ST JAMES HEALTHCARE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ST JAMES HEALTHCARE (EIN 81-0231785)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-03
IRS object ID
201623089349301442
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-03T13:54:29-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN810231785EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JAMES HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTJABusinessNameControlTxt
Phone4067232500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 SOUTH CLARK STREETAddressLine1Txt
CityBUTTECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHARLES WRIGHTPersonNm
Person TitleCEOPersonTitleTxt
Phone4067232500PhoneNum
Signature2016-11-03SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHARLES WRIGHTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 SOUTH CLARK STREETAddressLine1Txt
CityBUTTECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$122,003,854GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STJAMESHEALTHCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1976FormationYr
Legal Domicile StateMTLegalDomicileStateCd
Activity Or 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.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee687TotalEmployeeCnt
Total Volunteers32TotalVolunteersCnt
Total Gross UBI$1,389,767TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$378,941NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,134,519PYContributionsGrantsAmt
CY Contributions Grants$1,394,931CYContributionsGrantsAmt
PY Program Service Revenue$119,502,823PYProgramServiceRevenueAmt
CY Program Service Revenue$118,127,746CYProgramServiceRevenueAmt
PY Investment Income$243,464PYInvestmentIncomeAmt
CY Investment Income$445,756CYInvestmentIncomeAmt
PY Other Revenue$1,383,304PYOtherRevenueAmt
CY Other Revenue$1,468,370CYOtherRevenueAmt
PY Total Revenue$124,264,110PYTotalRevenueAmt
CY Total Revenue$121,436,803CYTotalRevenueAmt
PY Grants And Similar Paid$225,046PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$186,948CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$47,202,958PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$40,164,771CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$63,560,847PYOtherExpensesAmt
CY Other Expenses$63,164,939CYOtherExpensesAmt
PY Total Expenses$110,988,851PYTotalExpensesAmt
CY Total Expenses$103,516,658CYTotalExpensesAmt
PY Revenues Less Expenses$13,275,259PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,920,145CYRevenuesLessExpensesAmt
Total Assets BOY$76,508,129TotalAssetsBOYAmt
Total Assets EOY$91,464,202TotalAssetsEOYAmt
Total Liabilities BOY$11,075,457TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,906,336TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$65,432,672NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$83,557,866NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$85,470,624ExpenseAmt
Grant$186,948GrantAmt
Revenue$118,567,055RevenueAmt
DescST. JAMES HEALTHCARE HAS PLAYED AN IMPORTANT ROLE IN THE HISTORY OF BUTTE. FOUNDED IN 1881 BY THE SISTERS OF CHARITY OF LEAVENWORTH, ST. JAMES HAS BEEN KNOWN FOR GENERATIONS FOR ITS MISSION OF COMPASSIONATE CARE AND SERVICE TO THE POOR. FOR MORE THAN 130 YEARS, ST. JAMES HAS PROVIDED CARE FOR THE SICK AND SERVED THE POOR AND THE VULNERABLE. ST. JAMES HEALTHCARE IS ONE OF MONTANA'S LARGEST COMPREHENSIVE HOSPITALS, SERVING THE HEALTH CARE NEEDS OF PEOPLE IN A SEVEN-COUNTY REGION.MISSIONWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISIONINSPIRED BY OUR FAITH,WE WILL BE DISTINGUISHED AS THE PREMIER PERSON-CENTERED HEALTH SYSTEM AND TRUSTED PARTNER.WE WILL ENGAGE PATIENTS IN THEIR CARE DECISIONS AND SHARE ACCOUNTABILITY WITH CLINICIANS AND OTHER STAKEHOLDERS TO COORDINATE CARE ACROSS ALL SETTINGS AND IMPROVE ACCESS, QUALITY, HEALTH OUTCOMES AND AFFORDABILITY.WE WILL GROW AS COMMUNITY-BASED HEALTH NETWORKS IN PARTNERSHIP WITH OTHERS WHO SHARE OUR VISION AND VALUES AND ALIGN WITH US TO BE AN ESSENTIAL PROVIDER TO THOSE WE SERVE.VALUES CARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON. EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS. GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS. INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE. SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES. STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.ST. JAMES HEALTHCARE OFFERS A WIDE RANGE OF SERVICES ACROSS MANY DEPARTMENTS:CANCER TREATMENT, DIABETES EDUCATION, EMERGENCY/LEVEL III TRAUMA CENTER, HEART HEALTH, INTENSIVE CARE UNIT, IMAGING SERVICES, JOINT SURGERY & REPLACEMENT CENTER, LAB SERVICES, OCCUPATIONAL THERAPY, PAIN CENTER, PHYSICAL THERAPY, LABOR DELIVERY NURSERY, AND SPORTS MEDICINE.A NEW WOUND CARE CENTER WAS OPENED IN NOVEMBER OF 2015 TO SERVE THE COMMUNITY.ST. JAMES HEALTHCARE STATISTICAL DATA FOR 2015 INCLUDED THE FOLLOWING RESULTS:TOTAL ADMISSIONS - 3,231TOTAL OUTPATIENT, CLINIC, AND HOME HEALTH VISITS - 98,716TOTAL EMERGENCY DEPARTMENT VISITS - 17,264BIRTHS - 314TOTAL SURGERIES - 2,137TOTAL LABORATORY TESTS - 207,596Desc
Total Program Service Expenses$85,470,624TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document103IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee687EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKYLE ENGMANPersonNm
Phone3038135543PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 ELDORADO BLVD SUITE 4200AddressLine1Txt
CityBROOMFIELDCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80021ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
FRANCENE ARCHIBALD
DIRECTOR1.000.00Yes (X)$0$0$0
MARILYN CAMERON
DIRECTOR1.000.00Yes (X)$0$0$0
TAMMY COX
SECRETARY-TREASURER2.000.00Yes (X)$0$0$0Yes (X)
SISTER MARGARET HOGAN
DIRECTOR1.000.00Yes (X)$0$0$0
BRETT KAMRUD
DIRECTOR1.000.00Yes (X)$0$0$0
MICHAEL LEWIS
DIRECTOR1.000.00Yes (X)$0$0$0
MARKO LUCICH
DIRECTOR1.000.00Yes (X)$0$0$0
BERNARD MCCARTHY
CHAIRPERSON2.000.00Yes (X)$0$0$0Yes (X)
THERESE MCCLAFFERTY
DIRECTOR1.000.00Yes (X)$0$0$0
BILL MCGLADDERY
DIRECTOR1.000.00Yes (X)$0$0$0
TIM MCHUGH
DIRECTOR1.000.00Yes (X)$0$0$0
SISTER MARY JO QUINN
DIRECTOR1.000.00Yes (X)$0$0$0
RITA SPEAR
VICE CHAIRPERSON2.000.00Yes (X)$0$0$0Yes (X)
CHARLES WRIGHT
PRESIDENT & CEO50.000.00Yes (X)$0$387,788$195,291Yes (X)
MARK ZORA
DIRECTOR1.000.00Yes (X)$0$0$0
JAMES DOYLE
VP & CFO 1/1-7/1350.000.00$0$261,615$54,104Yes (X)
TRAVIS SCHEVING
VP & CFO 7/14-12/3150.000.00$0$177,884$33,814Yes (X)
JEREMY BLANCHARD
CHIEF PHYSICIAN EXECUTIVE50.000.00$0$325,137$55,714Yes (X)
KEVIN DENNEHY
VP STRATEGY-BUS DEVELOP-SJB50.000.00$0$201,967$50,274Yes (X)
SHANNON HOLLAND
VP PATIENT CARE SERVICES - SJB50.000.00$0$233,971$36,354Yes (X)
DENNIS SALISBURY
PSO VP CMO HEALTH NET50.000.00$396,655$0$64,534Yes (X)
MARC NASH MD
PHYSICIAN RADIATION ONCOLOGIST50.000.00$506,749$0$45,235Yes (X)
MOHAN NANDALUR MD
PSO PHYSICIAN50.000.00$478,780$0$21,200Yes (X)
JAMES HUEFTLE MD
PHYSICIAN50.000.00$445,253$0$42,251Yes (X)
ALLEN NICHOLS MD
PSO PHYSICIAN50.000.00$438,505$0$14,534Yes (X)
MICHAEL ZEHNPFENNIG MD
PSO PHYSICIAN50.000.00$409,657$0$44,203Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,675,599TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,588,362TotReportableCompRltdOrgAmt
Total Other Compensation$657,508TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K61IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
INPATIENT SERVICES PC
1515 WYNKOOP STREET STE 360DENVERCO80202MEDICAL SERVICES$1,672,618
MONTANA INTERVENTIONAL & DIAG
2969 AIRPORT RD STE 1CHELENAMT59601RADIOLOGY$1,491,580
MONTANA ORTHOPEDICS
435 SOUTH CRYSTAL STE 400BUTTEMT59701MEDICAL SERVICES$680,163
ATS FACILITY SYSTEMS
450 SHATTUCK AVE SRENTONWA98057TECHNOLOGY CONSULTING$298,544
BANGTAIL ANESTESIA PC
4190 SOURDOUGH RDBOZEMANMT59715MEDICAL SERVICES$280,850
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
Related Organizations$1,050,472RelatedOrganizationsAmt
Government Grants$344,459GovernmentGrantsAmt
Total Contributions$1,394,931TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT CAREDesc
Business622110BusinessCd
Total Revenue Column$118,127,746TotalRevenueColumnAmt
Related Or Exempt Func Income$117,372,635RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$755,111UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$118,127,746TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$632,659TotalRevenueColumnAmt
Exclusion$632,659ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$774,553RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$380,148RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$394,405RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$394,405TotalRevenueColumnAmt
Exclusion$394,405ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$186,903OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$186,903OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$186,903TotalRevenueColumnAmt
Exclusion-$186,903ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUMMIT SURGERY CTR621400$559,908$559,908
CAFETERIA REVENUE722310$514,057$74,748$439,309
FieldValueIRS element (for citing)
Other Revenue Total$1,073,965OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$121,436,803TotalRevenueColumnAmt
Related Or Exempt Func Income$117,811,944RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,389,767UnrelatedBusinessRevenueAmt
Exclusion$840,161ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$186,948TotalAmt
Program Services$186,948ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,475,104TotalAmt
Program Services$742,531ProgramServicesAmt
Management And General$1,732,573ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,199,289TotalAmt
Program Services$28,143,991ProgramServicesAmt
Management And General$1,055,298ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,314,651TotalAmt
Program Services$1,974,447ProgramServicesAmt
Management And General$340,204ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,996,950TotalAmt
Program Services$3,996,950ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,178,777TotalAmt
Program Services$2,007,056ProgramServicesAmt
Management And General$171,721ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,757TotalAmt
Management And General$2,757ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$2,007TotalAmt
Management And General$2,007ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,632,845TotalAmt
Program Services$5,945,301ProgramServicesAmt
Management And General$687,544ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$139,418TotalAmt
Program Services$139,418ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$101,057TotalAmt
Program Services$98,184ProgramServicesAmt
Management And General$2,873ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,647,152TotalAmt
Program Services$1,647,152ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$280,629TotalAmt
Program Services$179,433ProgramServicesAmt
Management And General$101,196ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,713TotalAmt
Program Services$22,623ProgramServicesAmt
Management And General$6,090ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$407,638TotalAmt
Program Services$407,638ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,880,855TotalAmt
Program Services$3,880,855ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,701,631TotalAmt
Program Services$1,701,631ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$19,342,022$19,342,022
SYSTEM ALLOCATION$12,859,607$12,859,607
BAD DEBT EXPENSE$7,415,606$7,415,606
SERVICE CONTRACTS$6,405,411$5,563,394$842,017

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,317,591TotalAmt
Program Services$2,075,444ProgramServicesAmt
Management And General$242,147ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$103,516,658TotalAmt
Program Services$85,470,624ProgramServicesAmt
Management And General$18,046,034ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$350BOYAmt
EOY$351EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$684,853BOYAmt
EOY$7,378EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,789,411BOYAmt
EOY$18,440,595EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$34,757BOYAmt
EOY$20,682EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$171,818BOYAmt
EOY$40,865EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,206,902BOYAmt
EOY$3,419,315EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,696,640BOYAmt
EOY$1,378,587EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$119,743,735LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$66,997,348LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$47,253,097BOYAmt
EOY$52,746,387EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,268,530BOYAmt
EOY$2,481,367EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$153,407BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,248,364BOYAmt
EOY$12,928,675EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$76,508,129BOYAmt
EOY$91,464,202EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,217,141BOYAmt
EOY$7,906,336EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$858,316BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,075,457BOYAmt
EOY$7,906,336EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$65,357,808BOYAmt
EOY$83,479,752EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$74,864BOYAmt
EOY$78,114EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$65,432,672BOYAmt
EOY$83,557,866EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$76,508,129BOYAmt
EOY$91,464,202EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$17,920,145ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$205,049OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,007OtherActivitiesAmt
Total Lobbying Expenditures$2,007TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationLOBBYING EXPENSES WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE MONTANA HOSPITAL ASSOCIATION.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,146,731OtherCostOrOtherBasisAmt
Book Value$4,146,731BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,448,016OtherCostOrOtherBasisAmt
Depreciation$41,251,450DepreciationAmt
Book Value$34,196,566BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,996,959OtherCostOrOtherBasisAmt
Depreciation$1,900,828DepreciationAmt
Book Value$96,131BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$35,102,238OtherCostOrOtherBasisAmt
Depreciation$23,845,070DepreciationAmt
Book Value$11,257,168BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,049,791OtherCostOrOtherBasisAmt
Book Value$3,049,791BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$52,746,387TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECIEVABLE$11,284,588
SETTLEMENT RECEIVABLES$1,644,087
FieldValueIRS element (for citing)
Total Book Value Other Assets$12,928,675TotalBookValueOtherAssetsAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,951,540TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,951,540NetCommunityBenefitExpnsAmt
Total Expense0.04110TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,352,383TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,658,492DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,693,891NetCommunityBenefitExpnsAmt
Total Expense0.03840TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$256,635TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$577,530DirectOffsettingRevenueAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,560,558TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,236,022DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,645,431NetCommunityBenefitExpnsAmt
Total Expense0.07950TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$965,678TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$187,333DirectOffsettingRevenueAmt
Net Community Benefit Expns$778,345NetCommunityBenefitExpnsAmt
Total Expense0.00810TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$301,758TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$301,758NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,194,459TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,296,629DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,897,830NetCommunityBenefitExpnsAmt
Total Expense0.01970TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$76,741TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$76,741NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,538,636TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,483,962DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,054,674NetCommunityBenefitExpnsAmt
Total Expense0.03170TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,099,194TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$9,719,984DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,700,105NetCommunityBenefitExpnsAmt
Total Expense0.11120TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94,658TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$94,658NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$227,094TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$227,094NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$321,752TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$321,752NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$7,415,606BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$29,297,891ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$43,901,110CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,603,219MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 SUMMIT SURGERY CENTER
OUTPATIENT SURGERY CENTER0.500000.50000
2 MONTANA PHYSICIAN HOSPITAL ORGANIZATION
PHYSICIAN HOSPITAL ORGANIZATION0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JAMES HEALTHCAREBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 SOUTH CLARK STAddressLine1Txt
CityBUTTECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59701ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.STJAMESHEALTHCARE.ORGWebsiteAddressTxt
State License13287StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherSKILLED NURSING & PHYSICIAN CLINICOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST JAMES HEALTHCAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSTJAMESHEALTHCARE.ORG/ABOUT-USOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSTJAMESHEALTHCARE.ORG/ABOUT-USStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSTJAMESHEALTHCARE.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSTJAMESHEALTHCARE.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSTJAMESHEALTHCARE.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. JAMES HEALTHCAREPART V, SECTION B, LINE 5: THE ASSESSMENT CONDUCTED FOR ST. JAMES HEALTHCARE (SJH) WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) ON BEHALF OF SJH, IN COOPERATION WITH THE BUTTE-SILVER BOW PUBLIC HEALTH DEPARTMENT AND SOUTHWEST MONTANA COMMUNITY HEALTH CENTER. PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) SUCH AS THIS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY. TO SOLICIT INPUT FROM KEY INFORMANTS, INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY WERE SURVEYED AND MANY ALSO PARTICIPATED IN THE CHNA TEAM. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY SJH AND THE LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PUBLIC HEALTH, PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS THE COMMUNITY OVERALL.
ST. JAMES HEALTHCAREPART V, SECTION B, LINE 6B: THE ST. JAMES HEALTHCARE (SJH) CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS: 2ND JUDICIAL DISTRICT YOUTH COURT PROBATION, A-1 AMBULANCE, AARON M. SHEARMAN DDS - BUTTE DENTISTRY, ACADIA MONTANA ADULT PROTECTIVE SERVICES, ANDERSON ZURMUEHLEN & COMPANY, AWARE INC./AWARE EARLY HEAD START, BELMONT SENIOR CENTER, BIG BROTHERS BIG SISTERS, BIG SKY SENIOR LIVING ON WATERFORD WAY BSW, INC., BUTTE 4-C'S, BUTTE BROADCASTING, BUTTE CARES INC., BUTTE CENTRAL CATHOLIC HIGH SCHOOL, BUTTE CHAMBER OF COMMERCE, BUTTE COMMUNITY HEALTH CENTER, BUTTE EMERGENCY FOOD BANK, BUTTE RESCUE MISSION, BUTTE SCHOOL DISTRICT, BUTTE-SILVER BOW COMMUNITY DEVELOPMENT, BUTTE-SILVER BOW COUNCIL OF COMMISSIONERS, BUTTE-SILVER BOW DISASTER/EMERGENCY SERVICES, BUTTE-SILVER BOW HEALTH DEPARTMENT, CCCS, INC., EASTER SEALS-GOODWILL FAMILY OUTREACH INC., FRONTIER HOME HEALTH & HOSPICE, HEAD START, HOMEWARD BOUND, HRC DISTRICT XII, LOWNEY DENTAL, MARQUIS ASSISTED LIVING, MERCURY STREET MEDICAL, MONTANA DEPARTMENT OF FAMILY SERVICES, MONTANA INDEPENDENT LIVING PROJECT, MONTANA MENTAL HEALTH OMBUDSMAN, MONTANA ORTHOPEDICS, MONTANA RESOURCES, INC., MONTANA TECH, PUBLIC HOUSING AUTHORITY OF BUTTE, RSVP, SAFE SPACE, SOUTHWEST MONTANA AGING & DISABILITY SERVICES, ST. JAMES COMMUNITY BOARD, ST. JAMES HEALTHCARE, ST. JAMES HEALTHCARE FOUNDATION, ST. JAMES MEDICAL GROUP, SUMMIT FINANCIAL ADVISORS, TOWN PUMP INC., U.S. BANKRUPTCY COURT, UNITED WAY OF BUTTE & ANACONDA, AND THE UNIVERSITY OF MONTANA YOUTH DYNAMICS.
ST. JAMES HEALTHCAREPART V, SECTION B, LINE 11: IN OCTOBER 2014, APPROXIMATELY 40 REPRESENTATIVES OF VARIOUS COMMUNITY ORGANIZATIONS MET TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR THE ST. JAMES HEALTHCARE (SJH) COMMUNITY. BASED ON FINDINGS OF THE CHNA, REPRESENTATIVES OF SJH, BUTTE-SILVER BOW HEALTH DEPARTMENT AND SOUTHWEST MONTANA COMMUNITY HEALTH CENTER PROVIDED GUIDANCE TO THE GROUP DESCRIBING EXISTING ACTIVITIES, INITIATIVES AND RESOURCES RELATING TO AREAS OF OPPORTUNITY. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS, PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: SCOPE & SEVERITY AND ABILITY TO IMPACT. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS: 1) MENTAL HEALTH 2) NUTRITION, PHYSICAL ACTIVITY & WEIGHT 3) SUBSTANCE ABUSE 4) INJURY & VIOLENCE 5) DIABETES 6) ACCESS TO HEALTHCARE SERVICES 7) HEART DISEASE & STROKE 8) DISABILITY & CONDITIONS OF AGING 9) TOBACCO USE 10) CANCER BASED ON THIS LIST, THE HOSPITAL FACILITY SELECTED THE FOLLOWING TOP NEEDS TO BE ADDRESSED IN THE HOSPITAL IMPLEMENTATION PLAN: 1) MENTAL HEALTH 2) NUTRITION, PHYSICAL ACTIVITY & WEIGHT 3) SUBSTANCE ABUSE: TOBACCO USETO ADDRESS THESE NEEDS, THE HOSPITAL IS USING BOTH INTERNAL AND EXTERNAL COMMUNITY RESOURCES INCLUDING THE MONTANA QUIT LINE, ST. PETE'S BEHAVIORAL HEALTH, WESTERN MONTANA MENTAL HEALTH CENTER, SOUTHWEST MONTANA MENTAL HEALTH SERVICES, SOUTHWEST MONTANA COMMUNITY HEALTH CENTER, LOCAL PEDIATRICIANS AND FAMILY PHYSICIANS, HEAD START, AND FIT KIDS PROGRAM.EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT TO SJH. BECAUSE NUMEROUS PARTNERS THROUGHOUT THE COMMUNITY ARE ADDRESSING THESE NEEDS THROUGH INNOVATIVE PROGRAMS AND INITIATIVES, THE SJH IMPLEMENTATION PLAN FOCUSES ON PRIORITIES IN ORDER TO ALLOCATE APPROPRIATE TIME AND RESOURCES TO SUCCESSFUL TACTICS AND ACTIONS.
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - ST JAMES CARDIAC INTERPRETATIONS
400 S CLARK STBUTTEMT59701CARIDAC CLINIC
2 - ST JAMES EMERGENCY PHYSICIANS
400 S CLARK STBUTTEMT59701EMERGENCY CLINIC
3 - ST JAMES PAIN CLINIC
400 S CLARK STBUTTEMT59701PAIN CLINIC
4 - ST JAMES RADIATION ONCOLOGY
400 S CLARK STBUTTEMT59701ONCOLOGY CLINIC
5 - SUMMIT SURGERY CENTER LLC
434 S CLARK STREETBUTTEMT59701OUTPATIENT SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 6A:THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.
PART I, LINE 7:THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7,415,606.
PART II, COMMUNITY BUILDING ACTIVITIES:ST. JAMES HEALTHCARE (SJH) CONTINUES TO WORK WITH COMMUNITY ORGANIZATIONS THAT SUPPORT ACTIVITIES AND POLICY IN ITS COMMUNITY. IN 2015, SJH CONTINUED ITS COMMITMENT TO HOMELESS POPULATION BY PROVIDING WARM MEALS AND ONGOING DONATIONS TO THE LOCAL FOOD BANK. A LARGE PART OF OUR COMMUNITY BUILDING EFFORT IS FOCUSED ON PHYSICIAN RECRUITMENT AS WE ARE THE ONLY HOSPITAL IN A 6 COUNTY AREA. HAVING PHYSICIANS OF ALL SPECIALTY TYPES ENSURES THE COMMUNITY HAS ACCESS TO NEEDED SERVICES AND PROVIDES A CONSISTENT PLATFORM OF HEALTHCARE SO INDIVIDUALS CAN THEN FOCUS ON OTHER NEEDS THEY MAY HAVE. OUR ADMINISTRATORS HAVE BEEN PROVIDING VOLUNTEER TIME ON BOARDS IN THE COMMUNITY TO ENSURE THESE OTHER NEEDS CAN BE ADDRESSED: FOOD SECURITY, MENTAL HEALTH, HOUSING, AND FAMILY SERVICES, AMONG OTHERS. WE BELIEVE OUR PARTICIPATION WILL ENSURE THE SOCIAL DETERMINANTS OF HEALTH ARE BEING ADDRESSED IN OUR COMMUNITY.PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIALMANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMASTATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES(GAAP) FOR THE REPORTING OF BAD DEBT.
PART III, LINE 2:THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.
PART III, LINE 4:THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE ORGANIZATIONS 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:ST. JAMES HEALTHCARE (SJH) USES THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE CHNA WAS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF RESIDENTS IN THE SERVICE AREA OF SJH. SUBSEQUENTLY, THIS INFORMATION WAS USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS.THE CHNA HAD THREE BASIC GOALS: 1) TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. 2) TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS. 3) TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. THE ASSESSMENT WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) ON BEHALF OF SJH, IN PARTNERSHIP WITH THE BUTTE-SILVER BOW PUBLIC HEALTH DEPARTMENT AND SOUTHWEST MONTANA COMMUNITY HEALTH CENTER. PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS SUCH AS THIS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH AND PUBLIC HEALTH DATA SOURCES (CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), HEALTHY PEOPLE 2020), WHICH ALLOWS FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY.
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 AVAILBLE 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:ST. JAMES HEALTHCARE (SJH) SERVES THE COMMUNITIES OF BUTTE, MONTANA AND THE SOUTHWESTERN REGION OF MONTANA. SJH IS LOCATED IN BUTTE AND IS THE SOLE ACUTE CARE PROVIDER IN BOTH THE CITY OF BUTTE AS WELL AS SILVER BOW COUNTY WHICH ENCOMPASSES BUTTE. SJH PROVIDES OVER THREE-QUARTERS OF THE INPATIENT CARE DELIVERED TO PATIENTS WITHIN SILVER BOW COUNTY. SJH'S PRIMARY SERVICE AREA IS DEFINED AS SILVER BOW COUNTY WHICH IS LOCATED IN SOUTHWESTERN MONTANA IN A MEDICALLY UNDERSERVED AREA. IT IS THE EIGHTH LARGEST COUNTY IN THE STATE. THIS GEOGRAPHIC AREA INCLUDES APPROXIMATELY 75% OF SJH INPATIENT DISCHARGES.ST. JAMES IS THE ONLY ACUTE CARE PROVIDER IN ITS PRIMARY SERVICE AREA. PATIENTS FROM THE PRIMARY SERVICE AREA REQUIRING SPECIALIZED TERTIARY/QUATERNARY CARE WILL TYPICALLY TRAVEL TO MISSOULA (120-MILE TRIP), BILLINGS, (225-MILE TRIP), AS WELL AS OTHER MAJOR METROPOLITAN AREAS OUT OF THE STATE. MOUNTAINOUS PASSES BETWEEN BUTTE AND THESE LARGER CITIES CAUSE ISOLATION ESPECIALLY DURING THE WINTER IN OUR MEDICALLY UNDERSERVED REGION. WE ARE A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND A MEDICALLY UNDERSERVED AREAS/POPULATIONS (MUA/P) BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). BUTTE-SLIVER BOW (BUTTE), THE COUNTY SEAT, IS THE STATE'S FIFTH LARGEST CITY, BUT THE POPULATION HAS DECREASED BY 5.0% SINCE 2000. STATE GOVERNMENT, WHICH INCLUDES HIGHER EDUCATION INSTITUTIONS, IS THE LARGEST EMPLOYER IN SILVER BOW COUNTY WITH 22.3% OF THE TOTAL EMPLOYMENT. HEALTH CARE IS THE TOP PRIVATE SECTOR EMPLOYER AT 13%.THE COMMUNITY SERVED BY SJH AND FOR PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STUDY AREA & SURVEY IS DEFINED AS EACH OF THE RESIDENTIAL ZIP CODES COMPRISING THE SERVICE AREA, INCLUDING 59701, 59702, 59703, 59727, 59743, 59748, AND 59750. THIS COMMUNITY DEFINITION, DETERMINED BASED ON THE ZIP CODES OF RESIDENCE OF RECENT PATIENTS OF SJH, INCLUDES THE CITY OF BUTTE AND TOWN OF WALKERVILLE. THE AREAS SURROUNDING BUTTE ARE PRIMARILY RURAL, AS DEFINED BY THE US CENSUS BUREAU.
PART VI, LINE 5:AT ST. JAMES HEALTHCARE (SJH), WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN 2015, SJH PROVIDED COMMUNITY BENEFITS TOTALING $11,021,858. THIS AMOUNT INCLUDES TRADITIONAL CHARITY CARE, UNPAID COST OF MEDICAID AS WELL AS COMMUNITY BUILDING ACTIVITIES, HEALTH PROFESSIONS EDUCATION (MENTORING OF PROFESSIONAL STUDENTS IN OUR HOSPITAL) AND COMMUNITY HEALTH PROGRAMS. OUR COMMUNITY BUILDING ACTIVITIES DEMONSTRATE THIS COMMITMENT. IN 2015, MOST OF OUR ACTIVITIES IN PROMOTING COMMUNITY HEALTH ARE IN THE CATEGORYOF COMMUNITY SUPPORT. THESE ACTIVITIES TOUCH THE COMMUNITY IN A NUMBER OF WAYS. WE FREQUENTLY PROVIDE FOOD AND FREE MEALS TO AGENCIES SUCH AS THE BUTTE RESCUE MISSION, HIGHLAND VIEW ASSISTED LIVING CENTER, AND THE BUTTE FOOD BANK THAT SUPPORT THE POOR AND INDIGENT. THIS IS TO ENSURE THAT OUR POOR POPULATION HAS ACCESS TO NUTRITIOUS FOOD THAT ENABLES THEM TO MAINTAIN BETTER HEALTH.OUR EMPLOYEES LEND THEIR EXPERTISE TO MANY ORGANIZATIONS AND COMMUNITY EVENTS ENCOURAGING AND EDUCATING THE PROMOTION OF COMMUNITY HEALTH. OUR EMPLOYEES VOLUNTEER IN MANY CAPACITIES AND LEVELS INCLUDING PARTICIPATING IN COMMUNITY FLU SHOT CLINICS, BLOOD DRIVES AND FUNDRAISING FOR THE YOUTH PROGRAM AT THE YMCA. SERVICE CLUBS THROUGHOUT THE COMMUNITY ARE FOCUSED ON PROMOTING HEALTHY LIFE STYLES FOR BOTH CHILDREN AND ADULTS. SJH STAFF ACTIVELY PARTICIPATES IN CLUBS SUCH AS KIWANIS, BUTTE CHAMBER OF COMMERCE, ROTARY, AND EXCHANGE CLUB.IN THE AREA OF COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WE PARTNER WITH THE PUBLIC HEALTH DEPARTMENT AND SERVE ON THE BOARDS AND COMMITTEES OF AGENCIES THAT ARE FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITY. WE UNDERSTAND THE VALUE OF NETWORKING AND PARTICIPATING IN COMMUNITY ACTIVITIES WITH ORGANIZATIONS TO BEST SERVE THE COMMUNITY. OUR PARTNERS INCLUDE THE BUTTE SILVER-BOW GOVERNMENT AND THE NORTH AMERICAN INDIAN ALLIANCE.WE LEAD EFFORTS SUCH AS DIABETES MANAGEMENT AND PREVENTION WITH OUR DIABETES OUTREACH PROGRAM. AS A HEALTH PROFESSIONAL SHORTAGE AREA WITH A SCORE OF 18 ON A SCALE OF 0 TO 25 (25 BEING HIGHEST NEED) SJH ACTIVELY RECRUITS PHYSICIANS TO THE AREA TO FULFILL THE NEED FOR ADDITIONAL PHYSICIANS. OUR COMMUNITY BOARD OF DIRECTORS INCLUDES MEDICAL AND BUSINESS PROFESSIONALS. THE DIRECTORS PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY RESIDE IN BUTTE AND WERE SELECTED BECAUSE THEY ARE RESPECTED LEADERS WITHIN THE COMMUNITY. THE BOARD POSITIONS ARE UNPAID. THE BOARD MEMBERS ARE INVOLVED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT THE SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. MEDICAL PRIVILEGES ARE EXTENDED TO QUALIFIED PHYSICIANS IN THE COMMUNITY STRENGTHENING THE NETWORK AMONG COMMUNITY HEALTH CARE PROFESSIONALS. WHEN SJH HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. SJH ALSO CONTRIBUTES TO THE ECONOMY AS A PURCHASER OF GOODS AND SERVICES AND IS A MAJOR PRIVATE EMPLOYER IN THE COMMUNITY. WE ENCOURAGE OUR EMPLOYEES TO VOLUNTEER WITH COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS SUCH AS THE LOCAL YMCA, BIG BROTHERS AND SISTERS, BUTTE-SILVER-BOW HEALTH DEPARTMENT, HOME HEALTH, MCDONALD FAMILY PLACE, BUTTE EMERGENCY FOOD BANK, THE BUTTE RESCUE MISSION, SAFE SPACE AND THE BREAST AND CERVICAL CANCER COALITION. WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY. WE EITHER PROVIDE SUPPORT TO OR PARTICIPATE AS MEMBERS OF THE BUTTE-SILVER BOW CHAMBER OF COMMERCE, BUTTE-SILVER BOW LOCAL DEVELOPMENT CORPORATION, KIWANIS, EXCHANGE CLUB, 4-H, BUTTE EDUCATION FOUNDATION, ROTARY, AND ATHLETIC PROGRAMS FOR CHILDREN AND YOUNG ADULTS. WE ALSO PARTNER WITH COMMUNITY AGENCIES INVOLVED IN SAFETY AND DISASTER PREPAREDNESS. IN ADDITION, SJH PROVIDES HEALTH EDUCATION TO THE COMMUNITY AT A NUMBER OF EVENTS AND LOCATIONS THROUGHOUT THE YEAR RANGING FROM WOUND CARE TO LIVING WILLS.SJH ALSO PROMOTES AND ENHANCES THE HEALTH OF THE OVERALL COMMUNITY IT SERVES BY SUPPORTING ATHLETIC PROGRAMS IN THE COMMUNITY. WE WORK WITH THE PUBLIC AND PRIVATE HIGH SCHOOLS THROUGHOUT SOUTHWEST MONTANA AND THE PUBLIC COLLEGE IN BUTTE TO PROVIDE ATHLETIC SERVICES THAT OTHERWISE WOULD NOT BE AVAILABLE TO AREA STUDENTS. SJH PAYS A SIGNIFICANT PORTION OF THE SALARIES AND BENEFITS (50% TO 80% OR MORE) FOR SEVEN ATHLETIC TRAINERS WHO ARE EMPLOYED BY SJH BUT WORK IN THE SCHOOLS WITH STUDENT ATHLETES THROUGHOUT THE SCHOOL YEAR. SJH PARTNERS WITH OTHER PHYSICIANS AND CLINICS TO PROVIDE VERY LOW-COST ($5) PHYSICALS FOR STUDENTS WISHING TO PARTICIPATE IN ATHLETIC ACTIVITIES. THESE DOLLARS ARE THEN DONATED BACK TO EACH PARTICIPATING SCHOOL'S ATHLETIC DEPARTMENT.
PART VI, LINE 6:ST. JAMES HEALTHCARE 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 190 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,000 FULL-TIME ASSOCIATES AND MORE THAN 500 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 SYSTEMWIDE 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.ST. JAMES HEALTHCARE 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 AND 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1ST JAMES HEALTHCARE FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 SOUTH CLARK STAddressLine1Txt
CityBUTTECityNm
State AbbreviationMEStateAbbreviationCd
ZIP59701ZIPCd
FieldValueIRS element (for citing)
Recipient EIN651202190RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$173,920CashGrantAmt
Purpose Of GrantSUPPORT FOR MISSIONPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPROCESS FOR MONITORING GRANTS AND AWARDS THE ORGANIZATION KEEPS RECORDS TO SUPPORT THE AMOUNTS PROVIDED OR REASON FOR SUCH SUPPORT. ELIGIBILITY FOR FUNDING IS DETERMINED ON AN INDIVIDUAL BASIS, CONSIDERING THE USE OF THE FUNDS AND HOW THE USE RELATES TO THE ORGANIZATION'S MISSION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHARLES WRIGHT
PRESIDENT & CEO$0$295,767$0$68,044$0$23,977$0$177,906$0$17,385$0$583,079$0$0
JAMES DOYLE
VP & CFO 1/1-7/13$0$191,585$0$29,199$0$40,831$0$33,066$0$21,038$0$315,719$0$0
TRAVIS SCHEVING
VP & CFO 7/14-12/31$0$135,589$0$9,655$0$32,640$0$16,631$0$17,183$0$211,698$0$0
JEREMY BLANCHARD
CHIEF PHYSICIAN EXECUTIVE$0$287,134$0$35,954$0$2,049$0$38,131$0$17,583$0$380,851$0$0
KEVIN DENNEHY
VP STRATEGY-BUS DEVELOP-SJB$0$171,409$0$27,141$0$3,417$0$30,769$0$19,505$0$252,241$0$0
SHANNON HOLLAND
VP PATIENT CARE SERVICES - SJB$0$200,747$0$31,344$0$1,880$0$35,568$0$786$0$270,325$0$0
DENNIS SALISBURY
PSO VP CMO HEALTH NET$258,281$0$41,610$0$96,764$0$46,336$0$18,198$0$461,189$0$78,845$0
MARC NASH MD
PHYSICIAN RADIATION ONCOLOGIST$504,306$0$0$0$2,443$0$21,200$0$24,035$0$551,984$0$0$0
MOHAN NANDALUR MD
PSO PHYSICIAN$478,780$0$0$0$0$0$21,200$0$0$0$499,980$0$0$0
JAMES HUEFTLE MD
PHYSICIAN$285,300$0$147,276$0$12,677$0$21,200$0$21,051$0$487,504$0$0$0
ALLEN NICHOLS MD
PSO PHYSICIAN$438,505$0$0$0$0$0$14,534$0$0$0$453,039$0$0$0
MICHAEL ZEHNPFENNIG MD
PSO PHYSICIAN$356,469$0$2,301$0$50,887$0$21,200$0$23,003$0$453,860$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE 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 4BPAYMENTS FROM NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2015 WERE: DENNIS SALISBURY - $36,672. 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 2015. 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 2015 WERE: NONE. 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 7THE 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 EXPERIENCE, EMPLOYEE SAFETY 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 PLANS ARE BASED ON A COMBINATION OF PERFORMANCE MEASURES. PERFORMANCE MEASURES INCLUDE OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY AND COMMUNITY BENEFIT/MISSION TARGETS. 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 DISCLOSURESTHE 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 190 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

FieldValueIRS element (for citing)
PersonMICHAEL ZEHNPFENNIG MDPersonNm
Relationship With OrgHIGHEST PAID EMPLOYEERelationshipWithOrgTxt
Loan PurposeRETENTION LOANLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$100,000OriginalPrincipalAmt
Balance Due$20,682BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written AgreementYes (1)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$20,682TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. JAMES HEALTHCARE.
FORM 990, PART VI, SECTION A, LINE 7APOWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF ST. JAMES HEALTHCARE, APPOINTS MEMBERS OF ST. JAMES HEALTHCARE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CMONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY ST. JAMES HEALTHCARE AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCLHS' PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS SUGGESTIVE OF A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS AND MANAGERS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN.
FORM 990, PART VI, SECTION B, LINE 15BTHE 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 19AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:ADJUSTMENT TO JOINT VENTURE INCOME 205,049.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MEDICAL ARTS PARTNERSHIP LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 SOUTH CLARK STREETAddressLine1Txt
CityBUTTECityNm
State AbbreviationMTStateAbbreviationCd
ZIP59701ZIPCd
FieldValueIRS element (for citing)
EIN202691618EIN
Primary ActivitiesRENTAL REAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateMTLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST JAMES HEALTHCAREBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021237379161MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICESKS501(C)(3)LINE 11C, III-FIN/A0
INTEGRITY HEALTH
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021474520350SUPPORTING ORGANIZATIONCO501(C)(3)LINE 11C, III-FI0SCLHS
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
1600 PRAIRIE CENTER PARKWAYBRIGHTONCO80601840482695HOSPITAL SERVICESCO501(C)(3)LINE 30INTEGRITY HEALTH
PLATTE VALLEY MEDICAL CENTER FOUNDATION
1600 PRAIRIE CENTER PARKWAYBRIGHTONCO80601742255936SUPPORTING ORGANIZATIONCO501(C)(3)LINE 11A, I0BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARDDENVERCO80211840405260RESIDENT CARECO501(C)(3)LINE 90SCLHS
NJH-SJH INC
500 ELDORADO BLVD SUITE 4300DENVERCO80211471194849MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICESCO501(C)(3)LINE 11A, I0SCLHS
SAINT JOSEPH HOSPITAL INC
1375 E 19TH AVENUEDENVERCO80218840417134HOSPITAL SERVICESCO501(C)(3)LINE 30SCLHS
SAINT JOSEPH HOSPITAL FOUNDATION
1375 E 19TH AVENUEDENVERCO80218840735096SUPPORTING ORGANIZATIONCO501(C)(3)LINE 11A, I0SAINT JOSEPH HOSPITAL INC
SCL HEALTH - FRONT RANGE INC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021841103606HOSPITAL SERVICESCO501(C)(3)LINE 30SCLHS
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
200 EXEMPLA CIRCLELAFAYETTECO80026841649162SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCO501(C)(3)LINE 70SCL HEALTH-FRONT RANGE INC
LUTHERAN MEDICAL CENTER FOUNDATION
8300 WEST 38TH AVENUEWHEAT RIDGECO80033208846152SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCO501(C)(3)LINE 70SCL HEALTH-FRONT RANGE INC
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREETGRAND JUNCTIONCO81501840425720HOSPITAL SERVICESCO501(C)(3)LINE 30SCLHS
ST MARYS HOSPITAL FOUNDATION
2635 N 7TH STREETGRAND JUNCTIONCO81501237001007SUPPORTING ORGANIZATIONCO501(C)(3)LINE 11A, I0ST MARYS HOSPITAL & MEDICAL CENTER INC
CARITAS CLINICS INC
818 NORTH 7TH STREETLEAVENWORTHKS66048481009910CLINIC SERVICESKS501(C)(3)LINE 30SCLHS
MARIAN CLINIC INC
3164 EAST SIXTH AVENUETOPEKAKS66607481046905CLINIC SERVICESKS501(C)(3)LINE 30SCLHS
ST FRANCIS HEALTH CENTER INC
1700 SW 7TH STREETTOPEKAKS66606480547719HOSPITAL SERVICESKS501(C)(3)LINE 30SCLHS
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREETTOPEKAKS66606481092520SUPPORTING ORGANIZATIONKS501(C)(3)LINE 11A, I0ST FRANCIS HEALTH CENTER INC
HOLY ROSARY HEALTHCARE
2600 WILSON STREETMILES CITYMT59301810231792HOSPITAL SERVICESMT501(C)(3)LINE 30SCLHS
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON STREETMILES CITYMT59301202270238SUPPORTING ORGANIZATIONMT501(C)(3)LINE 11A, I0HOLY ROSARY HEALTHCARE
ST JAMES HEALTHCARE FOUNDATION INC
400 SOUTH CLARK STREETBUTTEMT59701651202190SUPPORTING ORGANIZATIONMT501(C)(3)LINE 11A, IYes (1)ST JAMES HEALTHCARE
ST VINCENT HEALTHCARE
1233 NORTH 30TH STREETBILLINGSMT59101810232124HOSPITAL SERVICESMT501(C)(3)LINE 30SCLHS
ST VINCENT HEALTHCARE FOUNDATION INC
1106 NORTH 30TH STREETBILLINGSMT59101810468034SUPPORT RELATED TAX EXEMPT ORGANIZATIONSMT501(C)(3)LINE 70ST VINCENT HEALTHCARE

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
DENVER WEST ENDOSCOPY CENTER LLC
382 S ARTHUR AVENUELOUISVILLECO80027460788218OP ENDOSCOPYCON/A
EKG INTERPRETATION SERVICE
3464 S WILLOW STREET SUITE 111DENVERCO80231840927945EKG INTERPRETATIONCON/A
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTONGRAND JUNCTIONCO81501841505075OP SURGERYCON/A
HEALTHCARE MANAGEMENT LLC
PO BOX 1929GRAND JUNCTIONCO81502841238904MANAGEMENT SERVICESCON/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHERAN PKWY STE 150WHEATRIDGECO80033020749532OP SURGERYCON/A
PAVILION IMAGING LLC
750 WELLINGTONGRAND JUNCTIONCO81501030516198RADIOLOGYCON/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCON/A
SMHMMH AIR MEDICAL TRANSPORT LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021473525381MEDICAL AIR TRANSPORTCON/A
SCL HOME HEALTH SOLUTIONS LLC
500 ELDORADO BLVD SUITE 4200BROOMFIELDCO80021462418729HOME CAREDEN/A
SCLTDI JV LLC
5214 MARYLAND WAY SUITE 200BRENTWOODTN37027472294770RADIOLOGYDEN/A
ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREETBILLINGSMT59101272270640PHYSICAL THERAPYMTN/A
MED-MAP LLC
PO BOX 1295BILLINGSMT59103810491356RENTAL REAL ESTATEMTN/A
NORTHERN ROCKIES HEALTHCARE ALLIANCE LLC
2475 VILLAGE LANE SUITE 302BILLINGSMT59102383978770MEDICAL PROVIDER NETWORKMTN/A
YELLOWSTONE SURGERY CENTER LLC
1144 NORTH 28TH STREETBILLINGSMT59101721519467OP SURGERYMTN/A
CODY MEDICAL ARTS COMPLEX LLC
720 LINDSAY LANECODYWY82414331031839RENTAL REAL ESTATEWYN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
APEX SURGICAL PARTNERS INC
1606 PRAIRIE CENTER PARKWAY SUITE 2BRIGHTONCO80601473268324MEDICAL SERVICESCON/AC0
EAGLE RIDGE MEDICAL INC
1606 PRAIRIE CENTER PARKWAY SUITE 2BRIGHTONCO80601462387681MEDICAL SERVICESCON/AC0
HIGH PLAINS HEART AND VASCULAR CENTER INC
1606 PRAIRIE CENTER PARKWAY SUITE 3BRIGHTONCO80601272038197MEDICAL SERVICESCON/AC0
INTEGRATIVE INTERNAL MEDICINE AND MEDICAL ACUPUNCTURE INC
1606 PRAIRIE CENTER PARKWAY SUITE 3BRIGHTONCO80601274433325MEDICAL SERVICESCON/AC0
MOUNTAIN VIEW ORTHOPEDICS INC
1606 PRAIRIE CENTER PARKWAY SUITE 1BRIGHTONCO80601275382523MEDICAL SERVICESCON/AC0
PVMC MEDICAL TEAM INC
1606 PRAIRIE CENTER PARKWAY SUITE 2BRIGHTONCO80601473988808MEDICAL SERVICESCON/AC0
PVMC PHYSICIAN SERVICES INC
1606 PRAIRIE CENTER PARKWAY SUITE 2BRIGHTONCO80601943458548MEDICAL SERVICESCON/AC0
CARITAS INC AND SUBSIDIARIES
500 ELDORADO BLVD SUITE 4300BROOMFIELDKS80021480941069HEALTHCAREKSN/AC0
PROVIDENCE MEDICAL CENTER INC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021480784446HOSPITAL SERVICESKSN/AC0
SAINT JOHN HOSPITAL INC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021480543768HOSPITAL SERVICESKSN/AC0
ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC
1700 SW 7TH STREETTOPEKAKS66606462874128HEALTHCAREKSN/AC0
LEAVEN INSURANCE COMPANY LTD
980370522INSURANCEN/AC023 LIME TREE BAY AVENUE WEST BAY RGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
ST JAMES HEALTHCARE FOUNDATION
B$173,920
ST JAMES HEALTHCARE FOUNDATION
C$1,050,472

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.