Saint Alphonsus Regional Medical Center

“The sole member of saint alphonsus regional medical center (sarmc) is saint alphonsus health system. See line 7 for additional information.”

“Saint alphonsus health system is the sole member of sarmc. Saint alphonsus health system has the right to appoint all persons to the board of directors of sarmc.”

“As sole member, saint alphonsus health system must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. Saint alphonsus health system must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits, and modifications to governing documents. As the parent of the national trinity health system, certain powers are reserved to trinity health corporation. These include the authority to adopt or modify the organization's governing documents, to approve major changes such as a merger or dissolution, and to approve significant finance matters in excess of certain limits established by trinity health corporation.”

“Prior to filing, the form 990 for sarmc is reviewed by senior management. In addition, certain key sections of the form are reviewed by the saint alphonsus health system planning and finance committee. Each member of the board receives a copy of the return in its final form before it is filed with the internal revenue service.”

“Sarmc has adopted trinity health's governance policy no. 1, which sets forth the organization's conflict of interest policy and processes. It applies to all "interested persons" of sarmc, which includes directors, principal officers, key employees, and members of committees with board-delegated powers. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of sarmc and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to the integrity and compliance officer, who collaborates with internal legal counsel to assess the conflict and identify a conflict management plan when necessary. Additionally, the integrity and compliance officer along with legal counsel prepares a report for the board chair and ceo. A summary of potential conflicts is reviewed with the board of directors of sarmc (or a delegated committee of the board) on a yearly basis. Interested persons are required to make full disclosure to sarmc of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of sarmc (or a delegated committee of the board) is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board (or a delegated committee of the board) will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of sarmc. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request.”

“Questions 15a and 15b are answered "no" because the compensation for the ceo and certain officers of sarmc is established and paid by trinity health, a related organization. In establishing compensation for these individuals, trinity health follows a process and policy that is intended to mirror the irc section 4958 guidelines for obtaining a "rebuttable presumption of reasonableness" with regard to compensation and benefits. As part of that process, the compensation and benefits of these individuals are reviewed at least annually by the trinity health board or the trinity health human resources and compensation committee (hrcc) of the board, authorized to act on behalf of the board with respect to certain compensation matters. As part of its review process, the hrcc retains an independent firm experienced in compensation and benefit matters for not-for-profit health care organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements. For other executives who are not part of the rebuttable presumption process, trinity health uses a market analysis to determine the appropriateness of the executive's compensation. In addition, question 15b is answered "no" because the compensation for certain key management officials of sarmc is established and paid by saint alphonsus health system, a related organization. Compensation is determined using an annual review of goals and performance by the individual's manager.”

“Sarmc is a subsidiary organization in the trinity health system. Trinity health makes certain of its key documents available to the public on its website, www.trinity-health.org, in the "about us" section. In this section, the consolidated audited financial statements are publicly available. In addition, sarmc includes a copy of its most recently filed schedule h on trinity health's website. Sarmc's governing documents and conflict of interest policy are available upon request.”

“Saint alphonsus cancer institute saint alphonsus medical group saint alphonsus foundation saint alphonsus saint alphonsus heart institute saint alphonsus regional medical center-boise saint alphonsus fruitland health plaza”

“Individuals who work at sarmc are on the payroll of a related organization. These individuals' salaries and benefits are allocated to sarmc and are reported on part ix, lines 5 through 9.”

“Certain beginning balance sheet amounts have been reclassified to conform to the ending balance sheet presentation.”

“Equity transfers to affiliates -9,711,691. Asset impairment 15,278.”

“Sarmc's financial statements were included in the fy24 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.”