HOLY ROSARY HEALTHCARE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: HOLY ROSARY HEALTHCARE (EIN 81-0231792)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-10
IRS object ID: 201433149349303058
Schema version: 2013v3.1
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-10T16:26:46-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	178 SOUTH RIO GRANDE ST SUITE 400	AddressLine1
City	SALT LAKE CITY	City
State	UT	State
ZIP Code	84101	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810231792	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY ROSARY HEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% SHARON OWENS	InCareOfNm
Business Name Control	HOLY	BusinessNameControlTxt
Phone	4062373318	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 WILSON STREET	AddressLine1
Address Line2	Suite	AddressLine2
City	MILES CITY	City
State	MT	State
ZIP Code	59301	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Paul Lewis	PersonNm
Person Title	CEO	PersonTitleTxt
Signature	2014-11-06	SignatureDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PAUL LEWIS CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 WILSON STREET	AddressLine1
City	MILES CITY	City
State	MT	State
ZIP Code	59301	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$41,842,118	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HRH-MT.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	428	TotalEmployeeCnt
Total Volunteers	70	TotalVolunteersCnt
Total Gross UBI	$179	TotalGrossUBIAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$1,469,666	CYContributionsGrantsAmt
PY Program Service Revenue	$42,952,231	PYProgramServiceRevenueAmt
CY Program Service Revenue	$39,830,383	CYProgramServiceRevenueAmt
PY Investment Income	$4,377	PYInvestmentIncomeAmt
CY Investment Income	$46,355	CYInvestmentIncomeAmt
PY Other Revenue	$398,694	PYOtherRevenueAmt
CY Other Revenue	$491,442	CYOtherRevenueAmt
PY Total Revenue	$43,355,302	PYTotalRevenueAmt
CY Total Revenue	$41,837,846	CYTotalRevenueAmt
PY Grants And Similar Paid	$32,740	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$26,390	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$20,977,711	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$19,993,993	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$19,704,959	PYOtherExpensesAmt
CY Other Expenses	$22,090,609	CYOtherExpensesAmt
PY Total Expenses	$40,715,410	PYTotalExpensesAmt
CY Total Expenses	$42,110,992	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,639,892	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$273,146	CYRevenuesLessExpensesAmt
Total Assets BOY	$22,726,122	TotalAssetsBOYAmt
Total Assets EOY	$24,474,041	TotalAssetsEOYAmt
Total Liabilities BOY	$1,621,772	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$3,642,837	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$21,104,350	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$20,831,204	NetAssetsOrFundBalancesEOYAmt
Mission	WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$24,609,959	ExpenseAmt
Grant	$26,390	GrantAmt
Revenue	$34,020,523	RevenueAmt
Desc	HOLY ROSARY HEALTHCARE PROVIDES INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO THE POPULATIONS OF EASTERN MONTANA. THESE SERVICES INCLUDE SURGICAL, ONCOLOGY, AND MATERNITY SERVICES, AS WELL AS 24-HOUR EMERGENCY ROOM AND DIAGNOSTIC AND THERAPEUTIC SERVICES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,474,822	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,434,285	RevenueAmt
Desc	HOLY ROSARY HEALTHCARE'S EXTENDED CARE UNIT PROVIDES SHORT-TERM TRANSITIONAL CARE AFTER ILLNESS, INJURY, OR SURGERY, AS WELL AS LONG-TERM CARE FOR THOSE UNABLE TO LIVE INDEPENDENTLY.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$3,983,414	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$2,752,582	RevenueAmt
Desc	HOLY ROSARY HEALTHCARE CLINIC PROVIDES PRIMARY CARE SERVICES. THE CLINIC ALSO MAKES AVAILABLE VARIOUS SPECIALTY SERVICES OFFERED BY VISITING PROVIDERS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$31,068,195	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	85	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	428	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (true)	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SHARON OWENS	PersonNm
Phone	3038135280	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2480 W 26TH AVE SUITE 200B	AddressLine1
City	DENVER	City
State	CO	State
ZIP Code	80211	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Rachel Armstrong
Vice Chair	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Sister Katherine Franchett
Board Member	1.0	0.0	Yes (X)		$0	$0	$0
Ronald Hathaway
Board Member	1.0	0.0	Yes (X)		$0	$0	$0
Stefani Hicswa thru 42013
Board Member	1.0	0.0	Yes (X)		$0	$0	$0
Srs Judith Jackson thru 413
Board Member	1.0	0.0	Yes (X)		$0	$0	$0
Paul Lewis
CEO	40.0	0.0	Yes (X)	Yes (X)	$0	$239,700	$57,544
Donovan McComb thru 62013
Secretary	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Tammie McFarland
Board Member	1.0	0.0	Yes (X)		$0	$0	$0
Roger Muggli thru 102013
Board Member	1.0	0.0	Yes (X)		$0	$0	$0
Niki Munroe Started 72013
Board Member	1.0	0.0	Yes (X)		$0	$0	$0
Bill Oftedal
Chair	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
Polly Petersen PhD
Board Member	1.0	0.0	Yes (X)		$0	$0	$0
Jim Regan Started 72013
Board Member	1.0	0.0	Yes (X)		$0	$0	$0
Traci Schell
Board Member	1.0	0.0	Yes (X)		$0	$0	$0
Jason Barker
CEO - Montana Region	40.0	0.0		Yes (X)	$0	$606,536	$75,737
Carey Calvin
CFO	40.0	1.0		Yes (X)	$0	$156,306	$38,247
Darren Walker
VP Human Resources	1.0	1.0			$0	$199,948	$41,340	Yes (X)
Lisa Sanford
VP Patient Care Services	1.0	0.0			$0	$171,114	$44,122	Yes (X)
Christopher Lieb MD
VP Medical Affairs	40.0	0.0			$188,242	$0	$36,570	Yes (X)
Jeffery Williams MD
Physician Family Practice	40.0	0.0			$305,112	$0	$25,236		Yes (X)
Rande Short MD
ED Med Director Physician	40.0	0.0			$298,266	$0	$19,940		Yes (X)
Dorothy Bradbury MD
ED Med Director Physician	40.0	0.0			$290,466	$0	$12,556		Yes (X)
Lisa Ross MD
Physician Family Practice	40.0	0.0			$173,050	$0	$3,157		Yes (X)
Raylene Starck
Pharmacy Manager	40.0	0.0			$154,309	$0	$30,866		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,409,445	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,373,604	TotReportableCompRltdOrgAmt
Total Other Compensation	$385,315	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	14	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Synaptic Healthcare
2600 Wilson St	Miles City	MT	59301	Clinical Staff	$1,411,693
Weatherby Healthcare
PO Box 972633	Dallas	TX	75397	Contract labor	$365,167
Husch Blackwell
PO Box 802765	Kansas City	MO	64180	Legal services	$313,742
Medefis
PO Box 5068	New York	NY	10087	Contract labor	$230,363
Yellowstone Anesthesia Associates
PO Box 1576	Miles City	MT	59301	Anesthesia	$182,160

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	8	CntrctRcvdGreaterThan100KCnt
Related Organizations	$402,539	RelatedOrganizationsAmt
Government Grants	$1,067,127	GovernmentGrantsAmt
Total Contributions	$1,469,666	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICES REVENUE	Desc
Business	621110	BusinessCd
Total Revenue Column	$39,830,383	TotalRevenueColumnAmt
Related Or Exempt Func Income	$39,830,383	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$39,830,383	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$50,627	TotalRevenueColumnAmt
Exclusion	$50,627	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$114,256	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$114,256	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$114,256	TotalRevenueColumnAmt
Exclusion	$114,256	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$4,272	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$4,272	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$4,272	TotalRevenueColumnAmt
Exclusion	-$4,272	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
FOOD SERVICES	722320	$320,003	$319,824	$179	$0
MANAGEMENT FEES	900099	$6,000	$6,000	$0	$0
ALL OTHER REVENUE		$51,183	$51,183	$0	$0

Field	Value	IRS element (for citing)
Other Revenue Total	$377,186	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$41,837,846	TotalRevenueColumnAmt
Related Or Exempt Func Income	$40,207,390	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$179	UnrelatedBusinessRevenueAmt
Exclusion	$160,611	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$26,390	TotalAmt
Program Services	$26,390	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,855,406	TotalAmt
Program Services	$1,577,095	ProgramServicesAmt
Management And General	$278,311	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$14,257,520	TotalAmt
Program Services	$12,205,710	ProgramServicesAmt
Management And General	$2,051,810	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$636,637	TotalAmt
Program Services	$636,637	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,182,616	TotalAmt
Program Services	$1,877,050	ProgramServicesAmt
Management And General	$305,566	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,061,814	TotalAmt
Program Services	$903,488	ProgramServicesAmt
Management And General	$158,326	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,341,398	TotalAmt
Program Services	$80,000	ProgramServicesAmt
Management And General	$4,261,398	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,672,365	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,672,365	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$5,000	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$5,000	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$680	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$680	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,144,805	TotalAmt
Program Services	$3,826,845	ProgramServicesAmt
Management And General	$317,960	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$164,391	TotalAmt
Program Services	$7,355	ProgramServicesAmt
Management And General	$157,036	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$133,049	TotalAmt
Program Services	$85,462	ProgramServicesAmt
Management And General	$47,587	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$647,133	TotalAmt
Program Services	$74,145	ProgramServicesAmt
Management And General	$572,988	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$177,273	TotalAmt
Program Services	$87,239	ProgramServicesAmt
Management And General	$90,034	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$11,546	TotalAmt
Program Services	$9,734	ProgramServicesAmt
Management And General	$1,812	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,865,810	TotalAmt
Program Services	$1,865,810	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$401,191	TotalAmt
Program Services	$362,959	ProgramServicesAmt
Management And General	$38,232	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$3,695,621	$3,670,525	$25,096	$0
BAD DEBT	$3,095,197	$3,095,197		$0
FOOD SUPPLIES	$439,569	$438,607	$962	$0
NON-MEDICAL SUPPLIES	$340,427	$218,865	$121,562	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$955,154	TotalAmt
Program Services	$19,082	ProgramServicesAmt
Management And General	$936,072	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$42,110,992	TotalAmt
Program Services	$31,068,195	ProgramServicesAmt
Management And General	$11,042,797	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,615,576	BOYAmt
EOY	$1,511,176	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$111,242	BOYAmt
EOY	$111,242	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,767,375	BOYAmt
EOY	$5,714,848	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$9,051	BOYAmt
EOY	$49,295	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$885,693	BOYAmt
EOY	$855,677	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$602,795	BOYAmt
EOY	$733,594	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$42,424,389	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$30,518,015	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$12,140,089	BOYAmt
EOY	$11,906,374	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$178,820	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,415,481	BOYAmt
EOY	$3,591,835	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$22,726,122	BOYAmt
EOY	$24,474,041	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,621,772	BOYAmt
EOY	$3,642,837	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,621,772	BOYAmt
EOY	$3,642,837	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,104,350	BOYAmt
EOY	$20,831,204	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$21,104,350	BOYAmt
EOY	$20,831,204	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$22,726,122	BOYAmt
EOY	$24,474,041	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$273,146	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$680	OtherActivitiesAmt
Total Lobbying Expenditures	$680	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LOBBYING ACTIVITY EXPLANATION	FormAndLineReferenceDesc
Explanation	HOLY ROSARY HEALTHCARE PAYS DUES TO THE MONTANA HOSPITAL ASSOCIATION OF WHICH $680 IS CHARGED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$170,833	BeginningYearBalanceAmt
Contributions	$2,888	ContributionsAmt
Investment Earnings Or Losses	$10,213	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,000	GrantsOrScholarshipsAmt
Other Expenditures	$33,241	OtherExpendituresAmt
Administrative Expenses	$529	AdministrativeExpensesAmt
End Year Balance	$147,164	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$157,436	BeginningYearBalanceAmt
Contributions	$2,655	ContributionsAmt
Investment Earnings Or Losses	$13,771	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,500	GrantsOrScholarshipsAmt
Administrative Expenses	$529	AdministrativeExpensesAmt
End Year Balance	$170,833	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$152,032	BeginningYearBalanceAmt
Investment Earnings Or Losses	$8,504	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,500	GrantsOrScholarshipsAmt
Administrative Expenses	$600	AdministrativeExpensesAmt
End Year Balance	$157,436	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$170,256	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$15,721	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,500	GrantsOrScholarshipsAmt
Administrative Expenses	$3	AdministrativeExpensesAmt
End Year Balance	$152,032	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$126,507	BeginningYearBalanceAmt
Investment Earnings Or Losses	$46,785	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,000	GrantsOrScholarshipsAmt
Administrative Expenses	$36	AdministrativeExpensesAmt
End Year Balance	$170,256	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$135,510	OtherCostOrOtherBasisAmt
Book Value	$135,510	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,714,642	OtherCostOrOtherBasisAmt
Depreciation	$7,472,889	DepreciationAmt
Book Value	$6,241,753	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,477,692	OtherCostOrOtherBasisAmt
Depreciation	$7,411,180	DepreciationAmt
Book Value	$2,066,512	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,700,687	OtherCostOrOtherBasisAmt
Depreciation	$14,198,981	DepreciationAmt
Book Value	$2,600,706	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,296,858	OtherCostOrOtherBasisAmt
Depreciation	$1,434,965	DepreciationAmt
Book Value	$861,893	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$11,906,374	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
COST REPORT SETTLEMENT REC.	$1,254,466
OTHER RECEIVABLE	$1,951,448
ACCRUED INTEREST ON INVESTMENT	$1,129
NET INTERCOMPANY RECEIVABLES	$384,792

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$3,591,835	TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Intended use of endowment funds	FormAndLineReferenceDesc
Explanation	THE INTENDED USE FOR THE KENNETH HOM TRUST ENDOWMENT FUND IS TO PROVIDE NURSING SCHOLARSHIPS. EACH YEAR A SCHOLARSHIP IS AWARDED TO AN INDIVIDUAL WITH EASTERN MONTANA TIES WHO IS PURSUING HIS OR HER NURSING EDUCATION. IN 2013 ONE SCHOLARSHIP WAS AWARDED. ENDOWMENT FUNDS ARE HELD BY THE HOLY ROSARY HEALTHCARE FOUNDATION.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$576,658	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$576,658	NetCommunityBenefitExpnsAmt
Total Expense	0.01490	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,819,847	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,863,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$1,043,231	NetCommunityBenefitExpnsAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,396,505	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,863,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$466,573	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$168,217	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,537	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$154,680	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$119,009	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$119,009	NetCommunityBenefitExpnsAmt
Total Expense	0.00310	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,819,735	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,104,320	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$715,415	NetCommunityBenefitExpnsAmt
Total Expense	0.01850	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,364	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,364	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,083	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,083	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,130,408	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,117,857	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,012,551	NetCommunityBenefitExpnsAmt
Total Expense	0.02620	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,526,913	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,980,935	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$545,978	NetCommunityBenefitExpnsAmt
Total Expense	0.01400	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,269	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,269	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$585	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$585	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$442	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$442	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,902	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,902	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$164	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$164	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$299,214	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$299,214	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$305,576	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$305,576	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$1,896,287	BadDebtExpenseAmt
Reimbursed By Medicare	$11,508,311	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,045,823	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$462,488	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY ROSARY HEALTHCARE	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 WILSON STREET	AddressLine1
City	MILES CITY	City
State	MT	State
ZIP Code	59301	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.HRH-MT.ORG	WebsiteAddressTxt
State License	13512	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY ROSARY HEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	11	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://www.holyrosaryhealthcare.org	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE H, PART V, LINE 3	FormAndLineReferenceDesc
Explanation	THE MOST RECENT SURVEY WAS CONDUCTED IN 2011. THIS ASSESSMENT STUDIED MILES CITY, MONTANA, AND THE NINE-COUNTY SURROUNDING AREA SERVED BY HOLY ROSARY. THE ASSESSMENT, COMPLETED BY A THIRD-PARTY FIRM SPECIALIZING IN RURAL COMMUNITY RESEARCH, INCLUDED COLLABORATIVE PARTNERSHIPS WITH LOCAL GOVERNMENT AND SOCIAL AGENCIES AND THE CUSTER COUNTY PUBLIC HEALTH NURSING OFFICE; COMBINING EFFORTS WITH OTHER LOCAL HOSPITALS AND HEALTH CARE ORGANIZATIONS; AND CONDUCTING SURVEYS, FOCUS GROUPS, AND ASSESSMENTS WITH THE ASSISTANCE OF THE MONTANA OFFICE OF RURAL HEALTH AND THE NATIONAL RURAL HEALTH RESOURCE CENTER. COMMUNITY EDUCATION WAS COMPLETED UTILIZING THE MEDIA, INTERNET, AND MAILINGS TO BUILD AWARENESS AND ENCOURAGE PARTICIPATION IN THIS PROJECT. RESULTS WERE RECEIVED IN EARLY 2012, INFORMATION WAS SHARED WITH KEY STAKEHOLDER GROUPS IN THE COMMUNITY AND REGION, RESPECTIVE PRIORITIES WERE IDENTIFIED AND ACTION PLANS WERE PURSUED. TO OBTAIN INPUT FROM THE COMMUNITY, HOLY ROSARY PROVIDED THE NATIONAL RURAL HEALTH RESOURCE HEALTH CENTER WITH A LIST OF INPATIENT AND OUTPATIENT ADMISSIONS. ZIP CODES WITH THE GREATEST NUMBER OF ADMISSIONS WERE SELECTED TO BE INCLUDED IN THE SURVEY. A RANDOM LIST OF 575 RESIDENTS WAS SELECTED FROM PRIME NET DATA SOURCE. RESIDENCE WAS STRATIFIED IN THE INITIAL SAMPLE SELECTION SO THAT EACH AREA WOULD BE REPRESENTED IN PROPORTION TO THE OVERALL SERVICE POPULATION AND THE PROPORTION OF PAST ADMISSIONS. IN ADDITION ANOTHER 300 SURVEYS WERE HAND-DISTRIBUTED IN THE COMMUNITY TO BOOST THE RESPONSE RATE. THUS A TOTAL OF 875 SURVEYS WERE DISTRIBUTED AMONGST THE HOLY ROSARY SERVICE AREA. TWO FOCUS GROUPS WERE HELD TO IDENTIFY THE MOTIVES OF LOCAL RESIDENTS WHEN SELECTING HEALTH CARE PROVIDERS AND DISCOVER REASONS WHY PEOPLE MAY LEAVE THE SERVICE AREA TO SEEK HEALTH CARE SERVICES. IT WAS INTENDED THAT THIS INFORMATION WOULD HELP DETERMINE GAPS IN SERVICE, INCREASE AWARENESS OF LOCAL PROGRAMS AND SERVICES, AND IMPROVE SATISFACTION WITH LOCAL SERVICES PROVIDERS AND FACILITIES, WHICH RELATES TO UNDERSTANDING THE HEALTH NEEDS OF THE COMMUNITY. FORM 990, SCHEDULE H, PART V, LINE 7 THE COMMUNITY BENEFIT COMMITTEE ("CBC") OF THE HOLY ROSARY BOARD OF DIRECTORS WAS CHARGED WITH ADDRESSING THE TOP NEEDS DISCOVERED IN THE COMMUNITY HEALTH NEEDS ASSESSEMENT ("CHNA"). THE TOP COMMUNITY NEEDS AND PRIORITIES WERE: 1. ALCOHOL ABUSE, 2. OVERWEIGHT/OBESITY, 3. CANCER, 4. DRUG ABUSE (INCLUDING PRESCRIPTION), AND 5. LACK OF EXERCISE. TO ADDRESS SUCH NEEDS, A GRANT PROGRAM WAS MADE AVAILABLE TO COMMUNITY ORGANIZATIONS TO SPECIFICALLY ADDRESS THE TOP NEEDS. THE CBC HELD QUARTERLY MEETINGS TO REVIEW AND APPROVE OR DENY THE GRANT APPLICATIONS RECEIVED FROM THE SOUTHEASTERN MONTANA COMMUNITIES WITHIN THE HOLY ROSARY PRIMARY AND SECONDARY SERVICE AREAS. IN 2013,THE FOLLOWING GRANTS WERE CONTINUED: -EASTERN MONTANA VETERANS STAND DOWN, -CUSTER COUNTY FAMILY TREATMENT COURT, -SACRED HEART SCHOOL, -ASHLAND COMMUNITY HEALTH CENTER, -MILES CITY FIRE RESCUE, -GLOBAL HEALTH EQUITY FOUNDATION AND -FIRST UNITED METHODIST CHURCH. HOLY ROSARY PROVIDED FUNDING FOR COMMUNITY PROGRAMS TO DEAL WITH FOUR OF THE TOP CONCERNS/NEEDS: ALCOHOL/DRUG ABUSE, OBESITY, CANCER AND MENTAL HEALTH ISSUES. THESE NEEDS WERE ADDRESSED BY HOLY ROSARY'S SUPPORT OF A STUDENT LUNCH PROGRAM FOR HIGH SCHOOL STUDENTS THAT PROVIDE A HEALTHY-APPROACH BALANCED NOON MEAL; A FOOD, CLOTHING AND SUPPLIES DONATION PROGRAM FOR THE EASTERN MONTANA VETERANS STAND DOWN PROJECT; "LET'S TALK MILES CITY" SUICIDE PREVENTION PROGRAM; AND A REWARD INCENTIVE PROGRAM FOR THE CUSTER COUNTY FAMILY TREATMENT COURT PROGRAM. HOLY ROSARY PROVIDED OFFICE SPACE FOR AN ONCOLOGIST AND AN INFUSION CENTER AT THE HOSPITAL WHICH IS AVAILABLE TO ANY COMMUNITY PATIENT, REGARDLESS OF INSURANCE OR HOSPITAL AFFILIATION. AS A SMALL RURAL COMMUNITY, NOT ALL NEEDS CAN BE ADDRESSED BY HOLY ROSARY. OF THOSE, CANCER WAS NOT SPECIFICALLY ADDRESSED DUE TO THE LACK OF RESOURCES IN PEOPLE AND FUNDING. A LOCAL NON-PROFIT GROUP NOT AFFILIATED WITH OUR HOSPITAL OR HEALTH SYSTEM AGREED TO ADDRESS PERSONAL NEEDS SUCH AS FUEL, FOOD, AND HOTEL OF INDIVIDUALS AND THEIR FAMILIES IN EASTERN MONTANA WHO ARE UNDERGOING CANCER TREATMENT. HOLY ROSARY IS PART OF THE DIABETES PREVENTION PROGRAM GRANT AS FUNDED BY THE CENTERS FOR DISEASE CONTROL. UNDER THAT GRANT, PERSONS IN OUR SERVICE AREA ARE PARTICIPATING IN PROGRAMS THAT ADDRESS PRE-DIABETES THROUGH NUTRITION AND WEIGHT CONTROL PROGRAMS. OVER 100 PERSONS HAVE BEEN SERVED IN 2013, INCLUDING THOSE IN REMOTE AREAS USING TELEMEDICINE.	ExplanationTxt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	POWDER RIVER MEDICAL CLINIC	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	507 NORTH LINCOLN AVENUE	AddressLine1
City	BROADUS	City
State	MT	State
ZIP Code	59317	ZIPCode

Field	Value	IRS element (for citing)
Facility	AMBULATORY CARE CLINIC	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE H, PART I, LINE 7G	FormAndLineReferenceDesc
Explanation	PHYSICIAN CLINICS ACCOUNT FOR $630,658 OF TOTAL SUBSIDIZED SERVICE EXPENSE; THIS IS A CLINIC IN A REMOTE RURAL AREA WITH NO OTHER ACCESS TO HEALTHCARE WITHIN AN 80 MILE RADIUS. FORM 990, SCHEDULE H, PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT EXPENSE DELETED FROM THE DENOMINATOR BEFORE CALCULATING PERCENTAGES IN COLUMN (F) IS $3,095,197. FORM 990, SCHEDULE H, PART I, LINE 7 COST TO CHARGE RATIO IS USED FOR ALL REMAINING CATEGORIES OF COMMUNITY BENEFIT. THE COST TO CHARGE RATIO USED WAS DERIVED FROM WORKSHEET 2. FORM 990, SCHEDULE H, 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. HOLY ROSARY HEALTHCARE ADMINISTRATIVE LEADERSHIP AND ITS EMPLOYEES PERFORMED CIVIC ACTIVITIES IN WHICH THE HEALTH OF THE COMMUNITY WAS ADVOCATED AS A PRIORITY BY THE HOSPITAL. IN 2013, HOLY ROSARY ADMINISTRATION AND EMPLOYEES PARTICIPATED IN THE ECONOMIC DEVELOPMENT COUNCIL AND PARTNERED WITH THE DIVISION OF CRIMINAL INVESTIGATION AND DEA FOR THE NATIONAL DRUG TAKE BACK DAYS. HOLY ROSARY STAFF SIT ON SEVERAL COMMUNITY BOARDS INCLUDING: KIWANIS CLUB, MONTANA HEALTH NETWORK BOARD, AND ROTARY CLUB AND PROVIDE ADVOCACY FOR THE COUNCIL FOR MENTAL HEALTH. TO ASSURE ACCESS TO SERVICES, THEY PROVIDE PHYSICIAN RECRUITMENT TO THIS MEDICALLY UNDERSERVED AREA. FORM 990, SCHEDULE H, PART III, LINE 1 THE 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. FORM 990, SCHEDULE H, PART III, LINE 2 THE ALLOWANCE FOR BAD DEBT IS BASED UPON THE ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, 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 BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT COST. THE COST TO CHARGE RATIO USED TO CALCULATE BAD DEBT AT COST WAS DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART III, LINE 4 THE ALLOWANCE FOR BAD DEBT IS BASED UPON THE ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, 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 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 ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCE AFTER INSURANCE ACCOUNTS RECEIVABLE. 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. FORM 990, SCHEDULE H, 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. FORM 990, SCHEDULE H, 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. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST, AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING 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. FORM 990, SCHEDULE H, PART VI, QUESTION 2 NEEDS ASSEMENT AS PART OF OUR ORGANIZATIONAL MISSION TO RESPOND TO THE HEALTH NEEDS OF THE PEOPLE AND COMMUNITIES SERVED, WE TAKE STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD. HOLY ROSARY HAS REGULARLY PARTICIPATED IN COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. THE MOST RECENT SURVEY WAS CONDUCTED IN 2011. THIS ASSESSMENT STUDIED MILES CITY, MONTANA, AND THE NINE-COUNTY SURROUNDING AREA SERVED BY HOLY ROSARY. THE ASSESSMENT, COMPLETED BY A THIRD-PARTY FIRM SPECIALIZING IN RURAL COMMUNITY RESEARCH, INCLUDED COLLABORATIVE PARTNERSHIPS WITH LOCAL GOVERNMENT AND SOCIAL AGENCIES AND THE CUSTER COUNTY PUBLIC HEALTH NURSING OFFICE; COMBINING EFFORTS WITH OTHER LOCAL HOSPITALS AND HEALTH CARE ORGANIZATIONS; AND CONDUCTING SURVEYS, FOCUS GROUPS, AND ASSESSMENTS WITH THE ASSISTANCE OF THE MONTANA OFFICE OF RURAL HEALTH AND THE NATIONAL RURAL HEALTH RESOURCE CENTER. COMMUNITY EDUCATION WAS COMPLETED UTILIZING THE MEDIA, INTERNET, AND MAILINGS TO BUILD AWARENESS AND ENCOURAGE PARTICIPATION IN THIS PROJECT. RESULTS WERE RECEIVED IN EARLY 2012, INFORMATION WAS SHARED WITH KEY STAKEHOLDER GROUPS IN THE COMMUNITY AND REGION, RESPECTIVE PRIORITIES WERE IDENTIFIED AND ACTION PLANS WERE PURSUED. TO OBTAIN INPUT FROM THE COMMUNITY, HOLY ROSARY PROVIDED THE NATIONAL RURAL HEALTH RESOURCE HEALTH CENTER WITH A LIST OF INPATIENT AND OUTPATIENT ADMISSIONS. ZIP CODES WITH THE GREATEST NUMBER OF ADMISSIONS WERE SELECTED TO BE INCLUDED IN THE SURVEY. A RANDOM LIST OF 575 RESIDENTS WAS SELECTED FROM PRIME NET DATA SOURCE. RESIDENCE WAS STRATIFIED IN THE INITIAL SAMPLE SELECTION SO THAT EACH AREA WOULD BE REPRESENTED IN PROPORTION TO THE OVERALL SERVICE POPULATION AND THE PROPORTION OF PAST ADMISSIONS. IN ADDITION ANOTHER 300 SURVEYS WERE HAND-DISTRIBUTED IN THE COMMUNITY TO BOOST THE RESPONSE RATE. THUS A TOTAL OF 875 SURVEYS WERE DISTRIBUTED AMONGST THE HOLY ROSARY SERVICE AREA. TWO FOCUS GROUPS WERE HELD TO IDENTIFY THE	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOLY ROSARY FOUNDATION	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2600 WILSON	AddressLine1
City	MILES CITY	City
State	MT	State
ZIP Code	59301	ZIPCode

Field	Value	IRS element (for citing)
Recipient EIN	202270238	RecipientEIN
IRC Section	501(c)(3)	IRCSectionDesc
Cash Grant	$26,390	CashGrantAmt
Purpose Of Grant	ASSIST IN CHARITY EXEMPT PURPOSES	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule I, Part I, Line 2	FormAndLineReferenceDesc
Explanation	GRANTS ARE MONITORED THROUGH THE HOLY ROSARY HEALTHCARE FOUNDATION. THE FOUNDATION FOLLOWS A TWO-STEP PROCESS IN PREPARING THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA). THE GRANT PROJECT DIRECTOR IS RESPONSIBLE TO SUBMIT THE INVOICES FOR EACH MONTH'S ACTIVITY TO THE FOUNDATION DIRECTOR. THESE ARE THEN REVIEWED FOR COMPLIANCE WITH FEDERAL STANDARDS AND GUIDELINES AND ARE SUBMITTED TO THE FEDERAL GOVERNMENT FOR REIMBURSEMENT OR APPLIED TO GRANT IF AWARDED UPFRONT. THE AMOUNTS ARE THEN DRAWN DOWN BY THE FOUNDATION ADMINISTRATOR AND THE MONEY IS WIRED TO THE FOUNDATION'S BANK ACCOUNT OR REIMBURSED TO THE HOSPITAL IF THE EXPENDITURES WERE PAID BY THE HOSPITAL AND THE FUNDS MADE AVAILABLE TO THE FOUNDATION IN ADVANCE. THIS INFORMATION IS COMPILED QUARTERLY BY THE DIRECTOR OF FINANCE AND IS TRACKED BY GRANT NAME AND CEDA NUMBER. THE FOUNDATION DIRECTOR ALSO PROVIDES THE FINANCE DIRECTOR WITH THE AWARD LETTER AND ANY COMMUNICATIONS RELATED TO THE GRANT AS WELL AS SUPPORTING INVOICES AND EXPENDITURES. AT THE END OF THE YEAR, QUARTERLY WORKSHEETS ARE USED TO PREPARE THE SEFA. THE SEFA IS PREPARED BY THE DIRECTOR OF FINANCE, REVIEWED BY THE GRANTS ADMINISTRATOR AND FORWARDED TO THE SYSTEM OFFICE.	ExplanationTxt

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Paul Lewis
CEO	$0	$185,183	$0	$42,442	$0	$12,075	$0	$34,965	$0	$22,579	$0	$297,244	$0	$0
Jason Barker
CEO - Montana Region	$0	$441,730	$0	$151,297	$0	$13,509	$0	$59,133	$0	$16,604	$0	$682,273	$0	$0
Carey Calvin
CFO	$0	$139,161	$0	$16,435	$0	$710	$0	$18,703	$0	$19,544	$0	$194,553	$0	$0
Darren Walker
VP Human Resources	$0	$181,009	$0	$11,549	$0	$7,390	$0	$22,697	$0	$18,643	$0	$241,288	$0	$0
Lisa Sanford
VP Patient Care Services	$0	$140,568	$0	$27,408	$0	$3,138	$0	$26,229	$0	$17,893	$0	$215,236	$0	$0
Christopher Lieb MD
VP Medical Affairs	$181,654	$0	$0	$0	$6,588	$0	$14,999	$0	$21,571	$0	$224,812	$0	$0	$0
Jeffery Williams MD
Physician Family Practice	$298,855	$0	$5,000	$0	$1,257	$0	$17,515	$0	$7,721	$0	$330,348	$0	$0	$0
Rande Short MD
ED Med Director Physician	$238,386	$0	$59,309	$0	$571	$0	$0	$0	$19,940	$0	$318,206	$0	$0	$0
Dorothy Bradbury MD
ED Med Director Physician	$252,610	$0	$35,727	$0	$2,129	$0	$5,134	$0	$7,422	$0	$303,022	$0	$0	$0
Lisa Ross MD
Physician Family Practice	$127,154	$0	$45,000	$0	$896	$0	$0	$0	$3,157	$0	$176,207	$0	$0	$0
Raylene Starck
Pharmacy Manager	$139,764	$0	$13,749	$0	$796	$0	$11,140	$0	$19,726	$0	$185,175	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 3	SEE FORM 990, SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, LINES 15A & B REGARDING THE PROCESS USED BY SCLHS TO DETERMINE EXECUTIVE COMPENSATION WHICH IS RELIED UPON BY THIS ORGANIZATION.
FORM 990, SCHEDULE J, PART I, LINE 4B	PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) PROVIDES NONQUALIFIED RETIREMENT PLANS 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. ON THE ADVICE OF COUNSEL, SCLHS 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 RETIRMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2013 WERE: NONE IN ADDITION, VESTED AMOUNTS ARE PAYABLE UPON 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 RECIPIENTS W-2. THE AMOUNTS WITHDRAWN FROM THE PLAN IN 2013 WERE: NONE.
FORM 990, SCHEDULE J, PART I, LINE 7 (NON-FIXED PAYMENTS)	SCLHS HAS MANAGEMENT INCENTIVE PLANS WHICH ARE BASED ON A COMBINATION OF MEASURES. MANAGEMENT AND SENIOR LEADERSHIP ARE ELIGIBLE FOR THE INCENTIVE COMPENSATION. PERFORMANCE CATEGORIES ARE MADE UP OF A COMBINATION OF CLINICAL QUALITY MEASURES AND OPERATING INCOME. THE OPERATING INCOME CATEGORY IS GENERALLY RELATED TO THE NET EARNINGS OF THE CARE SITE IN WHICH THE INDIVIDUAL WORKS, OR IN THE CASE OF SCLHS SENIOR MANAGEMENT, THE NET EARNINGS OF SCLHS.
FORM 990 SCHEDULE J, PART II AND FORM 990 PART VII	THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING HOLY ROSARY HEALTHCARE (HOLY ROSARY) IN MILES CITY, MONTANA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. THE COMPENSATION REFLECTED IN PART VII, IS THAT OF OTHER RESPONSIBILITIES TO A RELATED ORGANIZATION AND NOT FOR PARTICIPATING ON THE BOARD. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	YELLOWSTONE ANESTHESIA ASSOC INC	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$182,385	TransactionAmt
Transaction	SEE PART V	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SHCEUDLE L, PART IV	FormAndLineReferenceDesc
Explanation	BOARD MEMBER, RACHEL ARMSTRONG'S SPOUSE OWNS A THIRD OF YELLOWSTONE ANESTHESIA ASSOCIATES, INC.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990 PART I, PART I	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. FORM 990 PART VI, SEC A, LINE 3 Delegation of control of management duties MANAGEMENT COMPANIES MANAGEMENT DUTIES DELEGATED BY HOLY ROSARY HEALTHCARE TO MANAGEMENT COMPANIES WERE IN THE FOLLOWING AREAS: (1) ARAMARK CORPORATION: FOOD SERVICES (2) BROADLANE; SUPPLY CHAIN MANAGEMENT
Form 990, Part VI, Line 6, 7A & 7B	THE SOLE MEMBER AND CONTROLLING MEMBER OF THE HOLY ROSARY HEALTHCARE (HRH) CORPORATION IS THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC (SCLHS), A KANSAS NON-FOR-PROFIT CORPORATION. SOME OF THE EXCLUSIVE POWERS OF SCLHS INCLUDE: - TO APPOINT, AFTER CONSULTATION WITH THE HRH CORPORATE BOARD, THE BOARD OF DIRECTORS OF HRH AND APPOINT MEMBERS OF SCLHS TO THE HRH BOARD OF DIRECTORS; - TO REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE HRH CORPORATE BOARD, ANY MEMBER OF THE HRH BOARD OF DIRECTORS; - TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER AND THE CHIEF ADMINISTRATIVE OFFICER OF HRH; - TO IMPLEMENT CORPORATE GOALS, POLICIES, AND PROCEDURES OF HRH; - TO APPROVE FOR HRH THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS, OR THE LEASE, SALE, TRANSFER, ASSUMPTION, OR ENCUMBERING OF HRH ASSETS; - TO APPROVE THE MERGER, DISSOLUTION, OR CORPORATE RESTRUCTURING OF HRH; AND - TO APPROVE HRH ANNUAL STRATEGIC PLANS AND OPERATING AND CAPITAL BUDGETS. THE HRH BOARD OF DIRECTORS HAVE THE POWERS TO EXERCISE GENERAL MANAGEMENT AND CONTROL OF THE BUSINESS AFFAIRS OF HRH WITH DUE REGARD FOR THE POWERS RESERVED BY SCLHS. THE POWERS OF THE HRH BOARD OF DIRECTORS INCLUDE NOMINATION OF BOARD MEMBERS FOR APPOINTMENT BY SCLHS.
Form 990, Part VI, Line 11b	Process used to review the Form 990 THE 990 FOR HOLY ROSARY HEALTHCARE WILL BE REVIEWED AT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM AND THE HOLY ROSARY HEALTHCARE BOARD MEETINGS BEFORE THE RETURN IS FILED WITH THE IRS. THE 990 TAX RETURN IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM.
Form 990, Part VI, Line 12c	Monitoring and enforcement of compliance with conflict of interest policy ALL HOLY ROSARY HEALTHCARE EXECUTIVES, DIRECTORS, AND MANAGERS, BOARD MEMBERS AND BOARD COMMITTEE MEMBERS, MEDICAL EXECUTIVE COMMITTEE (MEC)MEMBERS AND OTHER PHYSICIANS IN DECISION MAKING ROLES OR SERVING ON HRH COMMITTEES, COMPLETE A NEW CONFLICT OF INTEREST (COI) DISCLOSURE FORM ANNUALLY. 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 ORGANIZATIONS RESPONSIBILITY OFFICE (ORO) AND LEADERSHIP AT THE APPROPRIATE LEVEL: - BOARD BY BOARD CHAIR - PHYSICIANS BY THE MEC PRESIDENT - HRH DIRECTORS AND MANAGERS BY THE HRH ADMINISTRATION - HRH EXECUTIVES BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM THE SIGNED COI FORMS ARE MAINTAINED IN HRH ADMISTRATION. THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS FOR HRH 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 ASKS TO BE EXCUSED FROM PARTICIPATING IN THE DISCUSSIONS AND DECISION-MAKING.
FORM 990, PART VI, LINES 15A & B	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS AND STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE 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 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 IN SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS.
FORM 990 PART VI, SEC C, LINE 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE AT HOSPITAL ADMINISTRATION UPON REQUEST. THE SISTERS OF CHARITY CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE SISTERS OF CHARITY WEBSITE WWW.SCLHEALTHSYSTEM.ORG.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
SISTERS OF CHARITY OF LEAVENWORTH HEALTH
2420 W 26TH AVE SUITE 100D	DENVER	CO	80211	237379161	SUPPORT MMBRS	KS	501(C)(3)	11B-TYPE II	NA	false
CARITAS CLINICS INC
818 NORTH 7TH STREET	LEAVENWORTH	KS	66048	481009910	CLINIC SVCS	KS	501(C)(3)	3	SCLHS	Yes (true)
MARIAN CLINIC INC
1001 SW GARFIELD	TOPEKA	KS	66604	481046905	CLINIC SVCS	KS	501(C)(3)	3	SCLHS	Yes (true)
MARILLAC CLINIC INC
2333 N 6TH STREET	GRAND JUNCTION	CO	81501	841085822	CLINIC SVCS	CO	501(C)(3)	3	SCLHS	Yes (true)
PROVIDENCE MEDICAL CENTER INC
8929 PARALLEL PARKWAY	KANSAS CITY	KS	66112	480784446	HEALTHCARE	KS	501(C)(3)	3	SCLHS	Yes (true)
ST JOHN HOSPITAL INC
3500 SOUTH FOURTH STREET	LEAVENWORTH	KS	66048	480543768	HEALTHCARE	KS	501(C)(3)	3	PMC	Yes (true)
PROVIDENCEST JOHN FOUNDATION INC
8929 PARALLEL PARKWAY	KANSAS CITY	KS	661121689	480925688	SUPPORT 501C3	KS	501(C)(3)	7	PMC	Yes (true)
ST FRANCIS HEALTH CENTER INC
1700 SW 7TH STREET	TOPEKA	KS	66606	480547719	HEALTHCARE	KS	501(C)(3)	3	SCLHS	Yes (true)
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREET	TOPEKA	KS	66606	481092520	SUPPORT 501C3	KS	501(C)(3)	11A-TYPE I	SFHC	Yes (true)
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREET	GRAND JUNCTION	CO	81502	840425720	HEALTHCARE	CO	501(C)(3)	3	SCLHS	Yes (true)
ST MARYS HOSPITAL DEVELOPMENT FOUNDATION
2635 N 7TH STREET	GRAND JUNCTION	CO	81502	237001007	SUPPORT 501C3	CO	501(C)(3)	11A-TYPE I	SMHMC	Yes (true)
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON	MILES CITY	MT	59301	202270238	SUPPORT 501C3	MT	501(C)(3)	11A-TYPE I	HRHC	Yes (true)
ST VINCENT HEALTHCARE
1233 NORTH 30TH	BILLINGS	MT	59101	810232124	HEALTHCARE	MT	501(C)(3)	3	SCLHS	Yes (true)
ST VINCENT HEALTHCARE FOUNDATION
PO BOX 35200	BILLINGS	MT	591075200	810468034	SUPPORT 501C3	MT	501(C)(3)	7	SVHC	Yes (true)
ST JAMES HEALTHCARE
400 SOUTH CLARK STREET	BUTTE	MT	597012328	810231785	HEALTHCARE	MT	501(C)(3)	3	SCLHS	Yes (true)
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK STREET	BUTTE	MT	59701	651202190	SUPPORT 501C3	MT	501(C)(3)	11A-TYPE I	SJHC	Yes (true)
SAINT JOHN'S HEALTH CENTER
2121 SANTA MONICA BLVD	SANTA MONICA	CA	904042091	951684082	HEALTHCARE	CA	501(C)(3)	3	SCLHS	Yes (true)
JOHN WAYNE CANCER INSTITUTE
2000 SANTA MONICA BLVD	SANTA MONICA	CA	90404	954291515	CANCER R&D	CA	501(C)(3)	4	SJHC	Yes (true)
SAINT JOHN'S HOSPITAL & HLTH CENTER FNDT
2121 SANTA MONICA BLVD	SANTA MONICA	CA	904042091	956100079	SUPPORT 501C3	CA	501(C)(3)	7	SJHC	Yes (true)
SCL HEALTH-FRONT RANGE INC
2420 W 26TH AVE SUITE 100D	DENVER	CO	80211	841103606	HEALTHCARE	CO	501(C)(3)	3	SCLHS	false
EXEMPLA LUTHERAN MEDICAL CENTER FOUNDATI
2480 W 26TH AVESUITE 360B	DENVER	CO	80211	208846152	SUPPORT 501C3	CO	501(C)(3)	7	SCLHEALTH-FR	Yes (true)
EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN
200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	841649162	SUPPORT 501C3	CO	501(C)(3)	7	SCLHEALTH-FR	Yes (true)
LUTH MED CNTR PRO&GEN LIAB SELF-INS TRS
2480 W 26TH AVESUITE 360B	DENVER	CO	80211	742571584	INSURANCE	CO	501(C)(3)	11A-TYPE I	SCLHEALTH-FR	Yes (true)
SAINT JOSEPH HOSPITAL
1835 FRANKLIN STREET	DENVER	CO	80218	840417134	HEALTHCARE	CO	501(C)(3)	3	SCLHS	Yes (true)
SAINT JOSEPH HOSPITAL FOUNDATION
1835 FRANKLIN STREET	DENVER	CO	80218	840735096	SUPPORT 501C3	CO	501(C)(3)	11A-TYPE I	SJH	Yes (true)
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARD	DENVER	CO	80211	840405260	RESIDENT CARE	CO	501(C)(3)	11A-TYPE I	SCLHS	Yes (true)
BETHANY COMMUNITY PLAZA INC
15 NORTH 12TH STREET	KANSAS CITY	KS	66102	481207407	HEALTHCARE	KS	501(C)(3)	3	PMC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	UBI Code VUBICodeVAmt
PAVILION IMAGING LLC
750 WELLINGTON	GRAND JUNCTION	CO	81501	030516198	RADIOLOGY	CO	NA	N/A	$0	$0	$0
HEALTHCARE MANAGEMENT LLC
PO BOX 2907	GRAND JUNCTION	CO	81502	841238904	MGMT SVCS	CO	NA	N/A	$0	$0	$0
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREET	MONTROSE	CO	81401	202856331	OP CANCER	CO	NA	N/A	$0	$0	$0
LUTHERAN CAMPUS ASC LLC
3455 LUTHERAN PKWY STE 150	WHEATRIDGE	CO	800336028	020749532	OP SURGERY	CO	NA	N/A	$0	$0	$0
DENVER WEST ENDOSCOPY CENTER LLC
382 S ARTHUR AVENUE	LOUISVILLE	CO	80027	460788218	OP ENDOSCOPY	CO	NA	N/A	$0	$0	$0
COLORADO SURGICAL VENTURES LLC
250 S WACKER DR SUITE 500	CHICAGO	IL	60606	208038915	OP SURGERY	CO	NA	N/A	$0	$0	$0
COLORADO SURGICAL HOSPITAL LLC
250 S WACKER DR SUITE 500	CHICAGO	IL	60606	208038977	OP SURGERY	CO	NA	N/A	$0	$0	$0
MED-MAP LLC
PO BOX 1295	BILLINGS	MT	59103	810491356	RENTAL REAL EST	MT	NA	N/A	$0	$0	$0
YELLOWSTONE SURGERY CENTER LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	721519467	OP SURGERY	MT	NA	N/A	$0	$0	$0
ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	272270640	PHYS THERAPY	MT	NA	N/A	$0	$0	$0
TWENTIETH STREET GENERAL PARTNERSHIP
201 SOUTH LAKE AVENUE STE 507	PASADENA	CA	91101	953974903	RENTAL REAL EST	CA	NA	N/A	$0	$0	$0
SAINT JOHN'S MEDICAL PLAZA A CA Ltd Pa
201 SOUTH LAKE AVENUE STE 507	PASADENA	CA	91101	953983096	RENTAL REAL EST	CA	NA	N/A	$0	$0	$0
ALL CARE HOME HEALTH SOLUTIONS LLC
10170 E MISSISSIPPI AVENUE	DENVER	CO	80247	462418729	HOME CARE	DE	NA	N/A	$0	$0	$0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CARITAS INC AND SUBSIDIARIES
2420 W 26TH AVE SUITE 100D	DENVER	CO	80211	480941069	HEALTHCARE	KS	NA	C Corp	$0	$0	Yes (true)
LEAVEN INSURANCE COMPANY LTD
				980370522	INSURANCE		NA	C-CORP	$0	$0	Yes (true)	23 LIME TREE BAY AVENUE WEST BAY R	GRAND CAYMAN	GRAND CAYMAN	CA	KY1-1102	CI

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

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HOLY ROSARY FOUNDATION
c	$332,203	GENERAL LEDGER
HOLY ROSARY FOUNDATION
b	$26,390	GENERAL LEDGER
SISTERS OF CHARITY LEAVENWORTH Health System
p	$4,261,398	FMV