2018-11-07T17:56:46-06:00 2017-12-31 346565596 ERNST & YOUNG US LLP 370 17TH STREET 3300 DENVER CO 80202 990 2017-01-01 237379161 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC SIST 3038135190 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 JANIE WADE EVP FINANCE & CFO 3038135190 2018-11-07 0 KELLEY SIMON P00791436 7209314000 170.188.5.33 2018-11-07 13:53:52 MS P B236A6DFE262EFEA572FAB2E373485E7E96D5340 DA20D486529A5FD4315A2DABD97CCAE9F7014C42 2017 2019-02-21 02:37:17Z LYDIA JUMONVILLE 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 579160345 0 X WWW.SCLHEALTH.ORG X 1972 KS 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. 17 16 3569 0 259850 -755249 2510868 1497354 423557861 473301777 27121930 94255833 8554927 9732543 461745586 578787507 5917019 18926310 0 0 261229095 276265141 0 0 0 324602026 325058910 591748140 620250361 -130002554 -41462854 2405899688 2650842450 2302998525 2424054848 102901163 226787602 X 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. 0 0 598658968 18926310 482767288 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 210 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES 16,000 FULL-TIME ASSOCIATES AND MORE THAN 600 EMPLOYED PROVIDERS.BASED IN DENVER, THE HEALTH NETWORK IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES AND INDIVIDUALS IT SERVES, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. IN 2017, SCL HEALTH SYSTEM CONTRIBUTED $259 MILLION IN COMMUNITY BENEFIT, INCLUDING SERVICES FOR THE POOR, HEALTH SCREENINGS, EDUCATIONAL PROGRAMS, COMMUNITY DONATIONS AND RESEARCH.SCL HEALTH WAS FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH (SCL), WHO TRACE THEIR ORIGIN AS A RELIGIOUS COMMUNITY TO THE 1600S IN FRANCE, WHERE VINCENT DE PAUL AND LOUISE DE MARILLAC ESTABLISHED THE DAUGHTERS OF CHARITY. THESE WOMEN WERE DEDICATED TO SERVING THE SICK AND POOR THROUGH AN ACTIVE MINISTRY.IN 1857, A SMALL CONGREGATION OF SISTERS FROM NASHVILLE, TENN., LED BY MOTHER XAVIER ROSS, VENTURED TO THE EDGE OF AN EXPANDING FRONTIER IN THE THEN-INDIAN TERRITORY OF KANSAS. THEY OPENED THE FIRST PRIVATE HOSPITAL IN THE STATE IN 1864, WITH THE FIRST TRAINED NURSE IN THE STATE AND SURELY THE FIRST WOMAN IN THE WESTERN TERRITORY TO RUN A HOSPITAL. IN 1873, THE SISTERS FOUNDED WHAT IS NOW SAINT JOSEPH HOSPITAL IN DENVER, THE OLDEST PRIVATE TEACHING HOSPITAL IN COLORADO, AND ONE OF THE FIVE COLORADO HOSPITALS OF SCL HEALTH.SCL HEALTH WAS FORMED IN 1972 TO STRENGTHEN AND UNIFY THE HEALTHCARE FACILITIES SPONSORED BY SCL. IN 2011, THE SISTERS TRANSFERRED SPONSORSHIP OF SCL HEALTH TO LEAVEN MINISTRIES. OUR ORGANIZATION'S RICH HERITAGE AND ENDURING LEGACY SERVE AS THE FOUNDATION FOR OUR HEALTH MINISTRY TODAY, AND OUR MISSION, VISION AND VALUES SERVE AS THE FRAMEWORK FOR OUR SUCCESS.SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE PARENT CORPORATION OF A LARGE HOSPITAL AND HEALTHCARE SYSTEM. SCLHS IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL SCL HEALTH SUBSIDIARIES.SCLHS PERFORMS NUMEROUS COORDINATED AND CENTRALIZED SERVICES FOR THE ENTITIES & CARE SITES THAT COMPRISE ITS SYSTEM, SUCH AS ADMINISTERING FINANCING & CAPITAL FORMATION PROGRAMS, ETHICAL & RELIGIOUS DIRECTION, FINANCIAL REPORTING, TAX SERVICES, HUMAN RESOURCES FUNCTIONS INCLUDING EXECUTIVE RECRUITING & ADMINISTERING & MAINTAINING WELFARE, BENEFIT & RETIREMENT PLANS, INFORMATION TECHNOLOGY SERVICES INCLUDING ELECTRONIC MEDICAL RECORD SYSTEMS, BUSINESS MANAGEMENT SYSTEMS, EQUIPMENT & CONNECTIVITY, INTERNAL AUDIT FUNCTIONS, LEGAL SERVICES, PHYSICIAN NETWORK DEVELOPMENT, PROCUREMENT & SUPPLY CHAIN MANAGEMENT, INCLUDING MEDICAL DEVICES, SUPPLIES & EQUIPMENT, PROFESSIONAL LIABILITY INSURANCE THROUGH A CAPTIVE PROVIDER INCLUDING GROUP EXCESS COVERAGE AND REINSURANCE AND LITIGATION MANAGEMENT, PUBLIC RELATIONS, COMMUNICATIONS & LEGISLATIVE AFFAIRS, REAL ESTATE MANAGEMENT SERVICES, INCLUDING LEASING & CONSTRUCTION, PURCHASE & SALE, REGULATORY COMPLIANCE SERVICES, REVENUE CYCLE MANAGEMENT SERVICES INCLUDING BILLING & COLLECTIONS, RISK MANAGEMENT SERVICES INCLUDING SELF-INSURANCE, GROUP EXCESS COVERAGE & REINSURANCE, LITIGATION MANAGEMENT, INSPECTION & CONTROLS.THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH QUALITY, COST EFFECTIVE AND COMPASSIONATE HEALTH CARE MANAGEMENT AND MEDICAL SERVICES FOR THE COMMUNITIES WE SERVE. THEREFORE, THESE MANAGEMENT SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF OWNING AND MANAGING PUBLIC HOSPITALS AND A HEALTHCARE SYSTEM. OUR MISSION, VISION AND VALUES ARE LISTED BELOW. MISSIONWE 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.VISIONINSPIRED BY OUR FAITH,WE WILL BE DISTINGUISHED AS THE TRUSTED PERSON-CENTERED PARTNER TO THOSE WHO ENGAGE WITH US IN THEIR PHYSICAL, MENTAL AND SPIRITUAL HEALTH DECISIONS.WE WILL SHARE ACCOUNTABILITY WITH OUR CLINICIANS, ASSOCIATES AND AFFILIATED STAKEHOLDERS TO DELIVER EXCEPTIONAL CARE THAT IS WELL-COORDINATED, ACCESSIBLE, AFFORDABLE, SAFE, AND RESULTS IN OPTIMAL OUTCOMES FOR INDIVIDUALS AND POPULATIONS.WE WILL GROW AS COMMUNITY-BASED HEALTH NETWORKS IN PARTNERSHIP WITH OTHERS WHO SHARE OUR VISION AND VALUES AND ALIGN WITH US TO BE AN ESSENTIAL PROVIDER TO THOSE WE SERVE.VALUESCARING 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. 598658968 1 1 0 1 0 0 0 0 0 1 1 1 1 0 1 0 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 459 0 1 3569 1 1 1 1 CJ EI LU 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 X KYLE ENGMAN 3038135543 500 ELDORADO BLVD SUITE 4200 BROOMFIELD CO 80021 SISTER LYNN CASEY SCL MEMBER 1.00 0.00 X 0 0 0 SISTER MAUREEN HALL SCL MEMBER 1.00 0.00 X 0 0 0 C GORDON HOWIE MEMBER 1.00 0.00 X 0 0 0 STEVEN HUEBNER MEMBER 1.00 0.00 X 0 0 0 PAUL HUGHES-CROMWICK MEMBER 1.00 0.00 X 0 0 0 PAMELA FEDERBUSCH MEMBER 1.00 0.00 X 0 0 0 LYDIA JUMONVILLE SYS PRESIDENT/CEO EFFECTIVE 6/1 50.00 0.00 X X 1380260 0 288405 SCOTT KELLER MEMBER 1.00 0.00 X 0 0 0 DONNA KING MEMBER 1.00 0.00 X 0 0 0 KNUTE KNUDSON PAST CHAIR 2.00 0.00 X X 0 0 0 KATHRYN PAUL CHAIR 2.00 0.00 X X 0 0 0 SISTER CONSTANCE PHELPS SCL MEMBER 1.00 0.00 X 0 0 0 KENT RUSSELL VICE CHAIR 2.00 0.00 X X 0 0 0 VINOD SAHNEY PHD MEMBER 1.00 0.00 X 0 0 0 MICHAEL SALEM MD MEMBER 1.00 0.00 X 0 0 0 MICHAEL SLUBOWSKI SYSTEM PRESIDENT AND CEO - 1/1-5/31 50.00 0.00 X X 1649596 0 30536 J PAUL SOLVERSON MEMBER 1.00 0.00 X 0 0 0 ALAN YORDY MEMBER 1.00 0.00 X 0 0 0 ROSLAND MCLEOD SECRETARY/SVP CHIEF LEGAL OFFICER 50.00 0.00 X 833787 0 169986 LYNN SMITH ASSISTANT SECRETARY/EXEC ASST-CEO 50.00 0.00 X 112112 0 18114 MICHAEL TAYLOR CHIEF OPERATING OFF-HOSP OPS 50.00 0.00 X 1026918 0 164596 WILLIAM ANDERSON SVP-CHIEF HUMAN RES OFCR 50.00 0.00 X 298481 0 3964 STEVEN CHYUNG SVP SUPPLY CHAIN & REAL ESTATE 50.00 0.00 X 581382 0 96351 SHAWN DUFFORD SVP CHIEF MEDICAL OFFICER SYS 50.00 0.00 X 870466 0 110005 TAJQUAH HUDSON SVP-CHIEF STRAT-BUS DEV OFCR 50.00 0.00 X 757437 0 148723 KERRY KOHNEN SVP PAYER & POP HEALTH STRAT 50.00 0.00 X 555055 0 106661 DAVID PECORARO SVP-CHIEF INFORMATION OFFICER 50.00 0.00 X 707070 0 35904 DAVID PRINGLE SVP MISSION INTEGRATION 50.00 0.00 X 554327 0 39565 TAMARA SAUNAITIS SVP-CHIEF HUMAN RES OFCR 50.00 0.00 X 447144 0 88410 KAREN SCREMIN VP FINANCE OPERATIONS 50.00 0.00 X 521218 0 71003 TROY SPRING VP REVENUE CYCLE 50.00 0.00 X 354360 0 74248 GERALDINE TOWNDROW SVP CHIEF NURSING OFFICER SYS 50.00 0.00 X 489375 0 24459 JAMES VALIN MD PRESIDENT PROVIDER SERVICES 50.00 0.00 X 610884 0 129473 MARK WILKINSON VP TREASURER 50.00 0.00 X 371502 0 58241 CHRISTINE WOOLSEY SVP AND CHIEF COMM-MKTG OFCR 50.00 0.00 X 532819 0 101983 CHARLES WRIGHT CHIEF EXECUTIVE OFFICER-SJB 1/1-2/17 0.00 50.00 X 1044557 0 23755 ROBERT TERRY PSO PHYSICIAN 50.00 0.00 X 980771 0 36325 DAVID HAMM PRESIDENT - EGSM 0.00 50.00 X 957489 0 14438 JOHN WICKLUND PRESIDENT-CEO LMC 0.00 50.00 X 921703 0 271058 STUART GOODMAN PSO PHYSICIAN ANESTHESIA 50.00 0.00 X 822811 0 38174 17381524 0 2144377 559 0 1 0 DENTONS US LLP 233 S WACKER DRIVE STE 7800 CHICAGO IL 60606 LEGAL SERVICES 5000953 CHG COMPANIES INC PO BOX 972651 DALLAS TX 75397 CONTRACT LABOR 2580133 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 CONTRACT LABOR 1759552 CONTINUUM HEALTH SOLUTIONS LLC 8100 E ARAPAHOE ROAD CENTENNIAL CO 80112 HEALTH CARE CONSULTING 1607446 BC SERVICES PO BOX 1317 LONGMONT CO 80502 COLLECTION SERVICES 1250873 98 1128071 369283 1497354 MANAGEMENT SERVICES 541900 351540586 351450586 90000 PATIENT SERVICE REVENUE 622110 123891404 123172222 719182 PROGRAM RELATED INVESTMENTS 900099 21836081 21836081 RESEARCH 541700 37694 37694 JOINT VENTURES - MEDICAL SERVICE 622110 -24003988 -24003988 473301777 48336097 -549332 48885429 210925 210925 56107 0 56107 56107 56107 46292574 0 372838 46292574 -372838 45919736 45919736 VENDOR ADMINISTRATION REBATE 900099 9465511 9465511 9465511 578787507 481958106 259850 95072197 18873567 18873567 52743 52743 14414819 10062250 4352569 214490513 214490513 11017953 11017953 18985233 18985233 17356623 17356623 11017603 11017603 1551288 1551288 69740 69740 4600193 4600193 23593284 23593284 7534878 7534878 32161105 32161105 6314535 6314535 11745519 11745519 4314153 4314153 2306750 2306750 92484531 92484531 35524373 35524373 1088969 1088969 MAINTENANCE CONTRACTS 36584356 36584356 MEDICAL SUPPLIES 34424365 34424365 BANK FEES 3738449 3738449 DUES AND SUBSCRIPTIONS 2809959 2809959 13194860 13194860 620250361 598658968 21591393 0 128199906 110275171 47906 0 5777838 9716424 404056 397645 6127 2949579 21834032 24578482 462210149 244239560 219509477 217970589 1056299971 1350155215 483727675 466085433 488574692 466802912 195072 134838 1322936 1776162 2405899688 2650842450 123530581 121367292 609742 497892 1296666898 1272071187 882191304 1030118477 2302998525 2424054848 X 84640146 214444632 16261017 10342970 2000000 2000000 102901163 226787602 2405899688 2650842450 X -41462854 128576764 36772529 X 0 1 X 1 1 1 X X 11 ST FRANCIS HEALTH CENTER INC 480547719 3 0 0 0 ST JAMES HEALTHCARE 810231785 3 0 6000 0 SAINT JOSEPH HOSPITAL INC 840417134 3 0 5000 0 SCL HEALTH - FRONT RANGE INC 841103606 3 0 10000 0 ST MARY'S HOSPITAL AND MEDICAL CENTER INC 840425720 3 0 5000 0 ST VINCENT HEALTHCARE 810232124 3 0 11706000 0 HOLY ROSARY HEALTHCARE 810231792 3 0 6000 0 CARITAS CLINICS INC 481009910 3 0 4680577 0 MARIAN CLINIC INC 481046905 3 0 1941240 0 MOUNT ST VINCENT HOME 840405260 10 0 500000 0 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 840482695 3 0 5000 0 11 18864817 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 SCHEDULE A, PART IV, SECTION A, LINE 1 THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IS THE PARENT OF EACH OF ITS SUPPORTED ORGANIZATIONS AND CONTROLS THEM AS PART OF AN INTEGRATED HEALTH SYSTEM. EACH SUPPORTED ORGANIZATION IS CONTROLLED BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. A CLOSE AND HISTORIC ORGANIZATIONAL RELATIONSHIP ENSURES THAT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND ITS SUPPORTED ORGANIZATIONS SHARE A SUBSTANTIAL IDENTITY OF INTERESTS. 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 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. SCHEDULE A, PART IV, SECTION E, LINE 3A SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS. SCLHS APPROVES MEMBERS OF THE SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS. SCHEDULE A, PART IV, SECTION E, LINE 3B SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. 0 0 0 0 0 0 0 0 1 69740 69740 0 PART II-B, LINE 1: LOBBYING EXPENSES WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION. 2000000 2000000 2000000 2000000 3813121 25463 1838584 2000000 3663849 149272 3813121 3521063 142786 3663849 0.00000 1.00000 0.00000 0 0 37697596 37697596 17327551 9939565 7387986 15511278 8706822 6804456 367542147 225593173 141948974 24131577 24131577 217970589 ABSOLUTE RETURN INVESTMENTS 5583623 F EXECUTIVE DB PLAN INVESTMENTS 21858687 F HEDGE FUNDS 89878431 F JOINT VENTURE - NORTHERN ROCKIES HEALTHCARE ALLIANCE, LLC 298615 F JOINT VENTURE - DENVER WEST ENDOSCOPY CTR, LLC 898641 F JOINT VENTURE - E + PET IMAGING X, LP 115873 F JOINT VENTURE - LUTHERAN CAMPUS ASC, LLC 909209 F JOINT VENTURE - SCLH-GI ENDOSCOPY CENTER HOLDINGS, LLC 131587 F JOINT VENTURE - SCLTDI JV, LLC 6469839 F OPPORTUNISTIC INVESTMENTS 44870700 F REAL RETURN INVESTMENTS 253515698 F SWEEP ACCOUNTS 40907673 F VHA STOCK INVESTMENT 646857 F 466085433 NOTES REC - SCL HEALTH - FRONT RANGE, INC. 263280000 C NOTES REC - ST. JAMES HEALTHCARE 4318391 C NOTES REC - ST. JOSEPH HOSPITAL, INC. 190237962 C NOTES REC - ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. 8966559 C 466802912 INTERCOMPANY PAYABLE 985258965 DEFERRED COMPENSATION PLAN PAYABLE 28175508 INTEREST RATE SWAP PAYABLE 16684004 1030118477 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. CENTRAL AMERICA/CARIBBEAN 0 0 PROGRAM SERVICES CAPTIVE INSURANCE PREMIUM 14711201 EUROPE/CARIBBEAN 0 0 INVESTMENTS, PROGRAM-RELATED 4700497 0 0 0 0 0 0 19411698 0 19411698 1 0 1 1 1 0 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 $14,711,201 NET OF PREMIUM DISCOUNTS. 1 1 X 1 X 1 X 500.000000000000 1 0 1 1 579194 0 579194 0.00090 22376931 8490848 13886083 0.02250 22956125 8490848 14465277 0.02340 3194 0 3194 0.00000 5127163 3025735 2101428 0.00340 5130357 3025735 2104622 0.00340 28086482 11516583 16569899 0.02680 1 2775283 0 18680500 41159291 -22478791 X 1 1 1 DENVER WEST ENDOSCOPY CENTER LLC OUTPATIENT ENDOSCOPY SERVICES 0.51000 0.00000 0.49000 2 LUTHERAN CAMPUS ASC LLC OUTPATIENT SURGERY 0.54890 0.00000 0.45110 3 SCLH-GI ENDOSCOPY CENTER HOLDINGS LLC ENDOSCOPY SERVICES 0.51000 0.00000 0.49000 4 NORTHGLENN ENDOSCOPY CENTER LLC ENDOSCOPY SERVICES 0.51000 0.00000 0.49000 3 1 SCL HEALTH WESTMINSTER LLC 6500 WEST 104TH AVENUE SUITE 100 WESTMINSTER CO 80020 WWW.SCLHEALTHCOMMUNITY.ORG/LOCATIONS/ 01A413 X X X 2 SCL HEALTH SOUTHWEST LLC 8515 W COAL MINE AVENUE LITTLETON CO 80123 WWW.SCLHEALTHCOMMUNITY.ORG/LOCATIONS/ 01U326 X X X 3 SCL HEALTH NORTHGLENN LLC 11900 GRANT ST NORTHGLENN CO 80233 WWW.SCLHEALTHCOMMUNITY.ORG/LOCATIONS/ 01J620 X X X SCL HEALTH WESTMINSTER LLC 1 0 0 1 X X X X X X X X 17 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 0 0 1 X 200.000000000000 500.000000000000 X 1 1 X X X 1 X WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS X WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS X WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS X X X X X X 1 X 0 X X X 1 X 0 0 SCL HEALTH SOUTHWEST LLC 2 1 1 0 0 1 X 200.000000000000 500.000000000000 X 1 1 X X X 1 X WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS X WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS X WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS X X X X X X 1 X 0 X X X 1 X 0 0 SCL HEALTH NORTHGLENN LLC 3 1 1 0 0 1 X 200.000000000000 500.000000000000 X 1 1 X X X 1 X WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS X WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS X WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS X X X X X X 1 X 0 X X X 1 X 0 0 SCL HEALTH WESTMINSTER, LLC PART V, SECTION B, LINE 5: THE WESTMINSTER COMMUNITY HOSPITAL CHNA WAS CONDUCTED DURING 2017 BEGINNING IN FEBRUARY WITH THE COLLECTION AND ANALYSIS OF QUANTITATIVE DATA REPRESENTING THE FOLLOWING CATEGORIES - DEMOGRAPHIC INFORMATION, CHRONIC DISEASE, BEHAVIOR AND ENVIRONMENTAL HEALTH DRIVERS AND OUTCOME INDICATORS, AS WELL AS COVERAGE, QUALITY, AND ACCESS DATA. THESE INDICATORS WERE SELECTED BECAUSE THEY MOST ACCURATELY DESCRIBE THE COMMUNITY IN TERMS OF ITS DISPARITIES, POPULATION, AND DISTINCT HEALTH NEEDS. A BROAD GROUP OF SOURCES WERE REVIEWED TO ENSURE POPULATION REPRESENTATION. THESE INCLUDED THE MOST RECENT US CENSUS, COUNTY HEALTH RANKINGS, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE CDC, THE NATIONAL VITAL STATISTICS SYSTEM AND THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. IN THE QUALITATIVE ASSESSMENT PROCESS WE SELECTED TO ENGAGE COMMUNITY VOICE THROUGH A COMBINATION OF INDIVIDUAL INTERVIEWS WITH KEY STAKEHOLDERS, COMMUNITY BASED ORGANIZATIONS AND COMMUNITY REPRESENTATIVES REPRESENTING THE MEDICALLY UNDERSERVED, AS WELL AS INTERNAL DEPARTMENTS TO THE SCL HEALTH SYSTEM. A COMMUNITY SURVEY INTERVIEW WAS CONDUCTED OVER A 6 WEEK PERIOD BEGINNING IN SEPTEMBER IN WHICH KEY INFORMANTS COULD SHARE INPUT ON HEALTH DISPARITIES, SERVICE GAPS, AND CURRENT COMMUNITY HEALTH IMPROVEMENT EFFORTS. KEY INFORMANT ORGANIZATIONS PARTICIPATING WITH WESTMINSTER COMMUNITY HOSPITAL INCLUDED: BROOMFIELD PUBLIC HEALTH AND ENVIRONMENT, JEFFERSON COUNTY PUBLIC HEALTH, CLINICA FAMILY SERVICES, GOOD SAMARITAN MEDICAL CENTER, ADAMS 12 PUBLIC SCHOOLS, MENTAL HEALTH PARTNERS, COMMUNITY REACH, KAISER PERMANENTE, MEALS ON WHEELS, GROWING HOME FOOD BANK, AND CATHOLIC CHARITIES. INFORMATION GATHERED FROM STAKEHOLDER INTERVIEWS WAS COMBINED AND CATEGORIZED BASED ON PREVALENCE. PARTNERS ACTIVELY PARTICIPATED IN THE QUALITATIVE FEEDBACK PROCESS AND WERE ENGAGED AS A GROUP IN THE ASSESSMENT PRIORITIZATION STEPS TO DETERMINE FINAL RANKING OF SELECTED CHNA PRIORITIES. SCL HEALTH WESTMINSTER, LLC PART V, SECTION B, LINE 6A: GOOD SAMARITAN MEDICAL CENTER SCL HEALTH WESTMINSTER, LLC PART V, SECTION B, LINE 6B: ORGANIZATIONS THAT PARTICIPATED WITH WESTMINSTER COMMUNITY HOSPITAL INCLUDED: BROOMFIELD PUBLIC HEALTH AND ENVIRONMENT, JEFFERSON COUNTY PUBLIC HEALTH, CLINICA FAMILY SERVICES, GOOD SAMARITAN MEDICAL CENTER, ADAMS 12 PUBLIC SCHOOLS, MENTAL HEALTH PARTNERS, COMMUNITY REACH, KAISER PERMANENTE, MEALS ON WHEELS, GROWING HOME FOOD BANK, AND CATHOLIC CHARITIES.SCL HEALTH WESTMINSTER, LLC:PART V, SECTION B, LINE 7A, HOSPITAL WEBSITE:WWW.SCLHEALTHCOMMUNITY.ORG/SCL-ASSETS/UPLOADS/SCL-CHNA-COMMUNITY-HOSPITAL-WESTMINISTER-EXECUTIVE-SUMMARY.PDFSCL HEALTH WESTMINSTER, LLC:PART V, SECTION B, LINE 7B, OTHER WEBSITE:WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDSSCL HEALTH WESTMINSTER, LLC:PART V, SECTION B, LINE 10, IMPLEMENTATION STRATEGY:THE HOSPITAL CLOSED IN MARCH OF 2018, THEREFORE NO IMPLEMENTATION STRATEGY WAS PREPARED OR REQUIRED. SCL HEALTH SOUTHWEST, LLC PART V, SECTION B, LINE 2: SCL HEALTH SOUTHWEST, LLC COMMUNITY HOSPITAL WAS PLACED INTO SERVICE IN JUNE 2016. THE HOSPITAL IS OWNED THROUGH A JOINT VENTURE, SCL HEALTH - EMERUS, LLC. SCL HEALTH NORTHGLENN, LLC PART V, SECTION B, LINE 2: SCL NORTHGLENN, LLC COMMUNITY HOSPITAL WAS PLACED INTO SERVICES IN JANUARY 2017. THE HOSPITAL IS OWNED THROUGH A JOINT VENTURE, SCL HEALTH - EMERUS, LLC. SCL HEALTH WESTMINSTER, LLC PART V, SECTION B, LINE 11: THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT FOR WESTMINSTER COMMUNITY HOSPITAL REPRESENTS A SYSTEMATIC APPROACH TO IDENTIFY TOP HEALTHCARE PRIORITIES FOR 2018-2020 THAT WILL GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS FOR THE WESTMINSTER SERVICE AREA THAT INCLUDES JEFFERSON, ADAMS AND BROOMFIELD COUNTIES. THE CHNA IS A RIGOROUS PROCESS TO COLLECT HEALTH DATA AND INPUT FROM THE GENERAL COMMUNITY, KEY INFORMANTS, AND SECONDARY DATA ANALYSIS TO IDENTIFY THE LEADING HEALTH ISSUES. DATA INDICATORS WILL ASSIST IN DIRECTING RESOURCES TOWARD LEADING COMMUNITY HEALTH PRIORITIES WHICH ARE THEN FORMALIZED IN A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). CHNA METHODOLOGY AND PROCESS TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK LAW SERVICE AREAS, DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNT FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. WE USED THE MAIN COUNTIES WITHIN THE STARK-LAW SERVICE AREA TO ANALYZE OUR HEALTH DRIVER AND HEALTH OUTCOME DATA, AS HEALTH OUTCOME DATA WAS GENERALLY NOT AVAILABLE AT THE ZIP CODE LEVEL. QUALITATIVE AND QUANTITATIVE DATA COLLECTION: FOR THE QUANTITATIVE DATA ANALYSIS, WE RELIED ON A NUMBER OF INDICATORS TO COMPILE THE BROADEST REPRESENTATION OF AVAILABLE COMMUNITY HEALTH DATA. THESE INCLUDED THE MOST RECENT COMPLETED SURVEY RESULTS FROM THE US CENSUS, THE COUNTY HEALTH RANKINGS, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE CDC, THE NATIONAL VITAL STATISTICS SYSTEM, AND THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, AMONG OTHERS. SPECIFIC HEALTH INDICATOR DATA WERE SELECTED, INCLUDING COMMUNITY DEMOGRAPHIC INFORMATION, BEHAVIOR AND ENVIRONMENTAL HEALTH DRIVERS AND OUTCOMES INDICATORS, AS WELL AS COVERAGE, QUALITY, AND ACCESS DATA. THESE INDICATORS WERE SELECTED BECAUSE THEY MOST ACCURATELY DESCRIBE THE COMMUNITY IN TERMS OF ITS DEMOGRAPHICS, DISPARITIES, POPULATION, AND DISTINCT HEALTH NEEDS. IN THE QUALITATIVE ASSESSMENT PROCESS WE SELECTED TO ENGAGE COMMUNITY VOICE THROUGH A COMBINATION OF INDIVIDUAL INTERVIEWS WITH KEY STAKEHOLDERS, COMMUNITY BASED ORGANIZATIONS AND COMMUNITY REPRESENTATIVES. AS EACH OF THE SCL HEALTH COMMUNITY HOSPITALS HAVE SERVICE AREA INTERSECTIONS WITH OUR ACUTE CARE FACILITIES, WE WERE EXTREMELY COGNIZANT OF COMMUNITY OVER SAMPLING AND SURVEY FATIGUE FROM THE RECENT CHNA PROCESS AT OUR LARGER FACILITIES. FOR THE WESTMINSTER COMMUNITY HOSPITAL, THE NEAREST ACUTE FACILITY IS GOOD SAMARITAN MEDICAL CENTER LOCATED IN LAFAYETTE, COLORADO. THEREFORE THIS METHOD OF INDIVIDUAL SURVEY WAS MORE EFFECTIVE IN HEARING INPUT ON UNMET NEEDS, HEALTHCARE SERVICE GAPS, AND BARRIERS TO HEALTH IMPROVEMENT, AS WELL AS IDENTIFYING AREAS THAT COULD BE IMPACTED SPECIFICALLY BY HEALTHCARE'S PARTICIPATION. FOLLOWING A REVIEW OF THE QUANTITATIVE HEALTH DATA RESULTS WITH KEY COMMUNITY INFORMANTS, SURVEYED PARTICIPANTS RANKED THE FOLLOWING 10 HEALTH PRIORITIES AS SIGNIFICANT: 1. ACCESS TO HEALTH CARE 2. MENTAL HEALTH 3. SUBSTANCE ABUSE INCLUDING SMOKING 4. UNINTENTIONAL INJURY (MOTOR VEHICLE) 5. HEART DISEASE 6. MATERNAL, FETAL AND INFANT HEALTH 7. EXERCISE, NUTRITION AND WEIGHT 8. OLDER ADULTS AND AGING 9. RESPIRATORY DISEASES 10. DIABETES A SUBCOMMITTEE REPRESENTING HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS INCLUDING REPRESENTATIVES FROM LOCAL PUBLIC HEALTH DEPARTMENTS PRIORITIZED THE TOP THREE HEALTH NEEDS USING A VOTING SYSTEM WHICH INCORPORATED EVALUATION CRITERIA - SCOPE AND SEVERITY OF THE HEALTH ISSUE, EXISTING COMMUNITY EFFORTS AND CAPACITY OF THE HOSPITAL TO IMPACT. THE HEALTH AREAS RECEIVING THE HIGHEST SCORE RANKING WERE SELECTED FOR WESTMINSTER COMMUNITY HOSPITAL CHNA PRIORITIES: A. ACCESS TO HEALTH CARE B. SUBSTANCE ABUSE INCLUDING SMOKING C. EXERCISE, NUTRITION AND WEIGHT SOME EARLY COMMUNITY HEALTH IMPROVEMENT EFFORTS IN ADVANCE OF THE CHIP APPROVAL INCLUDE:ACCESS TO HEALTH CAREEXPANDED ACCESS TO HEALTH SERVICES BY LEVERAGING TECHNOLOGY: WESTMINSTER COMMUNITY HOSPITAL AND GOOD SAMARITAN MEDICAL CENTER (GSMC) PROMOTE "DOCTOR ON DEMAND" FOR PATIENTS AND VISITORS TO ACCESS HEALTH CARE VIA THEIR ONLINE PLATFORM. PAMPHLETS ARE READILY AVAILABLE IN EMERGENCY DEPARTMENTS AND THROUGH COMMUNITY PARTNERS. A VIRTUAL HEALTH LIBRARY IS AVAILABLE ON THE SCL HEALTH WEBSITES WHICH PROVIDE ONLINE ACCESS TO TRUSTED HEALTH INFORMATION AND RESOURCES.EXPANDED ACCESS TO HEALTH SERVICES THROUGH COMMUNITY AWARENESS: WESTMINSTER COMMUNITY HOSPITAL SUPPORTS PROGRAM OFFERINGS AT GSMC FOR THE FOLLOWING PROGRAMS TO INCREASE COMMUNITY AWARENESS OF RESOURCES AND HEALTH INFORMATION: TRAUMA SERVICES THROUGH EDUCATION, INJURY PREVENTION AND OUTREACH TO THE COMMUNITY; HEART HEALTH EDUCATION AND CHEST PAIN; STROKE PROGRAMS AND SERVICES; BIRTHING AND FAMILY EDUCATION.PROVIDED 18 MENTAL HEALTH FIRST AID (MHFA) TRAININGS TO THE COMMUNITY IN 2017. 301 INDIVIDUALS WERE TRAINED THROUGH THIS PROGRAM IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS MENTAL HEALTH PARTNERS, COMMUNITY REACH CENTER AND JEFFERSON CENTER FOR MENTAL HEALTH. MENTAL HEALTH FIRST AID (MHFA) IS A POPULATION HEALTH, EVIDENCE BASED TRAINING THAT FOCUSES "UPSTREAM" TO TEACH MEMBERS OF THE PUBLIC HOW TO RESPOND IN A MENTAL HEALTH EMERGENCY, HOW TO OFFER SUPPORT TO SOMEONE WHO APPEARS TO BE IN EMOTIONAL DISTRESS AND HOW TO RECOGNIZE SIGNS AND SYMPTOMS OF A VARIETY OF DIAGNOSABLE MENTAL DISORDERS SUCH AS DEPRESSION, ANXIETY, SUBSTANCE USE, TRAUMA, PSYCHOSIS, AND DELIBERATE SELF-INJURY. MENTAL HEALTH FIRST AID TRAINING IS A GROUNDBREAKING PROGRAM OF THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH. MORE THAN 1 MILLION PEOPLE ACROSS THE UNITED STATES HAVE BEEN TRAINED IN THE PROGRAM THUS FAR. IT IS AN IMPORTANT COMMUNITY INITIATIVE TO INCREASE MENTAL HEALTH AWARENESS AND STIGMA REDUCTION.SUBSTANCE ABUSE INCLUDING SMOKINGPLANNED ACTIVITIES THAT WILL BE EXPLORED WITHIN THE CHIP DEVELOPMENT INCLUDE SCREENING, EDUCATION AND REFERRAL TO APPROPRIATE COMMUNITY BASED RESOURCES. DEVELOPMENT OF AN ALCOHOL ANONYMOUS SUPPORT GROUP AND PRESCRIPTION DRUG TAKE-BACK EVENTS.EXERCISE, NUTRITION AND WEIGHTWESTMINSTER COMMUNITY HOSPTIAL WILL COLLABORATE WITH GSMC, BROOMFIELD PUBLIC HEALTH, AND VARIOUS FAMILY MEDICINE PRACTICES TO OFFER THE 'FITKIDS 360' PROGRAM TO THE COMMUNITY IN ITS SERVICE AREA. FITKIDS 360 IS A HEALTHY LIFESTYLE PROGRAM INTERVENTION FOR KIDS AND THEIR FAMILIES. THE PROGRAM GOAL EMPHASIZES OBESITY PREVENTION USING NUTRITION, PHYSICAL ACTIVITY AND SOCIAL/BEHAVIORAL TOOLS TAUGHT OVER 7 WEEKS IN COMMUNITY SETTINGS. HEALTH PRIORITIES NOT ADDRESSEDTHE REMAINDER OF NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT, BUT DUE TO LIMITED RESOURCES AT THE HOSPITAL LEVEL, AND THE AVAILABILITY OF COMMUNITY ORGANIZATIONS WHO ARE ALREADY ADDRESSING THESE NEEDS, WESTMINSTER COMMUNITY HOSPITAL WILL FOCUS PRIMARILY ON ITS SELECTED PRIORITIES. WE WILL CONTINUE TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE OTHER NEEDS AND HEALTH INDICATORS ARE SUPPORTED. SOME OF THE ORGANIZATIONS ACTIVELY ADDRESSING OTHER HEALTH PRIORITIES INCLUDE: BOULDER COUNTY PUBLIC HEALTH, BROOMFIELD PUBLIC HEALTH DEPARTMENT, CATHOLIC CHARITIES, UNITED WAY, AMERICAN CANCER SOCIETY, MENTAL HEALTH PARTNERS, WOMEN'S HEALTH, AND OTHERS. FOR WEBSITES LISTED IN SCHEDULE H, PART V, SECTION B: THE SCL HEALTH WESTMINSTER COMMUNITY HOSPITAL CLOSED MARCH 1, 2018. THE WEBSITE ADDRESSES FOR THE SCL HEALTH WESTMINSTER COMMUNITY HOSPITAL LISTED HERE ARE NO LONGER ACTIVE AS OF MARCH 1, 2018.THE SCL HEALTH SOUTHWEST COMMUNITY HOSPITAL AND THE SCL HEALTH NORTHGLENN COMMUNITY HOSPITAL BOTH CLOSED OCTOBER 1, 2018. THE WEBSITE ADDRESSES FOR THE SCL HEALTH SOUTHWEST COMMUNITY HOSPITAL AND THE SCL HEALTH NORTHGLENN COMMUNITY HOSPITAL LISTED HERE ARE NO LONGER ACTIVE AS OF OCTOBER 1, 2018. 111 1 - CANCER CENTERS OF COLORADO LLC 500 ELDORADO BLVD STE 4300 BROOMFIELD CO 80021 CANCER CENTER 2 - LUTHERAN CAMPUS ASC LLC 3455 LUTHERAN PKWY STE 150 WHEATRIDGE CO 80033 OUTPATIENT SURGERY 3 - SCL HEALTH AURORA LLC 23770 E SMOKY HILL ROAD AURORA CO 80016 MEDICAL SERVICES 4 - DENVER WEST ENDOSCOPY CENTER LLC 382 S ARTHUR AVENUE LOUISVILLE CO 80027 OUTPATIENT ENDOSCOPY SERVICES 5 - NORTHGLENN ENDOSCOPY CENTER LLC 11900 GRANT STREET NORTHGLENN CO 80233 OUTPATIENT ENDOSCOPY SERVICES 6 - TOUCHSTONE MEDICAL IMAGING - AURORA 3055 SOUTH PARKER RD BLDG A STE 103 AURORA CO 80014 RADIOLOGY SERVICES 7 - TOUCHSTONE MEDICAL IMAGING - CASTLE ROCK 3911 AMBROSIA ST CASTLE ROCK CO 80109 RADIOLOGY SERVICES 8 - TOUCHSTONE MEDICAL IMAGING - DRY CREEK 125 INVERNESS DR EAST STE 140 ENGLEWOOD CO 80112 RADIOLOGY SERVICES 9 - TOUCHSTONE MEDICAL IMAGING - HIGHLINE 26 WEST DRY CREEK CIR STE 160 LITTLETON CO 80120 RADIOLOGY SERVICES 10 - TOUCHSTONE MEDICAL IMAGING - LAFAYETTE 390 EMPIRE ROAD STE 102 LAFAYETTE CO 80026 RADIOLOGY SERVICES 11 - TOUCHSTONE MEDICAL IMAGING - LAKEWOOD 14062 DENVER WEST PKWY BLDG 52 STE 180 LAKEWOOD CO 80401 RADIOLOGY SERVICES 12 - TOUCHSTONE MEDICAL IMAGING - SUPERIOR 3 SUPERIOR WAY SUITE 150 SUPERIOR CO 80027 RADIOLOGY SERVICES 13 - TOUCHSTONE MEDICAL IMAGING - THORNTON 12021 PENNSYLVANIA ST STE 106 THORNTON CO 80241 RADIOLOGY SERVICES 14 - TOUCHSTONE IMG MAMM AND BONE DENS 3455 N LUTHERAN PKWY 110 WHEAT RIDGE CO 80033 RADIOLOGY SERVICES 15 - TOUCHSTONE MEDICAL IMAGING - UPTOWN 1007 E COLFAX AVE DENVER CO 80218 RADIOLOGY SERVICES 16 - TOUCHSTONE MEDICAL IMAGING - WHEAT RIDGE 7615 WEST 38TH AVENUE STE B115 WHEAT RIDGE CO 80033 RADIOLOGY SERVICES 17 - SCL FRONT RANGE HOME HEALTH LLC 3980 QUEBEC STREET SUITE 100 DENVER CO 80207 HOME HEALTH 18 - SVP - OP NEUROLOGY CLINIC & MS CENTER 1041 N 29TH ST BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 19 - SVP - INTERNAL MEDICINE ASSOCIATES 2900 12TH AVE N STE 310W BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 20 - SVP - MONTANA HEART - LEWISTOWN 2900 12TH AVE N STE 204E BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 21 - ROCKY MNT CLINIC FAM PRAC & INT MED 435 S CRYSTAL ST STE 300 BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 22 - SVP - HEART & VASCULAR CENTER 2900 12TH AVE N STE 400E BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 23 - SVP - BROADWATER FAMILY MEDICINE 2019 BROADWATER AVE BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 24 - SVP - LAUREL FAMILY MEDICINE 1035 1ST AVE LAUREL MT 59044 OUTPATIENT PHYSICIAN CLINIC 25 - ST JAMES EMERGENCY PHYSICIANS 400 S CLARK ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 26 - SVP-OP NEURO CLINIC & MS CTR - NEURO 1041 N 29TH ST BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 27 - SVP - HEIGHTS FAMILY MEDICINE 32 WICKS LN BILLINGS MT 59105 OUTPATIENT PHYSICIAN CLINIC 28 - SVP - GASTROENTEROLOGY 1144 N BROADWAY STE C BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 29 - SVP - NEUROSURGERY 1041 N 29TH ST BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 30 - SVP - SLEEP & RESPIRATORY 2900 12TH AVE N STE 300 E BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 31 - SVP - NORTH SHILOH FAMILY MEDICINE 2223 MISSION WAY BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 32 - SVP - WEST GRAND FAMILY MEDICINE 2750 GRAND AVE BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 33 - SVP - PAIN CENTER 2900 12TH AVE N STE 335W BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 34 - SVP - BROADWATER WALK-IN CLINIC 2019 BROADWATER AVE BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 35 - SVP - HARDIN FAMILY MEDICINE 16 N MILES STE 101 HARDIN MT 59034 OUTPATIENT PHYSICIAN CLINIC 36 - SVP - MIDWIFERY & WOMEN'S HEALTH 2900 12TH AVE N STE 245W BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 37 - SVHC N 27TH WALKIN 1027 N 27TH STREET BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 38 - SVP - DIABETES CENTER 2900 12TH AVE N STE 160W BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 39 - SVP - DERMATOLOGY 2900 12TH AVE N STE 265W BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 40 - SVP - NEPHROLOGY 2900 12TH AVE STE 160W BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 41 - ST JAMES SUMMIT LAB 435 S CIRYSTAL ST STE 300 BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 42 - SVP - LONG TERM CARE 1101 N 27TH ST STE 101 BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 43 - ST JAMES UROLOGY 305 W PORPHYRY STE 100 BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 44 - SVP - MOUNTAIN VIEW FAMILY MEDICINE 10 ROBINSON LN PO BOX 70 RED LODGE MT 59068 OUTPATIENT PHYSICIAN CLINIC 45 - SVP - PHYSIATRY & INFECTIOUS DISEASE 2900 12TH AVE N STE 201E BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 46 - SVP - MATERNAL FETAL MEDICINE - GREAT PL 1700 11TH ST W WILLISTON ND 58801 OUTPATIENT PHYSICIAN CLINIC 47 - ST JAMES OBSTETRICS & GYNECOLOGY 305 W PORPHYRY STE 200 BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 48 - ST JAMES CARDIOLOGY 435 S CRYSTAL ST STE 220 BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 49 - ST JAMES RADIATION ONCOLOGY 400 S CLARK ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 50 - ROCKY MOUNTAIN CLINIC NEUROLOGY 435 S CRYSTAL ST STE 300 BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 51 - SVP - BEHAVIORAL HEALTH 2900 12TH AVE N STE 280W BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 52 - SVP - WEIGHT MANAGEMENT 2900 12TH AVE N STE 160W BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 53 - SVP - OCCUPATIONAL HEALTH 2019 BROADWATER AVE BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 54 - SVP - CODY FAMILY MEDICINE 720 LINDSAY LN STE A CODY WY 82414 OUTPATIENT PHYSICIAN CLINIC 55 - ST JAMES CARDIAC & THORACIC SURGERY - CV 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 56 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 57 - ST JAMES HEALTHCARE REHAB - WHITEHALL 309 EAST LEGION WHITEHALL MT 59759 OUTPATIENT PHYSICIAN CLINIC 58 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 59 - SVP - ABSAROKEE FAMILY MEDICINE 55 N MONTANA PO BOX 425 ABSAROKEE MT 59001 OUTPATIENT PHYSICIAN CLINIC 60 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 935 HIGHLAND PARK BLVD STE 2200 BOZEMAN MT 59718 OUTPATIENT PHYSICIAN CLINIC 61 - SVP - BIG HORN BASIN REGIONAL CANCER CEN 1025 9TH ST CODY WY 82414 OUTPATIENT PHYSICIAN CLINIC 62 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 63 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 621 3RD ST S GLASGOW MT 59230 OUTPATIENT PHYSICIAN CLINIC 64 - ST JAMES HEALTHCARE REHAB - BOULDER 214 S MAIN BOULDER MT 59632 OUTPATIENT PHYSICIAN CLINIC 65 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 650 FERGUSON STE 1 BOZEMAN MT 59715 OUTPATIENT PHYSICIAN CLINIC 66 - ST JAMES CARDIAC INTERPRETATIONS 400 S CLARK ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 67 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 310 WENDELL STE 5 LEWISTOWN MT 59457 OUTPATIENT PHYSICIAN CLINIC 68 - ROCKY MOUNTAIN CLINIC FAMILY PRACTICE & 400 S CLARK ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 69 - SVP - NEPHROLOGY - CODY 720 LINDSAY LN STE A CODY WY 82414 OUTPATIENT PHYSICIAN CLINIC 70 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 216 14TH AVE SW SIDNEY MT 59270 OUTPATIENT PHYSICIAN CLINIC 71 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 2600 WILSON MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 72 - ST JAMES WMMH OUTREACH 106 W BROADWAY ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 73 - SVP - MATERNAL FETAL MEDICINE - BILLINGS 2900 12TH AVE N STE 130W BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 74 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 435 S CRYSTAL ST STE 300 BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 75 - SVP - MATERNAL FETAL MEDICINE - BUTTE ST JAMES HEALTHCARE 305 W PORPHYRY ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 76 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 935 HIGHLAND PARK BLVD STE 2200 BOZEMAN MT 59718 OUTPATIENT PHYSICIAN CLINIC 77 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 78 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 216 14TH AVE SW SIDNEY MT 59270 OUTPATIENT PHYSICIAN CLINIC 79 - ST JAMES CARDIAC & THORACIC SURGERY 400 W PORPHYRY ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 80 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 720 LINDSAY LN CODY WY 82414 OUTPATIENT PHYSICIAN CLINIC 81 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 120 N 19TH ST BOZEMAN MT 59718 OUTPATIENT PHYSICIAN CLINIC 82 - SVP - HEART & VASCULAR CENTER - CODY 720 LINDSAY LANE STE A CODY WY 82414 OUTPATIENT PHYSICIAN CLINIC 83 - SVP - MATERNAL FETAL MEDICINE - SHERIDAN SHERIDAN MEMORIAL HOSPITAL 1401 W 5TH ST SHERIDAN WY 82801 OUTPATIENT PHYSICIAN CLINIC 84 - SVP - NEPHROLOGY - LEWISTOWN 310 WENDELL AVE STE 5 LEWISTOWN MT 59457 OUTPATIENT PHYSICIAN CLINIC 85 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 650 FERGUSON STE 1 BOZEMAN MT 59715 OUTPATIENT PHYSICIAN CLINIC 86 - SVP - NEPHROLOGY - MILES CITY 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 87 - SVP - NEPHROLOGY - WORLAND 1106 BIG HORN AVE WORLAND WY 82401 OUTPATIENT PHYSICIAN CLINIC 88 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 707 SHERIDAN AVE CODY WY 82414 OUTPATIENT PHYSICIAN CLINIC 89 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 1213 15TH AVE W WILLISTON ND 58801 OUTPATIENT PHYSICIAN CLINIC 90 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 3330 PTARMIGAN LN HELENA MT 59602 OUTPATIENT PHYSICIAN CLINIC 91 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 1213 15TH AVENUE WEST WILLISTON ND 58801 OUTPATIENT PHYSICIAN CLINIC 92 - SLOAN'S LAKE HEMONC 1601 LOWELL BLVD STE 150 DENVER CO 80291 OUTPATIENT PHYSICIAN CLINIC 93 - SVP - MONTANA HEART - MTN VIEW 10 ROBINSON LANE RED LODGE MT 59068 OUTPATIENT PHYSICIAN CLINIC 94 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 1232 N 30TH STE 200 BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 95 - SVP - HEART & VASCULAR CENTER - GLASGOW 621 3RD ST SOUTH GLASGOW MT 59230 OUTPATIENT PHYSICIAN CLINIC 96 - SVP - HEART & VASCULAR CENTER - MILES CI 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 97 - SVP - MATERNAL FETAL MEDICINE - HAVRE NORTHERN MONTANA FAMILY MEDICAL CENTER 1 HAVRE MT 59501 OUTPATIENT PHYSICIAN CLINIC 98 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 99 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 2550 BROADWAY HELENA MT 59602 OUTPATIENT PHYSICIAN CLINIC 100 - SVP - OP NEUROLOGY CLINIC & MS CENTER - 621 3RD STREET SOUTH GLASGOW MT 59230 OUTPATIENT PHYSICIAN CLINIC 101 - SVP - MONTANA HEART - ABSAROKEE 55 N MONTANA ABSAROKEE MT 59001 OUTPATIENT PHYSICIAN CLINIC 102 - SVP - MONTANA HEART - LAUREL 1035 1ST AVE LAUREL MT 59044 OUTPATIENT PHYSICIAN CLINIC 103 - SVP - MONTANA HEART - HARDIN 16 N MILES AVE STE 101 HARDIN MT 59034 OUTPATIENT PHYSICIAN CLINIC 104 - SVP - MONTANA HEART - CODY 720 LINDSAY LANE STE A CODY WY 82414 OUTPATIENT PHYSICIAN CLINIC 105 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 935 HIGHLAND PARK BLVD STE 2200 BOZEMAN MT 59718 OUTPATIENT PHYSICIAN CLINIC 106 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 3330 PTARMIGAN LN HELENA MT 59602 OUTPATIENT PHYSICIAN CLINIC 107 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 435 S CRYSTAL ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 108 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 1300 28TH ST S STE 4 GREAT FALLS MT 59405 OUTPATIENT PHYSICIAN CLINIC 109 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 1300 28TH ST S STE 4 GREAT FALLS MT 59405 OUTPATIENT PHYSICIAN CLINIC 110 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 1232 N 30TH STE 300 BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 111 - SVP - FORTIN PEDIATRIC SPECIALTY CLINIC 1232 N 30TH STE 200 BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 6A: THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2,775,283. PART II, COMMUNITY BUILDING ACTIVITIES: N/APART III, LINE 1:THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF BAD DEBT. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE ORGANIZATIONS FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE MODIFICATIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCES DUE FROM PATIENTS AFTER INSURANCE. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. PART III, LINE 9B: AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SO WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO ALL PATIENTS. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED IN THE HOSPITAL. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. UNINSURED/UNDERINSURED PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE WILL HAVE DISCOUNTS APPLIED TO OUTSTANDING BALANCES BASED ON THE CORRESPONDING DISCOUNT GUIDELINES PROVIDED WITHIN THE FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORT TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE THROUGH THE PRESUMPTIVE ELIGIBILITY PROCESS WILL BE MADE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. IF PATIENTS DO NOT QUALIFY UNDER THIS PROCESS, THEY MAY INITIATE AND SUBMIT A FINANCIAL APPLICATION FOR FURTHER CONSIDERATION. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. PART VI, LINE 2: SCL HEALTH WESTMINSTER, LLC:IN ADDITION TO THE CHNA PROCESS, WESTMINSTER COMMUNITY HOSPITAL ACTIVELY PARTICIPATES WITH COMMUNITY COALITIONS AND WORK GROUPS WHO WORK ON SPECIFIC HEALTH ISSUES WITHIN THE COMMUNITY. THESE PARTNERSHIPS ENABLE AN ABILITY TO REVIEW OUTCOME METRICS ON HEALTH ISSUES IN A MORE DYNAMIC FASHION EITHER THROUGH PROGRAM DELIVERY RESULTS, SERVICES TO VULNERABLE POPULATIONS AND/OR ANNUAL MEETINGS. OTHER SOURCES OF COMMUNITY HEALTH, SOCIAL AND HEALTH RELATED DATA ACCESSED INCLUDES THE UNITED WAY, LOCAL FEDERALLY QUALIFIED HEALTH CENTERS AND PUBLIC HEALTH DEPARTMENTS.SCL HEALTH SOUTHWEST, LLC:OUR APPROACH TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL INCLUDE A COLLABORATIVE PROCESS WITH PUBLIC HEALTH DEPARTMENTS, COMMUNITY BASED ORGANIZATIONS AND COMMUNITY RESIDENTS TO GATHER THE BROADEST REPRESENTATION OF INPUT ON KEY HEALTH INDICATORS. WE WILL RELY ON BOTH QUANTITATIVE AND QUALITATIVE DATA TO IDENTIFY EMERGENT HEALTH NEEDS, SERVICE GAPS AND DISPARITIES. AS A PART OF THE ASSESSMENT PROCESS, WE WILL PRESENT FINDINGS IN A PUBLIC MEETING TO INVITE PARTICIPATION IN THE PRIORITY SELECTION PROCESS. FOLLOWING THE ASSESSMENT PROCESS, A COMMUNITY HEALTH IMPROVEMENT PLAN WILL BE DEVELOPED TO INDICATE SPECIFIC PRIORITIES AND EXPECTED IMPACT. IMPROVEMENT PLAN ACTIVITIES WILL LEVERAGE EVIDENCE BASED STRATEGIES AROUND PREVENTION, DISEASE MANAGEMENT AND HEALTHY LIVING. ACTIVITY EXAMPLES COULD INCLUDE COMMUNITY HEALTH AND SAFETY CLINICS, CANCER SCREENINGS, CHRONIC DISEASE MANAGEMENT, AND HEALTH LITERACY SEMINARS. IN ADDITION, A FOCUS ON PREVENTIVE INTERVENTIONS WITH OUTREACH TO UNDERSERVED COMMUNITIES WILL BE ESSENTIAL TO ADDRESSING SUCH AREAS AS ANNUAL YOUTH PHYSICALS, SENIOR FALL PREVENTION, AND ASSISTING COMMUNITY MEMBERS IN CONNECTING TO OTHER COMMUNITY HEALTH SUPPORT RESOURCES (E.G. TRANSPORTATION, HOME HEALTH, HOUSING, AND OTHER SOCIAL SERVICES).SCL HEALTH NORTHGLENN, LLC:OUR APPROACH TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL INCLUDE A COLLABORATIVE PROCESS WITH PUBLIC HEALTH DEPARTMENTS, COMMUNITY BASED ORGANIZATIONS AND COMMUNITY RESIDENTS TO GATHER THE BROADEST REPRESENTATION OF INPUT ON KEY HEALTH INDICATORS. WE WILL RELY ON BOTH QUANTITATIVE AND QUALITATIVE DATA TO IDENTIFY EMERGENT HEALTH NEEDS, SERVICE GAPS AND DISPARITIES. AS A PART OF THE ASSESSMENT PROCESS, WE WILL PRESENT FINDINGS IN A PUBLIC MEETING TO INVITE PARTICIPATION IN THE PRIORITY SELECTION PROCESS. FOLLOWING THE ASSESSMENT PROCESS, A COMMUNITY HEALTH IMPROVEMENT PLAN WILL BE DEVELOPED TO INDICATE SPECIFIC PRIORITIES AND EXPECTED IMPACT. IMPROVEMENT PLAN ACTIVITIES WILL LEVERAGE EVIDENCE BASED STRATEGIES AROUND PREVENTION, DISEASE MANAGEMENT AND HEALTHY LIVING. ACTIVITY EXAMPLES COULD INCLUDE COMMUNITY HEALTH AND SAFETY CLINICS, CANCER SCREENINGS, CHRONIC DISEASE MANAGEMENT, AND HEALTH LITERACY SEMINARS. IN ADDITION, A FOCUS ON PREVENTIVE INTERVENTIONS WITH OUTREACH TO UNDERSERVED COMMUNITIES WILL BE ESSENTIAL TO ADDRESSING SUCH AREAS AS ANNUAL YOUTH PHYSICALS, SENIOR FALL PREVENTION, AND ASSISTING COMMUNITY MEMBERS IN CONNECTING TO OTHER COMMUNITY HEALTH SUPPORT RESOURCES (E.G. TRANSPORTATION, HOME HEALTH, HOUSING, AND OTHER SOCIAL SERVICES). PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO ALL PATIENTS. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED IN THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE 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: SCL HEALTH WESTMINSTER, LLC:WESTMINSTER COMMUNITY HOSPITAL IS LOCATED IN THE CITY OF WESTMINSTER, COLORADO. WESTMINSTER IS LOCATED IN JEFFERSON COUNTY, BUT INCLUDES A UNIQUE SERVICE AREA OF THREE INTERSECTING COUNTIES (ADAMS, BROOMFIELD AND JEFFERSON). WITH THE POSITIONING OF THE COMMUNITY HOSPITAL, ALONG A MAJOR TRANSPORTATION CORRIDOR, THE PRIMARY SERVICE AREA IS DEFINED BY A GEOGRAPHIC RADIUS OF 50 MILES FOR HEALTH DATA REVIEW. DATA SHARED BELOW REPRESENTS A COMBINATION OF COUNTY AND SERVICE MARKET DATA AS OF 2016 GATHERED FROM US CENSUS BUREAU, COUNTY RANKINGS AND PUBLIC HEALTH SOURCES.DEMOGRAPHICS OF THE COMMUNITY (U.S. CENSUS BUREAU 2016)JEFFERSON COUNTY'S POPULATION AS OF 2016 WAS 571,837; ADAM'S COUNTY 498,187; AND BROOMFIELD 66,529. PRIMARY SERVICE AREA POPULATION FOR SCL COMUNITY HOSPITAL IS 302,901 WHICH REPRESENTS APPROXIMATELY 115,911 HOUSEHOLDS.GENDER: THE POPULATION OF MALES AND FEMALES IS NEARLY EQUAL - 49.6% (MALE) AND 50.4% (FEMALE)AGE: SERVICE AREA SHOWS A DOMINANCE OF PERSONS BETWEEN THE AGES OF 18 AND 64 (53.4%) WITH A MEDIAN AGE OF 36.1RACIAL AND ETHNIC DIVERSITY: THE POPULATION IN JEFFERSON AND BROOMFIELD COUNTIES IS PREDOMINANTLY WHITE, WITH HISPANIC ORIGIN FOLLOWING. PRIMARY SERVICE AREA PERCENTAGES SHOW 78.4% (WHITE) AND 15.1% (HISPANIC). OTHER RACES (ASIAN, BLACKS/AFRICAN AMERICAN AND AMERICAN INDIAN/ALASKA NATIVES) HAVE RELATIVELY SMALL PERCENTAGES. EDUCATION: WITHIN SERVICE AREA, 40,207 HOLD HIGH SCHOOL DIPLOMAS AND 43,464 HOLD BACHELOR'S DEGREES. 23,183 REPRESENT A GRADUATE DEGREE OR HIGHER. ADAMS COUNTY HAS ONE OF THE LOWEST EDUCATION LEVELS IN THE STATE WITH ONLY 81% HAVING A HIGH SCHOOL EDUCATION AND 20% WITH A BACHELOR DEGREE OR HIGHER. BY COMPARISON, JEFFERSON COUNTY HAD THE HIGHEST HIGH SCHOOL COMPLETION RATE AT 84.5% AND THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WHO HAVE COMPLETED HIGH SCHOOL AT 94.0%. JEFFERSON ALSO HAD THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WITH A BACHELOR'S DEGREE OR HIGHER AT 41.6%.LANGUAGE: FOR JEFFERSON COUNTY ONLY 10.5% OF PERSONS AGE 5 YEARS AND OVER SPEAK A LANGUAGE OTHER THAN ENGLISH IN THE HOME; THE PORTION OF HOUSEHOLDS THAT ONLY SPOKE ENGLISH WAS HIGHEST IN JEFFERSON COUNTY AT 89%; BROOMFIELD COUNTY HAD AN ESTIMATED PERCENTAGE OF 13.3% OF HOUSEHOLDS WHO SPEAK A LANGUAGE OTHER THAN ENGLISH WITH SPANISH HAVING THE HIGHEST PERCENTAGE AT 5.9%, FOLLOWED BY ASIAN AND PACIFIC ISLAND LANGUAGES AT 3.6%, AND OTHER INDO-EUROPEAN LANGUAGES AT 3.5%.ECONOMICS: THE MEDIAN HOUSEHOLD INCOME IS $62,890 FOR SERVICE AREA, COMPARED TO $61,303 FOR THE STATE. HOWEVER ADAMS COUNTY HAS ONE OF THE HIGHEST POVERTY RATES IN THE STATE AT 13.3% AND BROOMFIELD IS ONE OF THE LOWEST LEVELS IN THE STATE AT 4.9%.OVERALL HEALTH RANK: THIS MEASURE RANKS THE OVERALL HEALTH OF COUNTY CITIZENS FOR ALL COUNTIES IN COLORADO. THE RANKINGS ARE BASED ON A MODEL OF POPULATION HEALTH THAT EMPHASIZES THE MANY FACTORS THAT, IF IMPROVED, CAN HELP TO MAKE COMMUNITIES HEALTHIER PLACES TO LIVE, LEARN, WORK AND PLAY. FACTORS INCLUDED IN THE RANKING ARE HEALTH OUTCOMES, HEALTH FACTORS, POLICIES/PROGRAMS AND SOCIAL DETERMINANTS OF HEALTH. JEFFERSON RANKS 14TH; BROOMFIELD RANKS 2ND AND ADAMS RANKS 37TH. ACCESS TO CARE: ACCESS TO PRIMARY CARE PHYSICIANS, DENTISTS, DIABETIC MONITORING AND MAMMOGRAPHY IS BETTER FOR PERSONS RESIDING IN BROOMFIELD COUNTY THAN IN JEFFERSON COUNTY, EXCEPT FOR MENTAL HEALTH PROVIDERS. BROOMFIELD HAS BETTER ACCESS TO MENTAL HEALTH PROVIDERS AT 1,008:1 AS COMPARED TO 1262:1 AT THE STATE LEVEL.SCL HEALTH SOUTHWEST, LLC:SOUTHWEST COMMUNITY HOSPITAL IS LOCATED IN THE CITY OF LITTLETON, COLORADO. LITTLETON IS LOCATED IN JEFFERSON COUNTY, BUT INCLUDES A SERVICE AREA THAT INTERSECTS WITH DOUGLASS COUNTY. WITH THE POSITIONING OF THE COMMUNITY HOSPITAL, ALONG A MAJOR TRANSPORTATION CORRIDOR, THE PRIMARY SERVICE AREA IS DEFINED BY A GEOGRAPHIC RADIUS OF 50 MILES FOR HEALTH DATA REVIEW. DATA SHARED BELOW REPRESENTS A COMBINATION OF AVAILABLE PUBLIC HEALTH DATA AS OF 2010-2016 GATHERED AS A CHNA PRECURSOR. COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS FROM OUR NEAREST SCL HEALTH ACUTE CARE FACILITY (LUTHERAN MEDICAL CENTER) LOCATED IN THE LAKEWOOD/WHEAT RIDGE AREA WAS REVIEWED AS DATA SUPPORT AS WELL.DEMOGRAPHICS OF THE COMMUNITY (U.S. CENSUS BUREAU 2016)JEFFERSON COUNTY'S POPULATION AS OF 2010 WAS 534,543. 2016 ESTIMATED GROWTH SHOWS A 7% CHANGE BETWEEN 2010 AND 2016 FOR A TOTAL OF 571,837 COMPARED TO A 10% GROWTH CHANGE FOR THE STATE.GENDER: THE POPULATION OF MALES AND FEMALES IS NEARLY EQUAL - 49.7% (MALE) AND 50.3% (FEMALE)AGE: SERVICE AREA SHOWS A DOMINANCE OF PERSONS BETWEEN THE AGES OF 18 AND 64 (64.3%) WITH A MEDIAN AGE OF 36.1. JEFFERSON COUNTY ALSO SHOWS A STRIKING REPRESENTATION OF ADULTS WHO ARE AGE 65 AND OLDER (15.1%) COMPARED TO (13%) FOR THE STATE. RACIAL AND ETHNIC DIVERSITY: THE POPULATION IN JEFFERSON COUNTY IS PREDOMINANTLY WHITE, WITH HISPANIC ORIGIN FOLLOWING. PRIMARY SERVICE AREA PERCENTAGES SHOW 78.5% (WHITE) AND 15.1% (HISPANIC). OTHER RACES (ASIAN, BLACKS/AFRICAN AMERICAN AND AMERICAN INDIAN/ALASKA NATIVES) HAVE RELATIVELY SMALL PERCENTAGES. EDUCATION: WITHIN THE SERVICE AREA, JEFFERSON HAD THE HIGHEST HIGH SCHOOL COMPLETION RATE AT 84.5% AND THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WHO HAVE COMPLETED HIGH SCHOOL AT 94.0%. JEFFERSON ALSO HAD THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WITH A BACHELOR'S DEGREE OR HIGHER AT 41.6%.LANGUAGE: FOR JEFFERSON COUNTY 89.6% OF HOUSEHOLDS SPEAK "ONLY" ENGLISH. APPROXIMATELY 10 % OF HOUSEHOLDS SPEAK A LANGUAGE OTHER THAN ENGLISH (E.G. SPANISH, ASIAN & PACIFIC ISLANDER, OR OTHER INDO EUROPEAN LANGUAGES)ECONOMICS: THE MEDIAN HOUSEHOLD INCOME IS $70,164 FOR SERVICE AREA, COMPARED TO $60,629 FOR THE STATE. PERCENT OF PERSONS IN POVERTY IS 7.9% COMPARED TO 11.5% FOR THE STATE. OVERALL HEALTH RANK: THIS MEASURE RANKS THE OVERALL HEALTH OF COUNTY CITIZENS FOR ALL COUNTIES IN COLORADO. THE RANKINGS ARE BASED ON A MODEL OF POPULATION HEALTH THAT EMPHASIZES THE MANY FACTORS THAT, IF IMPROVED, CAN HELP TO MAKE COMMUNITIES HEALTHIER PLACES TO LIVE, LEARN, WORK AND PLAY. FACTORS INCLUDED IN THE RANKING ARE HEALTH OUTCOMES, HEALTH FACTORS, POLICIES/PROGRAMS AND SOCIAL DETERMINANTS OF HEALTH. JEFFERSON COUNTY RANKS 14TH OUT OF 60.COMMUNITY HEALTH NEEDS SHOWING INITIAL PREVALENCE: - CARDIOVASCULAR DISEASE - CANCER - UNINTENTIONAL INJURIES - CHRONIC LOWER RESPIRATORY DISEASE - MENTAL HEALTH/SUICIDE - DIABETESSCL HEALTH NORTHGLENN, LLC:NORTHGLENN COMMUNITY HOSPITAL IS LOCATED IN THE CITY OF NORTHGLENN COLORADO. NORTHGLENN IS LOCATED IN ADAMS COUNTY. THE PRIMARY SERVICE AREA IS DEFINED BY A GEOGRAPHIC RADIUS OF 50 MILES FOR HEALTH DATA REVIEW. DATA SHARED BELOW REPRESENTS A COMBINATION OF COUNTY AND SERVICE MARKET DATA AS OF 2016 GATHERED FROM US CENSUS BUREAU, COUNTY RANKINGS AND PUBLIC HEALTH SOURCES.DEMOGRAPHICS OF THE COMMUNITY (U.S. CENSUS BUREAU 2016)ADAMS COUNTY'S POPULATION AS OF 2016 WAS 498,187GENDER: THE POPULATION OF MALES AND FEMALES IS NEARLY EQUAL - 49.7% (FEMALE) AND 50.3% (MALE)AGE: SERVICE AREA SHOWS A DOMINANCE OF PERSONS BETWEEN THE AGES OF 18 AND 64 (62.7%) AND A HIGH PERCENTAGE OF PERSONS BELOW THE AGE OF 18 AT 27.5%.RACIAL AND ETHNIC DIVERSITY: THE POPULATION IN ADAMS COUNTY IS PREDOMINANTLY WHITE AT 50.8%, WITH HISPANIC ORIGIN FOLLOWING AT 39.6%. EDUCATION: ADAMS COUNTY HAS ONE OF THE LOWEST EDUCATION LEVELS IN THE STATE WITH ONLY 81% HAVING A HIGH SCHOOL EDUCATION AND 20% WITH A BACHELOR DEGREE OR HIGHER. LANGUAGE: THE PERCENT OF HOUSEHOLDS THAT WERE ESTIMATED TO BE LINGUISTICALLY ISOLATED (LIMITATION COMMUNICATING IN ENGLISH) WAS HIGHEST IN ADAMS COUNTY AT 5.7%. THE AGGREGATE VALUE WAS 2.5% LOWER COMPARED TO THE STATE VALUE. HOUSEHOLDS THAT SPOKE A LANGUAGE OTHER THAN ENGLISH HAD A HIGH COMPARATIVE PERCENTAGE AT 28.5% IN ADAMS COUNTY; THE COMPARATIVE AGGREGATE VALUE WAS 2.6% HIGHER WHEN COMPARED TO THE STATE VALUE. ADAMS COUNTY HAD THE LARGEST PORTION OF HOUSEHOLDS WHO SPOKE SPANISH OR SPANISH CREOLE AT 23.1%. ECONOMICS: THE MEDIAN HOUSEHOLD INCOME IS $58,946 FOR ADAMS COUNTY, COMPARED TO $61,303 FOR THE STATE. HOWEVER ADAMS COUNTY HAS ONE OF THE HIGHEST POVERTY RATES IN THE STATE AT 12.8%. PER CAPITA INCOME WAS LOWEST IN ADAMS COUNTY AT $25,039. UNEMPLOYMENT RATE WAS ALSO SLIGHTLY HIGHER IN ADAMS COUNTY AT 2.3%. OVERALL HEALTH RANK: THIS MEASURE RANKS THE OVERALL HEALTH OF COUNTY CITIZENS FOR ALL COUNTIES IN COLORADO. THE RANKINGS ARE BASED ON A MODEL OF POPULATION HEALTH THAT EMPHASIZES THE MANY FACTORS THAT, IF IMPROVED, CAN HELP TO MAKE COMMUNITIES HEALTHIER PLACES TO LIVE, LEARN, WORK AND PLAY. FACTORS INCLUDED IN THE RANKING ARE HEALTH OUTCOMES, HEALTH FACTORS, POLICIES/PROGRAMS AND SOCIAL DETERMINANTS OF HEALTH. ADAMS COUNTY RANKS 37TH. SEE CONTINUATION BELOW PART VI, LINE 5: SCL HEALTH WESTMINSTER, LLC:COMMUNITY SUPPORT ACTIVITY EXAMPLES INCLUDE COMMUNITY HEALTH AND SAFETY CLINICS, CANCER SCREENINGS, CHRONIC DISEASE MANAGEMENT, AND HEALTH LITERACY SEMINARS. IN ADDITION, A FOCUS ON PREVENTIVE INTERVENTIONS WITH OUTREACH TO UNDERSERVED COMMUNITIES ARE ESSENTIAL TO ADDRESSING AREAS SUCH AS ANNUAL YOUTH PHYSICALS, BICYCLE SAFETY, SENIOR FALLS PREVENTION, AND ASSISTING COMMUNITY MEMBERS IN CONNECTING TO OTHER COMMUNITY HEALTH SUPPORT RESOURCES (E.G. TRANSPORTATION, HOME HEALTH, HOUSING, AND OTHER SOCIAL SERVICES).SCL HEALTH SOUTHWEST, LLC:COMMUNITY SUPPORT ACTIVITY EXAMPLES INCLUDE COMMUNITY HEALTH AND SAFETY CLINICS, CANCER SCREENINGS, CHRONIC DISEASE MANAGEMENT, AND HEALTH LITERACY SEMINARS. IN ADDITION, A FOCUS ON PREVENTIVE INTERVENTIONS WITH OUTREACH TO UNDERSERVED COMMUNITIES ARE ESSENTIAL TO ADDRESSING AREAS SUCH AS ANNUAL YOUTH PHYSICALS, BICYCLE SAFETY, SENIOR FALLS PREVENTION, AND ASSISTING COMMUNITY MEMBERS IN CONNECTING TO OTHER COMMUNITY HEALTH SUPPORT RESOURCES (E.G. TRANSPORTATION, HOME HEALTH, HOUSING, AND OTHER SOCIAL SERVICES).SCL HEALTH NORTHGLENN, LLC:COMMUNITY SUPPORT ACTIVITY EXAMPLES INCLUDE COMMUNITY HEALTH AND SAFETY CLINICS, CANCER SCREENINGS, CHRONIC DISEASE MANAGEMENT, AND HEALTH LITERACY SEMINARS. IN ADDITION, A FOCUS ON PREVENTIVE INTERVENTIONS WITH OUTREACH TO UNDERSERVED COMMUNITIES ARE ESSENTIAL TO ADDRESSING AREAS SUCH AS ANNUAL YOUTH PHYSICALS, BICYCLE SAFETY, SENIOR FALLS PREVENTION, AND ASSISTING COMMUNITY MEMBERS IN CONNECTING TO OTHER COMMUNITY HEALTH SUPPORT RESOURCES (E.G. TRANSPORTATION, HOME HEALTH, HOUSING, AND OTHER SOCIAL SERVICES). PART VI, LINE 6: SCL HEALTH COMMUNITY HOSPITALS ARE A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITIES, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 210 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 16,000 FULL-TIME ASSOCIATES AND MORE THAN 600 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.SCLHS AND ITS AFFILIATED ENTITIES PROMOTE THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION. SCHEDULE H, PART VI, LINE 4 (CONTINUED) ACCESS TO CARE: ACCESS TO PRIMARY CARE PHYSICIANS, DENTISTS, DIABETIC MONITORING AND MAMMOGRAPHY IS LOWER FOR RESIDENTS OF ADAMS COUNTY. 1 MOUNT SAINT VINCENT HOME 4159 LOWELL BOULEVARD DENVER CO 80211 840405260 501(C)(3) 500000 SUPPORT MISSION MARIAN CLINIC 1001 SW GARFIELD AVE TOPEKA KS 66604 481046905 501(C)(3) 1941240 SUPPORT MISSION CARITAS CLINICS 818 NORTH 7TH STREET LEAVENWORTH KS 66048 481009910 501(C)(3) 4680577 SUPPORT MISSION SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 501(C)(3) 10000 SUPPORT MISSION HOLY ROSARY HEALTHCARE 2600 WILSON STREET MILES CITY MT 59301 810231792 501(C)(3) 6000 SUPPORT MISSION ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE MT 59701 810231785 501(C)(3) 6000 SUPPORT MISSION ST VINCENT HEALTHCARE 1233 NORTH 30TH STREET BILLINGS MT 59101 810232124 501(C)(3) 11706000 SUPPORT MISSION 8 0 SECONDARY EDUCATION SCHOLARSHIP 33 52743 PART I, LINE 2: SCLHS' MISSION DEPARTMENT REQUIRES WRITTEN STATEMENTS THREE TIMES A YEAR REGARDING THE PROGRESS AND STATUS OF THE GRANT. X 0 1 X X X X X X 1 1 0 0 0 0 0 1 0 LYDIA JUMONVILLE SYS PRESIDENT/CEO EFFECTIVE 6/1 873780 0 274190 0 232290 0 265893 0 22512 0 1668665 0 213829 0 MICHAEL SLUBOWSKI SYSTEM PRESIDENT AND CEO - 1/1-5/31 523751 0 494121 0 631724 0 19440 0 11096 0 1680132 0 0 0 ROSLAND MCLEOD SECRETARY/SVP CHIEF LEGAL OFFICER 433994 0 187057 0 212736 0 144516 0 25470 0 1003773 0 143205 0 MICHAEL TAYLOR CHIEF OPERATING OFF-HOSP OPS 717775 0 274192 0 34951 0 133241 0 31355 0 1191514 0 0 0 WILLIAM ANDERSON SVP-CHIEF HUMAN RES OFCR 21395 0 145827 0 131259 0 2122 0 1842 0 302445 0 0 0 STEVEN CHYUNG SVP SUPPLY CHAIN & REAL ESTATE 373257 0 145070 0 63055 0 68363 0 27988 0 677733 0 45796 0 SHAWN DUFFORD SVP CHIEF MEDICAL OFFICER SYS 488114 0 186058 0 196294 0 89815 0 20190 0 980471 0 181357 0 TAJQUAH HUDSON SVP-CHIEF STRAT-BUS DEV OFCR 456915 0 172348 0 128174 0 140368 0 8355 0 906160 0 110359 0 KERRY KOHNEN SVP PAYER & POP HEALTH STRAT 430422 0 103949 0 20684 0 106235 0 426 0 661716 0 0 0 DAVID PECORARO SVP-CHIEF INFORMATION OFFICER 427750 0 162898 0 116422 0 19440 0 16464 0 742974 0 93208 0 DAVID PRINGLE SVP MISSION INTEGRATION 303742 0 117510 0 133075 0 16740 0 22825 0 593892 0 106660 0 TAMARA SAUNAITIS SVP-CHIEF HUMAN RES OFCR 346601 0 79039 0 21504 0 59740 0 28670 0 535554 0 0 0 KAREN SCREMIN VP FINANCE OPERATIONS 353178 0 81087 0 86953 0 62440 0 8563 0 592221 0 85289 0 TROY SPRING VP REVENUE CYCLE 284808 0 66375 0 3177 0 47740 0 26508 0 428608 0 0 0 GERALDINE TOWNDROW SVP CHIEF NURSING OFFICER SYS 314778 0 119469 0 55128 0 14604 0 9855 0 513834 0 0 0 JAMES VALIN MD PRESIDENT PROVIDER SERVICES 521395 0 75000 0 14489 0 101851 0 27622 0 740357 0 0 0 MARK WILKINSON VP TREASURER 273030 0 69342 0 29130 0 46883 0 11358 0 429743 0 27624 0 CHRISTINE WOOLSEY SVP AND CHIEF COMM-MKTG OFCR 330182 0 124646 0 77991 0 85291 0 16692 0 634802 0 64326 0 CHARLES WRIGHT CHIEF EXECUTIVE OFFICER-SJB 1/1-2/17 41388 0 121623 0 881546 0 4281 0 19474 0 1068312 0 579447 0 ROBERT TERRY PSO PHYSICIAN 530128 0 437390 0 13253 0 13500 0 22825 0 1017096 0 0 0 DAVID HAMM PRESIDENT - EGSM 134811 0 167321 0 655357 0 7653 0 6785 0 971927 0 641911 0 JOHN WICKLUND PRESIDENT-CEO LMC 460035 0 178037 0 283631 0 247660 0 23398 0 1192761 0 241007 0 STUART GOODMAN PSO PHYSICIAN ANESTHESIA 806290 0 0 0 16521 0 19312 0 18862 0 860985 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2017 WERE: MICHAEL TAYLOR - $1,397. PART I, LINE 1B TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - WRITTEN POLICY THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES. PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. PART I, LINES 4A-B SCHEDULE J, PART I, LINE 4A THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2017 WERE: CHARLES WRIGHT - $263,179. SCHEDULE J, PART I, LINE 4B PAYMENTS FROM NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THE ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENEFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2017 WERE: ROSLAND MCLEOD - $7,601, SHAWN DUFFORD - $51,653, KAREN SCREMIN - $26,725. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2017. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2017 WERE: LYDIA JUMONVILLE - $213,829, MICHAEL SLUBOWSKI - $805,604, ROSLAND MCLEOD - $121,060, WILLIAM ANDERSON - $315,911, STEVEN CHYUNG - $45,796, SHAWN DUFFORD - $64,741, TAJQUAH HUDSON - $110,359, DAVID PECORARO - $93,208, DAVID PRINGLE - $106,660, KAREN SCREMIN - $24,181, GERALDINE TOWNDROW - $35,525, MARK WILKINSON - $27,624, CHRISTINE WOOLSEY - $64,326, CHARLES WRIGHT - $708,897, DAVID HAMM - $772,030, J. GRANT WICKLUND - $241,007. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. PART I, LINE 7 OTHER NON-FIXED PAYMENTS THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT AND EMPLOYEE SAFETY, PATIENT EXPERIENCE AND COMMUNITY BENEFIT/MISSION TARGETS. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. ADDITIONAL OFFICER AND BOARD DISCLOSURES THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF NINE HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 210 AMBULATORY SERVICE CENTERS IN THREE STATES. SCLHS AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON THE BOARD OF DIRECTORS (BOARD) IS COMPENSATED FOR THAT SERVICE. SCLHS' BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648AST3 2010-05-20 605460143 3/24/98,11/13/02,7/18/02 REFI+HOSP FA 0 0 0 B MONTANA FACILITY FINANCE AUTHORITY 810302402 61204KHV6 2010-05-20 217535868 3/24/98 & 5/25/00 REFI+HOSP FAC 0 0 0 C KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 48542K5N5 2010-05-20 202625401 3/24/98 & 5/25/00 REFI+HOSP FAC 1 0 0 D COLORADO HEALTH FACILITIES AUTHORITY 840752932 NONEAVAIL 2011-06-15 62620000 7/18/02 & 2/4/09 REFI 0 0 0 A 88900000 605500535 6836215 310650923 288013397 2010 1 1 1 1 B 39485000 217665906 2529281 94781550 120355075 2010 1 0 1 1 C 30600000 135375000 202625401 2488006 77008019 123129376 2010 1 0 1 1 D 6210000 62620000 420000 62200000 2011 1 0 1 1 A 0 1 1 1 0 0 0 1 B 0 1 1 1 0 0.01300 0.00100 0.01400 0 0 1 C 0 1 1 1 0 1 1 0.64520 1 1 D 0 1 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 0 0 1 1 0 0 0 1 A 1 B 1 C 1 D 1 PART IV, LINE 2C REBATE COMPLETION DATES: A - COLORADO HEALTH FACILITIES AUTHORITY 2010 - 5/20/17 B - MONTANA FACILITY FINANCE AUTHORITY 2010 - 5/20/17 C - KANSAS DEVELOPMENT FINANCE AUTHORITY 2010 - 5/20/17 D - COLORADO HEALTH FACILITIES AUTHORITY 2011 - 6/15/17 A - COLORADO HEALTH FACILITIES AUTHORITY 2013 - 5/20/17 B - KANSAS DEVELOPMENT FINANCE AUTHORITY 2013 - 11/12/17 PART I COLUMN (E) & PART II LINE 3 ANY DIFFERENCE BETWEEN ISSUES PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. PART III, LINE 8B PROVIDENCE MEDICAL CENTER (KANSAS CITY, KS) AND SAINT JOHN HOSPITAL (LEAVENWORTH, KS) WERE SOLD APRIL 2013 AND REMEDIAL ACTIONS (REISSUANCE AND REDEMPTION) WERE TAKEN WITH RESPECT TO THE OUTSTANDING BONDS. A COLORADO HEALTH FACILITY AUTHORITY 840752932 19648AN84 2013-11-12 302719375 CONSTRUCT HOSPITAL FACILITY 0 0 0 B KANSAS DEVELOPMENT FINANCE AUTHORITY 481066589 48542K5N5 2013-04-01 32775000 REISSUANCE OF KANSAS 2010 1 0 0 C COLORADO HEALTH FACILITY AUTHORITY 840752932 19648A5S0 2016-05-12 221970000 CONSTRUCT HOSPITAL FACILITY 0 0 0 A 302719375 3005563 299713812 2013 0 0 1 1 B 4025000 7805000 32775000 32775000 2013 0 0 1 1 C 221976622 1908538 220068084 2016 0 0 1 1 A 0 1 1 1 0 0 0 1 B 0 1 1 1 0 0 0 1 C 0 1 1 1 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 0 0 0 0 1 C 0 1 0 1 1 0 0 0 1 A 1 B 1 C 1 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) SHALL BE THE MEMBERS OF LEAVEN MINISTRIES. THE MEMBERS OF LEAVEN MINISTRIES SHALL SERVE AS MEMBERS OF SCLHS DURING THEIR TERMS OF OFFICE AS MEMBERS OF LEAVEN MINISTRIES. FORM 990, PART VI, SECTION A, LINE 7A THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE CHAIR OF LEAVEN MINISTRIES, OR HIS/HER DESIGNEE, SHALL BE EX-OFFICIO MEMBERS OF THE BOARD WITH FULL VOTING RIGHTS. THE CHAIR OF LEAVEN MINISTRIES SHALL APPOINT AN ADDITIONAL MEMBER OF THE CORPORATION TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. THE BOARD OF DIRECTORS SHALL ENSURE THE PRESENCE OF REPRESENTATIVES NOMINATED BY THE PARTICIPATING ENTITIES ON THIS BOARD AND ON THE BOARD OF ANY CORPORATION OF WHICH THIS CORPORATION IS A CONTROLLING MEMBER. EXCEPT FOR EX-OFFICIO MEMBERS OF THE BOARD OF DIRECTORS, THE MEMBERS SHALL APPOINT DIRECTORS AT THE ANNUAL MEETING OF THE MEMBERS. A SLATE OF NAMES PROPOSED BY A NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS FOR APPOINTMENT AS DIRECTORS SHALL BE SUBMITTED TO THE MEMBERS BY THE CHAIRPERSON OF THE BOARD, PROVIDED, HOWEVER, THAT THE MEMBERS MAY APPOINT INDIVIDUALS AS DIRECTORS WHO HAVE NOT BEEN NOMINATED BY THE NOMINATING COMMITTEE. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF THE CORPORATION SHALL BE THE MEMBERS OF LEAVEN MINISTRIES. THE MEMBERS OF LEAVEN MINISTRIES SHALL SERVE AS MEMBERS OF THE CORPORATION DURING THEIR TERM OF OFFICE AS MEMBERS OF LEAVEN MINISTRIES. IN ADDITION TO ALL MATTERS REQUIRED BY LAW OR BY THE ARTICLES OF INCORPORATION OR OTHER PROVISIONS OF THESE BYLAWS WHICH ARE REQUIRED TO BE PERFORMED BY THE MEMBERS, THE MEMBERS SHALL HAVE THE SOLE PREROGATIVE TO ACT UPON ANY OF THE FOLLOWING MATTERS AND, IF ANY ACTION WITH RESPECT TO ANY OF THE FOLLOWING IS INITIATED BY A BODY OTHER THAN THE MEMBERS, IT SHALL NOT BECOME EFFECTIVE UNTIL APPROVED BY AN AFFIRMATIVE VOTE OF THE MEMBERS: TO ESTABLISH/APPROVE THE MISSION/PHILOSOPHY OF THIS CORPORATION AND ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; TO ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION AND THE ARTICLES AND BYLAWS OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; TO FIX THE NUMBER OF DIRECTORS OF THIS CORPORATION AND APPOINT THE CORPORATION'S BOARD OF DIRECTORS, AFTER RECEIVING RECOMMENDATIONS FROM THE BOARD, PROVIDED THAT THE MEMBERS' APPOINTMENT AUTHORITY SHALL NOT BE LIMITED TO THE NOMINATIONS RECEIVED; TO REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD OF DIRECTORS, ANY MEMBER OF THE BOARD OF THIS CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD OF DIRECTORS, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THIS CORPORATION; TO APPROVE FOR THIS CORPORATION, OR FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, 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 THIS CORPORATION; TO APPROVE THE MERGER, DISSOLUTION OR CORPORATE RESTRUCTURING OF THIS CORPORATION OR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT. THE FORM 990 IS REVIEWED BY SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 WAS ALSO REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCLHS' PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS SUGGESTIVE OF A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS AND MANAGERS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. FORM 990, PART VI, SECTION B, LINE 15 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) PROCESS FOR DETERMINING COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN SELF INSURED LIABILITY -5,719,395. EQUITY TRANSFER - FUND NEGATIVE CASH BALANCES IN PHYSICIAN CLINICS 29,395,101. EQUITY TRANSFER - TOUCHSTONE -180,536. FAS 157 CREDIT RISK ADJUSTMENT 370,750. FAS 158 UNRECOGNIZED FROZEN DB PLAN 12,906,609. 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