ST JAMES HEALTHCARE: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: ST JAMES HEALTHCARE (EIN 81-0231785)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-07
IRS object ID: 202403129349302150
Schema version: 2023v5.1
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 H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-07T09:57:11-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810231785	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JAMES HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STJA	BusinessNameControlTxt
Phone	4067232500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 SOUTH CLARK STREET	AddressLine1Txt
City	BUTTE	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59701	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAM PALAGI	PersonNm
Person Title	VP FINANCE & CFO	PersonTitleTxt
Phone	4067232500	PhoneNum
Signature	2024-11-06	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	KAREN COSTELLO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 SOUTH CLARK STREET	AddressLine1Txt
City	BUTTE	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$142,338,596	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SEE SCHEDULE O	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1976	FormationYr
Legal Domicile State	MT	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	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	649	TotalEmployeeCnt
Total Volunteers	6	TotalVolunteersCnt
Total Gross UBI	$1,429,631	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$630,951	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,284,754	PYContributionsGrantsAmt
CY Contributions Grants	$1,601,677	CYContributionsGrantsAmt
PY Program Service Revenue	$149,865,562	PYProgramServiceRevenueAmt
CY Program Service Revenue	$137,870,334	CYProgramServiceRevenueAmt
PY Investment Income	$1,335,299	PYInvestmentIncomeAmt
CY Investment Income	$1,203,515	CYInvestmentIncomeAmt
PY Other Revenue	$1,311,010	PYOtherRevenueAmt
CY Other Revenue	$1,509,349	CYOtherRevenueAmt
PY Total Revenue	$153,796,625	PYTotalRevenueAmt
CY Total Revenue	$142,184,875	CYTotalRevenueAmt
PY Grants And Similar Paid	$3,992,423	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$4,749,916	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$44,208,136	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$47,799,296	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$104,676,289	PYOtherExpensesAmt
CY Other Expenses	$99,041,771	CYOtherExpensesAmt
PY Total Expenses	$152,876,848	PYTotalExpensesAmt
CY Total Expenses	$151,590,983	CYTotalExpensesAmt
PY Revenues Less Expenses	$919,777	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$9,406,108	CYRevenuesLessExpensesAmt
Total Assets BOY	$156,566,506	TotalAssetsBOYAmt
Total Assets EOY	$143,832,551	TotalAssetsEOYAmt
Total Liabilities BOY	$12,824,303	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$11,557,408	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$143,742,203	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$132,275,143	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$131,053,379	ExpenseAmt
Grant	$4,749,916	GrantAmt
Revenue	$138,488,781	RevenueAmt
Desc	ST. JAMES HEALTHCARE HAS PLAYED AN IMPORTANT ROLE IN THE HISTORY OF BUTTE, MONTANA. FOUNDED IN 1881 BY THE SISTERS OF CHARITY OF LEAVENWORTH, ST. JAMES HAS BEEN KNOWN FOR GENERATIONS FOR ITS MISSION OF COMPASSIONATE CARE AND SERVICE TO THE POOR. TODAY, THAT COMMITMENT IS ACCOMPANIED BY ST. JAMES' REPUTATION AS A TECHNOLOGICAL LEADER IN MONTANA'S HEALTHCARE INDUSTRY AND THE LARGEST ACUTE-CARE HOSPITAL IN SOUTHWEST MONTANA.ST. JAMES HEALTHCARE IS RELATED TO SCL HEALTH MEDICAL GROUP-BUTTE, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. SCL HEALTH MEDICAL GROUP-BUTTE, LLC IS A GROUP OF PHYSICIAN CLINICS THAT PROVIDE PROFESSIONAL SERVICES TO THE ST. JAMES HEALTHCARE COMMUNITY AND SUPPORTS THE MISSION OF ST. JAMES HEALTHCARE. ALTHOUGH SCL HEALTH MEDICAL GROUP-BUTTE, LLC IS NOT OWNED DIRECTLY BY ST. JAMES HEALTHCARE, ST. JAMES HEALTHCARE IS REQUIRED TO FUND ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP-BUTTE, LLC. IN 2023, THE HOSPITAL PROVIDED $7,144,013 IN SUPPORT OF THE LOSSES OF THE PHYSICIAN CLINICS.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), ST. JAMES HEALTHCARE HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL. ST. JAMES HEALTHCARE CONTINUES TO BE A PROUD RECIPIENT OF THE PRESS GANEY GUARDIAN OF EXCELLENCE AWARD.ST. JAMES HEALTHCARE HAS A VARIETY OF PROGRAMS AND SERVICES TO SERVE THE COMMUNITY INCLUDING BUT NOT LIMITED TO:- CANCER CARE- CARDIAC SERVICES- EMERGENCY AND TRAUMA SERVICES (LEVEL III TRAUMA CENTER)- HOSPICE AND PALLIATIVE CARE- IMAGING- JOINT SURGERY AND REPLACEMENT CENTER- LABOR AND DELIVERY- ORTHOPEDICS- SPORTS MEDICINE- SURGERY CENTER- THERAPY AND REHAB SERVICES- WOMEN'S HEALTH SERVICESDURING 2023, ST. JAMES HEALTHCARE HAD THE FOLLOWING RESULTS:ADMISSIONS - 2,687OUTPATIENT VISITS - 82,820EMERGENCY DEPARTMENT VISITS - 16,721BIRTHS - 255SURGERIES - 1,902LABORATORY TESTS - 309,445MISSION:WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISION:INSPIRED BY OUR FAITH, WE WILL PARTNER WITH OUR PATIENTS AND COMMUNITIES TO EXCEED THEIR EXPECTATIONS FOR HEALTH.VALUES:CARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON.EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS.GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS.INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE.SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES.STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.	Desc
Total Program Service Expenses	$131,053,379	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
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
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	0	ForeignActivitiesInd
More Than5000 K To Org	0	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	0	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	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	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
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	649	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
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	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	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	COLIN QUINCY	PersonNm
Phone	8014423491	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	36 SOUTH STATE STREET	AddressLine1Txt
City	SALT LAKE CITY	CityNm
State Abbreviation	UT	StateAbbreviationCd
ZIP	84111	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
BRYAN JOHNSON
INTERIM PRESIDENT, MONTANA REGION (PARTIAL)	6.00	49.00	Yes (X)	Yes (X)	$0	$684,612	$282,612
JENNIFER ALDERFER
PRESIDENT, MONTANA REGION - PART YEAR (PARTIAL)	9.00	44.00	Yes (X)	Yes (X)	$0	$756,683	$42,121
JAMES DOYLE
PRESIDENT SJB	50.00	0.00		Yes (X)	$453,264	$0	$176,214
JAMES RITCHEY
FORMER KEY EMPLOYEE	0.00	50.00			$0	$434,421	$181,079	Yes (X)
MARWAN MASSOUH MD
FORMER HIGHEST COMPENSATED	0.00	50.00			$0	$554,246	$36,817	Yes (X)
JENNIFER DAVENPORT MD
VP CMO SJB/ASSOCIATE CMO MT (PARTIAL)	50.00	1.00			$399,681	$0	$182,178		Yes (X)
MOHAN NANDALUR MD
FORMER HIGHEST COMPENSATED	0.00	50.00			$0	$521,725	$23,523	Yes (X)
PAMELA PALAGI
VP FINANCE REGION MT	9.00	41.00		Yes (X)	$0	$386,020	$148,363
KATIE ROEDOCKER
VP COO/CNO SJB	50.00	0.00			$362,780	$0	$127,960		Yes (X)
ADAM SCHAFER
VP NETWORK DEVELOPMENT REGION MT	9.00	41.00			$0	$273,752	$122,709		Yes (X)
SUSAN PETERSEN MD
DIRECTOR	1.00	52.00	Yes (X)		$0	$330,406	$15,404
TRACY NEARY
VP MISSION INTEGRATION REGION MT	9.00	41.00			$0	$227,988	$111,563		Yes (X)
JOEL DYE MD
FORMER HIGHEST COMPENSATED	0.00	50.00			$0	$293,643	$44,249	Yes (X)
LUC HIBBS MD
FORMER HIGHEST COMPENSATED	0.00	50.00			$0	$296,303	$38,595	Yes (X)
DAVID SILK MD
FORMER HIGHEST COMPENSATED	0.00	50.00			$0	$290,364	$44,011	Yes (X)
ALAN MAYER MD
FORMER HIGHEST COMPENSATED	0.00	50.00			$0	$296,689	$37,618	Yes (X)
JAMES BARRY OSER MD
FORMER HIGHEST COMPENSATED	0.00	50.00			$0	$315,555	$17,590	Yes (X)
TRISHA PALMER
DIRECTOR OF HUMAN RESOURCES	50.00	0.00			$208,164	$0	$68,207			Yes (X)
DANAE APLAS
ANESTHESIOLOGIST	50.00	0.00			$234,497	$0	$25,293			Yes (X)
RISIK RASK
DIRECTOR PHARMACY	50.00	0.00			$182,016	$0	$46,094			Yes (X)
TONYA GRIM
DIRECTOR HEALTH INFORMATICS NURSING_SJB	50.00	0.00			$168,062	$0	$57,107			Yes (X)
JEFFREY NEIL
PHARMACIST	50.00	0.00			$180,559	$0	$39,327			Yes (X)
CHRISTOPHER EDWARDS
VICE CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
KAREN FAGG
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
DANETTE GLEASON
CHAIR	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
SISTER EILEEN HURLEY
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
SISTER JUDITH JACKSON
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
MJ JANSSEN
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
BERNARD MCCARTHY
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
CHARLES NOTBOHM
SECRETARY	1.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
COLLEEN O'LEARY
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
NGUYEN-VU PHAM
DIRECTOR	1.00	4.00	Yes (X)		$0	$0	$0
BECKY RENO
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
MAJEL RUSSELL
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
CINDY SORICH
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0
MISTY STEADMAN
DIRECTOR	1.00	2.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,189,023	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,662,407	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,868,634	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	89	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$701,677	RelatedOrganizationsAmt
Government Grants	$900,000	GovernmentGrantsAmt
Total Contributions	$1,601,677	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT CARE	Desc
Business	620000	BusinessCd
Total Revenue Column	$137,870,334	TotalRevenueColumnAmt
Related Or Exempt Func Income	$137,369,100	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$501,234	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$137,870,334	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,198,626	TotalRevenueColumnAmt
Exclusion	$1,198,626	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$65,361	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$388	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$64,973	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$64,973	TotalRevenueColumnAmt
Exclusion	$64,973	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$34,993	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$30,104	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$4,889	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,889	TotalRevenueColumnAmt
Exclusion	$4,889	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$20,761	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$123,229	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$102,468	TotalRevenueColumnAmt
Exclusion	-$102,468	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUMMIT SURGERY CTR	620000	$874,474	$874,474
CAFETERIA REVENUE	720000	$657,689	$39,242	$618,447
LAUNDRY SERVICES	810000	$14,681	$14,681

Field	Value	IRS element (for citing)
Other Revenue Total	$1,546,844	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$142,184,875	TotalRevenueColumnAmt
Related Or Exempt Func Income	$137,987,547	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,429,631	UnrelatedBusinessRevenueAmt
Exclusion	$1,166,020	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,749,916	TotalAmt
Program Services	$4,749,916	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,294,427	TotalAmt
Program Services	$2,252,321	ProgramServicesAmt
Management And General	$42,106	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$36,151,439	TotalAmt
Program Services	$35,488,003	ProgramServicesAmt
Management And General	$663,436	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,957,744	TotalAmt
Program Services	$1,921,725	ProgramServicesAmt
Management And General	$36,019	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,548,622	TotalAmt
Program Services	$4,495,854	ProgramServicesAmt
Management And General	$52,768	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,847,064	TotalAmt
Program Services	$2,799,200	ProgramServicesAmt
Management And General	$47,864	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$13,749	TotalAmt
Management And General	$13,749	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$13,428	TotalAmt
Management And General	$13,428	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$27,777,222	TotalAmt
Program Services	$27,591,703	ProgramServicesAmt
Management And General	$185,519	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$105,584	TotalAmt
Program Services	$105,003	ProgramServicesAmt
Management And General	$581	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$227,784	TotalAmt
Program Services	$225,787	ProgramServicesAmt
Management And General	$1,997	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,360,112	TotalAmt
Program Services	$28,973	ProgramServicesAmt
Management And General	$7,331,139	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,125,135	TotalAmt
Program Services	$1,851,203	ProgramServicesAmt
Management And General	$273,932	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$234,978	TotalAmt
Program Services	$217,433	ProgramServicesAmt
Management And General	$17,545	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$44,775	TotalAmt
Program Services	$38,545	ProgramServicesAmt
Management And General	$6,230	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$880,041	TotalAmt
Program Services	$880,041	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,839,671	TotalAmt
Program Services	$6,839,671	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,147,775	TotalAmt
Program Services	$1,147,775	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$27,627,360	$27,627,360
SHARED SERVICES-OTHER	$5,221,828		$5,221,828
MAINTENANCE & OTHER SER	$5,061,536	$5,060,037	$1,499
BILLING & COLLECTION	$4,373,735		$4,373,735

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,987,058	TotalAmt
Program Services	$7,732,829	ProgramServicesAmt
Management And General	$2,254,229	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$151,590,983	TotalAmt
Program Services	$131,053,379	ProgramServicesAmt
Management And General	$20,537,604	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,776	BOYAmt
EOY	$1,125	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,445,432	BOYAmt
EOY	$13,088,022	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$71,898	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,972,017	BOYAmt
EOY	$2,741,233	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$473,239	BOYAmt
EOY	$618,847	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$98,632,089	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$11,379,736	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$86,849,612	BOYAmt
EOY	$87,252,353	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,048,665	BOYAmt
EOY	$6,250,918	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$43,703,867	BOYAmt
EOY	$33,880,053	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,566,506	BOYAmt
EOY	$143,832,551	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$11,519,400	BOYAmt
EOY	$10,197,905	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,229,414	BOYAmt
EOY	$312,892	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$75,489	BOYAmt
EOY	$1,046,611	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$12,824,303	BOYAmt
EOY	$11,557,408	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$143,742,203	BOYAmt
EOY	$132,275,143	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$143,742,203	BOYAmt
EOY	$132,275,143	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$156,566,506	BOYAmt
EOY	$143,832,551	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$9,406,108	ReconcilationRevenueExpnssAmt
Prior Period Adjustments	-$30,079	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	-$2,030,873	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	$13,428	OtherActivitiesAmt
Total Lobbying Expenditures	$13,428	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	ST. JAMES HEALTHCARE PAID MEMBERSHIP DUES TO THE MONTANA HOSPITAL ASSOCIATION OF WHICH $579 IS ATTRIBUTED TO LOBBYING. LOBBYING EXPENSES OF $12,849 WERE DERIVED FROM FEES FOR ADVOCACY SERVICES RELATED TO MONTANA LEGISLATIVE ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,734,169	BeginningYearBalanceAmt
Contributions	$878,858	ContributionsAmt
Investment Earnings Or Losses	$30,621	InvestmentEarningsOrLossesAmt
Other Expenditures	$813,556	OtherExpendituresAmt
End Year Balance	$1,830,092	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,499,543	BeginningYearBalanceAmt
Contributions	$714,391	ContributionsAmt
Investment Earnings Or Losses	-$30,367	InvestmentEarningsOrLossesAmt
Other Expenditures	$449,398	OtherExpendituresAmt
End Year Balance	$1,734,169	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,368,820	BeginningYearBalanceAmt
Contributions	$472,377	ContributionsAmt
Investment Earnings Or Losses	$10,491	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$25,874	GrantsOrScholarshipsAmt
Other Expenditures	$3,326,271	OtherExpendituresAmt
End Year Balance	$1,499,543	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,773,804	BeginningYearBalanceAmt
Contributions	$1,819,711	ContributionsAmt
Investment Earnings Or Losses	$14,882	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,239,577	OtherExpendituresAmt
End Year Balance	$4,368,820	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,194,521	BeginningYearBalanceAmt
Contributions	$729,022	ContributionsAmt
Investment Earnings Or Losses	$9,111	InvestmentEarningsOrLossesAmt
Other Expenditures	$158,850	OtherExpendituresAmt
End Year Balance	$4,773,804	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.26800	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.73200	TermEndowmentBalanceEOYPct
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	$1,245,204	OtherCostOrOtherBasisAmt
Book Value	$1,245,204	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$70,811,612	OtherCostOrOtherBasisAmt
Depreciation	$4,497,441	DepreciationAmt
Book Value	$66,314,171	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,260,850	OtherCostOrOtherBasisAmt
Depreciation	$220,648	DepreciationAmt
Book Value	$1,040,202	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,461,665	OtherCostOrOtherBasisAmt
Depreciation	$6,661,647	DepreciationAmt
Book Value	$17,800,018	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$852,758	OtherCostOrOtherBasisAmt
Book Value	$852,758	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$87,252,353	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLE	$20,564,849
3RD PARTY SETTLEMENTS	$12,870,944
LEASED ASSETS	$235,222
RENT RECEIVABLE	$73,203
OTHER ASSETS	$135,835

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$33,880,053	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
OPERATING LEASE	$236,780
FINANCING LEASE	$9,831
ENVIRONMENTAL REMEDITION LIABILITY	$800,000

Field	Value	IRS element (for citing)
Total Liability	$1,046,611	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	ST. JAMES HEALTHCARE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT ST. JAMES HEALTHCARE IN AREAS INCLUDING ASSOCIATE EDUCATION, CARDIOVASCULAR, CHARITY CARE, COMMUNITY HEALTH & WELLNESS, GREATEST NEED, MOM/BABY & PEDIATRICS, NEUROSCIENCES, ONCOLOGY, SPIRITUAL CARE, WOMEN'S SERVICES, AND OTHER SERVICES AND PROGRAMS.	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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
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	$2,012,972	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,012,972	NetCommunityBenefitExpnsAmt
Total Expense	0.01340	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,727,637	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,802,566	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$925,071	NetCommunityBenefitExpnsAmt
Total Expense	0.00620	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,075,050	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$955,129	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$119,921	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,815,659	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,757,695	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,057,964	NetCommunityBenefitExpnsAmt
Total Expense	0.02040	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,080,554	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$329,996	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$750,558	NetCommunityBenefitExpnsAmt
Total Expense	0.00500	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$319,932	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$319,932	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,029,266	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,971,693	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,057,573	NetCommunityBenefitExpnsAmt
Total Expense	0.02040	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,634,520	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,634,520	NetCommunityBenefitExpnsAmt
Total Expense	0.03090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,064,272	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,301,689	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,762,583	NetCommunityBenefitExpnsAmt
Total Expense	0.05840	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,879,931	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,059,384	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,820,547	NetCommunityBenefitExpnsAmt
Total Expense	0.07880	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,331	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,331	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,331	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,331	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,577,119	BadDebtExpenseAmt
Reimbursed By Medicare	$45,974,591	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$59,028,503	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,053,912	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

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 SUMMIT SURGERY CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	OUTPATIENT SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.89860	OrgProfitOrOwnershipPct
Physicians Profit Or Ownership	0.10140	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JAMES HEALTHCARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 SOUTH CLARK ST	AddressLine1Txt
City	BUTTE	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59701	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WEBSITE: SEE PART VI	WebsiteAddressTxt
State License	13287	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST JAMES HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST. JAMES HEALTHCARE	PART V, SECTION B, LINE 5: THE 2023 CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS (PRC) ON BEHALF OF ST. JAMES HEALTHCARE (REFERRED TO HEREAFTER AS ST. JAMES) AND THE BUTTE-SILVER BOW HEALTH DEPARTMENT. THE 2023 CHNA WAS A FOLLOW-UP TO SIMILAR STUDIES CONDUCTED IN 2020, 2017, 2014, AND 2011. AN ADVISORY GROUP INCLUDING REPRESENTATIVES FROM ST. JAMES, BUTTE SILVER-BOW PUBLIC HEALTH DEPARTMENT, AND SOUTHWEST MONTANA COMMUNITY HEALTH CENTER PROVIDED INPUT THROUGHOUT THE CHNA PROCESS INCLUDING SURVEY QUESTION SELECTION AND IDENTIFYING KEY INFORMANTS. THE CHNA INCORPORATED: 1) PRIMARY QUALITATIVE DATA (A 400 HOUSEHOLD TELEPHONE COMMUNITY HEALTH SURVEY), 2) SECONDARY QUANTITATIVE DATA (EXISTING PUBLIC HEALTH DATA) AND 3) PRIMARY QUALITATIVE DATA (KEY INFORMANT ONLINE SURVEYS). THE COMMUNITY HEALTH NEEDS ASSESSMENT INCORPORATED PRIMARY RESEARCH THROUGH A COMMUNITY HEALTH SURVEY WHICH RANDOMLY SAMPLED 400 INDIVIDUALS AGED 18 AND OLDER IN THE PRIMARY SERVICE AREA. THE SAMPLE DESIGN AND QUALITY CONTROL PROCEDURES USED IN THE DATA COLLECTION ENSURE THAT THE SAMPLE IS REPRESENTATIVE OF THE COMMUNITY. THE 2023 CHNA WAS A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED IN 2020, 2017, AND 2014 WHICH ALLOWED FOR TRENDING OVER TIME. IN ADDITION, AN ONLINE KEY INFORMANT SURVEY WAS CONDUCTED TO SOLICIT INPUT FROM KEY INFORMANTS WHO WERE SELECTED BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK AND THE CONCERNS OF THE COMMUNITY OVERALL. IN ALL, 117 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, INCLUDING REPRESENTATIVES FROM HEALTHCARE, PUBLIC HEALTH, EDUCATION, SOCIAL SERVICES, GOVERNMENT, LAW ENFORCEMENT, AND THE FAITH COMMUNITY. ON NOVEMBER 17, 2022, ST. JAMES AND THE BUTTE-SILVER BOW HEALTH DEPARTMENT HOSTED A COMMUNITY FORUM WITH COMMUNITY STAKEHOLDERS REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED ORGANIZATIONS TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY, BASED ON FINDINGS OF THE 2023 CHNA.
ST. JAMES HEALTHCARE	PART V, SECTION B, LINE 6B: THE 2023 CHNA WAS CONDUCTED WITH THE BUTTE-SILVER BOW HEALTH DEPARTMENT AND INCLUDED INPUT FROM SOUTHWEST MONTANA COMMUNITY HEALTH CENTER. IN ADDITION, 117 REPRESENTATIVES FROM VARIOUS COMMUNITY ORGANIZATIONS PROVIDED INPUT IN THE KEY INFORMANT SURVEY. ST. JAMES HEALTHCARE:PART V, SECTION B, LINE 7A: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS
ST. JAMES HEALTHCARE	PART V, SECTION B, LINE 7D: A PRESS CONFERENCE WAS HELD ON MARCH 23, 2023, BY ST. JAMES AND THE BUTTE-SILVER BOW HEALTH DEPARTMENT TO PUBLICIZE THE CHNA AND PROVIDE A SUMMARY OF KEY FINDINGS.ST. JAMES HEALTHCARE:PART V, SECTION B, LINE 10A: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS
ST. JAMES HEALTHCARE	PART V, SECTION B, LINE 11: THE 2023 CHNA IDENTIFIED 14 AREAS OF OPPORTUNITY AFTER CONSIDERATION OF VARIOUS CRITERIA INCLUDING: STANDING IN COMPARISON TO BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. IN ALPHABETICAL ORDER, THEY ARE:1. ACCESS TO HEALTHCARE SERVICES2. CANCER3. DIABETES4. ENVIRONMENTAL HEALTH5. HEART DISEASE AND STROKE6. INFANT HEALTH AND FAMILY PLANNING7. INJURY AND VIOLENCE8. MENTAL HEALTH9. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT10. POTENTIALLY DISABLING CONDITIONS11. RESPIRATORY DISEASE12. SEXUAL HEALTH13. SUBSTANCE ABUSE14. TOBACCO USEA GROUP OF COMMUNITY STAKEHOLDERS, REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS, WAS CONVENED TO EVALUATE, DISCUSS, AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY. PARTICIPANTS EVALUATED EACH OF THE 14 IDENTIFIED AREAS OF OPPORTUNITY ALONG TWO CRITERIA: SCOPE AND SEVERITY, AND ABILITY TO IMPACT. THIS PROCESS YIELDED A PRIORITIZED LIST OF COMMUNITY NEEDS WITH THE TOP FOUR IDENTIFIED NEEDS AS: 1. SUBSTANCE USE2. MENTAL HEALTH3. NUTRITION, PHYSICAL ACTIVITY/WEIGHT4. HEART DISEASE AND STROKEFOLLOWING THE COMMUNITY'S PRIOIRITIZATION, ST. JAMES'S COMMUNITY BENEFIT COMMITTEE OF THE MONTANA MARKET BOARD OF DIRECTORS AND ST. JAMES'S LEADERSHIP TEAM REVIEWED THE DATA AND PRIORITIZED BASED ON THE FOLLOWING CRITERIA: ABILITY TO IMPACT, SCOPE AND SEVERITY OF THE ISSUE, COMMUNITY PRIORITIZATION OF ISSUES, POTENTIAL COMMUNITY PARTNERS, AND ALIGNMENT WITH CURRENT EFFORTS AND STRATEGIES. FROM THIS PROCESS, FOUR PRIORITY NEEDS WERE IDENTIFIED:1. ACCESS TO HEALTHCARE SERVICES2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE)3. HEART DISEASE AND STROKE4. SOCIAL DETERMINANTS OF HEALTHACCESS TO HEALTHCARE SERVICES:ST. JAMES IS LOCATED IN A HEALTHCARE PROVIDER SHORTAGE AREA. A THIRD OF BUTTE-SILVER BOW RESIDENTS (32.2%) REPORTED DIFFICULTY OR DELAY IN OBTAINING HEALTHCARE SERVICES IN THE PAST YEAR. 74.6% OF RESIDENTS REPORTED A ROUTINE CHECK-UP IN THE PAST YEAR. BUTTE-SILVER BOW HAS A HIGHER RATE OF LOW BIRTHWEIGHT BIRTHS COMPARED TO THE STATE OF MONTANA. IN 2023, ST. JAMES EXPANDED ACCESS TO HEALTHCARE SERVICES BY PROVIDING OUTREACH CLINICS FOR FOUR COMMUNITIES IN PEDIATRIC CARDIOLOGY, UROLOGY, AND OB/GYN. VIRTUAL HEALTH IS ALSO A KEY STRATEGY TO OVERCOME BARRIERS TO ACCESS. IN 2023, 1,636 VIRTUAL HEALTH VISITS WERE CONDUCTED. A MOBILE MAMMOGRAPHY COACH WAS LAUNCHED TO INCREASE ACCESS TO PREVENTIVE SCREENINGS FOR 270 PATIENTS IN OVER 20 LOCATIONS ACROSS SOUTHWESTERN MONTANA. IN 2023, ST. JAMES RECRUITED 28 PROVIDERS IN 11 SPECIALTIES INCLUDING ANESTHESIA, EAR/NOSE/THROAT, EMERGENCY MEDICINE, INTERNAL MEDICINE, INTERVENTIONAL CARDIOLOGY, NEUROLOGY, OBGYN, ORTHOPEDICS, PRIMARY CARE, RADIOLOGY, AND SPORTS MEDICINE TO SERVE THIS HEALTHCARE PROFESSIONAL SHORTAGE AREA. CAPACITY FOR HEALTHCARE WAS ALSO INCREASED THROUGH THE TRAINING OF STUDENTS IN THE MEDICAL FIELD INCLUDING 145 NURSING STUDENTS, 4 DIETARY STUDENTS, 3 PHARMACY STUDENTS, 3 PHYSICAL THERAPY STUDENTS, 1 LABORATORY TECHNICIAN STUDENT, 3 RESPIRATORY THERAPY STUDENTS, AND 9 RADIOLOGY STUDENTS. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE):MOST BUTTE-SILVER BOW RESIDENTS RATE THEIR OVERALL MENTAL HEALTH FAVORABLY, BUT 15.2% OF ADULTS BELIEVE THEIR MENTAL HEALTH IS FAIR OR POOR. 30% OF ADULTS HAVE BEEN DIAGNOSED AS HAVING A DEPRESSIVE DISORDER, HIGHER THAN THE U.S. PREVALENCE (20.6%). NEARLY 40% OF RESPONDENTS REPORTED SYMPTOMS OF CHRONIC DEPRESSION. DISPARITIES WERE NOTED BY LOW-INCOME RESIDENTS WITH 49% OF LOW-INCOME RESIDENTS REPORTING SYMPTOMS OF CHRONIC DEPRESSION. SUICIDE RATES IN BUTTE-SILVER BOW WERE CONSIDERABLY HIGHER THAN THE STATE RATE AND NEARLY THREE TIMES THS U.S. RATE WITH 31 SUICIDES PER 100,000 POPULATION. 19.4% OF OVERALL SURVEY RESPONDENTS REPORTED HAVING CONSIDERED SUICIDE. A THIRD OF RESIDENTS UNDER THE AGE OF 40 REPORTED SUICIDAL IDEATION. 45.1% OF BUTTE-SILVER BOW COUNTY RESIDENTS REPORTED THEIR LIVES HAD BEEN NEGATIVELY IMPACTED BY SUBSTANCE USE EITHER BY THEMSELVES OR SOMEONE ELSE.TO ADDRESS THESE HIGH RATES OF SUICIDAL IDEATION AND CHRONIC DEPRESSION, ST. JAMES PROVIDED 4 EVIDENCE-BASED QPR SUICIDE PREVENTION GATEKEEPER TRAININGS TO THE MONTANA CHEMICAL DEPENDENCY CENTER. MENTAL HEALTH AND SUBSTANCE USE SCREENINGS WERE PROVIDED TO EXPECTANT MOTHERS DURING PRENATAL VISITS. THE FIRST 1,000 DAYS MEADOWLARK INITIATIVE PROVIDED PRENATAL SCREENING FOR SUBSTANCE USE AND MENTAL HEALTH NEEDS TO 89% OF EXPECTANT MOTHERS. IN ADDITION, INTEGRATED BEHAVIORAL HEALTH SPECIALISTS ARE EMBEDDED IN PRIMARY CARE CLINICS TO PROVIDE INCREASED ACCESS TO MENTAL HEALTH TREATMENTS AND REDUCE BARRIERS RELATED TO STIGMA. ST. JAMES COLLABORATED WITH COMMUNITY PARTNERS TO ADDRESS BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY PROVIDING IN-KIND AND/OR FINANCIAL SUPPORT TO FOUR COMMUNITY ORGANIZATIONS. ST. JAMES LED COMMUNITY EFFORTS TO ADDRESS SUBSTANCE USE AND THE OPIOID CRISIS, PARTICULARLY FOR RESIDENTS OF CHILDBEARING AND CHILDREARING AGES, THROUGH THE HRSA GRANT-FUNDED RURAL COMMUNITIES OPIOID RESPONSE PROGRAM PROJECT. IN ADDITION, ST. JAMES PROMOTED MT211 AS A TOOL FOR COMMUNITY MEMBERS SEEKING RESOURCES. IN 2023, 1,116 INDIVIDUALS WERE CONNECTED TO MENTAL HEALTH AND OTHER RESOURCES THROUGH MT211. HEART DISEASE AND STROKE: WHILE NOT A PRIORITY FOCUS AREA FOR COMMUNITY HEALTH IMPROVEMENT UNTIL 2024, ST. JAMES ADDRESSES HEART DISEASE AND STROKE THROUGH STRATEGIES UNDER ACCESS TO HEALTHCARE INCLUDING SPECIALTY PROVIDER RECRUITMENT AND VIRTUAL HEALTH. IN ADDITION, ST. JAMES OFFERS A DIABETES AND HEART DISEASE PREVENTION PROGRAM. IN 2023, EDUCATIONAL MESSAGING FOR HEART ATTACK AWARENESS WAS PROVIDED ON SNOW SHOVELS AT LOCAL BUSINESSES. HANDS ONLY CPR EDUCATION WAS PROVIDED TO COMMUNITY ORGANIZATIONS, SCHOOLS, AND CHURCHES. SCREENING EVENTS WERE HELD TO SCREEN FOR HIGH BLOOD PRESSURE AND CARDIOVASCULAR RISK WITH REFERRALS TO PROVIDERS FOR RESIDENTS DETERMINED TO BE AT-RISK. SOCIAL DETERMINANTS OF HEALTH: HOUSING INSECURITY WAS REPORTED BY 42.5% OF LOW-INCOME RESIDENTS IN SILVER BOW COUNTY. 16.3% OF THE BUTTE-SILVER BOW POPULATION IS LIVING BELOW THE FEDERAL POVERTY LEVEL, HIGHER THAN THE MONTANA AND U.S. PERCENTAGES. LOW-INCOME RESIDENTS HAVE POORER HEALTH OUTCOMES ON A NUMBER OF MEASURES INCLUDING MULTIPLE CHRONIC HEALTH CONDITIONS, SYMPTOMS OF CHRONIC DEPRESSION, SUICIDAL IDEATION, USE OF THE EMERGENCY ROOM, UNSAFE HOUSING, TOBACCO USE, FOOD INSECURITY, AND SELF-REPORTED FAIR/POOR OVERALL HEALTH. ST. JAMES COLLABORATED WITH COMMUNITY PARTNERS TO PROVIDE SUPPORTIVE HOUSING TO 6 HIGH NEED RESIDENTS THROUGH THE FUSE INITIATIVE. SUPPORT FOR HOMELESS RESIDENTS WAS ALSO PROVIDED THROUGH 65,794 DONATED MEALS FOR THE BUTTE RESCUE MISSION. HOMELESSNESS WAS ALSO ADDRESSED WITH IN-KIND SUPPORT OF THE LOCAL CONTINUUM OF CARE COALITION. IN ADDITION, ST. JAMES SUPPORTED COMMUNITY EFFORTS TO IMPROVE ECONOMIC DEVELOPMENT FOR BUTTE-SILVER BOW, INCLUDING IN-KIND SUPPORT TO LOCAL ECONOMIC DEVELOPMENT ORGANIZATIONS. OTHER SIGNIFICANT NEEDS NOT PRIORITIZED: ST. JAMES RECOGNIZES OTHER HEALTH NEEDS AND INDICATORS IDENTIFIED IN THE CHNA PROCESS ARE IMPORTANT FOR THE HOSPITAL AND COMMUNITIES IT SERVES. NUMEROUS OTHER ORGANIZATIONS ARE CONCURRENTLY ADDRESSING THE OTHER NEEDS THAT WERE NOT PRIORITIZED BY ST. JAMES. DUE TO LIMITED EXPERTISE AND RESOURCES, ST. JAMES NARROWED ITS PRIORITY HEALTH NEEDS TO THE FOUR HEALTH NEEDS DISCUSSED. ST. JAMES CONTINUES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE THESE HEALTH NEEDS ARE ADDRESSED.
PART V, SECTION, B, LINE 16A, 16B, 16C:	HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE

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Address Line1	434 S CLARK STREET	AddressLine1Txt
City	BUTTE	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59701	ZIPCd

Field	Value	IRS element (for citing)
Facility	OUTPATIENT SURGERY CENTER	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	MAXIMUM FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). APPLICANTS EQUAL TO OR BELOW THIS THRESHOLD RECEIVE A 100% WAIVER OF PATIENT FINANCIAL OBLIGATION.A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 250% AND 500% OF FPG.TO DETERMINE ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE, A VARIETY OF FACTORS IS USED, INCLUDING INCOME, MEDICAL INDIGENCE, INSURANCE STATUS, SOCIAL-ECONOMIC, GEOGRPAHICAL LOCATION, AND MEDICAID ELIGIBILITY.TOTAL CHARGES ARE LIMITED IN RELATION TO THE GROSS HOUSEHOLD INCOME. CHARGES ARE DISCOUNTED TO NOT EXCEED 25% OF GROSS ANNUAL HOUSEHOLD INCOME.SINCE EACH PATIENT'S CIRCUMSTANCES VARY, ALLOWANCE IS MADE FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:	THIS ORGANIZATION IS PART OF THE INTERMOUNTAIN HEALTH CARE, INC. SYSTEM WHICH PREPARES AN ANNUAL REPORT TO THE COMMUNITY ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, INTERMOUNTAIN HEALTH CARE, INC.
PART I, LINE 7:	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $1,577,119.
PART II, COMMUNITY BUILDING ACTIVITIES:	ST. JAMES RECOGNIZES THE NEED TO ADDRESS UNDERLYING FACTORS WHICH INFLUENCE HEALTH IN OUR COMMUNITY SUCH AS EDUCATION, HOUSING, EARLY CHILDHOOD DEVELOPMENT AND ECONOMIC SECURITY. WE COLLABORATE WITH COMMUNITY BASED ORGANIZATIONS TO ADDRESS THESE ISSUES. IN 2023, ST. JAMES DONATED 65,794 MEALS TO THE BUTTE RESCUE MISSION TO FEED INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.PART III, LINE 1: THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING 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 AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE PATIENT SERVICE REVENUE FOOTNOTE WHICH DESCRIBES BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGES 12 AND 13 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE ORGANIZATION BELIEVES THAT 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. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, BURDENS BORNE BY GOVERNMENTS ARE RELIEVED. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO.
PART III, LINE 9B:	AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE 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 V, SECTION A, WEBSITE	WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH-ST-JAMES-HOSPITAL
PART VI, LINE 2:	ST. JAMES CONTINUOUSLY ASSESSES THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY. ST. JAMES'S LEADERSHIP SERVES ON VARIOUS COMMUNITY BOARDS TO UNDERSTAND THE SPECIFIC NEEDS OF THEIR COMMUNITY.IN ADDITION TO THE CHNA DATA FOCUSED ON BUTTE-SILVER BOW COUNTY, ST. JAMES UTILIZES DATA FROM COMMUNITY BASED ORGANIZATIONS THAT CONDUCT PERIODIC SURVEYS RELATED TO HEALTH. SECONDARY DATA SUCH AS COUNTY HEALTH RANKINGS AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) IS REVIEWED TO DETERMINE HEALTH NEEDS FOR NEIGHBORING COUNTIES. ADDITIONAL OUTREACH AND RELATIONSHIPS WITH OTHER CRITICAL ACCESS HOSPITALS, HEALTH CENTERS, AND CLINICS IN SURROUNDING RURAL COMMUNITIES ENABLE ST. JAMES TO BETTER ASSESS THE HEALTH NEEDS OF THESE COMMUNITIES.
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 AND THROUGH THE PATIENT PORTAL, MYCHART. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4:	GEOGRAPHY AND POPULATION: SILVER BOW COUNTY, THE 2023 CHNA-DEFINED COMMUNITY, IS LOCATED IN SOUTHWEST MONTANA AND SPANS 716 SQUARE MILES. BUTTE-SILVER BOW IS PREDOMINANTLY URBAN, WITH 88.6% OF THE POPULATION LIVING IN AREAS DESIGNATED AS URBAN. THE ESTIMATED POPULATION OF SILVER BOW COUNTY IS 34,895 REPRESENTING A 2.7% INCREASE FROM 2010.HOSPITALS IN THE SERVICE AREA: THERE ARE NO OTHER ACUTE HOSPITALS SERVING BUTTE AND SILVER BOW COUNTY.AGE: IN BUTTE-SILVER BOW 20.4% OF THE POPULATION ARE CHILDREN AGED 0-17; 60.7% ARE AGES 18 TO 64; AND 18.9% ARE 65 AND OVER. THE MEDIAN AGE IS 40.1. RACIAL AND ETHNICITY: THE MAJORITY OF BUTTE-SILVER BOW RESIDENTS ARE WHITE (93.5%), 2.3% ARE NATIVE AMERICAN, AND 2.9% OF RESIDENTS ARE MULTIPLE RACES. TOTAL OF 4.7% OF BUTTE-SILVER BOW RESIDENTS ARE HISPANIC OR LATINO, HIGHER THAN THE MONTANA PERCENTAGE.ECONOMICS: THE PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY IN SILVER BOW COUNTY IS 16.3%, INCLUDING AN ESTIMATED 1,279 CHILDREN IN POVERTY. A HIGHER PERCENTAGE OF BUTTE-SILVER BOW RESIDENTS LIVE BELOW THE POVERTY LINE THAN STATE OR NATIONAL PERCENTAGES. AMONG THE BUTTE-SILVER BOW POPULATION AGE 25 AND OLDER, AN ESTIMATED 6.5% DO NOT HAVE A HIGH SCHOOL DIPLOMA. HEALTH STATUS: MOST BUTTE-SILVER BOW RESIDENTS RATE THEIR OVERALL HEALTH FAVORABLY WITH 81.9% REPORTING EXCELLENT, VERY GOOD, OR GOOD OVERALL HEALTH. 18.1% OF BUTTE-SILVER BOW ADULTS BELIEVE THEIR HEALTH IS FAIR OR POOR. DISPARITIES IN HEALTH STATUS ARE NOTABLE AMONG LOW-INCOME ADULTS WITH 28.5% OF LOW-INCOME ADULTS REPORTING FAIR OR POOR HEALTH.UNINSURED RATE: 9.2% OF PEOPLE IN SILVER BOW COUNTY ARE UNINSURED, WHICH IS SLIGHTLY LOWER THAN THE U.S. AVERAGE OF 9.3%.
PART VI, LINE 5:	ST. JAMES ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT". ST. JAMES'S COMMUNITY BENEFIT WORK IS DRIVEN BY IDENTIFIED COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS AND THE BROADER COMMUNITY. A COMMUNITY BENEFIT REPORT TO THE COMMUNITY IS PUBLISHED ANNUALLY AND CAN BE FOUND AT: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/-/MEDIA/FILES/INTERMOUNTAIN-HEALTH/CHNA-REPORTS---PEAKS/ST-JAMES-CHNA-2023.ASHXCOMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION AND STAFF AND BOARD EDUCATION IS CONDUCTED. ST. JAMES HAS DEDICATED STAFF COMMITTED TO COMMUNITY BENEFIT EFFORTS. HOSPITAL LEADERS, MANAGERS, AND SUPERVISORS ARE ENCOURAGED TO PARTICIPATE ANNUALLY IN COMMUNITY BENEFIT SERVICE EVENTS WITH NON-PROFIT ORGANIZATIONS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. MONTANA MARKET'S BOARD OF DIRECTORS IS A VOLUNTEER GOVERNING BODY WHICH INCLUDE INDEPENDENT PERSONS THAT REPRESENT THE COMMUNITY. WITHIN THE BOARD OF DIRECTORS, THERE IS A SPECIFIC COMMUNITY BENEFIT BOARD LEVEL COMMITTEE. THIS COMMITTEE IS DEEPLY INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND PROVIDES DIRECTION TOWARDS THE DEVELOPMENT OF THE ORGANIZATION'S IMPROVEMENT PLAN IN RESPONSE TO RESULTS OF COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL'S COMMUNITY BENEFIT BOARD COMMITTEE MONITORS IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND PROVIDES REPORTS BACK TO THE FULL MARKET BOARD. AS THE ONLY ACUTE CARE FACILITY IN SOUTHWEST MONTANA, ST. JAMES SERVES ITS COMMUNITY BY PROVIDING COMPREHENSIVE MEDICAL SERVICES INCLUDING CARDIOLOGY, ONCOLOGY, ORTHOPEDIC, OB/GYN FOR WOMEN, UROLOGY, EMERGENCY AND TRAUMA, NEONATAL INTENSIVE CARE, NEUROLOGY, GENERAL SURGICAL, PRIMARY CARE, PEDIATRIC CARE, FAMILY AND INTERNAL MEDICINE. ST. JAMES OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. ST. JAMES ENGAGES IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND PARTICIPATES IN MEDICAID, MEDICARE, AND OTHER GOVERNMENT-SPONSORED HEALTH PROGRAMS. ST. JAMES EMPLOYS THE STAFF OF THE ST. JAMES HOSPITAL FOUNDATION, A NON-PROFIT ORGANIZATION THAT PROVIDES FUNDRAISING FOR ST. JAMES FACILITIES AND PROGRAMS THAT REACH BOTH THE POOR AND THE BROADER COMMUNITY. OPERATIONS OF THE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN ST. JAMES HAS EXCESS REVENUE OVER OPERATING EXPENSES, THOSE FUNDS ARE USED TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION, AND WORK TO EXPAND ACCESS TO CARE. THESE INVESTMENTS ENSURE ST. JAMES WILL CONTINUE TO PROVIDE CARE FOR FUTURE GENERATIONS.
PART VI, LINE 6:	THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN), AN INTEGRATED HEALTH SYSTEM WHOSE VISION IS TO "BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICES AT AN AFFORDABLE COST". INTERMOUNTAIN STRIVES TO FULFILL THAT MISSION THROUGH ACCOMPLISHING ITS STATED MISSION OF "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE". INTERMOUNTAIN, IS A NONPROFIT CORPORATION EXEMPT UNDER INTERNAL REVENUE CODE 501(C)(3). AFFILIATES WITHIN THE HEALTH SYSTEM NETWORK INCLUDE NONPROFIT CORPORATIONS EXEMPT UNDER IRS 501(C)(3) AND 501(C)(4), TAXABLE CORPORATIONS, PARTNERSHIPS WITH PHYSICIANS, STRATEGIC INVESTMENTS, AND JOINT VENTURES.HEADQUARTERED IN UTAH WITH LOCATIONS IN SEVEN STATES AND ADDITIONAL OPERATIONS ACROSS THE WESTERN U.S., INTERMOUNTAIN HEALTH IS A NONPROFIT SYSTEM OF MORE THAN 66,000 CAREGIVERS, 33 HOSPITALS, 385 CLINICS, MEDICAL GROUP, A HEALTH PLAN DIVISION CALLED SELECT HEALTH WITH MORE THAN ONE MILLION MEMBERS, AND OTHER HEALTH SERVICES. HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE, INTERMOUNTAIN IS COMMITTED TO IMPROVING COMMUNITY HEALTH AND IS WIDELY RECOGNIZED AS A LEADER IN TRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TO CONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS. INTERMOUNTAIN IS WORKING TO IMPROVE THE HEALTH AND WELL-BEING BY IMPROVING MENTAL WELL-BEING, PREVENTING AVOIDABLE DISEASE, IMPROVING AIR QUALITY, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND OTHER COMMUNITY HEALTH INITIATIVES.THROUGH MULTIPLE CHARITABLE FOUNDATIONS, INTERMOUNTAIN ALSO DEVELOPS FINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTING OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL SERVICES FOR LOW-INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	237379161	501(C)(3)	$4,349,664	$0	SUPPORT MONTANA CLINCIS
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK ST	BUTTE	MT	59701	651202190	501(C)(3)	$388,667	$0	SUPPORT FOR MISSION

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	PROCESS FOR MONITORING GRANTS AND AWARDS 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	0	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	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 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
BRYAN JOHNSON
INTERIM PRESIDENT, MONTANA REGION (P	$0	$502,548	$0	$109,425	$0	$72,639	$0	$255,252	$0	$27,360	$0	$967,224	$0	$162,823
JENNIFER ALDERFER
PRESIDENT, MONTANA REGION - PART YEA	$0	$549,575	$0	$130,931	$0	$76,177	$0	$14,518	$0	$27,603	$0	$798,804	$0	$203,684
JAMES DOYLE
PRESIDENT SJB	$329,299	$0	$80,718	$0	$43,247	$0	$155,408	$0	$20,806	$0	$629,478	$0	$75,553	$0
JAMES RITCHEY
FORMER KEY EMPLOYEE	$0	$327,797	$0	$62,403	$0	$44,221	$0	$150,869	$0	$30,210	$0	$615,500	$0	$73,082
MARWAN MASSOUH MD
FORMER HIGHEST COMPENSATED	$0	$534,089	$0	$12,000	$0	$8,157	$0	$14,436	$0	$22,381	$0	$591,063	$0	$0
JENNIFER DAVENPORT MD
VP CMO SJB/ASSOCIATE CMO MT (PARTIAL	$347,301	$0	$50,533	$0	$1,847	$0	$160,737	$0	$21,441	$0	$581,859	$0	$50,004	$0
MOHAN NANDALUR MD
FORMER HIGHEST COMPENSATED	$0	$521,725	$0	$0	$0	$0	$0	$14,380	$0	$9,143	$0	$545,248	$0	$0
PAMELA PALAGI
VP FINANCE REGION MT	$0	$309,390	$0	$47,018	$0	$29,612	$0	$137,628	$0	$10,735	$0	$534,383	$0	$74,294
KATIE ROEDOCKER
VP COO/CNO SJB	$201,779	$0	$31,345	$0	$129,656	$0	$100,320	$0	$27,640	$0	$490,740	$0	$31,345	$0
ADAM SCHAFER
VP NETWORK DEVELOPMENT REGION MT	$0	$261,298	$0	$10,565	$0	$1,889	$0	$112,625	$0	$10,084	$0	$396,461	$0	$10,565
SUSAN PETERSEN MD
DIRECTOR	$0	$222,183	$0	$106,353	$0	$1,870	$0	$12,912	$0	$2,492	$0	$345,810	$0	$0
TRACY NEARY
VP MISSION INTEGRATION REGION MT	$0	$183,426	$0	$28,674	$0	$15,888	$0	$85,749	$0	$25,814	$0	$339,551	$0	$42,913
JOEL DYE MD
FORMER HIGHEST COMPENSATED	$0	$286,882	$0	$0	$0	$6,761	$0	$13,167	$0	$31,082	$0	$337,892	$0	$0
LUC HIBBS MD
FORMER HIGHEST COMPENSATED	$0	$294,985	$0	$0	$0	$1,318	$0	$13,432	$0	$25,163	$0	$334,898	$0	$0
DAVID SILK MD
FORMER HIGHEST COMPENSATED	$0	$285,907	$0	$0	$0	$4,457	$0	$12,929	$0	$31,082	$0	$334,375	$0	$0
ALAN MAYER MD
FORMER HIGHEST COMPENSATED	$0	$289,887	$0	$0	$0	$6,802	$0	$13,220	$0	$24,398	$0	$334,307	$0	$0
JAMES BARRY OSER MD
FORMER HIGHEST COMPENSATED	$0	$309,053	$0	$0	$0	$6,502	$0	$13,860	$0	$3,730	$0	$333,145	$0	$0
TRISHA PALMER
DIRECTOR OF HUMAN RESOURCES	$184,389	$0	$18,063	$0	$5,712	$0	$54,343	$0	$13,864	$0	$276,371	$0	$14,340	$0
DANAE APLAS
ANESTHESIOLOGIST	$193,740	$0	$0	$0	$40,757	$0	$11,354	$0	$13,939	$0	$259,790	$0	$0	$0
RISIK RASK
DIRECTOR PHARMACY	$168,552	$0	$12,936	$0	$528	$0	$27,884	$0	$18,210	$0	$228,110	$0	$12,936	$0
TONYA GRIM
DIRECTOR HEALTH INFORMATICS NURSING_	$152,292	$0	$12,308	$0	$3,462	$0	$26,333	$0	$30,774	$0	$225,169	$0	$12,308	$0
JEFFREY NEIL
PHARMACIST	$179,111	$0	$450	$0	$998	$0	$8,327	$0	$31,000	$0	$219,886	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE FILING 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 2023 WERE: KATIE ROEDOCKER - $33,193
PART I, LINE 1B	THE FILING ORGANIZATION DOES NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES.
PART I, LINE 3	COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). 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 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 INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECURIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
PART I, LINE 4B	PART I, LINE 4B PAYMENTS FROM A 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 COSTS AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP 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. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2023. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2023 WERE: JENNIFER ALDERFER - $72,753; BRYAN JOHNSON - $53,398; JAMES DOYLE - $32,949; PAMELA PALAGI - $27,276; TRACY NEARY - $14,239; JAMES RITCHEY - $25,482.
ADDITIONAL OFFICER AND BOARD DISCLOSURES	INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, LINE J WEBSITE:	HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH-ST-JA MES-HOSPITAL
FORM 990, PART V, LINE 1A	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.
FORM 990, PART VI, SECTION A, LINE 2	PAM PALAGI / TRACY NEARY - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN SCL HEALTH - MONTANA, A RELATED TAX-EXEMPT ORGANIZATION). JEN ALDERFER / ADAM SCHAFER / SUSAN PETERSEN - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION).
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 ST. JAMES HEALTHCARE.
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 ST. JAMES HEALTHCARE, HAS THE POWER TO APPOINT MEMBERS OF THE ST. JAMES HEALTHCARE BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION BY THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC.
FORM 990, PART VI, SECTION A, LINE 7B	DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS WHILE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. JAMES HEALTHCARE, 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 CORPORATION, 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 THE CONSOLIDATED SYSTEM PARENT 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.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCLHS AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA 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 INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE, INC.'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	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 IX, LINE 11G	PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 13,023,295. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,023,295. MEDICAL STAFFING: PROGRAM SERVICE EXPENSES 4,650,782. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,650,782. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 185,519. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 185,519. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 9,110,798. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,110,798. LAB SERVICES: PROGRAM SERVICE EXPENSES 806,828. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 806,828.
FORM 990, PART XI, LINE 9:	BOOK VS TAX ADJUSTMENT FOR JOINT VENTURE INCOME -92,670. ENVIRONMENTAL REMEDITION LIABILITY ADJUSTMENT -800,000. THIRD PARTY MEDICARE ADJUSTMENT -426,113. FAIR VALUE ACQUISITION ADJUSTMENT -712,090.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
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	INTERMOUNTAIN HEALTH CARE INC	Yes (1)
SCL HEALTH FOUNDATION
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	823290526	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
SCL HEALTH RESEARCH INSTITUTE INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	852014794	MEDICAL RESEARCH	CO	501(C)(3)	LINE 4	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
INTEGRITY HEALTH
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	474520350	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12C, III-FI	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
1600 PRAIRIE CENTER PARKWAY	BRIGHTON	CO	80601	840482695	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	INTEGRITY HEALTH	Yes (1)
PLATTE VALLEY MEDICAL CENTER FOUNDATION
1600 PRAIRIE CENTER PARKWAY	BRIGHTON	CO	80601	742255936	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	Yes (1)
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARD	DENVER	CO	80211	840405260	RESIDENT CARE	CO	501(C)(3)	LINE 10	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
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	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
SAINT JOSEPH HOSPITAL INC
1375 EAST 19TH AVENUE	DENVER	CO	80218	840417134	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
SAINT JOSEPH HOSPITAL FOUNDATION
1375 EAST 19TH AVENUE	DENVER	CO	80218	840735096	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SAINT JOSEPH HOSPITAL INC	Yes (1)
SCL HEALTH - FRONT RANGE INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	841103606	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	841649162	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCL HEALTH-FRONT RANGE INC	Yes (1)
LUTHERAN MEDICAL CENTER FOUNDATION
8300 WEST 38TH AVENUE	WHEAT RIDGE	CO	80033	208846152	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCL HEALTH-FRONT RANGE INC	Yes (1)
ST MARY'S HOSPITAL & MEDICAL CENTER INC
2635 NORTH 7TH STREET	GRAND JUNCTION	CO	81501	840425720	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
ST MARY'S HOSPITAL FOUNDATION
2635 NORTH 7TH STREET	GRAND JUNCTION	CO	81501	237001007	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	ST MARYS HOSPITAL & MEDICAL CENTER INC	Yes (1)
CARITAS CLINICS INC
818 NORTH 7TH STREET	LEAVENWORTH	KS	66048	481009910	CLINIC SERVICES	KS	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
HOLY ROSARY HEALTHCARE
2600 WILSON STREET	MILES CITY	MT	59301	810231792	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON STREET	MILES CITY	MT	59301	202270238	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I	HOLY ROSARY HEALTHCARE	Yes (1)
ST JAMES HEALTHCARE FOUNDATION INC
400 SOUTH CLARK STREET	BUTTE	MT	59701	651202190	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I	ST JAMES HEALTHCARE	Yes (1)
SCL HEALTH - MONTANA
1233 NORTH 30TH STREET	BILLINGS	MT	59101	810232124	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
ST VINCENT HEALTHCARE FOUNDATION INC
1106 NORTH 30TH STREET	BILLINGS	MT	59101	810468034	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	MT	501(C)(3)	LINE 7	SCL HEALTH - MONTANA	Yes (1)
INTERMOUNTAIN HEALTH CARE INC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	870269232	HOLDING COMPANY	UT	501(C)(3)	LINE 12B, II		0	N/A
INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	942853320	COMMUNITY HEALTH	UT	501(C)(3)	LINE 12B, II	INTERMOUNTAIN HEALTH CARE INC	Yes (1)
SELECTHEALTH INC
5381 GREEN STREET	MURRAY	UT	84123	870409820	DELIVERY OF HEALTH BENEFITS	UT	501(C)(4)		INTERMOUNTAIN HEALTH CARE INC	Yes (1)
INTERMOUNTAIN HEALTH CARE RETIREE VEBA
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	742675605	RETIREE BENEFIT	UT	501(C)(9)		INTERMOUNTAIN HEALTH CARE INC	Yes (1)
INTERMOUNTAIN HEALTHCARE FOUNDATION INC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	800225150	COMMUNITY HEALTH	UT	501(C)(3)	LINE 7	INTERMOUNTAIN HEALTH SERVICES INC	Yes (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
6355 SOUTH BUFFALO	LAS VEGAS	NV	89113	200160881	HOLDING COMPANY	DE	501(C)(3)	LINE 3	INTERMOUNTAIN HEALTH SERVICES INC	Yes (1)
IHC HEALTH SERVICES INC
36 S STATE STREET SUITE 2200	SALT LAKE CITY	UT	84111	942854057	HEALTHCARE	UT	501(C)(3)	LINE 3	INTERMOUNTAIN HEALTH CARE INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SCLH-GI ENDOSCOPY HOLDINGS LLC
382 S ARTHUR AVENUE	LOUISVILLE	CO	80027	812979243	OP ENDOSCOPY	CO	N/A	0	0
SCLTDI JV LLC
4200 SIX FORKS ROAD SUITE 1000	RALEIGH	NC	27609	472294770	RADIOLOGY	DE	N/A	0	0
ATHLETIC MEDICINE & PERFORMANCE LLC (SVB IS PARTNER)
1144 NORTH 28TH STREET	BILLINGS	MT	59101	272270640	PHYSICAL THERAPY	MT	N/A	0	0
SUMMIT SURGERY CENTER LLC
434 SOUTH CLARK STREET	BUTTE	MT	59701	810536068	OP SURGERY	MT		0	0	ST JAMES HEALTHCARE	RELATED	$831,933	$6,618,888	0.89860
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTON AVENUE SUITE 21	GRAND JUNCTION	CO	81501	841505075	OP SURGERY	CO	N/A	0	0
HEALTHCARE MANAGEMENT LLC
PO BOX 1929	GRAND JUNCTION	CO	81502	841238904	MANAGEMENT SERVICES	CO	N/A	0	0
MONUMENT HEALTH LLC
744 HORIZON CT STE 260	GRAND JUNCTION	CO	81506	474424617	HEALTH CARE NETWORK	CO	N/A	0	0
PAVILION IMAGING LLC
750 WELLINGTON AVENUE	GRAND JUNCTION	CO	81501	030516198	RADIOLOGY	CO	N/A	0	0
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREET	MONTROSE	CO	81401	202856331	OP CANCER	CO	N/A	0	0
CAREFLIGHT OF THE ROCKIES LLC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	473525381	MEDICAL AIR TRANSPORT	CO	N/A	0	0
MED-MAP LLC
PO BOX 1295	BILLINGS	MT	59103	810491356	RENTAL REAL ESTATE	MT	N/A	0	0
YELLOWSTONE SURGERY CENTER LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	721519467	OP SURGERY	MT	N/A	0	0
GALLATIN VALLEY SURGERY CENTER LLC
2825 WEST MAIN STREET SUITE C	BOZEMAN	MT	59718	882505265	OP SURGERY	MT	N/A	0	0
FIRST FLIGHT OF WYOMING LLC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	921785143	MEDICAL AIR TRANSPORT	CO	N/A	0	0
MCKAY DEE SURGICAL CENTER LLC
3895 HARRISON BLVD STE 200	OGDEN	UT	84403	260286308	OP SURGERY	UT	N/A	0	0
GRANDEUR PEAK INTERNATIONAL STALWARTS LP
136 S MAIN STREET STE 720	SALT LAKE CITY	UT	84101	475468723	INVESTMENTS	DE	N/A	0	0
INNOVATION FUND HOLDINGS COMPANY LLC
1000 WEST FULTON STREET STE 213	CHICAGO	IL	60607	471525723	INNOVATION	DE	N/A	0	0
HEALTHBOX SALT LAKE CITY I LLC
33 WEST MONROE STREET STE 1700	CHICAGO	IL	60603	465338772	INNOVATION	DE	N/A	0	0
INTERMOUNTAIN VENTURES FUND LLC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	844037085	INVESTMENTS	DE	N/A	0	0
PELION OPPORTUNITY FUND III LLC
2750 E COTTONWOOD PARKWAY STE 600	SALT LAKE CITY	UT	84121	842757193	INVESTMENTS	DE	N/A	0	0
AACP KOREA BUYOUT INVESTORS II LP
ONE EMBARCADERO 16TH FLOOR	SAN FRANCISCO	CA	94111	824971663	INVESTMENTS		N/A	0	0						CJ
AACP SPECIAL SITUATIONS II LP
ONE EMBARCADERO 16TH FLOOR	SAN FRANCISCO	CA	94111	832883726	INVESTMENTS		N/A	0	0						CJ
AACP KOREA BUYOUT INVESTORS IV LP
ONE EMBARCADERO 16TH FLOOR	SAN FRANCISCO	CA	94111	981549044	INVESTMENTS		N/A	0	0						CJ
LOGAN SURGERY CENTER LLC
1300 NORTH 500 EAST	LOGAN	UT	84341	861965725	OP SURGERY	UT	N/A	0	0
ST GEORGE SURGERY CENTER LLC
652 SOUTH MEDICAL CENTER DRIVE	ST GEORGE	UT	84790	853880188	OP SURGERY	UT	N/A	0	0
SALTZER ASC TEN MILE LLC
875 S VANGUARD WAY SUITE 120	MERIDIAN	ID	83642	845119941	OP SURGERY	ID	N/A	0	0
NORTHPOINTE SURGICAL CENTER LLC
2326 NORTH 400 EAST STE 100	TOOELE	UT	84074	461487986	OP SURGERY	UT	N/A	0	0
HW AE CO-INVESTMENT PARTNERS LP
2500 N MILITARY TRAIL 470	BOCA RATON	FL	33431	873405511	INVESTMENTS	DE	N/A	0	0
PERFORMANCE EQUITY GROWTH OPPORTUNITIES FUND LP
5 GREENWICH OFFICE PARK THIRD FLOOR	GREENWICH	CT	06831	853942801	INVESTMENTS	DE	N/A	0	0
MURRAY SURGERY CENTER LLC
5848 SOUTH FASHION BOULEVARD	MURRAY	UT	84107	873940183	OP SURGERY	UT	N/A	0	0
PROVO SURGERY CENTER LLC
1157 NORTH 300 WEST	PROVO	UT	84604	873623664	OP SURGERY	UT	N/A	0	0
SARATOGA SPRINGS SURGERY CENTER LLC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	873875864	OP SURGERY	UT	N/A	0	0
PARK CITY SURGERY CENTER LLC
900 ROUND VALLEY DRIVE	PARK CITY	UT	84060	844898736	OP SURGERY	UT	N/A	0	0
PARK CITY SURGICAL CENTER REAL ESTATE LLC
900 ROUND VALLEY DRIVE	PARK CITY	UT	84060	862568233	OP SURGERY	UT	N/A	0	0
CDHC 3 LLC
265 N COUNTRY MANOR LANE	ALPINE	UT	84004	873215157	INVESTMENTS	UT	N/A	0	0
ARK GLOBAL EMERGING COMPANIES LP
22 EAST 100 SOUTH 3RD FLOOR	SALT LAKE CITY	UT	84111	823044843	INVESTMENTS	UT	N/A	0	0
PELION OPPORTUNITY FUND IV LLC
14761 S FUTURE WAY SUITE 500	SALT LAKE CITY	UT	84020	853909188	INVESTMENTS	UT	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 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	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CARENT LABORATORY SOLUTIONS LLC
22240 COUNTRY ROAD 39	LASALLE	CO	80645	320557616	MEDICAL LABORATORY	CO	N/A	C	Yes (1)
CARITAS INC AND SUBSIDIARIES
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	480941069	HEALTHCARE	KS	N/A	C	Yes (1)
WEST END ASSOCIATION INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	854261243	REAL ESTATE MANAGEMENT	MT	N/A	C	Yes (1)
LEAVEN INSURANCE COMPANY LTD
				980370522	INSURANCE		N/A	C	Yes (1)	23 LIME TREE BAY AVENUE WEST BAY R	GRAND CAYMAN KY	CJ	CJ
ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	463632053	HEALTHCARE	MT	N/A	C	Yes (1)
SELECTHEALTH BENEFIT ASSURANCE COMPANY
5381 GREEN STREET	MURRAY	UT	84123	870497549	DELIVERY OF HEALTH BENEFITS	UT	N/A	C	Yes (1)
HEALTHCARE CAPTIVE INSURANCE COMPANY
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	201937561	INSURANCE	AZ	N/A	C	Yes (1)
ALLUCEO INC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	824614934	MENTAL HEALTH INTEGRATION SERVICES	DE	N/A	C	Yes (1)
SALTZER MEDICAL GROUP INC
215 EAST HAWAII AVENUE	NAMPA	ID	83686	820299231	MEDICAL SERVICES	ID	N/A	C	Yes (1)
CLASSIC MEDICAL INC
1021 SOUTH DOUGLAS STREET	SALT LAKE CITY	UT	84105	461141912	AIRCRAFT HOLDING COMPANY	UT	N/A	C	Yes (1)
CLASSIC HELICOPTERS INC
1021 SOUTH DOUGLAS STREET	SALT LAKE CITY	UT	84105	461153642	AIRCRAFT HOLDING COMPANY	UT	N/A	C	Yes (1)
CULMINATION BIO INC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	365016511	BIOREPOSITORY	DE	N/A	C	Yes (1)
CAN YOU PLAY INC
1541 SOUTH 120 EAST	FARMINGTON	UT	84025	880846977	SOFTWARE DEVELOPMENT	UT	N/A	C	Yes (1)

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	0	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	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JAMES HEALTHCARE FOUNDATION
B	$388,667	CASH
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
B	$4,349,664	CASH
ST JAMES HEALTHCARE FOUNDATION
C	$688,827	CASH
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
M	$19,744,495	FMV
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
P	$632,220	CASH
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
R	$2,794,349	CASH