2018-11-08T10:59:50-06:00 2017-12-31 990 2017-01-01 810231785 ST JAMES HEALTHCARE STJA 4067232500 400 SOUTH CLARK STREET BUTTE MT 59701 PAM PALAGI VP FINANCE & CFO 4067232500 2018-11-08 170.188.5.33 2018-11-08 09:05:46 MS P B236A6DFE262EFEA572FAB2E373485E7E96D5340 DA20D486529A5FD4315A2DABD97CCAE9F7014C42 2017 2019-02-21 02:37:17Z JAMES DOYLE 400 SOUTH CLARK STREET BUTTE MT 59701 114227916 0 0928 X WWW.SCLHEALTH.ORG/LOCATIONS/ 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. 15 13 589 55 1921254 813855 476750 345433 104702818 111356585 784581 648087 1512881 1280825 107477030 113630930 232173 249482 0 0 41949848 40585316 0 0 0 59353623 60472041 101535644 101306839 5941386 12324091 87505048 92646313 9050795 12742583 78454253 79903730 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 82042239 249482 111764773 ST. JAMES HEALTHCARE HAS PLAYED AN IMPORTANT ROLE IN THE HISTORY OF BUTTE. 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. FOR MORE THAN 130 YEARS, ST. JAMES HAS PROVIDED CARE FOR THE SICK AND SERVED THE POOR AND THE VULNERABLE. ST. JAMES HEALTHCARE IS ONE OF MONTANA'S LARGEST COMPREHENSIVE HOSPITALS, SERVING THE HEALTH CARE NEEDS OF PEOPLE IN A SEVEN-COUNTY REGION.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 BE DISTINGUISHED AS THE TRUSTED PERSON-CENTERED PARTNER TO THOSE WHO ENGAGE WITH US IN THEIR PHYSICAL, MENTAL AND SPIRITUAL HEALTH DECISIONS.WE WILL SHARE ACCOUNTABILITY WITH OUR CLINICIANS, ASSOCIATES AND AFFILIATED STAKEHOLDERS TO DELIVER EXCEPTIONAL CARE THAT IS WELL-COORDINATED, ACCESSIBLE, AFFORDABLE, SAFE, AND RESULTS IN OPTIMAL OUTCOMES FOR INDIVIDUALS AND POPULATIONS.WE WILL GROW AS COMMUNITY-BASED HEALTH NETWORKS IN PARTNERSHIP WITH OTHERS WHO SHARE OUR VISION AND VALUES AND ALIGN WITH US TO BE AN ESSENTIAL PROVIDER TO THOSE WE SERVE.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 2017 INCLUDED THE FOLLOWING RESULTS:TOTAL ADMISSIONS - 3,431TOTAL OUTPATIENT, CLINIC, AND HOME HEALTH VISITS - 87,580TOTAL EMERGENCY DEPARTMENT VISITS - 17,752BIRTHS - 267TOTAL SURGERIES - 2,287TOTAL LABORATORY TESTS - 203,308ST. JAMES HEALTHCARE IS RELATED TO ST. JAMES HEALTHCARE PHYSICIAN BILLING, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. ST. JAMES HEALTHCARE PHYSICIAN BILLING, 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 ST. JAMES HEALTHCARE PHYSICIAN BILLING, LLC IS NOT OWNED DIRECTLY BY ST. JAMES HEALTHCARE, ST. JAMES HEALTHCARE IS REQUIRED TO FUND ALL OPERATING LOSSES OF ST. JAMES HEALTHCARE PHYSICIAN BILLING, LLC THROUGH EQUITY TRANSFERS TO SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IN 2017, THE HOSPITAL PROVIDED $10,898,134 IN SUPPORT OF THE LOSSES OF THE PHYSICIAN CLINICS. 82042239 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 89 0 1 589 1 1 1 0 0 0 0 0 0 0 0 0 X 15 13 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 FRANCENE ARCHIBALD DIRECTOR 1.00 0.00 X 0 0 0 KAREN BYRNES DIRECTOR 1.00 0.00 X 0 0 0 MARILYN CAMERON DIRECTOR 1.00 0.00 X 0 0 0 JAMES DOYLE PRESIDENT & CEO 1/9-12/31 50.00 0.00 X X 0 384883 61969 NANCY GIBSON DIRECTOR 1.00 0.00 X 0 0 0 DANETTE GLEASON VICE CHAIR 2.00 0.00 X X 0 0 0 SISTER MARGARET HOGAN DIRECTOR 1.00 0.00 X 0 0 0 BRANDI JENSEN-CAMPBELL DIRECTOR 1.00 0.00 X 0 0 0 BRETT KAMRUD SECRETARY/TREASURER 2.00 0.00 X X 0 0 0 BERNARD MCCARTHY CHAIR 2.00 0.00 X X 0 0 0 SISTER MARY JO QUINN DIRECTOR 1.00 0.00 X 0 0 0 CINDY SORICH DIRECTOR 1.00 0.00 X 0 0 0 RITA SPEAR DIRECTOR 1.00 0.00 X 0 0 0 TODD TREGIDGA DIRECTOR 1.00 0.00 X 0 0 0 DOT WARNER DIRECTOR 1.00 0.00 X 0 0 0 CHARLES WRIGHT PRESIDENT & CEO 1/1-1/8 50.00 0.00 X X 0 1044557 23755 PAM PALAGI VP & CFO 11.00 39.00 X 0 208396 33437 STEVE LOVELESS PRESIDENT CEO MONTANA REGION 11.00 39.00 X 716119 716119 234302 THOMAS AUFIERO MD CHIEF MEDICAL OFFICER 50.00 0.00 X 0 414108 29782 KEVIN DENNEHY VP STRATEGY-BUS DEVELOP-SJB 50.00 0.00 X 0 244965 57451 MARWAN MASSOUH MD PHYSICIAN 50.00 0.00 X 438838 0 29373 DANAE HANSEN MD ANESTHESIOLOGIST 50.00 0.00 X 402950 0 46196 ALAN MAYER MD PHYSICIAN ED 50.00 0.00 X 292838 0 39175 DAVID SILK MD PHYSICIAN ED 50.00 0.00 X 292240 0 46157 DOUGLAS DEBENHAM MD PHYSICIAN RADIATION ONCOLOGIST 50.00 0.00 X 260300 0 0 TRAVIS SCHEVING FORMER OFFICER 0.00 50.00 X 0 200450 34800 DENNIS SALISBURY FORMER KEY EMPLOYEE 0.00 50.00 X 0 376831 73075 MOHAN NANDALUR MD FORMER HIGHEST PAID EMPLOYEE 0.00 50.00 X 0 472625 29410 2403285 4062934 738882 46 1 1 0 INPATIENT SERVICES PC 1515 WYNKOOP STREET STE 360 DENVER CO 80202 MEDICAL SERVICES 1549092 COPPER CITY RADIOLOGY PC 582 JACKSON CREEK ROAD CLANCY MT 59634 RADIOLOGY 717068 MONTANA INTERVENTIONAL & DIAG 2969 AIRPORT RD STE 1C HELENA MT 59601 RADIOLOGY 711985 MONTANA ORTHOPEDICS 435 SOUTH CRYSTAL STE 400 BUTTE MT 59701 MEDICAL SERVICES 675650 WEATHERBY LOCUMS PO BOX 972633 DALLAS TX 75397 CONTRACT LABOR 354972 17 230570 90574 24289 345433 PATIENT CARE 622110 111356585 110189785 1166800 111356585 648174 648174 661323 507921 153402 153402 153402 19872 19959 -87 -87 -87 33887 69106 -35219 -35219 SUMMIT SURGERY CTR 621400 708011 708011 CAFETERIA REVENUE 722310 443275 408188 35087 LAUNDRY SERVICES 812300 11356 11356 1162642 113630930 110597973 1921254 766270 243147 243147 6335 6335 2059411 1989254 70157 30059334 29034805 1024529 2434875 2309433 125442 3771891 3662483 109408 2259805 2210950 48855 3430 3430 1117 1117 9503531 8318189 1185342 647035 19308 627727 240094 216807 23287 6639805 6639805 2008185 2004024 4161 226994 131865 95129 89428 83724 5704 224491 224491 4515810 4515810 1186540 1186540 MEDICAL SUPPLIES 20700577 20700577 0 MAINTENANCE AND OTHER S 3574227 3195248 378979 BILLING AND COLLECTION 2880126 0 2880126 SHARED SERVICES - ADMIN 1526496 1526496 6504155 1989249 4514906 101306839 82042239 19264600 0 399 62 4294 0 17657516 17521179 13889 0 2952219 2599941 1299578 1190064 127599834 69410489 55201245 58189345 2494658 2556560 7881250 10589162 87505048 92646313 8983007 12608699 67788 133884 9050795 12742583 X 78382362 79903730 71891 0 78454253 79903730 87505048 92646313 X 12324091 -10874616 X 0 1 X 1 1 1 X 0 0 0 0 0 0 0 0 1 1117 1117 0 PART II-B, LINE 1: LOBBYING EXPENSES WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION. 4146731 4146731 82557823 45803303 36754520 1976494 1944532 31962 37660706 21662654 15998052 1258080 1258080 58189345 INTERCOMPANY RECEIVABLE 6367779 SETTLEMENT RECEIVABLES 4221383 10589162 1 1 X 1 X 1 X 1 1 0 1 1 1109640 0 1109640 0.01100 20586373 17591121 2995252 0.02970 237639 617370 0 0.00000 21933652 18208491 4104892 0.04070 1639714 287231 1352483 0.01340 253543 0 253543 0.00250 4583971 2371182 2212789 0.02190 205203 205203 0.00200 6682431 2658413 4024018 0.03980 28616083 20866904 8128910 0.08050 138166 138166 0.00140 251931 251931 0.00250 390097 390097 0.00390 1 447489 0 35515274 48757146 -13241872 X 1 1 1 SUMMIT SURGERY CENTER OUTPATIENT SURGERY CENTER 0.50000 0.50000 2 MONTANA PHYSICIAN HOSPITAL ORGANIZATION PHYSICIAN HOSPITAL ORGANIZATION 0.50000 0.50000 1 1 ST JAMES HEALTHCARE 400 SOUTH CLARK ST BUTTE MT 59701 WWW.SCLHEALTH.ORG/LOCATIONS/ 13287 X X X SKILLED NURSING & PHYSICIAN CLINIC ST JAMES HEALTHCARE 1 0 0 1 X X X X X X X X X 17 1 0 1 1 X SEE PART V, SECTION C X 1 15 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 2017 COMMUNITY HEALTH NEEDS ASSESSMENT FOR ST. JAMES HEALTHCARE REPRESENTS A SYSTEMATIC APPROACH TO IDENTIFY TOP HEALTH PRIORITIES FOR 2017-2020 TO GUIDE EFFORTS FOR IMPROVMENT IN COMMUNITY HEALTH AND WELLNESS IN BUTTE-SILVER BOW COUNTY. THE ASSESSMENT WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS (PRC). THIS ASSESSMENT INCORPORATES DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH (THE PRC COMMUNITY HEALTH SURVEY), WHICH ALLOWS FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY PERFORMED BY PROFESSIONAL RESEARCH CONSULTANTS, INC (PRC). THE ONLINE KEY INFORMANT SURVEY WAS SENT TO 26 PHYSICIANS (15 PARTICIPATED); 3 PUBLIC HEALTH REPRESENTATIVES (2 PARTICIPATED); 45 OTHER HEALTH PROVIDERS (19 PARTICIPATED); 52 SOCIAL SERVICES PROVIDERS (32 PARTICIPATED); AND 96 COMMUNITY LEADERS (58 PARTICIPATED). BASED ON THE DATA COLLECTED, 8 "AREAS OF OPPORTUNITY" WERE IDENTIFIED AS REPRESENTING THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY, BASED ON THE INFORMATION GATHERED THROUGH THIS COMMUNITY HEALTH NEEDS ASSESSMENT AND THE GUIDELINES SET FORTH IN HEALTHY PEOPLE 2020. ON JULY 10, 2017, APPROXIMATELY 50 REPRESENTATIVES OF VARIOUS COMMUNITY ORGANIZATIONS MET TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY, BASED ON FINDINGS OF THE 2017 PRC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). FOLLOWING THE DATA REVIEW, PRC ANSWERED ANY QUESTIONS AND FACILITATED A GROUP DIALOGUE, ALLOWING PARTICIPANTS TO ADVOCATE FOR ANY OF THE HEALTH ISSUES DISCUSSED. REPRESENTATIVES OF ST. JAMES HEALTHCARE AND BUTTE-SILVER BOW HEALTH DEPARTMENT ALSO PROVIDED GUIDANCE TO THE GROUP, DESCRIBING EXISTING ACTIVITIES, INITIATIVES, RESOURCES, ETC., RELATING TO THE AREAS OF OPPORTUNITY. FINALLY, PARTICIPANTS WERE PROVIDED AN OVERVIEW OF THE PRIORITIZATION EXERCISE THAT FOLLOWED. BASED ON THE OUTCOME OF THAT RANKING PROCESS AND ADDITIONAL MEETINGS AT ST. JAMES HEALTHCARE, FOUR AREAS WERE IDENTIFIED FOR ADDITIONAL WORK: SUBSTANCE ABUSE; TOBACCO USE; CANCER; AND ACCESS TO HEALTHCARE SERVICES. WORK IS ALSO CONTINUING ON MENTAL HEALTH AND NUTRITION, PHYSICIAL ACTIVITIES & WEIGHT MANAGEMENT WHICH WERE TOP PRIORITIES IN THE 2014 CHNA. ST. JAMES HEALTHCARE PART V, SECTION B, LINE 6B: ORGANIZATIONS THAT PARTICIPATED WITH ST. JAMES HEALTHCARE FOR COMPLETION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDED: - ACTION, INC. - BELMONT SENIOR CENTER - BIG BROTHERS BIG SISTERS OF BUTTE SILVER BOW - BUTTE 4CS - BUTTE CARES INC. - BUTTE CENTRAL HIGH SCHOOL - BUTTE DENTISTRY - BUTTE EMERGENCY FOOD BANK - BUTTE HIGH SCHOOL - BUTTE LOCAL DEVELOPMENT CORPORATION - BUTTE SCHOOL DISTRICT - BUTTE SILVER BOW BOARD OF HEALTH - BUTTE SILVER BOW COMMUNITY DEVELOPMENT - BUTTE SILVER BOW COMMUNITY ENRICHMENT - BUTTE SILVER BOW COUNTY - BUTTE SILVER BOW COUNTY ATTORNEY'S OFFICE - BUTTE SILVER BOW COUNTY COMMISSIONER - BUTTE SILVER BOW HEALTH DEPARTMENT - BUTTE SILVER BOW LAW ENFORCEMENT DEPARTMENT - BUTTE SILVER BOW LOCAL GOVERNMENT - BUTTE SILVER BOW PARKS AND RECREATION - CAREER FUTURES, INC. - CHILDREN AND FAMILY RELATIONSHIP COUNSELING, PLLC - COMMUNITY, COUNSELING AND CORRECTIONAL SERVICES, INC. - FRONTIER HOME HEALTH AND HOSPICE - HABITAT FOR HUMANITY OF SOUTHWEST MONTANA - HIGHLANDS COLLEGE - MERCURY STREET MEDICAL - MONTANA INDEPENDENT LIVING PROJECT - MONTANA ORTHOPEDICS - MONTANA STATE HOSPITAL (MSH) - MONTANA TECH - MONTANA VA - NATIONAL CENTER FOR HEALTH CARE INFORMATICS - NORTHWESTERN ENERGY - PUBLIC HOUSING AUTHORITY OF BUTTE - SECOND JUDICIAL DISTRICT COURTS - SILVER BOW BUTTE KIWANIS - SOUND PHYSICIANS - SOUTHWEST MONTANA AGING AND DISABILITY SERVICES - SOUTHWEST MONTANA COMMUNITY HEALTH CENTER - ST. ANN'S CATHOLIC CHURCH - ST. JAMES HEALTHCARE - UNITED CONGREGATIONAL CHURCH - UNITED WAY OF BUTTE AND ANACONDA - WEST ELEMENTARY BUTTE PUBLIC SCHOOLS - WESTERN MONTANA MENTAL HEALTH CENTER ST. JAMES HEALTHCARE:PART V, SECTION B, LINE 7A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-JAMES-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/ST. JAMES HEALTHCARE:PART V, SECTION B, LINE 10A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-JAMES-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/ ST. JAMES HEALTHCARE PART V, SECTION B, LINE 11: THE 8 AREAS OF OPPORTUNITY IDENTIFIED IN THE CHNA AND THEIR RANKING INCLUDE:1. SUBSTANCE ABUSE 2. MENTAL HEALTH 3. NUTRITION, PHYSICAL ACTIVITY & WEIGHT 4. INJURY & VIOLENCE 5. TOBACCO USE 6. CANCER 7. ACCESS TO HEALTHCARE SERVICES 8. POTENTIALLY DISABLING CONDITIONS GIVEN THE LIMITED FINANCIAL RESOURCES, AS WELL AS LIMITED STAFF, THE DECISION WAS MADE TO FOCUS ON FOUR TOP HEALTH NEEDS: -SUBSTANCE ABUSE -TOBACCO USE -CANCER -ACCESS TO HEALTHCARE SERVICES FROM THE 2014 CHNA, ST. JAMES CONTINUES TO WORK ON THE FOLLOWING AREAS: -MENTAL HEALTH -NUTRITION, PHYSICAL ACTIVITY & WEIGHT SUBSTANCE ABUSE: SUBSTANCE ABUSE WAS RATED AS THE NUMBER 1 CONCERN WITHIN THE COUNTY AMONG THE KEY INFORMANT GROUP. THIS INCLUDES DRINKING ALCOHOL AS WELL AS ILLICIT DRUG USE. FROM THE PARTICIPANTS IN THE TELEPHONE SURVEYS, 60.3% SAID THEY WERE CURRENT DRINKERS AND 21.4% SAID THEY WERE EXCESSIVE DRINKERS. IN REGARD TO ILLICIT DRUG USE, 2.2% HAD USED AN ILLICIT DRUG IN THE PAST MONTH, 4.6% HAVE SOUGHT HELP AND 47.3% SAID THEIR LIVES WERE NEGATIVELY IMPACTED BY SUBSTANCE ABUSE. OF THE KEY INFORMANTS, 68.6% VIEW SUBSTANCE ABUSE AS A MAJOR PROBLEM IN THE COMMUNITY AND ANOTHER 25.6% VIEWED IT AS A MODERATE PROBLEM.BASED ON THESE FINDINGS, A COMMUNITY WIDE TASK FORCE HAS BEEN FORMED AND WILL ADDRESS THIS PROBLEM IN THREE AREAS: PREVENTION, TREATMENT AND RECOVERY FOR BOTH DRINKING AND ILLICIT DRUG USE. THE TASK FORCE, HEADED UP BY BUTTE CARES, INC. A NOT-FOR-PROFIT AGENCY THAT WORKS WITH AREAS TEENS ON PREVENTION OF SUBSTANCE ABUSE, INCLUDES REPRESENTATIVES FROM THE MEDICAL COMMUNITY (ST. JAMES HEALTHCARE AND LOCAL PHYSICIANS), FROM PUBLIC HEALTH (BUTTE SILVER BOW HEALTH DEPARTMENT); FROM SEVERAL SOCIAL SERVICES AGENCIES IN THE COMMUNITY; AND FROM THE LOCAL SCHOOL DISTRICT (INCLUDING STUDENTS). IN ADDITION, THERE ARE SEVERAL COMMUNITY LEADERS INCLUDING REPRESENTATIVES FROM LOCAL GOVERNMENT AND LAW ENFORCEMENT. THE TASK FORCE BEGAN MEETING IN LATE 2017 AND WILL CONTINUE THROUGH 2020. IT IS CURRENTLY IN THE PROCESS OF IDENTIFYING ITS GOALS AND OBJECTIVES TO BE ACCOMPLISHED DURING THIS PERIOD.TOBACCO USE AND CANCER: ST. JAMES HEALTHCARE IS ADDRESSING TOBACCO USE AND CANCER WHICH GO HAND IN HAND. IN THE 2017 CHNA, 12.4% OF THE RESPONDENTS ARE CURRENT SMOKERS. THIS IS DOWN FROM 20.9% IN THE 2014 SURVEY. HOWEVER, BASED ON THE INCIDENCE OF LUNG CANCER AND OTHER CHRONIC DISEASES ATTRIBUTED TO TOBACCO USE WITHIN THE COMMUNITY, THIS DECREASE IS SOMEWHAT QUESTIONABLE. AMONG THE KEY INFORMANTS, 42% CONSIDERED TOBACCO USE A MAJOR PROBLEM. ALTHOUGH 70.6% OF THE RESPONDENTS SAID THEY HAD RECEIVED ADVICE TO QUIT SMOKING, CONTINUING TO PROVIDE THAT ADVICE AND ASSISTANCE TO TOBACCO USERS IS VERY IMPORTANT. AT ST. JAMES HEALTHCARE, EVERY PATIENT WHO USES TOBACCO THAT IS ADMITTED TO THE HOSPITAL IS PROVIDED WITH TOBACCO CESSATION EDUCATION BY THE RESPIRATORY SERVICES STAFF AND IS GIVEN A REFERRAL TO THE MONTANA TOBACCO QUIT LINE. OVER THE PAST TWO YEARS, THE COMMUNITY OF BUTTE HAS HAD MORE REFERRALS TO THE STATE QUIT LINE THAN MOST OF THE COMMUNITIES OF SIMILAR SIZE IN MONTANA. IN ADDITION TO BEING A TOBACCO-FREE CAMPUS, ST. JAMES HEALTHCARE CONTINUES TO WORK CLOSELY WITH THE HEALTH DEPARTMENT AND THE TOBACCO CESSATION PROGRAM. IN THE ST. JAMES HEALTHCARE CANCER DEPARTMENT, LOW DOSE LUNG SCREENINGS ARE NOW BEING OFFERED IN AN ATTEMPT TO IDENTIFY LUNG CANCER IN A VERY EARLY AND TREATABLE STAGE. IN REGARD TO CANCER OVERALL, THE SURVEY SHOWED THAT 7.4% OF RESPONDENTS HAD BEEN DIAGNOSED WITH SOME FORM OF CANCER OTHER THAN SKIN CANCER. IN THE KEY INFORMANT GROUP, 31.6% SAW CANCER AS A MAJOR PROBLEM AND 39.3% RATED IT AS A MODERATE PROBLEM. ST. JAMES HAS UNDERTAKEN A DIRECT MAIL CAMPAIGN TO WOMEN WHO HAVE NOT HAD A MAMMOGRAM WITHIN THE LAST TWO YEARS AND WOMEN OVER 40 WHO HAVE NEVER HAD A MAMMOGRAM. ACCORDING TO THE CHNA, ONLY 62.6% OF THE WOMEN HAD A MAMMOGRAM IN THE PAST TWO YEARS, SIGNIFICANTLY BELOW THE 80.3% NATIONWIDE.ACCESS TO HEALTHCARE SERVICES: ST. JAMES HEALTHCARE IS ALSO ADDRESSING ACCESS TO HEALTHCARE SERVICES BY EXPANDING THE HOURS OF OPERATION FOR ITS PRIMARY CARE CLINIC, OFFERING WALK-IN SERVICES FOR BOTH ADULTS AND CHILDREN, AND CONTINUING TO RECRUIT PRIMARY CARE AND SPECIALTY PHYSICIANS TO THE COMMUNITY. THE ST. JAMES HEALTHCARE FOUNDATION ALSO WILL PROVIDE TAXI AND BUS VOUCHERS TO INDIVIDUALS IN THE COMMUNITY WHO DO NOT HAVE TRANSPORTATION TO GET TO A CLINIC.MENTAL HEALTH: WORK IS CONTINUING ON MENTAL HEALTH (IDENTIFIED IN THE 2014 CHNA). A COUNTY-WIDE REFERRAL SYSTEM FOR MENTAL HEALTH PATIENTS IS BEING DEVELOPED TO ENSURE THESE PATIENTS DO NOT GET LOST IN THE SYSTEM. THE PROJECT, CALLED CONNECT, SHOULD BE UP AND RUNNING IN 2018. WHILE THE COMMUNITY HAS AN ADEQUATE NUMBER OF TRAINERS FOR THE YOUTH MENTAL HEALTH FIRST AID PROGRAM, IT HAD NO TRAINERS NOR FUNDS TO TRAIN TRAINERS FOR THE ADULT MENTAL HEALTH FIRST AID PROGRAM. ST. JAMES PROVIDED FUNDING TO TRAIN TWO INSTRUCTORS FOR THE COMMUNITY WIDE ADULT MENTAL HEALTH FIRST AID PROGRAM. WHEN THAT PROGRAM IS IN PLACE, THE SOCIAL WORKERS AND SEVERAL OTHER STAFF MEMBERS WILL BE ENCOURAGED TO PARTICIPATE IN THE PROGRAM. ST. JAMES ALSO PROVIDES MONTHLY QPR TRAINING FOR SUICIDE PREVENTION FOR INDIVIDUALS THROUGHOUT THE COMMUNITY. NUTRITION, PHYSICAL ACTIVITY & WEIGHT: ST. JAMES CONTINUES TO WORK ON NUTRITION, PHYSICAL ACTIVITY & WEIGHT ALSO IDENTIFIED AS A TOP NEED IN 2014. ST. JAMES PARTNERS WITH THE BUTTE SILVER BOW PARKS AND REC DEPARTMENT TO INCLUDE A LIST OF ACTIVITIES, CLUBS, ETC. FOR CHILDREN ALONG WITH CONTACT NAMES AND PHONE NUMBERS IN THE ANNUAL PARKS AND REC BOOK THAT IS INSERTED IN THE LOCAL NEWSPAPER IN MAY. TO ENSURE ALL FAMILIES RECEIVE ONE, ST. JAMES PAYS FOR THE PRODUCTION OF 4,500 EXTRA BOOKS THAT ARE DELIVERED TO ALL THE COUNTY SCHOOLS PRIOR TO THE END OF THE SCHOOL YEAR TO ENSURE EVERY CHILD AND PARENT IN THE COMMUNITY HAVE ACCESS TO THIS INFORMATION. IN 2017, ST. JAMES HEALTHCARE SUPPORTED THE KIDS COALITION AS A SPONSOR OF WORLD KID'S DAY. THIS ACTIVITY DAY WAS OFFERED WHEN CHILDREN WERE OUT OF SCHOOL. OVER 20 DIFFERENT BOOTHS PROVIDED CHILDREN WITH FUN-FILLED AND EDUCATIONAL ACTIVITIES AS WELL AS FOOD AND BEVERAGES. THIS INAUGURAL EVENT HAD ABOUT 200 PARTICIPANTS AND THE KIDS' COALITION HOPES TO MAKE THIS AN ANNUAL EVENT. ST. JAMES DIETARY STAFF ALSO OFFER TO THE PUBLIC A FREE SHOPPING TOUR TO A LOCAL SUPERMARKET. PARTICIPANTS LEARN HOW TO READ FOOD LABELS, HOW TO SELECT FRUITS AND VEGETABLES, AND HOW TO PREPARE HEALTHY MEALS. ST. JAMES ALSO OFFERS FITKIDS360 A FREE PROGRAM FOR FAMILIES WHO HAVE CHILDREN WITH AN ELEVATED BODY MASS INDEX. THE SIX-WEEK COURSE PROVIDES INSTRUCTION ON COOKING, EXERCISE AND A BEHAVIORAL HEALTH AS WELL AS A COACH WHO CONTINUES TO WORK WITH THE FAMILY AFTER THE COURSE ENDS. TYPICALLY, 12 TO 15 FAMILIES PARTICIPATE IN EACH SESSION AND IT IS OFFERED TWO TIMES EACH YEAR.NEEDS NOT ADDRESSEDWITH THE WORK FROM BOTH THE 2017 AND 2014 CHNAS, THE CATEGORIES THAT ARE NOT BEING ADDRESSED ARE INJURY & VIOLENCE AND POTENTIALLY DISABLING CONDITIONS.WHILE EACH OF THE HEALTH NEEDS IDENTIFIED IN THE ST. JAMES CHNA ARE IMPORTANT, WE FEEL MORE EQUIPPED TO ADDRESS THE FOUR STATED PRIORITIES. HOWEVER, WE WILL REMAIN ACTIVE IN PARTNERING WITH OTHER COMMUNITY AGENCIES TO SUPPORT THEIR DIRECT CARE FOR THESE UN-ADDRESSED AREAS. THESE PARTNERS INCLUDE: BUTTE SILVER BOW SENIOR CENTER, HEALTH DEPARTMENT, BUTTE CARES, MONTANA INDEPENDENT LIVING PROGRAM, MONTANA VA, AND BUTTE SILVER BOW LAW ENFORCEMENT DEPARTMENT.ST. JAMES HEALTHCARE:PART V, SECTION, B, LINE 16A, 16B, 16C:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-JAMES-HEALTHCARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ 2 1 - ST JAMES CANCER CENTER 400 S CLARK ST BUTTE MT 59701 OUTPATIENT PHYSICIAN CLINIC 2 - 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 IN THIS COLUMN IS $ 447,489. PART II, COMMUNITY BUILDING ACTIVITIES: IN 2017, ST. JAMES CONTINUED ITS COMMITMENT TO SUBSIDIZE ATHLETIC TRAINERS AT 6 AREA HIGH SCHOOLS AND TWO COLLEGES. WITHOUT OUR SUPPORT, THE SCHOOLS WOULD NOT BE ABLE TO PROVIDE THIS SERVICE TO ITS YOUNG ATHLETES. ST. JAMES ALSO PARTNERED WITH ACTION, INC. AND RECEIVED A GRANT TO WORK ON HOMELESS ISSUES IN THE COMMUNITY IN COOPERATION WITH 15 OTHER AGENCIES. IN 2017, THE ONLY HOMELESS SHELTER IN BUTTE CLOSED ITS DOORS. HOWEVER, ACTION, INC., WAS ABLE TO OPEN A TEMPORARY SHELTER (NOVEMBER THROUGH MAY) AND ST. JAMES HEALTHCARE PROVIDES SUPPORT TO THE HOMELESS IN THIS TEMPORARY SHELTER. FINALLY, ST. JAMES' LEADERSHIP IS ACTIVELY ENGAGED WITH COMMUNITY THROUGH BOARD SERVICE AND CIVIC ACTIVITIES IN SUPPORT OF THE SOCIAL DETERMINANTS OF HEALTH.PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIALMANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMASTATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES(GAAP) FOR THE REPORTING OF BAD DEBT. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE MODIFICATIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCES DUE FROM PATIENTS AFTER INSURANCE. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. PART III, LINE 9B: AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. PART VI, LINE 2: IN ADDITION TO USING THE FINDINGS IN THE RECENT CHNA, ST. JAMES HEALTHCARE ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY BY UTILIZING DATA FROM THE MONTANA HOSPITAL ASSOCIATION AND OTHER ORGANIZATIONS THAT CONDUCT PERIODIC SURVEYS RELATED TO HEALTH AS WELL AS DATA AND RESEARCH INFORMATION FROM CONSULTANTS TO ANALYZE PREVALENCE AND UTILIZATION RATES IN COMPARISON WITH COUNTY, STATE AND NATIONAL TRENDS.AS PART OF OUR CORE VALUE OF RESPONSE TO NEED, ST. JAMES TAKES ONGOING STEPS TO DETERMINE WHERE THERE IS THE MOST NEED TO PROVIDE THE GREATEST GOOD. ST. JAMES REGULARLY PARTICIPATES IN ANNUAL REVIEW OF NEEDS TO IDENTIFY CHANGING NEEDS OF THE COMMUNITY IN PARTNERSHIP WITH BUTTE HEALTH DEPARTMENT, ACTION, INC. AND A NUMBER OF OTHER AGENCIES. THIS STRONG PARTNERSHIP ENSURES THAT NEEDS BEING ADDRESSED OR NOT ADDRESSED REMAIN IN FOCUS. PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: SILVER BOW COUNTY, THE 2017 CHNA DEFINED COMMUNITY, IS LOCATED IN SOUTHWEST MONTANA AND SPANS 716 SQUARE MILES.POPULATION: THE 2017 ESTIMATED POPULATION OF SILVER BOW COUNTY IS 34,680 REPRESENTING A 1% CHANGE FROM 2010.GENDER: IN 2017, 48.7% OF THE POPULATION WERE MALES AND 51.3% FEMALES.AGE: IN 2017, 33.5% OF THE POPULATION WERE AGES 18 TO 39; 44.2% WERE AGES 40 TO 64; AND 22.3% WERE 65 AND OVER.RACIAL AND ETHNIC DIVERSITY: IN 2017, 93.9% OF THE POPULATION WERE NON-HISPANIC WHITE; 0.7% WERE HISPANIC; AND THE REMAINDER IS MADE UP OF ASIAN, AFRICAN-AMERICAN AND NATIVE AMERICAN.ECONOMICS: THE MEDIAN ANNUAL HOUSEHOLD INCOME IS $37,503, AND THE PERCENTAGE OF INDIVIDUALS LIVING IN POVERTY IN SILVER BOW COUNTY IS 40.5%.HEALTH BEHAVIORS: ADULT OBESITY IS 34.4% (31.6% IN 2014) AND CHILDREN IS 17.7% (AGES 5 TO 17) (15.7% IN 2014). 12.4% ARE SMOKERS (20.9% IN 2014) AND 20.5% (22.9% IN 2014) ARE IN FAIR/POOR PHYSICAL HEALTH.ACCESS TO CARE: 37.1% HAD DIFFICULTY ACCESSING PRIMARY CARE PHYSICIANS (39.2% IN 2014). PART VI, LINE 5: AS THE ONLY ACUTE CARE FACILITY IN SOUTHWEST MONTANA, ST. JAMES HAS SERVED ITS COMMUNITY BY PROVIDING COMPREHENSIVE MEDICAL SERVICES INCLUDING CARDIOLOGY, ONCOLOGY, ORTHOPEDIC, WOMEN, EMERGENCY AND TRAUMA, NEONATAL INTENSIVE CARE, NEUROLOGY, OB/GYN, GENERAL SURGICAL, PRIMARY CARE, PEDIATRIC CARE AND INTERNAL MEDICINE.COMMUNITY ACTIVITIES INCLUDE A PUBLIC PRESENTATIONS ON A VARIETY OF HEALTH TOPICS; STEPPING ON CLASSES (BALANCE) FOR SENIOR CITIZENS, SUPPORT GROUPS AND CLASSES FOR DIABETES PREVENTION AND LAMAZE CLASSES FOR EXPECTING PARENTS, TO NAME A FEW. ST. JAMES ALSO PROVIDES FREE BLOOD PRESSURE SCREENINGS SEVERAL TIMES A YEAR. WHEN ST. JAMES HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION, AND TO EXPAND ACCESS TO CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. CAPITAL INVESTMENTS FOR NEW EQUIPMENT AND TECHNOLOGIES HAVE BEEN OVER $32 MILLION SINCE 2014. 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 NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 210 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 16,000 FULL-TIME ASSOCIATES AND MORE THAN 600 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, 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 ST JAMES HEALTHCARE FOUNDATION 400 SOUTH CLARK ST BUTTE MT 59701 651202190 501(C)(3) 231172 SUPPORT FOR MISSION 1 0 SCHOLARSHIPS 2 6335 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. 1 1 0 0 0 0 0 1 0 JAMES DOYLE PRESIDENT & CEO 1/9-12/31 0 259020 0 57443 0 68420 0 37970 0 23999 0 446852 0 20310 CHARLES WRIGHT PRESIDENT & CEO 1/1-1/8 0 41388 0 121623 0 881546 0 4281 0 19474 0 1068312 0 579447 PAM PALAGI VP & CFO 0 206396 0 220 0 1780 0 23215 0 10222 0 241833 0 0 STEVE LOVELESS PRESIDENT CEO MONTANA REGION 489710 489710 175767 175767 50642 50642 91440 91440 25711 25711 833270 833270 36275 36275 THOMAS AUFIERO MD CHIEF MEDICAL OFFICER 0 372539 0 17250 0 24319 0 21541 0 8241 0 443890 0 0 KEVIN DENNEHY VP STRATEGY-BUS DEVELOP-SJB 0 174194 0 45416 0 25355 0 31863 0 25588 0 302416 0 18446 MARWAN MASSOUH MD PHYSICIAN 416773 0 17500 0 4565 0 14472 0 14901 0 468211 0 0 0 DANAE HANSEN MD ANESTHESIOLOGIST 399748 0 0 0 3202 0 21600 0 24596 0 449146 0 0 0 ALAN MAYER MD PHYSICIAN ED 282728 0 5000 0 5110 0 20762 0 18413 0 332013 0 0 0 DAVID SILK MD PHYSICIAN ED 285192 0 5000 0 2048 0 21502 0 24655 0 338397 0 0 0 DOUGLAS DEBENHAM MD PHYSICIAN RADIATION ONCOLOGIST 260300 0 0 0 0 0 0 0 0 0 260300 0 0 0 TRAVIS SCHEVING FORMER OFFICER 0 162244 0 37824 0 382 0 11978 0 22822 0 235250 0 0 DENNIS SALISBURY FORMER KEY EMPLOYEE 0 194786 0 68925 0 113120 0 46205 0 26870 0 449906 0 28063 MOHAN NANDALUR MD FORMER HIGHEST PAID EMPLOYEE 0 472625 0 0 0 0 0 21600 0 7810 0 502035 0 0 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 2017 WERE: CHARLES WRIGHT - $263,179. 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. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2017 WERE: NONE. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2017. 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 2017 WERE: JAMES DOYLE - $20,310, CHARLES WRIGHT $708,897, KEVIN DENNEHY - $18,446, DENNIS SALISBURY - $28,063 IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. PART I, LINE 7 THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT AND EMPLOYEE SAFETY, PATIENT EXPERIENCE AND COMMUNITY BENEFIT/MISSION TARGETS. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION 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. (SCLHS) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF NINE HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 210 AMBULATORY SERVICE CENTERS IN THREE STATES. SCLHS AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON THE BOARD OF DIRECTORS (BOARD) IS COMPENSATED FOR THAT SERVICE. SCLHS' BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. SALLY DWYER SEE PART V 73684 EMPLOYMENT 0 JESSIE SALISBURY MD SEE PART V 406428 EMPLOYMENT 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: DANETTE GLEASON (BOARD MEMBER), IS THE SISTER-IN-LAW OF SALLY DWYER, AN EMPLOYEE OF ST. JAMES HEALTHCARE.DENNIS SALISBURY (FORMER KEY EMPLOYEE), IS THE SPOUSE OF JESSIE SALISBURY,MD AN EMPLOYEE OF ST. JAMES HEALTHCARE. 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 SCLHS' PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS SUGGESTIVE OF A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS AND MANAGERS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: ADJUSTMENT TO JOINT VENTURE INCOME 95,409. EQUITY TRANSFER - FUND NEGATIVE CASH BALANCES IN PHYSICIAN CLINICS -10,898,134. EQUITY TRANSFER - TRANSFER OF TEMPORARY RESTRICTED NET ASSETS -71,891. MEDICAL ARTS PARTNERSHIP LLC 400 SOUTH CLARK STREET BUTTE MT 59701 202691618 RENTAL REAL ESTATE MT 475206 5600100 ST JAMES HEALTHCARE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 237379161 MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES KS 501(C)(3) LINE 12C, III-FI N/A 0 SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 823290526 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SCLHS 0 INTEGRITY HEALTH 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 474520350 SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12C, III-FI SCLHS 0 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON CO 80601 840482695 HOSPITAL SERVICES CO 501(C)(3) LINE 3 INTEGRITY HEALTH 0 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 0 MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER CO 80211 840405260 RESIDENT CARE CO 501(C)(3) LINE 10 SCLHS 0 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 SCLHS 0 SAINT JOSEPH HOSPITAL INC 1375 EAST 19TH AVENUE DENVER CO 80218 840417134 HOSPITAL SERVICES CO 501(C)(3) LINE 3 SCLHS 0 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 0 SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 841103606 HOSPITAL SERVICES CO 501(C)(3) LINE 3 SCLHS 0 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 0 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 0 ST MARYS HOSPITAL & MEDICAL CENTER INC 2635 NORTH 7TH STREET GRAND JUNCTION CO 81501 840425720 HOSPITAL SERVICES CO 501(C)(3) LINE 3 SCLHS 0 ST MARYS 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 0 CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH KS 66048 481009910 CLINIC SERVICES KS 501(C)(3) LINE 3 SCLHS 0 MARIAN CLINIC INC 3164 SE 6TH AVENUE TOPEKA KS 66607 481046905 CLINIC SERVICES KS 501(C)(3) LINE 3 SCLHS 0 ST FRANCIS HEALTH CENTER INC 1700 SOUTHWEST 7TH STREET TOPEKA KS 66606 480547719 HOSPITAL SERVICES KS 501(C)(3) LINE 3 SCLHS 0 ST FRANCIS HEALTH CENTER FOUNDATION 1700 SOUTHWEST 7TH STREET TOPEKA KS 66606 481092520 SUPPORTING ORGANIZATION KS 501(C)(3) LINE 12A, I ST FRANCIS HEALTH CENTER INC 0 HOLY ROSARY HEALTHCARE 2600 WILSON STREET MILES CITY MT 59301 810231792 HOSPITAL SERVICES MT 501(C)(3) LINE 3 SCLHS 0 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 0 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 1 ST VINCENT HEALTHCARE 1233 NORTH 30TH STREET BILLINGS MT 59101 810232124 HOSPITAL SERVICES MT 501(C)(3) LINE 3 SCLHS 0 ST VINCENT HEALTHCARE FOUNDATION INC 1106 NORTH 30TH STREET BILLINGS MT 59101 810468034 SUPPORT RELATED TAX EXEMPT ORGANIZATIONS MT 501(C)(3) LINE 7 ST VINCENT HEALTHCARE 0 DENVER WEST ENDOSCOPY CENTER LLC 382 S ARTHUR AVENUE LOUISVILLE CO 80027 460788218 OP ENDOSCOPY CO N/A LUTHERAN CAMPUS ASC LLC 3455 LUTHERAN PKWY STE 150 WHEATRIDGE CO 80033 020749532 OP SURGERY CO N/A SCL HEALTH - EMERUS LLC 8686 NEW TRAILS DRIVE THE WOODLANDS TX 77381 800958129 EMERGENCY CARE CO N/A SCLH-GI ENDOSCOPY HOLDINGS LLC 382 S ARTHUR AVENUE LOUISVILLE CO 80027 812979243 OP ENDOSCOPY CO N/A SCL TDI JV LLC 1431 PERRONE WAY FRANKLIN TN 37069 472294770 RADIOLOGY DE N/A ATHLETIC MEDICINE & PERFORMANCE LLC 1144 NORTH 28TH STREET BILLINGS MT 59101 272270640 PHYSICAL THERAPY MT N/A GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON AVENUE SUITE 21 GRAND JUNCTION CO 81501 841505075 OP SURGERY CO N/A HEALTHCARE MANAGEMENT LLC PO BOX 1929 GRAND JUNCTION CO 81502 841238904 MANAGEMENT SERVICES CO N/A PAVILION IMAGING LLC 750 WELLINGTON AVENUE GRAND JUNCTION CO 81501 030516198 RADIOLOGY CO N/A SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE CO 81401 202856331 OP CANCER CO N/A SMHMMH AIR MEDICAL TRANSPORT LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 473525381 MEDICAL AIR TRANSPORT CO N/A EKG INTERPRETATION SERVICE 3464 S WILLOW STREET SUITE 111 DENVER CO 80231 840927945 EKG INTERPRETATION CO N/A ST JOSEPH EKG READER PANEL 3464 S WILLOW STREET SUITE 174 DENVER CO 80231 841269895 EKG READING CO N/A MED-MAP LLC PO BOX 1295 BILLINGS MT 59103 810491356 RENTAL REAL ESTATE MT N/A YELLOWSTONE SURGERY CENTER LLC 1144 NORTH 28TH STREET BILLINGS MT 59101 721519467 OP SURGERY MT N/A APEX SURGICAL PARTNERS INC 1610 PRAIRIE CENTER PARKWAY SUITE 2 BRIGHTON CO 80601 473268324 MEDICAL SERVICES CO N/A C 0 EAGLE RIDGE MEDICAL INC 1606 PRAIRIE CENTER PARKWAY SUITE 2 BRIGHTON CO 80601 462387681 MEDICAL SERVICES CO N/A C 0 HIGH PLAINS HEART AND VASCULAR CENTER INC 1610 PRAIRIE CENTER PARKWAY SUITE 2 BRIGHTON CO 80601 272038197 MEDICAL SERVICES CO N/A C 0 INTEGRATIVE INTERNAL MEDICINE AND MEDICAL ACUPUNCTURE INC 1610 PRAIRIE CENTER PARKWAY SUITE 2 BRIGHTON CO 80601 274433325 MEDICAL SERVICES CO N/A C 0 MOUNTAIN VIEW ORTHOPEDICS INC 1610 PRAIRIE CENTER PARKWAY SUITE 2 BRIGHTON CO 80601 275382523 MEDICAL SERVICES CO N/A C 0 PVMC MEDICAL TEAM INC 1606 PRAIRIE CENTER PARKWAY SUITE 2 BRIGHTON CO 80601 473988808 MEDICAL SERVICES CO N/A C 0 PVMC PHYSICIAN SERVICES INC 1606 PRAIRIE CENTER PARKWAY SUITE 2 BRIGHTON CO 80601 943458548 MEDICAL SERVICES CO N/A C 0 PLATTE VALLEY MEDICAL TEAM INC 1606 PRAIRIE CENTER PARKWAY SUITE 2 BRIGHTON CO 80601 841110470 MEDICAL SERVICES CO N/A C 0 CARITAS INC AND SUBSIDIARIES 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 480941069 HEALTHCARE KS N/A C 0 ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC 1700 SOUTHWEST 7TH STREET TOPEKA KS 66606 462874128 HEALTHCARE KS N/A C 0 LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVENUE WEST BAY R GRAND CAYMAN CJ KY1-1102 980370522 INSURANCE CJ N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 ST JAMES HEALTHCARE FOUNDATION B 231172 ST JAMES HEALTHCARE FOUNDATION C 224570