2014-11-10T22:34:02-06:00 2013-12-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA CLAYTON MO 63105 990 2013-01-01 810231785 ST JAMES HEALTHCARE % SHARON OWENS STJA 4067232500 400 SOUTH CLARK STREET Suite BUTTE MT 597012328 James Doyle VP/CFO 2014-11-06 JENNIFER L RICHTER P00366526 2013 2015-11-30 17:44:51Z CHUCK WRIGHT CEO 400 SOUTH CLARK STREET BUTTE MT 597012328 120072677 false 0928 X www.StJamesHealthcare.org X 1976 MT WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 15 14 701 55 417082 293733 27204 1626117 82980687 116242224 212422 113955 2729947 2090381 85950260 120072677 0 81303 0 0 37718987 45665858 0 0 0 46530488 69304961 84249475 115052122 1700785 5020555 76690189 78879534 29421880 26590670 47268309 52288864 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. false false 84306675 81303 116251614 ALL EXPENSES FOR PROGRAM SERVICES ARE RELATED TO PROVIDING PATIENT HEALTHCARE AND COMMUNITY SERVICES. SEE SUPPLEMENTAL INFORMATION IN SCH. H AND SCH. O, PART III, LINE 4A. 84306675 true true false true false false false false false false true false false false false false false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true 128 0 true 701 true true true false false false false false false false false false X 15 14 false false false false true true true true true false false true true true true true true false false true true X SHARON OWENS 3038135190 2480 W 26TH AVE STE 200B DENVER CO 80211 Marilyn Cameron DIRECTOR 1.0 0.0 X 0 0 0 Tammy Cox DIRECTOR 1.0 0.0 X 0 0 0 Sister Margaret Hogan DIRECTOR 1.0 0.0 X 0 0 0 Mike Johnson DIRECTOR 1.0 0.0 X 0 0 0 Michael E Lewis DIRECTOR 1.0 0.0 X 0 0 0 Marko Lucich DIRECTOR 1.0 0.0 X 0 0 0 Kevin Luebke DIRECTOR 1.0 0.0 X 0 0 0 Therese McClafferty Secretary-Treasurer 1.0 0.0 X X 0 0 0 Bill McGladdery DIRECTOR 1.0 0.0 X 0 0 0 Tim McHugh Vice Chairperson 1.0 0.0 X X 0 0 0 Sister Mary Jo Quinn DIRECTOR 1.0 0.0 X 0 0 0 Rita Spear DIRECTOR 1.0 0.0 X 0 0 0 Andrea Stierle DIRECTOR 1.0 0.0 X 0 0 0 Charles Wright President & CEO 40.0 0.0 X X 0 311241 127466 Mark Zora Chairperson 2.0 0.0 X X 0 0 0 James Doyle VP & CFO 40.0 0.0 X 0 294970 27406 Dennis Salisbury VP & CMO 1.0 0.0 X 0 264568 63019 Kevin Dennehy VP Strategy-Bus Develop-SJB 40.0 0.0 X 0 259673 32328 Shannon Holland VP Patient Care Services - SJB 40.0 0.0 X 0 191832 32678 John Cochran PHYSICIAN 1.0 0.0 X 499487 0 36810 Michael Zehnpfennig PHYSICIAN 1.0 0.0 X 484624 0 27886 James Hueftle PHYSICIAN 1.0 0.0 X 483365 0 41438 Thomas Aufiero PHYSICIAN 40.0 0.0 X 376298 0 28433 Mohan Nandalur PHYSICIAN 40.0 0.0 X 349171 0 26471 2192945 1322284 443935 49 false true false Montana Interventional and Diagnost 2969 AIRPORT RD Helena MT 59601 Radiology 1354579 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 Contract labor 787183 INPATIENT SERVICES PC 1515 WYNKOOP STREET DENVER CO 80202 Hospitalist services 738570 MONTANA ORTHOPEDICS 435 S Crystal Ste 400 Butte MT 57901 Physician/medical di 580714 United Blood services PO BOX 53022 PHOENIX AZ 85072 Blood, Plasma, Plate 520769 15 0 154750 1471367 0 1626117 PATIENT CARE 621400 112830651 112830651 0 0 PHARMACY INCOME 446110 2113312 2097387 15925 0 RMAP 621400 715950 715950 0 0 CAFETERIA SALES 722514 405575 405575 0 0 SPORTS MEDICINE 900099 132760 0 0 132760 43976 43976 116242224 98085 98085 0 0 0 0 0 15870 15870 15870 15870 0 0 0 0 JV-SUMMIT SURG CTR 900099 1957027 0 349350 1607677 All other revenue 900099 133354 9390 51807 72157 2090381 120072677 116102929 417082 1926549 81303 81303 0 0 0 0 0 0 1605180 487172 1118008 0 0 0 0 0 35514065 31695169 3818896 0 2409452 79513 2329939 0 3727878 3388687 339191 0 2409283 2074660 334623 0 9473125 394172 9078953 0 2348809 2646 2346163 0 17858 0 17858 0 432 0 432 0 0 0 0 0 0 0 11484137 8099980 3384157 0 224063 65213 158850 0 207988 171286 36702 0 0 0 0 0 0 0 0 0 1054031 155134 898897 0 297017 88528 208489 0 0 0 0 0 51503 30112 21391 0 0 0 0 0 0 0 0 4781658 245247 4536411 0 1266977 18 1266959 0 MEDICAL SUPPLIES 18864601 18864601 0 0 NON-MEDICAL SUPPLIES 1146636 960283 186353 0 BAD DEBTS 16338231 16338231 0 0 PROVIDER TAXES 712361 712361 1035534 372359 663175 115052122 84306675 30745447 0 0 3299 4522 1332939 6438859 0 0 14279027 18642215 0 0 0 0 -1076230 -2977817 2501351 3113362 1031040 1570547 115379192 68029384 47363065 47349808 7036345 2057665 926662 0 884363 0 0 0 2408328 2680373 76690189 78879534 16247156 16322142 0 0 0 0 0 0 0 0 0 0 13174724 10268528 0 0 0 0 29421880 26590670 X 47249344 52269019 18965 19845 0 0 47268309 52288864 76690189 78879534 5020555 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false false 0 true 1312 1312 LOBBYING EXPENSE Lobbying expenses were derived as a percentage of dues paid to the Association of Montana Health Care Providers. 4146731 4146731 77881890 43477288 34404602 32118944 24552096 7566848 1231627 1231627 47349808 true true true X true X true true true false true true 3027323 3027323 0.03070 10802581 7099403 3703178 0.03750 13829904 7099403 6730501 0.06820 367274 367274 0.00370 97464 97464 0.00100 369772 125033 244739 0.00250 116460 116460 0.00120 18465 18465 0.00020 969435 125033 844402 0.00860 14799339 7224436 7574903 0.07680 111773 111773 0.00110 155634 155634 0.00160 267407 267407 0.00270 true 5787866 31927688 43472615 -11544927 X true true SUMMIT SURGERY CENTE OUTPATIENT SURGERY CENTER 0.50000 0.00000 0.50000 1 1 St James Healthcare 400 SOUTH CLARK ST BUTTE MT 59701 www.StJamesHealthcare.org 13287 X X X SKILLED NURSING FAC PHYSICIAN CLINIC 1 ST JAMES HEALTHCARE 1 true X X X X X X X 11 true false true X www.stjameshealthcare.org X X X X X X false false true true 200. true 400. true X X X true true X X true false X X X X true X false false PART V, SECTION B, LINE 3 COMMUNITY INPUT ST. JAMES HEALTHCARE HAS REGULARLY PARTICIPATED IN NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. FOR ITS MOST RECENT SURVEY, ST. JAMES PARTNERED WITH THE BUTTE SILVER BOW COUNTY HEALTH DEPARTMENT AND THE LOCAL DEPARTMENT OF SOCIAL SERVICES TO ASSESS THE HEALTH STATUS OF THE BUTTE COMMUNITY. THE SURVEY WAS FINALIZED IN EARLY 2011 WITH THE NEXT SURVEY SCHEDULED IN 2014. THE ASSESSMENT EXAMINED THE POPULATION OF SILVER BOW COUNTY WHICH IS SERVED BY ST. JAMES, THE LOCAL PUBLIC HEALTH DEPARTMENT AND LOCAL SOCIAL AGENCIES. WITH THE ASSISTANCE OF OUTSIDE CONSULTANTS, THE ASSESSMENT DETERMINED WHERE GAPS IN SERVICES EXIST. BASED ON THESE GAPS, THE HOSPITAL CONDUCTED FOCUS GROUP MEETINGS WITH OVER 30 COMMUNITY PARTNERS INCLUDING: ADULT PROTECTIVE SERVICES, LAW ENFORCEMENT, THE LOCAL COMMUNITY HEALTH CENTER, DEPARTMENT OF FAMILY SERVICES, HEAD START, HUMAN RESOURCES COUNCIL, PUBLIC HOUSING AUTHORITY, SENIOR VOLUNTEER PROGRAM, HOSPICE, UNTED WAY, AND WESTERN MONTANA MENTAL HEALTH. PART V, SECTION B, LINE 4 HOSPITAL FACILITIES INCLUDED IN THE CHNA N/A PART V, SECTION B, LINE 7 SELECTION OF ADDRESSED NEEDS ACCORDING TO THE 2011 NEEDS ASSESSMENT, THE TOP NEEDS AND LEADING CAUSES OF DEATH IN BUTTE ARE 1. HEART DISEASE 2. CANCER 3. DIABETES 4. CHRONIC OBSTRUCTIVE PULMONARY DISEASE. AS A SMALL RURAL COMMUNITY, NOT ALL NEEDS CAN BE ADDRESSED BY ST. JAMES HEALTHCARE. THOSE NOT SPECIFICALLY ADDRESSED BY ST. JAMES WERE DUE TO THE LACK OF EXPERTISE AND RESOURCES IN PEOPLE AND FUNDING TO ADDRESS. FOR EXAMPLE, ST. JAMES MAXIMIZED ITS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO ADDRESS NEEDS SUCH AS ORAL HEALTH IN PARTNERSHIP WITH THE LOCAL COMMUNITY HEALTH CENTER WHO PROVIDE LOW-COST DENTAL SERVICES, AND MENTAL HEALTH AND BEHAVIORAL HEALTH SERVICES FOR ALL AGES WITH THE LOCAL COMMUNITY HEALTH CENTER, WESTERN MENTAL HEALTH CENTER, ACADIA INC., AND AWARE INC - ALL OF WHOM PROVIDE DIFFERING ACCESS TO MENTAL HEALTH SERVICES. COMING TOGETHER AS ONE COMMUNITY, MEMBERS COLLABORATIVELY DEVELOPED OBJECTIVES AND STRATEGIES FOR THE FOLLOWING CATEGORIES OF NEED: AN AGING POPULATION; ENVIRONMENTAL FACTORS SUCH AS POOR LIVING CONDITIONS; SOCIO-ECONOMIC ISSUES SUCH AS POVERTY AND LOW EDUCATIONAL ATTAINMENT; AND SOCIAL AND BEHAVIORAL PROBLEMS, SUCH AS MENTAL HEALTH, SUICIDE OR DOMESTIC VIOLENCE. RATES OF DIABETES AND COPD ARE ALSO HIGH. WITH OBJECTIVES AND STRATEGIES IN HAND, ST. JAMES DEVELOPED ACTION PLANS (SHORT TERM AND LONG TERM) FOR EACH OF THE AREAS. Part I, Line 6 Community Benefit Report - Related Organization COMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY SCL HEALTH SYSTEM. PART I, LINE 7: THE COST TO CHARGE RATIO USED TO REPORT AMOUNTS IN FORM 990, SCHEDULE H, PART I, LINE 7 WERE DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. 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 ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $16,338,231. PART II: 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. ST. JAMES 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, ST. JAMES PROVIDED FINANCIAL AND STAFF RESOURCES TO SUPPORT A PROGRAM THAT SERVES MEALS TO THE HOMELESS, MEALS TO MOUNTAIN VIEW SOCIAL DEVELOPMENT CENTER, DONATIONS TO THE LOCAL FOOD BANK, COMMUNITY INVOLVEMENT IN FUNDRAISERS, CIVIC LEADERSHIP TO THE BOARD OF HEALTH AND PHYSICIAN RECRUITMENT TO THIS MEDICALLY UNDERSERVED AREA. 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. 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. 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 ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE 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. 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. 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. PART VI, LINE 2 NEEDS ASSESSMENT ACCORDING TO THE 2011 NEEDS ASSESSMENT, THE LEADING CAUSES OF DEATH ARE HEART DISEASE AND CANCER AND RATES OF DIABETES AND COPD ARE HIGH. TO COMBAT THIS WE HAVE EXPANDED OUR CARDIOVASCULAR AND CANCER SERVICES TO THE COMMUNITY AND RECRUITED NEW PHYSICIANS IN BOTH AREAS. WE HOST MONTHLY CANCER SUPPORT GROUPS AT OUR NEW CANCER CENTER. WE HAVE ALSO EXPANDED OUR DIABETES PROGRAM AND OUTREACH TO INCLUDE A COMMUNITY-BASED DIABETES PREVENTION PROGRAM FOR THOSE INDIVIDUALS AT RISK OF DEVELOPING DIABETES. CLASSES ARE FREE TO THOSE WITHOUT INSURANCE OR WHO CANNOT AFFORD TO PAY USING OUR FINANCIAL AID POLICY. ALSO IDENTIFIED WERE THE COMMUNITY'S ACCESS TO MEDICAL PROVIDERS, SPECIFICALLY THOSE IN PRIMARY CARE, UROLOGY, ENDOCRINOLOGY, CARDIOLOGY, PSYCHIATRY, PEDIATRIC DENTISTRY, AND LICENSED MENTAL HEALTH COUNSELORS THAT ACCEPT MEDICAID. WE SUCCESSFULLY RECRUITED ALL OF THESE SPECIALTIES WITH THE EXCEPTION OF ENDOCRINOLOGY AND PSYCHIATRY AND CONTINUE TO WORK WITH THE WESTERN MONTANA MENTAL HEALTH CLINIC TO INCREASE THE AVAILABILITY OF PSYCHIATRISTS IN THE AREA. IN RESPONSE TO SPECIALIST CARE NOT COVERED IN OUR LOCALE, WE PARTNER WITH THE ST. JAMES HEALTHCARE FOUNDATION'S PATIENT COMPASSION PROGRAM TO PROVIDE MORE ASSISTANCE TO THOSE INDIVIDUALS WHO CANNOT FINANCIALLY AFFORD TO TRAVEL ELSEWHERE FOR THEIR SERVICES. IN ADDITION TO ADDRESSING HEALTH NEEDS IN THE ASSESSMENT, WE STRIVE TO CONTINUALLY IMPACT ONE OF THE MOST SERIOUS SOCIO-ECONOMIC FINDINGS - THE FACT THAT MORE THAN 22 PERCENT OF OUR COMMUNITY'S SCHOOL AGE CHILDREN LIVE BELOW THE FEDERAL POVERTY LEVEL. IN 2013, WE PROVIDED FINANCIAL AID TO THE TWO ELEMENTARY SCHOOLS IN OUR HIGHEST POVERTY CENSUS TRACTS SO STUDENTS COULD ACCESS EYEGLASSES, WARM WINTER CLOTHING, ETC. WE HAVE PARTNERED WITH THE BUTTE COMMUNITY COUNCIL, A RESOURCE AND REFERRAL AGENCY COMMITTED TO PROVIDING ASSISTANCE TO FAMILIES FOR SERVICES FOR THEIR CHILDREN. THIS INCLUDES SUPPORTING EARLY CHILDHOOD PROFESSIONALS THROUGH EDUCATION AND SERVICES, PROMOTING HIGH QUALITY AFFORDABLE CHILD CARE, AND ADVOCACY ON BEHALF OF CHILDREN. IT IS ALSO A USDA CHILD AND ADULT CARE FOOD PROGRAM SPONSOR. WE ALSO SUPPORT THE AWARE INC. EARLY HEAD START PROGRAM THROUGH VOLUNTEER EFFORTS FROM OUR STAFF AND FUNDS FROM THE ST JAMES HEALTHCARE FOUNDATION. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE true MONTANA TECH FOUNDATION 1300 WEST PARK STREET BUTTE MT 59701 810250363 501(C)(3) 60000 1 0 PART I, LINE 2 PROCESS FOR MONITORING GRANTS AND AWARDS THE ORGANIZATION KEEPS RECORDS TO SUPPORT THE AMOUNTS PROVIDED OR REASON FOR SUCH SUPPORT. SUPPORT IS NOT CONSIDERED GRANTS, BUT RATHER MISCELLANEOUS DONATIONS AND SPONSORSHIPS. ELIGIBILITY FOR FUNDING IS DETERMINED ON AN INDIVIDUAL BASIS, CONSIDERING THE USE OF THE FUNDS AND HOW THE USE RELATES TO THE ORGANIZATION'S MISSION. false true false false false false false true false Charles Wright President & CEO 0 270396 0 23714 0 17131 0 102792 0 24674 0 438707 0 0 James Doyle VP & CFO 0 168010 0 12750 0 114210 0 5220 0 22186 0 322376 0 110560 Dennis Salisbury VP & CMO 0 233993 0 21060 0 9515 0 41457 0 21562 0 327587 0 0 Kevin Dennehy VP Strategy-Bus Develop-SJB 0 150867 0 10664 0 98142 0 11097 0 21231 0 292001 0 95582 Shannon Holland VP Patient Care Services - SJB 0 178779 0 12190 0 863 0 31354 0 1324 0 224510 0 0 John Cochran PHYSICIAN 489150 0 0 0 10337 0 9423 0 27387 0 536297 0 0 0 Michael Zehnpfennig PHYSICIAN 338221 0 50000 0 96403 0 20400 0 7486 0 512510 0 0 0 James Hueftle PHYSICIAN 309752 0 122337 0 51276 0 19657 0 21781 0 524803 0 0 0 Thomas Aufiero PHYSICIAN 373600 0 0 0 2698 0 20250 0 8183 0 404731 0 0 0 Mohan Nandalur PHYSICIAN 348509 0 0 0 662 0 20400 0 6071 0 375642 0 0 0 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. 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 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 RETIREMENT 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: James Doyle $36,612 Kevin Dennehy $31,445 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 TAXALBE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE PLAN IN 2013 WERE: NONE SCHEDULE J, PART I, LINE 7 OTHER 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. SCHEDULE J ADDITIONAL OFFICER AND BOARD DISCLOSURES THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS' 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. SCHLS' 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 OF THIS HEALTH SYSTEM ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). AS MEMBERS OF THIS ORDER, THEY 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. Form 990, Part III, Line 4A PROGRAM SERVICE ACCOMPLISHMENTS ST. JAMES HEALTHCARE'S PRIMARY MARKET AREA HAS AN EXTREMELY HIGH RATE OF DIABETES AMONG BOTH ITS YOUNG AND OLDER POPULATION. THROUGH A THREE-YEAR GRANT, ST. JAMES DEVELOPED A STRONG COMMUNITY DIABETES PROGRAM THAT PROVIDES A CONTINUUM OF CARE FOR DIABETIC PATIENTS IN SOUTHWEST MONTANA. WHEN THAT FUNDING ENDED, ST. JAMES DECIDED TO CONTINUE THE PROGRAM BECAUSE IT IS SO IMPORTANT FOR THE COMMUNITY. IN 2012, THROUGH ANOTHER GRANT, ST. JAMES BEGAN PROVIDING A 16-WEEK PROGRAM FOR PEOPLE AT RISK OF DEVELOPING DIABETES. THE PROGRAM EDUCATES PARTICIPANTS ABOUT LIFE STYLE CHANGES THEY CAN MAKE TO ENSURE THEY DO NOT GET DIABETES. IN 2012, ST. JAMES BEGAN OFFERING FREE VASCULAR SCREENINGS WHICH INCLUDED AN ULTRASOUND EXAM. THE PURPOSE WAS TO IDENTIFY THOSE PEOPLE AT RISK FOR VASCULAR DISEASES. THIS TYPE OF SCREENING IS TYPICALLY NOT DONE UNLESS A SPECIFIC PROBLEM WARRANTS FURTHER TESTING. THESE SCREENINGS WERE OFFERED IN APRIL AND AGAIN IN NOVEMBER. IN FEBRUARY TO CELEBRATE NATIONAL HEART HEALTH AWARENESS, WE OFFERED A FREE HEALTH FAIR SESSION THAT INCLUDED EDUCATION ABOUT HEART DISEASE AND STROKES AND FREE SCREENINGS FOR BODY MASS, GLUCOSE, BLOOD PRESSURE. ADDITIONALLY CHOLESTOROL SCREENINGS WERE PERFORMED AT A SIGNIFICANTLY REDUCED COST. IN ADDITION TO THE PROVISION OF HEALTH CARE FOR THE POOR AND UNINSURED (CHARITY CARE) AND THE UNPAID COST OF MEDICAID, ST. JAMES HEALTHCARE ALSO SUPPORTED, THROUGH MONETARY OR IN-KIND DONATIONS, A NUMBER OF OTHER COMMUNITY-ENHANCING ACTIVITIES. SOME OF THE OTHER ACTIVITIES INCLUDED TRANSPORTATION SERVICES BOTH AMBULANCE TRANSPORT AND TAXI OR BUS SERVICES FOR THE POOR OR UNINSURED; A MENTAL HEALTH CRISIS RESPONSE LINE; PRESCRIPTION DRUG ASSISTANCE FOR THE POOR OR UNINSURED; AND MORE THAN 12,000 MEALS FOR INDIGENT PEOPLE. ST. JAMES ALSO PROVIDES ATHLETIC TRAINERS TO ALL OF THE 6 SOUTHWEST MONTANA HIGH SCHOOLS AND A LOCAL COLLEGE. EACH SCHOOL PAYS A SMALL FEE FOR THE SERVICES AND ST. JAMES PICKS UP THE REMAINING COST. ST. JAMES ALSO PROVIDES $5 SPORTS PHYSICIALS FOR THE TWO LOCAL HIGH SCHOOLS AND THE COLLEGE. THROUGHOUT THE YEAR, ST. JAMES HOSTS PUBLIC TALKS ON A VARIETY OF HEALTH ISSUES AND ALSO PROVIDES PRECEPTOR TRAINING FOR STUDENTS MAJORING IN NURSING, PHYSICAL AND RESPIRATORY THERAPY, PHARMACY, SURGICAL SERVICES, LAB ETC. Form 990, Part VI, Line 6 Members or stockholders THE SOLE MEMBER OF ST. JAMES HEATHCARE IS THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., A KANSAS NOT-FOR-PROFIT CORPORATION (THE "CORPORATE MEMBER"). Form 990, Part VI, Line 7a Power to elect or appoint members THE FOLLOWING POWERS ARE RESERVED TO THE CORPORATE MEMBER OF THIS CORPORATION AND NO ATTEMPTED EXERCISE OF ANY SUCH POWERS BY ANYONE OTHER THAN THE CORPORATE MEMBER SHALL BE VALID OR OF ANY FORCE OR EFFECT WHATSOEVER: (A)TO CHANGE THE MISSION AND PHILOSOPHY OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (B)TO ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION AND THE ARTICLES AND BYLAWS OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (C)TO APPOINT, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (D)TO ENSURE THE PRESENCE OF THE SISTERS OF CHARITY OF LEAVENWORTH ON THE BOARD OF DIRECTORS OF THIS CORPORATION, TO APPOINT MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH TO THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, WHICH APPOINTEES SHALL BE OTHERWISE QUALIFIED UNDER SECTION 2 OF ARTICLE IV OF THESE BYLAWS; (E)TO REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, ANY MEMBER OF THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (F)TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF ADMINISTRATIVE OFFICER OF THIS CORPORATION AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE SCLHS MONTANA REGION; (G)TO IMPLEMENT CORPORATE GOALS, POLICIES AND PROCEDURES FOR THIS CORPORATION AND ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (H)TO APPROVE FOR THIS CORPORATION, OR FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE, TRANSFER, ASSUMPTION, OR ENCUMBERING OF THE ASSETS PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; (I)TO APPROVE THE MERGER, DISSOLUTION OR CORPORATE RESTRUCTURING OF THIS CORPORATION OR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (J)TO APPROVE THE ANNUAL STRATEGIC PLANS AND OPERATING AND CAPITAL BUDGETS AND DEVIATIONS THERETO FOR THIS CORPORATION AND FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (K)TO APPOINT THE AUDITORS OF THIS CORPORATION AND FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; AND (L) TO (I) TRANSFER ASSETS, OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, TO THE CORPORATE MEMBER OR AN ENTITIY CONTROLLED BY, CONTROLLING OR UNDER COMMON CONTROL WITH THE CORPORATE MEMBER, WHETHER WITHIN OR WITHOUT THE STATE OF DOMICILE OF THE CORPORATION, TO THE EXTENT DEEMED NECESSARY BY THE CORPORATE MEMBER TO ACCOMPLISH THE CHARITABLE GOALS AND OBJECTIVES OF THE CORPORATE MEMBER; AND (II) (NOTWITHSTANDING THE PROVISIONS OF SUBSECTION 2(H)), AUTHORIZE THE EXPENDITURE, HYPOTHECATION OR LOAN OF ASSETS OF THE CORPORATION TO ANOTHER CHARITABLE ENTITY CONTROLLED, CONTROLLING OR UNDER COMMON CONTROL WITH THE CORPORATE MEMBER TO CARRY OUT THE CHARITABLE PURPOSES OF THE SCLHS SYSTEM AND TO FURTHER SECURE THE MEMBER'S MASTER TRUST INDENTURE OR SIMILAR FINANCING INSTRUMENT OR PROCESS. THE EXCLUSIVE POWERS UNDER THIS SUBSECTION 2(L) ARE IN RECOGNITION OF THE BENEFITS ACCRUING TO THE CORPORATION FROM THE CORPORATE MEMBER, AND IN ADDITION TO ANY OTHER RIGHTS RESERVED TO THE CORPORATE MEMBER UNDER APPLICABLE LAW OR THE ARTICLES OF INCORPORTION OR BYLAWS OF THE CORPORATION. IN COMPLYING WITH THE EXERCISE OF THE CORPORATE MEMBER'S EXCLUSIVE POWERS UNDER THIS SUBSECTION, THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS STATEMENT OF PURPOSES AS SET FORTH HEREIN, THE TERMS OF ANY RESTRICTED GIFTS TO THE CORPORATION, THE COVENANTS OF ITS DEBT INSTRUMENTS, OR THE LAW OF ANY JURISDICTION. Form 990, Part VI, Line 11b Review of the Form 990 THE FORM 990 IS REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. St. James Healthcare management provided copies for review of the 990 form to the Board of Director's Finance Committee. The review process included formal acceptance and approval for completeness of the form before filing. This review and approval was then reported to the full Board of Directors for general Board acceptance. Form 990, Part VI, Line 12c Monitoring and enforcement of compliance with conflict of interest policy IN ORDER TO AVOID A CONFLICT OF INTEREST, EACH SJH EMPLOYEE, HOSPITAL REPRESENTATIVE OR INTERESTED PERSON IS OBLIGED TO IDENTIFY ANY POSSIBLE CONFLICTS OF INTEREST TO THEIR DIRECTOR OR VICE PRESIDENT, OR TO THE ORGANIZATIONAL RESPONSIBILITY OFFICER (ORO). POTENTIAL CONFLICTS OF INTEREST DO NOT AUTOMATICALLY DISQUALIFY PROSPECTIVE VENDORS FROM CONSIDERATION. WILLFUL FAILURE TO IDENTIFY POSSIBLE CONFLICTS OF INTEREST MAY JEOPARDIZE EMPLOYMENT STATUS OR RELATIONSHIP WITH SJH OF THE RESPONSIBLE INDIVIDUAL. ANNUAL STATEMENTS A. EACH MEMBER OF THE BOARD OF DIRECTORS, SENIOR MANAGEMENT TEAM, CONTRACT SJH MANAGEMENT REPRESENTATIVES, ANY PHYSICIANS WHO ARE IN A DECISION-MAKING/INFLUENCING ROLE AND COMPENSATED BY SJH, AND ANY OTHER EMPLOYEE OR MEMBER OF THE MEDICAL STAFF WHO FITS THE DEFINITION OF AN INTERESTED PERSON: ARE REQUIRED UPON APPOINTMENT OR HIRE AND AT LEAST ANNUALLY THERE AFTER TO SIGN A COPY OF THE STATEMENT PERTAINING TO CONFLICT OF INTEREST AND DISCLOSURE OF CERTAIN INTERESTS POLICY. B. THE ORGANIZATIONAL RESPONSIBILITY PROGRAM (ORP) COMMITTEE WILL REVIEW COI STATEMENTS, AND INVESTIGATE ALL DISCLOSURES OF POSSIBLE CONFLICTS OF INTEREST. C. THE ORP COMMITTEE WILL PREPARE A REPORT FOR THE SJH CHIEF EXECUTIVE OFFICER AND THE SJH AUDIT COMMITTEE. D. THE SJH AUDIT COMMITTEE IS RESPONSIBLE FOR FINAL REVIEW AND INVESTIGATION OF POTENTIAL CONFLICTS OF INTEREST AND PRESENTATION OF ITS FINDINGS TO THE SJH BOARD OF DIRECTORS ON AN ANNUAL BASIS. FORM 990, PART VI, LINES 15A & B 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. Part VI, Sec C, Line 19 GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC ST JAMES HEALTHCARE ADMINISTRATION MAINTAINS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS. UPON REQUEST DOCUMENTS SUBJECT TO DISCLOSURE ARE MADE AVAILABLE TO THE GENERAL PUBLIC. 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