INTERMOUNTAIN FRONT RANGE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: INTERMOUNTAIN FRONT RANGE INC (EIN 84-1103606)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-11-06
IRS object ID: 201723109349302347
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-11-06T17:04:33-06:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	841103606	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCL HEALTH - FRONT RANGE INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SCLH	BusinessNameControlTxt
Phone	3038135342	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 ELDORADO BLVD SUITE 4300	AddressLine1Txt
City	BROOMFIELD	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80021	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	LYDIA JUMONVILLE	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	3038135190	PhoneNum
Signature	2017-11-06	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	170.188.5.33	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-11-06	IPDt
IP Tm	11:03:51	IPTm
IP Timezone	MS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	21D41915109BBFDF47C985C99F3E7EFCCD634A0A	AtSubmissionCreationDeviceId
At Submission Filing Device Id	21D41915109BBFDF47C985C99F3E7EFCCD634A0A	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2018-03-14 21:41:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	LYDIA JUMONVILLE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 ELDORADO BLVD SUITE 4300	AddressLine1Txt
City	BROOMFIELD	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80021	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$813,200,628	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SCLHEALTH.ORG/LOCATIONS	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1988	FormationYr
Legal Domicile State	CO	LegalDomicileStateCd
Activity Or 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.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	6835	TotalEmployeeCnt
Total Volunteers	1072	TotalVolunteersCnt
Total Gross UBI	$865,929	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$418,251	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,399,216	PYContributionsGrantsAmt
CY Contributions Grants	$2,921,268	CYContributionsGrantsAmt
PY Program Service Revenue	$757,055,320	PYProgramServiceRevenueAmt
CY Program Service Revenue	$796,204,283	CYProgramServiceRevenueAmt
PY Investment Income	$12,841,659	PYInvestmentIncomeAmt
CY Investment Income	$8,291,964	CYInvestmentIncomeAmt
PY Other Revenue	$2,714,305	PYOtherRevenueAmt
CY Other Revenue	$3,925,869	CYOtherRevenueAmt
PY Total Revenue	$775,010,500	PYTotalRevenueAmt
CY Total Revenue	$811,343,384	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,581,283	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,035,814	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$348,170,762	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$361,654,876	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$404,424,839	PYOtherExpensesAmt
CY Other Expenses	$413,617,578	CYOtherExpensesAmt
PY Total Expenses	$754,176,884	PYTotalExpensesAmt
CY Total Expenses	$777,308,268	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,833,616	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$34,035,116	CYRevenuesLessExpensesAmt
Total Assets BOY	$795,939,679	TotalAssetsBOYAmt
Total Assets EOY	$609,510,296	TotalAssetsEOYAmt
Total Liabilities BOY	$307,781,212	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$297,477,277	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$488,158,467	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$312,033,019	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OFTHE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POORAND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$649,303,668	ExpenseAmt
Grant	$2,035,814	GrantAmt
Revenue	$799,005,626	RevenueAmt
Desc	SEE SCHEDULE O	Desc
Total Program Service Expenses	$649,303,668	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	Yes (1)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	628	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	6835	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KYLE ENGMAN	PersonNm
Phone	3038135543	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 ELDORADO BLVD SUITE 4200	AddressLine1Txt
City	BROOMFIELD	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80021	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEPHEN COBB MD
MEMBER-RESIGNED FROM SCL HEALTH 4/25/16	1.00	50.00	Yes (X)	$0	$238,342	$81,035
LORI FOX
BECAME CHAIR SEPTEMBER 2016	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
FAYE HUMMEL RN
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
LYDIA JUMONVILLE
TREASURER	2.00	50.00	Yes (X)	$0	$1,012,271	$238,836	Yes (X)
KEVIN MILLER MD
MEMBER	50.00	1.00	Yes (X)	$778,152	$0	$39,897
MICHAEL SALEM MD
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
RICHARD ALLEN SCHIERBURG MD
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
MICHAEL SLUBOWSKI
MEMBER	1.00	50.00	Yes (X)	$0	$1,951,205	$38,596
MICHAEL TAYLOR
VICE CHAIR	2.00	50.00	Yes (X)	$0	$849,356	$156,505	Yes (X)
MARLA WILLIAMS
CHAIR RESIGNED SEPTEMBER 2016	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
ELIZABETH CARVER
SECRETARY	2.00	50.00		$0	$295,936	$36,337	Yes (X)
J GRANT WICKLUND
PRESIDENT-CEO LMC	50.00	2.00		$0	$555,162	$263,703	Yes (X)
DAVID HAMM
PRESIDENT - CEO GSMC	50.00	0.00		$0	$530,418	$208,359	Yes (X)
JAMES DOYLE
VP FINANCE SERVICES	2.00	50.00		$0	$249,231	$59,738	Yes (X)
JOHN HIGGINS
VICE PRESIDENT AND CFO GSMC	50.00	0.00		$0	$229,420	$62,000	Yes (X)
ANDREA BURCH
VP CHIEF NURSING OFFICER LMC	50.00	0.00		$0	$177,628	$10,905		Yes (X)
SCOTT DAY
VP HUMAN RESOURCES LMC	50.00	0.00		$0	$231,225	$54,161		Yes (X)
BETH FORSYTH
CHIEF OPERATING OFFICER-GSMC	50.00	0.00		$0	$307,851	$63,936		Yes (X)
CHRISTINA JOHNSON
VP OPERATIONS LMC	50.00	0.00		$0	$442,546	$70,580		Yes (X)
SUSAN KERSCHEN
VP-CHIEF NURSING OFFICER GSMC	50.00	0.00		$0	$261,457	$60,909		Yes (X)
THOMAS MYDLER
CHIEF MEDICAL OFFICER GSMC	50.00	0.00		$0	$367,116	$76,480		Yes (X)
BRIAN WITWER MD
PHYSICIAN	50.00	0.00		$960,297	$0	$41,673			Yes (X)
JASON SHOFNOS MD
PHYSICIAN	50.00	0.00		$838,686	$0	$40,463			Yes (X)
JAMES THOMPSON MD
PHYSICIAN	50.00	0.00		$812,422	$0	$35,293			Yes (X)
ROBERT REPLOGLE MD
PHYSICIAN	50.00	0.00		$803,230	$0	$18,222			Yes (X)
BASHEAL AGRAWAL MD
PHYSICIAN	50.00	0.00		$791,623	$0	$42,771			Yes (X)
ROBERT LADENBURGER
FORMER OFFICER	0.00	0.00		$0	$323,001	$6,893				Yes (X)
ROSLAND MCLEOD
FORMER OFFICER	0.00	50.00		$0	$570,645	$168,979				Yes (X)
KAREN SCREMIN
FORMER OFFICER	0.00	50.00		$0	$342,779	$54,820				Yes (X)
AMY PACEY
FORMER KEY EMPLOYEE	0.00	50.00		$0	$229,794	$41,397				Yes (X)
GERALDINE TOWNDROW
FORMER KEY EMPLOYEE	0.00	50.00		$0	$402,244	$22,315				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,984,410	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,567,627	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,994,803	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	596	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
NATIONAL JEWISH HEALTH
1400 JACKSON STREET	DENVER	CO	80206	MEDICAL SERVICES	$6,385,082
MIDTOWN INPATIENT MEDICINE LLC
535 16TH STREET	DENVER	CO	802024228	HOSPITALIST SERVICES	$6,225,792
COLORADO PATHOLOGY CONSULTANTS
PO BOX 840274	DALLAS	TX	752840274	PATHOLOGY SERVICES	$4,144,051
HUDSPETH & ASSOCIATES INC
4775 S SANTA FE CIRCLE	ENGLEWOOD	CO	80110	CONSTRUCTION SERVICES	$3,734,568
SAUNDERS EXPRESS LLC
6950 SOUTH JORDAN ROAD	CENTENNIAL	CO	80112	CONSTRUCTION SERVICES	$3,437,776

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	99	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,682,806	RelatedOrganizationsAmt
Government Grants	$1,238,462	GovernmentGrantsAmt
Total Contributions	$2,921,268	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$794,588,161	$794,227,553	$360,608
COLORADO LUTHERAN HOME	623990	$1,398,434	$1,398,434
MEDICAL DIRECTOR FEES	621110	$217,688	$217,688

Field	Value	IRS element (for citing)
Total Program Service Revenue	$796,204,283	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,308,610	TotalRevenueColumnAmt
Exclusion	$8,308,610	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,718,481	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,124,031	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$594,450	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$594,450	TotalRevenueColumnAmt
Unrelated Business Revenue	$175,321	UnrelatedBusinessRevenueAmt
Exclusion	$419,129	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$522,673	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$539,319	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$16,646	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$16,646	TotalRevenueColumnAmt
Exclusion	-$16,646	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$393,970	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$193,894	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$200,076	TotalRevenueColumnAmt
Exclusion	$200,076	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	624210	$2,769,052	$2,769,052
MEDICAL DIRECTORS' FEES	624210	$330,000		$330,000
VENDING MACHINE INCOME	624210	$32,291	$32,291

Field	Value	IRS element (for citing)
Other Revenue Total	$3,131,343	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$811,343,384	TotalRevenueColumnAmt
Related Or Exempt Func Income	$798,645,018	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$865,929	UnrelatedBusinessRevenueAmt
Exclusion	$8,911,169	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,485,547	TotalAmt
Program Services	$1,485,547	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$493,006	TotalAmt
Program Services	$493,006	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$57,261	TotalAmt
Program Services	$57,261	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,420,251	TotalAmt
Program Services	$5,027,994	ProgramServicesAmt
Management And General	$392,257	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$285,057,351	TotalAmt
Program Services	$264,428,092	ProgramServicesAmt
Management And General	$20,629,259	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,679,511	TotalAmt
Program Services	$11,830,214	ProgramServicesAmt
Management And General	$849,297	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$39,128,790	TotalAmt
Program Services	$36,946,518	ProgramServicesAmt
Management And General	$2,182,272	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$19,368,973	TotalAmt
Program Services	$18,179,731	ProgramServicesAmt
Management And General	$1,189,242	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$282	TotalAmt
Program Services	$282	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,864	TotalAmt
Program Services	$3,864	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$11,424	TotalAmt
Management And General	$11,424	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$63,957,040	TotalAmt
Program Services	$61,064,834	ProgramServicesAmt
Management And General	$2,892,206	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,773,448	TotalAmt
Program Services	$2,512,591	ProgramServicesAmt
Management And General	$2,260,857	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,630,591	TotalAmt
Program Services	$2,402,294	ProgramServicesAmt
Management And General	$228,297	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$41,792,172	TotalAmt
Management And General	$41,792,172	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,705,784	TotalAmt
Program Services	$15,385,202	ProgramServicesAmt
Management And General	$320,582	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$904,873	TotalAmt
Program Services	$606,607	ProgramServicesAmt
Management And General	$298,266	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,304,404	TotalAmt
Program Services	$1,153,403	ProgramServicesAmt
Management And General	$151,001	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$9,444,209	TotalAmt
Program Services	$9,443,297	ProgramServicesAmt
Management And General	$912	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$29,854,076	TotalAmt
Program Services	$29,854,076	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$5,553,426	TotalAmt
Program Services	$5,524,231	ProgramServicesAmt
Management And General	$29,195	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$112,499,804	$111,314,791	$1,185,013
MEDICAL PROVIDER TAXES	$31,322,026	$31,322,026
BAD DEBT	$22,917,313	$22,917,313
BILLING & COLLECTION -	$19,953,728		$19,953,728

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$50,989,114	TotalAmt
Program Services	$17,350,494	ProgramServicesAmt
Management And General	$33,638,620	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$777,308,268	TotalAmt
Program Services	$649,303,668	ProgramServicesAmt
Management And General	$128,004,600	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$24,932	BOYAmt
EOY	$573,497	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$287,000	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$83,761,097	BOYAmt
EOY	$81,030,543	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,146,838	BOYAmt
EOY	$1,794,139	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,056,939	BOYAmt
EOY	$12,946,264	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,831,827	BOYAmt
EOY	$6,821,114	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,032,391,847	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$609,582,431	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$412,062,320	BOYAmt
EOY	$422,809,416	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$32,603	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$941,040	BOYAmt
EOY	$941,040	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$277,795,083	BOYAmt
EOY	$82,594,283	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$795,939,679	BOYAmt
EOY	$609,510,296	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$58,198,446	BOYAmt
EOY	$56,145,352	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$117,903	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,601,494	BOYAmt
EOY	$1,601,494	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$2,305,422	BOYAmt
EOY	$2,243,478	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$245,675,850	BOYAmt
EOY	$237,369,050	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$307,781,212	BOYAmt
EOY	$297,477,277	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$488,158,467	BOYAmt
EOY	$312,033,019	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$488,158,467	BOYAmt
EOY	$312,033,019	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$795,939,679	BOYAmt
EOY	$609,510,296	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$34,035,116	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$766	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$210,161,330	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$11,424	OtherActivitiesAmt
Total Lobbying Expenditures	$11,424	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	SCHEDULE C, PART II-B, QUESTION 1I LOBBYING EXPENDITURES LOBBYING EXPENDITURES INCLUDES THE PORTIONS OF VARIOUS MEMBERSHIP DUES THAT ARE DESIGNATED AS LOBBYING EXPENSE BY THOSE ORGANIZATIONS IN WHICH SCL HEALTH - FRONT RANGE, INC. OR ITS ENTITIES ARE MEMBERS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,329,102	BeginningYearBalanceAmt
Contributions	$3,500	ContributionsAmt
Investment Earnings Or Losses	$250,818	InvestmentEarningsOrLossesAmt
Other Expenditures	$335,359	OtherExpendituresAmt
End Year Balance	$6,248,061	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,884,823	BeginningYearBalanceAmt
Investment Earnings Or Losses	$98,225	InvestmentEarningsOrLossesAmt
Other Expenditures	$653,946	OtherExpendituresAmt
End Year Balance	$6,329,102	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,612,331	BeginningYearBalanceAmt
Contributions	$177,166	ContributionsAmt
Investment Earnings Or Losses	$95,326	InvestmentEarningsOrLossesAmt
End Year Balance	$6,884,823	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$510	BeginningYearBalanceAmt
Contributions	$6,611,821	ContributionsAmt
End Year Balance	$6,612,331	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$510	BeginningYearBalanceAmt
End Year Balance	$510	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,640,041	OtherCostOrOtherBasisAmt
Book Value	$24,640,041	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$568,144,629	OtherCostOrOtherBasisAmt
Depreciation	$271,363,435	DepreciationAmt
Book Value	$296,781,194	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,513,535	OtherCostOrOtherBasisAmt
Depreciation	$34,731,361	DepreciationAmt
Book Value	$10,782,174	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$368,033,722	OtherCostOrOtherBasisAmt
Depreciation	$303,487,635	DepreciationAmt
Book Value	$64,546,087	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,059,920	OtherCostOrOtherBasisAmt
Book Value	$26,059,920	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$422,809,416	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLES	$80,736,160
PHARMACY - RECEIVABLES	$737,740
RENT RECEIVABLES	$11,525
OTHER RECEIVABLES	$704,767
MEDICARE RECEIVABLE	$404,091

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$82,594,283	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
LESSEE DEPOSITS	$72,948
CAPITALIZED LEASE OBLIGATIONS	$51,326
LIABILITY-MITIGATION	$2,349,776
NOTE PAYABLE TO SCLHS	$234,895,000

Field	Value	IRS element (for citing)
Total Liability	$237,369,050	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	THE SCL HEALTH - FRONT RANGE, INC., ENDOWMENT FUNDS ARE HELD AND ADMINISTERED BY THE RELATED ORGANIZATION LUTHERAN MEDICAL CENTER FOUNDATION. THE ENDOWMENT FUNDS CONSIST OF: 1) THE HEALTH EDUCATION ENDOWMENT FUND. THE PURPOSE IS TO SUPPORT HEALTH EDUCATION IN THE COMMUNITY. DISTRIBUTIONS ARE LIMITED BY BOARD ACTION TO THREE PERCENT OF ANNUAL VALUE. 2) THE FRIENDS OF HOSPICE ENDOWMENT FUND. THE PURPOSE IS LIMITED TO PROGRAMS AT LUTHERAN HOSPICE. DISTRIBUTIONS ARE LIMITED TO THREE PERCENT OF ANNUAL VALUE. 3) THE VOLUNTEER ENDOWMENT FUND. THE PURPOSE IS TO SUPPORT PROGRAMS AND ACTIVITIES OF THE VOLUNTEERS AT LUTHERAN MEDICAL CENTER. DISTRIBUTIONS FROM THE FUND CAN ONLY BE MADE IF THE FUND BALANCE IS GREATER THAN $1 MILLION. 4) THE CLH ENDOWMENT FUND. THE PURPOSE IS TO SUPPORT COLORADO LUTHERAN HOME. DISTRIBUTIONS FROM THE FUND CAN ONLY BE MADE IF THE FUND BALANCE IS GREATER THAN $1 MILLION. ACCOUNTS FOR ENDOWMENT FUNDS WERE INVESTED, ALLOWING INCOME AND PRINCIPAL TO GROW OVER TIME.	ExplanationTxt

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	SUB-SAHARAN AFRICA	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	GRANT	TypeOfActivitiesConductedTxt
Specific Services Provided	HOSPITAL & MEDICAL CENTER	SpecificServicesProvidedTxt
Region Total Expenditures	$57,261	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continutation Total Office	0	ContinutationTotalOfficeCnt
Continutation Total Employee	0	ContinutationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$57,261	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$57,261	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

Field	Value	IRS element (for citing)
Region	SUB-SAHARAN AFRICA	RegionTxt
Purpose Of Grant	SUPPORT SELIAN LUTHERAN HOSPITAL AND ITS SISTER HOSPITAL ARUSHA LUTHERAN MEDICAL CENTER IN TANZANIA.	PurposeOfGrantTxt
Cash Grant	$46,000	CashGrantAmt
Manner Of Cash Disbursement	WIRE TRANSFER	MannerOfCashDisbursementTxt
Non Cash Assistance	$11,261	NonCashAssistanceAmt
Description Of Non Cash Asst	MEDICAL AIR COMPRESSOR	DescriptionOfNonCashAsstTxt
Valuation Method Used	BOOK	ValuationMethodUsedDesc

Field	Value	IRS element (for citing)
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	0	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART 1, LINE 2	FormAndLineReferenceDesc
Explanation	SCL HEALTH - FRONT RANGE, INC.(SCLHFR) PROVIDES ASSISTANCE TO ONLY ONE ORGANIZATION OUTSIDE THE U.S. SCLHFR OBTAINED AN INITIAL NEEDS ASSESSMENT REPORT FROM THE ORGANIZATION, WHICH ALSO OUTLINED THE COMMITMENT OF SCLHFR TO PROVIDE SUPPORT TO THE ORGANIZATION BASED ON AN INITIAL SITE VISIT. SCLHFR MAINTAINS REGULAR CONTACT WITH THE ORGANIZATION, SENDS A TEAM OF CLINICIANS FOR SITE VISITS TO THE ORGANIZATION EVERY YEAR AND REVIEWS THE ORGANIZATION'S ANNUAL REPORT.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,611,810	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,611,810	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$141,278,584	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,727,755	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$44,550,829	NetCommunityBenefitExpnsAmt
Total Expense	0.05910	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$366,023	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$258,720	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$107,303	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$146,256,417	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$96,986,475	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$49,269,942	NetCommunityBenefitExpnsAmt
Total Expense	0.06530	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$426,045	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,455	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$382,590	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,106,767	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,144	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,058,623	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,458,948	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,866,394	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,592,554	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$53,172	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$53,172	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,344,989	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,344,989	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,389,921	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$16,957,993	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,431,928	NetCommunityBenefitExpnsAmt
Total Expense	0.01250	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$172,646,338	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$113,944,468	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$58,701,870	NetCommunityBenefitExpnsAmt
Total Expense	0.07780	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$230	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$230	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,680	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,680	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,910	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,910	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$22,917,313	BadDebtExpenseAmt
Reimbursed By Medicare	$222,634,557	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$312,082,377	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$89,447,820	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 E PLUS PET IMAGING X LP
RADIOLOGY SERVICES	0.42860	0.00000	0.57140
2 EKG INTERPRETATION SERVICE
EKG INTERPRETATION	0.86850	0.00000	0.13150

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd
GOOD SAMARITAN MEDICAL CENTER
1	200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	FOR WEBSITE SEE SCHEDULE "O"	011529	Yes (X)	Yes (X)	Yes (X)
LUTHERAN MEDICAL CENTER
2	8300 W 38TH AVENUE	WHEAT RIDGE	CO	80211	FOR WEBSITE SEE SCHEDULE "O"	010440	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Prior CHNA ImpactPriorCHNAImpactInd
GOOD SAMARITAN MEDICAL CENTER LLC
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	HTTP://WWW.BOULDERCOUNTYHEALTHCOMPASS.ORG/	Yes (X)	Yes (1)	16	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
LUTHERAN MEDICAL CENTER
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (1)	0	Yes (1)	Yes (1)	Yes (X)	SEE PART V, SECTION C			Yes (X)	Yes (1)	16	Yes (1)	SEE PART V, SECTION C	0	Yes (1)	Yes (X)	200.000000000000	400.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	SEE PART V, SECTION C	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0	Yes (X)

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GOOD SAMARITAN MEDICAL CENTER, LLC	PART V, SECTION B, LINE 5: THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT FOR GOOD SAMARITAN MEDICAL CENTER REPRESENTS A SYSTEMATIC APPROACH TO IDENTIFY TOP HEALTH PRIORITIES FOR 2016-2018 TO GUIDE EFFORTS FOR IMPROVEMENT IN COMMUNITY HEALTH AND WELLNESS IN BOULDER AND BROOMFIELD COUNTIES.TWO SETS OF DATA WERE REVIEWED TO IDENTIFY TOP PRIORITIES FOR THECOMMUNITIES SERVED BY GOOD SAMARITAN MEDICAL CENTER. QUANTITATIVE DATA WAS OBTAINED FROM THE BOULDER COUNTY HEALTH COMPASS WEBSITE AND THE CITY AND COUNTY OF BROOMFIELD. THE QUALITATIVE DATA WAS COLLECTED FROM AN ONLINE KEY INFORMANT SURVEY PERFORMED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. THE ONLINE KEY INFORMANT SURVEY INCLUDED PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY AND THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE IN PUBLIC HEALTH.GOOD SAMARITAN MEDICAL CENTER STAFF MET ON SEVERAL OCCASIONS WITH BOULDERCOUNTY PUBLIC HEALTH AND BROOMFIELD COUNTY PUBLIC HEALTH TO IDENTIFYEXISTING HEALTH NEEDS IN THE COMMUNITY. AS A RESULT, 12 PRIORITY HEALTHNEEDS WERE IDENTIFIED BY THOSE WITH SPECIAL KNOWLEDGE AND EXPERTISE INPUBLIC HEALTH. A WEBPAGE WAS DEVELOPED BY BOULDER COUNTY PUBLIC HEALTHSPECIFIC TO THE IDENTIFIED EXISTING HEALTH NEEDS AS A DATA DASHBOARD. THEDASHBOARD INCLUDED DATA FROM BOTH BOULDER COUNTY AND BROOMFIELD COUNTYWHILE HIGHLIGHTING THE TOP 12 IDENTIFIED EXISTING NEEDS AS WELL ASMORTALITY DATA. THE DASHBOARD ON THE NEW WEBSITE IS ACCESSIBLE TO THEPUBLIC AND IS BEING UPDATED CONSISTENTLY AS NEW DATA IS AVAILABLE.THE ONLINE KEY INFORMANT SURVEY WAS DESIGNED TO CAPTURE THE VOICES,THOUGHTS AND HEALTHCARE EXPERIENCES OF COMMUNITY STAKEHOLDERS SERVING VULNERABLE POPULATIONS IN THE HOSPITAL'S SERVICE AREA. PARTICIPANTS FORTHE SURVEY WERE IDENTIFIED COLLABORATIVELY BY GOOD SAMARITAN MEDICALCENTER, BOULDER COUNTY PUBLIC HEALTH AND BROOMFIELD COUNTY PUBLIC HEALTH.AS A RESULT, 300 INDIVIDUALS REPRESENTING 29 COMMUNITY ORGANIZATIONS THATWORK TO IMPROVE THE HEALTH NEEDS OF THE COMMUNITY, INCLUDING LOW-INCOME,MINORITY AND THE MEDICALLY UNDERSERVED POPULATIONS, WERE SELECTED TOCOMPLETE THE SURVEY.SURVEY PARTICIPANTS RATED THE SCOPE AND SEVERITY OF EACH OF THE 12 HEALTHISSUES ON A SCALE OF 1 TO 10. ADDITIONAL OPEN-ENDED QUESTIONS WERE ASKEDOF RESPONDENTS TO ENSURE ALL COMMUNITY HEALTH NEEDS WERE IDENTIFIED. A TOTAL OF 53 INDIVIDUALS, REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY, COMPLETED THE SURVEY.
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 5: LUTHERAN MEDICAL CENTER, A COMMUNITY-BASED, ACUTE-CARE HOSPITAL LOCATED IN WHEAT RIDGE, COLORADO, IS COMMITTED TO IMPROVING THE HEALTH OF ITS COMMUNITY. IN SO DOING, LUTHERAN WORKED CLOSELY WITH COMMUNITY PARTNERS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2015. THE GOAL FOR THE CHNA WAS TO DETERMINE CURRENT AND PROJECTED FUTURE HEALTH CARE NEEDS IN THE LUTHERAN PRIMARY COMMITMENT AREA AND TO IDENTIFY GAPS IN SERVICES TO IMPROVE THE HEALTH OF JEFFERSON COUNTY RESIDENTS. THE CHNA FEATURES EXTENSIVE BACKGROUND RESEARCH, INCLUDING DEMOGRAPHIC ANALYSIS AND LITERATURE REVIEW. THE ASSESSMENT TEAM SOUGHT INPUT AND ENGAGEMENT FROM COMMUNITY MEMBERS, COMMUNITY ORGANIZATIONS, BUSINESS LEADERS, NON-PROFIT PARTNERS REPRESENTING THE MEDICALLY UNDERSERVED, AS WELL AS INTERNAL STAKEHOLDERS AT LUTHERAN MEDICAL CENTER. THESE PARTNERS ACTIVELY PARTICIPATED IN THE QUALITATIVE REVIEW AND ASSESSMENT PRIORITIZATION COMPONENTS OF THE CHNA. PARTNERS INCLUDED BUT WERE NOT LIMITED TO JEFFERSON COUNTY PUBLIC HEALTH, METRO COMMUNITY PROVIDER NETWORK, MEDICAL STAFF AT LUTHERAN MEDICAL CENTER, WEST CHAMBER SERVING JEFFERSON COUNTY'S YOUTH LEADERSHIP JEFFERSON COUNTY, MUNICIPALITIES, AREA NON-PROFITS, AND CIVIC, COMMUNITY, AND BUSINESS LEADERS. KEY FINDINGS HAVE IDENTIFIED GAPS AND UNMET NEEDS FOR HEALTHCARE IN THE SERVICE AREA AND WILL INFORM RECOMMENDATIONS AND STRATEGIC IMPLEMENTATIONS FOR THE LUTHERAN SERVICE DELIVERY MODEL TO FILL THE GAPS. KEY FINDINGS FOR THIS CHNA ARE: (1) ACCESS TO HEALTHCARE; (2) CHRONIC DISEASE MANAGEMENT; (3) BEHAVIORAL HEALTH; AND (4) OBESITY.
GOOD SAMARITAN MEDICAL CENTER, LLC	PART V, SECTION B, LINE 6A: N/A
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 6A: N/A
GOOD SAMARITAN MEDICAL CENTER, LLC	PART V, SECTION B, LINE 6B: ORGANIZATIONS THAT PARTICIPATED WITH GOOD SAMARITAN MEDICAL CENTER FORCOMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED: * BOULDER COUNTY PUBLIC HEALTH, BOULDER, COLORADO* BROOMFIELD PUBLIC HEALTH AND ENVIRONMENT, BROOMFIELD, COLORADO* PROFESSIONAL RESEARCH CONSULTANTS, INC., OMAHA, NEBRASKA* COMMUNITY HEALTH PARTNERS, INC., COLORADO SPRINGS, COLORADO
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 6B: PARTNERS INCLUDED BUT WERE NOT LIMITED TO JEFFERSON COUNTY PUBLIC HEALTH, METRO COMMUNITY PROVIDER NETWORK, MEDICAL STAFF AT LUTHERAN MEDICAL CENTER, WEST CHAMBER SERVING JEFFERSON COUNTY'S YOUTH LEADERSHIP JEFFERSON COUNTY, MUNICIPALITIES, AREA NON-PROFITS, AND CIVIC, COMMUNITY, AND BUSINESS LEADERS.SOME KEY PARTNERS IN THE PROCESS ARE:1) METRO COMMUNITY PROVIDER NETWORKA FEDERALLY QUALIFIED HEALTH CENTER PROVIDING SERVICES TO LOW-INCOME RESIDENTS OF ADAMS, ARAPAHOE, DOUGLAS, JEFFERSON, AND PARK COUNTIES IN COLORADO AND THE CITIES OF AURORA, ARVADA, EDGEWATER, ENGLEWOOD, LAKEWOOD, LITTLETON, PARKER AND WHEAT RIDGE. 2) BRIDGES TO CARECOLORADO PROJECT AIMED AT IDENTIFYING TRENDS IN EMERGENCY ROOM UTILIZATION AND GUIDING REFERRALS INTO PRIMARY CARE.3) SENIOR RESOURCE CENTERA COLORADO NON-PROFIT PROVIDING INFORMATION, SERVICES, AND ADVOCACY FOR SENIORS IN THE DENVER METRO AREA. 4) JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENTKEY DATA SOURCE FOR DEMOGRAPHIC AND PUBLIC HEALTH DATA AS PART OF THE 2015 CHNA PROCESS.5) COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENTKEY DATA SOURCE FOR DEMOGRAPHIC AND PUBLIC HEALTH DATA AS PART OF THE 2015 CHNA PROCESS. PROVIDES THE INFRASTRUCTURE FOR THE COLORADO HEALTHY HOSPITAL COMPACT.GOOD SAMARITAN MEDICAL CENTER, LLC.PART V, SECTION B, LINE 7A, HOSPITAL FACILITY'S WEBSITE: HTTPS:/WWW.SCLHEALTH.ORG/LOCATIONS/GOOD-SAMARITAN-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/GOOD SAMARITAN MEDICAL CENTER, LLC.PART V, SECTION B, LINE 10A, HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY POSTED ON WEBSITE:HTTPS:/WWW.SCLHEALTH.ORG/LOCATIONS/GOOD-SAMARITAN-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/LUTHERAN MEDICAL CENTERPART V, SECTION B, LINE 7A, HOSPITAL FACILITY'S WEBSITE:HTTPS:/WWW.SCLHEALTH.ORG/LOCATIONS/LUTHERAN-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/LUTHERAN MEDICAL CENTERPART V, SECTION B, LINE 10A, HOSPITAL'S MOST RECENTLY ADOPTED IMPLEMENTATION STRATEGY POSTED ON WEBSITE:HTTPS:/WWW.SCLHEALTH.ORG/LOCATIONS/LUTHERAN-MEDICAL-CENTER/ABOUT/COMMUNITY-BENEFIT/
GOOD SAMARITAN MEDICAL CENTER, LLC	PART V, SECTION B, LINE 11: IN 2015 GOOD SAMARITAN MEDICAL CENTER (GSMC) ENGAGED PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) TO CONDUCT A CHNA CONCERNING THE HEALTH STATUS OF THE HOSPITAL'S COMMUNITY. BOULDER COUNTY PUBLIC HEALTH (BCPH) AND BROOMFIELD COUNTY PUBLIC HEALTH WERE ENGAGED TO PROVIDE HEALTH DATA USED IN THE SURVEY. COMMUNITY LEADERS AND HEALTHCARE LEADERS IN BOULDER AND BROOMFIELD COUNTIES WERE SURVEYED TO DETERMINE THE TOP HEALTH NEEDS. THE TOP HEALTH NEEDS IDENTIFIED BY SURVEY PARTICIPANTS WERE:* OLDER ADULTS & AGING* MENTAL HEALTH* CANCER* SUBSTANCE ABUSE, INCLUDING TOBACCO* EXERCISE, NUTRITION & WEIGHT* HEART DISEASE & STROKE* DIABETES* IMMUNIZATIONS & INFECTIOUS DISEASES* ORAL HEALTH* ACCESS TO HEALTH SERVICES* RESPIRATORY DISEASES* MATERNAL, FETAL & INFANT HEALTHA TASK FORCE OF KEY COMMUNITY HEALTHCARE LEADERS, PUBLIC HEALTH OFFICIALS,AND INTERNAL SENIOR HOSPITAL LEADERS MET TO RANK AND PRIORITIZE THE 12HEALTH NEEDS. THE SCOPE AND SEVERITY OF HEALTH ISSUES WERE EVALUATED ASWELL AS GOOD SAMARITAN MEDICAL CENTER'S ABILITY TO IMPACT THE IDENTIFIED HEALTH ISSUES. THE FINAL SELECTION OF THE TWO TOP HEALTH NEEDS GSMC WILL ADDRESS DURING 2016-2018 INCLUDE:1. MENTAL HEALTH2. ACCESS TO HEALTH SERVICESGIVEN THE LIMITED FINANCIAL RESOURCES, AS WELL AS THE LIMITED STAFF, THE STRATEGIC DECISION WAS MADE TO FOCUS ON TWO TOP HEALTH NEEDS. THE ABILTIY TO MAKE A SIGNIFICANT IMPACT WILL BE GREATLY IMPROEVED BY NARROWING THE FOCUS TO TWO TOP HEALTH NEEDS. THE ACTIONS GSMC INTENDS TO TAKE TO ADDRESS THE TOP HEALTH NEEDS INCLUDE:* EVALUATE THE FEASIBILITY OF DEVELOPING BEHAVIORAL HEALTH SERVICES VIA TELEHEALTH FOR BOULDER AND BROOMFIELD COUNTIES. THIS IS A BOLD, CREATIVE CHALLENGE THAT CAN IMPROVE ACCESS TO HEALTH CARE AND IMPROVE THE WAY BEHAVIORAL HEALTH SERVICES ARE PROVIDED.* WE WILL EVALUATE THE OPPORTUNITIES TO DEVELOP OR ENHANCEBEHAVIORAL HEALTH "NAVIGATORS" TO ASSIST IN MATCHING INDIVIDUALS WITH THEAPPROPRIATE MENTAL HEALTH RESOURCES. THIS SERVICE WILL ALSO SERVE AS A"CONNECTOR" TO ALL THE FRAGMENTED SERVICES NOW AVAILABLE IN THE COMMUNITY.* CONTINUE TO PARTNER WITH COMMUNITY MENTAL HEALTH PROVIDERS AND SCL PHYSICIANS, TO EMBED BEHAVIORAL HEALTH SERVICES INTO PRIMARY CARE CLINICS.EXTEND PILOT PROJECT WHICH ALLOWED GSMC TO SUPPORT A SOCIAL WORKER ANDNURSE PRACTITIONER WHO PROVIDE INTERVENTIONS, MONITORING AND DRUGADMINISTRATION IN PRIMARY CARE CLINICS. PROVIDE SERVICES TO ALL AGES OF PATIENTS, INCLUDING CHILDREN AGE 14AND UNDER.* DURING 2016, 2,102 PATIENT ENCOUNTERS WERE DOCUMENTED BY EMBEDDING BEHAVIORAL HEALTH SERVICE INTO PRIMARY CARE CLINICS.* HIGH PRIMARY CARE PROVIDER SATISFACTION.DUE TO THE SUCCESS OF THE PILOT, PLANS TO PLACE BEHAVIORAL HEALTH SERVICES IN ADDITIONAL SCL PHYSICIAN CLINICS IN THE GSMC SERVICE AREA ARE BEING DEVELOPED.* PROVIDE ONGOING IN-KIND DONATIONS TO COMMUNITY ORGANIZATIONS THAT SERVETHOSE AFFECTED BY MENTAL HEALTH ISSUES: MOUNT SAINT VINCENT HOME, IMAGINE!FOUNDATION, MENTAL HEALTH PARTNERS, BAL SWAN CHILDREN'S CENTER, DEVEREUXCLEO WALLACE, MENTAL HEALTH CENTER OF BOULDER AND BROOMFIELD COUNTIES,FOOTHILLS BEHAVIORAL HEALTH PARTNERS, AND SENIOR REACH - A COLLABORATIONWITH JEFFERSON CENTER FOR MENTAL HEALTH, THE SENIORS' RESOURCE CENTER ANDMENTAL HEALTH PARTNERS.* PARTNER WITH LOCAL COMMUNITY ORGANIZATIONS TO INCREASE ACCESS TO HEALTHSERVICES THROUGH OPEN ENROLLMENT ASSISTANCE EVENTS AND SERVICES AND TRANSPORTATION TO HEALTH CARE SERVICES.* SEVERAL HOSPITAL STAFF MEMBERS SERVE ON BOARDS AND OR COMMUNITYCOMMITTEES THAT FOCUS ON MENTAL HEALTH ISSUES INCLUDING BOARD MEMBERSHIPFOR MENTAL HEALTH PARTNERS AND MOUNT SAINT VINCENT HOME.IN ADDITION TO MENTAL HEALTH AND ACCESS TO HEALTH SERVICES, THE HOSPITAL SUPPORTS OTHER AREAS OF NEED IN THE COMMUNITY INCLUDING SUPPORT OF ORGANIZATIONS THAT ADDRESS FOOD INSECURITY, ORAL HEALTH NEEDS FOR BOTH ADULTS AND CHILDREN, CANCER CARE ASSISTANCE, AND CHILDREN SAFETY PROGRAMS AMONG OTHERS. THE REMAINDER OF NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT TO GSMC, BUT DUE TO LIMITED RESOURCES AT THE HOSPITAL LEVEL, AND THE AVAILABILITY OF COMMUNITY ORGANIZATIONS WHO ARE ALREADY ADDRESSING NEEDS, GSMC CONTINUES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE ALL NEEDS AND HEALTH INDICATORS ARE BEING ADDRESSED.
LUTHERAN MEDICAL CENTER	PART V, SECTION B, LINE 11: THROUGH THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), LUTHERAN MEDICAL CENTER (LMC) IDENTIFIED THE FOLLOWING TOP PRIORITY FOCUS AREAS FOR INCLUSION IN THE 2016-2018 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP):ACCESS TO HEALTHCARETHE AIM FOR ADDRESSING ACCESS INCLUDE EFFORTS TO PROVIDE COMMUNITY-BASED EVENTS AND ACTIVITIES THAT BRING HEALTHCARE TO FAMILIES AND CHILDREN WHERE THEY LIVE IN OUR PRIMARY SERVICE AREA. THE PRIMARY STRATEGY FOR ADDRESSING THIS SIGNIFICANT HEALTH NEED IS TO PARTNER WITH THE JEFFERSON COUNTY PUBLIC HEALTH DEPARTMENT (JAPED) TO IMPROVE ACCESS BY REMOVING BARRIERS AND CREATING CONNECTIVITY TO APPROPRIATE HEALTH SERVICES AND COMMUNITY RESOURCES. THIS WILL BE ACCOMPLISHED THROUGH THE DEVELOPMENT OF A 340B PHARMACEUTICAL PLAN; INCREASED ACCESS FOR PATIENTS TO SERVICES THAT SUPPORT CHRONIC DISEASE MANAGEMENT INCLUDING PAIN MANAGEMENT, DIABETES MANAGEMENT AND EDUCATION, CARDIOVASCULAR PROGRAMS, AND CANCER SERVICES. IN ADDITION, LMC PLANS TO PARTNER WITH SAFETY NET CLINIC PARTNERS IN OUR PRIMARY SERVICE AREA INCLUDING METRO COMMUNITY PROVIDER NETWORK (MCPC), BRIDGES TO CARE, AND THE SENIOR RESOURCE CENTER IN ORDER TO ACHIEVE HIGHER LEVELS OF CARE ALIGNMENT THROUGH A PATIENT NAVIGATOR PROGRAM. BARRIERS TO ACCESS WILL BE IDENTIFIED THROUGH ADDITIONAL PARTNERSHIPS THAT PROMOTE PREVENTATIVE CARE INCLUDING ACCESS TO VIRTUAL HEALTH PROGRAMS. PREVENTATIVE CARE AND BEHAVIORAL HEALTHTHE AIMS FOR ADDRESSING PREVENTATIVE CARE AND BEHAVIORAL HEALTH ARE TO INTEGRATE SERVICES AND BUILD NETWORKS WHICH ALLOW PRIMARY CARE PROVIDERS TO DIRECT THEIR PATIENTS TO APPROPRIATE RESOURCES AND SERVICES. THE PRIMARY STRATEGY FOR ADDRESSING THESE SIGNIFICANT HEALTH NEEDS IS TO COLLABORATE WITH THE JAPED TO CREATE A COMPREHENSIVE COUNTY-WIDE PLAN TO CONNECT PATIENTS TO SERVICES ACROSS THE CONTINUUM OF PREVENTATIVE CARE, INCLUDING BEHAVIORAL HEALTH. THIS WILL BE ACCOMPLISHED THROUGH AN ASSESSMENT AND INVENTORY OF COMMUNITY RESOURCES TO LINK PATIENTS WITH SERVICES THAT TEACH THEM HOW TO BETTER MANAGE THEIR INDIVIDUAL CONDITIONS (E.G. MCPC, BRIDGES TO CARE, ETC.). IN ADDITION, LMC WILL DEVELOP AND PROVIDE EDUCATIONAL OPPORTUNITIES FOR CANCER, CARDIOVASCULAR, AND OTHER SERVICES TO PROVIDE IMPORTANT PREVENTATIVE CARE AND BEHAVIORAL HEALTH MESSAGES SUCH AS WARNING SIGNS OF CHRONIC OR ACUTE CONDITIONS (E.G. STROKE, DIABETES, ETC.). FINALLY, ACCESS TO BEHAVIORAL HEALTH SERVICES WILL BE SUPPLEMENTED BY PROGRAMS AIMED AT REDUCING THE STIGMA OF BEHAVIORAL HEALTH THEREBY ENCOURAGING INDIVIDUALS TO SEEK TREATMENT FOR BEHAVIORAL HEALTH CONDITIONS. OBESITYTHE AIMS FOR ADDRESSING THIS SIGNIFICANT HEALTH NEED INCLUDE PROGRAMS AND SERVICES THAT PROMOTE PHYSICAL ACTIVITY AND HEALTHY EATING. THIS WILL BE ACCOMPLISHED THROUGH COLLABORATION WITH JAPED AROUND INITIATIVES SUCH AS HEALTHY BEVERAGE CONSUMPTION, ACCESS TO HEALTHY FOOD, AND PHYSICAL ACTIVITY EDUCATION AND PROGRAMS. KEY GOALS FOR THIS AIM INCLUDE LINKING INDIVIDUALS TO WELLNESS RESOURCES INCLUDING FREE AND LOW-COST FITNESS AND HEALTH CLASSES, SUPPORT GROUPS, AND COUNSELING INCLUDING WEIGHT LOSS PROGRAMS. IN ADDITION, LMC WILL CONTINUE PARTICIPATION IN THE COLORADO HEALTH HOSPITAL COMPACT. ADDITIONAL ATTENTION WILL BE GIVEN TO THE CULTURAL RELEVANCE OF MATERIALS TO ENSURE THAT TARGET POPULATIONS MOST AT RISK FOR OBESITY AND DECREASED PHYSICAL ACTIVITY ARE ABLE TO READILY ACCESS PROGRAMS AND SERVICES. INITIATIVES THAT ENCOURAGE AND SUPPORT BREASTFEEDING WILL ALSO CONTINUE.HEALTH PRIORITIES NOT ADDRESSED BY THE CURRENT CHIPLUTHERAN MEDICAL CENTER (LMC) RECOGNIZES THAT THE OTHER HEALTH NEEDS AND INDICATORS IDENTIFIED IN THE 2015 LMC COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS ARE IMPORTANT FOR THE HOSPITAL AND THE COMMUNITIES IT SERVES. NUMEROUS OTHER ORGANIZATIONS ARE CONCURRENTLY ADDRESSING MANY OF THESE REMAINING NEEDS. THEREFORE, DUE TO LIMITED EXPERTISE AND RESOURCES AT THE INDIVIDUAL HOSPITAL LEVEL LMC HAS NARROWED ITS TOP PRIORITIES TO THE FOCUS AREAS LISTED ABOVE. LMC WILL, HOWEVER, CONTINUE TO BUILD PARTNERSHIPS WITH OTHER COMMUNITY AGENCIES IN OUR PRIMARY SERVICE AREA IN ORDER TO EXPAND OUR FOOTPRINT AS FAR AS POSSIBLE INTO ALL RELEVANT HEALTH PRIORITY AREAS WITHOUT CONCURRENTLY OVERTAXING AVAILABLE RESOURCES IN OUR IDENTIFIED PRIORITY AREAS. GOOD SAMARITAN MEDICAL CENTER, LLCPART V, SECTION B, LINE 16A, FINANCIAL ASSISTANCE POLICY WEBSITE:HTTPS:/WWW.SCLHEALTH.ORG/LOCATIONS/GOOD-SAMARITAN-HOSPITAL/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/LUTHERAN MEDICAL CENTERPART V, SECTION B, LINE 16A, FINANCIAL ASSISTANCE POLICY WEBSITE:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/LUTHERAN-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/GOOD SAMARITAN MEDICAL CENTER, LLCPART V, SECTION B, LINE 16B, FINANCIAL ASSISTANCE APPLICATION WEBSITE:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/GOOD-SAMARITAN-HOSPITAL/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/LUTHERAN MEDICAL CENTERPART V, SECTION B, LINE 16B, FINANCIAL ASSISTANCE APPLICATION WEBSITE:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/LUTHERAN-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/GOOD SAMARITAN MEDICAL CENTER, LLCPART V, SECTION B, LINE 16C, FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/GOOD-SAMARITAN-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE/LUTHERAN MEDICAL CENTERPART V, SECTION B, LINE 16C, FINANCIAL ASSISTANCE PLAIN LANGUAGE SUMMARY:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/LUTHERAN-MEDICAL-CENTER/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	90	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (90 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - CCC AT GOOD SAMARITAN HOSPITAL
300 EXEMPLA CIR	LAFAYETTE	CO	80026	PHYSICIAN CLINIC
2 - GOOD SAMARITAN PULMONARYCRITICAL CARE
200 EXEMPLA CIR	LAFAYETTE	CO	80026	PHYSICIAN CLINIC
3 - LMC BRIDGES CHIROPRACTIC SERVICES
8098 W 38TH AVE	WHEAT RIDGE	CO	800336114	PHYSICIAN CLINIC
4 - LMC ORTHOPEDIC HOSPITALISTS
3455 LUTHERAN PKWY	WHEAT RIDGE	CO	800336034	PHYSICIAN CLINIC
5 - LMC - SPINE CENTER - PHYSIATRY
1687 COLE BLVD SUITE 150	LAKEWOOD	CO	804013322	PHYSICIAN CLINIC
6 - LMC - SPINE CENTER - PSYCHOLOGY
1687 COLE BLVDSTE 150	LAKEWOOD	CO	804013322	PHYSICIAN CLINIC
7 - LMC - SPINE CENTER - SPINE CARE
1687 COLE BLVDSTE 150	LAKEWOOD	CO	804013322	PHYSICIAN CLINIC
8 - LMC MEDICAL ONCOLOGY
8300 W 38TH AVEDOOR 16	WHEAT RIDGE	CO	800336005	PHYSICIAN CLINIC
9 - LMC PALLIATIVE CARE
3210 LUTHERAN PKWY	WHEAT RIDGE	CO	800336019	PHYSICIAN CLINIC
10 - LUTHERAN PERINATOLOGY - MATERNAL
3655 N LUTHERAN PKWYSTE 408	WHEAT RIDGE	CO	800336012	PHYSICIAN CLINIC
11 - SCLP STAPLETON FAMILY OSM&PT
2803 ROSLYN ST	DENVER	CO	802382624	PHYSICIAN CLINIC
12 - SCLP ASSOCIATE HEALTH CENTER
500 ELDORADO BLVDBLDG 4 STE 4250	BROOMFIELD	CO	800213408	PHYSICIAN CLINIC
13 - SCLP BELMAR FAMILY MEDICINE
325 S TELLER ST STE 250	LAKEWOOD	CO	802267429	PHYSICIAN CLINIC
14 - SCLP BLUESTONE ADVANCED SURGERY
300 EXEMPLA CIR STE 400	LAFAYETTE	CO	800263396	PHYSICIAN CLINIC
15 - SCLP BROOMFIELD FAMILY OM&PT
12169 SHERIDAN BLVD	BROOMFIELD	CO	800202459	PHYSICIAN CLINIC
16 - SCLP COMPLETE FAMILY MEDICINE
8758 WOLFF CTSTE 200	WESTMINSTER	CO	800316904	PHYSICIAN CLINIC
17 - SCLP COMPREHENSIVE BREAST CARE
1960 N OGDEN ST STE 230	DENVER	CO	802183671	PHYSICIAN CLINIC
18 - SCLP COSMETIC & PLASTIC SURGERY
6500 W 104TH AVE STE 240	WESTMINSTER	CO	800204189	PHYSICIAN CLINIC
19 - SCLP CV SURGERY
3555 LUTHERAN PARKWAY STE 380	WHEAT RIDGE	CO	800336023	PHYSICIAN CLINIC
20 - SCLP DENVER MEDICAL ASSOCIATES
1960 OGDEN ST STE 120	DENVER	CO	802183667	PHYSICIAN CLINIC
21 - SCLP DENVER SPORTS MEDICINE
1960 OGDEN ST STE 30	DENVER	CO	802183667	PHYSICIAN CLINIC
22 - SCLP ENDOCRINE SERVICES & DIABETES
3555 LUTHERAN PKWY STE 180	WHEAT RIDGE	CO	800336000	PHYSICIAN CLINIC
23 - SCLP ESSENTIAL WOMEN'S CARE
1960 OGDEN ST STE 230	DENVER	CO	802183668	PHYSICIAN CLINIC
24 - SCLP FAMILY OF LAFAYETTE
3550 LUTHERAN PKWY G-20	WHEAT RIDGE	CO	800336016	PHYSICIAN CLINIC
25 - SCLP FIRESTONE FAMILY & OCCUPATIONAL
8350 COLORADO BLVD STE 160	FIRESTONE	CO	805046803	PHYSICIAN CLINIC
26 - SCLP FOOT & ANKLE CLINIC
9351 GRANT STREET SUITE 490	THORNTON	CO	802294365	PHYSICIAN CLINIC
27 - SCLP FRONT RANGE CARDIAC & THORACIC
1960 OGDEN ST STE 540	DENVER	CO	802183671	PHYSICIAN CLINIC
28 - SCLP GOOD SAMARITAN DIABETES & ENDOCRINE
300 EXEMPLA CIR STE 380	LAFAYETTE	CO	800263395	PHYSICIAN CLINIC
29 - SCLP GREEN MOUNTAIN FAMILY OM&PT
12792 C-1 W ALAMEDA PKWY	LAKEWOOD	CO	802282850	PHYSICIAN CLINIC
30 - SCLP GREEN MOUNTAIN MEDICAL CENTER
12790-A W ALAMEDA PKWY	LAKEWOOD	CO	802282850	PHYSICIAN CLINIC
31 - SCLP GYNECOLOGIC ONCOLOGY MIDTOWN
1960 OGDEN ST STE 520A	DENVER	CO	802183671	PHYSICIAN CLINIC
32 - SCLP GYNECOLOGIC ONCOLOGY NORTH
300 EXEMPLA CIRSTE 400A	LAFAYETTE	CO	800263396	PHYSICIAN CLINIC
33 - SCLP HEART INSITUTE OF COLORADO
1960 OGDEN ST STE 540	DENVER	CO	80218	PHYSICIAN CLINIC
34 - SCLP HEART INSTITUE OF COLORADO - NORTH
8300 ALCOTT ST STE 300	WESTMINSTER	CO	800314030	PHYSICIAN CLINIC
35 - SCLP HEART INSTITUTE OF COLORADO - GSMC
300 EXEMPLA CIR STE 310	LAFAYETTE	CO	800263394	PHYSICIAN CLINIC
36 - SCLP HEART INSTITUTE OF COLORADO - LMC
28000 MEADOW DR	EVERGREEN	CO	804392116	PHYSICIAN CLINIC
37 - SCLP HEART INSTITUTE OF COLORADO - LMC
3655 LUTHERAN PKWY STE 201	WHEAT RIDGE	CO	800336010	PHYSICIAN CLINIC
38 - SCLP HEART INSTITUTE OF COLORADO - SJH
1960 OGDEN ST STE 110	DENVER	CO	802183667	PHYSICIAN CLINIC
39 - SCLP LAFAYETTE FAMILY PEDIATRIC
2600 CAMPUS DR STE A	LAFAYETTE	CO	800263358	PHYSICIAN CLINIC
40 - SCLP LAFAYETTE INTERNAL & SPORTS MEDICIN
300 EXEMPLA CIR 300	LAFAYETTE	CO	800263394	PHYSICIAN CLINIC
41 - SCLP LARKRIDGE FAMILY OMPT
16570 WASHINGTON ST	THORNTON	CO	800238964	PHYSICIAN CLINIC
42 - SCLP LARKRIDGE PHYSICAL THERAPY
16571 WASHINGTON ST	THORNTON	CO	800238964	PHYSICIAN CLINIC
43 - SCLP LMC DIABETES EDUCATION CENTER
3555 LUTHERAN PKWY STE 180	WHEAT RIDGE	CO	800336000	PHYSICIAN CLINIC
44 - SCLP LMC-WHEAT RIDGE REHAB CTR - MTN STA
1960 OGDEN ST STE 520	DENVER	CO	80218	PHYSICIAN CLINIC
45 - SCLP LMC-WHEAT RIDGE REHAB CTR - WHEAT R
9830 I-70 FRONTAGE ROAD S	WHEAT RIDGE	CO	800331724	PHYSICIAN CLINIC
46 - SCLP LUTHERAN HEMATOLOGY & ONCOLOGY
3550 LUTHERAN PKWY STE 100-A	WHEAT RIDGE	CO	800336013	PHYSICIAN CLINIC
47 - SCLP MOUNTAIN STATES UROGYNECOLOGY - DEN
1960 OGDEN ST STE 520	DENVER	CO	802183671	PHYSICIAN CLINIC
48 - SCLP MOUNTAIN STATES UROGYNECOLOGY - LAF
300 EXEMPLA CIR STE 360	LAFAYETTE	CO	800263392	PHYSICIAN CLINIC
49 - SCLP NEUROSCIENCES NEUROLOGY SERVICES
300 EXEMPLA CIR STE 300	LAFAYETTE	CO	800263394	PHYSICIAN CLINIC
50 - SCLP NORTHWEST MEDICAL CENTER
12169 SHERIDAN BLVD	BROOMFIELD	CO	800202459	PHYSICIAN CLINIC
51 - SCLP OASIS FAMILY MEDICINE
360 S GARFIELD STE 500	DENVER	CO	802093136	PHYSICIAN CLINIC
52 - SCLP QUAIL CREEK FAMILY MEDICINE
2055 WEST 136TH AVE UNIT B118	BROOMFIELD	CO	800239308	PHYSICIAN CLINIC
53 - SCLP ROCKY MOUNTAIN CARDIOVASCULAR ASSOC
355 UNION BLVD STE 200	LAKEWOOD	CO	802281500	PHYSICIAN CLINIC
54 - SCLP SJ SURGICAL SPECIALISTS FACULTY
1960 OGDEN ST STE 530	DENVER	CO	802183671	PHYSICIAN CLINIC
55 - SCLP ST JOSEPH DIABETES & ENDOCRINE
1960 OGDEN ST STE 120A	DENVER	CO	802183667	PHYSICIAN CLINIC
56 - SCLP STAPLETON OB-GYN OBESTESTRICS & GYN
2823 ROSLYN ST	DENVER	CO	802382624	PHYSICIAN CLINIC
57 - SCLP STAPLETON REHABILITATION
2807 ROSLYN ST	DENVER	CO	802382624	PHYSICIAN CLINIC
58 - SCLP SURGICAL SPECIALISTS
1960 OGDEN ST STE 530	DENVER	CO	802183671	PHYSICIAN CLINIC
59 - SCLP THORNTON MEDICAL CENTER FAMILY MEDI
1181 E 120TH AVE UNIT A	THORNTON	CO	802335729	PHYSICIAN CLINIC
60 - SCLP UNION FAMILY & INTERNAL MEDICINE
355 UNION BLVD STE 200	LAKEWOOD	CO	802281500	PHYSICIAN CLINIC
61 - SCLP WELLMORE FAMILY MEDICINE
7777 W 38TH AVE	WHEAT RIDGE	CO	800336170	PHYSICIAN CLINIC
62 - SCLP WHEAT RIDGE OMPT
9830 I-70 FRONTAGE ROAD S	WHEAT RIDGE	CO	800331724	PHYSICIAN CLINIC
63 - ST MARY'S CARDIOVASCULAR & THORACIC SURG
2643 PATTERSON RD STE 403	GRAND JUNCTION	CO	815061937	PHYSICIAN CLINIC
64 - ST MARY'S CENTER FOR BRAIN & SPINE - COR
20 S MARKET ST	CORTEZ	CO	81321	PHYSICIAN CLINIC
65 - ST MARY'S CENTER FOR BRAIN & SPINE - CRA
785 RUSSELL ST	CRAIG	CO	81625	PHYSICIAN CLINIC
66 - ST MARY'S CENTER FOR BRAIN & SPINE - GJ
750 WELLINGTON AVE STE 3A	GRAND JUNCTION	CO	815016124	PHYSICIAN CLINIC
67 - ST MARY'S CENTER FOR BRAIN & SPINE - MON
224 S NEVADA	MONTROSE	CO	81401	PHYSICIAN CLINIC
68 - ST MARY'S ENDOCRINOLOGY - GRAND JUNCTION
2643 PATTERSON RD STE 401	GRAND JUNCTION	CO	815061937	PHYSICIAN CLINIC
69 - ST MARY'S ENDOCRINOLOGY - RIFLE
51 AIRPORT RD	RIFLE	CO	81650	PHYSICIAN CLINIC
70 - ST MARY'S INFECTIOUS DISEASE
2643 PATTERSON RD STE 401	GRAND JUNCTION	CO	815061937	PHYSICIAN CLINIC
71 - ST MARY'S LUNG & SLEEP CENTER - CRAIG
750 HOSPITAL LOOP	CRAIG	CO	816258750	PHYSICIAN CLINIC
72 - ST MARY'S LUNG & SLEEP CENTER - GRAND JU
1050 WELLINGTON AVE	GRAND JUNCTION	CO	815018121	PHYSICIAN CLINIC
73 - ST MARY'S LUNG & SLEEP CENTER - MOAB
450 W WILLIAMS WAY	MOAB	UT	845322065	PHYSICIAN CLINIC
74 - ST MARY'S MATERNAL FETAL MEDICINE - GJ
2643 PATTERSON RD STE 406	GRAND JUNCTION	CO	815061937	PHYSICIAN CLINIC
75 - ST MARY'S MATERNAL FETAL MEDICINE - GUNN
711 N TAYLOR ST	GUNNISON	CO	812302243	PHYSICIAN CLINIC
76 - ST MARY'S NEUROLOGY CLINIC - BASALT
350 MARKET AVE STE 316	BASALT	CO	816217405	PHYSICIAN CLINIC
77 - ST MARY'S NEUROLOGY CLINIC - CORTEZ
20 S MARKET ST	CORTEZ	CO	81321	PHYSICIAN CLINIC
78 - ST MARY'S NEUROLOGY CLINIC - CRAIG
785 RUSSELL ST	CRAIG	CO	81625	PHYSICIAN CLINIC
79 - ST MARY'S NEUROLOGY CLINIC - DURANGO
450 S CAMINO DEL RIOHWY 550	DURANGO	CO	813016856	PHYSICIAN CLINIC
80 - ST MARY'S NEUROLOGY CLINIC - GRAND JUNCT
750 WELLINGTON AVE STE 3C	GRAND JUNCTION	CO	815016124	PHYSICIAN CLINIC
81 - ST MARY'S NEUROLOGY CLINIC - GUNNISON
711 N TAYLOR ST	GUNNISON	CO	812302243	PHYSICIAN CLINIC
82 - ST MARY'S NEUROLOGY CLINIC - MOAB
476 WEST WILLIAM WAY	MOAB	UT	84532	PHYSICIAN CLINIC
83 - ST MARY'S OCCUPATIONAL MEDICINE
2686 PATTERSON RD	GRAND JUNCTION	CO	815068817	PHYSICIAN CLINIC
84 - ST MARY'S PEDIATRIC SPECIALTY CLINIC
2643 PATTERSON RD STE 603	GRAND JUNCTION	CO	815061937	PHYSICIAN CLINIC
85 - ST MARY'S PHYSICAL AND REHABILITATION CL
2686 PATTERSON RD	GRAND JUNCTION	CO	815068817	PHYSICIAN CLINIC
86 - ST MARY'S RHEUMATOLOGY
1050 WELLINGTON AVE	GRAND JUNCTION	CO	81501	PHYSICIAN CLINIC
87 - WEST PINES BEHAVIORAL HEALTH - MMACS
3400 LUTHERAN PKWY	WHEAT RIDGE	CO	800336035	PHYSICIAN CLINIC
88 - WEST PINES BEHAVIORAL HEALTH - PHYSICIAN
3400 LUTHERAN PKWY	WHEAT RIDGE	CO	800336035	PHYSICIAN CLINIC
89 - WEST PINES BEHAVIORAL HEALTH - TMS
3400 LUTHERAN PKWY	WHEAT RIDGE	CO	800336035	PHYSICIAN CLINIC
90 - SCL PHYSICIANS - RMPC LLC
500 ELDORADO BLVDBLDG 4 STE 4300	BROOMFIELD	CO	80026	PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, LN 7 COL(F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $22,917,313.
PART II, COMMUNITY BUILDING ACTIVITIES:	GOOD SAMARITAN MEDICAL CENTER (GSMC) CONTINUES TO BE INTENTIONAL IN BUILDING COMMUNITY RELATIONSHIPS WITH LOCAL ORGANIZATIONS TO ADDRESS THE HEALTH OF OUR COMMUNITY. THIS IS ADDRESSED THROUGH COMMITMENT TO ADDRESS THE MENTAL HEALTH NEEDS AND IMPROVE ACCESS TO HEALTH CARE BY PARTICIPATING ON SEVERAL BOARDS TO INCLUDE MENTAL HEALTH PARTNERS AND WORKING WITH THE SISTER CARMEN CENTER. GSMC PARTICIPATES IN COMMUNITY WORK GROUPS, SUCH AS MENTAL HEALTH TASK FORCE AND BOULDER COUNTY PUBLIC HEALTH IMPROVEMENT PROCESS (PHIP) STEERING COMMITTEE, TO ENSURE THE SOCIAL DETERMINANTS OF HEALTH ARE BEING ADDRESSED.LUTHERAN MEDICAL CENTER COMMUNITY BUILDING ACTIVITIES ARE DEFINED AS THOSE THAT ENHANCE THE EXISTING EFFORTS TO FILL GAPS OF COMMUNITY NEED WITH SPECIFIC ATTENTION TO PROGRAMS THAT SUPPORT THOSE IN THE COMMUNITY LIVING AT OR BELOW POVERTY. IN ADDITION TO THE COMMUNITY BUILDING ACTIVITIES OUTLINED BY THE CHIP AS DESCRIBED ABOVE, THE ADMINISTRATIVE LEADERSHIP TEAM AT LUTHERAN MEDICAL CENTER AND ITS ASSOCIATES ROUTINELY PERFORMED CIVIC ACTIVITIES IN WHICH THE SOCIAL AND PHYSICAL HEALTH OF THE COMMUNITY WAS ADVOCATED AS A PRIORITY OF THE HOSPITAL. IN 2016, THIS INCLUDED VARIOUS DONATION DRIVES FOR CLOTHING AND OTHER SUPPLIES, SUPPORT FOR LOCAL CHARITY ORGANIZATIONS INCLUDING HABITAT FOR HUMANITY. FINANCIAL SUPPORT FOR YOUNG AMERITOWNE AND LOCAL STEM PROGRAMS CONTRIBUTES TO DEVELOPMENT OF THE FUTURE WORKFORCE. MAJOR SPONSORSHIP OF LOCAL SAFETY NET CLINICS PROVIDES ACCESS TO NEEDED HEALTHCARE SERVICES OTHERWISE NOT AVAILABLE FOR THOSE LIVING AT OR BELOW POVERTY. PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF BAD DEBT.
PART III, LINE 2:	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.
PART III, LINE 4:	THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE 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. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.
PART VI, LINE 2:	IN ADDITION TO OUR CHNA, GOOD SAMARTIAN MEDICAL CENTER (GSMC) PARTNERS THROUGHOUT THE YEAR WITH OTHER COMMUNITY ORGANIZATIONS, SUCH AS, BOULDER COUNTY PUBLIC HEALTH AND BROOMFIELD COUNTY PUBLIC HEALTH TO MONITOR THE CHANGING NEEDS OF THE COMMUNITY. THIS PARTNERSHIP ALLOWS US TO WORK IN COLLABORATION WITH OTHER ORGANIZATIONS TO ASSURE THAT THE NEEDS OF OUR COMMUNITY ARE BEING ADDRESSED. IF NEEDS ARE IDENTIFIED THAT ARE NOT BEING ADDRESSED, GSMC WORKS IN COLLABORATION THROUGH TASK FORCES OR COMMITTEES TO FOCUS ON THE NEED AND PLAN FOR DIRECTION IN RESPONDING TO THE NEED AS IT ALIGNS WITH OUR MISSION, CORE VALUES AND STRATEGIC PRIORITIES.AS PART OF OUR CORE VALUE OF SERVICE TO THE POOR AND VULNERABLE, LUTHERAN MEDICAL CENTER TAKES STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD THROUGH INCREMENTAL REVIEW OF CURRENT NEEDS ACROSS THE COMMUNITIES SERVED. IN PARTNERSHIP WITH JEFFERSON COUNTY PUBLIC HEALTH, LMC ACTIVELY PARTICIPATES IN ADDRESSING THE NEEDS OF THE LOCAL COMMUNITY.
PART VI, LINE 3:	THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE 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:	GOOD SAMARITAN MEDICAL CENTER (GSMC) IS LOCATED IN THE CITY OF LAFAYETTE, COLORADO. WHILE LAFAYETTE IS SITUATED IN BOULDER COUNTY, THE HOSPITAL SERVICE AREA INCLUDES COMMUNITIES IN BOTH BOULDER AND BROOMFIELD COUNTIES. IN PREPARING FOR THE 2015 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), GSMC SELECTED THE COUNTIES OF BOULDER AND BROOMFIELD AS THE DEFINED COMMUNITY FOR ITS CHNA IN ORDER TO FOCUS RESOURCES AND PLANNING ON THE MOST LOCAL GEOGRAPHIC AREA.DEMOGRAPHIC CONSTITUENTS, ACCORDING TO 2014 US CENSUS DATA:POPULATION: THE 2014 ESTIMATED POPULATION OF LAFAYETTE IS 20,493, REPRESENTING A 13% CHANGE FROM 2010.GENDER: DATA FOR 2014 IS NOT AVAILABLE. IN 2010, THE POPULATION OF MALES AND FEMALES IS NEARLY EQUAL (50.4% FEMALE).AGE: DATA FOR 2014 IS NOT AVAILABLE. IN 2010, PERSONS <5 YEARS = 9.6%, PERSONS <18 YEARS = 31.3%, PERSONS 18 TO 64 YEARS = 53.4%, AND PERSONS 65 YEARS AND OVER = 5.7%.RACIAL AND ETHNIC DIVERSITY: DATA FOR 2014 IS NOT AVAILABLE. THE POPULATION IS PRIMARILY COMPRISED OF WHITES (89.2%), HISPANIC/LATINOS (8.8%), ASIAN (4.2%), AND THE REMAINDER IS MADE UP OF BLACKS/AFRICAN AMERICAN, AMERICAN INDIAN/ALASKA NATIVES.EDUCATION: 97.5% OF PERSONS AGE 25+ ARE HIGH SCHOOL GRADUATES AND 57.2% OF PERSONS AGED 25 AND OVER HAVE EARNED A BACHELOR'S DEGREE OR HIGHER.LANGUAGE: 11.9% OF PERSONS AGE 5 YEARS AND OVER SPEAK A LANGUAGE OTHER THAN ENGLISH IN THE HOME.ECONOMICS: THE MEDIAN HOUSEHOLD INCOME IN 2014 WAS $108,857 AS COMPARED TO THE STATE AVERAGE OF $59,448. THE PERCENTAGE OF PERSONS LIVING IN POVERTY IN THE CITY OF LAFAYETTE IS 2.5%.ACCORDING TO 2015 COUNTY HEALTH RANKINGS DATA COMPILED BY THE UNIVERSITY OF WISCONSIN POPULATION HEALTH INSTITUTE AND THE ROBERT WOOD JOHNSON FOUNDATION:OVERALL HEALTH RANK: THIS MEASURE RANKS THE OVERALL HEALTH OF COUNTY CITIZENS FOR ALL COUNTIES IN COLORADO. BOULDER COUNTY IS RANKED 4TH AND BROOMFIELD 13TH.HEALTH STATUS: THE PERCENT OF PERSONS WITH POOR OR FAIR HEALTH IS 9% IN BOULDER COUNTY AND 9% IN BROOMFIELD COUNTY AS COMPARED TO THE STATE AVERAGE OF 13%.HEALTH BEHAVIORS: ADULT OBESITY IS 15% IN BOULDER COUNTY AND 20% IN BROOMFIELD COUNTY. ALL OTHER BEHAVIORS ARE LOWER IN BOTH BOULDER AND BROOMFIELD VERSUS THE STATE AVERAGE EXCEPT ALCOHOL-IMPAIRED DRIVING DEATHS IN BOULDER COUNTY, WHICH IS 36%, ABOVE THE STATE AVERAGE OF 34%.ACCESS TO CARE: ACCESS TO PRIMARY CARE PHYSICIANS, DENTISTS, DIABETIC MONITORING AND MAMMOGRAPHY IS BETTER FOR PERSONS RESIDING IN BOULDER AND BROOMFIELD COUNTIES EXCEPT MENTAL HEALTH PROVIDERS. BROOMFIELD HAS LOWER ACCESS TO MENTAL HEALTH PROVIDERS AT 1,008:1 AS COMPARED TO 1262:1 AT THE STATE LEVEL.LUTHERAN MEDICAL CENTER IS SITUATED IN THE WESTERN PORTION OF THE DENVER METROPOLITAN AREA IN THE CITY OF WHEAT RIDGE, COLORADO. THIS ACUTE CARE FACILITY HAS A SERVICE AREA THAT SERVES SEVERAL COMMUNITIES IN THE WESTERN METROPOLITAN AREA INCLUDING WHEAT RIDGE, ARVADA, GOLDEN, LAKEWOOD, WESTMINSTER AS WELL AS COMMUNITIES IN THE FOOTHILLS OF THE FRONT RANGE. LMC'S PRIMARY SERVICE AREA CONSISTS OF 18 STANDARD ZIP CODES, MAINLY LOCATED IN JEFFERSON COUNTY (13 ZIP CODES), BUT ALSO REPRESENTED BY ZIP CODES IN THE COUNTIES OF DENVER (3 ZIP CODES), ADAMS (1 ZIP CODE) AND GILPIN (1 ZIP CODE). THE SECONDARY SERVICE AREA INCLUDES 20 ZIP CODES AND EXTENDS THROUGH ADAMS COUNTY, BROOMFIELD COUNTY, CLEAR CREEK COUNTY, DENVER COUNTY AND JEFFERSON COUNTY. THE PRIMARY SERVICE AREA IS DEFINED AS THE GEOGRAPHIC AREA OF CONTIGUOUS ZIP CODES FROM WHICH THE HOSPITAL DRAWS APPROXIMATELY 75% OF ITS INPATIENT DISCHARGES AND THE COMBINED PRIMARY AND SECONDARY SERVICE AREA IS BASED ON APPROXIMATELY 90% OF DISCHARGES. LMC'S MAIN CONCENTRATION OF CARE IS PROVIDED TO THE COMMUNITIES OF WHEAT RIDGE, ARVADA AND GOLDEN. 50% OF THE CARE SITE'S DISCHARGES COME FROM EIGHT ZIP CODES WITHIN THOSE CITIES. ADDITIONALLY, LMC SERVICES THE MOST PATIENTS WITHIN ITS PRIMARY SERVICE AREA WHEN COMPARED TO OTHER HOSPITALS FURNISHING CLOSE TO 30% OF THE INPATIENT CARE. LMC IS THE SOLE PROVIDER OF ACUTE CARE SERVICES WITHIN ITS PRIMARY SERVICE AREA AFTER SAINT ANTHONY HOSPITAL, A CENTURY HEALTH AFFILIATE, RE-LOCATED ITS FACILITY TO AN AREA OUTSIDE THE LMC SERVICE AREA. THIS LEAVES ORTHO COLORADO HOSPITAL, AN ORTHOPEDIC SPECIALTY HOSPITAL JOINTLY OWNED BY CENTURY HEALTH AND LOCAL PHYSICIANS, AS THE REMAINING ACUTE CARE HOSPITAL LOCATED IN LMC'S PRIMARY SERVICE AREA. THERE ARE TWO ACUTE CARE HOSPITALS LOCATED IN THE SECONDARY SERVICE AREA, NORTH SUBURBAN MEDICAL CENTER (AN AFFILIATE OF THE FOR-PROFIT HEALTH ONE SYSTEM) AND DENVER HEALTH (GOVERNMENT OWNED). BESIDES LMC AND GEM, THERE ARE FIVE OTHER NOT-FOR-PROFIT HOSPITALS IN THE COMMUNITY:- ST. ANTHONY NORTH HOSPITAL-CENTURY HEALTH, WESTMINSTER- ST. ANTHONY WEST HOSPITAL-CENTURY HEALTH, LAKEWOOD- ARISTA ADVENTIST HOSPITAL-CENTURY HEALTH, LOUISVILLE- LONGMONT UNITED HOSPITAL, LONGMONT- BOULDER COMMUNITY HOSPITAL, BOULDERTHERE IS ALSO ONE FOR-PROFIT HOSPITAL, NORTH SUBURBAN MEDICAL CENTER-HEALTH ONE, THORNTON.THE COMMUNITY SERVED BY LMC CONTAINS THE FOLLOWING DEMOGRAPHIC INFORMATION, UPDATED FOR 2014, USING THE RESOURCES OF COUNTY HEALTH RANKINGS, US CENSUS DATA, STATE HEALTH DEPARTMENT DATA AND THE EXISTING CHAN.POPULATION, RACE, ETHNICITY, AND GENDERTHE ESTIMATED POPULATION OF JEFFERSON COUNTY IS 551,798 BASED ON US CENSUS DATA 2013. JEFFERSON COUNTY HAS THE HIGHEST PERCENTAGE OF YOUTH UNDER 18 YEARS OF AGE, 21.5%. JEFFERSON AND CLEAR CREEK COUNTIES HAVE THE HIGHEST PERCENTAGE OF RESIDENTS OVER AGE 65 THAT EXCEEDS THE STATE AVERAGE. JEFFERSON COUNTY HAS 12.6% AND CLEAR CREEKCOUNTY 12.5% OF THEIR POPULATION AGES OVER 65. JEFFERSON COUNTY IS PREDOMINANTLY WHITE AT 88.4%, WHICH INCLUDES HISPANICS SELF-IDENTIFYING, EXCEEDING THE STATE AVERAGE. THE NEXT LARGEST RACIAL GROUP IS ASIAN WITH JEFFERSON COUNTY AT 2.6%, ONLY A SMALL PERCENTAGE OF BLACK RESIDENTS AND ARE LOWER THAN THE STATE AVERAGE. PERSONS OF HISPANIC OR LATINO ORIGIN MAKE UP 14.3% OF JEFFERSON COUNTY. THIS IS BELOW THE STATE AVERAGE. EDUCATION JEFFERSON COUNTY EXCEEDS THE STATE AVERAGE FOR HIGH SCHOOL GRADUATES (93.7% VERSUS 86%) AND FOR THOSE WITH BACHELOR'S DEGREES OR HIGHER (40.7% VERSUS 28.8%). INCOMEJEFFERSON COUNTY HAS A HIGHER MEDIAN INCOME THAN THE STATE AVERAGE WITH A MEDIAN INCOME OF $68,984 VERSUS $53,046. INSURANCE STATUSCOUNTY HEALTH RANKINGS IS AN ONLINE DATA TOOL THAT PROVIDES COMPREHENSIVE INFORMATION OF HEALTH AND DETERMINANTS OF HEALTH. BASED ON 2014 HEALTH RANKINGS, JEFFERSON COUNTY HAS 14% OF THE POPULATION REPORTING AS UNINSURED, WHICH IS BELOW THE STATE RATE OF 17%.HEALTH STATUS COUNTY HEALTH RANKINGS IS AN ONLINE DATA TOOL THAT PROVIDES COMPREHENSIVE INFORMATION OF HEALTH AND OUTCOMES. BASED ON 2014 HEALTH RANKINGS, JEFFERSON COUNTY IS RANKED IN THE TOP TIER OF ALL COUNTIES IN COLORADO AT 11 FOR OVERALL HEALTH IN COLORADO. FOR HEALTH FACTORS, JEFFERSON COUNTY RANKS #14 AND HAS EXCEPTIONAL RATES BETTER THAN STATE AVERAGES FOR SMOKING, PHYSICAL ACTIVITY, ACCESS TO EXERCISE, AND LOW TEEN BIRTH. FOR ADULTS WHO ARE REPORTED AS OBESE, JEFFERSON IS EQUAL TO THE STATE RATE OF 20%. AREAS OF OPPORTUNITY INCLUDE EXCESSIVE DRINKING AND ALCOHOL DRIVING MORTALITY. FOR ACCESS TO CLINICAL CARE, MAMMOGRAPHY SCREENING IS BELOW THE STATE AVERAGE.
PART VI, LINE 5:	COLLECTIVELY WITH ITS 234 LICENSED BEDS, GOOD SAMARITAN MEDICAL CENTER (GSMC) HAS SERVED ITS COMMUNITY BY PROVIDING COMPREHENSIVE MEDICAL SERVICES INCLUDING CARDIOLOGY, ONCOLOGY, ORTHOPEDIC, WOMEN AND FAMILY, EMERGENCY AND TRAUMA, NEONATAL INTENSIVE CARE, NEUROLOGY, NEUROSURGERY,OB/GYN, GENERAL SURGICAL AND MEDICAL, PRIMARY CARE, INTERNAL MEDICINE, BEHAVIORAL HEALTH, SENIOR EMERGENCY DEPARTMENT CARE, PALLIATIVE & HOSPICE CARE AND INTEGRATIVE HEALTH SERVICES.COMMUNITY ACTIVITIES INCLUDE A VARIETY OF CLASSES ON WEIGHT MANAGEMENT AND SUPPORT GROUPS FOR CANCER PATIENTS, COMMUNITY HEALTH AND SAFETY CLINICS, SKIN CANCER SCREENINGS, BREAST CANCER SURVIVORSHIP PROGRAMS, CLASSES FOR PROSPECTIVE PARENTS AND DIABETES MANAGEMENT CLASSES, TO NAME A FEW.THE HEALTH & HEALING CENTER CONDUCTS HEART HEALTH SCREENINGS IN THE COMMUNITY INCLUDING CHOLESTEROL TESTING AND BLOOD PRESSURE SCREENINGS SEVERAL TIMES THROUGHOUT THE YEAR. GSMC ALSO PROMOTES HEALTH AND WELLNESS FOR OUR EMPLOYEES THROUGH OUR WELLNESS INCENTIVE PROGRAM. WE ALSO PROVIDE PRESENTATIONS TO COMMUNITY GROUPS ON SUBJECTS SUCH AS BALANCE, EXERCISE AND STRETCHING. WE HAVE PARTNERED WITH SUCH ORGANIZATIONS AS THE LAFAYETTE SENIOR CENTER, THE LAFAYETTE RECREATION CENTER, BOULDER COUNTY HEALTH AND HUMAN SERVICES AS WELL AS BROOMFIELD COUNTY HEALTH AND HUMAN SERVICES TO PROVIDE SERVICES TO OUR COMMUNITY.GSMC ALSO PROVIDES HEALTH SCREENINGS FOR EMPLOYEES OF BOULDER VALLEY SCHOOL DISTRICT AND SCREENINGS AT EVENTS SEVERAL TIMES THROUGHOUT THE YEAR TO RESIDENTS OF BROOMFIELD, LAFAYETTE AND OTHERS IN THE SURROUNDING AREAS. WE ARE AN IMPORTANT PART OF OUR COMMUNITY AND SERVE IN MANY WAYS, FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORT OF OTHER CIVIC GROUPS. IN 2016, GSMC PROVIDED COMMUNITY BENEFIT TO INCLUDE TRADITIONAL CHARITY CARE AND THE UNPAID COST OF MEDICAID. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. WHEN GSMC HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS.LUTHERAN MEDCIAL CENTER HAS A MULTITUDE OF PROGRAMS IN PLACE THROUGH ITS CANCER CENTER, NEUROVASCULAR CENTER, TRAUMA CENTER AND THROUGH COMMUNITY OUTREACH. A VARIETY OF CLASSES ARE OFFERED ON WEIGHT MANAGEMENT AND HEALTHY LIFESTYLE. SUPPORT GROUPS FOR CANCER PATIENTS ARE OFFERED. LMC ALSO ROUTINELY OFFERS COMMUNITY HEALTH EDUCATION, SKIN CANCER SCREENINGS, BREAST CANCER SURVIVORSHIP PROGRAMS, CLASSES FOR PROSPECTIVE PARENTS AND DIABETES MANAGEMENT CLASSES, TO NAME A FEW. LMC PARTNERS WITH SAFETY CLINICS SUCH AS METRO COMMUNITY PROVIDER NETWORK. LMC ALSO RECOGNIZES THE ESSENTIAL NEED TO ENHANCE AND IMPROVE MEDICAL OUTCOMES, QUALITY AND SERVICES. THE OBJECTIVES OF THE PROGRAM ARE TO BE A HIGHLY RELIABLE ORGANIZATION, OFFER HIGH QUALITY, PROVIDE SAFETY FOR PATIENTS AND STAFF AND BE COST EFFECTIVE. THE QUALITY INDICATORS ARE IN ALIGNMENT WITH MAJOR PUBLICLY COMPARABLE DATABASES INCLUDING THE COLORADO HEALTH AND HOSPITAL ASSOCIATION AND CENTERS FOR MEDICARE AND MEDICAID SERVICES.
PART VI, LINE 6:	THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITY, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 190 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,000 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION AND 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 I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	841649162	501 ( C) (3)	$506,702	PROGRAM SUPPORT
METRO COMMUNITY PROVIDER NETWORK
3701 S BROADWAY	ENGLWOOD	CO	80113	842477108	501 ( C) (3)	$50,000	SUPPORT FOR ESTES STREET CLINIC.
LUTHERAN MEDICAL CENTER FOUNDATION
8300 WEST 38TH AVENUE	WHEAT RIDGE	CO	80033	208846152	501 ( C) (3)	$329,833	PROGRAM SUPPORT
PROJECT CURE INTERNATIONAL HEADQUARTERS
10377 E GEDDES AVENUE	CENTENNIAL	CO	80112	310804358	501 ( C) (3)		PROGRAM SUPPORT	$438,044	BOOK	SURGICAL SUPPLES
MENDING FACES
422 HUMBOLT STREET	DENVER	CO	80218	272151804	501 ( C) (3)	$7,500	PROGRAM SUPPORT
ROCKY MOUNTAIN STROKE
5666 SOUTH BANNOCK STREET	LITTLETON	CO	80120	841216307	501 ( C) (3)	$20,000	PROGRAM SUPPORT
CLINICA CAMPESINA FAMILY HEALTH SERVICES
1345 PLAZA COURT NORTH NO 1A	LAFAYETTE	CO	80026	840743432	501 ( C) (3)	$12,500	PROGRAM SUPPORT
SISTER CARMEN COMMUNITY CENTER
655 ASPEN RIDGE DR	LAFAYETTE	CO	80026	840820308	501 ( C) (3)	$7,500	PROGRAM SUPPORT
TRUE COMMUNITY CARE
2594 TRAIL RIDGE DRIVE	LAFAYETTE	CO	80020	840748577	501 ( C) (3)	$5,300	HOSPICE CARE

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Cash GrantCashGrantAmt
FREE PRESCRIPTION DRUGS FOR INDIGENT PATIENTS.	173	$486,466	COST	FREE PRESCRIPTION DRUGS FOR INDIGENT PATIENTS.
POST-ACUTE HOME HEALTH CARE FOR INDIGENT PATIENTS.	10	$4,540	COST	POST-ACUTE HOME HEALTH CARE TO SAFELY DISCHARGE THOSE WHO HAVE LITTLE TO NO RESOURCES.
5K RUN SPONSORSHIP ASSISTANCE	600				$2,000

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION KEEPS RECORDS TO SUPPORT THE AMOUNTS PROVIDED OR REASON FOR SUCH SUPPORT. ELIGIBILITY FOR FUNDING IS DETERMINED ON AN INDIVIDUAL BASIS, CONSIDERING THE USE OF THE FUNDS AND HOW THE USE RELATES TO THE ORGANIZATION'S MISSION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	0	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (26 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEPHEN COBB MD
MEMBER-RESIGNED FROM SCL HEALTH 4/25	$0	$192,070	$0	$44,737	$0	$1,535	$0	$72,456	$0	$8,579	$0	$319,377	$0	$0
LYDIA JUMONVILLE
TREASURER	$0	$706,515	$0	$97,092	$0	$208,664	$0	$220,478	$0	$18,358	$0	$1,251,107	$0	$190,203
KEVIN MILLER MD
MEMBER	$684,373	$0	$69,386	$0	$24,393	$0	$19,080	$0	$20,817	$0	$818,049	$0	$0	$0
MICHAEL SLUBOWSKI
MEMBER	$0	$1,132,496	$0	$220,576	$0	$598,133	$0	$19,080	$0	$19,516	$0	$1,989,801	$0	$0
MICHAEL TAYLOR
VICE CHAIR	$0	$700,141	$0	$112,079	$0	$37,136	$0	$129,931	$0	$26,574	$0	$1,005,861	$0	$0
ELIZABETH CARVER
SECRETARY	$0	$268,135	$0	$23,425	$0	$4,376	$0	$15,392	$0	$20,945	$0	$332,273	$0	$0
J GRANT WICKLUND
PRESIDENT-CEO LMC	$0	$451,185	$0	$74,595	$0	$29,382	$0	$241,737	$0	$21,966	$0	$818,865	$0	$0
DAVID HAMM
PRESIDENT - CEO GSMC	$0	$428,582	$0	$71,471	$0	$30,365	$0	$189,399	$0	$18,960	$0	$738,777	$0	$0
JAMES DOYLE
VP FINANCE SERVICES	$0	$215,501	$0	$23,192	$0	$10,538	$0	$37,633	$0	$22,105	$0	$308,969	$0	$0
JOHN HIGGINS
VICE PRESIDENT AND CFO GSMC	$0	$202,064	$0	$24,138	$0	$3,218	$0	$36,003	$0	$25,997	$0	$291,420	$0	$0
ANDREA BURCH
VP CHIEF NURSING OFFICER LMC	$0	$169,762	$0	$7,468	$0	$398	$0	$10,905	$0	$0	$0	$188,533	$0	$0
SCOTT DAY
VP HUMAN RESOURCES LMC	$0	$195,888	$0	$23,071	$0	$12,266	$0	$33,199	$0	$20,962	$0	$285,386	$0	$0
BETH FORSYTH
CHIEF OPERATING OFFICER-GSMC	$0	$269,737	$0	$31,076	$0	$7,038	$0	$45,317	$0	$18,619	$0	$371,787	$0	$0
CHRISTINA JOHNSON
VP OPERATIONS LMC	$0	$396,375	$0	$43,642	$0	$2,529	$0	$70,580	$0	$0	$0	$513,126	$0	$0
SUSAN KERSCHEN
VP-CHIEF NURSING OFFICER GSMC	$0	$229,757	$0	$26,968	$0	$4,732	$0	$40,212	$0	$20,697	$0	$322,366	$0	$0
THOMAS MYDLER
CHIEF MEDICAL OFFICER GSMC	$0	$325,683	$0	$37,780	$0	$3,653	$0	$55,117	$0	$21,363	$0	$443,596	$0	$0
BRIAN WITWER MD
PHYSICIAN	$788,775	$0	$165,218	$0	$6,304	$0	$19,080	$0	$22,593	$0	$1,001,970	$0	$0	$0
JASON SHOFNOS MD
PHYSICIAN	$694,849	$0	$126,118	$0	$17,719	$0	$19,080	$0	$21,383	$0	$879,149	$0	$0	$0
JAMES THOMPSON MD
PHYSICIAN	$382,957	$0	$427,001	$0	$2,464	$0	$16,430	$0	$18,863	$0	$847,715	$0	$0	$0
ROBERT REPLOGLE MD
PHYSICIAN	$800,216	$0	$0	$0	$3,014	$0	$1,346	$0	$16,876	$0	$821,452	$0	$0	$0
BASHEAL AGRAWAL MD
PHYSICIAN	$790,232	$0	$0	$0	$1,391	$0	$16,430	$0	$26,341	$0	$834,394	$0	$0	$0
ROBERT LADENBURGER
FORMER OFFICER	$0	$0	$0	$0	$0	$323,001	$0	$0	$0	$6,893	$0	$329,894	$0	$0
ROSLAND MCLEOD
FORMER OFFICER	$0	$476,267	$0	$76,875	$0	$17,503	$0	$141,090	$0	$27,889	$0	$739,624	$0	$0
KAREN SCREMIN
FORMER OFFICER	$0	$312,819	$0	$28,524	$0	$1,436	$0	$45,080	$0	$9,740	$0	$397,599	$0	$0
AMY PACEY
FORMER KEY EMPLOYEE	$0	$205,320	$0	$23,562	$0	$912	$0	$33,896	$0	$7,501	$0	$271,191	$0	$0
GERALDINE TOWNDROW
FORMER KEY EMPLOYEE	$0	$307,717	$0	$40,664	$0	$53,863	$0	$14,617	$0	$7,698	$0	$424,559	$0	$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 2016 WERE: MICHAEL TAYLOR - $2,141.
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 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1)COMPENSATION COMMITTEE 2)INDEPENDENT COMPENSATION CONSULTANT 3)FORM 990 OF OTHER ORGANIZATIONS 4)WRITTEN EMPLOYMENT CONTRACTS 5)COMPENSATION SURVEYS AND STUDIES 6)APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
PART I, LINES 4A-B	SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2016 WERE: ROBERT LADENBURGER - $318,682 SCHEDULE J, PART I, LINE 4B PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2016 WERE: LYDIA JUMONVILLE - $86,105. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2016. 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 2016 WERE: MICHAEL SLUBOWSKI - $566,716, AND GERALDINE TOWNDROW - $34,500. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E.
PART I, LINE 7	THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY 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 PLANS ARE BASED ON A COMBINATION OF PERFORMANCE MEASURES. PERFORMANCE MEASURES INCLUDE OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY AND COMMUNITY BENEFIT/MISSION TARGETS. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON.
SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES	THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (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 190 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.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	JUDY CABOT	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$52,697	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	ANDREA BURCH (KEY EMPLOYEE), IS THE DAUGHTER OF AN EMPLOYEE OF SCL HEALTH FRONT RANGE, INC., JUDY CABOT.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINES 4A - 4D	DESCRIPTION OF PROGRAM SERVICE ACHIEVEMENTS SCL HEALTH - FRONT RANGE, INC. (SCLHFR) OPERATES LUTHERAN MEDICAL CENTER (LMC) SERVING PRIMARILY WESTERN AND SOUTHERN SUBURBAN AREAS OF METRO DENVER AND GOOD SAMARITAN MEDICAL CENTER (GSMC), SERVING PRIMARILY BOULDER AND NORTHWEST COUNTIES OF METRO DENVER, AND OTHER AFFILIATED MEDICAL OPERATIONS. THE SYSTEM'S COLLECTIVE PROGRAM SERVICES ACCOMPLISHMENTS INCLUDE BUT ARE NOT LIMITED TO THE FOLLOWING: MEDICAL SERVICES ARE PROVIDED TO ALL WHO SEEK SERVICE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES IS CRITICAL FOR THE OPERATION AND STABILITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. THE MISSION OF SCL HEALTH IS "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE". THEREFORE, IN KEEPING WITH SCLHFR'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, FREE CARE AND/OR SUBSIDIZED CARE WILL BE CONSIDERED AND PROVIDED WHERE THE NEED AND/OR AN INDIVIDUAL'S INABILITY TO PAY EXIST. IN ADDITION, SCLHFR RECOGNIZES THE ESSENTIAL NEED TO BE EXCEPTIONAL STEWARDS OF MEDICARE, MEDICAID AND COMMUNITY/PRIVATE FUNDING DOLLARS. FOR 2016, SCL HEALTH - FRONT RANGE, INC. PROVIDED BENEFITS TO THE COMMUNITY WHICH WENT TO CARING FOR THOSE WHO ARE POOR AND VULNERABLE THROUGH CHARITY CARE, UNREIMBURSED MEDICAID AND OTHER MEANS - TESTED GOVERNMENT PROGRAMS. SCLHFR PROVIDED ADDITIONAL BENEFITS TO THE COMMUNITY WHICH WENT TO IMPROVING THE HEALTH OF THE HOSPITAL'S COMMUNITY THROUGH HEALTH EDUCATION, COMMUNITY PROGRAMS, SUBSIDIZED HEALTH SERVICES AND ENVIRONMENTAL IMPROVEMENTS. SCLHFR ALSO RECOGNIZES THE ESSENTIAL NEED TO ENHANCE AND IMPROVE MEDICAL OUTCOMES, QUALITY AND SERVICES. IN RESPONSE, A BEST IN THE NATION STRATEGY AND PROGRAM WAS IMPLEMENTED. THE OBJECTIVES OF THE PROGRAM ARE TO BE THE BEST IN THE NATION IN PREDEFINED QUALITY, SERVICE AND COST INDICATORS. THE QUALITY INDICATORS ARE IN ALIGNMENT WITH MAJOR PUBLICLY COMPARABLE DATABASES, INCLUDING THE COLORADO HEALTH AND HOSPITAL ASSOCIATION AND CENTERS FOR MEDICARE AND MEDICAID SERVICES. COLLECTIVELY WITH ITS 560 LICENSED BEDS AT LMC AND GSMC, SCLHFR SERVED THE COMMUNITY WITH OVER 25,000 INPATIENT ADMISSIONS AND NEARLY 243,000 TOTAL OUTPATIENT VISITS WHILE PROVIDING SURGICAL SERVICES TO OVER 17,000 RECIPIENTS. TOTAL BIRTHS AT SCLHFR WERE 4,817. -COMPREHENSIVE MEDICAL SERVICES INCLUDE, BUT ARE NOT LIMITED TO, CARDIOLOGY, ONCOLOGY, ORTHOPEDIC, WOMEN AND FAMILY, PEDIATRICS, EMERGENCY AND TRAUMA, NEONATAL INTENSIVE CARE,NEUROLOGY, NEUROSURGERY, OB/GYN, GENERAL SURGICAL AND MEDICAL, PRIMARY CARE, INTERNAL MEDICINE, BEHAVIORAL HEALTH, HOSPICE CARE AND INTEGRATIVE HEALTH SERVICES. A STRONG COMMITMENT TO THE HEALTH OF THE COMMUNITY IS FURTHER EXEMPLIFIED BY, BUT NOT LIMITED TO, THE FOLLOWING PROGRAMS; -THE CANCER CENTER AT LMC INCLUDES ALL STAGES OF CARE INCLUDING INITIAL DIAGNOSIS; PROVIDING MONITORING, AND MANAGING MEDICATIONS. THE CENTER INCLUDES STATE-OF-THE-ART-RADIATION ONCOLOGY CENTER, INFUSION CENTER, ONCOLOGY UNIT, CLINICAL TRIALS, NUTRITION COUNSELING, SOCIAL WORK SERVICES, SITE SPECIFIC CARE TEAM, EDUCATION AND SUPPORT SERVICES. -AT THE HEART AND NEUROVASCULAR CENTER, PATIENTS ARE TREATED BY AN INTERDISCIPLINARY TEAM FOR CARDIAC AND NEUROLOGICAL CARE. PATIENTS DO NOT NEED TO BE TRANSFERRED TO ANOTHER FACILITY. THE CENTER FEATURES ADVANCED IMAGING EQUIPMENT AND NEUROLOGICAL SUITES TO SPEED PATIENTS' CARE. -THE BREAST CARE CENTER, ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY AND THE NATIONAL ACCREDITATION BREAST CARE CENTER, PROVIDES A FULL RANGE OF HIGH-TECH SERVICES IN ITS SCREENING AND DIAGNOSTIC SUITES INCLUDING DIGITAL MAMMOGRAPHY SCREENINGS AND DIAGNOSTIC SERVICES, ULTRASOUND, STEREOTACTIC BIOPSIES, MEDICAL CONSULTATION, EDUCATION, AS WELL AS AN ALTERNATIVE HEALTH CENTER AND EMOTIONAL SUPPORT. -THE WOMEN AND FAMILY CENTER INCLUDES A LEVEL III NEONATAL INTENSIVE CARE UNIT AND COMPREHENSIVE PRENATAL AND PARENTING EDUCATION. THE ANTEPARTUM FAMILY UNIT HELPS PREGNANT WOMEN WHO NEED SPECIALIZED CARE FOR THEMSELVES AND/OR THEIR UNBORN BABIES.SUPPORT FOR THE NEW UNIT HELPS US REACH OUR GOAL TO HELP WOMEN HAVE HEALTHY PREGNANCIES, BIRTHS AND BABIES. THE DIAGNOSTIC IMAGING CENTER IS ONE OF DENVER'S MOST ADVANCED IMAGING CENTER FEATURING COMPREHENSIVE STATE-OF-THE-ART DIAGNOSTIC IMAGING SERVICES INCLUDING 40 SLICE CT SCANNER, 3.0 TESLA MRI SYSTEM, 3D MAMMO EQUIPMENT ULTRASOUND ROOMS WITH ADJOINED CHANGING ROOMS AND RESTROOMS AND DIAGNOSTIC TECHNOLOGY IN ALL-DIGITAL ENVIRONMENT. -THE HUMAN MOTION INSTITUTE (HMI) OFFERS STATE-OF-THE-ART MUSCULOSKELETAL CARE. HMI COMBINES THE MOST ADVANCED MEDICAL TECHNOLOGY WITH A DEDICATED TEAM OF PHYSICIANS AND MEDICAL PROFESSIONALS. THE FOCUS IS ON PREVENTION, ASSESSMENT, TREATMENT AND REHABILITATION OF MUSCULOSKELETAL INJURIES. -COLLIER HOSPICE CENTER PROVIDES COMPASSIONATE, COMPREHENSIVE, INTERDISCIPLINARY END-OF-LIFE CARE FOR TERMINALLY ILL PATIENTS AND SUPPORT FOR THEIR FAMILIES. PATIENTS ARE SERVED IN THEIR HOMES, IN NURSING HOMES AND IN THE HOSPICE INPATIENT UNIT LOCATED ON LMC'S CAMPUS. THERE ARE FREE COMMUNITY SERVICES INCLUDING VOLUNTEER-BASED PRE-HOSPICE SUPPORT, GRIEF SUPPORT GROUPS, GRIEF EDUCATION WORKSHOPS, CAREGIVER SUPPORT GROUPS AND GRIEF SUPPORT FOR YOUNG PEOPLE. -COLORADO LUTHERAN HOME (CLH) PROVIDES INDEPENDENT AND ASSISTED-LIVING ACCOMMODATIONS FOR OLDER ADULTS AND IS RECOGNIZED AS AN EDEN ALTERNATIVE FACILITY. IT IS AN ELDER-CENTERED COMMUNITY THAT IMBUES DAILY LIFE WITH VARIETY AND SPONTANEITY. CLH IS A SKILLED NURSING FACILITY THAT INCLUDES A SECURED ALZHEIMER'S UNITS FOR PATIENTS NEEDING 24/7 CARE. -WEST PINES IS A BEHAVIORAL HEALTH FACILITY THAT PROVIDES INPATIENT AND OUTPATIENT PSYCHIATRIC AND ADDICTION SERVICES TO ADULTS. THE WEST PINES RECOVERY CENTER OFFERS AN INNOVATIVE TWO-WEEK ADDICTION RECOVERY PROGRAM TO CLIENTS AND THEIR FAMILIES WHO STRUGGLE WITH ADDICTION, OR ADDICTION PLUS MENTAL ILLNESS. AFTER THE TWO-WEEK STAY, CLIENTS RECEIVE INTENSIVE OUTPATIENT ASSISTANCE AND OPTIONAL MEDICATION MANAGEMENT. THE PROGRAM PROVIDES SHORTER STAYS AND LOWER COSTS. THE SENIOR BEHAVIORAL HEALTH IS A 20 BED UNIT LOCATED AT LMC TO TREAT SENIORS WITH PSYCHIATRIC ILLNESSES. -BRIDGES INTEGRATIVE HEALTH AND WELLNESS OFFERS INTEGRATIVE CARE ACUPUNCTURE, MASSAGE, HEALING TOUCH, PULMONARY REHABILITATION, PHYSICAL THERAPY AND CARDIAC REHABILITATION. -ESTES STREET COMMUNITY CLINIC IS A PARTNERSHIP BETWEEN LMC, THE JEFFCO ACTION CENTER AND METRO COMMUNITY PROVIDER NETWORK. THE CLINIC SERVES HOMELESS AND LOW-INCOME CHILDREN AND ADULTS WITHOUT INSURANCE. IT PROVIDES ACUTE AND PREVENTIVE CARE, IMMUNIZATIONS, WELL-CHILD AND WELL-WOMEN CHECKUPS. -LMC PROVIDES COMPREHENSIVE EDUCATION PROGRAMS WITH OPPORTUNITIES FOR ALL AGES. THROUGH EDUCATION, RELIABLE HEALTH INFORMATION AND SUPPORT, THE PROGRAM PARTNERS WITH DOCTORS AND OTHER HEALTH CARE EXPERTS TO IMPROVE COMMUNITY HEALTH. -CARDIAC AND VASCULAR SERVICES INCLUDES THE CARDIAC CALCIUM SCORE FOR DETECTING HEART DISEASE RISK. -EMERGENCY AND TRAUMA SERVICES INCLUDES A LEVEL III TRAUMA CENTER. -BONE AND JOINT INSTITUTE INCLUDES A COMPREHENSIVE TREATMENT OF ALL JOINT INJURIES AND REPLACEMENT. FULL SERVICE PHYSICAL THERAPY IS ALSO AVAILABLE. -NEUROSCIENCES: THE GOOD SAMARITAN MEDICAL CENTER ADDED TWO BREAKTHROUGH NEUROSCIENCE TECHNOLOGIES - THE INFRARED 800TM AND THE OPMI PENTERO - FOR TREATMENT OF STROKES, ANEURYSMS, BRAIN TUMORS AND OTHER CONDITIONS. THE HOSPITAL EMPLOYS A STROKE FELLOWSHIP-TRAINED PHYSICIAN AND HAS CREATED A STROKE CENTER. -OTOLARYNGOLOGY INCLUDES BALLOON SINUPLASTY. -WOMEN AND FAMILY CENTER INCLUDES A LEVEL II NEONATAL INTENSIVE CARE AND COMPREHENSIVE PRENATAL AND PARENTING EDUCATION. SUPPORT FOR THE UNIT HELPS US REACH OUR GOAL TO HELP WOMEN HAVE HEALTHY PREGNANCIES, BIRTHS AND BABIES. GSMC ALSO IS THE FIRST HOSPITAL TO RECEIVE THE BABY-FRIENDLY DESIGNATION IN COLORADO. INPATIENT AND OUTPATIENT SURGICAL SERVICES INCLUDES A BONE & JOINT INSTITUTE.
FORM 990, PART III, LINES 4A - 4D (CONT'D)	-NEUROSURGERY, INCLUDING O-ARM TECHNOLOGY FOR COMPLEX NEUROSURGICAL CASES AND THE OPMI PENTERO MICROSCOPE, A STATE OF THE ART IMPROVEMENT IN INTRA-OPERATIVE VISUALIZATION FOR BRAIN TUMORS AND ANEURYSMS, THE ONLY ONE OF ITS KIND IN THE REGION. GSMC ALSO BEGAN A DEEP BRAIN STIMULATION SERVICE FOR TREATMENT OF SEVERE MOVEMENT DISORDER LIKE ADVANCED PARKINSON'S DISEASE. -INTERVENTIONAL AND DIAGNOSTIC RADIOLOGY INCLUDING A 64-SLICE CT SCANNER. OTHER SERVICES INCLUDE MRI, ULTRASOUND AND DIAGNOSTIC IMAGING. -GSMC'S HEALTH & HEALING CENTER OFFERS INPATIENT AND OUTPATIENT INTEGRATIVE CARE (ACUPUNCTURE, MASSAGE, HEALING TOUCH, PULMONARY REHABILITATION, PHYSICAL THERAPY AND CARDIAC REHABILITATION). -GSMC PROVIDES WELLNESS QUEST, A COMPREHENSIVE EDUCATION PROGRAM WITH OPPORTUNITIES FOR ALL AGES. THROUGH EDUCATION, RELIABLE HEALTH INFORMATION AND SUPPORT, THE PROGRAM PARTNERS WITH DOCTORS, OTHER HEALTH CARE EXPERTS AND SCHOOLS TO IMPROVE COMMUNITY HEALTH. -GSMC WORKS CLOSELY WITH CLINICA CAMPESINA, A LAFAYETTE-BASED, FEDERALLY-QUALIFIED CLINIC FOR INDIGENT AND LOW INCOME INDIVIDUALS IN BOULDER COUNTY, PROVIDING ASSISTANCE TO FAMILIES IN NEED. LMC WORKS CLOSELY WITH METRO COMMUNITY PROVIDER NETWORK, A FEDERALLY QUALIFIED HEALTH CENTER ALSO SERVING INDIGENT AND LOW INCOME INDIVIDUALS AND FAMILIES IN JEFFERSON COUNTY. -GSMC AND LMC ARE DESIGNATED "BABY-FRIENDLY HOSPITALS" THAT SUPPORT BREASTFEEDING ON NEWBORNS AND PROMOTES THE INITIATION OF BREASTFEEDING WITHIN 1 HOUR OF BIRTH AND ALLOWS MOTHERS AND INFANTS TO REMAIN TOGETHER 24 HOURS A DAY. -GSMC AND LMC OFFER THE "BABY'S FIRST RIDE PROGRAM" AS A SERVICE TO ALL FAMILIES DELIVERING AT OUR HOSPITAL. PARENTS ARE TAUGHT THE PROPER WAY TO INSTALL AND USE A CAR SEAT TO ENSURE THEIR BABY'S FIRST RIDE IS A SAFE ONE.
FORM 990, PART VI, SECTION A, LINE 4	THE PRIMARY PURPOSE FOR AMENDING AND RESTATING THE BYLAWS OF SCL HEALTH - FRONT RANGE, INC. IS TO CLARIFY THAT SCLH-FR IS A PROVIDER NETWORK THAT INCLUDES EMPLOYED PHYSICIANS NOT ONLY IN THE METROPOLITAN DENVER REGION BUT ALSO IN MESA COUNTY, COLORADO. THE FOLLOWING ARE THE KEY CHANGES TO SCLH-FR'S BYLAWS: * CLARIFY THAT SCLH-FR IS A PROVIDER NETWORK, INCLUDING EMPLOYED PHYSICIANS IN THE METROPOLITAN DENVER REGION AND MESA COUNTY, COLORADO; * CLARIFY THAT THE APPOINTMENT OF A FINANCE COMMITTEE IS PERMISSIVE NOT MANDATORY; * CLARIFY THAT A "SENIOR ADMINISTRATOR" MAY BE APPOINTED IN LIEU OF HAVING A PRESIDENT/CEO; * EXPRESSLY DEFINE THAT THE MEMBER (SCL HEALTH) MAY FROM TIME TO TIME SERVE AS THE MANAGER OF ONE OR MORE CONTROLLED AFFILIATES AND/OR DESIGNATE SCLH-FR, OR ANY OTHER SCL HEALTH CONTROLLED ENTITY, AS MANAGER OF ANY CONTROLLED ENTITY; * EXPRESSLY DEFINE THE ROLE OF THE SCLH-FR BOARD IN OVERSEEING QUALITY AND PATIENT SAFETY; AND, * ALIGN INCONSISTENCIES WITHIN THE BYLAWS REGARDING THE ELECTION OF OFFICERS OF THE BOARD.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF SCL HEALTH-FRONT RANGE, INC.
FORM 990, PART VI, SECTION A, LINE 7A	POWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF SCL HEALTH - FRONT RANGE, INC., APPROVES MEMBERS OF SCL HEALTH - FRONT RANGE, INC. BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS; SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS.
FORM 990, PART VI, SECTION B, LINE 11B	PROCESS USED TO REVIEW THE FORM 990; THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY: SCL HEALTH - FRONT RANGE, INC.,AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO 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	FORM 990, PART VI, SECTION B (POLICIES) LINES 15(A) & 15(B) THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1)COMPENSATION COMMITTEE 2)INDEPENDENT COMPENSATION CONSULTANT 3)FORM 990 OF OTHER ORGANIZATIONS 4)WRITTEN EMPLOYMENT CONTRACTS 5)COMPENSATION SURVEYS AND STUDIES 6)APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFER - SYSTEM ACQUISITION COST -187,177,805. EQUITY TRANSFER - CAPITALIZE DENVER JOINT VENTURES 7,233,334. EQUITY TRANSFER - MOUNT SAINT VINCENT SUBSIDIES -2,533,334. EQUITY TRANSFER - INTEREST EXPENSE PAID IN EXCESS OF INTEREST INCOME EARNED -27,702,200. BOOK VS. TAX DEPRECIATION 18,675.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GOOD SAMARITAN MEDICAL CENTER LLC
200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	431982139	HOSPITAL SERVICES	CO	$318,411,742	$242,096,062	SCL HEALTH - FRONT RANGE INC
SCL HEALTH MEDICAL GROUP - DENVER LLC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80026	463778226	PHYSICIAN SERVICES	CO	$54,118,381	$16,111,328	SCL HEALTH - FRONT RANGE INC
SCL PHYSICIANS - RMPC LLC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80026	352563201	PHYSICIAN SERVICES	CO	$0	$0	SCL HEALTH MEDICAL GROUP - DENVER LLC
SCL HEALTH MEDICAL GROUP - GRAND JUNCTION LLC
2635 NORTH 7TH STREET	GRAND JUNCTION	CO	81502	463778277	PHYSICIAN SERVICES	CO	$44,288,810	$4,568,125	SCL HEALTH - FRONT RANGE INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	237379161	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	KS	501(C)(3)	LINE 12C, III-FI	N/A	0
INTEGRITY HEALTH
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	474520350	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12C, III-FI		0	SCLHS
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
1600 PRAIRIE CENTER PARKWAY	BRIGHTON	CO	80601	840482695	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	INTEGRITY HEALTH
PLATTE VALLEY MEDICAL CENTER FOUNDATION
1600 PRAIRIE CENTER PARKWAY	BRIGHTON	CO	80601	742255936	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I		0	BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARD	DENVER	CO	80211	840405260	RESIDENT CARE	CO	501(C)(3)	LINE 10		0	SCLHS
NJH-SJH INC
500 ELDORADO BLVD SUITE 4300	DENVER	CO	80211	471194849	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	CO	501(C)(3)	LINE 12A, I		0	SCLHS
SAINT JOSEPH HOSPITAL INC
1375 EAST 19TH AVENUE	DENVER	CO	80218	840417134	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	SCLHS
SAINT JOSEPH HOSPITAL FOUNDATION
1375 EAST 19TH AVENUE	DENVER	CO	80218	840735096	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 10		0	SAINT JOSEPH HOSPITAL INC
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	841649162	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7		Yes (1)	SCL HEALTH-FRONT RANGE INC
LUTHERAN MEDICAL CENTER FOUNDATION
8300 WEST 38TH AVENUE	WHEAT RIDGE	CO	80033	208846152	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7		Yes (1)	SCL HEALTH-FRONT RANGE INC
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 NORTH 7TH STREET	GRAND JUNCTION	CO	81501	840425720	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	SCLHS
ST MARYS HOSPITAL FOUNDATION
2635 NORTH 7TH STREET	GRAND JUNCTION	CO	81501	237001007	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I		0	ST MARYS HOSPITAL & MEDICAL CENTER INC
CARITAS CLINICS INC
818 NORTH 7TH STREET	LEAVENWORTH	KS	66048	481009910	CLINIC SERVICES	KS	501(C)(3)	LINE 3		0	SCLHS
MARIAN CLINIC INC
3164 EAST 6TH AVENUE	TOPEKA	KS	66607	481046905	CLINIC SERVICES	KS	501(C)(3)	LINE 3		0	SCLHS
ST FRANCIS HEALTH CENTER INC
1700 SOUTHWEST 7TH STREET	TOPEKA	KS	66606	480547719	HOSPITAL SERVICES	KS	501(C)(3)	LINE 3		0	SCLHS
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SOUTHWEST 7TH STREET	TOPEKA	KS	66606	481092520	SUPPORTING ORGANIZATION	KS	501(C)(3)	LINE 12A, I		0	ST FRANCIS HEALTH CENTER INC
HOLY ROSARY HEALTHCARE
2600 WILSON STREET	MILES CITY	MT	59301	810231792	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3		0	SCLHS
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON STREET	MILES CITY	MT	59301	202270238	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I		0	HOLY ROSARY HEALTHCARE
ST JAMES HEALTHCARE
400 SOUTH CLARK STREET	BUTTE	MT	59701	810231785	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3		0	SCLHS
ST JAMES HEALTHCARE FOUNDATION INC
400 SOUTH CLARK STREET	BUTTE	MT	59701	651202190	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I		0	ST JAMES HEALTHCARE
ST VINCENT HEALTHCARE
1233 NORTH 30TH STREET	BILLINGS	MT	59101	810232124	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3		0	SCLHS
ST VINCENT HEALTHCARE FOUNDATION INC
1106 NORTH 30TH STREET	BILLINGS	MT	59101	810468034	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	MT	501(C)(3)	LINE 7		0	ST VINCENT HEALTHCARE

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
DENVER WEST ENDOSCOPY CENTER LLC
382 S ARTHUR AVENUE	LOUISVILLE	CO	80027	460788218	OP ENDOSCOPY	CO	N/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHERAN PKWY STE 150	WHEATRIDGE	CO	80033	020749532	OP SURGERY	CO	N/A
SCLH-GI ENDOSCOPY HOLDINGS LLC
382 S ARTHUR AVENUE	LOUISVILLE	CO	80027	812979243	OP ENDOSCOPY	CO	N/A
SCLTDI JV LLC
1431 PERRONE WAY	FRANKLIN	TN	37069	472294770	RADIOLOGY	DE	N/A
ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	272270640	PHYSICAL THERAPY	MT	N/A
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTON	GRAND JUNCTION	CO	81501	841505075	OP SURGERY	CO	N/A
HEALTHCARE MANAGEMENT LLC
PO BOX 1929	GRAND JUNCTION	CO	81502	841238904	MANAGEMENT SERVICES	CO	N/A
PAVILION IMAGING LLC
750 WELLINGTON	GRAND JUNCTION	CO	81501	030516198	RADIOLOGY	CO	N/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREET	MONTROSE	CO	81401	202856331	OP CANCER	CO	N/A
SMHMMH AIR MEDICAL TRANSPORT LLC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	473525381	MEDICAL AIR TRANSPORT	CO	N/A
EKG INTERPRETATION SERVICE
3464 S WILLOW STREET SUITE 111	DENVER	CO	80231	840927945	EKG INTERPRETATION	CO	N/A
ST JOSEPH EKG READER PANEL
3464 S WILLOW STREET SUITE 174	DENVER	CO	80231	841269895	EKG READING	CO	N/A
CODY MEDICAL ARTS COMPLEX LLC
720 LINDSAY LANE	CODY	WY	82414	331031839	RENTAL REAL ESTATE	WY	N/A
MED-MAP LLC
PO BOX 1295	BILLINGS	MT	59103	810491356	RENTAL REAL ESTATE	MT	N/A
YELLOWSTONE SURGERY CENTER LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	721519467	OP SURGERY	MT	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
APEX SURGICAL PARTNERS INC
1610 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	473268324	MEDICAL SERVICES	CO	N/A	C	0
EAGLE RIDGE MEDICAL INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	462387681	MEDICAL SERVICES	CO	N/A	C	0
HIGH PLAINS HEART AND VASCULAR CENTER INC
1610 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	272038197	MEDICAL SERVICES	CO	N/A	C	0
INTEGRATIVE INTERNAL MEDICINE AND MEDICAL ACUPUNCTURE INC
1610 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	274433325	MEDICAL SERVICES	CO	N/A	C	0
MOUNTAIN VIEW ORTHOPEDICS INC
1610 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	275382523	MEDICAL SERVICES	CO	N/A	C	0
PVMC MEDICAL TEAM INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	473988808	MEDICAL SERVICES	CO	N/A	C	0
PVMC PHYSICIAN SERVICES INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	943458548	MEDICAL SERVICES	CO	N/A	C	0
PLATTE VALLEY MEDICAL TEAM INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	841110470	MEDICAL SERVICES	CO	N/A	C	0
CARITAS INC AND SUBSIDIARIES
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	480941069	HEALTHCARE	KS	N/A	C	0
ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC
1700 SOUTHWEST 7TH STREET	TOPEKA	KS	66606	462874128	HEALTHCARE	KS	N/A	C	0
LEAVEN INSURANCE COMPANY LTD
				980370522	INSURANCE		N/A	C	0	23 LIME TREE BAY AVENUE WEST BAY R	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
B	$506,702	CASH
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
C	$89,139	CASH
LUTHERAN MEDICAL CENTER FOUNDATION
C	$1,476,367	CASH
LUTHERAN MEDICAL CENTER FOUNDATION
B	$329,833	CASH