SCL HEALTH MONTANA: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SCL HEALTH MONTANA (EIN 81-0232124)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-08
IRS object ID: 201823129349301432
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-08T10:59:50-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810232124	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Business Name Control	STVI	BusinessNameControlTxt
Phone	4066577000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1233 NORTH 30TH STREET	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAM PALAGI	PersonNm
Person Title	VP FINANCE & CFO	PersonTitleTxt
Phone	4066577000	PhoneNum
Signature	2018-11-08	SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	170.188.5.33	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-11-08	IPDt
IP Tm	09:50:21	IPTm
IP Timezone	MS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B236A6DFE262EFEA572FAB2E373485E7E96D5340	AtSubmissionCreationDeviceId
At Submission Filing Device Id	DA20D486529A5FD4315A2DABD97CCAE9F7014C42	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2018-06-14 16:35:46Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEVE LOVELESS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1233 NORTH 30TH STREET	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$432,970,279	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SEE SCHEDULE O	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1972	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	2012	TotalEmployeeCnt
Total Volunteers	338	TotalVolunteersCnt
Total Gross UBI	$6,796,187	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,446,726	PYContributionsGrantsAmt
CY Contributions Grants	$17,829,141	CYContributionsGrantsAmt
PY Program Service Revenue	$388,533,997	PYProgramServiceRevenueAmt
CY Program Service Revenue	$396,701,391	CYProgramServiceRevenueAmt
PY Investment Income	$16,374,722	PYInvestmentIncomeAmt
CY Investment Income	$15,269,876	CYInvestmentIncomeAmt
PY Other Revenue	$2,315,171	PYOtherRevenueAmt
CY Other Revenue	$2,609,712	CYOtherRevenueAmt
PY Total Revenue	$412,670,616	PYTotalRevenueAmt
CY Total Revenue	$432,410,120	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,682,566	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,945,509	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$130,814,908	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$125,884,392	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$216,416,065	PYOtherExpensesAmt
CY Other Expenses	$214,089,972	CYOtherExpensesAmt
PY Total Expenses	$348,913,539	PYTotalExpensesAmt
CY Total Expenses	$341,919,873	CYTotalExpensesAmt
PY Revenues Less Expenses	$63,757,077	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$90,490,247	CYRevenuesLessExpensesAmt
Total Assets BOY	$569,099,817	TotalAssetsBOYAmt
Total Assets EOY	$649,306,534	TotalAssetsEOYAmt
Total Liabilities BOY	$26,533,011	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$34,750,058	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$542,566,806	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$614,556,476	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$280,857,116	ExpenseAmt
Grant	$1,945,509	GrantAmt
Revenue	$398,447,436	RevenueAmt
Desc	THE SISTERS OF CHARITY OF LEAVENWORTH, KANSAS, FOUNDED ST. VINCENT HEALTHCARE IN BILLINGS, MONTANA, IN 1898. MOTIVATED BY ITS MISSION TO PROVIDE COMPASSIONATE CARE AND SERVICE, ST. VINCENT HAS BECOME ONE OF MONTANA'S LEADING COMPREHENSIVE HEALTHCARE PROVIDERS. MODERN MEDICAL TECHNOLOGY HAS BEEN INTEGRATED INTO OUR COMMITMENT TO PROVIDE CARE FOR THE SICK, TO RESPECT LIFE, TO SERVE THE POOR AND TO PROVIDE COMPASSION AND CHARITY FOR ALL WHO NEED IT. ST. VINCENT OFFERS PROGRESSIVE SPECIALTY SERVICES IN HEART & VASCULAR, NEUROLOGY, ONCOLOGY, ORTHOPEDICS, AND WOMEN'S SERVICES. WE HAVE A SPECIAL "HOSPITAL WITHIN A HOSPITAL" JUST FOR CHILDREN, ST. VINCENT CHILDREN'S HEALTHCARE.FROM ITS MODEST BEGINNINGS OVER 100 YEARS AGO, ST. VINCENT HEALTHCARE HAS GROWN INTO ONE OF MONTANA'S LARGEST COMPREHENSIVE HOSPITALS, SERVING THE HEALTHCARE NEEDS OF OVER 400,000 PEOPLE IN A FOUR-STATE AREA. RENOWNED FOR A MISSION OF COMPASSIONATE CARE AND SERVICE TO THE POOR, THE ST. VINCENT HEALTHCARE TEAM IS CONTINUALLY RECOGNIZED AS A TECHNOLOGICAL LEADER IN THE HEALTHCARE INDUSTRY.DURING 2017, THE FOLLOWING STATISTICAL DATA WAS GATHERED:- 12,041 ADMISSIONS- 396,046 OUTPATIENT, CLINIC, AND HOME HEALTH VISTS- 36,927 EMERGENCY DEPARTMENT VISITS- 1,561 BIRTHS- 7,490 SURGERIES- 871,883 LABORATORY TESTSMISSION, VISION & VALUES 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.VALUESCARING 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. VINCENT HEALTHCARE OFFERS A WIDE VARIETY OF SERVICES TO THE COMMUNITY:- BARIATRIC SURGERY - BEHAVIORAL HEALTH- BLOOD CONSERVATION PROGRAM- BRAIN INJURY REHABILITATION- CANCER CARE- CARDIOLOGY- CARELINE- DERMATOLOGY- DIABETES CENTER- EMERGENCY SERVICES- GI DIAGNOSTIC CENTER- INTENSIVE CARE SERVICES- JOINT REPLACEMENT CENTER- LAB SERVICES- LIVING WELL- MAMMOGRAPHY- MANSFIELD HEALTH EDUCATION CENTER- WOMEN'S HEALTH- MS CLINIC- NEUROSCIENCE- NURSE ADVISOR- OCCUPATIONAL HEALTH SERVICES- ORTHOPEDIC SERVICES- OTOLARYNGOLOGY - OUTREACH- PAIN CENTER- PEDIATRICS- PRIMARY CARE- RADIOLOGY AND IMAGING SERVICES- REHABILITATION- RESPIRATORY- RONALD MCDONALD CARE MOBILE- SENIOR SERVICES- SLEEP CENTER- SPORTS MEDICINE- STROKE- SURGERY SERVICES- TELEHEALTH- TRAUMA OUTREACH- UROLOGY- VASCULAR CENTER- WALK IN CARE- WEIGHT MANAGEMENT- WOUND HEALING CENTERST. VINCENT HEALTHCARE IS RELATED TO SCL HEALTH MEDICAL GROUP - BILLINGS, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS A GROUP OF PHYSICIAN CLINICS THAT PROVIDE PROFESSIONAL SERVICES TO THE ST. VINCENT HEALTHCARE COMMUNITY AND SUPPORTS THE MISSION OF ST. VINCENT HEALTHCARE.ALTHOUGH SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS NOT OWNED DIRECTLY BY ST. VINCENT HEALTHCARE, ST. VINCENT HEALTHCARE IS REQUIRED TO FUND ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP - BILLINGS, LLC THROUGH EQUITY TRANSFERS TO SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IN 2017, THE HOSPITAL PROVIDED $18,496,970 IN SUPPORT OF THE LOSSES OF THE PHYSICIAN CLINICS.	Desc
Total Program Service Expenses	$280,857,116	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	245	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2012	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KYLE ENGMAN	PersonNm
Phone	3038135543	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 ELDORADO BLVD SUITE 4200	AddressLine1Txt
City	BROOMFIELD	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80021	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARTHA ARGUELLES
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JOHN BEDFORD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
EVEN BUCHAN MD
DIRECTOR	50.00	0.00	Yes (X)	$216,556	$0	$37,753
CORI COOK
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
DANIELLE EMERY MD
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
KAREN FAGG
SECRETARY	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
SHAUN HARRINGTON
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
SISTER BERNADETTE HELFERT
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
DEBRA JONES MD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
KEITH LAUVER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
STEVE LOVELESS
PRESIDENT AND CEO	36.00	14.00	Yes (X)	$0	$716,119	$117,151	Yes (X)
DENNIS MAIER MD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
VU PHAM
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
DONALD STERHAN
TREASURER	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
RON OLDFIELD
VICE PRES FINANCIAL SVS 1/1 - 3/1	37.00	13.00		$0	$130,356	$8,119	Yes (X)
PAM PALAGI
VP FINANCE MT REGION 5/2 - 12/31	36.00	14.00		$0	$208,396	$33,437	Yes (X)
MICHAEL BUSH MD
VP-CHIEF MEDICAL OFFICER	50.00	0.00		$0	$532,835	$92,309		Yes (X)
BLANCHE GILMORE
VP PATIENT CARE SERVICES	50.00	0.00		$0	$361,013	$39,241		Yes (X)
MICHAEL SKEHAN
VP COO MONTANA REGION	50.00	0.00		$0	$418,004	$70,900		Yes (X)
REBECCA TARLTON MD
PHYSICIAN	50.00	0.00		$618,733	$0	$21,600			Yes (X)
BENJAMIN BEASLEY MD
PHYSICIAN	50.00	0.00		$459,488	$0	$42,353			Yes (X)
RONALD SNYDER MD
PHYSICIAN	50.00	0.00		$458,158	$0	$47,555			Yes (X)
RICHARD LAMMERS MD
PHYSICIAN	50.00	0.00		$441,964	$0	$33,826			Yes (X)
MARJORIE TEVLIN MD
PHYSICIAN	50.00	0.00		$436,898	$0	$20,720			Yes (X)
SCOTT SEARS MD
FORMER OFFICER	0.00	50.00		$0	$308,588	$34,769				Yes (X)
JEFFREY ZAVALA
FORMER KEY EMPLOYEE	50.00	0.00		$0	$477,579	$82,629				Yes (X)
MICHAEL COPELAND MD
FORMER HIGHEST PAID	0.00	50.00		$0	$609,373	$40,356				Yes (X)
STUART GOODMAN MD
FORMER HIGHEST PAID	0.00	50.00		$0	$822,811	$38,174				Yes (X)
WILLIAM SPIRE MD
FORMER HIGHEST PAID	0.00	50.00		$0	$730,617	$44,960				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,631,797	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,315,691	TotReportableCompRltdOrgAmt
Total Other Compensation	$805,852	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	147	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SAUNDERS EXPRESS LLC
6950 SOUTH JORDAN ROAD	CENTENNIAL	CO	80112	CONSTRUCTION	$17,598,254
MONTANA FAMILY PRACTICE
123 S 27TH ST	BILLINGS	MT	59101	MEDICAL SERVICES	$2,708,358
HEMATOLOGY ONCOLOGY CENTERS OF TH
1315 GOLDEN VALLEY CIRCLE	BILLINGS	MT	59102	ONCOLOGY PHYSICIANS	$2,659,055
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	MEDICAL STAFFING	$1,948,403
ORTHO MONTANA PSC
2900 12TH AVE N	BILLINGS	MT	59101	ORTHOPEDIC SERVICES	$1,830,204

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	49	CntrctRcvdGreaterThan100KCnt
Related Organizations	$17,731,675	RelatedOrganizationsAmt
Government Grants	$97,466	GovernmentGrantsAmt
Noncash Contributions	$4,291,072	NoncashContributionsAmt
Total Contributions	$17,829,141	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	622110	$396,369,781	$389,833,420	$6,536,361
MISSION UNITED - JV	621110	$223,624	$223,624
ROCKY MTN HEATLH - JV	621110	$106,354	$106,354
BIG HORN BSN RAD ONC - JV	621110	$20,036	$20,036
COMM CRISIS CTR - JV	621110	-$18,404	-$18,404

Field	Value	IRS element (for citing)
Total Program Service Revenue	$396,701,391	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,271,425	TotalRevenueColumnAmt
Exclusion	$15,271,425	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,120,401	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$516,560	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$603,841	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$603,841	TotalRevenueColumnAmt
Exclusion	$603,841	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$42,050	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$43,599	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$1,549	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,549	TotalRevenueColumnAmt
Exclusion	-$1,549	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA SALES	722310	$1,733,269	$1,473,443	$259,826
PARKING LOT FEES	900099	$142,867	$142,867
LAUNDRY SERVICE - JV	900099	$114,853	$114,853

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,882	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,882	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,005,871	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$432,410,120	TotalRevenueColumnAmt
Related Or Exempt Func Income	$391,911,075	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,796,187	UnrelatedBusinessRevenueAmt
Exclusion	$15,873,717	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,945,509	TotalAmt
Program Services	$1,945,509	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,740,358	TotalAmt
Program Services	$2,653,249	ProgramServicesAmt
Management And General	$87,109	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$97,204,894	TotalAmt
Program Services	$94,115,015	ProgramServicesAmt
Management And General	$3,089,879	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,294,498	TotalAmt
Program Services	$5,936,579	ProgramServicesAmt
Management And General	$357,919	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,458,900	TotalAmt
Program Services	$12,160,068	ProgramServicesAmt
Management And General	$298,832	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,185,742	TotalAmt
Program Services	$7,071,358	ProgramServicesAmt
Management And General	$114,384	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$158,306	TotalAmt
Management And General	$158,306	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,632	TotalAmt
Management And General	$1,632	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$38,881,388	TotalAmt
Program Services	$37,599,522	ProgramServicesAmt
Management And General	$1,281,866	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,659,961	TotalAmt
Program Services	$60,532	ProgramServicesAmt
Management And General	$2,599,429	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,439,774	TotalAmt
Program Services	$1,365,187	ProgramServicesAmt
Management And General	$74,587	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$22,598,228	TotalAmt
Management And General	$22,598,228	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,797,143	TotalAmt
Program Services	$8,564,939	ProgramServicesAmt
Management And General	$232,204	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$842,170	TotalAmt
Program Services	$684,967	ProgramServicesAmt
Management And General	$157,203	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$633,808	TotalAmt
Program Services	$561,040	ProgramServicesAmt
Management And General	$72,768	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,259,708	TotalAmt
Program Services	$10,259,708	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,487,031	TotalAmt
Program Services	$3,487,031	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$75,800,236	$75,800,236
BILLING & COLLECTION -	$7,983,073		$7,983,073
MAINTENANCE SERVICES	$7,314,099	$7,294,800	$19,299
SHARED SERVICES ADMIN	$5,826,095		$5,826,095

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,407,320	TotalAmt
Program Services	$11,297,376	ProgramServicesAmt
Management And General	$16,109,944	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$341,919,873	TotalAmt
Program Services	$280,857,116	ProgramServicesAmt
Management And General	$61,062,757	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$116,489	BOYAmt
EOY	$73,380	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$61,761,899	BOYAmt
EOY	$59,927,551	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$96,029	BOYAmt
EOY	$91,441	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$351,809	BOYAmt
EOY	$218,764	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$7,529,510	BOYAmt
EOY	$7,353,274	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$4,175,100	BOYAmt
EOY	$4,868,923	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$395,611,171	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$242,314,179	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$120,792,577	BOYAmt
EOY	$153,296,992	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,790,594	BOYAmt
EOY	$4,251,899	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$370,485,810	BOYAmt
EOY	$419,224,310	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$569,099,817	BOYAmt
EOY	$649,306,534	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,491,790	BOYAmt
EOY	$34,699,239	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$41,221	BOYAmt
EOY	$50,819	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,533,011	BOYAmt
EOY	$34,750,058	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$542,566,806	BOYAmt
EOY	$614,556,476	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$542,566,806	BOYAmt
EOY	$614,556,476	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$569,099,817	BOYAmt
EOY	$649,306,534	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$90,490,247	ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts	-$3,607	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	-$18,496,970	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$1,632	OtherActivitiesAmt
Total Lobbying Expenditures	$1,632	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENSES WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$43,040,009	BeginningYearBalanceAmt
Contributions	$654,720	ContributionsAmt
Investment Earnings Or Losses	$0	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$0	GrantsOrScholarshipsAmt
Other Expenditures	$18,740,397	OtherExpendituresAmt
End Year Balance	$24,954,332	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$42,470,513	BeginningYearBalanceAmt
Contributions	$7,159,174	ContributionsAmt
Investment Earnings Or Losses	$441,785	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,861,558	GrantsOrScholarshipsAmt
Other Expenditures	$3,169,905	OtherExpendituresAmt
End Year Balance	$43,040,009	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$40,639,150	BeginningYearBalanceAmt
Contributions	$7,967,355	ContributionsAmt
Investment Earnings Or Losses	-$188,066	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,693,288	GrantsOrScholarshipsAmt
Other Expenditures	$1,254,638	OtherExpendituresAmt
End Year Balance	$42,470,513	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,166,108	BeginningYearBalanceAmt
Contributions	$27,735,435	ContributionsAmt
Investment Earnings Or Losses	$361,820	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$6,210,518	GrantsOrScholarshipsAmt
Other Expenditures	$3,413,695	OtherExpendituresAmt
End Year Balance	$40,639,150	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,944,937	BeginningYearBalanceAmt
Contributions	$9,541,014	ContributionsAmt
Investment Earnings Or Losses	$1,046,819	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,289,936	GrantsOrScholarshipsAmt
Other Expenditures	$3,076,726	OtherExpendituresAmt
End Year Balance	$22,166,108	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.66000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.33000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.01000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$22,218,966	InvestmentCostOrOtherBasisAmt
Book Value	$22,218,966	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$173,768,481	InvestmentCostOrOtherBasisAmt
Depreciation	$117,764,098	DepreciationAmt
Book Value	$56,004,383	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$14,654,201	InvestmentCostOrOtherBasisAmt
Depreciation	$10,418,239	DepreciationAmt
Book Value	$4,235,962	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$153,578,644	InvestmentCostOrOtherBasisAmt
Depreciation	$114,131,842	DepreciationAmt
Book Value	$39,446,802	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$31,390,879	InvestmentCostOrOtherBasisAmt
Book Value	$31,390,879	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$153,296,992	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLE	$398,279,441
OTHER ACCT RECEIVABLE	$2,299,373
3RD PARTY SETTLEMENTS	$18,461,471
JOINT VENTURE RECEIVABLES	$184,025

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$419,224,310	TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	THE TWO LARGEST ENDOWMENTS SUPPORT THE MT PEDIATRICS PROJECT AND NURSE EDUCATION. THE REMAINING ENDOWMENTS SUPPORT VARIOUS DEPARTMENTS IN THE HOSPITAL.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,041,693	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,041,693	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$59,749,052	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,329,346	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,184,901	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,049,773	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,975,646	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,379,119	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,041,693	NetCommunityBenefitExpnsAmt
Total Expense	0.00890	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,122,664	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,122,664	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,279,169	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,279,163	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,651,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,008,634	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,643,351	NetCommunityBenefitExpnsAmt
Total Expense	0.01940	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,908	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$90,908	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$544,240	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$544,240	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,688,966	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,008,640	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,680,326	NetCommunityBenefitExpnsAmt
Total Expense	0.02830	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,664,612	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$84,387,759	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,722,019	NetCommunityBenefitExpnsAmt
Total Expense	0.03720	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,090	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,090	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,440	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$102,440	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,544	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,544	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,481	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,481	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,105	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$62,105	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$647,180	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$647,180	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$824,840	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$824,840	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$4,700,011	BadDebtExpenseAmt
Reimbursed By Medicare	$109,520,437	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$142,136,321	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$32,615,884	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 ATHLETIC MEDICINE & PERFORMANCE LLC
PHYSICAL THERAPY	0.33330	0.47410
2 ROCKY MOUNTAIN HEALTH NETWORK INC
PHO - ADMINISTRATIVE SERVICES	0.50000	0.50000
3 ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC
ACCOUNTABLE CARE ORGANIZATION	0.50000	0.50000

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1233 NORTH 30TH STREET	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SCLHEALTH.ORG/LOCATIONS/	WebsiteAddressTxt
State License	13258	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	17	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 5: THE 2017 CHNA WAS CONDUCTED BY ST. VINCENT HEALTHCARE IN PARTNERSHIP WITH BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT, AND THE CITY-COUNTY HEALTH DEPARTMENT, RIVERSTONE HEALTH. THE CHNA ADVISORY GROUP CONSISTED OF 71 INDIVIDUALS REPRESENTING 58 ORGANIZATIONS ACROSS THE COMMUNITY. THE ADVISORY GROUP PROVIDED INPUT THROUGHOUT THE CHNA/CHIP PROCESS AND APPROVED MAJOR ACTIVITIES SUCH AS THE QUESTIONNAIRE, STAKEHOLDERS INVOLVED IN THE KEY INFORMANT SURVEY AND AGENDA ITEMS AND INVITEES FOR THE PRIORITIZATION PROCESS. THE CHNA INCORPORATED: 1) PRIMARY QUANTITATIVE DATA (A 404 HOUSEHOLD TELEPHONE COMMUNITY HEALTH SURVEY), 2) SECONDARY QUANTITATIVE DATA (EXISTING PUBLIC HEALTH DATA) AND 3) PRIMARY QUALITATIVE DATA (KEY INFORMANT SURVEYS. THE SAMPLE DRAWN FOR THE 404 HOUSEHOLD TELEPHONE SURVEY IS REPRESENTATIVE OF THE ADULT YELLOWSTONE COUNTY POPULATION IN TERMS OF DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS, AS WELL AS GEOGRAPHIC LOCATION. THE 2017 CHNA WAS A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED IN 2014, 2011, AND 2006 WHICH ALLOWED FOR TRENDING OVER TIME.TO SOLICIT INPUT FOR KEY INFORMANTS, AN ONLINE KEY INFORMANT SURVEY IS IMPLEMENTED. IN ALL, 194 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF COMMUNITY BASED ORGANIZATIONS, EDUCATION, GOVERNMENT, BUSINESS, HEALTHCARE AND PUBLIC HEALTH. THROUGHOUT THE PROCESS, INPUT WAS GATHERED FROM INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. MINORITY/MEDICALLY UNDERSERVED POPULATIONS REPRESENTED BY KEY INFORMANTS INCLUDED: AFRICAN-AMERICANS, AGRICULTURAL WORKERS, AMERICAN INDIANS, ASIANS, CHILDREN, COLLEGE STUDENTS, THOSE WITH CO-OCCURRING DISORDERS, CRIMINAL OFFENDERS, THOSE WITH DISABILITIES, THE ELDERLY, ENGLISH AS A SECOND LANGUAGE, HISPANICS, HOMELESS INDIVIDUALS, HUTTERITES, IMMIGRANTS, LGBT, LOW INCOME, THE MENTALLY ILL, MULTI-RACIAL INDIVIDUALS, PREGNANT TEENS, RUNAWAYS, RURAL RESIDENTS, SAMOANS, SINGLE PARENTS, SUBSTANCE ABUSERS, UNINSURED/UNDERINSURED RESIDENTS, VETERANS, VICTIMS OF VIOLENCE, WOMEN, AND INDIVIDUALS WITH CHRONIC DISEASE SUCH AS CANCER, DIABETES, HIGH BLOOD PRESSURE, AND HIV/AIDS.
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 6A: THE 2017 CHNA WAS CONDUCTED IN PARTNERSHIP WITH BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT.
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE CITY-COUNTY HEALTH DEPARTMENT, RIVERSTONE HEALTH. IN ADDITION, 71 REPRESENTATIVES FROM BUSINESS, COMMUNITY, EDUCATION, FAITH-BASED ORGANIZATIONS, AND GOVERNMENT WERE INVOLVED IN THE CHNA PROCESS AS MEMBERS OF THE CHNA ADVISORY GROUP WHICH PROVIDED OVERSIGHT TO THE CHNA PROCESS.ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7A: WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7B: HTTP://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG/COMMUNITY-DATA/
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 7D: A PRESS CONFERENCE WAS HELD ON FEBRUARY 6, 2017, TO PUBLICIZE THE CHNA. PRINTED COPIES OF THE CHNA REPORT WERE DISTRIBUTED TO LOCAL NON-PROFIT ORGANIZATIONS. THE CHNA IS ALSO AVAILABLE ELECTRONICALLY ON THE HEALTHY BY DESIGN COALITION WEBSITE: HTTP://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG/COMMUNITY-DATA/ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 10A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 11: THE 2017 CHNA IDENTIFIED 13 AREAS OF OPPORTUNITY AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. IN ALPHABETICAL ORDER, THEY ARE:1. ACCESS TO HEALTHCARE SERVICES2. CANCER3. DEMENTIA, INCLUDING ALZHEIMER'S DISEASE4. DIABETES5. HEART DISEASE AND STROKE6. INFANT HEALTH AND FAMILY PLANNING7. INJURY AND VIOLENCE8. BEHAVIORAL HEALTH9. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT10. POTENTIALLY DISABLING CONDITIONS11. RESPIRATORY DISEASES12. SUBSTANCE ABUSE13. 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 13 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 THREE IDENTIFIED NEEDS AS: 1. NUTRITION, PHYSICAL ACTIVITY & WEIGHT2. BEHAVIORAL HEALTH/SUBSTANCE ABUSE3. ACCESS TO HEALTHCARE SERVICES ST. VINCENT HEALTHCARE IS ADDRESSING THESE IDENTIFIED HEALTH NEEDS THROUGH BOTH COLLABORATIVE COMMUNITY EFFORTS AND SPECIFIC HOSPITAL EFFORTS.NUTRITION, PHYSICAL ACTIVITY & WEIGHT: 34.4% OF YELLOWSTONE COUNTY ADULTS ARE OBESE, HIGHER THAN MONTANA FINDINGS AND SIMILAR TO RATES IN THE U.S. (CHNA, 2017). AS A SPONSORING ENTITY AND MEMBER OF THE HEALTHY BY DESIGN COALITION, ST. VINCENT HEALTHCARE IS COLLABORATING TO INCREASE THE PROPORTION OF RESIDENTS WHO ARE AT A HEALTHY WEIGHT IN YELLOWSTONE COUNTY THROUGH POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE EFFORTS INCLUDING STRATEGIES FOR HEALTHY FOOD RETAIL AND PROCUREMENT, IMPROVING ACCESS TO PLACES FOR PHYSICAL ACTIVITY, COMMUNITY-SCALE URBAN DESIGN AND LAND USE POLICIES, AND PROVIDING SPACE FOR ORGANIZED ACTIVITIES THAT ENCOURAGE SOCIAL PARTICIPATION AND INCLUSION. THE HEALTHY BY DESIGN COALITION'S GARDENERS' MARKET, LOCATED IN A FEDERALLY IDENTIFIED FOOD DESERT WITHIN A LOW-INCOME NEIGHBORHOOD, SERVED NEARLY 200 RESIDENTS EACH WEEK AND ACCEPTED SNAP AND WIC BENEFITS TO INCREASE ACCESS TO AFFORDABLE FRUITS AND VEGETABLES. ST. VINCENT HEALTHCARE CONTINUES TO OFFER THE EVIDENCE-BASED DIABETES AND HEART DISEASE PREVENTION PROGRAM. LOCATED AT THE BILLINGS FAMILY YMCA, THIS PROGRAM IS OFFERED TWICE PER YEAR. IN 2017, 112 INDIVIDUALS PARTICIPATED IN THE PROGRAM WHICH FOCUSES ON NUTRITION EDUCATION AND PHYSICAL ACTIVITY, SUPPORTING HEALTHY LIFESTYLE CHANGES FOR ADULTS WHO ARE AT RISK FOR DEVELOPING TYPE 2 DIABETES. ALSO AT THE BILLINGS FAMILY YMCA, ST. VINCENT HEALTHCARE PROVIDED FINANCIAL SUPPORT FOR THE LIVESTRONG PROGRAM FOCUSING ON PHYSICAL ACTIVITY, BALANCE AND STAMINA FOR CANCER SURVIVORS ACROSS THE COMMUNITY. IN 2017, 33 PARTICIPANTS TOOK THE PRE AND POST-TEST AND SHOWED OUTCOMES OF 68% INCREASE IN BALANCE, 14% INCREASE IN WALKING, 27% INCREASE IN FLEXIBILITY, AND 43% INCREASE IN STRENGTH MEASURED BY LEG PRESS.28.8% OF CHILDREN AGES 5-17 ARE OVERWEIGHT OR OBESE (CHNA, 2017). ST. VINCENT HEALTHCARE COLLABORATES WITH AND PROVIDES SUPPORT TO KIDS IN MOTION, AN ACTIVE TRANSPORTATION PROGRAM FACILITATED BY SCHOOL DISTRICT #2, EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS, THE CITY OF BILLINGS, AND OTHER COMMUNITY PARTNERS THAT COMBINES VOLUNTEER-COORDINATED EVENTS SUCH AS BICYCLE TUNE-UP CLINICS, WITH IN-CLASS EDUCATION TO EMPOWER YOUTH WITH THE SKILLS AND CONFIDENCE NEEDED TO WALK AND RIDE THEIR BICYCLE EVERY DAY. OVER 73 STUDENT BICYCLES WERE INSPECTED, AND IF NEEDED, REPAIRED AT 5 SCHOOLS. ST. VINCENT HEALTHCARE MANAGES THE KOHL'S CARES FOR KIDS GRANT PARTNERSHIP WITH PRIORITY TITLE ONE SCHOOLS, PROVIDING PHYSICAL ACTIVITY AND NUTRITION EDUCATION AND OUTREACH. IN 2017, 2,800 STUDENTS IN FIVE TITLE ONE SCHOOLS WERE SERVED BY PROGRAM THROUGH RUNNING PROGRAMS, HIP HOP PROGRAMS, AND SHOE DISTRIBUTION. IN ADDITION, ST. VINCENT HEALTHCARE PROVIDES IN-KIND SUPPORT TO THE BILLINGS SCHOOL DISTRICT #2 SCHOOL HEALTH ADVISORY COMMITTEE AND BILLINGS ACTION FOR HEALTHY KIDS. ST. VINCENT HEALTHCARE PROVIDED FINANCIAL SUPPORT AND LEADERSHIP FOR LOCAL NON-PROFITS FOCUSED ON OBESITY PREVENTION, NUTRITION AND PHYSICAL ACTIVITY PROMOTION. THESE ORGANIZATIONS INCLUDED TRAILNET, A LOCAL TRAIL ADVOCACY ORGANIZATION; BIG SKY STATE GAMES, A LOCAL ORGANIZATION WHICH PROVIDES COMMUNITY PHYSICAL ACTIVITY OPPORTUNITIES; ICHANGE BILLINGS, FOCUSED ON INDIVIDUAL BEHAVIOR CHANGE; SPECIAL OLYMPICS, FOCUSED ON PHYSICAL ACTIVITY FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITY; AND EAGLE MOUNT, FOCUSED ON PHYSICAL ACTIVITY FOR INDIVIDUALS WITH PHYSICAL DISABILITIES. WE ADVOCATE FOR ACCESS TO HEALTHY FOODS FOR LOW-INCOME INDIVIDUALS AND FAMILIES, INCLUDING SERVING AS A DISTRIBUTION SITE FOR BOUNTIFUL BASKETS AND PROVIDING FOOD DONATIONS FOR EVENTS AT COMMUNITY-BASED ORGANIZATIONS SERVING VULNERABLE POPULATIONS SUCH AS ST. VINCENT DE PAUL SOCIETY.BEHAVIORAL HEALTH/SUBSTANCE ABUSE:13.4% OF ADULTS IN YELLOWSTONE COUNTY REPORT THEIR OVERALL MENTAL HEALTH AS FAIR OR POOR WHICH HAS SIGNIFICANTLY INCREASED SINCE 2005 AND 25.3% OF ADULTS HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER WHICH IS HIGHER THAN RATES IN MONTANA AND THE U.S. (CHNA 2017). ST. VINCENT HEALTHCARE HAS PROVIDED FINANCIAL SUPPORT TO ORGANIZATIONS FOCUSED ON IMPROVING ACCESS TO MENTAL HEALTH RESOURCES IN OUR COMMUNITY AND IS WORKING TO INTEGRATE BEHAVIORAL HEALTH INTO SIX OF OUR PRIMARY CARE CLINICS. WE CONTINUE TO PROVIDE FINANCIAL SUPPORT TO THE COMMUNITY CRISIS CENTER AND OUR CHIEF MEDICAL OFFICER SERVES ON THE BOARD OF DIRECTORS. THE COMMUNITY CRISIS CENTER PROVIDES ASSESSMENTS, CASE MANAGEMENT, GROUPS, ADDICTIONS COUNSELING, REFERRALS, AND STABILIZATION SERVICES TO PEOPLE 24 HOURS PER DAY 365 DAYS PER YEAR. THESE SERVICES ARE PROVIDED FOR PERSONS IN CRISIS WHO NEED ACCESS TO INTEGRATED MENTAL HEALTH, CHEMICAL DEPENDENCY AND SOCIAL SERVICES, REGARDLESS OF ABILITY TO PAY FOR THESE SERVICES. THIS INCLUDES A 24-HOUR STABILIZATION AREA FOR THOSE MOST AT RISK THAT DO NOT NEED HOSPITALIZATION. THE COMMUNITY CRISIS CENTER ALSO PROVIDES CRISIS INTERVENTION TEAM TRAINING FOR LAW ENFORCEMENT. IN 2017, OVER 10,500 CLIENT VISITS WERE MADE TO THE COMMUNITY CRISIS CENTER. ST. VINCENT HEALTHCARE ALSO PROVIDED FINANCIAL SUPPORT TO A STUDENT RUN MENTAL HEALTH CLINIC AT WALLA WALLA UNIVERSITY-BILLINGS. IN 2017, THIS CLINIC PROVIDED NO-COST MENTAL HEALTH SERVICES TO 158 INDIVIDUALS WITHOUT INSURANCE COVERAGE WHILE AT THE SAME TIME PROVIDING CLINICAL HOURS NEEDED FOR STUDENTS TO COMPLETE THEIR MSW DEGREES, INCREASING ACCESS TO MENTAL HEALTH SERVICES. WE'VE ALSO PROVIDED FINANCIAL SUPPORT TO FRIENDSHIP HOUSE, A NON-PROFIT SERVING FAMILIES IN AN IMPOVERISHED NEIGHBORHOOD, TO ESTABLISH A COUNSELOR ON-SITE. TO ADDRESS MENTAL HEALTH NEEDS OF VETERANS, WE'VE PROVIDED FINANCIAL AND LEADERSHIP SUPPORT TO HORSES SPIRITS HEALING, INC., A NON-PROFIT PROVIDING EQUINE THERAPY TO 84 VETERANS WITH PTSD. ADDITIONALLY, ST. VINCENT HEALTHCARE HAS PROVIDED FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY ORGANIZATIONS AND COLLABORATIONS ADDRESSING SUICIDE AND MENTAL HEALTH INCLUDING THE YELLOWSTONE VALLEY SUICIDE PREVENTION COALITION, AMERICAN FOUNDATION FOR SUICIDE PREVENTION, AND HEALTHY BY DESIGN'S TRAUMA INFORMED CARE PROJECT WHICH PROVIDED TRAUMA INFORMED CARE EDUCATION TO 62 SOCIAL SERVICE AGENCIES, 21 FAITH DENOMINATIONS, 329 EDUCATIONAL STAFF, AND 1,082 HEALTHCARE STAFF ACROSS THE COMMUNITY. 45.5% OF ADULTS IN YELLOWSTONE COUNTY REPORT THEIR LIVES HAVE BEEN NEGATIVELY AFFECTED BY SUBSTANCE USE, HIGHER THAN THE NATIONAL AVERAGE (CHNA, 2017). ST. VINCENT HEALTHCARE IS ADDRESSING PRENATAL SUBSTANCE USE THROUGH A COLLABORATIVE WITH THE NORTHERN CHEYENNE TRIBE BY ENROLLING WOMEN INTO THE REDUCING SUBSTANCE ABUSE DURING PREGNANCY PROGRAM. IN 2017, SIX WOMEN WERE SERVED BY THIS NEW INITIATIVE. ST. VINCENT HEALTHCARE PROVIDED FINANCIAL AND IN-KIND SUPPORT FOR THE COMMUNITY INNOVATIONS INITIATIVE. SPECIFICALLY ADDRESSING ISSUES OF CHRONIC, PUBLIC INTOXICATION, THIS INITIATIVE PROVIDES THIS AT RISK-POPULATION WITH INTENSIVE OUTPATIENT COUNSELING, SUPPORT GROUPS, AND SOBER ACTIVITIES.ACCESS TO HEALTHCARE SERVICES: 42% OF ADULTS REPORT SOME TYPE OF DIFFICULTY OR DELAY IN OBTAINING HEALTHCARE SERVICES IN THE PAST YEAR (CHNA, 2017). YELLOWSTONE COUNTY IS SURROUNDED BY HEALTHCARE PROVIDER SHORTAGE AREAS BASED ON GEOGRAPHIES AND LOW-INCOME (MONTANA PRIMARY CARE NEEDS ASSESSMENT, 2016).CONTINUED ON SCHEDULE OST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 16A, 16B, 16C: WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SVHC EMERGENCY MEDICINE
1233 N 30TH ST	BILLINGS	MT	591010127	OUTPATIENT PHYSICIAN CLINIC
2 - SVP - YELLOWSTONE UROLOGY - WORLAND
1106 BIGHORN BASIN	WORLAND	WY	82401	OUTPATIENT PHYSICIAN CLINIC
3 - SVHC NEONATOLOGY
1233 N 30TH ST	BILLINGS	MT	591010127	OUTPATIENT PHYSICIAN CLINIC
4 - ST VINCENT HEALTHCARE FRONTIER CANCER CE
1315 GOLDEN VALLEY CIR	BILLINGS	MT	59102	OUTPATIENT PHYSICIAN CLINIC
5 - SVHC ORTHOPEDIC SERVICES
2900 12TH AVE N STE 140W	BILLINGS	MT	59101	OUTPATIENT PHYSICIAN CLINIC
6 - ST VINCENT HEALTHCARE FRONTIER CANCER CE
1315 GOLDEN VALLEY CIR	BILLINGS	MT	59102	OUTPATIENT PHYSICIAN CLINIC
7 - SVHC INTENSIVIST PHYSICIANS
1233 N 30TH ST	BILLINGS	MT	591010127	OUTPATIENT PHYSICIAN CLINIC
8 - ST VINCENT HEALTHCARE WALK-IN CLINIC
1233 N 30TH ST	BILLINGS	MT	591010127	OUTPATIENT PHYSICIAN CLINIC
9 - SVHC PALLIATIVE CARE
1233 N 30TH ST	BILLINGS	MT	59101	OUTPATIENT PHYSICIAN CLINIC
10 - SVHC HOSPITALIST NEUROLOGIST
1233 N 30TH ST	BILLINGS	MT	591010127	OUTPATIENT PHYSICIAN CLINIC
11 - ST VINCENT HEALTHCARE RED LODGE PT
810 N BROADWAY	REDLODGE	MT	59086	OUTPATIENT PHYSICIAN CLINIC
12 - SVHC OP NEUROLOGY PBB
1041 N 29TH ST	BILLINGS	MT	59101	OUTPATIENT PHYSICIAN CLINIC
13 - SVHC MS CENTER
1041 N 29TH ST	BILLINGS	MT	59101	OUTPATIENT PHYSICIAN CLINIC
14 - SVHC HOSPITALISTS
1233 N 30TH ST	BILLINGS	MT	591010127	OUTPATIENT PHYSICIAN CLINIC
15 - SVHC NEUROSURGERY PBB
1041 N 29TH ST	BILLINGS	MT	59101	OUTPATIENT PHYSICIAN CLINIC
16 - SVP - YELLOWSTONE UROLOGY - URO
2900 12TH AVE N STE 503 E	BILLINGS	MT	591017502	OUTPATIENT PHYSICIAN CLINIC
17 - SVP - YELLOWSTONE UROLOGY - LEWISTOWN
408 WENDELL AVE	LEWISTOWN	MT	59457	OUTPATIENT PHYSICIAN CLINIC
18 - SVHC PEDIATRIC ICU PHYSICIANS
1233 N 30TH ST	BILLINGS	MT	591075200	OUTPATIENT PHYSICIAN CLINIC
19 - ST VINCENT HEALTHCARE FRONTIER CANCER CE
1315 GOLDEN VALLEY CIR	BILLINGS	MT	59102	OUTPATIENT PHYSICIAN CLINIC
20 - SVP - YELLOWSTONE UROLOGY - GLENDIVE
202 PROSPECT	GLENDIVE	MT	59330	OUTPATIENT PHYSICIAN CLINIC
21 - SVP - YELLOWSTONE UROLOGY - MILES CITY
2600 WILSON ST	MILES CITY	MT	59301	OUTPATIENT PHYSICIAN CLINIC
22 - SVP - MONTANA HEART
2600 WILSON ST	MILES CITY	MT	59301	OUTPATIENT PHYSICIAN CLINIC
23 - SVP - MONTANA HEART - MILES CITY
310 WENDELL AVE STE 5	LEWISTOWN	MT	59457	OUTPATIENT PHYSICIAN CLINIC
24 - ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	PHYSICAL THERAPY

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, LINE7, 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 $4,700,011.
PART II, COMMUNITY BUILDING ACTIVITIES:	ST. VINCENT HEALTHCARE RECOGNIZES THE NEED TO ADDRESS UNDERLYING FACTORS WHICH INFLUENCE HEALTH IN OUR COMMUNITY SUCH AS EDUCATION, HOUSING, EARLY CHILDHOOD DEVELOPMENT AND ECONOMIC SECURITY. IN 2017, WE PROVIDED FUNDING TO BUILD HOUSING IN A LOW-INCOME NEIGHBORHOOD WITH LIMITED RESOURCES. WE SPONSOR THE FOSTER GRANDPARENT PROGRAM WHICH CONNECTS LOW-INCOME SENIORS WITH STUDENTS IN NEED OF CLASSROOM MENTORS AT 29 SCHOOLS, 5 HEADSTART CENTERS, AND SEVERAL BOYS AND GIRLS CLUBS, INCLUDING SITES ON TWO RESERVATIONS. WE PROVIDED FINANCIAL SUPPORT FOR CAREER CENTER TO OFFER A CERTIFIED NURSING ASSISTANT (CNA) COURSE TO HIGH SCHOOL STUDENTS BEGINNING IN THE FALL OF 2018. ST. VINCENT HEALTHCARE PROVIDED FINANCIAL SUPPORT TO COMMUNITY LEADERSHIP & DEVELOPMENT INC. FOR THE CREATION OF 14 AFFORDABLE ONE-BEDROOM AND EFFICIENCY APARTMENTS IN A LOW-INCOME NEIGHBORHOOD OF BILLINGS. ST. VINCENT HEALTHCARE PROVIDED IN-KIND SUPPORT TO ORGANIZATIONS ADDRESSING SOCIAL DETERMINANTS OF HEALTH, INCLUDING HUMAN RESOURCES DEVELOPMENT COUNCIL (HRDC), ST. VINCENT DE PAUL SOCIETY, MONTANA RESCUE MISSION, COURT APPOINTED SPECIAL ADVOCATES (CASA), BIG BROTHERS BIG SISTERS, FAMILY TREE CENTER, FRIENDSHIP HOUSE, DRESS FOR SUCCESS, AND CHILDBRIDGE. LEADERSHIP FROM ST. VINCENT HEALTHCARE SERVE ON THE BOARDS OF ORGANIZATIONS FOCUSED ON COMMUNITY BUILDING INCLUDING BIG SKY ECONOMIC DEVELOPMENT AND THE BILLINGS CHAMBER OF COMMERCE.SCHEDULE H, PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE TO HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT 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 THE CHNA, ST. VINCENT HEALTHCARE USES SECONDARY DATA SUCH AS COUNTY HEALTH RANKINGS AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) TO DETERMINE HEALTH NEEDS FOR COUNTIES BEYOND OUR PRIMARY SERVICE AREA.ST. VINCENT HEALTHCARE LEADERS SERVE ON VARIOUS COMMUNITY BOARDS TO UNDERSTAND SPECIFIC NEEDS. OUTREACH AND RELATIONSHIPS WITH OTHER HOSPITALS AND CLINICS ALSO ENABLES ST. VINCENT TO BETTER ASSESS HEALTH CARE NEEDS OF OUR RURAL MONTANA 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. 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:	POPULATION AND GEOGRAPHY: ST. VINCENT HEALTHCARE'S PRIMARY SERVICE AREA INCLUDES YELLOWSTONE COUNTY. YELLOWSTONE COUNTY ENCOMPASSES 2,633 SQUARE MILES AND INCLUDES A POPULATION OF 151,965 RESIDENTS. BETWEEN THE 2000 AND 2010 US CENSUSES, THE POPULATION OF YELLOWSTONE COUNTY INCREASED BY 14.4%, A GREATER PROPORTIONAL INCREASE THAN SEEN ACROSS BOTH MONTANA AND THE NATION OVERALL. YELLOWSTONE COUNTY IS PREDOMINATELY URBAN WITH 83.3% OF THE POPULATION LIVING IN AREAS DESIGNATED AS URBAN AND IS SURROUNDED BY RURAL AND FRONTIER COUNTIES.RACE AND ETHNICITY: THE MAJORITY OF YELLOWSTONE COUNTY RESIDENTS ARE WHITE (90.6%), 4.3% ARE NATIVE AMERICAN, AND 0.7% ARE BLACK. A TOTAL OF 5% OF YELLOWSTONE COUNTY RESIDENTS ARE HISPANIC OR LATINO. YELLOWSTONE COUNTY HAS A SMALL PERCENTAGE OF LINGUISTICALLY ISOLATED RESIDENTS AT 0.6%.POVERTY: THE LATEST CENSUS ESTIMATE SHOWS 12.5% OF THE YELLOWSTONE COUNTY POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL. IN ALL, 31.2% OF YELLOWSTONE COUNTY RESIDENTS (AN ESTIMATED 46,236 INDIVIDUALS) LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL. ADDITIONALLY, 40.5% OF YELLOWSTONE COUNTY CHILDREN LIVE BELOW THE 200% POVERTY THRESHOLD. ECONOMICS: THE UNEMPLOYMENT RATE IN YELLOWSTONE COUNTY IN 2015 WAS 3.3% (US DEPARTMENT OF LABOR), MORE FAVORABLE THAN THE STATEWIDE AND NATIONAL UNEMPLOYMENT RATES. AMONG THE ADULT POPULATION, AN ESTIMATED 7.6% OF RESIDENTS DO NOT HAVE A HIGH SCHOOL EDUCATION, IDENTICAL TO MONTANA RATES AND MORE FAVORABLE THAN NATIONAL RATES. SIMILAR TO NATIONAL RATES, NEARLY A THIRD OF ADULTS REPORTED HOUSING INSECURITY (2017 CHNA). ADDITIONALLY, 14.4% OF ADULTS REPORTED FOOD INSECURITY, ALSO SIMILAR TO RATES FOUND NATIONALLY (2017 CHNA). HEALTH STATUS: JUST OVER ONE-HALF (50.5%) OF YELLOWSTONE COUNTY ADULTS RATE THEIR OVERALL HEALTH AS "EXCELLENT OR "VERY GOOD" WHILE 15.4% OF ADULTS RATED THEIR HEALTH AS "FAIR OR "POOR" (2017 CHNA), SIMILAR TO STATEWIDE AND NATIONAL FINDINGS. A TOTAL OF 29.6% OF YELLOWSTONE COUNTY ADULTS ARE LIMITED IN SOME WAY DUE A PHYSICAL, MENTAL, OR EMOTIONAL PROBLEM, LESS FAVORABLE THAN STATE AND NATIONAL PREVALENCE RATES. IN 2017, COUNTY HEALTH RANKINGS & ROADMAPS PROGRAM RANKED YELLOWSTONE COUNTY 19 OF 47 COUNTIES IN MONTANA.
PART VI, LINE 5:	ST. VINCENT HEALTHCARE ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT". ST. VINCENT HEALTHCARE'S COMMUNITY BENEFIT WORK IS DRIVEN BY IDENTIFIED COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS AND THE BROADER 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. VINCENT 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 2017, OUR LEADERS PERFORMED OVER 2,700 HOURS OF SERVICE IN THE COMMUNITY, BENEFITING MORE THAN 78 ORGANIZATIONS. ST. VINCENT HEALTHCARE'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 HOSPITAL BOARD. ST. VINCENT HEALTHCARE OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. ST. VINCENT HEALTHCARE ENGAGES IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND PARTICIPATES IN MEDICAID, MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. ST. VINCENT HEALTHCARE EMPLOYS THE STAFF OF THE ST. VINCENT HEALTHCARE FOUNDATION, A NON-PROFIT ORGANIZATION THAT PROVIDES FUNDRAISING FOR BOTH ST. VINCENT HEALTHCARE PROGRAMS AND FOR COMMUNITY BENEFIT PROGRAMS THAT REACH BOTH THE POOR AND BROADER COMMUNITY. OPERATIONS OF THE ST. VINCENT HEALTHCARE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN ST. VINCENT HEALTHCARE HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE WILL BE ABLE TO CARE FOR FUTURE GENERATIONS. ST. VINCENT CO-LEADS COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE ALLIANCE, A COLLABORATIVE WITH BILLINGS CLINIC AND RIVERSTONE HEALTH, AND COMMITS TIME AND FINANCIAL RESOURCES TO FULFILLING GOALS OUTLINED IN THE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY. IN 2017, WE PROVIDED $600,000 IN MISSION FUND GRANT AWARDS TO COMMUNITY & LEADERSHIP DEVELOPMENT, INC.; COMMUNITY CRISIS CENTER; EDUCATION FOUNDATION BILLINGS PUBLIC SCHOOLS; FAMILY SERVICE; FRIENDSHIP HOUSE; HORSES SPIRITS HEALING INC.; RIVERSTONE HEALTH; WALLA WALLA UNIVERSITY - BILLINGS; YMCA; AND YWCA. ST. VINCENT HEALTHCARE VALUES THESE COMMUNITY PARTNERSHIPS AND COLLABORATIONS AS AN INTEGRAL PART OF OUR COMMUNITY HEALTH IMPROVEMENT EFFORTS.
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.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ST VINCENT HEALTHCARE FOUNDATION
1106 NORTH 30TH STREET	BILLINGS	MT	59101	810468034	501(C)(3)	$1,163,071	SUPPORT OPERATIONS
COMMUNITY CRISIS CENTER
704 N 30TH STREET	BILLINGS	MT	59101	203231164	501(C)(3)	$164,000	OPERATIONAL SUPPORT FOR CRISIS INTERVENTION CENTER
RIVERSTONE HEALTH
123 S 27TH STREET	BILLINGS	MT	59101	352332179	501(C)(3)	$153,040	EVENT SPONSORSHIP
FAMILY SERVICE INC
PO BOX 1020	BILLINGS	MT	59103	810232120	501(C)(3)	$90,000	SVB-MISSION INTEGRATION
FRIENDSHIP HOUSE OF CHRISTIAN SERVICE
3123 8TH AVE S	BILLINGS	MT	59102	810300497	501(C)(3)	$31,000	FY 2017 MISSION FUND AWARD
YWCA
909 WYOMING AVENUE	BILLINGS	MT	89101	810534954	501(C)(3)	$26,500	REACHING EVERY WOMAN PROGRAM AND EVENT SPONSORSHIP
COMMUNITY LEADERSHIP & DEVELOPMENT INC
109 1/2 S 32ND STREET PO BOX 3381	BILLINGS	MT	59103	810397424	501(C)(3)	$25,000	KATAPHEUGO' PROJECT HOME BUILDING
MONTANA STATE UNIVERSITY FOUNDATION
PO BOX 172750	BOZEMAN	MT	59717	816001649	501(C)(3)	$24,000	YELLOWSTONE HALL PLEDGE, TUITION AND SCHOLORSHIPS
THE EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS
415 NORTH 30TH STREET	BILLINGS	MT	59101	810452904	501(C)(3)	$21,149	FY 2017 MISSION FUND AWARD
HORSES SPIRIT HEALING INC
7256 HIGHWAY 3	BILLINGS	MT	59106	471915118	501(C)(3)	$20,000	FY 2017 MISSION FUND AWARD
WALLA WALLA UNIVERSITY
204 S COLLEGE AVE	COLLEGE PLACE	WA	99324	910617727	501(C)(3)	$19,903	CLINIC OPERATIONAL SUPPORT
ROCKY MOUNTAIN COLLEGE
1500 POLY DRIVE	BILLINGS	MT	59102	810235407	501(C)(3)	$16,250	EVENT SPONSORSHIP
BILLINGS CATHOLIC SCHOOL
PO BOX 31158	BILLINGS	MT	59107	816081234	501(C)(3)	$15,300	READERBOARD SPONSORSHIP
AMERICAN CANCER SOCIETY
1903 CENTRAL AVE	BILLINGS	MT	59102	131788491	501(C)(3)	$13,750	EVENT SPONSORSHIP
MONTANA AMATEUR SPORTS INC
PO BOX 7136	BILLINGS	MT	59103	810431595	501(C)(3)	$10,000	EVENT SPONSORSHIP
MONTANANS FOR HIGHER EDUCATION
PO BOX 377	BILLINGS	MT	59103	271232164	501(C)(4)	$10,000	DONATION
YMCA
402 NORTH 32ND STREET	BILLINGS	MT	59101	810229386	501(C)(3)	$10,000	FY 2017 MISSION FUND AWARD
ST JOHN LUTHERAN
2429 MISSION WAY	BILLINGS	MT	59102	810288768	501(C)(3)	$7,500	SUMMER CONCERT SERIES SPONSOR
THE CENTER FOR CHILDREN AND FAMILIES
3021 3RD AVE N	BILLINGS	MT	59101	262318221	501(C)(3)	$7,000	EVENT SPONSORSHIP
RONALD MCDONALD HOUSE
1144 N 30TH STREET	BILLINGS	MT	59101	810400667	501(C)(3)	$6,600	BILLINGS DINNER AUCTION SPONSORSHIP
UNITED WAY OF YELLOWSTONE COUNTY
2173 OVERLAND AVE	BILLINGS	MT	59102	810287507	501(C)(3)	$5,150	READER TUTOR PROGRAM & DAY OF CARING

Field	Value	IRS element (for citing)
Total501c3 Org	23	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	MISSION FUND POLICIES ST VINCENT HEALTHCARE PROVIDES A LIMITED NUMBER OF GRANTS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN OUR COMMUNITY. GUIDED BY HOSPITAL POLICY, MISSION FUND AWARD PROJECTS MUST: (1) DEMONSTRATE A COMMITTMENT TO THE ST VINCENT HEALTHCARE MISSION, VISION, AND VALUES; (2) MEET CRITERIA FOR INCLUSION IN THE COMMUNITY BENEFIT REPORT; AND (3) DOCUMENT MEASURABLE OUTCOMES THAT DEMONSTRATE THE SUCCESS OF THE PROJECT. PREFERENCE WILL BE GIVEN WHEN THE PROJECT CAN: (1) ADDRESS CREATIVELY THE UNMET NEEDS OF THE ECONOMICALLY DISADVANTAGED; (2) FORM COLLABORATIVE PARTNERSHIPS THAT IMPROVE THE HEALTH OF THE COMMUNITY; (3) AID A SIGNIFICANT POPULATION OF THE POOR, UNDERSERVED AND/OR UNINSURED; (4) REFLECT ST VINCENT HEALTHCARE'S ANNUAL AND STRATEGIC GOALS; AND (5) DEMONSTRATE THE POSSIBILITY FOR SUSTAINABILITY BEYOND THE GRANT PERIOD. APPLICATIONS ARE REVIEWED ON AN ANNUAL BASIS BY COMMITTEE. GRANTEES ARE REQUIRED TO PROVIDE A 6-MONTH AND 1-YEAR REPORT TO ST VINCENT HEALTHCARE AND PROVIDE FOR AN ON-SITE VISIT OF THE PROGRAM. AS NOTED IN THE MISSION FUND APPLICATION, IF FUNDS ARE USED OUTSIDE OF PROJECT GUIDELINES THE GRANTEE MAY BE ASKED TO REIMBURSE ST VINCENT HEALTHCARE FOR FUNDS ALREADY DISTRIBUTED FOR THE PROJECT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
EVEN BUCHAN MD
DIRECTOR	$173,110	$0	$34,835	$0	$8,611	$0	$17,326	$0	$20,427	$0	$254,309	$0	$0	$0
STEVE LOVELESS
PRESIDENT AND CEO	$0	$489,710	$0	$175,767	$0	$50,642	$0	$91,440	$0	$25,711	$0	$833,270	$0	$36,275
PAM PALAGI
VP FINANCE MT REGION 5/2 - 12/31	$0	$206,396	$0	$220	$0	$1,780	$0	$23,215	$0	$10,222	$0	$241,833	$0	$0
MICHAEL BUSH MD
VP-CHIEF MEDICAL OFFICER	$0	$324,352	$0	$104,859	$0	$103,624	$0	$61,273	$0	$31,036	$0	$625,144	$0	$90,166
BLANCHE GILMORE
VP PATIENT CARE SERVICES	$0	$205,602	$0	$54,849	$0	$100,562	$0	$17,104	$0	$22,137	$0	$400,254	$0	$87,441
MICHAEL SKEHAN
VP COO MONTANA REGION	$0	$336,975	$0	$77,723	$0	$3,306	$0	$61,857	$0	$9,043	$0	$488,904	$0	$0
REBECCA TARLTON MD
PHYSICIAN	$494,000	$0	$116,825	$0	$7,908	$0	$21,600	$0	$0	$0	$640,333	$0	$0	$0
BENJAMIN BEASLEY MD
PHYSICIAN	$246,037	$0	$211,875	$0	$1,576	$0	$18,661	$0	$23,692	$0	$501,841	$0	$0	$0
RONALD SNYDER MD
PHYSICIAN	$434,346	$0	$20,000	$0	$3,812	$0	$21,600	$0	$25,955	$0	$505,713	$0	$0	$0
RICHARD LAMMERS MD
PHYSICIAN	$243,435	$0	$175,287	$0	$23,242	$0	$10,690	$0	$23,136	$0	$475,790	$0	$0	$0
MARJORIE TEVLIN MD
PHYSICIAN	$386,421	$0	$20,000	$0	$30,477	$0	$20,720	$0	$0	$0	$457,618	$0	$0	$0
SCOTT SEARS MD
FORMER OFFICER	$0	$292,265	$0	$13,454	$0	$2,869	$0	$7,934	$0	$26,835	$0	$343,357	$0	$0
JEFFREY ZAVALA
FORMER KEY EMPLOYEE	$0	$347,574	$0	$83,675	$0	$46,330	$0	$57,126	$0	$25,503	$0	$560,208	$0	$40,579
MICHAEL COPELAND MD
FORMER HIGHEST PAID	$0	$593,421	$0	$3,200	$0	$12,752	$0	$21,600	$0	$18,756	$0	$649,729	$0	$0
STUART GOODMAN MD
FORMER HIGHEST PAID	$0	$806,290	$0	$0	$0	$16,521	$0	$19,312	$0	$18,862	$0	$860,985	$0	$0
WILLIAM SPIRE MD
FORMER HIGHEST PAID	$0	$706,639	$0	$0	$0	$23,978	$0	$21,406	$0	$23,554	$0	$775,577	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, LINE 4B	PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM 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: MICHAEL BUSH - $21,392, BLANCHE GILMORE - $328 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: STEVE LOVELESS - $36,275, RON OLDFIELD - $22,515, MICHAEL BUSH - $42,699, BLANCHE GILMORE - $85,601, JEFFREY ZAVALA $40,579. 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.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
RICHARD LAMMERS MD
HIGHEST PAID EMPLOYEE	STUDENT LOAN ASSISTANCE	Yes (X)	$100,000	$73,908	0	Yes (1)	Yes (1)
MARJORIE TEVLIN MD
HIGHEST PAID EMPLOYEE	STUDENT LOAN ASSISTANCE	Yes (X)	$116,917	$17,533	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$91,441	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	GREGORY BUSH	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$16,796	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	FormAndLineReferenceDesc
Explanation	MICHAEL BUSH (KEY EMPLOYEE), IS THE FATHER OF GREGORY BUSH, AN EMPLOYEE OF ST. VINCENT HEALTHCARE	ExplanationTxt

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOtherGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$4,291,072	NoncashContributionsRptF990Amt
Method Of Determining Revenues	BOOK VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, LINE J WEBSITE:	HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/
FORM 990, PART VI, SECTION A, LINE 6	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. VINCENT HEALTHCARE.
FORM 990, PART VI, SECTION A, LINE 7A	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF ST. VINCENT HEALTHCARE, APPROVES MEMBERS OF ST. VINCENT HEALTHCARE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	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. VINCENT 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	THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PROFESSIONAL MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 10,527,621. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,527,621. CONTRACT PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 528,697. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 528,697. PHYSICIAN MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 24,042,549. MANAGEMENT AND GENERAL EXPENSES 266,147. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,308,696. OUTSIDE LABORATORY FEES: PROGRAM SERVICE EXPENSES 2,439,932. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,439,932. PROFESSIONAL CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 60,723. MANAGEMENT AND GENERAL EXPENSES 1,015,719. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,076,442.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFER - FUND NEGATIVE CASH BALANCES IN PHYSICIAN CLINICS -18,496,970.
SCHEDULE H, SECTION B, LINE 11 (CONTINUED)	TO ENHANCE ACCESS TO HEALTHCARE SERVICES, ESPECIALLY FOR RESIDENTS IN RURAL AND TRIBAL COMMUNITIES, ST. VINCENT HEALTHCARE PROVIDES OUTREACH SERVICES SUCH AS MOBILE MAMMOGRAPHY, VISITING CLINICS, PEDIATRIC OUTREACH, AND VIRTUAL HEALTH SERVICES. IN 2017, MOBILE MAMMOGRAPHY SCREENINGS WERE PROVIDED TO OVER 3,500 WOMEN, INCLUDING 650 AMERICAN INDIAN WOMEN ON THE CROW AND NORTHERN CHEYENNE RESERVATIONS. MIDWIFERY CLINICS PROVIDED ADDITIONAL OUTREACH TO WOMEN IN THE NORTHERN CHEYENNE COMMUNITY, INCREASING ACCESS TO EARLY PRENATAL CARE. TO INCREASE WORKFORCE CAPACITY TO PROVIDE HEALTHCARE SERVICES, ST. VINCENT HEALTHCARE PROVIDES CLINICAL ROTATIONS FOR NURSING AND PHARMACY STUDENTS AND OFFERS THE ONLY CLINICAL PASTORAL EDUCATION (CPE) PROGRAM IN THE STATE. IN 2017, 128 NURSING STUDENTS, 8 PHARMACY RESIDENTS, 5 DIETETIC INTERNS, AND 10 CPE STUDENTS COMPLETED CLINICAL ROTATIONS AT ST. VINCENT HEALTHCARE. TO TRAIN FUTURE PHYSICIANS, ST. VINCENT HEALTHCARE PROVIDED LEADERSHIP AND FINANCIAL SUPPORT TO THE MONTANA FAMILY PRACTICE RESIDENCY PROGRAM. WE PROVIDED FINANCIAL SUPPORT TO EXPAND THE CLINIC AT RIVERSTONE HEALTH, A FEDERALLY QUALIFIED HEALTH CENTER, WHICH PROVIDES CLINICAL SPACE FOR THE MONTANA FAMILY PRACTICE RESIDENCY PROGRAM. IN ADDITION, ST. VINCENT HEALTHCARE OFFERS A MEDICATION ASSISTANCE PROGRAM AND PROVIDED FINANCIAL SUPPORT FOR THE MEDICATION ASSISTANCE PROGRAM AT RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT. THE MEDICATION ASSISTANCE PROGRAM (MAP) PROVIDES ASSISTANCE TO LOW INCOME, UNINSURED INDIVIDUALS TO OBTAIN FREE OR DISCOUNTED PRESCRIPTION MEDICATIONS DIRECTLY FROM PHARMACEUTICAL COMPANIES. IN A 6-MONTH PERIOD DURING 2017, RIVERSTONE MAP HELPED 255 PATIENTS TO OBTAIN 525 MEDICATIONS THEY OTHERWISE MAY HAVE GONE WITHOUT. OTHER SIGNIFICANT NEEDS NOT PRIORITIZED: ST. VINCENT HEALTHCARE CONTINUES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE THESE HEALTH NEEDS ARE ADDRESSED. CANCER: ST. VINCENT HEALTHCARE PROVIDES A MOBILE MAMMOGRAPHY COACH, FINANCIAL AND IN-KIND SUPPORT FOR THE AMERICAN CANCER SOCIETY, FINANCIAL SUPPORT OF THE LIVESTRONG PHYSICAL ACTIVITY PROGRAM AT THE BILLINGS YMCA WHICH SERVED 48 CANCER SURVIVORS; LUNG CANCER SCREENINGS, HEAD AND NECK CANCER SCREENINGS, AND CANCER NAVIGATORS FOR PATIENTS. DEMENTIAS, INCLUDING ALZHEIMER'S DISEASE: ST. VINCENT HEALTHCARE PROVIDES FINANCIAL AND IN-KIND SUPPORT, INCLUDING OFFICE SPACE FOR THE ALZHEIMER'S SOCIETY. DIABETES: ST. VINCENT HEALTHCARE MANAGES THE DIABETES PREVENTION PROGRAM AT THE BILLINGS YMCA, BLOOD GLUCOSE SCREENINGS WERE CONDUCTED AT LOCAL EVENTS INCLUDING THE MATE SHOW AND MONTANA-STATE UNIVERSITY POWWOW, FINANCIAL AND IN-KIND SUPPORT WAS PROVIDED TO THE AMERICAN DIABETES ASSOCIATION. HEART DISEASE AND STROKE: ST. VINCENT HEALTHCARE OFFERS A STROKE CAMP AND MONTHLY SUPPORT GROUP FOR AREA RESIDENTS; FINANCIAL AND IN-KIND SUPPORT WAS OFFERED FOR COMMUNITY CPR TRAINING AT CPR SATURDAY, CARDIAC REHABILITATION PROGRAMS ARE PROVIDED, AND FINANCIAL AND IN-KIND SUPPORT WAS PROVIDED TO THE AMERICAN HEART ASSOCIATION. INJURY AND VIOLENCE: ST. VINCENT HEALTHCARE PROVIDED FINANCIAL SUPPORT FOR THE YMCA INCLUDING VIOLENCE AWARENESS CAMPAIGNS AND A CRISIS PHONE LINE IN BIG HORN COUNTY. INJURY PREVENTION EFFORTS INCLUDED A DISTRACTED DRIVING PRESENTATION TO REGIONAL SCHOOLS AND INJURY PREVENTION EDUCATION AT PEDIATRIC FOCUSED EVENTS SUCH AS SATURDAY LIVE AND KIDS FUN DAY AT THE ZOO. STAFF PROVIDED TRAINING TO EMERGENCY RESPONDERS IN RURAL COMMUNITIES AND TELE-EMERGENCY SUPPORT WAS PROVIDED TO 13 CRITICAL ACCESS HOSPITALS IN EASTERN MONTANA. POTENTIAL DISABLING CONDITIONS: WE FINANCED THE VISION ASSISTANCE PROGRAM AT FAMILY SERVICE WHICH PROVIDED FUNDING FOR EYE EXAMS AND GLASSES TO 48 ADULTS AND CHILDREN IN 2017. RESPIRATORY DISEASE AND TOBACCO USE: ST. VINCENT HEALTHCARE PROVIDES TOBACCO CESSATION CLASSES FOR THE COMMUNITY. THE 7-WEEK EVIDENCE-BASED AMERICAN LUNG ASSOCIATION FREEDOM FROM SMOKING CLASS WAS OFFERED TWICE IN 2017. LOW-DOSE CT SCANS WERE PROVIDED TO 95 CURRENT AND FORMER HEAVY SMOKERS TO SCREEN FOR LUNG CANCER AND TOBACCO CESSATION INFORMATION WAS PROVIDED IN CONJUNCTION WITH THESE SCREENINGS.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
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		0	SCLHS
INTEGRITY HEALTH
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	474520350	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12C, III-FI		0	SCLHS
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
1600 PRAIRIE CENTER PARKWAY	BRIGHTON	CO	80601	840482695	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	INTEGRITY HEALTH
PLATTE VALLEY MEDICAL CENTER FOUNDATION
1600 PRAIRIE CENTER PARKWAY	BRIGHTON	CO	80601	742255936	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I		0	BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARD	DENVER	CO	80211	840405260	RESIDENT CARE	CO	501(C)(3)	LINE 10		0	SCLHS
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		0	SCLHS
SAINT JOSEPH HOSPITAL INC
1375 EAST 19TH AVENUE	DENVER	CO	80218	840417134	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	SCLHS
SAINT JOSEPH HOSPITAL FOUNDATION
1375 EAST 19TH AVENUE	DENVER	CO	80218	840735096	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7		0	SAINT JOSEPH HOSPITAL INC
SCL HEALTH - FRONT RANGE INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	841103606	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	SCLHS
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	841649162	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7		0	SCL HEALTH-FRONT RANGE INC
LUTHERAN MEDICAL CENTER FOUNDATION
8300 WEST 38TH AVENUE	WHEAT RIDGE	CO	80033	208846152	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7		0	SCL HEALTH-FRONT RANGE INC
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 NORTH 7TH STREET	GRAND JUNCTION	CO	81501	840425720	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	SCLHS
ST MARYS HOSPITAL FOUNDATION
2635 NORTH 7TH STREET	GRAND JUNCTION	CO	81501	237001007	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I		0	ST MARYS HOSPITAL & MEDICAL CENTER INC
CARITAS CLINICS INC
818 NORTH 7TH STREET	LEAVENWORTH	KS	66048	481009910	CLINIC SERVICES	KS	501(C)(3)	LINE 3		0	SCLHS
MARIAN CLINIC INC
3164 EAST 6TH AVENUE	TOPEKA	KS	66607	481046905	CLINIC SERVICES	KS	501(C)(3)	LINE 3		0	SCLHS
ST FRANCIS HEALTH CENTER INC
1700 SOUTHWEST 7TH STREET	TOPEKA	KS	66606	480547719	HOSPITAL SERVICES	KS	501(C)(3)	LINE 3		0	SCLHS
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SOUTHWEST 7TH STREET	TOPEKA	KS	66606	481092520	SUPPORTING ORGANIZATION	KS	501(C)(3)	LINE 12A, I		0	ST FRANCIS HEALTH CENTER INC
HOLY ROSARY HEALTHCARE
2600 WILSON STREET	MILES CITY	MT	59301	810231792	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3		0	SCLHS
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON STREET	MILES CITY	MT	59301	202270238	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I		0	HOLY ROSARY HEALTHCARE
ST JAMES HEALTHCARE
400 SOUTH CLARK STREET	BUTTE	MT	59701	810231785	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3		0	SCLHS
ST JAMES HEALTHCARE FOUNDATION INC
400 SOUTH CLARK STREET	BUTTE	MT	59701	651202190	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I		0	ST JAMES HEALTHCARE
ST VINCENT HEALTHCARE FOUNDATION INC
1106 NORTH 30TH STREET	BILLINGS	MT	59101	810468034	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	MT	501(C)(3)	LINE 7		Yes (1)	ST VINCENT HEALTHCARE

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
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
SCLTDI 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 PANAL
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
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
				980370522	INSURANCE		N/A	C	0	23 LIME TREE BAY AVENUE WEST BAY R	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
ST VINCENT HEALTHCARE FOUNDATION
B	$1,163,071
ST VINCENT HEALTHCARE FOUNDATION
C	$6,025,675