2022-11-03T11:23:16-05:00 2021-12-31 990 2021-01-01 810231785 ST JAMES HEALTHCARE STJA 4067232500 400 SOUTH CLARK STREET BUTTE MT 59701 PAM PALAGI VP FINANCE & CFO 4067232500 2022-11-02 PAM PALAGI XXX-XX-XXXX 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z JAMES DOYLE 400 SOUTH CLARK STREET BUTTE MT 59701 153116540 0 0928 X SEE SCHEDULE O X 1976 MT 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. 16 14 660 1 1242069 724193 1019942 3411497 130657483 145790704 1311164 1731358 1085089 1439529 134073678 152373088 2279311 3863412 0 0 45474918 45583153 0 0 0 75652296 91371760 123406525 140818325 10667153 11554763 140693318 151571573 27110596 23556371 113582722 128015202 X WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 116546655 3863412 146354075 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.MISSIONWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISIONINSPIRED BY OUR FAITH, WE WILL 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.ST. JAMES HEALTHCARE OFFERS A WIDE RANGE OF SERVICES ACROSS MANY DEPARTMENTS:CANCER TREATMENT, DIABETES EDUCATION, EMERGENCY/LEVEL III TRAUMA CENTER, HEART HEALTH, INTENSIVE CARE UNIT, IMAGING SERVICES, JOINT SURGERY & REPLACEMENT CENTER, LAB SERVICES, OCCUPATIONAL THERAPY, PAIN CENTER, PHYSICAL THERAPY, LABOR DELIVERY NURSERY, WOUND TREATMENT, AND SPORTS MEDICINE.ST. JAMES HEALTHCARE STATISTICAL DATA FOR 2021 INCLUDED THE FOLLOWING RESULTS:TOTAL ADMISSIONS - 3,280TOTAL OUTPATIENT, CLINIC, AND HOME HEALTH VISITS - 86,478TOTAL EMERGENCY DEPARTMENT VISITS - 15,188BIRTHS - 249TOTAL SURGERIES - 2,467TOTAL LABORATORY TESTS - 312,825ST. 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 2021, THE HOSPITAL PROVIDED $5,396,893 IN SUPPORT OF THE LOSSES OF THE PHYSICIAN CLINICS. 116546655 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 660 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X KYLE ENGMAN 3038135543 500 ELDORADO BLVD SUITE 4200 BROOMFIELD CO 80021 MARK KORTH MEMBER 10/4-11/29 1.00 50.00 X 0 1191313 182370 STEVE LOVELESS PRESIDENT REGIONAL MT 1/1-4/30 10.00 40.00 X X 0 841581 119137 JENNIFER ALDERFER PRESIDENT MONTANA REGION 11/29-12/31 10.00 40.00 X X 0 787946 96153 MICHAEL SKEHAN INTERIM PRES MT REGION 5/1-10/3 10.00 40.00 X X 0 600567 81011 JAMES DOYLE PRESIDENT SJB 50.00 0.00 X 0 546676 29585 IAN GALLAHER MD PHYSICIAN RADIATION ONC 50.00 0.00 X 512559 0 40099 MARWAN MASSOUH MD PHYSICIAN 50.00 0.00 X 455182 0 25334 MOHAN NANDALUR FORMER HIGHEST PAID 0.00 50.00 X 0 453267 21616 JAMES RITCHEY FORMER KEY EMPLOYEE 0.00 50.00 X 0 396766 67223 DANAE APLAS MD ANESTHESIOLOGIST 50.00 0.00 X 403844 0 43640 JENNIFER DAVENPORT MD VP CHIEF MEDICAL OFFICER SJB 50.00 0.00 X 0 346027 71372 PAMELA PALAGI VP FINANCE REGION MT 10.00 40.00 X 0 362152 46534 JESSE LASLOVICH VP NETWORK DEVELOPMENT REGION MT 10.00 40.00 X 0 331422 65015 KEVIN DENNEHY VP STRATEGY & BUS DEVELOPMENT SJB 50.00 0.00 X 0 261753 49969 LUC HIBBS MD PHYSICIAN ED 50.00 0.00 X 272865 0 36694 TRACY NEARY REG VP MISSION INTEGRATION AND HR 10.00 40.00 X 0 241381 56685 SUSAN PETERSEN MD MEMBER 1.00 50.00 X 0 270901 16362 JAMES BARRY OSER MD PHYSICIAN ED 50.00 0.00 X 273057 0 5905 NANCY HOYT VP CHIEF OPERATING/NURSING OFFICER SJB 50.00 0.00 X 0 210475 36018 DAVID MCCLUNG INTERIM VP FINANCE REGION MT 10.00 40.00 X 0 231637 0 DAVID BRAIN FORMER KEY EMPLOYEE 0.00 50.00 X 0 161493 20074 NGUYEN-VU PHAM MEMBER 1.00 0.00 X 0 9000 0 KAREN FAGG CHAIR 2.00 0.00 X X 300 0 0 SHAWN COFFIN SECRETARY 2.00 0.00 X X 0 0 0 CHRISTOPHER EDWARDS MEMBER 1.00 0.00 X 0 0 0 DANETTE GLEASON VICE CHAIR 2.00 0.00 X X 0 0 0 SISTER EILEEN HURLEY MEMBER 1.00 0.00 X 0 0 0 SISTER JUDITH JACKSON MEMBER 1.00 0.00 X 0 0 0 DEBRA JONES MD MEMBER 1.00 0.00 X 0 0 0 BERNARD MCCARTHY MEMBER 1.00 0.00 X 0 0 0 CHARLES NOTBOHM MEMBER 1.00 0.00 X 0 0 0 COLLEEN O'LEARY MEMBER 1.00 0.00 X 0 0 0 CYNTHIA REID MEMBER 1/1-3/31 1.00 0.00 X 0 0 0 MAJEL RUSSELL MEMBER 1.00 0.00 X 0 0 0 CINDY SORICH MEMBER 1.00 0.00 X 0 0 0 MISTY STEADMAN MEMBER 1.00 0.00 X 0 0 0 1917807 7244357 1110796 75 1 1 0 0 159256 3252241 3411497 PATIENT CARE 622110 145790704 145413784 376920 145790704 1490803 1490803 644222 593506 50716 50716 50716 327877 87322 240555 240555 240555 22917 62624 -39707 -39707 SUMMIT SURGERY CTR 621400 847895 847895 CAFETERIA REVENUE 722514 563371 563371 LAUNDRY SERVICES 812300 17254 17254 1428520 152373088 145977155 1242069 1742367 X 3863412 3863412 2073516 1994859 78657 35204798 33869340 1335458 1693879 1693879 4348886 4129314 219572 2262074 2247681 14393 9822 9822 742 742 21071194 16105170 4966024 831524 4565 826959 233272 225918 7354 9411461 1029186 8382275 1456418 1430921 25497 214524 126173 88351 40132 37424 2708 5240 5240 7924635 7924635 1336553 1336553 MEDICAL SUPPLIES 29870702 29870702 BILLING AND COLLECTION 3182642 3182642 THIRD PARTY PROVIDER FE 3096760 3096760 MAINTENANCE AND OTHER S 2733236 2665310 67926 9952903 4888871 5064032 140818325 116546655 24271670 0 1726 1776 15907383 14931878 350690 262239 2851394 3169298 1530347 1570019 155706657 83588476 70010654 72118181 2953329 5882707 47087795 53635475 140693318 151571573 26833813 12690948 84245 10758610 192538 106813 27110596 23556371 X 113582722 128015202 113582722 128015202 140693318 151571573 X 11554763 -239095 3116812 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 742 742 0 PART II-B, LINE 1: ST. JAMES HEALTHCARE PAID MEMBERSHIP DUES TO THE MONTANA HOSPITAL ASSOCIATION OF WHICH $742 IS ATTRIBUTED TO LOBBYING. 274545 66936 10491 8360 343612 202351 60654 14882 3342 274545 80895 112345 9111 202351 81656 -761 80895 0.00000 1.00000 0.00000 0 1 1 4146731 4146731 100698032 56589316 44108716 1922731 1906007 16724 45891927 25093153 20798774 3047236 3047236 72118181 INTERCOMPANY RECEIVABLE 39276691 3RD PARTY SETTLEMENTS 14092961 LEASED ASSETS 107250 RENT RECEIVABLE 49028 OTHER ASSETS 109545 53635475 OPERATING LEASE 75837 FINANCING LEASE 30976 106813 PART V, LINE 4: DR. PATTERSON AND HIS WIFE MERYL FELT PASSIONATELY ABOUT THE BUTTE COMMUNITY AND FLATHEAD VALLEY; BECAUSE OF THEIR CARING SPIRIT, THE ST. JAMES FOUNDATION WAS ABLE TO START ITS FIRST EVER ENDOWMENT, THE DR. JAMES AND MERYL PATTERSON ENDOWED FUND. THIS ENDOWMENT WAS ESTABLISHED TO MAKE A TRUE IMPACT ON THE GREATEST NEEDS OF THE HOSPITAL. THE PATIENT COMPASSION ENDOWMENT PROVIDES FINANCIAL ASSISTANCE TO INDIVIDUALS AND THEIR FAMILIES THROUGHOUT SOTHWEST MONTANA WHO MUST TRAVEL OUT OF TOWN TO GET SPECIALIZED MEDICAL TREATMENT NOT AVAILABLE IN BUTTE. THE PROGRAM ALSO PROVIDES ASSISTANCE TO PATIENTS FROM THE SURROUNDING AREA TO TRAVEL TO BUTTE FOR THEIR MEDICAL CARE. IT HELPS FAMILIES AND INDIVIDUALS WITH FUEL COSTS, HOTEL EXPENSES. IN ADDITION TO TRAVEL ASSISTANCE, THE PROGRAM HELPS PATIENTS AFTER BEING DISCHARGED FROM THE HOSPITAL WITH RECOVERY MEDICATION, EQUIPMENT AT HOME AND CO-PAYS. THE CONNECTING FOR A CANCER CURE ENDOWED FUND WAS STARTED FROM PROCEDES FROM THE UNO'S CHARITY GOLF TOURNAMENT LEAD BY MEG MURPHY. THE UNO'S CHARITY GOLF TOURNAMENT COMMITTEE AND THE CONNCECTING FOR A CANCER CURE COMMITTEE HAVE A PASSION FOR HELPING LOCAL PATIENTS AND THE LOCAL FACILITY. THE ENDOWMENT WILL HELP PROVIDE PERPETUAL FUNDS TO HELP SUPPORT THE ST. JAMES CANCER CENTER AND THEIR PATIENTS. THE STEELE FAMILY ENDOWMENT FUND WAS STARTED TO HELP WITH THE GREATEST NEEDS OF LABOR AND DELIVERY. THE ENDOWED FUND WILL SERVE AS A WAY TO ASSIST MOM AND BABY WITH THE PROPER NECESSITIES NEEDED AT DISCHARGE TO CARE FOR NEWBORNS AT HOME INCLUDING PROPER CAR SEATS, PACK N' PLAYS, SWADDLES, HYGIENE CARE, DIAPERS, AND MORE. THE JAY AND LANA DOYLE ENDOWMENT WAS CREATED TO HELP PROVIDE EMPLOYEE ASSISTANCE TO THE EMPLOYEES OF ST. JAMES. 1 1 X 1 X 1 X 1 1 0 1 1 1220865 1220865 0.00870 27640990 27633478 7512 0.00010 283606 677324 0 0.00000 29145461 28310802 1228377 0.00880 1550806 344996 1205810 0.00860 264546 0 264546 0.00190 3624406 1989650 1634756 0.01160 3681084 0 3681084 0.02610 9120842 2334646 6786196 0.04820 38266303 30645448 8014573 0.05700 3107 3107 0.00000 3107 3107 0.00000 1 2007831 0 50030332 60171813 -10141481 X 1 1 1 SUMMIT SURGERY CENTER OUTPATIENT SURGERY CENTER 0.89190 0.10810 2 MONTANA PHYSICIAN HOSPITAL ORGANIZATION PHYSICIAN HOSPITAL ORGANIZATION 0.50000 0.50000 1 1 ST JAMES HEALTHCARE 400 SOUTH CLARK ST BUTTE MT 59701 WEBSITE: SEE PART VI 13287 X X X ST JAMES HEALTHCARE 1 0 0 1 X X X X X X X X X 20 1 0 1 1 X SEE PART V, SECTION C X X 1 20 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 ST. JAMES HEALTHCARE PART V, SECTION B, LINE 5: THE 2020 CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS (PRC) ON BEHALF OF ST. JAMES HEALTHCARE AND THE BUTTE-SILVER BOW HEALTH DEPARTMENT. AN ADVISORY GROUP INCLUDING ORGANIZATIONAL REPRESENTATIVES SERVING LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS PROVIDED INPUT THROUGHOUT THE CHNA PROCESS.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 AGES 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 2020 CHNA WAS A FOLLOW-UP TO A SIMILAR SURVEYS CONDUCTED IN 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, 167 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY, INCLUDING REPRESENTATIVES FROM HEALTHCARE, EDUCATION, SOCIAL SERVICES, GOVERNMENT, LAW ENFORCEMENT, AND THE FAITH COMMUNITY. ON JUNE 26, 2020, ST. JAMES HEALTHCARE AND THE BUTTE-SILVER BOW HEALTH DEPARTMENT HOSTED AN ONLINE MEETING 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 2020 CHNA. ST. JAMES HEALTHCARE PART V, SECTION B, LINE 6B: THE 2020 CHNA WAS CONDUCTED WITH THE BUTTE-SILVER BOW HEALTH DEPARTMENT. IN ADDITION, 167 REPRESENTATIVES FROM 76 DIFFERENT COMMUNITY ORGANIZATIONS PROVIDED INPUT IN THE KEY INFORMANT SURVEY. ST. JAMES HEALTHCARE:PART V, SECTION B, LINE 7A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-JAMES-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ ST. JAMES HEALTHCARE PART V, SECTION B, LINE 7D: A LINK TO THE CHNA WAS PROVIDED ON BUTTE-SILVER BOW HEALTH DEPARTMENT'S WEBSITE. A PRESS CONFERENCE WAS HELD ON AUGUST 25, 2020, BY ST. JAMES HEALTHCARE 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://WWW.SCLHEALTH.ORG/LOCATIONS/ST-JAMES-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/ ST. JAMES HEALTHCARE PART V, SECTION B, LINE 11: THE 2020 CHNA IDENTIFIED 12 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. ENVIRONMENTAL HEALTH4. HEART DISEASE AND STROKE5. INFANT HEALTH AND FAMILY PLANNING6. INJURY AND VIOLENCE7. MENTAL HEALTH8. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT9. POTENTIALLY DISABLING CONDITIONS10. RESPIRATORY DISEASE11. SUBSTANCE ABUSE12. 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 12 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. MENTAL HEALTH2. NUTRITION, PHYSICAL ACTIVITY/WEIGHT3. HEART DISEASE AND STROKE4. SUBSTANCE ABUSEST. JAMES HEALTHCARE'S COMMUNITY BENEFIT COMMITTEE OF THE MONTANA REGION BOARD OF DIRECTORS MET AND PRIORITIZED THE FOLLOWING NEEDS:1. ACCESS TO HEALTHCARE SERVICES2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE)3. SOCIAL DETERMINANTS OF HEALTHACCESS TO HEALTHCARE SERVICES:ST. JAMES HEALTHCARE IS LOCATED IN A HEALTHCARE PROVIDER SHORTAGE AREA. A THIRD OF BUTTE-SILVER BOW RESIDENTS (30%) REPORTED DIFFICULTY OR DELAY IN OBTAINING HEALTHCARE SERVICES IN THE PAST YEAR. FEWER RESIDENTS (66.5%) REPORT A ROUTINE CHECK-UP IN THE PAST YEAR COMPARED TO THE STATE OF MONTANA OVERALL (73%). BUTTE-SILVER BOW HAS A HIGHER RATE OF LOW-BIRTH-WEIGHT BIRTHS COMPARED TO THE STATE OF MONTANA. IN 2021, ST. JAMES HEALTHCARE EXPANDED ACCESS TO HEALTHCARE SERVICES BY OPENING A NEW PRIMARY CARE CLINIC WITH WALK-IN CARE IN THE BUTTE FLATS AREA. OUTREACH CLINICS INCLUDING OB/GYN CLINICS IN DEER LODGE AND BOULDER AND UROLOGY CLINICS IN DILLON AND BOULDER PROVIDE INCREASED ACCESS TO SPECIALTY CARE IN SURROUNDING COMMUNITIES. VIRTUAL HEALTH IS ALSO A KEY STRATEGY TO OVERCOME BARRIERS TO ACCESS. IN 2021, 979 VIRTUAL HEALTH VISITS WERE CONDUCTED. TO INCREASE ACCESS TO PREVENTIVE SCREENINGS, A MOBILE MAMMOGRAPHY PROGRAM IS UNDER DEVELOPMENT. IN 2021, ST. JAMES HEALTHCARE RECRUITED 25 PROVIDERS IN 9 SPECIALTIES TO SERVE THIS HEALTHCARE PROFESSIONAL SHORTAGE AREA. CAPACITY FOR HEALTHCARE WAS ALSO INCREASED THROUGH THE TRAINING OF STUDENTS IN THE MEDICAL FIELD INCLUDING 178 NURSING STUDENTS, 2 DIETARY STUDENTS, 1 OCCUPATIONAL THERAPY STUDENT, 6 PHARMACY STUDENT, 3 PHYSICAL THERAPY STUDENTS, 2 RESPIRATORY THERAPY STUDENTS, AND 5 RADIOLOGY STUDENTS. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE):MENTAL HEALTH WAS CHARACTERIZED AS A MAJOR PROBLEM BY 81.7% OF KEY INFORMANTS. MOST BUTTE-SILVER BOW RESIDENTS RATE THEIR OVERALL HEALTH FAVORABLY, BUT 11.4% OF ADULTS BELIEVE THEIR OVERALL HEALTH IS FAIR OR POOR. A GREATER NUMBER OF ADULTS HAVE BEEN DIAGNOSED AS HAVING A DEPRESSIVE DISORDER THAN THE US PREVALENCE. SYMPTOMS OF CHRONIC DEPRESSION WAS REPORTED BY 31.8% OF ADULTS. DISPARITIES WERE NOTED BY LOW-INCOME RESIDENTS WITH 52.8% 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 38 SUICIDES PER 100,000 POPULATION. 17.6% OF SURVEY RESPONDENTS REPORTED HAVING CONSIDERED SUICIDE. 43% OF ADULTS IN SILVER BOW COUNTY REPORTED THEIR LIVES HAD BEEN NEGATIVELY IMPACTED BY SUBSTANCE USE WHICH IS HIGHER THAN THE US AVERAGE OF 37.3%.TO ADDRESS THESE HIGH RATES OF SUICIDAL IDEATION AND CHRONIC DEPRESSION, ST. JAMES HEALTHCARE PROVIDED 7 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 95% OF EXPECTANT MOTHERS. IN ADDITION, INTEGRATED BEHAVIORAL HEALTH EMBEDDED MENTAL HEALTH SPECIALISTS IN PRIMARY CARE CLINICS TO PROVIDE INCREASED ACCESS TO MENTAL HEALTH TREATMENTS AND REDUCE BARRIERS RELATED TO STIGMA. ST. JAMES HEALTHCARE COLLABORATED WITH COMMUNITY PARTNERS TO ADDRESS BEHAVIORAL HEALTH NEEDS IN THE COMMUNITY PROVIDING IN-KIND AND/OR FINANCIAL SUPPORT TO THE STRATEGIC ALLIANCE FOR MENTAL HEALTH AND WELL-BEING AND THE COMMUNITY ACTION TEAM. A MISSION FUND GRANT PROVIDED FUNDING TO SUPPORT ACTION INC. WITH A MOBILE OUTREACH UNIT. RESIDENTS WERE CONNECTED WITH RESOURCES THROUGH PROMOTION OF MT211 WITH 580 WEBSITE VISITS AND PHONE CALLS. SOCIAL DETERMINANTS OF HEALTH: HOUSING INSECURITY WAS REPORTED BY 36.3% OF LOW-INCOME RESIDENTS IN SILVER BOW COUNTY COMPARED TO 11.9% OF MONTANA RESIDENTS OVERALL. 19.1% OF THE BUTTE-SILVER BOW POPULATION IS LIVING BELOW THE FEDERAL POVERTY LEVEL, HIGHER THAN THE MONTANA AND US 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 HEALTHCARE 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 25,037 DONATED MEALS FOR THE BUTTE RESCUE MISSION. HOMELESSNESS WAS ALSO ADDRESSED THROUGH IN-KIND SUPPORT OF THE LOCAL CONTINUUM OF CARE COALITION. ST. JAMES HEALTHCARE PROVIDED A MISSION FUND GRANT TO SUPPORT ACTION INC. IN ESTABLISHING A HEALTHCARE MOBILE OUTREACH UNIT. IN ADDITION, ST. JAMES HEALTHCARE SUPPORTED COMMUNITY EFFORTS TO IMPROVE ECONOMIC DEVELOPMENT FOR BUTTE-SILVER BOW. ST. JAMES HEALTHCARE SUPPORTED DEVELOPMENT OF HEALTHCARE TRAINING PROGRAMS WITH HEALTHCARE MONTANA, A PARTNERSHIP BETWEEN THE MONTANA DEPARTMENT OF LABOR AND INDUSTRY AND HIGHLANDS COLLEGE. DUE TO THE PANDEMIC, HIGH SCHOOL CAREER EXPLORATION OPPORTUNITIES WERE NOT PROVIDED IN 2021. ST. JAMES HEALTHCARE PROVIDED IN-KIND SUPPORT TO THE BUTTE LOCAL DEVELOPMENT CORPORATION, BERT MOONEY AIRPORT BOARD, MOTHER LODE THEATER, AND BUTTE CHAMBER OF COMMERCE TO ENCOURAGE RECRUITMENT OF BUSINESSES TO BUTTE-SILVER BOW. OTHER SIGNIFICANT NEEDS NOT PRIORITIZED: ST. JAMES HEALTHCARE CONTINUES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE THESE HEALTH NEEDS ARE ADDRESSED. CANCER AND TOBACCO USE:ST. JAMES HEALTHCARE FOCUSED EFFORTS ON EARLY DETECTION OF BREAST CANCER THROUGH MAMMOGRAPHY. IN 2021, A TOTAL OF 2,370 MAMMOGRAMS WERE PROVIDED. IN ADDITION, ST. JAMES HEALTHCARE IS WORKING TO ESTABLISH A MOBILE MAMMOGRAPHY PROGRAM TO DECREASE GEOGRAPHIC BARRIERS TO BREAST CANCER SCREENING. TO IDENTIFY LUNG CANCER IN AN EARLY AND TREATABLE STAGE, 208 LOW-DOSE LUNG CANCER SCREENINGS WERE PROVIDED. ENVIRONMENTAL HEALTH: ST. JAMES HEALTHCARE SUPPORTS THE EFFORTS OF THE BUTTE-SILVER BOW PUBLIC HEALTH DEPARTMENT TO ADDRESS SOIL QUALITY. HEART DISEASE AND STROKE: ST. JAMES HEALTHCARE CONTINUES TO ADDRESS HEART DISEASE AND STROKE THROUGH STRATEGIES UNDER ACCESS TO HEALTHCARE INCLUDING SPECIALTY PROVIDER RECRUITMENT AND VIRTUAL HEALTH. IN ADDITION, ST. JAMES HEALTHCARE OFFERS A DIABETES AND HEART DISEASE PREVENTION PROGRAM.INFANT HEALTH AND FAMILY PLANNING: INFANT HEALTH IS ADDRESSED THROUGH STRATEGIES UNDER THE BEHAVIORAL HEALTH PRIORITY INCLUDING THE FIRST 1,000 DAYS INITIATIVE. IN ADDITION, MATERNAL FETAL MEDICINE IS OFFERED VIA VIRTUAL HEALTH. INJURY AND VIOLENCE: ST. JAMES HEALTHCARE PROVIDES DISTRACTED DRIVING CLASSES TO HIGH SCHOOL STUDENTS. STOP THE BLEED CLASSES ARE ALSO OFFERED TO THE COMMUNITY; HOWEVER, DUE TO THE PANDEMIC, NO CLASSES WERE ABLE TO BE PROVIDED IN 2021. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT: ST. JAMES HEALTHCARE PROVIDES A DIABETES AND HEART DISEASE PREVENTION PROGRAM, WHICH PROVIDES NUTRITION EDUCATION AND SUPPORTS HEALTHY LIFESTYLE CHANGES FOR ADULTS WHO ARE AT RISK FOR CHRONIC DISEASE. OVER THE PAST 14 YEARS, THE PROGRAM HAS HELPED 11,074 PARTICIPANTS AT RISK FOR TYPE 2 DIABETES WITH AN AVERAGE WEIGHT LOSS OF 14 POUND PER PARTICIPANT. POTENTIALLY DISABLING CONDITIONS: ST. JAMES HEALTHCARE IS ADDRESSING THIS NEED THROUGH INITIATIVES UNDER ACCESS TO HEALTHCARE. RESPIRATORY DISEASE: ST. JAMES HEALTHCARE IS ADDRESSING THIS NEED THROUGH INTIATIVES UNDER THE PRIORITY AREAS OF CANCER AND TOBACCO USE AND ACCESS TO HEALTHCARE. PART V, SECTION, B, LINE 16A, 16B, 16C: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-JAMES-HEALTHCARE/PATIENTS-VISITORS/BILLING-PRICING/FINANCIAL-ASSISTANCE/ 1 1 - SUMMIT SURGERY CENTER LLC 434 S CLARK STREET BUTTE MT 59701 OUTPATIENT SURGERY CENTER PART I, LINE 6A: THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $2,007,831. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING: ST. JAMES HEALTHCARE PROVIDES SUPPORT FOR YOUTH DEVELOPMENT, EDUCATION, HOUSING, FOOD ACCESS, AND ECONOMIC DEVELOPMENT EFFORTS. ST. JAMES HEALTHCARE RECOGNIZES THE NEED TO ADDRESS UNDERLYING FACTORS WHICH INFLUENCE HEALTH IN OUR COMMUNITY SUCH AS EDUCATION, HOUSING, EARLY CHILDHOOD DEVELOPMENT, AND ECONOMIC DEVELOPMENT. WE ARE ACTIVE IN PARTNERING WITH OTHER COMMUNITY ORGANIZATIONS THAT SHARE OUR COMMITMENT TO COMMUNITY HEALTH IMPROVEMENT.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 FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: NET PATIENT SERVICE REVENUE GENERALLY RELATES TO CONTRACTS WITH PATIENTS IN WHICH THE PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO PATIENTS OVER A PERIOD OF TIME. REVENUE IS ESTIMATED FOR PATIENTS WHO HAVE NOT BEEN DISCHARGED AS OF THE REPORTING PERIOD BASED ON ACTUAL CHARGES INCURRED TO DATE IN RELATION TO TOTAL EXPECTED CHARGES. SCL HEALTH BELIEVES THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. THE CONTRACTUAL RELATIONSHIP WITH PATIENTS ALSO TYPICALLY INVOLVES A THIRD-PARTY PAYOR (MEDICARE, MEDICAID, MANAGED CARE PLANS, AND COMMERCIAL INSURANCE COMPANIES), AND THE TRANSACTION PRICES FOR THE SERVICES PROVIDED ARE DEPENDENT UPON THE TERMS PROVIDED BY OR NEGOTIATED WITH THE THIRD-PARTY PAYORS. THE PAYMENT ARRANGEMENTS WITH THIRD-PARTY PAYORS FOR THE SERVICES PROVIDED TO THE RELATED PATIENTS TYPICALLY SPECIFY PAYMENT OR REIMBURSEMENT TO SCL HEALTH AT OTHER-THAN-STANDARD CHARGES. BECAUSE ALL OF ITS PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, SCL HEALTH HAS ELECTED TO APPLY THE OPTIONAL EXEMPTION NOT TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY SATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY SATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD. NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATES OF IMPLICIT PRICE CONCESSIONS AND RETROACTIVE REVENUE ADJUSTMENTS DUE TO AUDITS, REVIEWS, AND INVESTIGATIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO UNINSURED PATIENTS AND PATIENTS WITH CO-PAYS, CO-INSURANCE, AND DEDUCTIBLES AND ARE ESTIMATED BASED ON HISTORICAL COLLECTION DATA. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, OR INVESTIGATIONS. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. PART III, LINE 9B: AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. PART V, SECTION A, WEBSITE WEBSITE: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-JAMES-HEALTHCARE/ PART VI, LINE 2: ST. JAMES HEALTHCARE CONTINUOUSLY ASSESSES THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY. ST. JAMES HEALTHCARE'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 HEALTHCARE 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) ARE 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 HEALTHCARE 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 2020 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 34,814 REPRESENTING A 1.2% DECREASE FROM 2010.AGE: IN 2020, 20.2% OF THE POPULATION WERE CHILDREN AGES 0-17; 61.5% WERE AGES 18 TO 64; AND 18.3% WERE 65 AND OVER. THE MEDIAN AGE IS 39.8 IN BUTTE-SILVER BOW. RACIAL AND ETHNICITY: THE MAJORITY OF BUTTE-SILVER BOW RESIDENTS ARE WHITE (94.2%). A TOTAL OF 4.6% 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 19.1%, INCLUDING AN ESTIMATED 1,555 CHILDREN LIVING IN POVERTY. AMONG THE BUTTE-SILVER BOW POPULATION AGE 25 AND OLDER, AN ESTIMATED 8.2% DO NOT HAVE A HIGH SCHOOL DIPLOMA, HIGHER THAN THE STATE OF MONTANA OVERALL. HEALTH STATUS: MOST BUTTE-SILVER BOW RESIDENTS RATE THEIR OVERALL HEALTH FAVORABLY WITH 87.3% REPORTING EXCELLENT, VERY GOOD, OR GOOD OVERALL HEALTH. 12.7% OF BUTTE-SILVER BOW ADULTS BELIEVE THEIR HEALTH IS FAIR OR POOR, WHICH IS A STATISTICALLY SIGNIFICANT IMPROVEMENT FROM PREVIOUS SURVEY FINDINGS. DISPARITIES IN HEALTH STATUS ARE NOTABLE AMONG LOW-INCOME ADULTS. IN 2020, COUNTY HEALTH RANKINGS AND ROADMAPS PROGRAM RANKED SILVER BOW COUNTY 38 OF 48 COUNTIES IN HEALTH OUTCOMES AND 29 OF 48 COUNTIES IN HEALTH FACTORS. PART VI, LINE 5: ST. JAMES HEALTHCARE WAS ACTIVELY INVOLVED IN THE COMMUNITY-WIDE RESPONSE TO THE COVID-19 PANDEMIC. WORKING WITH PARTNERS FROM THE COMMUNITY, ST. JAMES HEALTHCARE STAFFED AND PROMOTED COMMUNITY COVID-19 VACCINATION CLINICS, RESULTING IN ONE OF THE HIGHEST COUNTY VACCINATION RATES IN THE STATE. ST. JAMES HEALTHCARE ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT". ST. JANES HEALTHCARE'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://WWW.SCLHEALTH.ORG/LOCATIONS/ST-JAMES-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/REPORTS-TO-THE-COMMUNITY/COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION AND STAFF AND BOARD EDUCATION IS CONDUCTED. ST. JAMES HEALTHCARE HAS DEDICATED STAFF COMMITTED TO COMMUNITY BENEFIT EFFORTS. HOSPITAL LEADERS, MANAGERS, AND SUPERVISORS ARE REQUIRED TO PARTICIPATE ANNUALLY IN COMMUNITY BENEFIT SERVICE EVENTS WITH NON-PROFIT ORGANIZATIONS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. IN 2021, OUR LEADERS PERFORMED OVER 1,060 HOURS OF SERVICE IN THE COMMUNITY, BENEFITING MORE THAN 21 ORGANIZATIONS FOCUSED ON BEHAVIORAL HEALTH, EMERGENCY RESPONSE, EDUCATION, PHYSICAL ACTIVITY, NUTRITION OUTREACH, ECONOMIC DEVELOPMENT, YOUTH DEVELOPMENT, AND HEALTHCARE PROVIDER TRAINING. SCL HEALTH MONTANA REGION'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 TO 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 REGIONAL BOARD. AS THE ONLY ACUTE CARE FACILITY IN SOUTHWEST MONTANA, ST. JAMES HEALTHCARE 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 HEALTHCARE 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 HEALTHCARE EMPLOYS THE STAFF OF THE ST. JAMES HEALTHCARE FOUNDATION, A NON-PROFIT ORGANIZATION THAT PROVIDES FUNDRAISING FOR ST. JAMES HEALTHCARE FACILITIES AND PROGRAMS THAT REACH BOTH THE POOR AND THE BROADER COMMUNITY. OPERATIONS OF THE ST. JAMES HEALTHCARE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN ST. JAMES HEALTHCARE 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 ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITIES, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,700 EMPLOYEES AND MORE THAN 500 EMPLOYED PHYSICIANS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION. 1 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 237379161 501(C)(3) 3610122 0 SUPPORT MONTANA CLINCIS ST JAMES HEALTHCARE FOUNDATION 400 SOUTH CLARK ST BUTTE MT 59701 651202190 501(C)(3) 248083 0 SUPPORT FOR MISSION 2 0 PART I, LINE 2: 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. X 0 1 1 1 0 0 0 0 0 1 0 MARK KORTH MEMBER 10/4-11/29 0 934809 0 251834 0 4670 0 156290 0 26080 0 1373683 0 0 STEVE LOVELESS PRESIDENT REGIONAL MT 1/1-4/30 0 311158 0 162270 0 368153 0 94523 0 24614 0 960718 0 78294 JENNIFER ALDERFER PRESIDENT MONTANA REGION 11/29-12/31 0 530437 0 151178 0 106331 0 82438 0 13715 0 884099 0 67888 MICHAEL SKEHAN INTERIM PRES MT REGION 5/1-10/3 0 440541 0 74305 0 85721 0 62705 0 18306 0 681578 0 44348 JAMES DOYLE PRESIDENT SJB 0 320899 0 93174 0 132603 0 9524 0 20061 0 576261 0 0 IAN GALLAHER MD PHYSICIAN RADIATION ONC 511689 0 0 0 870 0 16829 0 23270 0 552658 0 0 0 MARWAN MASSOUH MD PHYSICIAN 448162 0 0 0 7020 0 4736 0 20598 0 480516 0 0 0 MOHAN NANDALUR FORMER HIGHEST PAID 0 453267 0 0 0 0 0 21616 0 0 0 474883 0 0 JAMES RITCHEY FORMER KEY EMPLOYEE 0 246212 0 50037 0 100517 0 38443 0 28780 0 463989 0 0 DANAE APLAS MD ANESTHESIOLOGIST 401665 0 0 0 2179 0 17400 0 26240 0 447484 0 0 0 JENNIFER DAVENPORT MD VP CHIEF MEDICAL OFFICER SJB 0 299334 0 40242 0 6451 0 53066 0 18306 0 417399 0 0 PAMELA PALAGI VP FINANCE REGION MT 0 275307 0 57968 0 28877 0 37371 0 9163 0 408686 0 26826 JESSE LASLOVICH VP NETWORK DEVELOPMENT REGION MT 0 239643 0 48804 0 42975 0 35964 0 29051 0 396437 0 41975 KEVIN DENNEHY VP STRATEGY & BUS DEVELOPMENT SJB 0 199446 0 39938 0 22369 0 31408 0 18561 0 311722 0 20011 LUC HIBBS MD PHYSICIAN ED 271494 0 0 0 1371 0 15175 0 21519 0 309559 0 0 0 TRACY NEARY REG VP MISSION INTEGRATION AND HR 0 194881 0 31217 0 15283 0 27855 0 28830 0 298066 0 14009 SUSAN PETERSEN MD MEMBER 0 200871 0 68762 0 1268 0 14569 0 1793 0 287263 0 0 JAMES BARRY OSER MD PHYSICIAN ED 269166 0 0 0 3891 0 2692 0 3213 0 278962 0 0 0 NANCY HOYT VP CHIEF OPERATING/NURSING OFFICER S 0 31981 0 48803 0 129691 0 26372 0 9646 0 246493 0 0 DAVID MCCLUNG INTERIM VP FINANCE REGION MT 0 231637 0 0 0 0 0 0 0 0 0 231637 0 0 DAVID BRAIN FORMER KEY EMPLOYEE 0 146784 0 14420 0 289 0 8832 0 11242 0 181567 0 0 PART I, LINE 1A THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2021 WERE: MICHAEL SKEHAN - $254, JENNIFER DAVENPORT - $1,743, JAMES RITCHEY - $20,732 PART I, LINE 1B THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES. PART I, LINE 3 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. PART I, LINES 4A-B PART I, LINE 4A SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2021 WERE: STEVE LOVELESS - $278,564, NANCY HOYT - $122,007 PART I, LINE 4B PAYMENTS FROM NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. IN 2019, THE RELATED ORGANIZATION CONSOLIDATED FOUR NON QUALIFED DEFERRED COMPENSATION PLANS INTO ONE PLAN. AS PART OF THIS EFFORT, ALL VESTED BALANCES FROM THE SERP PLANS PRIOR TO 2014 WERE PAID TO THE PARTICIPANTS IN 2020. THERE ARE NO REMAINING PARTICIPANTS IN THE LEGACY PLANS. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2021. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2020 WERE: JENNIFER ALDERFER - $67,888, STEVE LOVELESS - $78,294,MICHAEL SKEHAN - $44,348, JAMES DOYLE - $123,276, PAMELA PALAGI - $26,826, KEVIN DENNEHY - $20,011, JESSE LASLOVICH - $41,975, TRACY NEARY - $14,009 IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. PART I, LINE 7 THE AT-RISK COMPENSATION (ARC) PLAN WAS ESTABLISHED TO ENABLE SCL HEALTH TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION AND STRATEGIC IMPERATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND AWARD OPPORTUNITIES ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR MANAGEMENT LEVEL AT SCL HEALTH. ACTUAL AWARDS WILL BE PAID OUT BASED ON ATTAINMENT OF SELECTED SCL HEALTH BOARD-APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, QUALITY, PATIENT AND ASSOCIATE SAFETY AND PATIENT EXPERIENCE AND FULFILLMENT OF OUR MISSION. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. ADDITIONAL OFFICER AND BOARD DISCLOSURES THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF EIGHT HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,700 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PHYSICIANS. SCL HEALTH AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCL HEALTH'S CORE VALUE OF STEWARDSHIP, SCL HEALTH'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. KEVIN JACOB DENNEHY KEVIN DENNEHY (KE) IS THE PARENT OF AN EMPLOYEE OF ST. JAMES HEALTHCARE 56731 EMPLOYMENT 0 FORM 990, LINE J WEBSITE: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-JAMES-HEALTHCARE/ 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 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, APPROVES MEMBERS OF ST. JAMES HEALTHCARE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ST. JAMES HEALTHCARE AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCL HEALTH'S PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS DETERMINED TO CONSTITUTE A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR MINISTRY INTEGRITY AND COMPLIANCE COMMITTEE AND TO THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 517,535. MANAGEMENT AND GENERAL EXPENSES 4,867,291. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,384,826. MEDICAL STAFFING: PROGRAM SERVICE EXPENSES 9,043,790. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,043,790. CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 98,733. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 98,733. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 5,960,723. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,960,723. LAB SERVICES: PROGRAM SERVICE EXPENSES 583,122. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 583,122. FORM 990, PART XI, LINE 9: BOOK VS TAX ADJUSTMENT FOR JOINT VENTURE INCOME 35,581. EQUITY TRANSFER - LONG LIVED ASSETS 3,081,231. 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