Intermountain Front Range Inc.

“Mark korth / sadie sullivan / lara zarzecki / john wicklund - business relationship (employer/employee relationship in sisters of charity health system, inc., a related tax-exempt organization).”

“Members or stockholders: sisters of charity of leavenworth health system, inc. Is the sole member of scl health - front range, inc.”

“Power to elect or appoint members: sisters of charity of leavenworth health system, inc., the sole member of scl health - front range, inc., has the power to appoint members of the scl health - front range, inc. Board of directors, subject to the ratification by the board of intermountain health care, inc.”

“Decisions reserved to members or stockholders: while sisters of charity of leavenworth health system, inc. (sclhs) is the sole member of scl health - front range, inc., reserved powers are primarily held by intermountain health care, inc. (intermountain), who as a result of affiliation, is a member of sclhs. Sclhs has the power to appoint trustees to the board of directors, which are subject to ratification by intermountain. Reserved powers held by intermountain include: - establish the mission, vision, and values for the corporation; - develop, adopt, and oversee strategy, goals, objectives, policies, standards, and guidelines for the corporation; - adopt, amend, or repeal the governing documents of the corporation; - fix the number of trustees of the board and appoint and remove trustees to and from the board; - appoint and remove the trustees, directors, managers, or board officers of the corporation; - provide for the overall management of the corporation, including appointing, overseeing, and removing the president and chief executive officer of the corporation; - oversee audit and compliance, clinical excellence, compensation, finance, investment, nominating and governance, and any other needed functions for the proper operation of the corporation; - oversee the medical groups of the system in a manner to encourage the delivery of cost-effective professional services to patients served and, in accordance with applicable state law, oversee clinical practice and evidenced-based medicine; - approve the acquisition of assets, incurrence of indebtedness, sale, lease, transfer, assignment, or encumbrance of all or substantially all of the assets of the corporation; - approve any merger, change of control, dissolution, or corporate restructuring of the corporation; - oversee the acquisition or formation of any new subsidiary of the corporation; and - direct finances and investments of the organization, including controls, operating and capital budgets, intercompany transfers or loans, and selection and removal of external auditors. The other member of sclhs is leaven ministries, who was granted the following reserved powers: - to approve the adoption, amendment or repeal of the civil articles of incorporation or bylaws of sclhs, of any civil corporation of which sclhs is the controlling member, and of any subsidiary corporation of sclhs; - to fix the number and appoint the members of the board of trustees of sclhs; - to remove, with or without cause, any member of the board of trustees of sclhs; - to approve for sclhs, any corporation of which sclhs is the controlling member, or any subsidiary corporation of sclhs, the incurrence of indebtedness or the sale, transfer, assignment, or encumbering of the assets, pursuant to policies established from time to time by the members of leaven ministries; - to approve any other action which, in accordance with the civil corporate documents governing sclhs is reserved to the members of leaven ministries; - to approve any alienation, sale, gift or other transfer of the real property held by any sclhs catholic entity that constitutes ecclesiastical goods; - to approve any dissolution, filing of a bankruptcy petition, merger, consolidation or change of majority control of any sclhs catholic entity; - to approve any mortgage or other security instrument that directly encumbers the real property of any sclhs catholic entity that constitutes ecclesiastical goods; - to monitor, oversee and enforce the catholic protections including those on-going obligations of intermountain health care, inc.set forth in the merger agreement that are for the benefit of leaven ministries; and - to approve any alteration, revocation, suspension, or other termination or modification of the reserved powers set forth herein. In the event any conflicts arise between the reserved powers granted to leaven ministries and those of intermountain, the leaven reserved powers will control.”

“Process used to review the form 990: the form 990 is prepared by the tax department of intermountain health care, inc. And subsidiaries. The draft form 990 is reviewed by certain members of senior management. A copy of the final form 990 is provided to the board of directors prior to the filing with the internal revenue service.”

“Each officer, director, trustee and key employee is required to complete a conflict of interest questionnaire at least annually. These individuals have been instructed to update their questionnaire information if they become aware of a new potential conflict, or if any of the previously reported information changes. Additionally, board members are asked at the beginning of each board or committee meeting if they are aware of any conflicts. According to policy, the questionnaires are collected and reviewed by intermountain's chief compliance officer. Potential conflicts of interest are reviewed with appropriate personnel, which may include (but is not limited to) the audit and compliance committee chair, senior management and the legal department. If an individual discloses a situation that poses a conflict of interest, a determination is made whether the situation can be managed (such as by recusal in decision-making settings) or must be eliminated (such as through divestiture of the outside interest). Findings are reported to the audit and compliance committee of intermountain health care, inc.”

“Form 990, part vi, section b (policies) lines 15(a) & 15(b) the organization's officers and senior management are paid by a related organization, sisters of charity of leavenworth health system, inc. (sclhs) or by scl health - front range, inc. Compensation for the officers and senior management is managed by the intermountain health care, inc. Board compensation committee (committee) on behalf of sclhs and all of its affiliates. The committee reviews and approves compensation arrangements of the officers and senior management and makes recommendations to intermountain health care, inc.'s board for approval of any changes. The committee's review is conducted in a manner that is intended to qualify for the rebuttable presumption of reasonableness under the intermediate sanctions rules of internal revenue code section 4958. The committee conducts the review with the assistance of an experienced and independent compensation consulting firm that has deep national expertise in health systems' executive compensation programs and levels. The committee obtains and relies upon current, comparable market data of peer organizations prior to making compensation-related decisions. The information reviewed includes compensation levels paid by similarly situated organizations for functionally comparable positions, the availability of similar services in the geographic area served by intermountain health care, inc. And current compensation surveys compiled by an independent firm. The board places a high priority on the need to recurit and retain a strong leadership team and to create a highly motivated and engaged workforce. Compensation levels follow irs guidelines and are subject to irs oversight. As part of the review process, intermountain health care, inc. Uses the following in establishing the compensation of officers and senior management. 1) compensation committee 2) independent compensation consultant 3) form 990 of other organizations 4) compensation surveys and studies 5) approval by the board or compensation committee the items listed above support the compensation committee's efforts to ensure that the level of compensation provided to its officers and senior management is reasonable, appropriate and consistent with the pay philosophy set by the board.”

“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.”

“Independent contractors: the organization's expenses are paid by a related 501(c)(3) tax-exempt organization. The related organization files the required form 1096 and related 1099 tax forms for any expenditure that requires a form 1099 to be filed.”

“Description of program service achievements: scl health - front range, inc. (sclfr) operates lutheran medical center (lmc) serving primarily western and southern suburban areas of metro denver and good samaritan medical center (gsmc), serving primarily boulder and northwest counties of metro denver, and other affiliated medical operations. Lutheran medical center began in 1905 as the evangelical lutheran sanitarium, a tent colony for tuberculosis patients. In 1961, lutheran hospital, a general medical facility located on a 100-acre campus opened. In 1973, a six-floor tower was addded and in 1985 a critcal care unit was added, bringing the number of licensed beds to 338, its current capacity. In january 1998, lutheran medical center joined saint joseph hospital and exempla medical group to form exempla healthcare, a non-profit community based organization, to manage operations of the hospital and medical group. In december 2004, good samaritan medical center, a community-based, acute-care hospital, was constructed by sisters of charity of leavenworth health system, inc. In 2010, exempla healthcare was acquired by sisters of charity of leavenworth health system, inc. In december 2013, the name was changed from exempla healthcare to scl health - front range, inc. On april 1, 2022, intermountain health care, inc. And sisters of charity of leavenworth health system, inc. Affiliated, creating a model health system that provides high-quality, accessible, and affordable healthcare to communities in utah, idaho, nevada, colorado, montana, wyoming, and kansas. The organization employs more than 66,000 caregivers, operates 33 hospitals (including one virtual hospital), and runs hundreds of clinics, while providing health insurance to over one million people in utah, idaho and nevada. As part of intermountain health (integrated health system), sclfr has direct access to best practices, resources, technology, talent and strategic capital. Good samaritan medical center is recognized as one of the best maternity hospitals in the country by us news and world report. Lutheran medical center is nationally recognized with magnet accreditation for nursing excellence. Sclfr. Has a variety of programs and services to serve the community including but not limited to: lutheran medical center: - cancer care (cancer centers of colorado, breast care center) - certified comprehensive stroke center - emergency and trauma services (level ii trauma center) - family medicine - heart and neurovascular center - hospice and palliative care - labor and delivery - orthopedics - radiology, imaging and ancillary services - senior behavioral health - sports medicine - surgery center (including robotic-assisted surgery) - rehababilitation services - women's health good samaritan medical center: - cancer care (cancer centers of colorado) - chest pain center and cardiovascular center of excellence - emergency and trauma services (level ii trauma center) - integrative health and healing center - labor and delivery, level ii neonatal care unit - orthopedics, bone and joint institute - palliative care - radiology, imaging and ancillary services - stroke center - surgery center (including robotic-assisted surgery) - rehabilitation services - women's health during 2023, sclfr had the following results: admissions - 28,175 outpatient visits - 266,083 emergency room visits - 99,313 births - 2,905 surgeries - 13,701 lab tests - 1,627,930 mission, vision, and values: mission: helping people live the healthiest lives possible. Vision: be a model health system by providing extraordinary care and superior service at an affordable cost. Values: - we are leaders in clinical excellence, delivering safe, best-in-quality care - we believe in what we do, living our mission every day - we serve with empathy, caring for each caregiver, patient, and member with compassion and respect - we are partners in health, collaborating to keep people well - we do the right thing, learning and acting”

“Explanation for number reported in box 3 of form 1096: the organization's expenses are paid by a related 501(c)(3) tax-exempt organization. The related organization files the required form 1096 and related 1099 tax forms for any expenditure that requires a form 1099 to be filed.”

“Contract labor: program service expenses 48,217,415. Management and general expenses 3,476,491. Fundraising expenses 0. Total expenses 51,693,906. Purchased services: program service expenses 19,101,765. Management and general expenses 1,377,243. Fundraising expenses 0. Total expenses 20,479,008. Professional fees: program service expenses 63,569,125. Management and general expenses 4,583,355. Fundraising expenses 0. Total expenses 68,152,480.”

“Fair value acquisition adjustment -5,399,644. Third party medicare adjustment -1,345,934. Transfer of funds to an affiliate -247,517.”