALTH AND WELLBEING SURVEY GATHERED THE OPINIONS OF RESIDENTS IN JEFFERSON, CLEAR CREEK, AND GILPIN COUNTIES. DEVELOPING THE QUESTIONNAIRE WAS A COLLABORATIVE EFFORT BETWEEN POLCO, CONTRACTED RESEARCH CONSULTANTS, AND STAKEHOLDERS FROM JEFFERSON COUNTY PUBLIC HEALTH (JCPH), WITH INPUT FROM MOUNTAIN YOUTH NETWORK, CLEAR CREEK COUNTY PUBLIC AND ENVIRONMENTAL HEALTH, GILPIN COUNTY PUBLIC HEALTH, AND OTHER HEALTH STAKEHOLDERS WITHIN JEFFERSON COUNTY. LMC IMPLEMENTED THE SURVEY FROM MAY TO JULY 2021. A TOTAL OF 8,400 HOUSEHOLDS WERE RANDOMLY MAILED INVITATIONS TO COMPLETE THE ONLINE SURVEY AND/OR TO COMPLETE AND MAIL BACK A PAPER SURVEY. HOUSEHOLDS WERE SELECTED RANDOMLY FROM A USPS LIST OF HOUSEHOLDS IN THE THREE COUNTIES AND STRATIFIED BY MAJOR CITIES WITHIN THE COUNTIES. USPS LISTS ARE BEST FOR ENSURING ALL HOUSEHOLDS IN A GIVEN AREA ARE INCLUDED IN THE SAMPLING FRAME AND HAVE AN EQUAL OPPORTUNITY OF BEING SELECTED TO PARTICIPATE. SURVEYS AND MAILED INVITATIONS WERE ALSO TRANSLATED INTO SPANISH. THE JCPH AND PARTNERS WERE PROVIDED A SEPARATE URL TO SHARE AN INVITATION TO AN "OPEN PARTICIPATION" SURVEY, WHERE ALL RESIDENTS WHO RECEIVED NOTICE THROUGH SOCIAL MEDIA OR OTHER COMMUNICATION CHANNELS COULD COMPLETE THE SURVEY. A TOTAL OF 486 COMPLETED THE RANDOM SAMPLE SURVEY (ONE IN SPANISH) FOR A RESPONSE RATE OF 7% AND AN OVERALL MARGIN OF ERROR OF 5%.ADDITIONALLY, 503 INDIVIDUALS COMPLETED THE OPEN PARTICIPATION SURVEY (THREE IN SPANISH). THE SURVEY RESULTS FROM BOTH EFFORTS WERE STATISTICALLY COMPARED, AND THE TWO DATA SETS WERE COMBINED FOR ANALYSIS. THE RESULTS OF EACH EFFORT WERE WEIGHTED TO REFLECT THE DEMOGRAPHIC PROFILE OF EACH OF THE SUB-GEOGRAPHIES WITHIN EACH COUNTY THAT WERE INCLUDED IN THE STUDY AND THEN WEIGHTED TO REFLECT THEIR PROPORTION OF THE POPULATION IN THE COUNTY AND THE REGION OVERALL.
GOOD SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 5: GOOD SAMARITAN MEDICAL CENTER (GSMC) IS AN ACUTE-CARE HOSPITAL LOCATED IN THE CITY OF LAFAYETTE, COLORADO, LOCATED IN BOULDER COUNTY. THE HOSPITAL SERVICE AREA ALSO INCLUDES COMMUNITIES IN BOULDER, BROOMFIELD, ADAMS, JEFFERSON, GILPIN, AND WELD COUNTIES. GSMC IS COMMITTED TO HELPING ALL PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE AND WORKED CLOSELY WITH COMMUNITY COLLABORATORS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2021. THE CHNA INCLUDED: 1) EXISTING SECONDARY QUANTITATIVE DATA FROM GOVERNMENT AND NONGOVERNMENTAL SOURCES; 2) PRIMARY QUALITATIVE DATA FROM IN-PERSON COMMUNITY EVENTS REACHING 275 COMMUNITY MEMBERS; 3) PRIMARY QUALITATIVE DATA INCLUDING 300 ONLINE COMMUNITY SURVEYS PERFORMED BY COLORADO HEALTH INSTITUTE; AND PRIMARY QUALITATVE DATA INCLUDING 12 KEY INFORMANT PHONE INTERVIEWS PERFORMED BY BIEL CONSULTING, INC. REPRESENTATIVE FROM LOCAL ORGANIZATIONS WITH KNOWLEDGE OF COMMUNITY NEEDS PARTICIPATED WITH GSMC IN THE CHNA PROCESS. THESE ORGANIZATIONS INCLUDED EXPERTS IN EDUCATION, PUBLIC HEALTH, PRIMARY CARE, BEHAVIORAL HEALTH, HOUSING INSECURITY, FOOD INSECURITY, SENIOR ACTIVITIES, LGBTQ ISSUES, AND TRANSPORTATION. PARTICIPANTS REPRESENTED GOVERNMENT, NONGOVERNMENTAL, PUBLIC, AND PRIVATE SECTORS, WHICH PROVIDED INSIGHT INTO THE ISSUES IMPACTING THEIR CLIENTS. THE MAJORITY OF THESE COMMUNITY ORGANIZATIONS SERVE INDIVIDUALS WHO ARE LOW-INCOME, UNINSURED, OR UNDERSERVED. ON AUGUST 21, 2021, PARTICIPANTS GATHERED WITH HOSPITAL LEADERS TO ANALYZE, DISCUSS, AND RANK THE HEALTH ISSUES BASED ON THE PRIMARY DATA GATHERED FOR THE CHNA PROCESS.
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 6A: THE FOLLOWING ORGANIZATION(S) LISTED PARTICIPATED IN THE CHNA PROCESS: SAINT ANTHONY HOSPITAL
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 6B: JEFFERSON COUNTY DEPARTMENT OF PUBLIC HEALTH, ARVADA CHAMBER, ARVADA FIRE, BRIGHT BY THREE, CITY OF EDGEWATER, CITY OF LAKEWOOD, CITY OF LAKEWOOD RECREATION, CITY OF WESTMINISTER, CITY OF WHEAT RIDGE, COLORADO COMMUNITY HEALTH ALLIANCE, COMMUNITY FIRST FOUNDATION, CONSORTIUM OF OLDER ADULTS, CREA RESULTS, EVERGREEN FIRE, FAMILY TREE, JEFFCO VETERANS SERVICES, JEFFERSON CENTER FOR MENTAL HEALTH, CONSERVATION COLORADO, JEFFERSON COUNTY HOUSING AUTHORITY, JEFFERSON COUNTY PUBLIC LIBRARIES, METRO COMMUNITY PROVIDER NETWORK, REGIS UNIVERSITY, SENIOR RESOURCES CENTER, LUTHERAN MEDICAL CENTER, STATE SENATOR DISTRICT 20, THE ACTION CENTER, WEST CHAMBER, WEST METRO FIRE, TRI-COUNTY PUBLIC HEALTH, AND WEST PINES BEHAVIORAL HEALTH.
GOOD SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE CHNA PROCESS: BEHAVIORAL HEALTH, BOULDER AREA AGENCY ON AGING, BOULDER COUNTY PUBLIC HEALTH, BOULDER VALLEY SCHOOL DISTRICT, BROOMFIELD FISH, BROOMFIELD COUNTY PUBLIC HEALTH, BROOMFIELD SENIOR CENTER, CENTURA HEALTH, CITY AND COUNTY OF BROOMFIELD, CLINICA FAMILY HEALTH SERVICES, COAL CREEK MEALS ON WHEELS, COLORADO COMMUNITY HEALTH ALLIANCE, LAFAYETTE SENIOR CENTER, MENTAL HEALTH PARTNERS, OUT BOULDER COUNTY, THE REFUGE, SISTER CARMEN COMMUNITY CENTER, TRU COMMUNITY CARE, UNIVERSITY OF COLORADO, BOULDER, AND VIA MOBILITY.LUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 7A, HOSPITAL FACILITY'S WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTSGOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 7A, HOSPITAL FACILITY'S WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS LUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 10A, HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY POSTED ON WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTSGOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 10A, HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY POSTED ON WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS
GOOD SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 7D: THE CHNA IS PUBLICALLY AVAILABLE AT THE WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS GSMC DISTRIBUTED COPIES OF THE CHNA AT VARIOUS COMMUNITY COALITIONS AND RESOURCE MEETINGS. PAPER COPIES WERE AVAILABLE TO COMMUNITY ORGANIZATIONS UPON REQUEST.
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 11: THROUGH THE 2021 COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN COLLABORATION WITH SAINT ANTHONY HOSPITAL AND JEFFERSON COUNTY DEPARTMENT OF PUBLIC HEALTH, THREE NEEDS SURFACED AS THE MOST PRESSING FOR JEFFERSON COUNTY: 1) MENTAL HEALTH AND SUBSTANCE USE, 2) FOOD INSECURITY, 3) HOUSING.MENTAL HEALTH AND SUBSTANCE USE:BEGINNING IN 2022, LMC PARTNERED WITH THE JEFFERSON COUNTY PUBLIC LIBRARY AND JEFFERSON CENTER FOR MENTAL HEALTH TO OFFER SUPPORTIVE SERVICES AND PROGRAMMING FOR INDIVIDUALS EXPERIENCING HOMELESSNESS WHO USED LIBRARIES FOR SHELTER. THIS INNOVATIVE APPROACH ENGAGED A HARD-TO-REACH POPULATION IN ACTIVITIES SUPPORTIVE OF MAINTAINING STABLE MENTAL HEALTH BY MEETING THEM WHERE THEY WERE.ACTIVITY: LMC PROVIDED SUICIDE INTERVENTION SKILLS TRAINING IN A TWO-DAY WORKSHOP THAT TAUGHT PARTICIPANTS THE PRACTICAL SKILLS NEEDED TO ASSIST SOMEONE CONTEMPLATING SUICIDE THROUGH ASSESSMENT, MENTAL HEALTH FIRST AID TECHNIQUES, AND APPROPRIATE CONNECTION TO SERVICES.OUTCOME/RESULT: NINE PEOPLE ATTENDED.ACTIVITY: COFFEE AND CONVERSATIONS WAS A PROGRAM SUPPORTING LIBRARY PATRONS INTERESTED IN COMMUNITY RESOURCES, PARTICULARLY THOSE EXPERIENCING HOMELESSNESS, IN CONNECTING WITH RESOURCES IN A CASUAL, NON-JUDGMENTAL ENVIRONMENT WHILE ENJOYING A COFFEE AND WARM BREAKFAST. THE COMMUNITY RESOURCE COORDINATOR FOR JEFFERSON COUNTY PUBLIC LIBRARY AND THE HOMELESS NAVIGATOR FOR THE CITY OF LAKEWOOD WERE BOTH PRESENT AT THE EVENT. ADDITIONALLY, LMC DISTRIBUTED WELLNESS BAGS FROM WHITNEY'S WISH, A LOCAL NONPROFIT, WHICH INCLUDED NECESSITIES SUCH AS BLANKETS. FEEDBACK ON THIS PROGRAM HAS BEEN OVERWHELMINGLY POSITIVE, AND PARTICIPANTS NOTED THEIR COMFORT ASKING QUESTIONS AND REQUESTED FOLLOW-UP INFORMATION FOR OTHER COMMUNITY SUPPORT. THE RESULTS INDICATE IMPACT AND EMPOWERMENT. OUTCOME/RESULT: LMC OFFERED THREE SESSIONS WITH 24 INDIVIDUALS ATTENDING.ACTIVITY: LMC PROVIDED A COMMUNITY CONTRIBUTION TO SUPPORT AMENITIES FOR INDIVIDUALS EXPERIENCING HOMELESSNESS. JEFFERSON COUNTY LIBRARIES DISTRIBUTED SUPPLIES.OUTCOME/RESULT: 263 BUS PASSBOOKS (10 RIDES PER BOOK).OTHER SUPPLIES GIVEN OUT IN 2023 INCLUDE: - 1,098 CANS OF MEAT - 4,550 PACKAGED FOOD ITEMS - 403 LIP BALMS- 443 GLOVES- 172 HATS- 870 SOCKS - 992 FEMININE HYGIENE PRODUCTS- 1,054 INDIVIDUAL SANITATION WIPES- 778 PAIRS OF HAND WARMERS- 550 SUNSCREEN PACKS- 879 REFILLABLE WATER BOTTLESACTIVITY: A CRITICAL SHORTAGE OF PEDIATRIC MENTAL HEALTH PROVIDERS IN COLORADO AND THE DENVER AREA PROVIDED LMC A UNIQUE OPPORTUNITY TO SUPPORT CHILDREN BETTER. LMC COLLABORATED WITH THE JEFFERSON CENTER FOR MENTAL HEALTH AND JEFFERSON COUNTY PUBLIC SCHOOLS TO SUPPORT SCHOOL-BASED MENTAL HEALTH PROGRAMS. LMC PROVIDED A CHARITABLE CONTRIBUTION THAT SUPPORTED COUNSELORS AT WHEAT RIDGE HIGH SCHOOL, CREIGHTON MIDDLE SCHOOL, NORTH ARVADA MIDDLE SCHOOL, AND SLATER ELEMENTARY, WHICH WERE FACING BUDGET-RELATED ELIMINATION OF THEIR POSITIONS.OUTCOME/RESULT: COUNSELORS FUNDED BY THE CONTRIBUTION SERVED MORE THAN 170 STUDENTS WITH A RANGE OF DIAGNOSES. THERAPIST ALSO ASSISTED STUDENTS AND FAMILIES WITH SAFETY PLANS FOR SUICIDE PREVENTION.ACTIVITY: IN 2023, LMC REBOOTED THE COLLABORATION WITH ROCKY MOUNTAIN CRISIS PARTNERS TO PROVIDE WARM HAND-OFFS AND CONNECTION TO PATIENTS SEEN IN THE EMERGENCY DEPARTMENT FOR SUICIDAL IDEATION OR ATTEMPT. OUTCOME/RESULT: 78 PATIENTS AGREED TO PARTICIPATE IN RECEIVING FOLLOW-UP SERVICES AFTER DISCHARGE FROM THE EMERGENCY DEPARTMENT.ACTIVITY: LMC PROVIDED THE RECOVERY NURSE ADVOCATE (RNA) PROGRAM TO SUPPORT PATIENTS WITH PERINATAL SUBSTANCE USE DISORDER (SUD). RNA PROVIDES INTENSIVE HOME VISITATION, REGULAR SCREENING FOR PERINATAL MOOD AND ANXIETY DISORDERS, CONNECTIONS TO COMMUNITY RESOURCES, WEEKLY SUD SUPPORT GROUP, AND REGULAR CHILD DEVELOPMENT SCREENINGS AFTER BIRTH.OUTCOME/RESULT: IN 2023, LMC ENROLLED 28 INDIVIDUALS IN RNA.FOOD INSECURITY:ACTIVITY: LMC SCREENED MORE THAN 80% OF PATIENTS FOR A VARIETY OF SOCIAL DETERMINANTS OF HEALTH NEEDS INCLUDING HOUSING, FOOD, UTILITIES, TRANSPORTATION, AND INTERPERSONAL SAFETY. INDIVIDUALS WHO SCREENED POSITIVE FOR FOOD INSECURITY WERE OFFERED A BOX OF FOOD UPON DISCHARGE AND THEN RECEIVED A WEEKLY DELIVERY OF FRESH AND SHELF-STABLE FOOD FOR THE SUBSEQUENT YEAR. THESE PATIENTS WORKED WITH LMC'S COLLABORATOR, FOOD BANK OF THE ROCKIES, TO DETERMINE A LONG-TERM STRATEGY FOR THEIR FOOD NEEDS AT THE END OF THE PROGRAM.OUTCOME/RESULT: IN 2023, 71 PATIENTS RECEIVED A FOOD BOX AND SUBSEQUENT ACCESS TO THE WEEKLY FOOD DELIVERIES. LMC TRACKED METRICS RELATED TO PARTICIPANTS' HEALTH STATUS AND REHOSPITALIZATION. IN 2024, LMC WILL LAUNCH A FULL ROLLOUT OF THIS PROGRAM. HOUSING:JEFFERSON COUNTY HOMELESS NAVIGATOR PROGRAM:ACTIVITY: DURING THE CHNA PROCESS, THE COMMUNITY PRIORITIZED THE SUPPORT OF PEOPLE EXPERIENCING HOMELESSNESS WITH THE ULTIMATE GOAL OF FINDING PERMANENT HOUSING FOR THESE COMMUNITY MEMBERS. LMC COLLABORATED WITH THE JEFFERSON COUNTY HOMELESS NAVIGATORS TO INFLUENCE CONDITIONS, LARGE AND SMALL, TO ADDRESS HOUSING FOR MOST AT-RISK POPULATIONS.OUTCOME/RESULT: IN 2023, LMC PROVIDED IN-KIND OFFICE SPACE FOR HOMELESS NAVIGATORS FROM FIVE MUNICIPALITIES IN JEFFERSON COUNTY.ACTIVITY: THE MEDICAL RESPITE PROGRAM PROVIDED INDIVIDUALS EXPERIENCING HOMELESSNESS SAFE LODGING AFTER DISCHARGE FROM A HOSPITAL STAY. THE CRITERIA TO DISCHARGE A PATIENT IS COMPLICATED WHEN A HOMELESS INDIVIDUAL DOES NOT HAVE ACCESS TO THE BASIC NECESSITIES FOR RECOVERY. IN MANY INSTANCES, THESE PATIENTS REMAIN HOSPITALIZED LONGER DESPITE THE TREMENDOUS COST RATHER THAN DISCHARGING HOMELESS PATIENTS, WHICH COULD LEAD TO FURTHER HEALTH COMPLICATIONS. LMC COLLABORATED WITH RECOVERY WORKS TO PROVIDE THIS PATIENT POPULATION WITH MEDICAL SUPERVISION WHILE TEMPORARILY HOUSED. THIS PROGRAM INCREASED ACCESS TO CASE MANAGEMENT AND INDIVIDUALS WERE OFTEN CONNECTED TO SERVICES THEY WOULD NOT OTHERWISE ACCESS.OUTCOME/RESULT: IN 2023, 38 INDIVIDUALS WERE ACCEPTED INTO THE MEDICAL RESPITE PROGRAM AND RECEIVED SERVICES. WITHIN THAT GROUP, FOUR PARTICIPANTS FOUND HOUSING WITH A FAMILY MEMBER OR FRIEND, SIX WERE DISCHARGED TO A SHELTER, THREE TRANSITIONED TO A SUD REHAB PROGRAM, THREE WERE DISCHARGED TO A MOTEL, AND TWO WERE PERMANENTLY HOUSED.ADDITIONAL PRIORITIES NOT ADDRESSED: LMC RECOGNIZES OTHER HEALTH NEEDS AND INDICATORS IDENTIFIED IN THE CHNA PROCESS ARE IMPORTANT FOR THE HOSPITAL AND THE COMMUNITIES IT SERVES. NUMEROUS OTHER ORGANIZATIONS ARE CONCURRENTLY ADDRESSING THE OTHER NEEDS THAT WERE NOT PRIORITIZED BY LMC. DUE TO LIMITED EXPERTISE AND RESOURCES, LMC NARROWED ITS PRIORITY HEALTH NEEDS TO THE THREE HEALTH NEEDS DISCUSSED. HOWEVER, LMC CONTINUES TO COLLABORATE WITH OTHER COMMUNITY AGENCIES IN OUR PRIMARY SERVICE AREA TO EXPAND OUR FOOTPRINT INTO ALL RELEVANT HEALTH PRIORITY AREAS WITHOUT OVERTAXING AVAILABLE RESOURCES IN OUR IDENTIFIED PRIORITY AREAS.
GOOD SAMARITAN MEDICAL CENTER	PART V, SECTION B, LINE 11: GSMC GENERATED A PRELIMINARY LIST OF SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH ANALYSIS OF SECONDARY QUANTITATIVE DATA FROM GOVERNMENTAL AND NONPROFIT DATABASES INCLUDING DEATH AND MORBIDITY RATES, DEMOGRAPHIC DATA, NUMBER OF CARE PROVIDERS, BRFSS DATA, AND BENCHMARK DATA. THE SIGNIFICANT HEALTH NEEDS WERE IDENTIFIED USING THE SIZE AND SERIOUSNESS OF THE PROBLEM. THE PRELIMINARY LIST OF SIGNIFICANT HEALTH NEEDS LISTED ALPHABETICALLY: - ACCESS TO HEALTH CARE SERVICES- CANCER- COVID-19- DENTAL CARE- DIABETES- FOOD INSECURITY- HEART DISEASE & STROKE- HOUSING- LUNG DISEASE- MENTAL HEALTH- OVERWEIGHT AND OBESITY- SUBSTANCE USE - UNINTENDED INJURIESFOLLOWING THE COLLECTION AND ANALYSIS OF PRIMARY DATA, THE CHNA COMMITTEE PRIORITIZED TWO PRIORITY HEALTH ISSUES BASED ON THE CRITERIA: SEVERITY OF THE PROBLEM, WORSENING OF THE PROBLEM, EXISTING RESOURCES, AND COMMUNITY PERCEPTION OF THE PROBLEMS. THE RESULTING CHNA PRIORITY HEALTH ISSUES WERE ACCESS TO HEALTHCARE AND BEHAVIORAL HEALTH.ACCESS TO HEALTHCARE: THE GSMC SERVICE AREA HAD A 93.8% RATE OF HEALTH INSURANCE COVERAGE, WHICH WAS HIGHER THAN THE STATE'S 93.5% RATE OR THE HEALTHY PEOPLE 2030 OBJECTIVE 92.1%. THE COUNTIES INCLUDED IN THE SERVICE AREA ARE ADAMS COUNTY RESIDENTS (90.9%), BOULDER AND BROOMFIELD COUNTY (94.7%), JEFFERSON COUNTY (97.4%) AND WELD COUNTY RESIDENTS (95.9%). ON THE 2019 CENSUS, 16.9% OF ADAMS RESIDENTS, 12.1% OF WELD COUNTY RESIDENTS, 9.0% OF JEFFERSON COUNTY RESIDENTS, AND 8.1% OF BOULDER AND BROOMFIELD COUNTIES DID NOT RECEIVE CARE WITHIN THE LAST 12 MONTHS DUE TO COST AS COMPARED TO THE STATE'S 12.8% AVERAGE.THE RESULT OF KEY INFORMANT SURVEYS SHOWED 62.5% OF PARTICIPANTS INDICATED ACCESS TO HEALTHCARE HAD A SEVERE IMPACT ON THE COMMUNITY, 62.5% INDICATED RESOURCES WERE INSUFFICIENT, AND 12.5% INDICATED THE ISSUE HAD WORSENED OVER TIME. IN 2023, THE FOLLOWING ACTIVITIES ADDRESSED ACCESS TO HEALTHCARE:GSMC PROVIDED A $45,852 CHARITABLE CONTRIBUTION TO BENEFITS IN ACTION TO SUPPORT THE ENROLLMENT OF HISPANIC/LATINO AND LOW-INCOME INDIVIDUALS IN INSURANCE PRODUCTS AND GOVERNMENTAL ASSISTANCE PROGRAMS. IN 2023, 1,045 PEOPLE RECEIVED ASSISTANCE IN ENROLLING FOR INSURANCE AND GOVERNMENTAL BENEFIT PROGRAMS AND 46.2% OF THOSE PEOPLE IDENTIFIED AS HISPANIC/LATINO.GSMC PROVIDED TRANSPORTATION FOR PATIENTS TOTALING $22,918. IN COLLABORATION WITH LYFT, GSMC ASSISTED PATIENTS LEAVING THE EMERGENCY DEPARTMENT FOR RIDES TOTALING $15,898. THE HOSPITAL PROVIDED AN ADDITIONAL $7,020 TO TRANSPORT PATIENTS FROM THE CANCER CENTER.A $10,000 CHARITABLE CONTRIBUTION WAS GIVEN TO VIA MOBILITY TO PROVIDE 2,000 DOOR-TO-DOOR TRANSPORT FOR COMMUNITY MEMBERS FROM THEIR HOMES TO THEIR MEDICAL APPOINTMENTS.IN 2023, GSMC IMPROVED ACCESS TO CARE THROUGH EXPANSION IN TELEMEDICINE VISITS. GSMC'S GOAL WAS TO PROVIDE 384 VISITS AND THE HOSPITAL SUPRASSED THIS GOAL BY 33% BY PROVIDING 511 TELEMEDICINE VISITS IN 2023.BEHAVIORAL HEALTH (MENTAL HEALTH/SUBSTANCE USE): THE PERCENTAGE OF THE ADULT POPULATION REPORTING MORE THAN 14 DAYS OF POOR MENTAL HEALTH PER MONTH WAS 11.8% IN ADAMS AND 12.6% IN WELD, WHICH WAS HIGHER THAN THE 11% STATE RATE (2016-2018 BRFSS DATABASE). WITHIN GSMC'S SERVICE AREA, ADAMS AND WELD COUNTIES HAD FEWER MENTAL HEALTH PROVIDERS, 2.1 AND 1.7, RESPECTIVELY, PER 1,000 THAN THE STATE'S AVERAGE OF 2.7. WHILE BOULDER COUNTY (6.3), BROOMFIELD COUNTY (3.5), AND JEFFERSON COUNTY (3.1) WERE HIGHER THAN THE STATE AVERAGE. DURING KEY INFORMANTS' SURVEYS, 87.5% OF PARTICIPANTS REPORTED MENTAL HEALTH AS HAVING A SEVERE AND VERY SEVERE IMPACT ON THE COMMUNITY AND 100% REPORTED THE SAME FOR SUBSTANCE USE. ADDITIONALLY, 75% OF PARTICIPANTS REPORTED THAT MENTAL HEALTH ISSUES WORSENED OVER TIME AND 85.7% REPORTED SUBSTANCE USE ISSUES WORSENED OVER TIME. IN 2023, THE FOLLOWING ACTIVITIES ADDRESSED MENTAL HEALTH AND SUBSTANCE USE: GSMC HOSTED FOUR MENTAL HEALTH FIRST AID TRAINING SESSIONS IN 2023 THAT TRAINED 64 PEOPLE. GSMC WORKED WITH MENTAL HEALTH COLLABORATORS TO DEVELOP AND IMPLEMENT A PROGRAM TO COORDINATE CARE FOR PATIENTS DISCHARGED TO HOME FROM THE EMERGENCY DEPARTMENT WHO REQUIRED CONNECTION TO THEIR MENTAL HEALTH HOME OR NEEDED TO ESTABLISH A MENTAL HEALTH HOME.IN 2022, GSMC STARTED EXPLORING PLACEMENT OF PEER RECOVERY SPECIALIST PLACEMENT IN EMERGENCY DEPARTMENTS BY ANALYZING EXISTING PROGRAMS AND DOING AN INVENTORY OF COMMUNITY COLLABORATORS, AND FUNDING SOURCES. PENDING FUNDING, THE PROGRAM COULD LAUNCH IN 2024.GSMC CONTINUED A PROGRAM TO DISTRIBUTE NARCAN KITS FREE OF CHARGE TO PATIENTS ADMITTED FOR A HEROIN OR OPIOID OVERDOSE. IN 2023, GSMC PROVIDED 27 KITS AT DISCHARGE. GSMC PARTICIPATED IN AN EVIDENCE-BASED SUICIDE PREVENTION PROJECT WITH THE COLORADO OFFICE OF SUICIDE PREVENTION AT THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT (CDPHE) AND ROCKY MOUNTAIN CIRIS PARTNERS. THE PROJECT PROVIDED WEEKLY PHONE CALLS TO 80 PATIENTS WHO RECEIVED FOLLOW-UP CALLS EACH WEEK FOR 30 DAYS FOLLOWING DISCHARGE FOR A MENTAL HEALTH CRISIS OR OVERDOSE.GSMC ALSO PARTICIPATED IN THE ZERO SUICIDE COLLABORATIVE TO IMPROVE TRAINING AND TREATMENT APPROACHES FOR SUICIDE PREVENTION THROUGH THE OFFICE OF SUICIDE PREVENTION (CDPHE) AND THE BOULDER COUNTY SUBSTANCE USE ADVISORY GROUP.GSMC PARTICIPATED IN THE COLORADO ALTERNATIVES TO OPIOIDS (ALTO) PROJECT. IN 2023, GSMC INCREASED THE PERCENTAGE OF EPRESCRIBING OF CONTROLLED SUBSTANCES FOR DISCHARGED PATIENTS TO 97.91%. THIS METHOD OF PRESCRIBING OPIOIDS IMPROVES FRAUD AND ABUSE OF PAPER PRESCRIBING AND ALLOWS BETTER OVERSIGHT AND TRACKING OF PATIENT PRESCRIPTIONS. NEEDS NOT ADDRESSED: EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA PROCESS IS IMPORTANT. GSMC AND NUMEROUS COMMUNITY COLLABORATORS ARE ADDRESSING THESE NEEDS THROUGH OTHER PROGRAMS, INTERVENTIONS, AND INITIATIVES. HOWEVER, DUE TO LIMITED RESOURCES, EXPERTISE, AND TIME TO ACHIEVE SUCCESSFUL IMPACT, GSMC LIMITED ITS PRIMARY FOCUS TO THE PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THE CHNA. GSMC CONTINUED TO SUPPORT COMMUNITY EFFORTS AND COLLABORATIONS THAT ADDRESS ISSUES NOT PRIORITIZED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN.
SCHEDULE H, PART V, SECTION B, LINE 16	LUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 16A, FINANCIAL ASSISTANCE POLICY WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGGOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 16A, FINANCIAL ASSISTANCE POLICY WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGLUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 16B, FINANCIAL ASSISTANCE APPLICATION WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGGOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 16B, FINANCIAL ASSISTANCE APPLICATION WEBSITE:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGLUTHERAN MEDICAL CENTER:PART V, SECTION B, LINE 16C, FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMINGGOOD SAMARITAN MEDICAL CENTER:PART V, SECTION B, LINE 16C, FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMING

Schedule H (Form 990) 2023

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?137
Name and address		Type of Facility (describe)
1	1 - ROCKY MOUNTAIN ORTHOPEDICS CLINIC 627 25 1/2 ROAD GRAND JUNCTION,CO81505	OUTPATIENT PHYSICIAN CLINIC
2	2 - IH HEART & VASCULAR-WHEAT RIDGE CLINIC 3655 LUTHERAN PKWY WHEAT RIDGE,CO800336010	OUTPATIENT PHYSICIAN CLINIC
3	3 - IH HEART & VASCULAR-WEST PARK CARDIO 360 WEST PARK DR GRAND JUNCTION,CO815068817	OUTPATIENT PHYSICIAN CLINIC
4	4 - SCL HEALTH MEDICAL GROUP - NEUROLOGY 750 WELLINGTON AVE GRAND JUNCTION,CO815016124	OUTPATIENT PHYSICIAN CLINIC
5	5 - SCL HEALTH ST MARY'S HOSPITALISTS 2635 N 7TH ST GRAND JUNCTION,CO815068209	OUTPATIENT PHYSICIAN CLINIC
6	6 - CANCER CENTERS OF COLORADO - LMC 400 INDIANA ST GOLDEN,CO80401	OUTPATIENT PHYSICIAN CLINIC
7	7 - SCL HEALTH MED GROUP - CENTER FOR BRAIN 750 WELLINGTON AVE GRAND JUNCTION,CO815016124	OUTPATIENT PHYSICIAN CLINIC
8	8 - SCL HEALTH MEDICAL GROUP - PATTERSON 2570 PATTERSON RD GRAND JUNCTION,CO81505	OUTPATIENT PHYSICIAN CLINIC
9	9 - SCL HEALTH HEART & VASCULAR INST-DENVER 1818 N OGDEN ST DENVER,CO802183667	OUTPATIENT PHYSICIAN CLINIC
10	10 - SCL HEALTH MEDICAL GROUP - LUTHERAN 8550 W 38TH AVE WHEAT RIDGE,CO800336016	OUTPATIENT PHYSICIAN CLINIC
11	11 - IH HEART & VASCULAR-LAFAYETTE CLINIC 300 EXEMPLA CIR LAFAYETTE,CO800263394	OUTPATIENT PHYSICIAN CLINIC
12	12 - INTERMOUNTAIN HEALTH BROOMFIELD CLINIC 12169 SHERIDAN BLVD BROOMFIELD,CO800202459	OUTPATIENT PHYSICIAN CLINIC
13	13 - DENVER MIDTOWN CLINIC - PRIMARY CARE 1960 N OGDEN ST DENVER,CO802183667	OUTPATIENT PHYSICIAN CLINIC
14	14 - INTERMOUNTAIN HEALTH THORNTON CLINIC 1181 E 120TH AVE THORNTON,CO802335729	OUTPATIENT PHYSICIAN CLINIC
15	15 - INTERMOUNTAIN HEALTH LAFAYETTE CLINIC 2600 CAMPUS DR LAFAYETTE,CO800263358	OUTPATIENT PHYSICIAN CLINIC
16	16 - SCL HEALTH MED GROUP-WELLINGTON OBGYN 2525 N 8TH ST GRAND JUNCTION,CO81501	OUTPATIENT PHYSICIAN CLINIC
17	17 - 25 ROAD OB-GYN CLINIC 610 25 ROAD GRAND JUNCTION,CO81505	OUTPATIENT PHYSICIAN CLINIC
18	18 - DENVER WEST CLINIC - PRIMARY CARE 1726 COLE BLVD LAKEWOOD,CO80401	OUTPATIENT PHYSICIAN CLINIC
19	19 - CRITICAL CARE INTENSIVISTS 2635 NORTH 7TH GRAND JUNCTION,CO81501	OUTPATIENT PHYSICIAN CLINIC
20	20 - SCL HEALTH HEART&VASCULAR-DENVER CARDIAC 1818 N OGDEN ST DENVER,CO802183671	OUTPATIENT PHYSICIAN CLINIC
21	21 - LAFAYETTE CLINIC - ORTHOPEDIC SPINE 340 EXEMPLA CIR LAFAYETTE,CO80026	OUTPATIENT PHYSICIAN CLINIC
22	22 - CHERRY CREEK CLINIC - PRIMARY CARE 400 S COLORADO BLVD DENVER,CO80246	OUTPATIENT PHYSICIAN CLINIC
23	23 - LAFAYETTE CLINIC - NEUROLOGY 300 EXEMPLA CIRCLE LAFAYETTE,CO80026	OUTPATIENT PHYSICIAN CLINIC
24	24 - INTERMOUNTAIN HEALTH SUPERIOR CLINIC 3 SUPERIOR DRIVE SUPERIOR,CO800278656	OUTPATIENT PHYSICIAN CLINIC
25	25 - SCL HEALTH HEART & VASCULAR INSTITUTE 2643 PATTERSON RD GRAND JUNCTION,CO815061937	OUTPATIENT PHYSICIAN CLINIC
26	26 - IH SUPERIOR CLINIC - OBGYN 3 SUPERIOR DRIVE SUPERIOR,CO800278656	OUTPATIENT PHYSICIAN CLINIC
27	27 - SCL HEALTH MED GROUP - CENTRAL PARK OB 2823 ROSLYN ST DENVER,CO802382624	OUTPATIENT PHYSICIAN CLINIC
28	28 - SCL HEALTH MED GROUP - LOWRY NEUROLOGY 130 RAMPART WAY DENVER,CO80230	OUTPATIENT PHYSICIAN CLINIC
29	29 - DENVER MIDTOWN CLINIC - WEIGHT LOSS CENTER 1960 N OGDEN ST DENVER,CO80218	OUTPATIENT PHYSICIAN CLINIC
30	30 - DENVER MIDTOWN CLINIC - OBGYN 1960 N OGDEN ST DENVER,CO802183668	OUTPATIENT PHYSICIAN CLINIC
31	31 - WHEAT RIDGE CLINIC - PHYSICAL THERAPY 8550 W 38TH AVE WHEAT RIDGE,CO800331724	OUTPATIENT PHYSICIAN CLINIC
32	32 - LAFAYETTE CLINIC - NEUROSURGERY 340 EXEMPLA CIRCLE LAFAYETTE,CO80026	OUTPATIENT PHYSICIAN CLINIC
33	33 - WHEAT RIDGE CLINIC - ORTHOPEDIC TRAUMA 8550 W 38TH AVE 100 WHEAT RIDGE,CO80033	OUTPATIENT PHYSICIAN CLINIC
34	34 - LAFAYETTE CLINIC - GENERAL SURGERY 300 EXEMPLA CIR LAFAYETTE,CO800263396	OUTPATIENT PHYSICIAN CLINIC
35	35 - SCL HEALTH MEDICAL GROUP - COMMUNITY FOOT 11900 GRANT ST NORTHGLENN,CO80233	OUTPATIENT PHYSICIAN CLINIC
36	36 - SCL HEALTH MEDICAL GROUP - GREEN MOUNTAIN 12790-A W ALAMEDA PKWY LAKEWOOD,CO802282850	OUTPATIENT PHYSICIAN CLINIC
37	37 - SCL HEALTH MEDICAL GROUP - NORTHFIELD 8900 E 46TH PL DENVER,CO802383143	OUTPATIENT PHYSICIAN CLINIC
38	38 - SCL HEALTH MED GROUP-MEDICAL ONCOLOGY 750 WELLINGTON AVE GRAND JUNCTION,CO81501	OUTPATIENT PHYSICIAN CLINIC
39	39 - SCL HEALTH HEART & VASCULAR-NORTHGLENN 11900 GRANT ST NORTHGLENN,CO80233	OUTPATIENT PHYSICIAN CLINIC
40	40 - WHEAT RIDGE CLINIC - OCCUPATIONAL MEDICINE 8550 W 38TH AVE WHEAT RIDGE,CO800331724	OUTPATIENT PHYSICIAN CLINIC
41	41 - WHEAT RIDGE CLINIC - NEUROSURGERY 3455 LUTHERAN PKWY WHEAT RIDGE,CO80033	OUTPATIENT PHYSICIAN CLINIC
42	42 - WHEAT RIDGE CLINIC - WEIGHT LOSS & REFLUX 3455 LUTHERAN PKWY WHEAT RIDGE,CO80033	OUTPATIENT PHYSICIAN CLINIC
43	43 - SCL HEALTH MED GROUP - PHYSICAL MEDICINE 2643 PATTERSON RD GRAND JUNCTION,CO815061937	OUTPATIENT PHYSICIAN CLINIC
44	44 - SCL HEALTH MED GROUP-RADIATION ONCOLOGY 750 WELLINGTON AVE GRAND JUNCTION,CO81501	OUTPATIENT PHYSICIAN CLINIC
45	45 - SCL HEALTH NEPHROLOGY 2635 N 7TH ST 4TH FLOOR GRAND JUNCTION,CO815016100	OUTPATIENT PHYSICIAN CLINIC
46	46 - COPPERLEAF CLINIC - PRIMARY CARE 21750 E QUINCY AVE AURORA,CO800152894	OUTPATIENT PHYSICIAN CLINIC
47	47 - SCL HEALTH MED GROUP- RADIATION ONCOLOGY 1375 EAST 19TH AVE DENVER,CO80218	OUTPATIENT PHYSICIAN CLINIC
48	48 - SCL HEALTH HEART & VASCULAR-THORACIC 2643 PATTERSON RD GRAND JUNCTION,CO815061937	OUTPATIENT PHYSICIAN CLINIC
49	49 - SCL HEALTH MEDICAL GROUP - LOWRY 63 N QUEBEC ST DENVER,CO80230	OUTPATIENT PHYSICIAN CLINIC
50	50 - SCL HEALTH MEDICAL GROUP - CONGRESS PARK 1400 JACKSON ST DENVER,CO802062761	OUTPATIENT PHYSICIAN CLINIC
51	51 - WHEAT RIDGE CLINIC-DIABETES & ENDO 3555 LUTHERAN PKWY WHEAT RIDGE,CO800336000	OUTPATIENT PHYSICIAN CLINIC
52	52 - SCL HEALTH MEDICAL GROUP - BELMAR 325 S TELLER ST LAKEWOOD,CO802267429	OUTPATIENT PHYSICIAN CLINIC
53	53 - DENVER MIDTOWN CLINIC - MATERNAL FETAL MED 1960 OGDEN ST DENVER,CO802183669	OUTPATIENT PHYSICIAN CLINIC
54	54 - SCL HEALTH MEDICAL GROUP - LOWRY 63 N QUEBEC ST DENVER,CO80230	OUTPATIENT PHYSICIAN CLINIC
55	55 - SCL HEALTH - MSO WP PHYSICIAN BILLING 3400 LUTHERAN PKWY WHEAT RIDGE,CO800336035	OUTPATIENT PHYSICIAN CLINIC
56	56 - SCL HEALTH MED GROUP-GREEN VALLEY RANCH 4859 N YAMPA ST DENVER,CO80249	OUTPATIENT PHYSICIAN CLINIC
57	57 - ROCKY MOUNTAIN ORTHO - PHYSICAL THERAPY 627 25 1/2 ROAD GRAND JUNCTION,CO81505	OUTPATIENT PHYSICIAN CLINIC
58	58 - SCL HEALTH MED GROUP-NEONATAL INTENSIVE 2635 N 7TH ST GRAND JUNCTION,CO815068209	OUTPATIENT PHYSICIAN CLINIC
59	59 - INTERMOUNTAIN HEALTH WESTMINSTER CLINIC 8758 WOLFF CT WESTMINSTER,CO800316904	OUTPATIENT PHYSICIAN CLINIC
60	60 - INTERMOUNTAIN HEALTH LARKRIDGE CLINIC 16570 WASHINGTON ST THORNTON,CO800238964	OUTPATIENT PHYSICIAN CLINIC
61	61 - DENVER MIDTOWN CLINIC-CERTIFIED NURSE 1960 N OGDEN ST DENVER,CO802183669	OUTPATIENT PHYSICIAN CLINIC
62	62 - IH DENVER SPORTS MEDICINE 1830 FRANKLIN ST DENVER,CO802183667	OUTPATIENT PHYSICIAN CLINIC
63	63 - DENVER MIDTOWN CLINIC - UROGYNECOLOGY 1960 N OGDEN ST DENVER,CO802183671	OUTPATIENT PHYSICIAN CLINIC
64	64 - WELLINGTON LUNG & SLEEP CLINIC 1050 WELLINGTON AVE GRAND JUNCTION,CO815018121	OUTPATIENT PHYSICIAN CLINIC
65	65 - SCL HEALTH MEDICAL GROUP - CANDELAS 15389 WEST 91ST DR ARVADA,CO80007	OUTPATIENT PHYSICIAN CLINIC
66	66 - WELLINGTON MATERNAL FETAL MEDICINE CLINIC 710 WELLINGTON AVE GRAND JUNCTION,CO81501	OUTPATIENT PHYSICIAN CLINIC
67	67 - SCL HEALTH MED GROUP-OCCUPATIONAL HEALTH 2686 PATTERSON RD GRAND JUNCTION,CO815068817	OUTPATIENT PHYSICIAN CLINIC
68	68 - IH LUTHERAN SPINE CENTER 1687 COLE BLVD LAKEWOOD,CO80401	OUTPATIENT PHYSICIAN CLINIC
69	69 - SCL HEALTH MEDICAL GROUP - VIRTUAL CARE 8550 W 38TH AVE WHEAT RIDGE,CO80033	OUTPATIENT PHYSICIAN CLINIC
70	70 - DENVER MIDTOWN CLINIC - DIABETES & ENDO 1960 N OGDEN ST DENVER,CO802183667	OUTPATIENT PHYSICIAN CLINIC
71	71 - WHEAT RIDGE CLINIC-MATERNAL FETAL MED 3455 LUTHERAN PARKWAY WHEAT RIDGE,CO800336012	OUTPATIENT PHYSICIAN CLINIC
72	72 - SCL HEALTH HEART & VASCULAR INSTITUTE 1818 N OGDEN ST DENVER,CO80218	OUTPATIENT PHYSICIAN CLINIC
73	73 - SCL HEALTH MED GROUP - HIGHLANDS RANCH 8671 S QUEBEC ST HIGHLANDS RANCH,CO80130	OUTPATIENT PHYSICIAN CLINIC
74	74 - SCL HEALTH LMC - MEDICAL ONCOLOGY 400 INDIANA ST GOLDEN,CO80401	OUTPATIENT PHYSICIAN CLINIC
75	75 - SCL HEALTH MED GROUP - LUTHERAN PODIATRY 15389 W 91ST DR STE 100 ARVADA,CO800071400	OUTPATIENT PHYSICIAN CLINIC
76	76 - INTERMOUNTAIN HEALTH FIRESTONE CLINIC 8350 COLORADO BLVD FIRESTONE,CO805046803	OUTPATIENT PHYSICIAN CLINIC
77	77 - CANCER CENTERS OF COLORADO - LMC 1375 E 19TH AVE DENVER,CO80218	OUTPATIENT PHYSICIAN CLINIC
78	78 - IH LUTHERAN SPINE CENTER 1687 COLE BLVD LAKEWOOD,CO80401	OUTPATIENT PHYSICIAN CLINIC
79	79 - IH QUAIL CREEK CLINIC 2055 WEST 136TH AVE BROOMFIELD,CO800239308	OUTPATIENT PHYSICIAN CLINIC
80	80 - SCL HEALTH HEART AND VASCULAR INSTITUTE 1536 COLE BLVD LAKEWOOD,CO804013426	OUTPATIENT PHYSICIAN CLINIC
81	81 - IH HEART & VASCULAR - WHEAT RIDGE CLINIC 3555 LUTHERAN PARKWAY WHEAT RIDGE,CO800336023	OUTPATIENT PHYSICIAN CLINIC
82	82 - IH HOSPICE - DENVER PALLIATIVE CARE 3210 LUTHERAN PKWY WHEAT RIDGE,CO800336019	OUTPATIENT PHYSICIAN CLINIC
83	83 - SCL HEALTH MED GROUP BARIATRIC SURGERY 2440 N 11TH STREET GRAND JUNCTION,CO815018102	OUTPATIENT PHYSICIAN CLINIC
84	84 - WHEAT RIDGE CLINIC - NEUROLOGY 3455 LUTHERAN PKWY WHEAT RIDGE,CO80033	OUTPATIENT PHYSICIAN CLINIC
85	85 - SCL HEALTH MED GROUP-WOUND & HYPERBARIC 2635 N 7TH ST GRAND JUNCTION,CO815018209	OUTPATIENT PHYSICIAN CLINIC
86	86 - DENVER MIDTOWN CLINIC - SURGERY 1960 N OGDEN ST DENVER,CO802183671	OUTPATIENT PHYSICIAN CLINIC
87	87 - IH BROOMFIELD CLINIC - PT 12169 SHERIDAN BLVD BROOMFIELD,CO800202459	OUTPATIENT PHYSICIAN CLINIC
88	88 - CANCER CENTERS OF COLORADO-RADIATION ONC 340 EXEMPLA CIR LAFAYETTE,CO80026	OUTPATIENT PHYSICIAN CLINIC
89	89 - SCL HEALTH MED GROUP-INFECTIOUS DISEASE 2643 PATTERSON RD GRAND JUNCTION,CO815061937	OUTPATIENT PHYSICIAN CLINIC
90	90 - SCL HEALTH MED GROUP-RHEUMATOLOGY CLINIC 2635 NORTH 7TH ST GRAND JUNCTION,CO815018209	OUTPATIENT PHYSICIAN CLINIC
91	91 - IH LARKRIDGE CLINIC - PHYSICAL THERAPY 16570 WASHINGTON ST THORNTON,CO800238964	OUTPATIENT PHYSICIAN CLINIC
92	92 - SCL HEALTH MED GROUP - CENTRAL PARK 2803 ROSLYN ST DENVER,CO80238	OUTPATIENT PHYSICIAN CLINIC
93	93 - SCL HEALTH MED GROUP-PALLIATIVE CARE 2635 N 7TH ST GRAND JUNCTION,CO81506	OUTPATIENT PHYSICIAN CLINIC
94	94 - CANCER CENTERS OF COLORADO-MEDICAL ONC 340 EXEMPLA CIR LAFAYETTE,CO80026	OUTPATIENT PHYSICIAN CLINIC
95	95 - SCL HEALTH HEART & VASCULAR-DELTA CARDIO 296 STAFFORD LN DELTA,CO814162243	OUTPATIENT PHYSICIAN CLINIC
96	96 - SCL HEALTH MED GROUP-MATERNAL FETAL MED 1606 PRAIRIE CENTER PKWY BRIGHTON,CO806014004	OUTPATIENT PHYSICIAN CLINIC
97	97 - SCL HEALTH MED GROUP - SPINE 1610 PRAIRIE CENTER PKWY BRIGHTON,CO80601	OUTPATIENT PHYSICIAN CLINIC
98	98 - LAFAYETTE CLINIC - TRAUMA SURGERY 300 EXEMPLA CIR LAFAYETTE,CO800263396	OUTPATIENT PHYSICIAN CLINIC
99	99 - SCL HEALTH MED GROUP-DIABETES & ENDO 1606 PRAIRIE CENTER PARKWAY BRIGHTON,CO80601	OUTPATIENT PHYSICIAN CLINIC
100	100 - LAFAYETTE WOMEN'S CLINIC - OBGYN 300 EXEMPLA CIRCLE LAFAYETTE,CO800263395	OUTPATIENT PHYSICIAN CLINIC
101	101 - SCL HEALTH MED GROUP - CENTRAL PARK 2807 ROSLYN ST DENVER,CO802382624	OUTPATIENT PHYSICIAN CLINIC
102	102 - SCL HEALTH MED GROUP-PEDIATRIC SPECIALTY 2643 PATTERSON RD GRAND JUNCTION,CO815061937	OUTPATIENT PHYSICIAN CLINIC
103	103 - LAFAYETTE WOMEN'S CLINIC - UROGYNECOLOGY 300 EXEMPLA CIR LAFAYETTE,CO800263392	OUTPATIENT PHYSICIAN CLINIC
104	104 - SCL HEALTH MEDICAL GROUP - ENDOCRINOLOGY 2686 PATTERSON RD GRAND JUNCTION,CO81506	OUTPATIENT PHYSICIAN CLINIC
105	105 - WEST PINES 3400 LUTHERAN PKWY WHEAT RIDGE,CO800336035	OUTPATIENT PHYSICIAN CLINIC
106	106 - IH SPINE CENTER - ACUPUNCTURE 1687 COLE BLVD LAKEWOOD,CO80401	OUTPATIENT PHYSICIAN CLINIC
107	107 - IH SPINE CENTER - PSYCHOLOGY 1687 COLE BLVD LAKEWOOD,CO80401	OUTPATIENT PHYSICIAN CLINIC
108	108 - SCL HEALTH MED GROUP PATTERSON CLINIC 2570 PATTERSON RD GRAND JUNCTION,CO81505	OUTPATIENT PHYSICIAN CLINIC
109	109 - DENVER MIDTOWN CLINIC - COMP BREAST CARE 1960 N OGDEN ST DENVER,CO802183671	OUTPATIENT PHYSICIAN CLINIC
110	110 - SCL HEALTH MED GROUP-INPATIENT CONSULT 2635 N 7TH ST GRAND JUNCTION,CO815068209	OUTPATIENT PHYSICIAN CLINIC
111	111 - SCL HEALTH MEDICAL GROUP - NEUROLOGY 1280 N MILDRED RD CORTEZ,CO81321	OUTPATIENT PHYSICIAN CLINIC
112	112 - SCL HEALTH MED GROUP - WHEAT RIDGE 3555 LUTHERAN PKWY WHEAT RIDGE,CO800336000	OUTPATIENT PHYSICIAN CLINIC
113	113 - LAFAYETTE CLINIC - DIABETES & ENDO 300 EXEMPLA CIR LAFAYETTE,CO800263395	OUTPATIENT PHYSICIAN CLINIC
114	114 - SCL HEALTH MEDICAL GROUP - NEUROLOGY 750 HOSPITAL LOOP CRAIG,CO81625	OUTPATIENT PHYSICIAN CLINIC
115	115 - IH - LAFAYETTE MATERNAL FETAL MEDICINE 300 EXEMPLA CIR LAFAYETTE,CO800263396	OUTPATIENT PHYSICIAN CLINIC
116	116 - DENVER MIDTOWN CLINIC - LUNG NODULE 1960 N OGDEN ST DENVER,CO802183673	OUTPATIENT PHYSICIAN CLINIC
117	117 - SCL HEALTH MED GROUP-WOUND & HYPERBARIC 2635 NORTH 7TH ST GRAND JUNCTION,CO815018209	OUTPATIENT PHYSICIAN CLINIC
118	118 - WEST PINES 3400 LUTHERAN PKWY WHEAT RIDGE,CO800336035	OUTPATIENT PHYSICIAN CLINIC
119	119 - DENVER MIDTOWN CLINIC - BREAST CARE 1960 N OGDEN ST DENVER,CO802183671	OUTPATIENT PHYSICIAN CLINIC
120	120 - SCL HEALTH MEDICAL GROUP - NEUROLOGY 711 N TAYLOR ST GUNNISON,CO812302243	OUTPATIENT PHYSICIAN CLINIC
121	121 - SCL HEALTH HEART AND VASCULAR-HIGHLANDS 630 PLAZA DR HIGHLANDS RANCH,CO801292750	OUTPATIENT PHYSICIAN CLINIC
122	122 - INTERMOUNTAIN HEALTH - BUCKLEY CLINIC 550 S AIRPORT BLVD AURORA,CO800172253	OUTPATIENT PHYSICIAN CLINIC
123	123 - IH FIRESTONE CLINIC 8350 COLORADO BLVD FIRESTONE,CO805046803	OUTPATIENT PHYSICIAN CLINIC
124	124 - CANCER CENTERS OF COLORADO-MED ONC MOAB REGIONAL HOSPITAL MOAB,UT845322185	OUTPATIENT PHYSICIAN CLINIC
125	125 - CANCER CENTERS OF COLORADO-MED ONC 750 HOSPITAL LOOP CRAIG,CO816258750	OUTPATIENT PHYSICIAN CLINIC
126	126 - CANCER CENTERS OF COLORADO-MED ONC GRAND RIVER HEALTH RIFLE,CO816508510	OUTPATIENT PHYSICIAN CLINIC
127	127 - SCL HEALTH MED GROUP RENAL REHAB 2643 PATTERSON ROAD GRAND JUNCTION,CO81506	OUTPATIENT PHYSICIAN CLINIC
128	128 - SCL HEALTH MEDICAL GROUP - NEUROLOGY 476 WEST WILLIAM WAY MOAB,UT84532	OUTPATIENT PHYSICIAN CLINIC
129	129 - SCL HEALTH MEDICAL GROUP - MATERNAL FETAL 711 N TAYLOR ST GUNNISON,CO812302243	OUTPATIENT PHYSICIAN CLINIC
130	130 - SCL HEALTH MEDICAL GROUP-PODIATRY 627 25 1/2 ROAD GRAND JUNCTION,CO81505	OUTPATIENT PHYSICIAN CLINIC
131	131 - GOOD SAMARITAN TRAUMA SERVICES 200 EXEMPLA CIR LAFAYETTE,CO80026	OUTPATIENT PHYSICIAN CLINIC
132	132 - SCL HEALTH HEART & VASCULAR-MOAB CARDIO 450 WILLIAMS WAY MOAB,UT845322185	OUTPATIENT PHYSICIAN CLINIC
133	133 - GSMC CRITICAL CARE & PULMONOLOGY 200 EXEMPLA CIR LAFAYETTE,CO80026	OUTPATIENT PHYSICIAN CLINIC
134	134 - CANCER CENTERS OF COLORADO - LMC 400 INDIANA STREET GOLDEN,CO80401	OUTPATIENT PHYSICIAN CLINIC
135	135 - SCL HEALTH MED GROUP - GREEN MOUNTAIN 12792 C-1 W ALAMEDA PKWY LAKEWOOD,CO802282850	OUTPATIENT PHYSICIAN CLINIC
136	136 - SCL HEALTH MED GROUP - NEUROSURGERY 1960 OGDEN STREET DENVER,CO802183671	OUTPATIENT PHYSICIAN CLINIC
137	137 - LUTHERAN SPINE CENTER AT DENVER WEST 1687 COLE BLVD LAKEWOOD,CO804013322	OUTPATIENT PHYSICIAN CLINIC

Schedule H (Form 990) 2023

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:	MAXIMUM FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). APPLICANTS EQUAL TO OR BELOW THIS THRESHOLD RECEIVE A 100% WAIVER OF PATIENT FINANCIAL OBLIGATION.A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 250% AND 500% OF FPG.TO DETERMINE ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE, A VARIETY OF FACTORS IS USED, INCLUDING INCOME, MEDICAL INDIGENCE, INSURANCE STATUS, SOCIAL-ECONOMIC, GEOGRPAHICAL LOCATION, AND MEDICAID ELIGIBILITY.TOTAL CHARGES ARE LIMITED IN RELATION TO THE GROSS HOUSEHOLD INCOME. CHARGES ARE DISCOUNTED TO NOT EXCEED 25% OF GROSS ANNUAL HOUSEHOLD INCOME.SINCE EACH PATIENT'S CIRCUMSTANCES VARY, ALLOWANCE IS MADE FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:	THIS ORGANIZATION IS PART OF THE INTERMOUNTAIN HEALTH CARE, INC. SYSTEM WHICH PREPARES AN ANNUAL REPORT TO THE COMMUNITY ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, INTERMOUNTAIN HEALTH CARE, INC.
PART I, LINE 7:	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST.PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $30,050,332.PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT.
PART III, LINE 2:	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGE RATES FOR THE PATIENT SERVICES PROVIDED. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.
PART III, LINE 4:	THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE PATIENT SERVICE REVENUE FOOTNOTE WHICH DESCRIBES BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGES 12 AND 13 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE ORGANIZATION BELIEVES THAT A PORTION OF THE COSTS INCURRED IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR MEDICAL SERVICES PROVIDED TO MEDICARE PROGRAM BENEFICIARIES (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES LESSENS THE BURDENS OF THE GOVERNMENT FROM PROVIDING SUCH MEDICAL SERVICES DIRECTLY. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, THE ORGANIZATION'S MEDICARE "ALLOWABLE COSTS" EXCEED THE MEDICARE PROGRAM PAYMENTS RECEIVED. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO.
PART III, LINE 9B:	SCL HEALTH - FRONT RANGE, INC. RECOGNIZES ITS RESPONSIBILITY TO MANAGE THE COST OF HEALTHCARE BY ASKING THOSE WHO CAN PAY TO DO SO AND IS COMMITTED TO ASSISTING PATIENTS BY PROVIDING VARIOUS OPTIONS FOR RESOLVING THEIR FINANCIAL OBLIGATION, INCLUDING DISCOUNTS FOR THE UNINSURED, PAYMENT PLANS, AND REDUCED OR WAIVED RESPONSIBILITY THROUGH FINANCIAL ASSISTANCE. SCL HEALTH - FRONT RANGE, INC. ALSO ASSISTS PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS TO APPLY FOR SUCH ASSISTANCE. DELINQUENT ACCOUNTS MAY BE REFERRED TO EXTERNAL COLLECTION AGENCIES ONLY AFTER REASONABLE ATTEMPTS ARE MADE TO CONTACT THE RESPONSIBLE PARTY AND NO ARRANGEMENT HAS BEEN MADE TO PAY THE ACCOUNT BALANCE. SUCH AGENCIES ARE EXPECTED TO TREAT PATIENTS WITH THE SAME RESPECT AND DIGNITY THAT SCL HEALTH - FRONT RANGE, INC. AFFORDS ALL ITS PATIENTS. FOR EXAMPLE, CONTACTS BY THE AGENCIES WILL INCLUDE FINANCIAL ASSISTANCE OPTIONS FOR PATIENTS UNABLE TO PAY. AGENCIES ARE RESTRICTED FROM PURSUING LEGAL PROCEEDINGS TO COLLECT DEBTS IN LIMITED CIRCUMSTANCES AND MAY ONLY DO SO UPON APPROVAL BY SCL HEALTH - FRONT RANGE, INC. STRONGER MEASURES, SUCH AS THE COURTS, ARE NOT USED UNLESS THERE IS EVIDENCE OF FRAUD OR A CLEAR ABILITY TO PAY ACCOMPANIED BY A REFUSAL TO PAY.
PART VI, LINE 2:	LUTHERAN MEDICAL CENTER:AS PART OF LMC'S CORE VALUE OF SERVICE TO THE POOR AND VULNERABLE, STEWARDSHIP, AND CARING SPIRIT, THE HOSPITAL TAKES STEPS TO DETERMINE WHERE THERE IS THE MOST NEED TO PROVIDE THE GREATEST GOOD THROUGH INCREMENTAL REVIEW OF CURRENT NEEDS ACROSS THE COMMUNITIES SERVED. AS AN ACTIVE MEMBER AND LEADER OF THE NEWLY FORMED JEFFERSON COUNTY HEALTH ALLIANCE, THE HOSPITAL IS IN TOUCH WITH CURRENT NEEDS AND POISED TO RESPOND WHEN NEW NEEDS ARE IDENTIFIED. AN EXAMPLE OF THIS RESPONSIVE APPROACH WAS THE PIVOT TO VACCINE RESPONSE WHEN LAGS IN UPTAKE WERE IDENTIFIED. AS DATA REVEALED A DISPROPORTIONATELY LOW PARTICIPATION IN COVID-19 VACCINATION AMONG COMMUNITY MEMBERS IDENTIFYING AS HISPANIC, LMC INITIATED A COMMUNICATION EFFORT. WIDE DISSEMINATION OF SPANISH LANGUAGE FLYERS, SPANISH-SPEAKING COMMUNITY NAVIGATORS, AND CHANGES TO THE ID AND INSURANCE PREFERENCES. THIS EFFORT RESULTED IN A 112% INCREASE IN VACCINATIONS AMONG THIS POPULATION.GOOD SAMARITAN MEDICAL CENTER:GSMC ACTIVELY PARTICIPATED IN COMMUNITY COALITIONS AND WORK GROUPS FOCUSING ON SPECIFIC HEALTH ISSUES WITHIN THE COMMUNITY INCLUDING LOCAL AND STATE HEALTH ORGANIZATIONS AND COMMUNITY-BASED ORGANIZATIONS: BOULDER COUNTY HEALTH DEPARTMENT, BROOMFIELD COUNTY HEALTH DEPARTMENT, ADAMS COUNTY HEALTH ALLIANCE, HEALTHY FUTURES COALITION, SUBSTANCE USE ADVISORY GROUP, MENTAL HEALTH PARTNERS, COMMUNITY REACH CENTER, COLORADO HOSPITAL ASSOCIATION, AND SISTER CARMEN COMMUNITY CENTER. GSMC MONITORED AND IDENTIFIED AREAS OF NEED IN THE COMMUNITY AND IDENTIFIED WAYS TO ENSURE THE NEEDS WERE MET. GSMC MONITORED AND EVALUATED GSMC PROGRAMS TO MEET GOALS TO ADDRESS COMMUNITY NEEDS. IN ADDITION, GSMC IS REPRESENTED AND PARTICIPATES IN THE METRO DENVER PARTNERSHIP FOR HEALTH, A COLLABORATIVE OF COLORADO HEALTH SYSTEMS, PUBLIC HEALTH DEPARTMENTS, AND COMMUNITY-BASED PROVIDERS. THIS COLLABORATIVE WORKS TO ADDRESS CHALLENGING COMMUNITY HEALTH NEEDS USING COLLECTIVE IMPACT STRATEGIES.IN JANUARY 2023, GSMC BEGAN SCREENING PATIENTS FOR SOCIAL NEEDS IN FIVE AREAS: HOUSING, FOOD, UTILITIES, TRANSPORTATION, AND INTERPERSONAL SAFETY. SCREENING PROVIDED AN OPPORTUNITY TO ADDRESS SOCIAL DETERMINANTS OF HEALTH AND MEDICAID PATIENTS WHO SCREENED POSITIVE WERE CONNECTED TO THE REGIONAL ACCOUNTABLE ENTITY. PATIENTS ALSO WERE CONNECTED TO COMMUNITY RESOURCES THROUGH THE TECHNOLOGY PLATFORM, FINDHELP, WHICH WAS INTEGRATED INTO GSMC'S ELECTRONIC MEDICAL RECORD AND PROVIDED A CLOSED-LOOP REFERRAL. OVERALL SCREENING RATES AT GSMC INCREASED FROM 18.3% TO 76.2% FROM JANUARY TO DECEMBER.
PART VI, LINE 3:	SCL HEALTH - FRONT RANGE, INC. (LMC & GSMC) 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. SCL HEALTH - FRONT RANGE, INC. (LMC & GSMC) HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4:	LUTHERAN MEDICAL CENTER:LUTHERAN MEDICAL CENTER (LMC) IS SITUATED IN THE WESTERN PORTION OF THE DENVER METROPOLITAN AREA IN THE CITY OF WHEAT RIDGE, COLORADO. THIS ACUTE CARE FACILITY HAS A SERVICE AREA THAT SERVES SEVERAL COMMUNITIES IN THE WESTERN METROPOLITAN AREA INCLUDING WHEAT RIDGE, ARVADA, GOLDEN, LAKEWOOD, AND WESTMINSTER, AS WELL AS COMMUNITIES IN THE FOOTHILLS OF THE FRONT RANGE. LMC'S PRIMARY SERVICE AREA CONSISTS OF 18 STANDARD ZIP CODES, MAINLY LOCATED IN JEFFERSON COUNTY (13 ZIP CODES) BUT ALSO REPRESENTED BY ZIP CODES IN THE COUNTIES OF DENVER (3 ZIP CODES), ADAMS (1 ZIP CODE) AND GILPIN (1 ZIP CODE). THE SECONDARY SERVICE AREA INCLUDES 20 ZIP CODES AND EXTENDS THROUGH ADAMS COUNTY, BROOMFIELD COUNTY, CLEAR CREEK COUNTY, DENVER COUNTY AND JEFFERSON COUNTY. LMC'S PRIMARY SERVICE AREA IS DEFINED AS THE GEOGRAPHIC AREA OF CONTIGUOUS ZIP CODES FROM WHICH THE HOSPITAL DRAWS APPROXIMATELY 75% OF ITS INPATIENT DISCHARGES AND THE COMBINED PRIMARY AND SECONDARY SERVICE AREA IS BASED ON APPROXIMATELY 90% OF DISCHARGES. LMC'S MAIN CONCENTRATION OF CARE IS PROVIDED TO THE COMMUNITIES OF WHEAT RIDGE, ARVADA, AND GOLDEN. ADDITIONALLY, 50% OF THE LMC'S DISCHARGES COME FROM EIGHT ZIP CODES WITHIN THOSE CITIES. FURTHERMORE, LMC SERVICES THE MOST PATIENTS WITHIN ITS PRIMARY SERVICE AREA WHEN COMPARED TO OTHER HOSPITALS, FURNISHING CLOSE TO 30% OF THE INPATIENT CARE. HOSPITALS IN THE SERVICE AREA: LMC AND SAINT ANTHONY HOSPITAL ARE THE ACUTE CARE PROVIDERS IN JEFFERSON COUNTY, WITH LMC ONLY OFFERING MATERNITY SERVICES. THERE ARE TWO ACUTE CARE HOSPITALS LOCATED IN THE SECONDARY SERVICE AREA, NORTH SUBURBAN MEDICAL CENTER (AN AFFILIATE OF THE FOR-PROFIT HEALTHONE SYSTEM) AND DENVER HEALTH (GOVERNMENT-OWNED). BESIDES LMC, THERE ARE SIX OTHER NOT-FOR-PROFIT HOSPITALS IN THE COMMUNITY: ST. ANTHONY NORTH HOSPITAL-CENTURA HEALTH, WESTMINSTER; ST. ANTHONY HOSPITAL-CENTURA HEALTH, LAKEWOOD; AVISTA ADVENTIST HOSPITAL-CENTURA HEALTH, LOUISVILLE; LONGMONT UNITED HOSPITAL, LONGMONT; BOULDER COMMUNITY HOSPITAL, BOULDER; GOOD SAMARITAN MEDICAL CENTER, LAFAYETTE.THE COMMUNITY SERVED BY LMC CONTAINS THE FOLLOWING DEMOGRAPHIC INFORMATION, UPDATED FOR 2021, USING THE RESOURCES OF COUNTY HEALTH RANKINGS, US CENSUS DATA, STATE HEALTH DEPARTMENT DATA AND THE EXISTING CHNA.POPULATION:2015 - 2019, THE AVERAGE POPULATION OF LMC'S SERVICE AREA WAS 595,832. JEFFERSON COUNTY'S POPULATION WAS 574,798. COLORADO'S TOTAL POPULATION WAS 5,610,349.YOUTH, AGES 0 - 19, WERE 20% OF THE POPULATION IN THE SERVICE AREA. ADDITIONALLY, 63.5% OF THE POPULATION WERE 20 TO 64 YEARS OLD AND 16.4% WERE 65 YEARS AND OLDER. THE SERVICE AREA HAD A LOWER PERCENTAGE OF YOUTH, AGES 0 - 19, AND A HIGHER PERCENTAGE OF ADULTS, AGES 45 AND OLDER, THAN IN THE STATE.IN THE SERVICE AREA, LITTLETON (80127) HAD THE LARGEST PERCENTAGE OF YOUTH, AGES 5-17 (23.7%) AND KITTREDGE HAD THE SMALLEST PERCENTAGE OF YOUTH (4.2%). BUFFALO CREEK HAD THE HIGHEST PERCENTAGE OF SENIORS (26.8%) AND KITTREDGE HAD THE LOWEST PERCENTAGE OF SENIORS IN THE SERVICE AREA (9.4%). THE MEDIAN AGE IN JEFFERSON COUNTY WAS 40.3 YEARS.RACE AND ETHNICITY:IN LMC'S SERVICE AREA, 80.2% OF THE POPULATION WERE WHITE, 12.9% WERE HISPANIC/LATINO, 3.0% WERE ASIAN, AND 1.1% WERE BLACK/AFRICAN AMERICAN. THE LMC SERVICE AREA HAD MORE WHITE AND ASIAN RESIDENTS THAN JEFFERSON COUNTY.IN THE SERVICE AREA, BUFFALO CREEK HAD THE HIGHEST PERCENTAGE OF WHITE RESIDENTS (98.7%). DENVER (80226) HAD THE HIGHEST PERCENTAGE OF HISPANIC OR LATINO RESIDENTS (31.6%). IDLEDALE (80453) HAD THE HIGHEST PERCENTAGE OF ASIAN AMERICANS (17.3%) AND DENVER (80235) HAD THE HIGHEST PERCENTAGE OF BLACK/AFRICAN AMERICANS (5.8%).LANGUAGE:OVER THREE-QUARTERS OR 90.2% OF THE SERVICE AREA POPULATION, AGES 5 YEARS AND OLDER, SPOKE ONLY ENGLISH IN THE HOME. ADDITIONALLY, 9.8% SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME AND 5.2% OF THE POPULATION SPOKE SPANISH IN THE HOME. COLORADO'S RATES OF SPANISH SPEAKING AT THE HOME AND SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME WERE HIGHER THAN THE SERVICE AREA.EDUCATION: 95.2% OF PERSONS AGE 25+ ARE HIGH SCHOOL GRADUATES OR HIGHER, 49.1% OF PERSONS AGED 25 AND OLDER HAVE EARNED A BACHELOR'S DEGREE OR HIGHER.MEDIAN HOUSEHOLD INCOME: $103,167 (2022 DOLLARS) WHICH IS HIGHER THAN THE U.S. AVERAGE $75,149 (2022 DOLLARS). PERSONS LIVING IN POVERTY: 6.6% IN JEFFERSON COUNTY WHICH IS LOWER THAN THE U.S. AVERAGE OF 11.5%. (U.S. CENSUS).UNINSURED RATE: 7.0% OF PEOPLE IN JEFFERSON COUNTY ARE UNINSURED, COMPARED WITH 9.3% ACROSS THE U.S. SEE CONTINUATION BELOW
PART VI, LINE 5:	LUTHERAN MEDICAL CENTER:DURING THE REPORTING PERIOD, LMC HAD NUMEROUS PROGRAMS INCLUDING THE CANCER CENTER, NEUROVASCULAR CENTER, AND TRAUMA CENTER THAT OFFERED OTHER COMMUNITY OUTREACH. COMMUNITY EDUCATION AND OUTREACH INCLUDED A VARIETY OF CLASSES OFFERED ON WEIGHT MANAGEMENT AND MAINTAINING A HEALTHY LIFESTYLE, CANCER SUPPORT GROUPS, ROUTINE COMMUNITY HEALTH EDUCATION, SKIN CANCER SCREENINGS, BREAST CANCER SURVIVORSHIP PROGRAMS, CLASSES FOR PROSPECTIVE PARENTS, AND DIABETES MANAGEMENT CLASSES. LMC COLLABORATED WITH SAFETY NET CLINICS SUCH AS STRIDE AS PART OF AN EFFORT TO ENHANCE AND IMPROVE MEDICAL OUTCOMES, QUALITY, AND SERVICES WITHIN THE COMMUNITY. THE OBJECTIVES OF THESE PROGRAMS ARE TO BE A HIGHLY RELIABLE ORGANIZATION, OFFER HIGH-QUALITY CARE, PROVIDE SAFETY FOR PATIENTS AND STAFF, AND BE COST-EFFECTIVE. THE QUALITY INDICATORS ARE IN ALIGNMENT WITH MAJOR PUBLICLY COMPARABLE DATABASES INCLUDING THE COLORADO HEALTH AND HOSPITAL ASSOCIATION AND CENTERS FOR MEDICARE AND MEDICAID SERVICES. GOOD SAMARITAN MEDICAL CENTER:COLLECTIVELY WITH ITS 234 LICENSED BEDS, GOOD SAMARITAN MEDICAL CENTER (GSMC) HAS SERVED ITS COMMUNITY BY PROVIDING COMPREHENSIVE MEDICAL SERVICES INCLUDING CARDIOLOGY, ONCOLOGY, ORTHOPEDIC, WOMEN AND FAMILY, EMERGENCY AND TRAUMA, NEONATAL INTENSIVE CARE, NEUROLOGY, NEUROSURGERY, OB/GYN, GENERAL SURGICAL AND MEDICAL, PRIMARY CARE, INTERNAL MEDICINE, BEHAVIORAL HEALTH, SENIOR EMERGENCY DEPARTMENT CARE, PALLIATIVE AND HOSPICE CARE, AND INTEGRATIVE HEALTH SERVICES.A VARIETY OF DIRECTORS AND ADMINISTRATORS PARTICIPATED ON COMMUNITY BOARDS AND CHAMBERS TO ASSIST WITH COMMUNITY BUILDING. IN 2023, GSMC ASSOCIATES SERVED ON THE FOLLOWING COMMUNITY BOARDS OR COMMITTEES: NORTH CENTRAL REGION HEALTHCARE COALITION, DONOR ALLIANCE ADVISORY BOARD, ZERO SUICIDE LEARNING COLLABORATIVE, FOOTHILLS REGIONAL EMERGENCY MEDICAL AND TRAUMA ADVISORY COUNCIL (FRETAC), BROOMFIELD LOCAL EMERGENCY PLANNING COMMITTEE, COLORADO TRAUMA NETWORK, ERIE CHAMBER OF COMMERCE, LAFAYETTE CHAMBER OF COMMERCE, BOULDER MULTI-AGENCY COORDINATION GROUP OF BOULDER OFFICE OF EMERGENCY MANAGEMENT, HEALTH & MEDICAL RESPONSE (HAMR) BOULDER COUNTY HEALTHCARE COALITION, HEALTHY FUTURES COALITION, ADAMS COUNTY HEALTH ALLIANCE, BROOMFIELD COUNTY OPIOID REGIONAL COUNCIL, COLORADO COMMUNITY HEALTH ALLIANCE PROGRAM IMPROVEMENT ADVISORY COMMITTEE, BOULDER COUNTY BEHAVIORAL HEALTH ROADMAP OPERATIONS GROUP, STATE EMERGENCY MEDICAL AND TRAUMA SERVICES ADVISORY COUNCIL (SEMTAC), AND STATEWIDE TRAUMA ADVISORY COMMITTEE (STAC).IN ADDITION TO PRIORITY HEALTH PROGRAMMING, GSMC ALSO ENGAGES IN THE FOLLOWING COMMUNITY HEALTH IMPROVEMENT ACTIVITIES:BABY'S FIRST RIDE: PROVIDED 1,139 CAR SEAT CHECKS.CANCER SUPPORT GROUP OFFERED BY THE CANCER CENTERS OF COLORADO AT GSMC: 168 ENCOUNTERS."DOING GOOD" GRANT: DISTRIBUTED NINE CHARITABLE CONTRIBUTIONS TO NONPROFIT COMMUNITY ORGANIZATIONS IN 2023 FOR A TOTAL OF $66,000.CONTINUING EDUCATION EMS PROGRAM: PROVIDED EDUCATION TO 2,114 LOCAL EMS PROVIDERS. EDUCATIONAL FOLLOW-UP PROGRAM: PROVIDED EDUCATIONAL FOLLOW-UP AT 779 ENCOUNTERS WITH EMS PROVIDERS FOLLOWING DROP OFF AT GSMC.EMS RECERTIFICATION: PROVIDED PARAMEDIC REFRESHER COURSE, CPR AND AED TRAINING, BASIC EKG TRAINING IN 31 ENCOUNTERS.IN-KIND DONATIONS TO PROJECT CURE: $58,795.STUDENT CLINICALS: 295 STUDENTS COMPLETED THEIR CLINICAL ROTATIONS IN LABORATORY, NURSING, PHARMACY, PHYSICAL MEDICINE, RADIOLOGY, RESPIRATORY, SOCIAL WORK, AND SURGERY AT GSMC.BLOOD DRIVES: IN CONJUNCTION WITH VITALANT BLOOD DONATION, GSMC HELD FIVE BLOOD DRIVES. EMPLOYEES AND COMMUNITY MEMBERS DONATED 137 UNITS AND 17 DOUBLE UNITS. THESE BLOOD DONATIONS ARE ESTIMATED TO HELP 417 PEOPLE.TRAUMA OUTREACH THROUGH COMMUNITY EDUCATION: GSMC OFFERED 13 "STEPPING ON" CLASSES WITH 86 ENCOUNTERS; 17 "STOP THE BLEED" TRAINING SESSIONS WITH 337 INDIVIDUALS COMPLETING THE COURSE; THREE "THINK FIRST" CLASSES FOR PARENTS OF TEEN DRIVERS WITH 24 ENCOUNTERS; 14 TAI CHI CLASSES WITH 110 ENCOUNTER; TWO CAR FIT SESSIONS FOR SENIORS WITH 5 ATTENDEES; TWO COMMUNITY BALANCE SCREENINGS WITH 8 PARTICIPANTS; PROVIDED 25 STUDENTS WITH SCHOLARSHIPS TO ATTEND DRIVING SCHOOL THROUGH A COLLABORATION WITH FARMER'S INSURANCE AND THE GSMC'S FOUNDATION.GSMC IS AN IMPORTANT PART OF THE COMMUNITY AND SERVE IN MANY WAYS IN RESPONSE TO DIRECT REQUESTS FROM COMMUNITY ORGANIZATIONS AND RESIDENTS. FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORTING OTHER CIVIC GROUPS, THE COMMUNITY INVOLVEMENT TAKES MANY FORMS. THE BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF THE HOSPITAL. THEY ARE DEEPLY INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT RESIDENTS ARE INFORMED ABOUT AVAILABLE SERVICES. WHEN GSMC HAS EXCESS REVENUE OVER OPERATING EXPENSES, IT USES THOSE FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND EXPAND ACCESS TO CARE FOR UNMET NEED AREAS.
PART VI, LINE 6:	THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN), AN INTEGRATED HEALTH SYSTEM WHOSE VISION IS TO "BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICES AT AN AFFORDABLE COST". INTERMOUNTAIN STRIVES TO FULFILL THAT MISSION THROUGH ACCOMPLISHING ITS STATED MISSION OF "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE". INTERMOUNTAIN IS A NONPROFIT CORPORATION EXEMPT UNDER INTERNAL REVENUE CODE 501(C)(3). AFFILIATES WITHIN THE HEALTH SYSTEM NETWORK INCLUDE NONPROFIT CORPORATIONS EXEMPT UNDER IRS 501(C)(3) AND 501(C)(4), TAXABLE CORPORATIONS, PARTNERSHIPS WITH PHYSICIANS, STRATEGIC INVESTMENTS, AND JOINT VENTURES.HEADQUARTERED IN UTAH WITH LOCATIONS IN SEVEN STATES AND ADDITIONAL OPERATIONS ACROSS THE WESTERN U.S., INTERMOUNTAIN IS A NONPROFIT SYSTEM OF MORE THAN 66,000 CAREGIVERS, 33 HOSPITALS, 385 CLINICS, MEDICAL GROUPS, A HEALTH PLAN (SELECT HEALTH) WITH MORE THAN ONE MILLION MEMBERS, AND OTHER HEALTH SERVICES. HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE, INTERMOUNTAIN IS COMMITTED TO IMPROVING COMMUNITY HEALTH AND IS WIDELY RECOGNIZED AS A LEADER IN TRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TO CONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS. INTERMOUNTAIN IS WORKING TO IMPROVE THE HEALTH AND WELL-BEING BY IMPROVING MENTAL WELL-BEING, PREVENTING AVOIDABLE DISEASE, IMPROVING AIR QUALITY, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND OTHER COMMUNITY HEALTH INITIATIVES.THROUGH MULTIPLE CHARITABLE FOUNDATIONS, INTERMOUNTAIN ALSO DEVELOPS FINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTING OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL SERVICES FOR LOW-INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS.
SCHEDULE H, PART VI, LINE 4	CONTINUED NARRATIVEGOOD SAMARITAN MEDICAL CENTER:GOOD SAMARITAN MEDICAL CENTER (GSMC) IS AN ACUTE-CARE HOSPITAL LOCATED IN THE CITY OF LAFAYETTE, COLORADO, WHICH IS IN BOULDER COUNTY. THE HOSPITAL SERVICE AREA ALSO INCLUDES COMMUNITIES IN ADAMS, BOULDER, BROOMFIELD, GILPIN, JEFFERSON, AND WELD COUNTIES. HOSPITALS IN THE SERVICE AREA: GSMC AND THE FOLLOWING ADDITIONAL HOSPITALS SERVE BOULDER COUNTY AND SURROUNDING COUNTIES: ST. ANTHONY NORTH HOSPITAL-CENTURA HEALTH, WESTMINSTER; AVISTA ADVENTIST HOSPITAL-CENTURA HEALTH, LOUISVILLE; LONGMONT UNITED HOSPITAL, LONGMONT; BOULDER COMMUNITY HOSPITAL, BOULDER; LUTHERAN MEDICAL CENTER, WHEAT RIDGE. IN THORNTON, THERE IS ONE FOR-PROFIT HOSPITAL, NORTH SUBURBAN MEDICAL CENTER-HEALTHONE.TOTAL POPULATION: FROM 2015 TO 2019, THE AVERAGE POPULATION OF THE GSMC SERVICE AREA WAS 1,111,074. ADAMS COUNTY HAD A POPULATION OF 504,108, BOULDER COUNTY HAD A POPULATION OF 322,510, AND BROOMFIELD COUNTY HAD A POPULATION OF 67,886.POPULATION BY GENDER: IN THE GSMC SERVICE AREA, 50.3% OF THE POPULATION WAS MALE AND 49.7% WAS FEMALE.POPULATION BY AGE: IN THE GSMC SERVICE AREA, 26.5% WERE AGES 19 YEARS OLD AND YOUNGER, 61% WERE 20 TO 64 YEARS OLD, AND 12.6% WERE AGES 65 YEARS OLD AND OLDER. ADAMS AND WELD COUNTIES HAD THE HIGHEST PERCENTAGE OF YOUTH, AGES 0-19 (29.3%). GILPIN COUNTY HAD THE HIGHEST PERCENTAGE OF PEOPLE 65 YEARS OLD AND OLDER (17.9%) AS A PROPORTION OF THE TOTAL POPULATION. RACE/ ETHNICITY: IN THE SERVICE AREA, 69.3% OF THE POPULATION WERE WHITE, 22.7% WERE HISPANIC/LATINX, 3.9% WERE ASIAN, AND 1.2% WERE BLACK/AFRICAN AMERICAN. THE SERVICE AREA HAD A GREATER PERCENTAGE OF WHITE, LATINX, AND ASIAN-AMERICAN INDIVIDUALS THAN STATE AVERAGE. LANGUAGE SPOKEN AT HOME FOR THE POPULATION 5 YEARS AND OVER: IN THE SERVICE AREA, 87.9% OF THE POPULATION, AGES 5 YEARS AND OLDER, SPOKE ONLY ENGLISH IN THE HOME. JUST UNDER 18% SPOKE A LANGUAGE OTHER THAN ENGLISH AT HOME, AND 12.1% OF THE POPULATION SPOKE SPANISH AT HOME. ADAMS COUNTY HAD THE HIGHEST RATE OF RESIDENTS SPEAKING A LANGUAGE OTHER THAN ENGLISH AT HOME (29.0%) AND GILPIN COUNTY HAD THE LOWEST (6.7%). ADAMS COUNTY HAD THE HIGHEST RATE OF RESIDENTS WHO SPOKE SPANISH AT HOME (23.6%) AND GILPIN COUNTY HAD THE LOWEST RATE OF RESIDENTS WHO SPOKE SPANISH AT HOME (2.7%). SOCIAL AND ECONOMIC FACTORS RANKINGS: COUNTY HEALTH RANKINGS EXAMINED DATA RELATED TO HEALTH FACTORS TO RANK COLORADO'S 64 COUNTIES ON SOCIAL AND ECONOMIC INDICATORS, WITH 1 BEING THE BEST FACTORS AND 64 THE POOREST FACTORS. THIS RANKING TOOK INTO CONSIDERATION HIGH SCHOOL GRADUATION RATES, UNEMPLOYMENT, CHILDREN IN POVERTY, SOCIAL SUPPORT, AND OTHERS. THE COUNTIES IN GSMC'S SERVICE AREA RANKED AS FOLLOWS: ADAMS COUNTY RANKED 38TH, WELD COUNTY 28TH, GILPIN COUNTY AT 6TH, JEFFERSON COUNTY AT 15TH, BOULDER COUNTY 13TH, AND BROOMFIELD COUNTY AT 2ND.PERSONS LIVING IN POVERTY: 11.8% IN BOULDER COUNTY WHICH IS HIGHER THAN THE U.S. AVERAGE OF 11.5%. (U.S. CENSUS).ECONOMICS, 2020: THE MEDIAN HOUSEHOLD INCOME IN THE STATE WAS $77,104. THE COUNTY INCOMES WERE (FROM HIGHEST TO LOWEST) BROOMFIELD ($106,892), JEFFERSON ($89,696), BOULDER ($88,341), WELD ($78,160), ADAMS ($75,341), AND GILPIN ($74,806). EDUCATIONAL ATTAINMENT FOR ADULTS AGED 25 AND OLDER: THE POPULATION IN GSMC'S SERVICE AREA HAD A 91.6% HIGH SCHOOL GRADUATION RATE AND 8.4% HAD NOT ATTAINED A HIGH SCHOOL DIPLOMA. ADDITIONALLY, 19.3% HAD SOME COLLEGE WITH NO DEGREE, AND 43.9% HAD A BACHELOR'S DEGREE OR HIGHER. BOULDER COUNTY HAD THE HIGHEST RATE OF COLLEGE EDUCATION, WITH 62.1% OF ADULTS ATTAINING A BACHELOR'S DEGREE, AND ADAMS COUNTY HAD THE LOWEST ATTAINMENT AT 24.3%. ADAMS COUNTY HAD THE HIGHEST RATE OF ADULTS WITHOUT A HIGH SCHOOL DIPLOMA AT 16.2% AND GILPIN COUNTY HAD THE LOWEST RATE AT 1.5%. GILPIN COUNTY HAD THE HIGHEST HIGH SCHOOL GRADUATION RATE AT 98.5% AND ADAMS COUNTY HAD THE LOWEST AT 83.8%. HEALTH INSURANCE COVERAGE, CIVILIAN NONINSTITUTIONALIZED POPULATION, AGES 18-64: HEALTH INSURANCE COVERAGE IS CONSIDERED A KEY COMPONENT TO ACCESS HEALTHCARE. THE HEALTHY PEOPLE 2030 OBJECTIVE IS THAT 92.1% OF THE POPULATION HAVE HEALTH INSURANCE COVERAGE. IN GSMC'S SERVICE AREA, 93.8% OF THE POPULATION WAS INSURED. INSURANCE COVERAGE IN HSR 16 (BOULDER AND BROOMFIELD COUNTIES) WAS 94.7%. INSURANCE COVERAGE WAS HIGHER IN HSR 18, WELD COUNTY (95.9%) THAN IN HSR 14, ADAMS COUNTY (90.9%). INSURANCE COVERAGE WAS HIGHEST IN HSR 21, JEFFERSON COUNTY (97.4%), AND LOWEST IN HSR 17, GILPIN COUNTY (88.2%). COLORADO AVERAGED 93.5% INSURANCE COVERAGE. URBAN AND RURAL AREAS OF BOULDER COUNTY: BOULDER COUNTY INCLUDES BOTH URBAN AREAS AND RURAL AREAS, PER U.S. HEALTH RESOURCES SERVICES ADMINISTRATION RURAL HEALTH GRANTS ELIGIBILITY ANALYZER (HTTPS://DATA.HRSA.GOV/TOOLS/RURAL-HEALTH). THE COUNTY'S RURAL AREAS ARE IN THE NORTHEAST QUADRANT OF THE COUNTY, AROUND THE TOWN OF LYONS.
PART VI, LINE 7:	THE COLORADO DEPARTMENT OF HEALTH CARE POLICY AND FINANCING REQUIRES ALL NONPROFIT HOSPITALS TO HOST AN ANNUAL PUBLIC MEETING TO REVIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT AND PROGRESS TOWARD A COMMUNITY HEALTH IMPROVEMENT PLAN. FOLLOWING THE MEETING, THE HOSPITALS ARE REQUIRED TO SUBMIT A REPORT TO THE STATE DETAILING THE MOST RECENTLY FILED FORM 990 AND OTHER DETAILS ABOUT THE HOSPITAL'S PUBLIC ENGAGEMENT ACTIVITIES. THE MEETING IS ADVERTISED IN LOCAL NEWSPAPERS AND SOCIAL MEDIA, AND THE REPORT IS POSTED ON THE HOSPITAL'S CHNA WEBSITE (HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS) AND IN SUMMARY BY THE STATE OF COLORADO (HTTPS://HCPF.COLORADO.GOV/HOSPITAL-COMMUNITY-BENEFIT-ACCOUNTABILITY).

Schedule H (Form 990) 2023

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

2023

Open to Public
Inspection

Name of the organization
INTERMOUNTAIN FRONT RANGE INC
F/K/A SCL HEALTH - FRONT RANGE INC

Employer identification number
84-1103606

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) LUTHERAN MEDICAL CENTER FOUNDATION 8300 WEST 38TH AVENUE WHEAT RIDGE,CO80033	20-8846152	501 ( C) (3)	879,270	0			PROGRAM SUPPORT
(2) GOOD SAMARITAN MEDICAL CENTER FOUNDATION 200 EXEMPLA CIRCLE LAFAYETTE,CO80026	84-1649162	501 ( C) (3)	562,081	0			PROGRAM SUPPORT
(3) PROJECT CURE INTERNATIONAL HEADQUARTERS 10377 E GEDDES AVENUE CENTENNIAL,CO80112	84-1568566	501 ( C) (3)	0	194,098	BOOK	MEDICAL SUPPLIES	PROGRAM SUPPORT
(4) BENEFITS IN ACTION 12157 W CEDAR DR SUITE 100 LAKEWOOD,CO80228	87-3774775	501 ( C) (3)	45,852	0			PROGRAM SUPPORT
(5) JEFFERSON CENTER FOR MENTAL HEALTH 4851 INDEPENDENCE STREET STE 200 WHEAT RIDGE,CO80033	84-0474717	501 ( C) (3)	28,138	0			PROGRAM SUPPORT
(6) ARVADA CHAMBER OF COMMERCE 7305 GRANDVIEW AVENUE ARVADA,CO80002	84-0422091	501 ( C) (6)	25,000	0			PROGRAM SUPPORT
(7) SISTER CARMEN COMMUNITY CENTER 655 ASPEN RIDGE DRIVE LAFAYETTE,CO80026	84-0820308	501 ( C) (3)	15,000	0			PROGRAM SUPPORT
(8) THE ACTION CENTER 8755 WEST 14TH AVE LAKEWOOD,CO80125	23-7019679	501 ( C) (3)	15,000	0			PROGRAM SUPPORT
(9) VIA MOBILITY SERVICES 2855 N 63RD STREET BOULDER,CO80301	84-0777296	501 ( C) (3)	10,000	0			PROGRAM SUPPORT
(10) HABITAT FOR HUMANITY OF METRO DENVER INC 7535 EAST HAMPDEN AVENUE SUITE 600 DENVER,CO80231	74-2050021	501 ( C) (3)	10,000	0			PROGRAM SUPPORT
(11) MENTAL HEALTH PARTNERS 1455 DIXON AVE LAFAYETTE,CO80026	84-0520493	501 ( C) (3)	7,500	0			PROGRAM SUPPORT
(12) BROOMFIELD FISH 6 GARDEN CENTER BROOMFIELD,CO80020	84-1591870	501 ( C) (3)	7,500	0			PROGRAM SUPPORT
(13) A PRECIOUS CHILD INC 7051 W 118TH AVENUE BROOMFIELD,CO80020	26-3349334	501 ( C) (3)	7,000	0			PROGRAM SUPPORT
(14) RISE AGAINST SUICIDE 603 S PUBLIC ROAD 846 LAFAYETTE,CO80026	27-3029987	501 ( C) (3)	6,500	0			PROGRAM SUPPORT
(15) COAL CREEK MEALS ON WHEELS 455 N BURLINGTON LAFAYETTE,CO80026	84-0634856	501 ( C) (3)	6,000	0			PROGRAM SUPPORT
(16) SAINT JOSEPH HOSPITAL FOUNDATION 1375 E 19TH AVENUE DENVER,CO80218	84-0735096	501 ( C) (3)	5,150	0			PROGRAM SUPPORT
(17) WISH FOR WHEELS INC 4600 S ULSTER ST SUITE 1050 DENVER,CO80237	59-3803048	501 ( C) (3)	5,008	0			PROGRAM SUPPORT

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

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

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

Cat. No. 50055P

Schedule I (Form 990) 2023

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) HUMANITARIAN GRANTS	1057	0	55,538	FMV	TRANSPORTATION
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

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

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

Schedule I (Form 990) 2023

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

INTERMOUNTAIN FRONT RANGE INC
F/K/A SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

If any of the boxes 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 ............

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) 2023

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)
1JANIE WADE FORMER OFFICER	(i) (ii)	0 ------------- 814,843	0 ------------- 278,696	0 ------------- 4,510,754	0 ------------- 71,363	0 ------------- 22,516	0 ------------- 5,698,172	0 ------------- 691,795
2LYDIA JUMONVILLE FORMER OFFICER	(i) (ii)	0 ------------- 1,335,578	0 ------------- 1,836,066	0 ------------- 625,088	0 ------------- 544,613	0 ------------- 21,976	0 ------------- 4,363,321	0 ------------- 600,047
3MARK KORTH DIRECTOR (PARTIAL)	(i) (ii)	0 ------------- 907,305	0 ------------- 700,064	0 ------------- 203,294	0 ------------- 599,392	0 ------------- 27,360	0 ------------- 2,437,415	0 ------------- 302,323
4DANIEL POSSLEY MD PHYSICIAN	(i) (ii)	851,791 ------------- 0	1,031,803 ------------- 0	17,458 ------------- 0	16,500 ------------- 0	42,189 ------------- 0	1,959,741 ------------- 0	0 ------------- 0
5SCOTT PEEK DIR/MKT PRES, FRONT RANGE MKT	(i) (ii)	705,729 ------------- 0	135,762 ------------- 0	184,322 ------------- 0	365,711 ------------- 0	31,658 ------------- 0	1,423,182 ------------- 0	0 ------------- 0
6JESS JOYMON MD PHYSICIAN	(i) (ii)	891,623 ------------- 0	364,374 ------------- 0	26,789 ------------- 0	17,602 ------------- 0	38,343 ------------- 0	1,338,731 ------------- 0	0 ------------- 0
7JOHN WICKLUND PRESIDENT REGIONAL WESTERN CO & LMC	(i) (ii)	0 ------------- 173,427	0 ------------- 149,635	0 ------------- 822,310	0 ------------- 7,846	0 ------------- 16,598	0 ------------- 1,169,816	0 ------------- 139,635
8ADAM SMITH MD PHYSICIAN	(i) (ii)	988,183 ------------- 0	6,606 ------------- 0	86,510 ------------- 0	19,800 ------------- 0	37,922 ------------- 0	1,139,021 ------------- 0	0 ------------- 0
9JAMES TREADWELL MD PHYSICIAN	(i) (ii)	574,832 ------------- 0	489,564 ------------- 0	8,554 ------------- 0	16,500 ------------- 0	37,456 ------------- 0	1,126,906 ------------- 0	0 ------------- 0
10JORDAN MCCOY MD PHYSICIAN	(i) (ii)	751,536 ------------- 0	247,116 ------------- 0	59,586 ------------- 0	18,644 ------------- 0	35,134 ------------- 0	1,112,016 ------------- 0	0 ------------- 0
11CHRISTOPHER AWTREY CMO, FRONT RANGE MED GROUP (PARTIAL)	(i) (ii)	458,263 ------------- 0	152,715 ------------- 0	24,384 ------------- 0	206,116 ------------- 0	30,112 ------------- 0	871,590 ------------- 0	68,714 ------------- 0
12DAWN ANUSZKIEWICZ PRESIDENT GSMC	(i) (ii)	449,752 ------------- 0	102,393 ------------- 0	4,894 ------------- 0	221,067 ------------- 0	27,538 ------------- 0	805,644 ------------- 0	100,893 ------------- 0
13JENNIFER ALDERFER FORMER OFFICER	(i) (ii)	0 ------------- 549,575	0 ------------- 130,931	0 ------------- 76,177	0 ------------- 14,518	0 ------------- 27,603	0 ------------- 798,804	0 ------------- 203,684
14SEAN FADDEN FORMER OFFICER	(i) (ii)	0 ------------- 373,991	0 ------------- 113,292	0 ------------- 21,646	0 ------------- 169,153	0 ------------- 28,040	0 ------------- 706,122	0 ------------- 77,261
15TONI GREEN-CHEATWOOD VP CHIEF MEDICAL OFFICER GSMC	(i) (ii)	386,918 ------------- 0	58,830 ------------- 0	3,505 ------------- 0	191,440 ------------- 0	30,112 ------------- 0	670,805 ------------- 0	58,830 ------------- 0
16ANDREA BURCH VP CHIEF OP/NURSING OFFICER LMC	(i) (ii)	337,361 ------------- 0	52,125 ------------- 0	33,898 ------------- 0	167,008 ------------- 0	31,410 ------------- 0	621,802 ------------- 0	84,123 ------------- 0
17SCOTT DAY VP HUMAN RESOURCE OPS LMC (PARTIAL)	(i) (ii)	0 ------------- 267,091	0 ------------- 53,589	0 ------------- 124,906	0 ------------- 119,545	0 ------------- 19,809	0 ------------- 584,940	0 ------------- 40,877
18ANN GANTZER VP CHIEF NURSING OFFICER GSMC	(i) (ii)	285,814 ------------- 0	11,541 ------------- 0	80,606 ------------- 0	134,142 ------------- 0	30,112 ------------- 0	542,215 ------------- 0	11,541 ------------- 0
19STEVEN HANKINS VP CHIEF OPERATING OFFICER GSMC	(i) (ii)	334,255 ------------- 0	24,054 ------------- 0	16,307 ------------- 0	165,641 ------------- 0	1,783 ------------- 0	542,040 ------------- 0	24,054 ------------- 0
20TROY STOEHR VP, FINANCE GSMC (PARTIAL)	(i) (ii)	0 ------------- 287,337	0 ------------- 30,661	0 ------------- 21,789	0 ------------- 123,120	0 ------------- 29,690	0 ------------- 492,597	0 ------------- 49,545
21STEVEN BROWN VP CHIEF MED OFFICER LMC (PARTIAL)	(i) (ii)	0 ------------- 240,057	0 ------------- 60,149	0 ------------- 50,899	0 ------------- 95,073	0 ------------- 14,031	0 ------------- 460,209	0 ------------- 60,149
22MICHELLE SHIAO FORMER OFFICER	(i) (ii)	0 ------------- 246,180	0 ------------- 36,688	0 ------------- 20,775	0 ------------- 124,339	0 ------------- 31,312	0 ------------- 459,294	0 ------------- 56,202
23MEGAN DURNING VP STRATEGY AND BUS DEVELOPMENT LMC	(i) (ii)	0 ------------- 242,226	0 ------------- 36,513	0 ------------- 28,416	0 ------------- 108,631	0 ------------- 8	0 ------------- 415,794	0 ------------- 59,441
24ASHLEY DENTON VP FINANCE LMC	(i) (ii)	244,064 ------------- 0	29,138 ------------- 0	994 ------------- 0	108,164 ------------- 0	30,112 ------------- 0	412,472 ------------- 0	29,138 ------------- 0
25PATRICE FARRELL-DELINE FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 199,879	0 ------------- 30,582	0 ------------- 21,746	0 ------------- 91,371	0 ------------- 19,580	0 ------------- 363,158	0 ------------- 46,947
26CALVIN BEASLEY VP INTEGRATIVE SVCS LMC (PARTIAL)	(i) (ii)	0 ------------- 143,181	0 ------------- 26,737	0 ------------- 109,658	0 ------------- 47,028	0 ------------- 19,911	0 ------------- 346,515	0 ------------- 96,828
27SADIE SULLIVAN SECRETARY (PARTIAL)	(i) (ii)	0 ------------- 216,610	0 ------------- 16,441	0 ------------- 611	0 ------------- 34,708	0 ------------- 11,277	0 ------------- 279,647	0 ------------- 16,441
28LARA ZARZECKI SECRETARY (PARTIAL)	(i) (ii)	0 ------------- 220,178	0 ------------- 4,294	0 ------------- 806	0 ------------- 28,087	0 ------------- 18,864	0 ------------- 272,229	0 ------------- 4,294
29THOMAS DONOHOE FORMER OFFICER	(i) (ii)	0 ------------- 33,934	0 ------------- 90,379	0 ------------- 70,306	0 ------------- 3,434	0 ------------- 2,520	0 ------------- 200,573	0 ------------- 116,571
30CHRISTINA JOHNSON FORMER KEY EMPLOYEE	(i) (ii)	142,364 ------------- 0	3,907 ------------- 0	431 ------------- 0	13,303 ------------- 0	11,898 ------------- 0	171,903 ------------- 0	3,907 ------------- 0

Schedule J (Form 990) 2023

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	THE FILING ORGANIZATION 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 2023 WERE: SCOTT PEEK - $52,236; ANN GANTZER - $24,996.
PART I, LINE 1B	THE FILING ORGANIZATION DOES 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: THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) OR BY SCL HEALTH - FRONT RANGE, INC. 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. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA OF PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION-RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECURIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
PART I, LINES 4A-B	SCHEDULE J, PART I, LINE 4A: SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO DEPARTING EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2023 WERE: JOHN WICKLUND - $433,300; CALVIN BEASLEY - $36,201; LYDIA JUMONVILLE - $45,708; JANIE WADE - $3,903,603. SCHEDULE J, PART I, LINE 4B: PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: A RELATED ORGANIZATION PROVIDES A NONQUALIFIED DEFERRED COMPENSATION PLAN (NQDC) KNOWN AS THE SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NONPROFIT HEALTH SYSTEMS. THIS PLAN ENABLES THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR OF PARTICIPATION. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COSTS AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLAN STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS A ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2023. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE PARTICIPANTS' W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2023 WERE: MARY KORTH - $168,447; TROY STOEHR - $18,884; JOHN WICKLUND - $299,497; ANDREA BURCH - $31,998; MEGAN DURNING - $22,927; SCOTT DAY - $106,441; CALVIN BEASLEY - $70,091; STEVEN BROWN - $45,860; PATRICE FARRELL-DELINE - $16,365; SEAN FADDEN - $19,923; LYDIA JUMONVILLE - $395,839; JENNIFER ALDERFER - $72,753; JANIE WADE - $552,445; THOMAS DONOHOE - $47,631; MICHELLE SHIAO - $19,514.
SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES	INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH 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) 2023

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

INTERMOUNTAIN FRONT RANGE INC
F/K/A SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Return Reference	Explanation
FORM 990, PART III, LINES 4A - 4D	DESCRIPTION OF PROGRAM SERVICE ACHIEVEMENTS: SCL HEALTH - FRONT RANGE, INC. (SCLFR) OPERATES LUTHERAN MEDICAL CENTER (LMC) SERVING PRIMARILY WESTERN AND SOUTHERN SUBURBAN AREAS OF METRO DENVER AND GOOD SAMARITAN MEDICAL CENTER (GSMC), SERVING PRIMARILY BOULDER AND NORTHWEST COUNTIES OF METRO DENVER, AND OTHER AFFILIATED MEDICAL OPERATIONS. LUTHERAN MEDICAL CENTER BEGAN IN 1905 AS THE EVANGELICAL LUTHERAN SANITARIUM, A TENT COLONY FOR TUBERCULOSIS PATIENTS. IN 1961, LUTHERAN HOSPITAL, A GENERAL MEDICAL FACILITY LOCATED ON A 100-ACRE CAMPUS OPENED. IN 1973, A SIX-FLOOR TOWER WAS ADDDED AND IN 1985 A CRITCAL CARE UNIT WAS ADDED, BRINGING THE NUMBER OF LICENSED BEDS TO 338, ITS CURRENT CAPACITY. IN JANUARY 1998, LUTHERAN MEDICAL CENTER JOINED SAINT JOSEPH HOSPITAL AND EXEMPLA MEDICAL GROUP TO FORM EXEMPLA HEALTHCARE, A NON-PROFIT COMMUNITY BASED ORGANIZATION, TO MANAGE OPERATIONS OF THE HOSPITAL AND MEDICAL GROUP. IN DECEMBER 2004, GOOD SAMARITAN MEDICAL CENTER, A COMMUNITY-BASED, ACUTE-CARE HOSPITAL, WAS CONSTRUCTED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IN 2010, EXEMPLA HEALTHCARE WAS ACQUIRED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IN DECEMBER 2013, THE NAME WAS CHANGED FROM EXEMPLA HEALTHCARE TO SCL HEALTH - FRONT RANGE, INC. ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED, CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS MORE THAN 66,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA. AS PART OF INTERMOUNTAIN HEALTH (INTEGRATED HEALTH SYSTEM), SCLFR HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL. GOOD SAMARITAN MEDICAL CENTER IS RECOGNIZED AS ONE OF THE BEST MATERNITY HOSPITALS IN THE COUNTRY BY US NEWS AND WORLD REPORT. LUTHERAN MEDICAL CENTER IS NATIONALLY RECOGNIZED WITH MAGNET ACCREDITATION FOR NURSING EXCELLENCE. SCLFR. HAS A VARIETY OF PROGRAMS AND SERVICES TO SERVE THE COMMUNITY INCLUDING BUT NOT LIMITED TO: LUTHERAN MEDICAL CENTER: - CANCER CARE (CANCER CENTERS OF COLORADO, BREAST CARE CENTER) - CERTIFIED COMPREHENSIVE STROKE CENTER - EMERGENCY AND TRAUMA SERVICES (LEVEL II TRAUMA CENTER) - FAMILY MEDICINE - HEART AND NEUROVASCULAR CENTER - HOSPICE AND PALLIATIVE CARE - LABOR AND DELIVERY - ORTHOPEDICS - RADIOLOGY, IMAGING AND ANCILLARY SERVICES - SENIOR BEHAVIORAL HEALTH - SPORTS MEDICINE - SURGERY CENTER (INCLUDING ROBOTIC-ASSISTED SURGERY) - REHABABILITATION SERVICES - WOMEN'S HEALTH GOOD SAMARITAN MEDICAL CENTER: - CANCER CARE (CANCER CENTERS OF COLORADO) - CHEST PAIN CENTER AND CARDIOVASCULAR CENTER OF EXCELLENCE - EMERGENCY AND TRAUMA SERVICES (LEVEL II TRAUMA CENTER) - INTEGRATIVE HEALTH AND HEALING CENTER - LABOR AND DELIVERY, LEVEL II NEONATAL CARE UNIT - ORTHOPEDICS, BONE AND JOINT INSTITUTE - PALLIATIVE CARE - RADIOLOGY, IMAGING AND ANCILLARY SERVICES - STROKE CENTER - SURGERY CENTER (INCLUDING ROBOTIC-ASSISTED SURGERY) - REHABILITATION SERVICES - WOMEN'S HEALTH DURING 2023, SCLFR HAD THE FOLLOWING RESULTS: ADMISSIONS - 28,175 OUTPATIENT VISITS - 266,083 EMERGENCY ROOM VISITS - 99,313 BIRTHS - 2,905 SURGERIES - 13,701 LAB TESTS - 1,627,930 MISSION, VISION, AND VALUES: MISSION: HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE. VISION: BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST. VALUES: - WE ARE LEADERS IN CLINICAL EXCELLENCE, DELIVERING SAFE, BEST-IN-QUALITY CARE - WE BELIEVE IN WHAT WE DO, LIVING OUR MISSION EVERY DAY - WE SERVE WITH EMPATHY, CARING FOR EACH CAREGIVER, PATIENT, AND MEMBER WITH COMPASSION AND RESPECT - WE ARE PARTNERS IN HEALTH, COLLABORATING TO KEEP PEOPLE WELL - WE DO THE RIGHT THING, LEARNING AND ACTING WITH PURPOSE - WE ARE BETTER TOGETHER, BUILDING COMMUNITY THROUGH TEAMWORK AND BELONGING
FORM 990, PART V, LINE 1A	EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED.
FORM 990, PART VI, SECTION A, LINE 2	MARK KORTH / SADIE SULLIVAN / LARA ZARZECKI / JOHN WICKLUND - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN SISTERS OF CHARITY HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION).
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS OR STOCKHOLDERS: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF SCL HEALTH - FRONT RANGE, INC.
FORM 990, PART VI, SECTION A, LINE 7A	POWER TO ELECT OR APPOINT MEMBERS: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF SCL HEALTH - FRONT RANGE, INC., HAS THE POWER TO APPOINT MEMBERS OF THE SCL HEALTH - FRONT RANGE, INC. BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION BY THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS: WHILE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF SCL HEALTH - FRONT RANGE, INC., RESERVED POWERS ARE PRIMARILY HELD BY INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN), WHO AS A RESULT OF AFFILIATION, IS A MEMBER OF SCLHS. SCLHS HAS THE POWER TO APPOINT TRUSTEES TO THE BOARD OF DIRECTORS, WHICH ARE SUBJECT TO RATIFICATION BY INTERMOUNTAIN. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE: - ESTABLISH THE MISSION, VISION, AND VALUES FOR THE CORPORATION; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR THE CORPORATION; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF THE CORPORATION; - FIX THE NUMBER OF TRUSTEES OF THE BOARD AND APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE ORGANIZATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. THE OTHER MEMBER OF SCLHS IS LEAVEN MINISTRIES, WHO WAS GRANTED THE FOLLOWING RESERVED POWERS: - TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BY ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF INTERMOUNTAIN HEALTH CARE, INC.SET FORTH IN THE MERGER AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE RESERVED POWERS GRANTED TO LEAVEN MINISTRIES AND THOSE OF INTERMOUNTAIN, THE LEAVEN RESERVED POWERS WILL CONTROL.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS USED TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC.
FORM 990, PART VI, SECTION B, LINE 15	FORM 990, PART VI, SECTION B (POLICIES) LINES 15(A) & 15(B) THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) OR BY SCL HEALTH - FRONT RANGE, INC. 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. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA OF PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION-RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECURIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION B, LINE 2	INDEPENDENT CONTRACTORS: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED.
FORM 990, PART IX, LINE 11G	CONTRACT LABOR: PROGRAM SERVICE EXPENSES 48,217,415. MANAGEMENT AND GENERAL EXPENSES 3,476,491. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,693,906. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 19,101,765. MANAGEMENT AND GENERAL EXPENSES 1,377,243. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,479,008. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 63,569,125. MANAGEMENT AND GENERAL EXPENSES 4,583,355. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68,152,480.
FORM 990, PART XI, LINE 9:	FAIR VALUE ACQUISITION ADJUSTMENT -5,399,644. THIRD PARTY MEDICARE ADJUSTMENT -1,345,934. TRANSFER OF FUNDS TO AN AFFILIATE -247,517.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

INTERMOUNTAIN FRONT RANGE INC
F/K/A SCL HEALTH - FRONT RANGE INC

Employer identification number

84-1103606

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) GOOD SAMARITAN MEDICAL CENTER LLC 200 EXEMPLA CIRCLE LAFAYETTE,CO80026 43-1982139	HOSPITAL SERVICES	CO	343,111,146	241,978,807	SCL HEALTH - FRONT RANGE INC
(2) SCL HEALTH MEDICAL GROUP - DENVER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-3778226	PHYSICIAN SERVICES	CO	230,534,711	42,712,741	SCL HEALTH - FRONT RANGE INC
(3) SCL PHYSICIANS - RMPC LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 35-2563201	PHYSICIAN SERVICES	CO	0	0	SCL HEALTH MEDICAL GROUP - DENVER LLC
(4) SCL HEALTH MEDICAL GROUP - GRAND JUNCTION LLC 2635 NORTH 7TH STREET GRAND JUNCTION,CO81502 46-3778277	PHYSICIAN SERVICES	CO	127,180,815	10,882,344	SCL HEALTH - FRONT RANGE INC
(5) SCL HEALTH - FRONT RANGE NETWORK LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 85-1517471	CLINICALLY INTEGRATED NETWORK	CO	0	0	SCL HEALTH - FRONT RANGE INC

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 23-7379161	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	KS	501(C)(3)	LINE 12C, III-FI	INTERMOUNTAIN HEALTH CARE INC	Yes
(2)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
(3)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
(4)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
(5)BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON,CO80601 84-0482695	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	INTEGRITY HEALTH	Yes
(6)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
(7)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
(8)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
(9)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
(10)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
(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 MARYS 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)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
(17)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
(18)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
(19)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
(20)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
(21)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
(22)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
(23)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
(24)SELECTHEALTH INC 5381 GREEN STREET MURRAY,UT84123 87-0409820	DELIVERY OF HEALTH BENEFITS	UT	501(C)(4)		INTERMOUNTAIN HEALTH CARE INC	Yes
(25)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
(26)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
(27)INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC 6355 SOUTH BUFFALO LAS VEGAS,NV89113 20-0160881	HOLDING COMPANY	DE	501(C)(3)	LINE 3	INTERMOUNTAIN HEALTH SERVICES INC	Yes
(28)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) 2023

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	(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	N/A				No			No
(2) SCLTDI JV LLC 4200 SIX FORKS ROAD SUITE 1000 RALEIGH,NC27609 47-2294770	RADIOLOGY	DE	N/A				No			No
(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	N/A				No			No
(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
(37) PELION OPPORTUNITY FUND IV LLC 14761 S FUTURE WAY SUITE 500 SALT LAKE CITY,UT84020 85-3909188	INVESTMENTS	UT	N/A				No			No
(38) LAYTON SURGERY CENTER LLC 265 EAST LAYTON PARKWAY LAYTON,UT84041 92-3229013	OUTPATIENT SURGERY	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) CARENT LABORATORY SOLUTIONS LLC 22240 COUNTRY ROAD 39 LASALLE,CO80645 32-0557616	MEDICAL LABORATORY	CO	N/A	C				Yes
(2) CARITAS INC AND SUBSIDIARIES 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 48-0941069	HEALTHCARE	KS	N/A	C				Yes
(3) WEST END ASSOCIATION INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 85-4261243	REAL ESTATE MANAGEMENT	MT	N/A	C				Yes
(4) LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVENUE WEST BAY R GRAND CAYMAN KY1-1102 CJ 98-0370522	INSURANCE	CJ	N/A	C				Yes
(5) ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-3632053	HEALTHCARE	MT	N/A	C				Yes
(6) SELECTHEALTH BENEFIT ASSURANCE COMPANY 5381 GREEN STREET MURRAY,UT84123 87-0497549	DELIVERY OF HEALTH BENEFITS	UT	N/A	C				Yes
(7) HEALTHCARE CAPTIVE INSURANCE COMPANY 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 20-1937561	INSURANCE	AZ	N/A	C				Yes
(8) ALLUCEO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 82-4614934	MENTAL HEALTH INTEGRATION SERVICES	DE	N/A	C				Yes
(9) SALTZER MEDICAL GROUP INC 215 EAST HAWAII AVENUE NAMPA,ID83686 82-0299231	MEDICAL SERVICES	ID	N/A	C				Yes
(10) CLASSIC MEDICAL INC 1021 SOUTH DOUGLAS STREET SALT LAKE CITY,UT84105 46-1141912	AIRCRAFT HOLDING COMPANY	UT	N/A	C				Yes
(11) CLASSIC HELICOPTERS INC 1021 SOUTH DOUGLAS STREET SALT LAKE CITY,UT84105 46-1153642	AIRCRAFT HOLDING COMPANY	UT	N/A	C				Yes
(12) CULMINATION BIO INC 36 SOUTH STATE SUITE 2200 SALT LAKE CITY,UT84111 36-5016511	BIOREPOSITORY	DE	N/A	C				Yes
(13) CAN YOU PLAY INC 1541 SOUTH 120 EAST FARMINGTON,UT84025 88-0846977	SOFTWARE DEVELOPMENT	UT	N/A	C				Yes

Schedule R (Form 990) 2023

Page 3

Part V

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

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

Yes

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

Yes

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

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

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

Yes

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

Yes

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) GOOD SAMARITAN MEDICAL CENTER FOUNDATION	B	562,081	CASH
(2) LUTHERAN MEDICAL CENTER FOUNDATION	B	879,270	CASH
(3) GOOD SAMARITAN MEDICAL CENTER FOUNDATION	C	481,237	CASH
(4) LUTHERAN MEDICAL CENTER FOUNDATION	C	1,841,272	CASH
(5) SAINT JOSEPH HOSPITAL INC	C	6,676,432	CASH
(6) ST MARY'S HOSPITAL & MEDICAL CENTER INC	C	18,294,220	CASH
(7) SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	M	134,998,906	CASH
(8) SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	P	3,159,078	CASH
(9) SAINT JOSEPH HOSPITAL INC	Q	7,667,307	CASH
(10) BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	Q	2,320,197	CASH
(11) SAINT JOSEPH HOSPITAL INC	S	20,484,517	CASH
(12) ST MARY'S HOSPITAL & MEDICAL CENTER INC	S	24,933,661	CASH

Schedule R (Form 990) 2023

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) 2023

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) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	10
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	9,630
6	Total number of volunteers (estimate if necessary) .............	6	435
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	912,468
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) .........	33,814,628	27,312,106
9	Program service revenue (Part VIII, line 2g) .........	999,590,853	1,100,383,152
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	2,473,626	226,191
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,712,690	2,643,200
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,037,591,797	1,130,564,649
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,125,532	1,898,852
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)	465,109,751	586,239,744
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)....	657,113,706	679,113,358
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,125,348,989	1,267,251,954
19	Revenue less expenses. Subtract line 18 from line 12.......	-87,757,192	-136,687,305
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	947,154,774	1,109,786,535
21	Total liabilities (Part X, line 26).............	476,226,095	782,531,946
22	Net assets or fund balances. Subtract line 21 from line 20.....	470,928,679	327,254,589

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,105,753,861 including grants of $ 1,898,852 ) (Revenue $ 1,102,624,144 )
	SEE SCHEDULE O

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,105,753,861

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	10,660,651	16,555,290	4,570,733

(A) Name and business address	(B) Description of services	(C) Compensation





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 0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	27,293,401
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f	18,705

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

h Total. Add lines 1a-1f.......		27,312,106

		Business Code
2a	NET PATIENT SERVICE RE	620000	1,099,918,786	1,099,321,318	597,468
b	MEDICAL DIRECTOR FEES	620000	464,366	464,366
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,100,383,152

3 Investment income (including dividends, interest, and othersimilar amounts) ......
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a	199,774
b	Less: rental expenses	6b	100,334
c	Rental income or (loss)	6c	99,440
d	Net rental income or (loss).......			99,440			99,440
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a		569,142
b	Less: cost or other basis and sales expenses	7b		342,951
c	Gain or (loss)	7c		226,191
d	Net gain or (loss).........			226,191			226,191
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	77,265
b	Less: cost of goods sold ..		10b	89,497
c	Net income or (loss) from sales of inventory..			-12,232			-12,232

Business Code
11a	CAFETERIA		720000	2,240,992	2,240,992
b	MED. DIRECTORS' FEES		620000	315,000		315,000
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			2,555,992
12	Total revenue. See instructions.....			1,130,564,649	1,102,026,676	912,468	313,399

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	1,843,314	1,843,314
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	55,538	55,538
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 ...........	9,703,614	9,520,909	182,705
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........	473,156,362	464,247,512	8,908,850
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	20,184,710	19,786,709	398,001
9	Other employee benefits .......	51,732,293	50,990,417	741,876
10	Payroll taxes ...........	31,462,765	30,818,800	643,965
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	22,412		22,412
c	Accounting ...........
d	Lobbying ...........	9,602		9,602
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	140,325,394	130,888,305	9,437,089
12	Advertising and promotion ....	1,055,633	996,145	59,488
13	Office expenses .......	2,262,323	1,925,317	337,006
14	Information technology ......	49,988,048		49,988,048
15	Royalties ..
16	Occupancy ...........	31,761,571	30,996,302	765,269
17	Travel ............	1,148,009	941,723	206,286
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,287,763	1,234,091	53,672
20	Interest ...........	28,045,182	28,045,182
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	74,316,974	74,316,974
23	Insurance ...	5,713,808	5,713,808
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	140,115,825	140,115,825
b	MEDICAL PROVIDER TAXES	57,100,513	57,100,513
c	SHARED SERVICES - OTHER	36,091,263		36,091,263
d	FEDERAL INCOME TAXES	32,315	32,315
e	All other expenses	109,836,723	56,184,162	53,652,561
25	Total functional expenses. Add lines 1 through 24e	1,267,251,954	1,105,753,861	161,498,093	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 ........			25,571	1	24,805
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			111,440,250	4	104,754,944
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 ...........			3,578,574	7	1,947,550
8	Inventories for sale or use ............			15,927,447	8	13,165,205
9	Prepaid expenses and deferred charges ......			2,034,867	9	6,213,621
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	1,039,449,019
b	Less: accumulated depreciation	10b	125,176,762	755,296,358	10c	914,272,257
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			58,851,707	15	69,408,153
16	Total assets. Add lines 1 through 15 (must equal line 33)...			947,154,774	16	1,109,786,535

17	Accounts payable and accrued expenses .....	104,195,409	17	86,212,061
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		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	372,030,686	25	696,319,885
26	Total liabilities. Add lines 17 through 25..	476,226,095	26	782,531,946

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	470,928,679	27	327,254,589
28	Net assets with donor restrictions ...........		28
	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 ...........	470,928,679	32	327,254,589
33	Total liabilities and net assets/fund balances ........	947,154,774	33	1,109,786,535