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) ALBERT R ZIMMERLI...................................................................... FORMER OFFICER	0.00 ................. 57.00					X	0	8,266,670	30,965
(2) JANIE WADE...................................................................... TREASURER/EVP CFO (PARTIAL)	50.00 ................. 10.00		X				5,604,292	0	93,879
(3) LYDIA JUMONVILLE...................................................................... CHIEF EXECUTIVE OFFICER (PARTIAL)	50.00 ................. 7.00		X				3,796,732	0	566,589
(4) JAMES VALIN MD...................................................................... EVP CHIEF CLINICAL OFFICER	50.00 ................. 7.00		X				2,029,528	0	1,073,539
(5) MARK KORTH...................................................................... SYSTEM PRESIDENT (PARTIAL)	50.00 ................. 6.00	X	X				1,810,663	0	626,752
(6) GREG J MATIS...................................................................... SECRETARY	2.00 ................. 58.00		X				0	1,467,943	832,676
(7) GREGORY M JOHNSON...................................................................... VP, FINANCE SERVICES (PARTIAL)	2.00 ................. 54.00		X				0	2,061,569	55,570
(8) CRAIG RICHARDVILLE...................................................................... CHIEF DIGITAL & INFORMATION OFFICER	50.00 ................. 2.00			X			1,244,905	0	615,022
(9) TAJQUAH HUDSON...................................................................... CHIEF INTEGRATION OFFICER	50.00 ................. 0.00			X			1,550,185	0	225,137
(10) CLAY M ASHDOWN...................................................................... TREASURER, SVP, CFO (PARTIAL)	2.00 ................. 57.00		X				0	1,122,424	441,443
(11) MEGAN MAHNCKE...................................................................... CHIEF MARKETING & COMM. OFFICER	50.00 ................. 4.00			X			944,666	0	507,282
(12) LOUIS ROSS MD...................................................................... PHYSICIAN	50.00 ................. 0.00				X		1,377,143	0	46,609
(13) SCOTT PEEK...................................................................... FRONT RANGE MKT PRESIDENT (PARTIAL)	2.00 ................. 52.00		X				0	1,025,813	397,369
(14) ALAN BAKER...................................................................... COO, MEDICAL GROUP/CHIEF ADMIN OFF.	50.00 ................. 0.00		X				883,631	0	337,579
(15) YEVGENIY AREFIEV MD...................................................................... PHYSICIAN	50.00 ................. 0.00				X		1,150,512	0	50,783
(16) JOHN WICKLUND...................................................................... PRESIDENT REGIONAL WESTERN CO & LMC	1.00 ................. 51.00				X		1,145,372	0	24,444
(17) STACY JENNINGS...................................................................... VP, CHIEF INVESTMENT OFFICER	2.00 ................. 52.00		X				0	805,712	277,524

(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) AMY CHURCH........................................................................ VP, FINANCIAL PLANNING AND ANALYTICS	50.00 .......................7.00		X				759,559	0	262,044
(19) SIMON MALTAIS MD........................................................................ PHYSICIAN	50.00 .......................0.00				X		976,857	0	38,542
(20) HEIDI WALD........................................................................ CHIEF QUALITY AND SAFETY OFFICER	50.00 .......................0.00			X			736,826	0	273,490
(21) DAVID PRINGLE........................................................................ CHIEF CATHOLIC MISSION OFF(PARTIAL)	50.00 .......................0.00		X				733,476	0	255,635
(22) SIMON PAYNE MD........................................................................ CHIEF MEDICAL OFFICER	50.00 .......................1.00		X				712,751	0	257,604
(23) BRYAN JOHNSON........................................................................ W CO MKT PRES/SMGJ PRES/MT MKT PRES	2.00 .......................53.00		X				0	684,612	282,612
(24) JOHN BRAXTON MD........................................................................ PHYSICIAN	50.00 .......................0.00				X		916,689	0	34,488
(25) TROY SPRING........................................................................ VP REVENUE CYCLE	50.00 .......................0.00			X			654,040	0	242,081
(26) CHRISTOPHER AWTREY MD........................................................................ CMO, MEDICAL GROUP/CMO MEDICAL GROUP, FRONT RANGE	2.00 .......................52.00		X				0	635,362	236,228
(27) BARBARA JAHN........................................................................ VP, SERVICE LINES AND OPERATIONS	50.00 .......................0.00		X				639,182	0	218,464
(28) LEE SYPHUS........................................................................ VP OPS, MEDICAL GROUP (PARTIAL)	50.00 .......................1.00		X				614,431	0	200,422
(29) JENNIFER ALDERFER........................................................................ MONTANA MKT PRESIDENT (PARTIAL)	2.00 .......................51.00		X				756,683	0	42,121
(30) ROSLAND MCLEOD........................................................................ FORMER OFFICER	0.00 .......................0.00					X	765,565	0	22,722
(31) SHAWN DUFFORD MD........................................................................ FORMER KEY EMPLOYEE	0.00 .......................0.00					X	751,089	0	10,240
(32) DINA BUSH........................................................................ VP, CHIEF NURSING OFFICER	50.00 .......................0.00		X				511,079	0	244,261
(33) SEAN FADDEN........................................................................ VP, FINANCE	50.00 .......................2.00		X				508,929	0	197,193
(34) SUZANNE DRAPER........................................................................ VP, BUS. ETHICS & COMP. (PARTIAL)	2.00 .......................54.00		X				0	603,752	90,926
(35) JOHN CASEY........................................................................ MKT VP STRATEGY AND BUS DEVELOPMENT	50.00 .......................0.00			X			491,863	0	165,656
(36) MARK WILKINSON........................................................................ VP TREASURER (PARTIAL)	50.00 .......................0.00			X			604,195	0	17,708
(37) JAMES RITCHEY........................................................................ VP HR STRATEGY & DELIVERY	50.00 .......................0.00			X			434,421	0	181,079
(38) TROY HOLMES........................................................................ VP PAYER CONTRACTING (PARTIAL)	50.00 .......................0.00			X			561,168	0	23,565
(39) GREGG MOSS........................................................................ VP, MKT AND COMMUNICATIONS (PARTIAL)	50.00 .......................2.00		X				412,190	0	133,267
(40) SUSAN SCHAUB........................................................................ VP TOTAL REWARDS	50.00 .......................0.00			X			369,069	0	143,923
(41) TERENCE MOLOUGHNEY........................................................................ ASSISTANT SECRETARY	50.00 .......................3.00		X				340,536	0	94,453
(42) JEREMY ROGERS........................................................................ VICE PRESIDENT HUMAN RESOURCES - PEAKS	50.00 .......................0.00			X			323,947	0	88,032
(43) JACOB HARRISON........................................................................ CHIEF CATHOLIC MISSION OFF(PARTIAL)	50.00 .......................0.00		X				253,003	0	149,818
(44) THOMAS DONOHOE........................................................................ VP GEN. COUNSEL OPS. & TRANS.	50.00 .......................4.00			X			194,619	0	5,954
(45) KHADIJA MOHAMED........................................................................ FORMER OFFICER	50.00 .......................0.00					X	145,064	0	26,571
(46) MELINDA MENDOZA........................................................................ VP, BUSINESS ETHICS AND COMPLIANCE, CHIEF COMPLIAN	2.00 .......................54.00		X				0	73,366	1,467
(47) DOUGLAS ADEN........................................................................ VICE CHAIR	2.00 .......................0.00	X	X				0	0	0
(48) SISTER BARBARA ALDRICH........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0	0
(49) KAREN FAGG........................................................................ DIRECTOR	2.00 .......................3.00	X					0	0	0
(50) BERRY MORTON MD........................................................................ DIRECTOR	2.00 .......................2.00	X					0	0	0
(51) NGUYEN-VU PHAM........................................................................ SECRETARY	2.00 .......................3.00	X					0	0	0
(52) MICHAEL SALEM MD........................................................................ DIRECTOR	2.00 .......................1.00	X					0	0	0
(53) RITA TURLEY........................................................................ DIRECTOR	2.00 .......................0.00	X					0	0	0
(54) VANCE WAGNER........................................................................ DIRECTOR	2.00 .......................1.00	X					0	0	0
(55) BARTH WHITHAM........................................................................ CHAIR	2.00 .......................0.00	X					0	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
BARTON MALOW-HASELDEN 26500 AMERICAN DRIVE SOUTHFIELD,MI48034	CONSTRUCTION SERVICES	167,387,537
RIGHTSOURCING INC 999 STEWART AVENUE SUITE 100 BETHPAGE,NY11714	CONTRACT LABOR	62,860,175
MIDTOWN INPATIENT MEDICINE LLC 835 E 18TH AVE STE 110 DENVER,CO80218	MEDICAL SERVICES	23,383,421
ROCKY MOUNTAIN PRIMARY CARE 7625 W 92ND AVE WESTMINSTER,CO80021	MEDICAL SERVICES	20,482,551
COMPHEALTH PO BOX 972670 DALLAS,TX75397	MEDICAL SERVICES	19,677,013
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 279

- 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.
right arrow

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

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

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

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

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

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

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

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

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

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

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

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

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

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

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

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

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

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

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

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

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

Enter the number of supported organizations ............................... 10

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

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) ST JAMES HEALTHCARE	810231785	3		No	12,849	0
(B) SAINT JOSEPH HOSPITAL INC	840417134	3		No	454,352	0
(C) SCL HEALTH - FRONT RANGE INC	841103606	3		No	0	0
(D) ST MARY'S HOSPITAL AND MEDICAL CENTER INC	840425720	3		No	0	0
(E) SCL HEALTH - MONTANA	810232124	3		No	6,950,045	0
(F) HOLY ROSARY HEALTHCARE	810231792	3		No	4,734	0
(G) CARITAS CLINICS INC	481009910	3		No	625,392	0
(H) MOUNT ST VINCENT HOME	840405260	10		No	500,000	0
(I) BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	840482695	3		No	0	0
(J) SCL HEALTH RESEARCH INSTITUTE INC	852014794	3		No	0	0
Total 10					8,547,372	0

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).

Yes

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

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

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

Yes

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

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

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

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

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

10a

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

10a

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

10b

Schedule A (Form 990) 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?

Yes

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).

Yes

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.

Yes

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.

Yes

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, PART IV, SECTION A, LINE 1	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE PARENT OF EACH OF ITS SUPPORTED ORGANIZATIONS AND CONTROLS THEM AS PART OF AN INTEGRATED HEALTH SYSTEM. A CLOSE AND HISTORIC ORGANIZATIONAL RELATIONSHIP ENSURES THAT SCLHS AND ITS SUPPORTED ORGANIZATIONS SHARE A SUBSTANTIAL IDENTITY OF INTERESTS. THE SUPPORTED CLASS ALSO INCLUDES OTHER QUALIFIED NON-PROFIT ORGANIZATIONS UNDER 501(C)(3) THAT SHARE A SIMILAR MISSION OF IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES SERVED.
SCHEDULE A, PART IV, SECTION A, LINE 5A	MARIAN CLINIC, INC. (EIN 48-1046905) WAS REMOVED AS A SUPPORTED ORGANIZATION AS IT MERGED INTO CARITAS CLINICS, INC. (EIN 48-1009910), WHICH IS ALSO A SUPPORTED ORGANIZATION OF SCLHS.
SCHEDULE A, PART IV, SECTION A, LINE 6	SUPPORT WAS PROVIDED TO MEDICAL AND OTHER CHARITABLE ORGANIZATIONS NOT CONSIDERED SUPPORTED ORGANIZATIONS. HOWEVER, THESE INSTITUTIONS ARE SUPPORTING MEDICAL AND OTHER ACTIVITIES BENEFITING THE COMMUNITIES SERVED BY SUPPORTED ORGANIZATIONS. AMOUNTS GRANTED ARE INSIGNIFICANT TO THE OVERALL OPERATIONS OF SCLHS.
SCHEDULE A, PART IV, SECTION C, LINE 1	EACH OF THE SUPPORTED ORGANIZATIONS IS PART OF AN INTEGRATED HEALTH SYSTEM. SCLHS' MEMBERS, INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN) AND THE MEMBERS OF LEAVEN MINISTRIES, DIRECTLY CONTROL SCLHS AND INDIRECTLY CONTROL ALL OF THE SCLHS SUBSIDIARIES.
SCHEDULE A, PART IV, SECTION E, LINE 3A	THE MEMBERS OF SCLHS ARE INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION, AND THE MEMBERS OF LEAVEN MINISTRIES. EACH MEMBER OF LEAVEN MINISTRIES SHALL SERVE AS A MEMBER OF THE CORPORATION DURING THE MEMBER'S TERM OF OFFICE AS A MEMBER OF LEAVEN MINISTRIES, WHICH IS AN UNINCORPORATED PUBLIC JURIDIC PERSON AUTHORIZED BY THE CATHOLIC CHURCH. SCLHS IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS. SCLHS APPROVES MEMBERS OF THE SUPPORTED ORGANIZATIONS' BOARDS OF DIRECTORS SUBJECT TO RATIFICATION BY INTERMOUNTAIN.
SCHEDULE A, PART IV, SECTION E, LINE 3B	SCLHS HAS THE FOLLOWING RESERVE POWERS THAT ARE USED TO EXERCISE A SUBSTANTIAL DEGREE OF DIRECTION OVER ITS SUPPORTED ORGANIZATIONS: - INTEGRATE SCLHS INTO THE INTERMOUNTAIN HEALTH CARE INC. INTERMOUNTAIN GOVERNANCE AND OPERATING MODEL; - IMPLEMENT SCLHS' MISSION, VISION, VALUES, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES AND ADOPT ANY NEEDED SUPPLEMENTAL POLICIES, PROCEDURES, AND GUIDELINES, SO LONG AS SUCH DO NOT CONFLICT WITH INTERMOUNTAIN POLICY, PROCEDURE, OR GUIDELINE; - ENSURE COMMUNITY BOARDS IMPLEMENT INTERMOUNTAIN POLICIES, PROCEDURES, AND GUIDELINES AND, TO THE EXTENT COMMUNITY BOARDS ADOPT ANY SUPPLEMENTAL POLICIES, PROCEDURES, AND GUIDELINES, ENSURE SUCH DO NOT CONFLICT WITH AN INTERMOUNTAIN POLICY, PROCEDURE, OR GUIDELINE; - FACILITATE RELATIONSHIPS WITH GOVERNMENT OFFICIALS AND BUSINESS AND CIVIC LEADERS WITHIN THE REGION AND ITS COMMUNITIES; - PURSUE SHARED RESPONSIBILITY FOR MEANINGFUL PHILANTHROPIC DEVELOPMENT WITHIN THE STATES AND COMMUNITIES IN WHICH SCLHS OPERATES; - NOMINATE TRUSTEES AND BOARD OFFICERS OF SCLHS FOR APPOINTMENT AND ELECTION BY THE MEMBERS; - APPOINT TRUSTEES TO THE COMMUNITY BOARDS, SUBJECT TO RATIFICATION BY INTERMOUNTAIN; - ENSURE COMPLIANCE WITH THE LEAVEN MINISTRIES RESERVED POWERS AND CATHOLIC PROTECTIONS, AS APPROPRIATE; AND - EXERCISE ANY OTHER APPLICABLE DELEGATED OR RETAINED POWERS, AS SET FORTH IN THE GOVERNANCE MATRIX.

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

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

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

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

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

Schedule B (Form 990) (2023) Page 2

Name of organization SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

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

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

Schedule B (Form 990) (2023)

Page 4


Name of organization SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC			Employer identification number 23-7379161
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990) (2023)

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

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

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

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

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

Yes No

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

Yes No

Part II

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

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

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

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 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 ....	2,000,000	2,000,000	2,000,000	2,000,000	2,000,000
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......	2,000,000	2,000,000	2,000,000	2,000,000	2,000,000

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

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

100.000 %

Term endowment right arrow

0 %

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

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

Yes

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

3a(i)

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

3a(ii)

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

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

Part VI

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

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

1a	Land .....	12,007,061		12,007,061
b	Buildings ....	36,223,742	9,754,768	26,468,974
c	Leasehold improvements
d	Equipment ....	98,423,304	56,466,094	41,957,210
e	Other .....	12,100,409	2,210,249	9,890,160
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				90,323,405

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) HEDGE FUNDS	166,409,438	F
(B) JOINT VENTURE - DENVER WEST ENDOSCOPY CTR, LLC	195,176	F
(C) JOINT VENTURE - LUTHERAN CAMPUS ASC, LLC	2,704,176	F
(D) JOINT VENTURE - SCLH-GI ENDOSCOPY CENTER HOLDINGS, LLC	356,289	F
(E) JOINT VENTURE - SCLTDI JV, LLC	15,192,338	F
(F) JOINT VENTURE - THE REHABILITATION HOSPITAL OF MONTANA, LLC	1,379,041	F
(G) JOINT VENTURE - SCL HEALTH PARTNERS, LLC	1,850,000	F
(H) JOINT VENTURE - SJ EAST CAMPUS ASC, LLC	512,181	F
(I) OPPORTUNISTIC INVESTMENTS	236,522,651	F
(J) REAL RETURN INVESTMENTS	251,688,028	F
(K) SWEEP ACCOUNTS	4,760,033	F
(L) OTHER INVESTMENTS	3,765,000	F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	685,334,351

Part VIII

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

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)NOTES REC - INTERCOMPANY	187,256,672	C
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	187,256,672

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)RENT ACCOUNTS RECEIVABLE				264,628
(2)RIGHT OF USE ASSETS				30,508,929
(3)AR DUE FROM BROKER				96,431,006
(4)OTHER ACCOUNTS RECEIVABLE				9,063,315
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				136,267,878

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
INTERCOMPANY PAYABLE	453,455,912
DEFERRED COMPENSATION PLAN PAYABLE	6,477,530
BROKER PAYABLE	164,197,937
ACCRUED LIABILITY - OPERATING LEASE	28,630,279
GUARANTEE FEE PAYABLE	2,562,530




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	655,324,188
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:	SCLHS HAS A PERMANENT ENDOWMENT IN THE AMOUNT OF $2,000,000. THE EARNINGS FROM THE PERMANENT ENDOWMENT ARE TO BE USED FOR EDUCATIONAL PURPOSES AS DETERMINED BY SCLHS MANAGEMENT.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

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

Attach to Form 990. Right arrow

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
SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

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

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

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

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

Yes

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

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

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in the region	(d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in the region	(f) Total expenditures for and investments in the region
	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	PROGRAM SERVICES	CAPTIVE INSURANCE PREMIUM	19,683,150
	CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,	0	0	INVESTMENTS		331,324,923
	EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA,	0	0	INVESTMENTS		32,439,713
	EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM	0	0	INVESTMENTS		109,793,318
	NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES	0	0	INVESTMENTS		3,561,608
	SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR,	0	0	INVESTMENTS		3,192,817
	SOUTH ASIA-AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL,	0	0	INVESTMENTS		1,318,118










3a	Sub-total ....	0	0			501,313,647
b	Total from continuation sheets to Part I ...	0	0			0
c	Totals (add lines 3a and 3b)	0	0			501,313,647

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2023

Schedule F (Form 990) 2023

Page 2

Part II

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

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

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

Schedule F (Form 990) 2023

Schedule F (Form 990) 2023Page 3

Part III

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

Part III can be duplicated if additional space is needed.

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

Schedule F (Form 990) 2023

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2023

Page 5

Part V

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

ReturnReference	Explanation
SCHEDULE F, PART I, LINE 3	INVESTMENTS REPORTED IN SCHEDULE F ARE ACCOUNTED FOR ON THE ACCRUAL BASIS OF ACCOUNTING. SCLHS' EXPENDITURES (PREMIUMS PAID) FOR ITS CAPTIVE INSURANCE PREMIUMS WERE $19,683,150 NET OF PREMIUM DISCOUNTS.

Schedule F (Form 990) 2023

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

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

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

Yes

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

Yes

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

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

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

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

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

Yes

100% 150% 200% Other 25000.0000000000 %

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

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

Yes

200% 250% 300% 350% 400% Other 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) . . .	3,328,122	2,164,824	1,163,298	0.140 %
b	Medicaid (from Worksheet 3, column a) . . . . .	37,342,674	37,557,511	0	0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	40,670,796	39,722,335	1,163,298	0.140 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	19,089		19,089	0 %
f	Health professions education (from Worksheet 5) . . .
g	Subsidized health services (from Worksheet 6) . . . .	7,114,985	2,947,236	4,167,749	0.500 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	7,134,074	2,947,236	4,186,838	0.500 %
k	Total. Add lines 7d and 7j .	47,804,870	42,669,571	5,350,136	0.640 %

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. ......

3,184,870

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).....

34,046,946

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

82,242,853

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

-48,195,907

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

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

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

Yes

Part IV

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

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 DENVER WEST ENDOSCOPY CENTER LLC	OUTPATIENT ENDOSCOPY SERVICES	51.000 %	0 %	49.000 %
22 LUTHERAN CAMPUS ASC LLC	OUTPATIENT SURGERY	35.220 %	0 %	37.190 %
33 SCLH-GI ENDOSCOPY CENTER HOLDINGS LLC	ENDOSCOPY SERVICES	51.000 %	0 %	49.000 %
44 NORTHGLENN ENDOSCOPY CENTER LLC	ENDOSCOPY SERVICES	51.000 %	0 %	49.000 %
55 SJ EAST CAMPUS ASC LLC	AMBULATORY SURGICAL	24.990 %	0 %	49.000 %
66 GALLATIN VALLEY SURGERY CENTER LLC	AMBULATORY SURGICAL	51.000 %	0 %	49.000 %
7
8
9
10
11
12
13

Schedule H (Form 990) 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?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	THE REHABILITATION HOSPITAL OF MONTANA LLC 3572 HESPER ROAD BILLINGS,MT59102 WWW.REHABHOSPITALOFMONTANA.COM LICENSE# 13564	X	X

Schedule H (Form 990) 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)

	THE REHABILITATION HOSPITAL OF MONTANA
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 23

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)

	THE REHABILITATION HOSPITAL OF MONTANA
Name of hospital facility or letter of facility reporting group

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

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

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

SEE PART V, SECTION C

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

SEE PART V, SECTION C

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

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	THE REHABILITATION HOSPITAL OF MONTANA
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)

	THE REHABILITATION HOSPITAL OF MONTANA
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 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
THE REHABILITATION HOSPITAL OF MONTANA, LLC	PART V, SECTION B, LINE 5: IN 2023, THE REHABILITATION HOSPITAL OF MONTANA, LLC CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH SCL HEALTH - MONTANA; BILLINGS CLINIC, A NONPROFIT HOSPITAL LOCATED IN BILLINGS, MT; RIVERSTONE HEALTH; THE CITY-COUNTY HEALTH DEPARTMENT AND OPERATOR OF A FEDERALLY QUALIFIED HEALTH CENTER; AND PRC, A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM. A STEERING COMMITTEE PROVIDED GUIDANCE CONSISTING OF REPRESENTATIVES FROM PUBLIC HEALTH, FAITH-BASED ORGANIZATIONS, GOVERNMENT ENTITIES, SOCIAL SERVICE AGENCIES, AND PRIVATE BUSINESS. THE CHNA INCORPORATED INPUT FROM THE FOLLOWING: PRIMARY QUANTITATIVE DATA INCLUDING TELEPHONE SURVEYS OF 400 HOUSEHOLDS AND ADDITIONAL ONLINE SURVEYS, SECONDARY QUANTITATIVE DATA INCLUDING EXISTING PUBLIC HEALTH DATA, AND PRIMARY QUALITATIVE DATA INCLUDING ONLINE KEY INFORMANT SURVEYS. THE SAMPLE FOR THE 400 HOUSEHOLD TELEPHONE SURVEY IS REPRESENTATIVE OF THE YELLOWSTONE COUNTY POPULATION IN TERMS OF DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS, AS WELL AS GEOGRAPHIC LOCATION. IN ADDITION, COMMUNITY OUTREACH CONDUCTED AN ONLINE SURVEY. COMMUNITY HEALTH WORKERS CONDUCTED ADDITIONAL SURVEYS TO OVERSAMPLE KEY DEMOGRAPHIC POPULATIONS, WHICH YIELDED AN ADDITIONAL 294 RESPONSES. BASED ON THE SAMPLE SIZE OF 694 RESPONDENTS, WE ARE 95% CONFIDENT THAT THE RESPONSES TO THE SURVEY QUESTIONS ARE REPRESENTATIVE OF THE SERVICE AREA POPULATION, PLUS OR MINUS 3.7%. THE 2023 CHNA WAS A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED IN 2020, 2017, 2014, 2011, AND 2006, WHICH ALLOWED FOR TRENDING OVER TIME.AN ONLINE SURVEY SOLICITED INPUT FROM KEY INFORMANTS. A TOTAL OF 86 COMMUNITY STAKEHOLDERS TOOK PART, INCLUDING REPRESENTATIVES OF COMMUNITY-BASED ORGANIZATIONS, EDUCATION, GOVERNMENT, BUSINESS, HEALTHCARE, AND PUBLIC HEALTH. THROUGHOUT THE PROCESS, REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS PROVIDED INPUT.
THE REHABILITATION HOSPITAL OF MONTANA, LLC	PART V, SECTION B, LINE 6A: THE HOSPITAL CONDUCTED THE 2023 CHNA IN COLLABORATION WITH BILLINGS CLINIC, AND SCL HEALTH - MONTANA.
THE REHABILITATION HOSPITAL OF MONTANA, LLC	PART V, SECTION B, LINE 6B: THE HOSPITAL CONDUCTED THE 2023 CHNA IN COLLABORATION WITH RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT. IN ADDITION, 93 REPRESENTATIVES FROM BUSINESS, COMMUNITY, EDUCATION, FAITH-BASED ORGANIZATIONS, SOCIAL SERVICE AGENCIES, AND GOVERNMENT ENTITIES WERE INVOLVED IN THE CHNA PROCESS AS MEMBERS OF THE CHNA ADVISORY GROUP THAT PROVIDED GUIDANCE IN THE CHNA PROCESS.PART V, SECTION B, LINE 7A: WEBSITEHTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: WEBSITEHTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
THE REHABILITATION HOSPITAL OF MONTANA, LLC	PART V, SECTION B, LINE 7D: A PRESS CONFERENCE WAS HELD ON JANUARY 1, 2023, TO REPORT THE CHNA RESULTS AND PROVIDE A SUMMARY OF KEY FINDINGS. THE CHNA IS ALSO AVAILABLE ON THE HEALTHY BY DESIGN COALITION WEBSITE: HTTP://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG
THE REHABILITATION HOSPITAL OF MONTANA, LLC	PART V, SECTION B, LINE 11: THE 2023 CHNA IDENTIFIED 11 AREAS OF OPPORTUNITY THAT WERE EVALUATED AND PRIORITIZED BY APPLYING THE FOLLOWING CRITERIA: RANKING IN COMPARISON TO NATIONAL AND STATE LEVEL BENCHMARK DATA; IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; MAGNITUDE IN TERMS OF NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. AREAS OF OPPORTUNITY IDENTIFIED IN THE 2023 CHNA:1. ACCESS TO HEALTHCARE SERVICES2. CANCER3. DIABETES4. HEART DISEASE AND STROKE5. INJURY AND VIOLENCE6. MENTAL HEALTH7. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT8. POTENTIALLY DISABLING CONDITIONS9. RESPIRATORY DISEASES 10. SEXUAL HEALTH11. SUBSTANCE ABUSECOMMUNITY STAKEHOLDERS REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS CONVENED TO EVALUATE, DISCUSS, AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY. PARTICIPANTS EVALUATED EACH OF THE 11 IDENTIFIED AREAS OF OPPORTUNITY USING THE CRITERIA OF SCOPE AND SEVERITY, AND ABILITY TO IMPACT. THIS PROCESS YIELDED THE TOP PRIORITIZED COMMUNITY NEEDS, WITH THE TOP FOUR IDENTIFIED AS: 1. MENTAL HEALTH2. SUBSTANCE ABUSE 3. ACCESS TO HEALTHCARE SERVICES4. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHTFOLLOWING THE COMMUNITY'S PRIORITIZATION OF THE NEEDS, THE REHABILITATION HOSPITAL OF MONTANA LLC'S LEADERSHIP TEAM REVIEWED THE DATA AND PRIORITIZED BASED ON THE FOLLOWING CRITERIA: ABILITY TO IMPACT, SCOPE AND SEVERITY OF THE ISSUE, COMMUNITY PRIORITIZATION OF ISSUES, POTENTIAL COMMUNITY COLLABORATORS, AND ALIGNMENT WITH CURRENT EFFORTS AND STRATEGIES. THEY IDENTIFIED THE TOP PRIORITY NEEDS AS:1. ACCESS TO HEALTHCARE SERVICES2. MENTAL HEALTH 3. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHTTHE HOSPITAL WILL ADDRESS THESE PRIORITY AREAS IN THE 2024 COMMUNITY HEALTH IMPROVEMENT PLAN. IN 2023, THE COMMUNITY HEALTH IMPROVEMENT PLAN ADDRESSED THE PREVIOUSLY PRIORITIZED AREAS OF ACCESS TO HEALTHCARE SERVICES, BRAIN INJURY AND STROKE, AND FALLS PREVENTION. ACCESS TO HEALTHCARE SERVICES: THE HOSPITAL'S EFFORTS FOCUSED ON INCREASING EXTERNAL PROVIDER AWARENESS OF SERVICES THROUGH CLINICAL LIAISON OUTREACH AND INCREASING WORKFORCE CAPACITY THROUGH HEALTHCARE STUDENT ROTATIONS FOR THERAPY STUDENTS, WHICH INCLUDED FIVE STUDENTS WHO COMPLETED CLINICAL ROTATIONS IN 2023. IN 2023, THE HOSPITAL PROVIDED OUTREACH EDUCATION SESSIONS TO THERAPISTS AND HOSPITALISTS AT BOZEMAN HEALTH; CARE MANAGEMENT AND THERAPY TEAMS AT BILLINGS CLINIC AND ST. VINCENT HEALTHCARE; AND 10 SECONDARY AND TERTIARY MARKET FACILITIES. THE REHABILITATION HOSPITAL OF MONTANA WAS A PART OF THE STROKE AND POST-ACUTE STROKE CONFERENCE IN BUTTE MONTANA. BRAIN INJURY AND STROKE: THE HOSPITAL'S EFFORTS FOCUSED ON PROVIDING COMMUNITY EDUCATION TO INCREASE AWARENESS OF SIGNS OF STROKE AND COMMUNITY EDUCATION ON BRAIN INJURY. STROKE AWARENESS INCLUDED SOCIAL MEDIA FACEBOOK POSTS AND A COMMUNITY AND STROKE AWARENESS MEDIA EVENT. THE HOSPITAL ALSO HOSTED A MONTHLY TRAUMATIC BRAIN INJURY SUPPORT GROUP IN PARTNERSHIP WITH THE MONTANA BRAIN ALLIANCE. HOSPITAL STAFF SERVED AS SUBJECT MATTER EXPERTS FOR THE SUPPORT GROUP. BRAIN INJURY AWARENESS INCLUDED SOCIAL MEDIA FACEBOOK POSTS. FALLS PREVENTION: THE HOSPITAL'S EFFORTS FOCUSED ON PROVIDING COMMUNITY HEALTH EDUCATION INCLUDING SOCIAL MEDIA POSTS REGARDING FALL PREVENTION WHILE AT HOME OR IN THE COMMUNITY. NEEDS NOT ADDRESSED: EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA PROCESS IS IMPORTANT. THE REHABILITATION HOSPITAL OF MONTANA, LLC 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, THE REHABILITATION HOSPITAL OF MONTANA, LLC LIMITED ITS PRIMARY FOCUS TO THE PRIORITY HEALTH ISSUES IDENTIFIED THROUGH THE CHNA AND DID NOT ADDRESS THE FOLLOWING PRIORITY HEALTH NEEDS: CANCER, DIABETES, HEART DISEASE AND STROKE, INJURY AND VIOLENCE, POTENTIALLY DISABLING CONDITIONS, RESPIRATORY DISEASES, SEXUAL HEALTH, AND SUBSTANCE ABUSE. THE REHABILITATION HOSPITAL OF MONTANA CONTINUED TO SUPPORT COMMUNITY EFFORTS AND COLLABORATIONS THAT ADDRESS ISSUES NOT PRIORITIZED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN.
PART V, SECTION B, LINES 16A, 16B, 16C, FAP APPLICATION WEBSITE:	HTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/FINANCIAL-ASSISTANCE

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?134
Name and address		Type of Facility (describe)
1	1 - GALLATIN VALLEY SURGERY CENTER LLC 2825 WEST MAIN STREET SUITE C BOZEMAN,MT59718	SURGERY CENTER
2	2 - CANCER CENTERS OF COLORADO LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021	CANCER CENTER
3	3 - GS CAMPUS ASC LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021	SURGERY CENTER
4	4 - RED ROCKS RADIATION ONCOLOGY MANAGEMENT 400 INDIANA ST SUITE 220 GOLDEN,CO80401	CANCER CENTER
5	5 - LUTHERAN CAMPUS ASC LLC 3455 LUTHERAN PKWY STE 150 WHEATRIDGE,CO80033	OUTPATIENT SURGERY
6	6 - SJ EAST CAMPUS ASC LLC 1830 FRANKLIN ST SUITE 200 DENVER,CO80218	SURGERY CENTER
7	7 - DENVER WEST ENDOSCOPY CENTER LLC 382 S ARTHUR AVENUE LOUISVILLE,CO80027	OUTPATIENT ENDOSCOPY
8	8 - NORTHGLENN ENDOSCOPY CENTER LLC 11900 GRANT STREET NORTHGLENN,CO80233	ENDOSCOPY SERVICES
9	9 - TOUCHSTONE MEDICAL IMAGING - AURORA 3055 SOUTH PARKER RD BLDG A SUITE 103 AURORA,CO80014	RADIOLOGY SERVICES
10	10 - TOUCHSTONE MEDICAL IMAGING - CASTLE ROCK 3911 AMBROSIA ST CASTLE ROCK,CO80109	RADIOLOGY SERVICES
11	11 - TOUCHSTONE MEDICAL IMAGING - DRY CREEK 125 INVERNESS DR EAST SUITE 140 ENGLEWOOD,CO80112	RADIOLOGY SERVICES
12	12 - TOUCHSTONE MEDICAL IMAGING - LAFAYETTE 390 EMPIRE ROAD SUITE 102 LAFAYETTE,CO80026	RADIOLOGY SERVICES
13	13 - TOUCHSTONE MEDICAL IMAGING - LAKEWOOD 14062 DENVER WEST PKWY BLDG 52 SUITE 1 LAKEWOOD,CO80401	RADIOLOGY SERVICES
14	14 - TOUCHSTONE MEDICAL IMAGING - MAMMOGRAPHY 7615 W 38TH AVENUE SUITE B-107 WHEAT RIDGE,CO80033	RADIOLOGY SERVICES
15	15 - TOUCHSTONE MEDICAL IMAGING - RED ROCKS 400 INDIANA ST SUITE 210 GOLDEN,CO80401	RADIOLOGY SERVICES
16	16 - TOUCHSTONE MEDICAL IMAGING - SUPERIOR 3 SUPERIOR WAY SUITE 150 SUPERIOR,CO80027	RADIOLOGY SERVICES
17	17 - TOUCHSTONE MEDICAL IMAGING - THORNTON 12021 PENNSYLVANIA ST SUITE 106 THORNTON,CO80241	RADIOLOGY SERVICES
18	18 - TOUCHSTONE MEDICAL IMAGING - UPTOWN 1007 E COLFAX AVE CO,CO80218	RADIOLOGY SERVICES
19	19 - TOUCHSTONE MEDICAL IMAGING - WHEAT RIDGE 7615 WEST 38TH AVENUE SUITE B115 WHEAT RIDGE,CO80033	RADIOLOGY SERVICES
20	20 - TOUCHSTONE MEDICAL IMAGING - BILLINGS 1739 SPRING CREEK LANE BILLINGS,MT59106	RADIOLOGY SERVICES
21	21 - SCL FRONT RANGE HOME HEALTH LLC 8300 W 38TH AVENUE WHEAT RIDGE,CO80033	HOME HEALTH
22	22 - IH HEART & VASCULAR - CARDIOLOGY CLINIC 2900 12TH AVE N BILLINGS,MT59101	OUTPATIENT PHYSICIAN CLINIC
23	23 - ST VINCENT EMERGENCY MED 1233 N 30TH ST BILLINGS,MT591010127	OUTPATIENT PHYSICIAN CLINIC
24	24 - CANCER CENTERS OF COLORADO - SLOAN'S LAKE 1601 LOWELL BLVD STE 150 DENVER,CO802041545	OUTPATIENT PHYSICIAN CLINIC
25	25 - DOWNTOWN CLINIC - INTERNAL MEDICINE 2900 12TH AVE N BILLINGS,MT591017588	OUTPATIENT PHYSICIAN CLINIC
26	26 - DOWNTOWN CLINIC - GASTROENTEROLOGY 1144 N BROADWAY BILLINGS,MT591010110	OUTPATIENT PHYSICIAN CLINIC
27	27 - BROADWATER CLINIC - FAMILY MEDICINE 2019 BROADWATER AVE BILLINGS,MT591024810	OUTPATIENT PHYSICIAN CLINIC
28	28 - BUTTE CLINIC - FAMILY MEDICINE 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
29	29 - IH HEART & VASCULAR - CARDIOTHORACIC SUR 2900 12TH AVE N BILLINGS,MT591017504	OUTPATIENT PHYSICIAN CLINIC
30	30 - HEIGHTS CLINIC - FAMILY MEDICINE 32 WICKS LN BILLINGS,MT591053810	OUTPATIENT PHYSICIAN CLINIC
31	31 - DOWNTOWN CLINIC - UROLOGY 2900 12TH AVE N BILLINGS,MT591017502	OUTPATIENT PHYSICIAN CLINIC
32	32 - SCL HEALTH - MONTANA ORTHOPEDICS 435 S CRYSTAL ST BUTTE,MT597011506	OUTPATIENT PHYSICIAN CLINIC
33	33 - LAUREL CLINIC - FAMILY MEDICINE 1035 1ST AVE LAUREL,MT590442119	OUTPATIENT PHYSICIAN CLINIC
34	34 - BROADWATER CLINIC - WALK-IN 2019 BROADWATER AVE BILLINGS,MT591024810	OUTPATIENT PHYSICIAN CLINIC
35	35 - NORTH SHILOH CLINIC - FAMILY MEDICINE 2223 MISSION WAY BILLINGS,MT591020160	OUTPATIENT PHYSICIAN CLINIC
36	36 - N 27TH WALK-IN CLINIC 1027 N 27TH STREET BILLINGS,MT591010701	OUTPATIENT PHYSICIAN CLINIC
37	37 - ST JAMES EMERGENCY PHYSICIANS 400 S CLARK ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
38	38 - WEST GRAND CLINIC - FAMILY MEDICINE 2750 GRAND AVE BILLINGS,MT591022629	OUTPATIENT PHYSICIAN CLINIC
39	39 - DOWNTOWN CLINIC - SLEEP & RESPIRATORY CARE 2900 12TH AVE N BILLINGS,MT591010127	OUTPATIENT PHYSICIAN CLINIC
40	40 - DOWNTOWN CLINIC - DERMATOLOGY 2900 12TH AVE N BILLINGS,MT591017513	OUTPATIENT PHYSICIAN CLINIC
41	41 - DOWNTOWN CLINIC - DIABETES & ENDOCRINOLOGY 2900 12TH AVE N BILLINGS,MT591017588	OUTPATIENT PHYSICIAN CLINIC
42	42 - LAUREL CLINIC - WALK-IN 331 S WASHINGTON ST LAUREL,MT59044	OUTPATIENT PHYSICIAN CLINIC
43	43 - DOWNTOWN CLINIC - PAIN CENTER 2900 12TH AVE N BILLINGS,MT591017506	OUTPATIENT PHYSICIAN CLINIC
44	44 - DOWNTOWN CLINIC-MIDWIFERY & WOMEN'S HEAL 2900 12TH AVE N BILLINGS,MT591017506	OUTPATIENT PHYSICIAN CLINIC
45	45 - SCL HEALTH - BUTTE FLATS CLINIC 3636 HARRISON AVE BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
46	46 - ST VINCENT NEONATOLOGY 1233 N 30TH ST BILLINGS,MT591010127	OUTPATIENT PHYSICIAN CLINIC
47	47 - HEIGHTS CLINIC - WALK-IN 32 WICKS LN BILLINGS,MT591053810	OUTPATIENT PHYSICIAN CLINIC
48	48 - SCL HEALTH BUTTE CLINIC - OB-GYN 305 W PORPHYRY BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
49	49 - ST VINCENT INTENSIVISTS 1233 N 30TH ST BILLINGS,MT591010127	OUTPATIENT PHYSICIAN CLINIC
50	50 - DOWNTOWN CLINIC - NEPHROLOGY 2900 12TH AVE N BILLINGS,MT591017508	OUTPATIENT PHYSICIAN CLINIC
51	51 - BILLINGS PEDIATRIC SPECIALTY CLINIC 1232 N 30TH BILLINGS,MT591010128	OUTPATIENT PHYSICIAN CLINIC
52	52 - BOZEMAN CLINIC - FAMILY MEDICINE 711 W MAIN ST BOZEMAN,MT597153356	OUTPATIENT PHYSICIAN CLINIC
53	53 - SCL HEALTH BUTTE UROLOGY CLINIC 305 W PORPHYRY BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
54	54 - SCL HEALTH BUTTE SURGICAL ASSOCIATES 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
55	55 - DOWNTOWN CLINIC - MATERNAL FETAL MEDICINE 2900 12TH AVE N BILLINGS,MT591017504	OUTPATIENT PHYSICIAN CLINIC
56	56 - NORTH SHILOH CLINIC - TRANSITIONAL CARE GR 2223 MISSION WAY BILLINGS,MT59102	OUTPATIENT PHYSICIAN CLINIC
57	57 - RED LODGE CLINIC - FAMILY MEDICINE 10 ROBINSON LN RED LODGE,MT590680070	OUTPATIENT PHYSICIAN CLINIC
58	58 - LOCKWOOD CLINIC - FAMILY MEDICINE 2054 HWY 87 EAST BILLINGS,MT591016699	OUTPATIENT PHYSICIAN CLINIC
59	59 - SCL HEALTH BUTTE DOWNTOWN WALK-IN CLINIC 3636 HARRISON AVE BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
60	60 - SCL HEALTH MEDICAL GROUP - BUTTE ENT 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
61	61 - LEWISTOWN CLINIC - FAMILY MEDICINE 70 CATTAIL DR LEWISTOWN,MT59457	OUTPATIENT PHYSICIAN CLINIC
62	62 - DOWNTOWN CLINIC - BEHAVIORAL HEALTH ASSOCI 2900 12TH AVE N BILLINGS,MT591017516	OUTPATIENT PHYSICIAN CLINIC
63	63 - ST JAMES HEALTHCARE - CANCER CENTERS 400 S CLARK ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
64	64 - DOWNTOWN CLINIC - WOUND HEALING CENTER 2900 12TH AVE N BILLINGS,MT59101	OUTPATIENT PHYSICIAN CLINIC
65	65 - SCL HEALTH BUTTE EXPRESS CARE 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
66	66 - ST JAMES HEALTHCARE - CANCER CENTERS 400 S CLARK ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
67	67 - SCL HEALTH MEDICAL GROUP - HARDIN CLINIC 16 N MILES HARDIN,MT590342356	OUTPATIENT PHYSICIAN CLINIC
68	68 - SCL HEALTH HEART & VASCULAR INSTIT-BUTTE 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
69	69 - SCL HEALTH - MONTANA ORTHOPEDICS 435 S CRYSTAL ST BUTTE,MT597011506	OUTPATIENT PHYSICIAN CLINIC
70	70 - DOWNTOWN CLINIC - WEIGHT MANAGEMENT 2900 12TH AVE N BILLINGS,MT591017588	OUTPATIENT PHYSICIAN CLINIC
71	71 - INTERMOUNTAIN HEALTH - CODY CLINIC 424 YELLOWSTONE AVE CODY,WY82414	OUTPATIENT PHYSICIAN CLINIC
72	72 - SCL HEALTH - WHITEHALL PHYSICAL THERAPY 309 EAST LEGION WHITEHALL,MT59759	OUTPATIENT PHYSICIAN CLINIC
73	73 - BROADWATER CLINIC-OCCUPATIONAL HEALTH 2019 BROADWATER AVE BILLINGS,MT591024810	OUTPATIENT PHYSICIAN CLINIC
74	74 - ST VINCENT PEDIATRIC HOSPITALIS 1233 N 30TH ST BILLINGS,MT591075200	OUTPATIENT PHYSICIAN CLINIC
75	75 - BOULDER CLINIC - FAMILY MEDICINE 214 S MAIN ST BOULDER,MT59632	OUTPATIENT PHYSICIAN CLINIC
76	76 - ABSAROKEE CLINIC - FAMILY MEDICINE 55 N MONTANA ABSAROKEE,MT59001	OUTPATIENT PHYSICIAN CLINIC
77	77 - ST VINCENT NEUROLOGY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
78	78 - ST VINCENT HOSPITAL PALLIATIVE CARE 1233 N 30TH ST BILLINGS,MT59101	OUTPATIENT PHYSICIAN CLINIC
79	79 - SCL HEALTH - PEDIATRIC SPECIALTY CARE 1232 N 30TH BILLINGS,MT59101	OUTPATIENT PHYSICIAN CLINIC
80	80 - SCL HEALTH - BILLINGS PHYSIATRY 2900 12TH AVE N BILLINGS,MT591010136	OUTPATIENT PHYSICIAN CLINIC
81	81 - ST VINCENT NEUROSURGERY 2600 WILSON MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
82	82 - SCL HEALTH - PEDIATRIC SPECIALTY CARE 1232 N 30TH BILLINGS,MT591010128	OUTPATIENT PHYSICIAN CLINIC
83	83 - SCL HEALTH MILES CITY NEPHROLOGY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
84	84 - SCL HEALTH HEART & VASCULAR - MILES CITY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
85	85 - ST VINCENT NEUROLOGY 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
86	86 - ST VINCENT NEUROLOGY 621 3RD ST S GLASGOW,MT59230	OUTPATIENT PHYSICIAN CLINIC
87	87 - INTERMOUNTAIN HEART & VASCULAR - BOZEMAN 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
88	88 - ST VINCENT NEUROSURGERY 621 3RD STREET SOUTH GLASGOW,MT59230	OUTPATIENT PHYSICIAN CLINIC
89	89 - SCL HEALTH - BUTTE NEUROLOGY 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
90	90 - SCL HEALTH-MILES CITY SLEEP &RESPIRATORY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
91	91 - IH BOZEMAN CARDIAC & VASCULAR SURGERY 711 W MAIN ST BOZEMAN,MT597153356	OUTPATIENT PHYSICIAN CLINIC
92	92 - SCL HEALTH - SIDNEY MATERNAL FETAL MED 216 14TH AVE SW SIDNEY,MT59270	OUTPATIENT PHYSICIAN CLINIC
93	93 - SCL HEALTH HEART & VASCULAR - SIDNEY 216 14TH AVE SW SIDNEY,MT59270	OUTPATIENT PHYSICIAN CLINIC
94	94 - SCL HEALTH - BILLINGS UROLOGY 181 12TH AVE SW SIDNEY,MT59270	OUTPATIENT PHYSICIAN CLINIC
95	95 - SCL HEALTH - BILLINGS UROLOGY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
96	96 - SHERIDAN CLINIC - MATERNAL FETAL MEDICINE SHERIDAN MEMORIAL HOSPITAL WOMENS CLINIC SHERIDAN,WY82801	OUTPATIENT PHYSICIAN CLINIC
97	97 - ST VINCENT NEUROSURGERY 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
98	98 - SCL HEALTH WOUND CARE - MILES CITY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
99	99 - IH HEART & VASCULAR - CODY CLINIC 424 YELLOWSTONE AVE CODY,WY824144103	OUTPATIENT PHYSICIAN CLINIC
100	100 - ST VINCENT NEUROLOGY 181 12TH AVE SW SIDNEY,MT59270	OUTPATIENT PHYSICIAN CLINIC
101	101 - SCL HEALTH HEART & VASCULAR - RED LODGE 10 ROBINSON LANE RED LODGE,MT590689010	OUTPATIENT PHYSICIAN CLINIC
102	102 - SCL HEALTH - BUTTE PEDIATRIC SPECIALTY 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
103	103 - SCL HEALTH - HARDIN SLEEP & RESPIRATORY 16 N MILES AVE HARDIN,MT59034	OUTPATIENT PHYSICIAN CLINIC
104	104 - BOULDER CLINIC - OB-GYN 214 S MAIN ST BOULDER,MT59701	OUTPATIENT PHYSICIAN CLINIC
105	105 - SCL HEALTH - WORLAND NEPHROLOGY 1106 BIG HORN AVE WORLAND,WY824012803	OUTPATIENT PHYSICIAN CLINIC
106	106 - SCL HEALTH - DEER LODGE OB-GYN 1100 HOLLENBECK LANE DEER LODGE,MT59722	OUTPATIENT PHYSICIAN CLINIC
107	107 - SCL HEALTH - BOZEMAN PEDIATRIC CLINIC 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
108	108 - SCL HEALTH - BUTTE MATERNAL FETAL MED ST JAMES HEALTHCARE BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
109	109 - SCL HEALTH HEART & VASCULAR - MILES CITY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
110	110 - SCL HEALTH MEDICAL GROUP - BUTTE OB-GYN 445 CENTENNIAL AVE BUTTE,MT597012870	OUTPATIENT PHYSICIAN CLINIC
111	111 - SCL HEALTH - BILLINGS WOMEN'S HEALTH 16 N MILES AVE HARDIN,MT59034	OUTPATIENT PHYSICIAN CLINIC
112	112 - SCL HEALTH - HARDIN NEPHROLOGY 16 N MILES AVE HARDIN,MT59034	OUTPATIENT PHYSICIAN CLINIC
113	113 - SCL HEALTH - CODY NEPHROLOGY 720 LINDSAY LN CODY,WY824144103	OUTPATIENT PHYSICIAN CLINIC
114	114 - SCL HEALTH - RUBY VALLEY OB-GYN 321 MADISON SHERIDAN,MT59749	OUTPATIENT PHYSICIAN CLINIC
115	115 - SCL HEALTH MEDICAL GROUP - ABSAROKEE 55 N MONTANA ABSAROKEE,MT590010425	OUTPATIENT PHYSICIAN CLINIC
116	116 - ST VINCENT NEUROSURGERY 401 15TH AVE SOUTH GREAT FALLS,MT59405	OUTPATIENT PHYSICIAN CLINIC
117	117 - SCL HEALTH - SIDNEY PEDIATRIC GASTRO 181 12TH AVE SW SIDNEY,MT592703613	OUTPATIENT PHYSICIAN CLINIC
118	118 - SCL HEALTH - SIDNEY PEDIATRIC SPECIALTY 216 14TH AVENUE SW SIDNEY,MT592703521	OUTPATIENT PHYSICIAN CLINIC
119	119 - SCL HEALTH - BUTTE PEDIATRIC CARDIOLOGY 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
120	120 - SCL HEALTH - MILES CITY PEDIATRIC CARDIO 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
121	121 - SCL HEALTH - MONTANA ORTHOPEDICS 2442 WINNE AVE HELENA,MT596014921	OUTPATIENT PHYSICIAN CLINIC
122	122 - SCL HEALTH MEDICAL GROUP - BOZEMAN 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
123	123 - BOZEMAN CLINIC - UROLOGY 711 W MAIN ST BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
124	124 - LEWISTOWN CLINIC - NEUROLOGY 70 CATTAIL DRIVE LEWISTOWN,MT59457	OUTPATIENT PHYSICIAN CLINIC
125	125 - SCL HEALTH - CODY CLINIC 720 LINDSAY LN CODY,WY824144103	OUTPATIENT PHYSICIAN CLINIC
126	126 - SCL HEALTH MEDICAL GROUP - RMAP OB-GYN 435 S CRYSTAL STREET BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
127	127 - ST VINCENT HOSPITALISTS 1233 N 30TH ST BILLINGS,MT591010127	OUTPATIENT PHYSICIAN CLINIC
128	128 - ST VINCENT NEUROSURGERY 720 LINDSAY LN CODY,WY82414	OUTPATIENT PHYSICIAN CLINIC
129	129 - SCL HEALTH - LEWISTOWN NEPHROLOGY 70 CATTAIL DR LEWISTOWN,MT59457	OUTPATIENT PHYSICIAN CLINIC
130	130 - BOZEMAN CLINIC - ENT 711 W MAIN ST BOZEMAN,MT597153356	OUTPATIENT PHYSICIAN CLINIC
131	131 - ST VINCENT NEUROSURGERY THE FOOT CARE CENTER SHERIDAN,WY828010000	OUTPATIENT PHYSICIAN CLINIC
132	132 - BOULDER CLINIC - PHYSICAL THERAPY 214 S MAIN BOULDER,MT59632	OUTPATIENT PHYSICIAN CLINIC
133	133 - SCL HEALTH - LEWISTOWN CLINIC 70 CATTAIL DR LEWISTOWN,MT594574123	OUTPATIENT PHYSICIAN CLINIC
134	134 - SCL HEALTH - BOULDER CLINIC 214 S MAIN ST BOULDER,MT59632	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:	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.'S (SCLHS) SLIDING SCALE FOR FREE AND DISCOUNTED CARE IS 0 TO 500% FEDERAL POVERTY LEVEL (FPL) IN ACCORDANCE WITH THE FEDERAL POVERTY GUIDELINES. PATIENTS BETWEEN 0-250% FPL WILL RECEIVE 100% DISCOUNT ON THEIR BALANCES WHILE PATIENTS BETWEEN 251-500% WILL RECEIVE PARTIAL DISCOUNT BASED ON WHERE THEY FALL. THE DETERMINATION IS BASED ON HOUSEHOLD INCOME AND THE HOUSEHOLD SIZE. PATIENTS ARE REQUIRED TO FILL OUT A SIMPLE ONE-PAGE APPLICATION AND SUPPLY SUPPORTING DOCUMENTATION. THE APPLICATION ASKS FOR INFORMATION ABOUT THE APPLICANT AND HOUSEHOLD MEMBERS. SUPPORTING DOCUMENTATION IS THE MOST RECENT PAYSTUB, OR SOME OTHER FORM FOR PROOF OF INCOME. IF THERE IS MORE THAN ONE FAMILY MEMBER WORKING AND COUNTED IN THE HOUSEHOLD DETERMINATION, THEY WOULD ALSO BE REQUIRED TO PROVIDE PROOF OF INCOME.
PART I, LINE 6A:	SCLHS IS PART OF THE INTERMOUNTAIN HEALTH CARE, INC. SYSTEM WHICH PREPARES AN ANNUAL REPORT TO THE COMMUNITY ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, INTERMOUNTAIN HEALTH CARE, INC.
PART I, LINE 7:	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST.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 $3,184,870.
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:	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, 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. PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS ARE PROVIDED HELP 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 IS AFFORDED TO 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. 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 III, SECTION A, LINE 1:	THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT.
PART VI, LINE 2:	THE REHABILITATION HOSPITAL OF MONTANA, LLC PROVIDES OUTREACH TO SURROUNDING SECONDARY AND TERTIARY MARKET FACILITIES TO UNDERSTAND COMMUNITY NEEDS BETTER. THROUGH THOSE OUTREACH EFFORTS, UNMET COMMUNITY NEEDS ARE IDENTIFIED BY OUTREACH STAFF AND ARE BROUGHT BACK TO THE ORGANIZATION. ADDITIONAL ASSESSMENT OF NEEDS IS PROVIDED THROUGH ASSESSMENTS INCLUDING SECONDARY DATA SOURCES OF THE HEALTHCARE PARTNERS, BILLINGS CLINIC AND INTERMOUNTAIN HEALTH ST. VINCENT REGIONAL HOSPITAL. ALL COMMUNITY HEALTH NEEDS ARE IDENTIFIED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS.
PART VI, LINE 3:	THE REHABILITATION HOSPITAL OF MONTANA, LLC NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS AND THROUGH THE PATIENT PORTAL, MYCHART. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE REHABILITATION HOSPITAL OF MONTANA, LLC HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT-SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4:	THE REHABILITATION HOSPITAL OF MONTANA, LLC SERVES PATIENTS FROM ACROSS THE STATE OF MONTANA AND THE SURROUNDING STATES. APPROXIMATELY 88% OF PATIENTS COME FROM MONTANA AND 53% OF PATIENTS RESIDE IN YELLOWSTONE COUNTY. THE REHABILITATION HOSPITAL OF MONTANA IS A STATE-OF-THE-ART, 34-BED INPATIENT ACUTE REHABILITATION HOSPITAL DEDICATED TO THE TREATMENT AND RECOVERY OF INDIVIDUALS WHO HAVE EXPERIENCED A LOSS OF FUNCTION DUE TO AN INJURY OR ILLNESS. POPULATION AND GEOGRAPHY: THE REHABILITATION HOSPITAL OF MONTANA, LLC'S PRIMARY SERVICE AREA INCLUDES YELLOWSTONE COUNTY. YELLOWSTONE COUNTY ENCOMPASSES 2,633 SQUARE MILES AND INCLUDES A POPULATION OF 160,390 RESIDENTS. BETWEEN THE 2000 AND 2020 US CENSUSES, THE POPULATION OF YELLOWSTONE COUNTY INCREASED BY 11.3%, A GREATER PROPORTIONAL INCREASE THAN SEEN ACROSS BOTH MONTANA AND THE NATION OVERALL. YELLOWSTONE COUNTY IS PREDOMINANTLY URBAN WITH 83.3% OF THE POPULATION LIVING IN AREAS DESIGNATED AS URBAN AND IS SURROUNDED BY RURAL AND FRONTIER COUNTIES.HOSPITALS IN THE SERVICE AREA: THERE ARE TWO NONPROFIT ACUTE CARE HOSPITALS IN YELLOWSTONE COUNTY: ST. VINCENT HEALTHCARE AND BILLINGS CLINIC. AGE: IN YELLOWSTONE COUNTY, 23.4% OF THE POPULATION ARE CHILDREN AGED 0-17; THE OTHER 59.6% ARE AGE 18 TO 64, WHILE 17.0% ARE AGE 65 AND OLDER. RACE AND ETHNICITY: THE MAJORITY OF YELLOWSTONE COUNTY RESIDENTS OR 89.2% ARE WHITE, 4.0% ARE NATIVE AMERICAN, 2.8% ARE ANOTHER RACE, AND 4.1% MULTIPLE RACES. A TOTAL OF 5.9% OF YELLOWSTONE COUNTY RESIDENTS ARE HISPANIC OR LATINO, WHICH IS HIGHER THAN THE PREVALENCE IN THE STATE OF MONTANA. POVERTY AND ECONOMICS: THE LATEST CENSUS ESTIMATE SHOWS 9.6% OF THE YELLOWSTONE COUNTY POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 4,176 CHILDREN. IN YELLOWSTONE COUNTY, 5.2% OF ADULTS OVER AGE 25 DO NOT HAVE A HIGH SCHOOL EDUCATION. THE UNEMPLOYMENT RATE IS 2.5% AND DECREASED SINCE 2020. OTHER ECONOMIC INDICATORS INCLUDE 26.1% OF COUNTY RESIDENTS ARE WORRIED OR STRESSED ABOUT HAVING ENOUGH MONEY TO PAY THEIR RENT OR MORTGAGE AND 30.8% OF PERSONS OF COLOR REPORT HAVING LIVED WITH A FRIEND OR RELATIVE BECAUSE OF AN EMERGENCY. APPROXIMATELY 31,000 RESIDENTS HAVE LOW FOOD ACCESS, AND 21.3% OF ADULTS FIND IT DIFFICULT TO ACCESS AFFORDABLE FRESH FRUITS AND VEGETABLES. HEALTH STATUS: MOST YELLOWSTONE COUNTY RESIDENTS RATED THEIR OVERALL HEALTH FAVORABLY, WITH 84.7% RATING IT AS EXCELLENT, VERY GOOD, OR GOOD. HOWEVER, 15.3% OF ADULTS BELIEVED THEIR HEALTH WAS FAIR OR POOR. LOW-INCOME ADULTS, PERSONS OF COLOR, AND ADULTS 65 AND OLDER HAD HIGHER RATES OF IDENTIFYING THEIR HEALTH AS FAIR OR POOR.UNINSURED RATE: 9.6% OF PEOPLE IN YELLOWSTONE COUNTY ARE UNINSURED, WHICH IS HIGHER THAN THE MONTANA AVERAGE OF 9.3%.
PART VI, LINE 5:	THE REHABILITATION HOSPITAL OF MONTANA, LLC PARTICIPATES IN COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE HEALTHY BY DESIGN COALITION. THE COALITION IS A COLLABORATION WITH BILLINGS CLINIC AND SCL HEALTH - MONTANA IN CONJUNCTION WITH RIVERSTONE HEALTH. THE HOSPITAL COMMITS IN-KIND RESOURCES TO FULFILL GOALS OUTLINED IN THE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY.
PART VI, LINE 6:	SCLHS 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 (SELECTHEALTH, INC.) WITH MORE THAN ONE MILLION MEMBERS, AND OTHER HEALTH SERVICES. HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE, INTERMOUNTAIN IS COMMITTED TO IMPROVING COMMUNITY HEALTH AND IS WIDELY RECOGNIZED AS A LEADER IN TRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TO CONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS. INTERMOUNTAIN IS WORKING TO IMPROVE THE HEALTH AND WELL-BEING BY IMPROVING MENTAL WELL-BEING, PREVENTING AVOIDABLE DISEASE, IMPROVING AIR QUALITY, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND OTHER COMMUNITY HEALTH INITIATIVES.THROUGH MULTIPLE CHARITABLE FOUNDATIONS, INTERMOUNTAIN ALSO DEVELOPS FINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTING OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL SERVICES FOR LOW-INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS.PART VI, LINE 7:STATE FILING OF COMMUNITY BENEFIT REPORT - NOT APPLICABLE.

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
SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number
23-7379161

Part I

General Information on Grants and Assistance

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

Yes No

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

Part II

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

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

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) SCL HEALTH - MONTANA 1233 NORTH 30TH STREET BILLINGS,MT59101	81-0232124	501(C)(3)	6,950,045	0			SUPPORT MISSION
(2) CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH,KS66048	48-1009910	501(C)(3)	625,392	0			SUPPORT MISSION
(3) MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER,CO80211	84-0405260	501(C)(3)	500,000	0			SUPPORT MISSION
(4) SAINT JOSEPH HOSPITAL INC 1375 E 19TH AVENUE DENVER,CO80218	84-0417134	501(C)(3)	454,352	0			SUPPORT MISSION
(5) MENNINGER FOUNDATION 1231 MAIN ST HOUSTON,TX77035	48-0543752	501(C)(3)	0	153,221	FMV	LAND	LAND DONATION
(6) ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE,MT59701	81-0231785	501(C)(3)	12,849	0			SUPPORT MISSION
(7) SWALLOW HILL MUSIC ASSOCIATION 71 E YALE AVE DENVER,CO80210	84-0781725	501(C)(3)	10,000	0			SUPPORT MISSION
(8) CENTER FOR PERSONALIZED EDUCATION FOR PHYSICIANS 720 S COLORADO BLVD SUITE 1100-N DENVER,CO80246	74-2565416	501(C)(3)	10,000	0			SUPPORT MISSION
(9) LION GLOBAL FOUNDATION (AKA MIZEL INSTITUTE) 4350 S MONACO ST DENVER,CO80237	68-0561084	501(C)(3)	6,667	0			SUPPORT MISSION

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)
(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:	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.'S MISSION DEPARTMENT REQUIRES WRITTEN STATEMENTS THREE TIMES A YEAR REGARDING THE PROGRESS AND STATUS OF THE GRANT.

Schedule I (Form 990) 2023

Additional Data

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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

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

Questions Regarding Compensation

Yes

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

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

Travel for companions Payments for business use of personal residence

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

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

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

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

Yes

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

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

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

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

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

Yes

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

Yes

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

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

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

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

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

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

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

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

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

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

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

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

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)
1ALBERT R ZIMMERLI FORMER OFFICER	(i) (ii)	0 ------------- 256,243	0 ------------- 1,019,415	0 ------------- 6,991,012	0 ------------- 13,200	0 ------------- 17,765	0 ------------- 8,297,635	0 ------------- 892,202
2JANIE WADE TREASURER/EVP CFO (PARTIAL)	(i) (ii)	814,842 ------------- 0	278,696 ------------- 0	4,510,754 ------------- 0	71,363 ------------- 0	22,516 ------------- 0	5,698,171 ------------- 0	691,795 ------------- 0
3LYDIA JUMONVILLE CHIEF EXECUTIVE OFFICER (PARTIAL)	(i) (ii)	1,335,578 ------------- 0	1,836,066 ------------- 0	625,088 ------------- 0	544,613 ------------- 0	21,976 ------------- 0	4,363,321 ------------- 0	600,047 ------------- 0
4JAMES VALIN MD EVP CHIEF CLINICAL OFFICER	(i) (ii)	1,146,947 ------------- 0	710,621 ------------- 0	171,960 ------------- 0	1,043,427 ------------- 0	30,112 ------------- 0	3,103,067 ------------- 0	280,469 ------------- 0
5MARK KORTH SYSTEM PRESIDENT (PARTIAL)	(i) (ii)	907,305 ------------- 0	700,064 ------------- 0	203,294 ------------- 0	599,392 ------------- 0	27,360 ------------- 0	2,437,415 ------------- 0	302,323 ------------- 0
6GREG J MATIS SECRETARY	(i) (ii)	0 ------------- 767,063	0 ------------- 391,369	0 ------------- 309,511	0 ------------- 800,888	0 ------------- 31,788	0 ------------- 2,300,619	0 ------------- 329,119
7GREGORY M JOHNSON VP, FINANCE SERVICES (PARTIAL)	(i) (ii)	0 ------------- 80,048	0 ------------- 314,641	0 ------------- 1,666,880	0 ------------- 43,451	0 ------------- 12,119	0 ------------- 2,117,139	0 ------------- 276,304
8CRAIG RICHARDVILLE CHIEF DIGITAL & INFORMATION OFFICER	(i) (ii)	675,447 ------------- 0	444,966 ------------- 0	124,492 ------------- 0	591,496 ------------- 0	23,526 ------------- 0	1,859,927 ------------- 0	159,739 ------------- 0
9TAJQUAH HUDSON CHIEF INTEGRATION OFFICER	(i) (ii)	654,106 ------------- 0	698,412 ------------- 0	197,667 ------------- 0	214,172 ------------- 0	10,965 ------------- 0	1,775,322 ------------- 0	262,203 ------------- 0
10CLAY M ASHDOWN TREASURER, SVP, CFO (PARTIAL)	(i) (ii)	0 ------------- 671,465	0 ------------- 329,198	0 ------------- 121,761	0 ------------- 406,292	0 ------------- 35,151	0 ------------- 1,563,867	0 ------------- 283,009
11MEGAN MAHNCKE CHIEF MARKETING & COMM. OFFICER	(i) (ii)	546,966 ------------- 0	353,256 ------------- 0	44,444 ------------- 0	477,170 ------------- 0	30,112 ------------- 0	1,451,948 ------------- 0	115,493 ------------- 0
12LOUIS ROSS MD PHYSICIAN	(i) (ii)	868,855 ------------- 0	505,032 ------------- 0	3,256 ------------- 0	15,631 ------------- 0	30,978 ------------- 0	1,423,752 ------------- 0	0 ------------- 0
13SCOTT PEEK FRONT RANGE MKT PRESIDENT (PARTIAL)	(i) (ii)	0 ------------- 705,729	0 ------------- 135,762	0 ------------- 184,322	0 ------------- 365,711	0 ------------- 31,658	0 ------------- 1,423,182	0 ------------- 0
14ALAN BAKER COO, MEDICAL GROUP/CHIEF ADMIN OFF.	(i) (ii)	618,386 ------------- 0	213,845 ------------- 0	51,400 ------------- 0	317,347 ------------- 0	20,232 ------------- 0	1,221,210 ------------- 0	146,055 ------------- 0
15YEVGENIY AREFIEV MD PHYSICIAN	(i) (ii)	499,838 ------------- 0	626,774 ------------- 0	23,900 ------------- 0	13,200 ------------- 0	37,583 ------------- 0	1,201,295 ------------- 0	0 ------------- 0
16JOHN WICKLUND PRESIDENT REGIONAL WESTERN CO & LMC	(i) (ii)	173,427 ------------- 0	149,635 ------------- 0	822,310 ------------- 0	7,846 ------------- 0	16,598 ------------- 0	1,169,816 ------------- 0	139,635 ------------- 0
17STACY JENNINGS VP, CHIEF INVESTMENT OFFICER	(i) (ii)	0 ------------- 554,542	0 ------------- 250,940	0 ------------- 230	0 ------------- 242,066	0 ------------- 35,458	0 ------------- 1,083,236	0 ------------- 212,735
18AMY CHURCH VP, FINANCIAL PLANNING AND ANALYTICS	(i) (ii)	549,369 ------------- 0	176,239 ------------- 0	33,951 ------------- 0	260,261 ------------- 0	1,783 ------------- 0	1,021,603 ------------- 0	106,972 ------------- 0
19SIMON MALTAIS MD PHYSICIAN	(i) (ii)	941,475 ------------- 0	11,500 ------------- 0	23,882 ------------- 0	692 ------------- 0	37,850 ------------- 0	1,015,399 ------------- 0	0 ------------- 0
20HEIDI WALD CHIEF QUALITY AND SAFETY OFFICER	(i) (ii)	495,575 ------------- 0	188,886 ------------- 0	52,365 ------------- 0	243,610 ------------- 0	29,880 ------------- 0	1,010,316 ------------- 0	111,207 ------------- 0
21DAVID PRINGLE CHIEF CATHOLIC MISSION OFF(PARTIAL)	(i) (ii)	346,936 ------------- 0	331,349 ------------- 0	55,191 ------------- 0	231,344 ------------- 0	24,291 ------------- 0	989,111 ------------- 0	56,529 ------------- 0
22SIMON PAYNE MD CHIEF MEDICAL OFFICER	(i) (ii)	500,243 ------------- 0	157,856 ------------- 0	54,652 ------------- 0	229,178 ------------- 0	28,426 ------------- 0	970,355 ------------- 0	116,334 ------------- 0
23BRYAN JOHNSON W CO MKT PRES/SMGJ PRES/MT MKT PRES	(i) (ii)	0 ------------- 502,548	0 ------------- 109,425	0 ------------- 72,639	0 ------------- 255,252	0 ------------- 27,360	0 ------------- 967,224	0 ------------- 162,823
24JOHN BRAXTON MD PHYSICIAN	(i) (ii)	897,532 ------------- 0	11,000 ------------- 0	8,157 ------------- 0	15,277 ------------- 0	19,211 ------------- 0	951,177 ------------- 0	0 ------------- 0
25TROY SPRING VP REVENUE CYCLE	(i) (ii)	451,171 ------------- 0	160,964 ------------- 0	41,905 ------------- 0	209,969 ------------- 0	32,112 ------------- 0	896,121 ------------- 0	105,458 ------------- 0
26CHRISTOPHER AWTREY MD CMO, MEDICAL GROUP/CMO MEDICAL GROUP	(i) (ii)	0 ------------- 458,263	0 ------------- 152,715	0 ------------- 24,384	0 ------------- 206,116	0 ------------- 30,112	0 ------------- 871,590	0 ------------- 68,714
27BARBARA JAHN VP, SERVICE LINES AND OPERATIONS	(i) (ii)	427,190 ------------- 0	151,411 ------------- 0	60,581 ------------- 0	197,023 ------------- 0	21,441 ------------- 0	857,646 ------------- 0	110,935 ------------- 0
28LEE SYPHUS VP OPS, MEDICAL GROUP (PARTIAL)	(i) (ii)	350,466 ------------- 0	113,655 ------------- 0	150,310 ------------- 0	170,375 ------------- 0	30,047 ------------- 0	814,853 ------------- 0	66,542 ------------- 0
29JENNIFER ALDERFER MONTANA MKT PRESIDENT (PARTIAL)	(i) (ii)	549,575 ------------- 0	130,931 ------------- 0	76,177 ------------- 0	14,518 ------------- 0	27,603 ------------- 0	798,804 ------------- 0	203,684 ------------- 0
30ROSLAND MCLEOD FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 0	765,565 ------------- 0	0 ------------- 0	22,722 ------------- 0	788,287 ------------- 0	0 ------------- 0
31SHAWN DUFFORD MD FORMER KEY EMPLOYEE	(i) (ii)	0 ------------- 0	0 ------------- 0	751,089 ------------- 0	0 ------------- 0	10,240 ------------- 0	761,329 ------------- 0	0 ------------- 0
32DINA BUSH VP, CHIEF NURSING OFFICER	(i) (ii)	389,162 ------------- 0	87,138 ------------- 0	34,779 ------------- 0	215,172 ------------- 0	29,089 ------------- 0	755,340 ------------- 0	115,989 ------------- 0
33SEAN FADDEN VP, FINANCE	(i) (ii)	373,991 ------------- 0	113,292 ------------- 0	21,646 ------------- 0	169,153 ------------- 0	28,040 ------------- 0	706,122 ------------- 0	77,261 ------------- 0
34SUZANNE DRAPER VP, BUS. ETHICS & COMP. (PARTIAL)	(i) (ii)	0 ------------- 336,147	0 ------------- 194,894	0 ------------- 72,711	0 ------------- 58,568	0 ------------- 32,358	0 ------------- 694,678	0 ------------- 144,395
35JOHN CASEY MKT VP STRATEGY AND BUS DEVELOPMENT	(i) (ii)	334,703 ------------- 0	120,082 ------------- 0	37,078 ------------- 0	138,296 ------------- 0	27,360 ------------- 0	657,519 ------------- 0	86,185 ------------- 0
36MARK WILKINSON VP TREASURER (PARTIAL)	(i) (ii)	11,349 ------------- 0	130,786 ------------- 0	462,060 ------------- 0	1,120 ------------- 0	16,588 ------------- 0	621,903 ------------- 0	179,571 ------------- 0
37JAMES RITCHEY VP HR STRATEGY & DELIVERY	(i) (ii)	327,797 ------------- 0	62,403 ------------- 0	44,221 ------------- 0	150,869 ------------- 0	30,210 ------------- 0	615,500 ------------- 0	73,082 ------------- 0
38TROY HOLMES VP PAYER CONTRACTING (PARTIAL)	(i) (ii)	167,504 ------------- 0	113,067 ------------- 0	280,597 ------------- 0	9,739 ------------- 0	13,826 ------------- 0	584,733 ------------- 0	176,744 ------------- 0
39GREGG MOSS VP, MKT AND COMMUNICATIONS (PARTIAL)	(i) (ii)	267,048 ------------- 0	112,905 ------------- 0	32,237 ------------- 0	122,532 ------------- 0	10,735 ------------- 0	545,457 ------------- 0	34,646 ------------- 0
40SUSAN SCHAUB VP TOTAL REWARDS	(i) (ii)	300,001 ------------- 0	59,426 ------------- 0	9,642 ------------- 0	133,005 ------------- 0	10,918 ------------- 0	512,992 ------------- 0	59,426 ------------- 0
41TERENCE MOLOUGHNEY ASSISTANT SECRETARY	(i) (ii)	284,437 ------------- 0	21,022 ------------- 0	35,077 ------------- 0	71,556 ------------- 0	22,897 ------------- 0	434,989 ------------- 0	19,162 ------------- 0
42JEREMY ROGERS VICE PRESIDENT HUMAN RESOURCES - PEA	(i) (ii)	159,982 ------------- 0	48,511 ------------- 0	115,454 ------------- 0	66,563 ------------- 0	21,469 ------------- 0	411,979 ------------- 0	0 ------------- 0
43JACOB HARRISON CHIEF CATHOLIC MISSION OFF(PARTIAL)	(i) (ii)	219,171 ------------- 0	32,112 ------------- 0	1,720 ------------- 0	123,193 ------------- 0	26,625 ------------- 0	402,821 ------------- 0	32,112 ------------- 0
44THOMAS DONOHOE VP GEN. COUNSEL OPS. & TRANS.	(i) (ii)	33,934 ------------- 0	90,379 ------------- 0	70,306 ------------- 0	3,434 ------------- 0	2,520 ------------- 0	200,573 ------------- 0	116,571 ------------- 0
45KHADIJA MOHAMED FORMER OFFICER	(i) (ii)	140,680 ------------- 0	3,564 ------------- 0	820 ------------- 0	15,670 ------------- 0	10,901 ------------- 0	171,635 ------------- 0	3,564 ------------- 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	TAX INDEMNIFICATION AND GROSS-UP PAYMENTS SCLHS AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2023 WERE: LEE SYPHUS - $33,243; JEREMY ROGERS - $30,673.
PART I, LINE 1B	SCLHS 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 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SISTERS OF CHARITY OF LEAVENWORTH HEALTHY SYSYTEM, INC. AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA 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 SCLHS AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2023 WERE: LYDIA JUMONVILLE - $45,708; JANIE WADE - $3,903,603; TROY HOLMES - $148,195; MARK WILKINSON - $311,020; TAJQUAH HUDSON - $19,519; J. GRANT WICKLUND - $433,300; ROSLAND MCLEOD - $578,822; SHAWN DUFFORD - $578,531; GREGORY M. JOHNSON - $1,655,170; ALBERT ZIMMERLI - $6,640,096. SCHEDULE J, PART I, LINE 4B SCLHS 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, SCLHS' 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: MARK KORTH - $168,447; LYDIA JUMONVILLE - $395,839; JAMES P. VALIN, MD - $112,355; JANIE WADE - $552,445; LEE SYPHUS - $24,655; DAVID PRINGLE - $42,376; SEAN FADDEN - $19,923; BRYAN JOHNSON - $53,398; JENNIFER ALDERFER - $72,753; SIMON PAYNE - $51,509; BARBARA JAHN - $46,050; DINA BUSH - $28,851; ALAN BAKER - $43,407; AMY CHURCH - $24,440; TROY SPRING - $36,267; HEIDI WALD - $42,146; TROY HOLMES - $128,289; JAMES RITCHEY - $25,482; THOMAS DONOHOE - $47,631; MARK WILKINSON - $130,114; JOHN CASEY - $34,724; TAJQUAH HUDSON - $165,536; MEGAN MAHNCKE - $40,914; CRAIG RICHARDVILLE - $67,665; J. GRANT WICKLUND - $299,497. A RELATED ORGANIZATION OFFERS A SUPPLEMENTAL RETIREMENT PLAN. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES DESIGNATED BY THE BOARD. THE AMOUNTS IN THE PLAN ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. CERTAIN PHYSICIANS AND MANAGEMENT LEVEL EMPLOYEES HIRED AFTER APRIL 4, 2020, WHOSE COMPENSATION EXCEEDS A MINIMUM THRESHOLD, MAY PARTICIPATE IN THE INTERMOUNTAIN SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. PARTICIPANTS ARE NOT ALLOWED TO CONTRIBUTE TO THIS PLAN, AS IT IS AN EMPLOYER-FUNDED BENEFIT. THE AMOUNTS WITHDRAWN FROM THIS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN 2023 WERE: ALBERT R. ZIMMERLI - $339,021.
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

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 2	CLAY M. ASHDOWN / GREG J. MATIS / JANIE WADE / JAMES P. VALIN, MD - BUSINESS RELATIONSHIP (TRUSTEES IN LEAVEN INSURANCE COMPANY, LTD., A RELATED TAXABLE ORGANIZATION). CLAY M. ASHDOWN / GREG J. MATIS - BUSINESS RELATIONSHIP (OFFICERS IN NORTHPOINTE SURGICAL CENTER, LLC, A RELATED TAXABLE ORGANIZATION). CLAY M. ASHDOWN / JANIE WADE - BUSINESS RELATIONSHIP (TRUSTEES IN NATIONAL PURCHASING PARTNERS, LLC, AN UNRELATED TAXABLE ORGANIZATION). JENNIFER ALDERFER / CHRISTOPHER AWTREY, MD / SEAN FADDEN / BRYAN JOHNSON / SIMON PAYNE, MD / LEE SYPHUS - BUSINESS RELATIONSHIP (OFFICERS AND/OR TRUSTEES IN ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK, INC., A RELATED TAXABLE ORGANIZATION) CLAY M. ASHDOWN / SUZANNE DRAPER / STACY JENNINGS / GREGORY M. JOHNSON / GREG J. MATIS / ALBERT R. ZIMMERLI / MELINDA MENDOZA - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION)
FORM 990, PART VI, SECTION A, LINE 4	SIGNIFICANT CHANGES TO ITS GOVERNING DOCUMENTS SINCE THE PRIOR FORM 990 THE GOVERNING DOCUMENTS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. WERE UPDATED TO CLARIFY THE SUPPORTING SERVICES PROVIDED BY THE ORGANIZATION TO ITS AFFILIATES AND TO CLARIFY ITS STATUS AS AN IRC SECTION 509(A)(3) FUNCTIONALLY INTEGRATED SUPPORTING ORGANIZATION. THE GOVERNING DOCUMENTS CONTINUE TO SUPPORT THE HISTORIC AND CONTINUING RELATIONSHIP THAT EXISTS BETWEEN SCLHS AND ITS SUPPORTED ORGANIZATIONS.
FORM 990, PART VI, SECTION A, LINE 6	THE MEMBERS OF THE CORPORATION ARE INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION, AND THE MEMBERS OF LEAVEN MINISTRIES. EACH MEMBER OF LEAVEN MINISTRIES SERVES AS A MEMBER OF THE CORPORATION DURING THE MEMBER'S TERM OF OFFICE AS A MEMBER OF LEAVEN MINISTRIES, WHICH IS AN UNINCORPORATED PUBLIC JURIDIC PERSON AUTHORIZED BY THE CATHOLIC CHURCH.
FORM 990, PART VI, SECTION A, LINE 7A	POWER TO ELECT OR APPOINT MEMBERS THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND THE CHAIR OF LEAVEN MINISTRIES, OR HIS/HER DESIGNEE, SHALL BE TRUSTEES OF THE BOARD WITH FULL VOTING RIGHTS. THE CHAIR OF LEAVEN MINISTRIES SHALL APPOINT AN ADDITIONAL MEMBER OF LEAVEN MINISTRIES TO SERVE ON THE BOARD OF DIRECTORS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. LEAVEN MINISTRIES AND INTERMOUNTAIN HEALTH CARE, INC. WILL EACH HAVE THE POWER TO REMOVE A TRUSTEE AT ANY TIME WITH OR WITHOUT CAUSE IMMEDIATELY UPON GIVING NOTICE TO THE TRUSTEE AND TO THE OTHER MEMBER. AT THE ANNUAL MEETING OF THE BOARD OF TRUSTEES OF MEMBER INTERMOUNTAIN HEALTH CARE, INC., SUBJECT TO THE LEAVEN MINISTRIES APPOINTMENT AND REMOVAL RIGHTS, THE INTERMOUNTAIN MEMBER WILL APPOINT TRUSTEES, ELECT BOARD OFFICERS, AND TRANSACT SUCH OTHER BUSINESS AS IT CONSIDERS APPROPRIATE. TRUSTEES AND BOARD OFFICERS MAY BE NOMINATED FOR APPOINTMENT BY THE BOARD OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. WHILE THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. WILL MAINTAIN A SET OF COMPETENCIES AND QUALIFICATIONS FOR BOARD APPOINTMENT THAT MAY BE UPDATED FROM TIME TO TIME.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS RESERVED POWERS ARE HELD BY MEMBERS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. THE MEMBERS ARE INTERMOUNTAIN HEALTH CARE, INC. AND LEAVEN MINISTRIES. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE: - ESTABLISH THE MISSION, VISION, AND VALUES FOR THE CORPORATION; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR THE CORPORATION; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF THE CORPORATION; - FIX THE NUMBER OF TRUSTEES OF THE BOARD AND APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE ORGANIZATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. RESERVED POWERS HELD BY LEAVEN MINISTRIES INCLUDE: - TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BY ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF INTERMOUNTAIN HEALTH CARE, INC. SET FORTH IN THE MERGER AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE RESERVED POWERS GRANTED TO LEAVEN MINISTRIES AND THOSE OF INTERMOUNTAIN, THE LEAVEN MINISTRIES RESERVED POWERS WILL CONTROL.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE INC.
FORM 990, PART VI, SECTION B, LINE 15	COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCLHS AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA OF PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION-RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE, INC.'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	NET ASSETS RELEASED FROM RESTRICTION 495,351. TRANSFERS TO SUBSIDIARIES 14,506,621. TRANSFER OF BOND PROCEEDS FROM AFFILIATE 200,287,142. FAIR VALUE ACQUISITION ADJUSTMENT -9,305,767.

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

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) SCL HEALTH MEDICAL GROUP - MONTANA LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-1888400	PHYSICIAN SERVICES	MT	0	0	SCLHS
(2) SCL HEALTH MEDICAL GROUP - BILLINGS LLC 1233 NORTH 30TH STREET BILLINGS,MT59101 46-4056262	PHYSICIAN SERVICES	MT	173,195,854	53,670,489	SCL HEALTH MEDICAL GROUP - MONTANA LLC
(3) SCL HEALTH MEDICAL GROUP - BUTTE LLC 400 SOUTH CLARK STREET BUTTE,MT59701 27-3193107	PHYSICIAN SERVICES	MT	34,814,823	7,755,808	SCL HEALTH MEDICAL GROUP - MONTANA LLC
(4) SCL HEALTH PARTNERS LLC 8300 WEST 38TH AVENUE WHEAT RIDGE,CO80033 02-0749530	HEALTHCARE SERVICES	CO	2,443,172	18,972,845	SCLHS
(5) CANCER CENTERS OF COLORADO LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-3157615	OUTPATIENT CANCER CENTER	CO	4,508,321	770,354	SCL HEALTH PARTNERS LLC
(6) GS CAMPUS ASC LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-1536566	SURGERY CENTER	CO	3,802,053	4,576,982	SCL HEALTH PARTNERS LLC
(7) SCL HEALTH - EMERUS LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 80-0958129	HOSPITAL SERVICES	CO	0	0	SCL HEALTH PARTNERS LLC
(8) SCL HEALTH AURORA LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-2156361	EMERGENCY CARE SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(9) SCL HEALTH NORTHGLENN LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-2188745	HOSPITAL SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(10) SCL HEALTH SOUTHWEST LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-2175436	HOSPITAL SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(11) SCL HEALTH WESTMINSTER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-5180833	HOSPITAL SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(12) SCL HOME HEALTH SOLUTIONS LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-2418729	HOME HEALTH SERVICES	DE	0	0	SCL HEALTH PARTNERS LLC
(13) SCL FRONT RANGE HOME HEALTH LLC 8300 W 38TH AVENUE WHEAT RIDGE,CO80207 84-1195134	HOME HEALTH SERVICES	CO	5,196,323	702,793	SCL HOME HEALTH SOLUTIONS LLC
(14) 1227 LOWER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 81-0811084	REAL ESTATE INVESTMENT	CO	0	0	SCLHS
(15) 1227 UPPER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 81-0906413	REAL ESTATE INVESTMENT	CO	0	0	SCLHS

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-3290526	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCLHS	Yes
(2)SCL HEALTH RESEARCH INSTITUTE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 85-2014794	MEDICAL RESEARCH	CO	501(C)(3)	LINE 4	SCLHS	Yes
(3)INTEGRITY HEALTH 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-4520350	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12C, III-FI	SCLHS	Yes
(4)BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON,CO80601 84-0482695	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	INTEGRITY HEALTH	Yes
(5)PLATTE VALLEY MEDICAL CENTER FOUNDATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON,CO80601 74-2255936	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	Yes
(6)MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER,CO80211 84-0405260	RESIDENT CARE	CO	501(C)(3)	LINE 10	SCLHS	Yes
(7)NJH-SJH INC 500 ELDORADO BLVD SUITE 4300 DENVER,CO80211 47-1194849	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	CO	501(C)(3)	LINE 12A, I	SCLHS	Yes
(8)SAINT JOSEPH HOSPITAL INC 1375 EAST 19TH AVENUE DENVER,CO80218 84-0417134	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SCLHS	Yes
(9)SAINT JOSEPH HOSPITAL FOUNDATION 1375 EAST 19TH AVENUE DENVER,CO80218 84-0735096	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SAINT JOSEPH HOSPITAL INC	Yes
(10)SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 84-1103606	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SCLHS	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	SCLHS	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	SCLHS	Yes
(16)HOLY ROSARY HEALTHCARE 2600 WILSON STREET MILES CITY,MT59301 81-0231792	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SCLHS	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	SCLHS	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	SCLHS	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	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) SCLH-GI ENDOSCOPY HOLDINGS LLC 382 S ARTHUR AVENUE LOUISVILLE,CO80027 81-2979243	OUTPATIENT ENDOSCOPY	CO	SCLHS (VIA SCL HEALTH PARTNERS LLC)	RELATED	2,970,990	1,905,499		No			No	51.000 %
(2) SCLTDI JV LLC 4200 SIX FORKS ROAD SUITE 1000 RALEIGH,NC27609 47-2294770	RADIOLOGY	DE	SCLHS (VIA SCL HEALTH PARTNERS LLC)	RELATED	-106,387	13,814,513		No			No	51.000 %
(3) ATHLETIC MEDICINE & PERFORMANCE LLC 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	OUTPATIENT SURGERY	MT	N/A					No			No
(5) GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON AVENUE SUITE 21 GRAND JUNCTION,CO81501 84-1505075	OUTPATIENT 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	OUTPATIENT 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	OUTPATIENT SURGERY	MT	N/A					No			No
(13) GALLATIN VALLEY SURGERY CENTER LLC 2825 WEST MAIN STREET SUITE C BOZEMAN,MT59718 88-2505265	OUTPATIENT SURGERY	MT	SCLHS (VIA SCL HEALTH PARTNERS LLC)	RELATED				No			No	51.000 %
(14) FIRST FLIGHT OF WYOMING LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 92-1785143	MEDICAL AIR TRANSPORT	CO	N/A					No			No
(15) MCKAY DEE SURGICAL CENTER LLC 3895 HARRISON BLVD STE 200 OGDEN,UT84403 26-0286308	OUTPATIENT 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	OUTPATIENT SURGERY	UT	N/A					No			No
(25) ST GEORGE SURGERY CENTER LLC 652 SOUTH MEDICAL CENTER DRIVE ST GEORGE,UT84790 85-3880188	OUTPATIENT SURGERY	UT	N/A					No			No
(26) SALTZER ASC TEN MILE LLC 875 S VANGUARD WAY SUITE 120 MERIDIAN,ID83642 84-5119941	OUTPATIENT SURGERY	ID	N/A					No			No
(27) NORTHPOINTE SURGICAL CENTER LLC 2326 NORTH 400 EAST STE 100 TOOELE,UT84074 46-1487986	OUTPATIENT 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	OUTPATIENT SURGERY	UT	N/A					No			No
(31) PROVO SURGERY CENTER LLC 1157 NORTH 300 WEST PROVO,UT84604 87-3623664	OUTPATIENT SURGERY	UT	N/A					No			No
(32) SARATOGA SPRINGS SURGERY CENTER LLC 316 W MEDICAL DR SARATOGA SPRINGS,UT84045 87-3875864	OUTPATIENT SURGERY	UT	N/A					No			No
(33) PARK CITY SURGERY CENTER LLC 900 ROUND VALLEY DRIVE PARK CITY,UT84060 84-4898736	OUTPATIENT SURGERY	UT	N/A					No			No
(34) PARK CITY SURGICAL CENTER REAL ESTATE LLC 900 ROUND VALLEY DRIVE PARK CITY,UT84060 86-2568233	LEASES LAND	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

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 KY 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 .....................

Yes

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

Yes

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

Yes

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

Yes

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

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

Yes

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

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

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

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

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

Yes

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

Yes

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

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

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

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

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

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) SAINT JOSEPH HOSPITAL INC	A	9,034,971	FMV
(2) SCL HEALTH - MONTANA	B	6,950,045	FMV
(3) MOUNT ST VINCENT HOME INC	B	500,000	FMV
(4) CARITAS CLINICS INC	B	625,392	FMV
(5) SAINT JOSEPH HOSPITAL INC	B	454,352	FMV
(6) SCL HEALTH - MONTANA	C	17,659,243	FMV
(7) ST JAMES HEALTHCARE	C	4,349,664	FMV
(8) ST VINCENT HEALTHCARE FOUNDATION INC	C	2,235,192	FMV
(9) CARITAS INC AND SUBSIDIARIES	F	6,950,045	FMV
(10) LEAVEN INSURANCE COMPANY LTD	F	1,985,000	FMV
(11) SCL HEALTH - MONTANA	L	77,531,408	FMV
(12) HOLY ROSARY HEALTHCARE	L	12,327,433	FMV
(13) ST JAMES HEALTHCARE	L	19,744,495	FMV
(14) ST MARY'S HOSPITAL & MEDICAL CENTER INC	L	77,491,208	FMV
(15) SAINT JOSEPH HOSPITAL INC	L	89,970,081	FMV
(16) SCL HEALTH-FRONT RANGE INC	L	134,998,906	FMV
(17) BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	L	27,978,112	FMV
(18) ST JAMES HEALTHCARE FOUNDATION INC	L	105,597	FMV
(19) ST VINCENT HEALTHCARE FOUNDATION INC	L	539,820	FMV
(20) ST MARYS HOSPITAL FOUNDATION	L	357,195	FMV
(21) SAINT JOSEPH HOSPITAL FOUNDATION	L	402,130	FMV
(22) LUTHERAN MEDICAL CENTER FOUNDATION	L	292,198	FMV
(23) GOOD SAMARITAN MEDICAL CENTER FOUNDATION	L	213,912	FMV
(24) SCL HEALTH RESEARCH INSTITUTE INC	L	227,079	FMV
(25) SAINT JOSEPH HOSPITAL INC	Q	2,582,865	FMV
(26) SCL HEALTH-FRONT RANGE INC	Q	3,159,078	FMV
(27) BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	Q	765,211	FMV
(28) ST MARY'S HOSPITAL & MEDICAL CENTER INC	Q	2,222,734	FMV
(29) SCL HEALTH - MONTANA	Q	2,136,273	FMV
(30) ST JAMES HEALTHCARE	Q	632,220	FMV
(31) HOLY ROSARY HEALTHCARE	Q	258,129	FMV
(32) INTERMOUNTAIN HEALTH CARE INC	S	200,287,142	FMV
(33) ST JAMES HEALTHCARE	S	2,794,349	FMV
(34) SCL HEALTH - MONTANA	S	19,577,840	FMV
(35) MOUNT ST VINCENT HOME INC	Q	7,751,507	FMV

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: WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE (SEE SCHEDULE O) AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
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	4,837
6	Total number of volunteers (estimate if necessary) .............	6	9
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,702,183
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) .........	24,895,959	24,958,963
9	Program service revenue (Part VIII, line 2g) .........	773,189,629	815,609,669
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	56,470,107	54,408,583
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,666,614	3,138,021
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	861,222,309	898,115,236
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	10,155,110	8,736,934
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)	443,815,003	471,459,225
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)....	480,642,703	358,766,425
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	934,612,816	838,962,584
19	Revenue less expenses. Subtract line 18 from line 12.......	-73,390,507	59,152,652
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,693,225,086	2,723,371,503
21	Total liabilities (Part X, line 26).............	1,313,307,153	920,499,710
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,379,917,933	1,802,871,793

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 771,135,646 including grants of $ 8,736,934 ) (Revenue $ 818,747,690 )
	ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) AFFILIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS OVER 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.SCLHS WAS FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH, WHO TRACE THEIR ORIGIN AS A RELIGIOUS COMMUNITY TO THE 1600S IN FRANCE, WHERE VINCENT DE PAUL AND LOUISE DE MARILLAC ESTABLISHED THE (SEE SCHEDULE O) DAUGHTERS OF CHARITY. THESE WOMEN WERE DEDICATED TO SERVING THE SICK AND POOR THROUGH AN ACTIVE MINISTRY.IN 1857, A SMALL CONGREGATION OF SISTERS FROM NASHVILLE, TENNESSEE, LED BY MOTHER XAVIER ROSS, VENTURED TO THE EDGE OF AN EXPANDING FRONTIER IN THE THEN INDIAN TERRITORY OF KANSAS. THEY OPENED THE FIRST PRIVATE HOSPITAL IN THE STATE IN 1864, WITH THE FIRST TRAINED NURSE IN THE STATE AND SURELY THE FIRST WOMAN IN THE WESTERN TERRITORY TO RUN A HOSPITAL. IN 1873, THE SISTERS FOUNDED WHAT IS NOW SAINT JOSEPH HOSPITAL IN DENVER, THE OLDEST PRIVATE TEACHING HOSPITAL IN COLORADO, AND ONE OF THE FIVE COLORADO HOSPITALS OF THE HEALTH SYSTEM.SCLHS WAS FORMED IN 1972 TO STRENGTHEN AND UNIFY THE HEALTHCARE FACILITIES SPONSORED BY SCLHS. IN 2011, THE SISTERS TRANSFERRED SPONSORSHIP OF SCLHS TO LEAVEN MINISTRIES. SCLHS' RICH HERITAGE AND ENDURING LEGACY SERVE AS THE FOUNDATION FOR ITS HEALTH MINISTRY TODAY, AND ITS MISSION, VISION AND VALUES SERVE AS THE FRAMEWORK FOR ITS SUCCESS. SCLHS IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL SCLHS SUBSIDIARIES. SCLHS PERFORMS NUMEROUS COORDINATED AND CENTRALIZED SERVICES FOR THE ENTITIES AND CARE SITES THAT COMPRISE ITS SYSTEM, SUCH AS ADMINISTERING FINANCING AND CAPITAL FORMATION PROGRAMS; ETHICAL AND RELIGIOUS DIRECTION; FINANCIAL REPORTING; TAX SERVICES; HUMAN RESOURCES FUNCTIONS, INCLUDING EXECUTIVE RECRUITING AND ADMINISTERING AND MAINTAINING WELFARE, BENEFIT AND RETIREMENT PLANS; INFORMATION TECHNOLOGY SERVICES, INCLUDING ELECTRONIC MEDICAL RECORD SYSTEMS, BUSINESS MANAGEMENT SYSTEMS, EQUIPMENT AND CONNECTIVITY; INTERNAL AUDIT FUNCTIONS; LEGAL SERVICES; PHYSICIAN NETWORK DEVELOPMENT; PROCUREMENT AND SUPPLY CHAIN MANAGEMENT, INCLUDING MEDICAL DEVICES, SUPPLIES AND EQUIPMENT; PROFESSIONAL LIABILITY INSURANCE THROUGH A CAPTIVE PROVIDER, INCLUDING GROUP EXCESS COVERAGE, REINSURANCE AND LITIGATION MANAGEMENT; PUBLIC RELATIONS; COMMUNICATIONS AND LEGISLATIVE AFFAIRS; REAL ESTATE MANAGEMENT SERVICES, INCLUDING LEASING, CONSTRUCTION, PURCHASE AND SALE; REGULATORY COMPLIANCE SERVICES; REVENUE CYCLE MANAGEMENT SERVICES, INCLUDING BILLING AND COLLECTIONS; RISK MANAGEMENT SERVICES, INCLUDING SELF-INSURANCE, GROUP EXCESS COVERAGE AND REINSURANCE; AND LITIGATION MANAGEMENT. THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH-QUALITY, COST-EFFECTIVE AND COMPASSIONATE HEALTHCARE MANAGEMENT AND MEDICAL SERVICES FOR THE COMMUNITIES WE SERVE. THEREFORE, THESE MANAGEMENT SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF OWNING AND MANAGING PUBLIC HOSPITALS AND A HEALTH SYSTEM. OUR MISSION, VISION AND VALUES ARE LISTED BELOW.MISSION, VISION, & VALUES MISSION:WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISION:INSPIRED BY OUR FAITH, WE WILL PARTNER WITH OUR PATIENTS ANDCOMMUNITIES TO EXCEED THEIR EXPECTATIONS FOR HEALTH.VALUES:CARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON.EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS.GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS.INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE.SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES.STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses771,135,646

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	35,704,860	16,747,223	10,143,728

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	24,320,752
e	Government grants (contributions)		1e	637,687

f	All other contributions, gifts, grants, and similar amounts not included above		1f	524

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

h Total. Add lines 1a-1f.......		24,958,963

		Business Code
2a	MANAGEMENT SERVICES	560000	480,011,518	480,011,518
b	PATIENT SERVICE	620000	195,269,217	195,269,217
c	PHARMACY	440000	137,662,670	135,653,525	2,009,145
d	JOINT VENTURES-MEDICAL	620000	2,666,264	2,666,264
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		815,609,669

3 Investment income (including dividends, interest, and othersimilar amounts) ......			31,237,589		-306,962	31,544,551
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	23,319,420	851,939
b	Less: cost or other basis and sales expenses	7b	0	1,000,365
c	Gain or (loss)	7c	23,319,420	-148,426
d	Net gain or (loss).........			23,170,994			23,170,994
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	RETIREMENT PLAN CREDIT		900099	3,138,021	3,138,021
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			3,138,021
12	Total revenue. See instructions.....			898,115,236	816,738,545	1,702,183	54,715,545

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	8,736,934	8,736,934
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	35,719,120	3,900,609	31,818,511
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........	358,952,707	353,475,741	5,476,966
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	18,700,447	14,832,857	3,867,590
9	Other employee benefits .......	34,430,958	31,563,031	2,867,927
10	Payroll taxes ...........	23,655,993	22,623,290	1,032,703
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	536,373		536,373
c	Accounting ...........	62,483		62,483
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	7,566,672		7,566,672
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	54,602,664	45,855,309	8,747,355
12	Advertising and promotion ....	7,358,007	7,358,007
13	Office expenses .......	12,893,853	12,834,511	59,342
14	Information technology ......	63,335,260	63,333,286	1,974
15	Royalties ..
16	Occupancy ...........	14,210,142	14,208,536	1,606
17	Travel ............	4,639,159	4,252,792	386,367
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	1,337,003	1,328,530	8,473
20	Interest ...........	2,998,457	2,998,457
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	37,182,074	36,535,974	646,100
23	Insurance ...	3,316,443	3,262,365	54,078
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	104,250,870	104,250,870
b	SELF-INSURED MAINTENANC	9,289,750	9,289,750
c	CONTRACT LABOR	8,705,410	8,664,740	40,670
d	NON-MEDICAL SUPPLIES	6,323,079	6,322,284	795
e	All other expenses	20,158,726	15,507,773	4,650,953
25	Total functional expenses. Add lines 1 through 24e	838,962,584	771,135,646	67,826,938	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			425,314,306	2	84,538,059
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			16,084,325	4	12,735,006
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 ...........			22,398,809	7	14,268,860
8	Inventories for sale or use ............			2,044,066	8	3,457,964
9	Prepaid expenses and deferred charges ......			24,899,982	9	22,925,463
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	158,754,516
b	Less: accumulated depreciation	10b	68,431,111	111,291,583	10c	90,323,405
11	Investments—publicly traded securities .			856,314,321	11	1,462,413,845
12	Investments—other securities. See Part IV, line 11 .....			917,137,546	12	685,334,351
13	Investments—program-related. See Part IV, line 11 ..			195,617,113	13	187,256,672
14	Intangible assets ...............			25,650,000	14	23,850,000
15	Other assets. See Part IV, line 11 ...........			96,473,035	15	136,267,878
16	Total assets. Add lines 1 through 15 (must equal line 33)...			2,693,225,086	16	2,723,371,503

17	Accounts payable and accrued expenses .....	214,573,891	17	262,861,953
18	Grants payable ...		18
19	Deferred revenue .........	3,008,428	19	2,313,569
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	1,095,724,834	25	655,324,188
26	Total liabilities. Add lines 17 through 25..	1,313,307,153	26	920,499,710

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	1,361,588,499	27	1,784,047,058
28	Net assets with donor restrictions ...........	18,329,434	28	18,824,735
	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 ...........	1,379,917,933	32	1,802,871,793
33	Total liabilities and net assets/fund balances ........	2,693,225,086	33	2,723,371,503

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