2015-11-10T14:20:29-06:00 2014-12-31 990 2014-01-01 810232124 ST VINCENT HEALTHCARE STVI 4066577000 1233 NORTH 30TH STREET BILLINGS MT 59101 RON OLDFIELD VP FINANCIAL SVS & CFO 4066577000 2015-03-31 2014 2016-03-07 17:11:31Z STEVE LOVELESS 1233 NORTH 30TH STREET BILLINGS MT 59101 440971552 0 0928 X WWW.SVH-MT.ORG X 1972 MT WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 13 11 2491 359 2915273 -366284 14719313 11428110 401553938 408782437 6665542 17729537 5594666 2074981 428533459 440015065 1641196 1505049 0 0 167200607 170679249 5164 0 0 245896411 227500600 414743378 399684898 13790081 40330167 477471576 512236538 23779011 27066613 453692565 485169925 X WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 363087887 1505049 407670675 THE SISTERS OF CHARITY OF LEAVENWORTH, KANSAS, FOUNDED ST. VINCENT HEALTHCARE IN BILLINGS, MONTANA, IN 1898. MOTIVATED BY ITS MISSION TO PROVIDE COMPASSIONATE CARE AND SERVICE, ST. VINCENT HAS BECOME ONE OF MONTANA'S LEADING COMPREHENSIVE HEALTHCARE PROVIDERS. MODERN MEDICAL TECHNOLOGY HAS BEEN INTEGRATED INTO OUR COMMITMENT TO PROVIDE CARE FOR THE SICK, TO RESPECT LIFE, TO SERVE THE POOR AND TO PROVIDE COMPASSION AND CHARITY FOR ALL WHO NEED IT. ST. VINCENT OFFERS PROGRESSIVE SPECIALTY SERVICES IN HEART & VASCULAR, NEUROLOGY, ONCOLOGY, ORTHOPEDICS, AND WOMEN'S SERVICES. WE HAVE A SPECIAL "HOSPITAL WITHIN A HOSPITAL" JUST FOR CHILDREN, ST. VINCENT CHILDREN'S HEALTHCARE.FROM ITS MODEST BEGINNINGS OVER 100 YEARS AGO, ST. VINCENT HEALTHCARE HAS GROWN INTO ONE OF MONTANA'S LARGEST COMPREHENSIVE HOSPITALS, SERVING THE HEALTHCARE NEEDS OF OVER 400,000 PEOPLE IN A FOUR-STATE AREA. RENOWNED FOR A MISSION OF COMPASSIONATE CARE AND SERVICE TO THE POOR, THE ST. VINCENT HEALTHCARE TEAM IS CONTINUALLY RECOGNIZED AS A TECHNOLOGICAL LEADER IN THE HEALTHCARE INDUSTRY.DURING 2014, THE FOLLOWING STATISTICAL DATA WAS GATHERED:- 11,402 ADMISSIONS- 434,112 OUTPATIENT, CLINIC, AND HOME HEALTH VISTS- 36,331 EMERGENCY DEPARTMENT VISITS- 1,526 BIRTHS- 8,173 SURGERIES- 752,833 LABORATORY TESTSMISSION, VISION & VALUES MISSIONWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISIONINSPIRED BY OUR FAITH, WE WILL BE DISTINGUISHED AS THE PREMIER PERSON-CENTERED HEALTH SYSTEM AND TRUSTED PARTNER. WE WILL 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 TO SERVE MORE PEOPLE IN PARTNERSHIPS WITH OTHERS WHO SHARE OUR VISION AND VALUES. VALUESCARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON.EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS.GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS.INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE.SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES. STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.ST. VINCENT HEALTHCARE OFFERS A WIDE VARIETY OF SERVICES TO THE COMMUNITY:- BARIATRIC SURGERY - BEHAVIORAL HEALTH- BLOOD CONSERVATION PROGRAM- BRAIN INJURY REHABILITATION- CANCER CARE- CARDIOLOGY- CARELINE- DERMATOLOGY- DIABETES CENTER- EMERGENCY SERVICES- GI DIAGNOSTIC CENTER- INTENSIVE CARE SERVICES- JOINT REPLACEMENT CENTER- LAB SERVICES- LIVING WELL- MAMMOGRAPHY- MANSFIELD HEALTH EDUCATION CENTER- WOMEN'S HEALTH- MS CLINIC- NEUROSCIENCE- NURSE ADVISOR- OCCUPATIONAL HEALTH SERVICES- ORTHOPEDIC SERVICES- OTOLARYNGOLOGY - OUTREACH- PAIN CENTER- PEDIATRICS- PRIMARY CARE- RADIOLOGY AND IMAGING SERVICES- REHABILITATION- RESPIRATORY- RONALD MCDONALD CARE MOBILE- SENIOR SERVICES- SLEEP CENTER- SPORTS MEDICINE- STROKE- SURGERY SERVICES- TELEHEALTH- TRAUMA OUTREACH- UROLOGY- VASCULAR CENTER- WALK IN CARE- WEIGHT MANAGEMENT- WOUND HEALING CENTER 363087887 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 304 0 1 2491 1 1 1 0 0 0 0 0 0 0 0 0 X 13 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X KYLE ENGMAN 3038135543 500 ELDORADO BLVD SUITE 4200 BROOMFIELD CO 80021 DANE BRADFORD DIRECTOR 1.00 0.00 X 0 0 0 DANIELLE EMERY MD SECRETARY/TREASURER 2.00 0.00 X X 0 0 0 DENNIS MAIER MD VICE CHAIR 2.00 0.00 X X 0 0 0 JASON BARKER CEO 1/14-4/30 50.00 0.00 X X 0 386722 12674 KATHY BOELTER DIRECTOR 1.00 0.00 X 0 0 0 KEITH LAUVER DIRECTOR 1.00 0.00 X 0 0 0 KURT ALME DIRECTOR 1.00 0.00 X 0 0 0 MARTHA ARGUELLES DIRECTOR 1.00 0.00 X 0 0 0 RALPH COSTANZO MD DIRECTOR 1.00 0.00 X 0 0 0 RICHARD LOPES MD DIRECTOR 1.00 50.00 X 0 766640 419697 SISTER BARBARA ALDRICH DIRECTOR 1.00 0.00 X 0 0 0 SISTER BERNADETTE HELFERT DIRECTOR 1.00 0.00 X 0 0 0 TERRILL MOORE CHAIR 2.00 0.00 X X 0 0 0 RON OLDFIELD VICE PRES FINANCIAL SVS - SVB 50.00 0.00 X 0 238127 54186 STEVE LOVELESS PRES CEO SVH-MT REG STARTING 5/1 50.00 0.00 X 0 411708 69075 MICHAEL BUSH MD VP-CHIEF MEDICAL OFFICER-SVH 50.00 0.00 X 0 381793 85911 JEFFREY ZAVALA CMO SVB PHYSICIAN NETWORK 50.00 0.00 X 0 333125 78497 ROBERT DOWDY VP STRATEGY-BUSINESS DEV SVB 50.00 0.00 X 0 237196 54193 DARREN WALKER VP HUMAN RESOURCES SVB-HRH 50.00 0.00 X 0 210694 50278 BLANCHE GILMORE VP PATIENT CARE SERVICES - SVB 50.00 0.00 X 0 189731 39493 MICHAEL COPELAND MD PHYSICIAN 50.00 0.00 X 910019 0 43960 STUART GOODMAN MD PHYSICIAN-MD-SURG-ANES2 50.00 0.00 X 802403 0 47918 WILLIAM SPIRE MD PHYSICIAN 50.00 0.00 X 767971 0 44295 MARK MORASCH MD PHYSICIAN 50.00 0.00 X 735825 0 46715 LEE MCNEELY MD PHYSICIAN 50.00 0.00 X 667164 0 25408 DAVID IRION FORMER KEY EMPLOYEE 0.00 0.00 X 186999 0 32603 JILL KENNELLY FORMER KEY EMPLOYEE 0.00 0.00 X 0 126130 6067 JOAN THULLBERY FORMER KEY EMPLOYEE 0.00 0.00 X 170062 0 25584 JOHN KINNA FORMER KEY EMPLOYEE 0.00 0.00 X 193952 0 7576 4434395 3281866 1144130 193 1 1 0 HEMATOLOGY ONCOLOGY CENTERS 1315 GOLDEN VALLEY CIRCLE BILLINGS MT 59102 ONCOLOGY PHYSICIANS 4763373 FRONTIER ONCOLOGY 1315 GOLDEN VALLEY CIRCLE BILLINGS MT 59106 ONCOLOGY BLDG/EQUIP 3448365 MONTANA HEART INSTITUTE 2900 12TH AVE N STE 204E BILLINGS MT 591017506 CARDIOLOGY SERVICES 2738802 MONTANA FAMILY PRACTICE 123 S 27TH ST STE B BILLINGS MT 591014200 FAM PRAC RESIDENCY 1917954 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 CONTRACT LABOR 1726419 51 10210339 1217771 11428110 PATIENT SERVICE REVENUE 622110 408782437 406082461 2699976 408782437 4430376 4430376 1081802 956487 125315 125315 125315 13289266 9895 0 0 13289266 9895 13299161 13299161 CAFETERIA SALES 722310 1785153 1569856 215297 PARKING LOT FEES 900099 134252 134252 VENDING MACHINE COMMISSIONS 900099 11903 11903 18358 18358 1949666 440015065 407670675 2915273 18001007 1505049 1505049 2833403 2634508 198895 133686214 124301891 9384323 7502288 7198134 304154 17925042 16901181 1023861 8732302 8225864 506438 246547 621 245926 12404 12404 27027223 21195890 5831333 2026711 1998730 27981 1955687 1431874 523813 16192601 13160330 3032271 1830454 1350538 479916 524061 268413 255648 15158698 15158698 3375131 1075995 2299136 MEDICAL SUPPLIES 69244159 69244159 SYSTEM ALLOCATION 44949895 38107707 6842188 BAD DEBT EXPENSE 17311015 17311015 MEDICAID PROVIDER TAXES 2594850 2594850 25051164 19422440 5628724 399684898 363087887 36597011 0 2386170 150631 4983 62711281 73795232 22429 52797 1013721 815489 6464315 6871129 5400074 6057730 378729159 260608196 121296685 118120963 4386262 2648430 263458 59108 273522198 303665029 477471576 512236538 23779011 26546569 0 520044 23779011 27066613 X 453692565 485169925 453692565 485169925 477471576 512236538 X 40330167 -6708146 -3660 -2141001 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 12404 12404 0 PART II-B, LINE 1: FEDERAL AND STATE LOBBYING WAS PERFORMED ON BEHALF OF THE ORGANIZATION BY AN OUTSIDE THIRD PARTY. A PERCENTAGE OF MONTANA HOSPITAL ASSOCIATION DUES WAS ALSO CONSIDERED FOR LOBBYING ACTIVITIES. 22166108 27735435 361820 6210518 3413695 40639150 19944937 9541014 1046819 5289936 3076726 22166108 17928484 4861760 670983 1704966 1811324 19944937 17315205 4759507 -155529 2728621 1262078 17928484 13018507 7120185 557080 1940841 1439726 17315205 0.42000 0.18000 0.40000 0 1 1 18827005 18827005 170363685 113775291 56588394 14990781 9352517 5638264 170995931 137480388 33515543 3551757 3551757 118120963 INTERCOMPANY RECEIVABLE 296116620 OTHER ACCT RECEIVABLE 7548409 303665029 3RD PARTY SETTLEMENTS 520044 520044 1 1 X 1 X 1 X 1 1 0 1 1 12402428 12402428 0.03240 31828121 22113588 9714533 0.02540 1032123 1929393 -897270 0.00000 45262672 24042981 21219691 0.05780 1109757 21700 1088057 0.00280 305780 21375 284405 0.00070 12714566 7268499 5446067 0.01420 358281 358281 0.00090 585983 42 585941 0.00150 15074367 7311616 7762751 0.02010 60337039 31354597 28982442 0.07790 45948 45948 0.00010 46104 46104 0.00010 92052 92052 0.00020 1 17311015 0 89486943 117875034 -28388091 X 1 1 1 ATHLETIC MEDICINE & PERFORMANCE LLC PHYSICAL THERAPY 0.33330 0.00000 0.47410 2 ROCKY MOUNTAIN HEALTH NETWORK INC PHO - ADMINISTRATIVE SERVICES 0.50000 0.00000 0.50000 1 1 ST VINCENT HEALTHCARE 1233 NORTH 30TH STREET BILLINGS MT 59101 WWW.SVH-MT.ORG 13258 X X X X DURABLE MED EQP & OUTPAT. PHY. CLINIC ST VINCENT HEALTHCARE 1 0 0 1 X X X X X X X X X 14 1 1 1 1 X WWW.SVH-MT.ORG YELLOWSTONECOUNTY.HEALTHFORECAST.NET X 1 14 1 WWW.SVH-MT.ORG 0 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X X X X X X X X 1 X 0 X X X X 1 X 0 0 ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 5: THE 2014 COMMUNITY HEALTH ASSESSMENT FOR YELLOWSTONE COUNTY IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF OUR POPULATION. SUBSEQUENTLY, THIS INFORMATION WILL BE USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS, INCLUDING SERVING AS THE BASIS FOR THE COUNTY'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THIS ASSESSMENT WAS CONDUCTED ON BEHALF OF BILLINGS CLINIC, RIVERSSTONE HEALTH (THE LOCAL PUBLIC HEALTH DEPARTMENT), AND ST. VINCENT HEALTHCARE BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). 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 U.S. SINCE 1994. ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 6A: BILLINGS CLINIC - BILLINGS, MONTANA ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 11: SIGNIFICANT NEEDS IDENTIFIED IN ST. VINCENT HEALTHCARE'S (SVH) 2014 CHNA BEST REPRESENT THE COMMUNITY BASED ON INFORMATION GATHERED THROUGH THIS CHNA AND GUIDELINES SET FORTH IN HEALTHY PEOPLE 2020. THESE NEEDS, CALLED 'AREAS OF OPPORTUNITY' WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA INCLUDING COMPARISON WITH BENCHMARK DATA, TRENDS, SIGNIFICANT FINDING WITHIN TOPIC AREAS, MAGNITUDE OF THE ISSUE IN TERMS OF NUMBER OF PERSONS AFFECTED AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. IN ALPHABETICAL ORDER, THEY ARE:1) ACCESS TO HEALTH SERVICES2) CANCER3) CHRONIC KIDNEY DISEASE4) DEMENTIA, INCLUDING ALZHEIMER'S5) INJURY & VIOLENCE6) INFANT HEALTH & FAMILY PLANNING7) MENTAL HEALTH & MENTAL DISORDERS8) NUTRITION, PHYSICAL ACTIVITY & WEIGHT9) RESPIRATORY DISEASE10) SUBSTANCE ABUSE11) TOBACCO USEBASED ON THIS LIST, SVH SELECTED THE FOLLOWING TOP NEEDS TO BE ADDRESSED IN THE HOSPITAL IMPLEMENTATION PLAN:1) IMPROVE ACCESS TO CARE2) IMPROVE MENTAL HEALTH AND REDUCE SUBSTANCE ABUSE3) IMPROVE HEALTHY WEIGHT STATUSTO ADDRESS THESE NEEDS, THE HOSPITAL IS USING COMMUNITY ACTIVITIES THAT WORK IN SUPPORT OF AND COMPLEMENT THOSE OF RIVERSTONE HEALTH (THE LOCAL PUBLIC HEALTH AGENCY) AND BILLINGS CLINIC (A HOSPITAL AND PARTNER IN THE CHNA). THE ITEMS ADDRESSED ARE ONLY BUT A FEW THAT SVH IS DOING TO ADDRESS THE NEEDS OF THE COMMUNITY. TO VIEW A COMPREHENSIVE LIST OF HOW THE HOSPITAL IS ADDRESSING ITS TOP NEEDS, PLEASE VISIT THE HOSPITAL'S IMPLEMENTATION PLAN AT HTTPS://WWW.SVH-MT.ORG/ABOUT-US/COMMITMENT-TO-OUR-COMMUNITY/.TO ADDRESS ACCESS TO CARE, SVH IS DEVELOPING AN ADVOCACY STRATEGY TO ADVOCATE FOR MEDICAID EXPANSION AND BE A VOICE FOR THOSE IN FINANCIAL NEED. FOR SVH, THE ADVOCACY WILL INCLUDE OTHER MONTANA CATHOLIC HOSPITALS. SVH IS ALSO ACTIVELY PARTICIPATING IN A COLLABORATIVE THAT ENSURES HEALTH CARE PROMOTION IS PROVIDED TO ALL MONTANA RESIDENTS AND COVERED BY HEALTH INSURERS. TO PROMOTE ACCESS TO SPECIALTY SERVICES AND PREVENTATIVE CARE, SVH IS INCREASING THE NUMBER OF NURSES CERTIFIED IN FAITH-BASED CARE, WILL ESTABLISH A RURAL STRATEGY TO IDENTIFY THOSE REGIONS THAT ARE UNDERSERVED (WITH A SPECIAL EMPHASIS ON NATIVE AMERICAN POPULATIONS), WILL PROVIDE SCHOOL-BASED SCREENINGS VIA A MOBILE UNIT, AND USE TELEMEDICINE FOR PEDIATRIC OUTREACH. BECAUSE SVH HAS A NETWORK OF PRIMARY CARE PROVIDERS, THERE IS A PUSH TO INCREASE THE NUMBER OF CLINICS THAT BECOME CERTIFIED AS A PATIENT CENTERED MEDICAL HOME. TO ADDRESS MENTAL HEALTH/SUBSTANCE ABUSE, SVH IS ACTIVELY PARTICIPATING IN THE YELLOWSTONE COUNTY PAIN PRESCRIPTION TASK FORCE, AND CONTINUES ITS GENEROUS FINANCIAL AND IN-KIND SUPPORT OF THE BILLINGS COMMUNITY CRISIS CENTER. WHEN ADDRESSING IMPROVEMENT IN HEALTHY WEIGHT STATUS, SVH IS EXPANDING ITS WORK WITH BILLING'S HEALTHY BY DESIGN COLLABORATIVE, A CROSS-SECTOR COALITION WORKING IN YELLOWSTONE COUNTY TO CREATE A COMMUNITY THAT EMBRACES A CULTURE OF HEALTH AND WELL-BEING. SVH WILL PROVIDE LEADERSHIP TO COMMUNITY HEALTH EFFORTS AT SCHOOLS AND SOCIAL MARKETING CAMPAIGNS GEARED TOWARD CHILDREN AS WELL AS SUPPORT ACTIVE LIVING EVERY DAY CLASSES THE PROMOTE PHYSICAL ACTIVITY. SVH WILL CONTINUE TO SUPPORT DIABETES PREVENTION PROGRAMS AND INCREASE THE NUMBER SERVED TO REDUCE BMI AND ACHIEVE HEALTHY WEIGHT. IN THE COMMUNITY, SVH WILL CONTINUE TO PROVIDE FRESH PRODUCE TO NON-PROFIT ORGANIZATIONS (THE SVH CHARITY GARDEN) AND BE ACTIVELY INVOLVED IN THE GARDENER'S MARKET.EACH OF THE HEALTH NEEDS IDENTIFIED IN THE YELLOWSTONE CHNA ARE IMPORTANT TO SVH YET BECAUSE NUMEROUS PARTNERS THROUGHOUT THE COMMUNITY ARE ADDRESSING THESE NEEDS THROUGH INNOVATIVE PROGRAMS AND INITIATIVES, THE SVH IMPLEMENTATION PLAN FOCUSES ON ITS SELECTED PRIORITIES IN ORDER TO ALLOCATE APPROPRIATE TIME AND RESOURCES TO SUCCESSFUL TACTICS AND ACTIONS. 51 ATHLETIC MEDICINE & PERFORMANCE LLC 1144 NORTH 28TH STREET BILLINGS MT 59101 ATHLETIC MEDICINE SVHC PED GI BUTTE 1232 N 30TH SUITE 200 BILLINGS MT 591010128 CLINIC SVHC INTERNAL MEDICINE ASSOC 1233 N 30TH ST BILLINGS MT 591010127 INTERNAL MEDICINE SVHC CODY 720 LINDSAY LANE SUITE A CODY WY 824144103 CLINIC SVHC CODY OBGYN 1728 8TH STREET CODY WY 82414 OB CLINIC SVHC DERMATOLOGY 2900 12TH AVE STE 265W BILLINGS MT 591017513 DERMATOLOGY MEDICINE SVHC- EMERGENCY MEDICINE 400 S CLARK ST BUTTE MT 59701 EMERGENCY MEDICINE SVHC FCC MED ONC 1315 GOLDEN VALLEY CIRCLE BILLINGS MT 59102 ONCOLOGY MEDICINE SVHC FORTIN PEDIATRIC SPECIALITY 1232 N 30TH ST BILLINGS MT 59101 PEDIATRIC MEDICINE SVHC GASTROENTEROLOGY 1144 N BROADWAY SUITE C BILLINGS MT 59101 GASTROENTEROLOGY MEDICINE SVHC YELLOWSTONE UROLOGY 2900 12TH AVE N STE 503E BILLINGS MT 59101 UROLOGY MEDICINE SVHC HEART & VASCULAR CENTER 2900 12TH AVE N STE 310W BILLINGS MT 591017588 VASCULAR MEDICINE SVHC HOSPITALIST NEUROLOGIST 1233 N 30TH ST BILLINGS MT 59101 NEUROLOGY MEDICINE SVHC HOSPITALISTS 1233 N 30TH ST BILLINGS MT 591010127 CLINIC SVHC INTERNAL MEDICINE & DIABETES 2900 12TH AVE NORTH SUITE 160W BILLINGS MT 59101 INTERNAL MEDICINE SVHC LAUREL MEDICAL CENTER 1035 1ST AVE LAUREL MT 590442119 CLINIC SVHC LONG TERM CARE 1101 N 27TH ST STE 101 BILLINGS MT 591010100 CLINIC SVHC MATERNAL FETAL MEDICINE 2900 12TH AVE NORTH SUITE 130W BILLINGS MT 59101 FETAL MEDICINE SVHC MIDWIFERY & WMN'S HEALTH 1230 NO 30TH BILLINGS MT 591010128 CLINIC SVHC MONTANA HEART 2900 12TH AVE NORTH SUITE 204E BILLINGS MT 59101 CARDIAC MEDICINE SVHC MOUNTAIN VIEW CLINIC 10 ROBINSON LANE RED LODGE MT 59068 CLINIC MEDICINE SVHC NEONATOLOGY 1233 N 30TH ST BILLINGS MT 591010127 NEONATOLOGY MEDICINE SVHC NORTH SHILOH 2900 12TH AVE STE 502E BILLINGS MT 591017504 CLINIC SVHC OCCUPATIONAL HEALTH 1027 NORTH 27TH ST BILLINGS MT 59101 CLINIC SVHC PAIN CENTER 2900 12TH AVE STE 335W BILLINGS MT 591017506 PAIN MEDICINE SVHC PALLIATIVE CARE 1233 N 30TH STREET BILLINGS MT 59101 CLINIC SVHC PHYSIATRY CLINIC 2900 12TH AVE STE 201E BILLINGS MT 591017504 CLINIC SVHC REDLODGE PT 810 N BROADWAY REDLODGE MT 59068 PHYSICAL THERAPY MEDICINE SVHC SLEEP & RESPIRATORY CENTER 2900 12TH AVE STE 300E BILLINGS MT 591017504 CLINIC SVHC WEST GRAND FAM MED CLINIC 2750 GRAND AVE BILLINGS MT 59102 FAMILY MEDICINE SVHC ABSAROKEE MEDICAL CLINIC 55 NORTH MONTANA ABSAROKEE MT 59001 CLINIC SVHC BEHAVIORAL HEALTH 2900 12TH AVE STE 280W BILLINGS MT 591017504 BEHAVIORAL CLINIC SVHC BIG SKY OBGYN 2900 12TH AVE STE 245W BILLINGS MT 591017504 OB CLINIC SVHC BILLINGS OBGYN & ASSOCIATES 1611 ZIMMERMAN TRAIL BILLINGS MT 59102 OB CLINIC SVHC BROADWATER CLINIC 2019 BROADWATER AVE BILLINGS MT 59102 CLINIC SVHC BROADWATER WALK IN CLINIC 2019 BROADWATER AVE BILLINGS MT 59102 CLINIC SVHC FCC CODY MEDICAL ONCOLOGY 1728 8TH ST CODY WY 82414 ONCOLOGY MEDICINE SVHC CODY RADIATION ONCOLOGY 1025 9TH ST CODY WY 824143441 ONCOLOGY MEDICINE SVHC HARDIN MEDICAL CLINIC 16 NORTH MILES AVE HARDIN MT 590342356 CLINIC SVHC HEIGHTS FAMILY PRAC CLINIC 32 WICKS LANE BILLINGS MT 59105 FAMILY MEDICINE SVHC NEPHROLOGY ASSOCIATES 1041 N 29TH STREET BILLINGS MT 59101 NEPHROLOGY MEDICINE SVHC ORTHO MONTANA 2900 12TH AVE NORTH SUITE 140W BILLINGS MT 59101 ORTHOPEDIC MEDICINE SVHC OUTPATIENT NEUROLOGY 1041 NORTH 29TH STREET BILLINGS MT 59101 NEUROLOGY MEDICINE SVHC RONALD MCDONALD CLINIC 1232 N 30TH ST BILLINGS MT 59101 CLINIC SVHC SEEDED ENT 2900 12TH AVE NORTH SUITE 204E BILLINGS MT 59101 CLINIC SVHC WEIGHT MANAGEMENT CLINIC 2900 12TH AVE N STE 160W BILLINGS MT 591017588 CLINIC SVHC CCBDC 1233 N 30TH AVE BILLINGS MT 59101 CLINIC SVHC NEUROSURGERY PBMS CENTER 1041 NORTH 29TH STREET BILLINGS MT 59101 NEUROLOGY MEDICINE SVHC NEUROSURGERY 1041 NORTH 29TH STREET BILLINGS MT 59101 NEUROLOGY MEDICINE SVHC - ST VINCENT'S WALK-IN CLINIC 1233 N 30TH ST BILLINGS MT 591010127 CLINIC SVHC-RONALD MCDONALD CLINIC 1233 N 30TH STREET BILLINGS MT 59101 CLINIC 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 $ 17,311,015. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES, THOSE THAT ENHANCE EXISTING EFFORTS OR FILL GAPS OF COMMUNITY NEED, INCLUDE PROGRAMS THAT SUPPORT THOSE IN THE COMMUNITY WHO ARE LIVING AT OR BELOW POVERTY. ADMINISTRATIVE LEADERSHIP AND ITS EMPLOYEES PERFORMED CIVIC ACTIVITIES IN WHICH THE SOCIAL AND PHYSICAL HEALTH OF THE COMMUNITY WAS ADVOCATED AS A PRIORITY BY THE HOSPITAL. IN 2014, SVH ADMINISTRATION AND EMPLOYEES PARTICIPATED IN THE FOLLOWING COMMUNITY MEETINGS AND ACTIVITIES: HEALTH INSURANCE CONSORTIUM, ADVOCACY FOR ACCESS TO HEALTH AND PUBLIC HEALTH IMPROVEMENT, DRESS FOR SUCCESS, YWCA, MONTANA STATE UNIVERSITY ALUMNI ASSOCIATION, MONTANA GOVERNOR'S COMMITTEE FOR THE HUMANITIES, PARTICPATION ON THE MONTANA HOUSING STATUS SURVEY, BIG BROTHER BIG SISTER, SPECIAL OLYMPICS, BIG SKY ECONOMIC DEVELOPMENT BOARD, BILLINGS CHAMBER OF COMMERCE, BILLINGS COMMUNITY CONNECT, BILLINGS COMMUNITY FOUNDATION BOARD, BILLINGS WORKS COUNCIL, MONTANA HEALTH FEDERAL CREDIT UNION BOARD, BROADWATER SCHOOL BOARD, CITY SUMMIT ON HOMELESSNESS, DAY OF CARING, HABITAT FOR HUMANITY, HIGHWAY CLEANUP EVENTS, KIWANA'S CLUB, LOCAL MEDICAL SUPPLY DONATIONS, MISSION UNITED BOARD,MONTANA RESCUE MISSION, ST. LABRE BOARD, ST. VINCENT DEPAUL BOARD, AND OTHERS.SCHEDULE H, PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE TO HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF BAD DEBT. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE 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 RECEIVES 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. VINCENT HEALTHCARE (SVH) 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 SVH. SUBSEQUENTLY, THIS INFORMATION WAS USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS AS DESCRIBED IN THE HOSPITAL'S IMPLEMENTATION PLAN.THE YELLOWSTONE 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 YELLOWSTONE ASSESSMENT WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) ON BEHALF OF SVH, IN PARTNERSHIP WITH RIVERSTONE HEALTH, THE LOCAL HEALTH DEPARTMENT, AND BILLINGS CLINIC, ANOTHER HOSPITAL IN THE CITY OF BILLINGS. PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING CHNAS SUCH AS THIS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994.THE YELLOWSTONE 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 THE DEVELOPMENT OF A SURVEY INSTRUMENT (AS DEVELOPED BY THE YELLOWSTONE COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY GROUP) WHICH REACHED 400 RESIDENTS USING A TELEPHONE-INTERVIEW METHODOLOGY AS WELL AS IN-PERSON FOCUS GROUPS WHICH CAPTURED THE INPUT OF 38 KEY INFORMANTS. KEY INFORMANTS WERE REPRESENTED BY PHYSICIANS, PUBLIC HEALTH, COMMUNITY LEADERS, ELECTED OFFICIALS AND SOCIAL SERVICES. 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 ASSITANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICYY AND APLLICATION 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: THE STUDY AREA FOR THE YELLOWSTONE CHNA SURVEY EFFORT (REFERRED TO AS "YELLOWSTONE COUNTY" IN THIS REPORT) INCLUDES EACH OF THE ZIP CODES SIGNIFICANTLY REPRESENTED IN THE COUNTY: 59002, 59006, 59015, 59024, 59037, 59044, 59057, 59064, 59079, 59088, 59101, 59102, 59105, AND 59106. AS THE LARGEST CITY IN A 500 MILE RADIUS, BILLINGS SERVES AS A COMMERCIAL AND TRANSPORTATION HUB FOR THE STATE, AS WELL AS A MAJOR CENTER FOR EDUCATION AND MEDICAL SERVICES. BILLINGS BENEFITS FROM HAVING A DIVERSIFIED ECONOMY, WHERE OIL AND GAS, HEALTHCARE, LIVESTOCK, AND BANKING PLAY SIGNIFICANT ROLES. THE CITY BOASTS THREE COLLEGES (MSU-BILLINGS, MSU-B COLLEGE OF TECHNOLOGY, AND ROCKY MOUNTAIN COLLEGE), TWO MAJOR HOSPITALS, TWO OIL REFINERIES, AND AN INTERNATIONAL AIRPORT. COVERING 2,633 SQUARE MILES WITH AN ESTIMATED POPULATION OF 151,882 RESIDENTS IN 2012, YELLOWSTONE COUNTY IS THE ONLY COUNTY WHICH IS NOT DESIGNATED AS "RURAL." BILLINGS, THE COUNTY SEAT, IS THE STATE'S LARGEST CITY, WITH A 2012 POPULATION ESTIMATED AT 106,954. OTHER CITIES AND TOWNS IN YELLOWSTONE COUNTY INCLUDE: ACTON, BALLANTINE, BROADVIEW, CUSTER, HUNTLEY, LAUREL, POMPEY'S PILLAR, SHEPARD, AND WORDEN. THE UNEMPLOYMENT RATE FOR YELLOWSTONE COUNTY AS OF NOVEMBER 2013 IS 3.6% COMPARED TO A STATEWIDE RATE OF 5%. PERSONS BELOW THE POVERTY LEVEL IN YELLOWSTONE COUNTY (PER 2008-2012 DATA) STAND AT 11.9% COMPARED WITH 14.8% STATEWIDE. MONTANA'S LARGEST MINORITY POPULATION IS AMERICAN INDIAN, AT 6.3% OF THE STATE'S POPULATION COMPARED TO 0.9% NATIONALLY. IN YELLOWSTONE COUNTY, AMERICAN INDIANS MAKE UP 4.3% OF THE POPULATION, WITH SLIGHTLY MORE HISPANIC PEOPLE AT 4.9%. THE U.S. CENSUS BUREAU PROJECTS THAT BY 2025, MONTANA WILL HAVE THE THIRD HIGHEST PERCENTAGE OF ELDERLY IN THE NATION, WITH NEARLY A FIFTH OF ITS POPULATION ESTIMATED TO BE OVER THE AGE OF 65. 2012 CENSUS ESTIMATES INDICATE 15.7% OF MONTANANS ARE 65 OR OLDER AND 14.7% OF YELLOWSTONE COUNTY RESIDENTS ARE 65 AND OLDER. BY CONTRAST, PERSONS UNDER 18 STAND AT 22.1% AND 23.5%, RESPECTIVELY. THE POPULATION IN YELLOWSTONE COUNTY INCREASED BY 2.6% FROM APRIL 1, 2010 TO JULY 1, 2012 COMPARED WITH A STATEWIDE POPULATION INCREASE OF 1.6%. AS DESCRIBED IN THE 2012 STATE PUBLIC HEALTH ASSESSMENT, MONTANA'S POPULATION IS HOVERING AROUND 1 MILLION PEOPLE IN AN AREA OF NEARLY 146,000 SQUARE MILES. IN THIS WIDE OPEN SPACE, THERE ARE ONLY SEVEN CITIES WITH MORE THAN 20,000 RESIDENTS AND 15 COMMUNITIES WITH 5,000 TO 19,999 RESIDENTS. NEARLY ALL THE STATE'S COMMUNITIES AND COUNTIES IN MONTANA ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) WITH MEDICALLY UNDERSERVED POPULATIONS (MUPS). PART VI, LINE 5: ST. VINCENT HEALTHCARE OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. OUR ORGANIZATION HAS A VOLUNTEER GOVERNING BODY IN WHICH INDEPENDENT PERSONS REPRESENTATIVE OF THE COMMUNITY COMPRISE A MAJORITY. THIS BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. ST. VINCENT HEALTHCARE ENGAGES IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS AND PARTICIPATES IN MEDICAID, MEDICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS.ST. VINCENT HEALTHCARE ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT. ST. VINCENT HEALTHCARE'S COMMUNITY BENEFIT WORK IS DRIVEN BY COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS AND THE BROADER COMMUNITY. COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION AND STAFF AND BOARD EDUCATION IS CONDUCTED. DEDICATED STAFF IS COMMITTED TO COMMUNITY BENEFIT EFFORTS. ST. VINCENT HEALTHCARE EMPLOYS THE STAFF OF ST. VINCENT HEALTHCARE FOUNDATION, A NON-PROFIT ORGANIZATION THAT PROVIDES GRANT WRITING AND FUNDRAISING FOR BOTH ST. VINCENT HEALTHCARE PROGRAMS AND FOR COMMUNITY BENEFIT PROGRAMS THAT REACH BOTH THE POOR AND THE BROADER COMMUNITY.OPERATIONS OF THE ST. VINCENT HEALTHCARE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN ST. VINCENT HEALTHCARE HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT 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. ST. VINCENT HEALTHCARE CO-LEADS COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE ALLIANCE AND COMMITS TIME AND FINANCIAL RESOURCES TO FULFILLING GOALS OUTLINED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY. COMMUNITY LEVEL PRIORITIES INCLUDE INCREASING ACCESS TO HEALTHCARE SERVICES, IMPROVING HEALTH WEIGHT STATUS AND MENTAL HEALT. EMPLOYEES USE PAID WORK TIME TO SUPPORT THESE AND BROADER COMMUNITY HEALTH IMPROVEMENT EFFORTS WITH A VARITY OF PARTNERS INCLUDING: THE ALLIANCE, HEALTHY BY DESIGN, INTERFAITH HOSPITALITY NETWORK, BILLINGS AREA CHAMBER OF COMMERCE, RIVERSTONE HEALTH, MONTANA HOSPITAL ASSOCIATION, UNITED WAY OF YELLOWSTONE COUNTY, YMCA, BIG BROTHERS, BIG SISTERS, RONALD MCDONALD HOUSE, NATIVE AMERICAN DEVELOPMENT CORPORATION, MONTANA CANCER CONTROL COALITION, THE AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCATION, AMERICAN HEART ASSOCIATION, BILLINGS ACTION FOR HEALTHY KIDS, BILLINGS PUBLIC SCHOOLS, SPECIAL OLYMPICS, YWCA, COMMUNITY CRISIS CENTER, HEAD START, ADULT RESOURCE ALLIANCE, COMMUNITY LEADERSHIP DEVELOPMENT INC, ST. VINCENT DE PAUL SOCIETY, AND YOUNG FAMILIES/EARLY HEAD START. WE SUPPORT OUR EMPLOYEES IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS, AND PROVIDE OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS FOOD DRIVES AND AN ANNUAL UNITED WAY GIVING CAMPAIGN. PART VI, LINE 6: ST. VINCENT 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 EIGHT HOSPITALS, FOUR 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 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. VINCENT 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, AND MISSION INTEGRATION. 1 ST VINCENT HEALTHCARE FOUNDATION 1106 NORTH 30TH STREET BILLINGS MT 59101 810468034 501(C)(3) 1124165 SUPPORT OPERATIONS COMMUNITY LEADERSHIP DEV BOX 3381 - 103 BILLINGS MT 59103 810397424 501(C)(3) 100000 MISSION FUND AWARD 2014 SPECIAL OLYMPICS MONTANA PO BOX 3507 GREAT FALLS MT 59403 810367064 501(C)(3) 100000 MISSION FUND AWARD 2014 SAINT VINCENT DE PAUL 2610 MONTANA AVE BILLINGS MT 59101 910879988 501(C)(3) 50000 SUPPORT CHARITY YWCA 909 WYOMING AVE BILLINGS MT 59101 810534954 501(C)(3) 31500 MISSION FUND AWARD 2014 AMERICAN HEART ASSOCIATION 2812 1ST AVE NORTH BILLINGS MT 59101 135613797 501(C)(3) 30000 EVENT SPONSORSHIP RIVERSTONE HEALTH 123 S 27TH STREET BILLINGS MT 59101 352332179 501(C)(3) 19000 MEDICATION ASSISTANCE PROGRAM BILLINGS AREA CATHOLIC 215 N 31ST STREET BILLINGS MT 59101 816081254 501(C)(3) 10000 STUDENT SCHOLARSHIPS THE WORKING GROUP PO BOX 555 BILLINGS MT 59103 943082546 501(C)(3) 10000 EVENT SPONSORSHIP AMERICAN CANCER SOCIETY 1903 CENTRAL AVE BILLINGS MT 59102 131788491 501(C)(3) 8540 EVENT SPONSORSHIP MARCH OF DIMES FOUNDATION 807 GRAND AVENUE BILLINGS MT 59102 131846366 501(C)(3) 7500 EVENT SPONSORSHIP RAMSEY KELLER MEMORIAL 4456 LAREDO PLACE BILLINGS MT 59106 454856391 501(C)(3) 6500 EVENT SPONSORSHIP MONTANA CHAMBER FOUNDATION 900 GIBBON ST HELENA MT 59624 237059679 501(C)(3) 5610 EVENT SPONSORSHIP AND PROGRAM FEES 13 0 PART I, LINE 2: MISSION FUND POLICIES ST VINCENT HEALTHCARE PROVIDES A LIMITED NUMBER OF GRANTS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN OUR COMMUNITY. GUIDED BY HOSPITAL POLICY, MISSION FUND AWARD PROJECTS MUST: (1) DEMONSTRATE A COMMITTMENT TO THE ST VINCENT HEALTHCARE MISSION, VISION, AND VALUES; (2) MEET CRITERIA FOR INCLUSION IN THE COMMUNITY BENEFIT REPORT; AND (3) DOCUMENT MEASURABLE OUTCOMES THAT DEMONSTRATE THE SUCCESS OF THE PROJECT. PREFERENCE WILL BE GIVEN WHEN THE PROJECT: (1) ADDRESSES CREATIVELY THE UNMET NEEDS OF THE ECONOMICALLY DISADVANTAGED; (2) FORMS COLLABORATIVE PARTNERSHIPS THAT IMPROVE THE HEALTH OF THE COMMUNITY; (3) AIDS A SIGNIFICANT POPULATION OF THE POOR, UNDERSERVED AND/OR UNINSURED; (4) REFLECTS ST VINCENT HEALTHCARE'S ANNUAL AND STRATEGIC GOALS; AND (5) DEMONSTRATE THE POSSIBILITY FOR SUSTAINABILITY BEYOND THE GRANT PERIOD. APPLICATIONS ARE REVIEWED ON AN ANNUAL BASIS BY COMMITTEE. GRANTEES ARE REQUIRED TO PROVIDE A 6-MONTH AND 1-YEAR REPORT TO ST VINCENT HEALTHCARE AND PROVIDE FOR AN ON-SITE VISIT OF THE PROGRAM. AS NOTED IN THE MISSION FUND APPLICATION, IF FUNDS ARE USED OUTSIDE OF PROJECT GUIDELINES THE GRANTEE MAY BE ASKED TO REIMBURSE ST VINCENT HEALTHCARE FOR FUNDS ALREADY DISTRIBUTED FOR THE PROJECT. X 0 1 1 1 0 0 0 0 0 1 0 JASON BARKER CEO 1/14-4/30 0 225590 0 155879 0 5253 0 6809 0 5865 0 399396 0 0 RICHARD LOPES MD DIRECTOR 0 586950 0 153385 0 26305 0 396733 0 22964 0 1186337 0 0 RON OLDFIELD VICE PRES FINANCIAL SVS - SVB 0 211873 0 22971 0 3283 0 38303 0 15883 0 292313 0 0 STEVE LOVELESS PRES CEO SVH-MT REG STARTING 5/1 0 343925 0 31162 0 36621 0 52087 0 16988 0 480783 0 0 MICHAEL BUSH MD VP-CHIEF MEDICAL OFFICER-SVH 0 312667 0 60863 0 8263 0 56621 0 29290 0 467704 0 0 JEFFREY ZAVALA CMO SVB PHYSICIAN NETWORK 0 302276 0 27073 0 3776 0 55001 0 23496 0 411622 0 0 ROBERT DOWDY VP STRATEGY-BUSINESS DEV SVB 0 211347 0 23225 0 2624 0 34279 0 19914 0 291389 0 0 DARREN WALKER VP HUMAN RESOURCES SVB-HRH 0 189693 0 19821 0 1180 0 33611 0 16667 0 260972 0 0 BLANCHE GILMORE VP PATIENT CARE SERVICES - SVB 0 180200 0 0 0 9531 0 18741 0 20752 0 229224 0 0 MICHAEL COPELAND MD PHYSICIAN 897549 0 0 0 12470 0 20800 0 23160 0 953979 0 0 0 STUART GOODMAN MD PHYSICIAN-MD-SURG-ANES2 782835 0 0 0 19568 0 20800 0 27118 0 850321 0 0 0 WILLIAM SPIRE MD PHYSICIAN 729369 0 0 0 38602 0 20595 0 23700 0 812266 0 0 0 MARK MORASCH MD PHYSICIAN 597494 0 125400 0 12931 0 20353 0 26362 0 782540 0 0 0 LEE MCNEELY MD PHYSICIAN 520998 0 133756 0 12410 0 10742 0 14666 0 692572 0 0 0 DAVID IRION FORMER KEY EMPLOYEE 171359 0 9122 0 6518 0 14431 0 18172 0 219602 0 0 0 JILL KENNELLY FORMER KEY EMPLOYEE 0 0 0 0 0 126130 0 0 0 6067 0 132197 0 0 JOAN THULLBERY FORMER KEY EMPLOYEE 146145 0 18943 0 4974 0 7748 0 17836 0 195646 0 0 0 JOHN KINNA FORMER KEY EMPLOYEE 60004 0 0 0 133948 0 3288 0 4288 0 201528 0 0 0 PART I, LINE 1A THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION AND TEMPORARY HOUSING. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2014 WERE: BLANCHE GILMORE. PART I, LINE 1B THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES. PART I, LINES 4A-B THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE AMOUNTS PAID TO LISTED INDIVIDUALS FOR SEVERANCE IN 2014 WERE: JILL KENNELLY - $127,235, JOHN KINNA - $129,242. A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) FOR EXECUTIVES 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. PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC 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. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. IN 2014, THE RELATED ORGANIZATION'S NQDC PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 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. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW 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. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2014 WERE: NONE. FOR CONTRIBUTIONS MADE IN 2014, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2014. 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. IN ADDITION, FOR AMOUNTS CONTRIBUTED 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. THE AMOUNTS WITHDRAWN FROM THE PLAN IN 2014 WERE: NONE. PART I, LINE 7 THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF OPERATING INCOME AND OTHER PLAN PERFORMANCE STANDARDS. AWARDS ARE BASED ON HOW WELL THE HEALTH CARE SYSTEM OR THE CARE SITE PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED BY THE CARE SITE CEO OR THE HEALTH CARE SYSTEM SERVICES SENIOR EXECUTIVE LEADERSHIP TEAM FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLANS ARE BASED ON A COMBINATION OF PERFORMANCE MEASURES. PERFORMANCE MEASURES INCLUDE PATIENT EXPERIENCE, PATIENT SAFETY, EMPLOYEE SAFETY, COMMUNITY BENEFIT AND OPERATING INCOME. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. ADDITIONAL OFFICER AND BOARD DISCLOSURES THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF NINE HOSPITALS, TEN FOUNDATIONS AND FOUR CLINICS IN FOUR 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 IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY AT THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED BY SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS. 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 SYSTEM. HOWEVER, PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. WILLIAM SPIRE MD HIGHEST PAID EMPLOYEE RETENTION LOAN X 140000 52797 0 1 1 52797 FORM 990, PART VI, SECTION A, LINE 6 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. VINCENT HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 7A SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF ST. VINCENT HEALTHCARE, APPOINTS MEMBERS OF ST. VINCENT HEALTHCARE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE BYLAWS REGARDING APPOINTMENT OF BOARD MEMBERS. SCLHS ALSO HAS EXTENSIVE RESERVE POWERS OVER ANY CHANGE IN MISSION, CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS, ACQUISITION OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, AND APPOINTMENT OF AUDITORS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S EXECUTIVES, DIRECTORS, MANAGERS, BOARD MEMBERS, BOARD COMMITTEE MEMBERS, MEDICAL EXECUTIVE COMMITTEE (MEC) MEMBERS AND OTHER PHYSICIANS IN DECISION MAKING ROLES OR SERVING ON COMMITTEES, COMPLETE A NEW CONFLICT OF INTEREST (COI) DISCLOSURE FORM EACH YEAR. A COPY OF THE POLICY IS DISTRIBUTED ALONG WITH THE COI FORMS. IN THE EVENT OF A CHANGE OF CIRCUMSTANCE, EACH INDIVIDUAL WHO HAS ALREADY SIGNED A COI IS EXPECTED TO NOTIFY THE ORGANIZATION OF THE CHANGE AND UPDATE THE CONFLICT OF INTEREST INFORMATION. THE STATEMENTS ARE REVIEWED AND COI ISSUES ARE ADDRESSED BY THE ORGANIZATION'S RESPONSIBILITY OFFICE (ORO) AND LEADERSHIP AT THE APPROPRIATE LEVEL: BOARD MEMBERS - BY BOARD CHAIR PHYSICIANS - BY THE MEC PRESIDENT EXECUTIVES - BY THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. DIRECTORS AND MANAGERS - BY ADMINISTRATION THE SIGNED COI FORMS ARE MAINTAINED IN ADMINISTRATION AND IN COMPLIANCE. THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS FOR THE EXECUTIVES ARE MAINTAINED AT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AT THE BEGINNING OF BOARD AND BOARD COMMITTEE MEETINGS, THE QUESTION OF COI IS ASKED OF THOSE IN ATTENDANCE. WHEN AN ACTUAL CONFLICT IS IDENTIFIED, THE INDIVIDUAL IS EXCUSED FROM PARTICIPATING IN THE DISCUSSIONS AND DECISION-MAKING. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION, THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) SCLHS' PROCESS FOR DETERMINING COMPENSATION FOR THE TOP MANAGEMENT AND SENIOR LEADERSHIP IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE. THIS COMMITTEE IS COMPOSED OF THREE OR MORE MEMBERS WHO ARE NOT CURRENT EMPLOYEES OF SCLHS, OR FORMER EMPLOYEES WITH NO ACTIVE INTEREST IN THE SCLHS' COMPENSATION PROGRAM, INCLUDING AT LEAST TWO MEMBERS OF THE SCLHS BOARD. SCLHS BELIEVES THAT THE INDEPENDENCE OF THESE MEMBERS IS VITAL TO THE INTEGRITY OF THE PROCESS. THE WORK OF THIS COMMITTEE INCLUDES BEING CONSTANTLY AWARE OF THE CURRENT COMPETITIVE MARKET FOR MANAGEMENT AND SENIOR LEADERS, AS WELL AS COMPILING AND MAINTAINING RECORDS OF COMPARABLE COMPENSATION AND BENEFITS DATA, INCLUDING SURVEYS AND OTHER ANALYSES, TO SUPPORT SCLHS' TOTAL COMPENSATION TO EACH INDIVIDUAL. AS PART OF THE REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF TOP MANAGEMENT AND SENIOR LEADERSHIP. 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 EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH THE MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. MINUTES ARE KEPT CONTEMPORANEOUSLY FOR EACH MEETING OF THE COMMITTEE. LIKEWISE, THE COMMITTEE IS RESPONSIBLE FOR ENSURING THAT NO "EXCESS BENEFIT" IS CONFERRED ON AN INDIVIDUAL, OR THAT SUCH COMPENSATION DOES NOT CONSTITUTE PROHIBITED INUREMENT. THIS PROCESS IS COMPLETED FOR ALL SENIOR LEADERSHIP, AT THE AFFILIATE AND SYSTEM LEVEL, AND THE COMMITTEE'S RECOMMENDATION IS THEN SUBMITTED TO THE SCLHS BOARD FOR APPROVAL. THE CHARGE OF THIS COMMITTEE ADHERES TO SCLHS' CORE VALUE OF STEWARDSHIP, ENSURING THAT THE MINISTRY'S RESOURCES HELD IN TRUST ARE NOT WASTED OR MISUSED, AND ARE DEPLOYED TO EFFECTIVELY AND EFFICIENTLY ADVANCE THE MISSION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN ACCOUNTING PRINCIPLE -2,141,001. 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