2013-11-13T17:57:12-06:00 2012-12-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2012-01-01 840425720 ST MARY'S HOSPITAL & MEDICAL CENTER INC % TERRI CHINN STMA 9702982273 2635 N 7th St Suite Grand Junction CO 81502 Sherri Chinn 2013-11-11 3142901000 2012 2016-02-25 16:41:14Z ST MARY'S HOSP THE REGNL MED CTR TERRI CHINN 2635 N 7TH ST GRAND JUNCTION CO 81502 409769488 false 0928 X www.stmarygj.org X 1975 CO 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. 15 10 2443 600 3427598 1430856 3502814 2096421 366833371 378884254 1805906 11610206 13038393 15713804 385180484 408304685 2177258 2581684 0 0 141167243 151576900 0 0 481945 212261782 219523733 355606283 373682317 29574201 34622368 511222492 541007216 63783529 65474117 447438963 475533099 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 188795105 281581252 INPATIENT HEALTHCARE - ST. MARY'S HOSPITAL & MEDICAL CENTER, INC, DBA ST. MARY'S HOSPITAL THE REGIONAL MEDICAL CENTER IS A FULL-SERVICE HOSPITAL PROVIDING QUALITY HEALTHCARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS THE LARGEST HEALTHCARE FACILITY IN A 250-MILE RADIUS, ST. MARY'S PROVIDES MANY ADVANCED HEALTHCARE SERVICES NOT OFFERED BY ANY OTHER FACILITIES IN WESTERN COLORADO AND EASTERN UTAH, INCLUDING COMPREHENSIVE CARDIAC SERVICES, OPEN HEART SURGERY, COMPREHENSIVE CANCER CARE, A NEWBORN INTENSIVE CARE, AND LEVEL II TRAUMA SERVICES. ST. MARY'S IS LICENSED FOR 346 BEDS, 310 OF WHICH WERE STAFFED BY YEAR END 2012. 2012 ACUTE ADULT AND PEDIATRIC ADMISSIONS NUMBERED 12,156; 2,175 BIRTHS; SUB-ACUTE ADMISSIONS 277. MEDICARE REPRESENTS 41.9% OF THE PAYOR MIX; MEDICAID REPRESENTS 15.3% OF THE PAYOR MIX THE HOSPITAL PERFORMED 4,202 INPATIENT SURGERIES. 89272388 21662015 OUTPATIENT HEALTHCARE - MOST OF ST. MARY'S OUTPATIENT HEALTHCARE SERVICES ARE DELIVERED IN CLINIC FACILITIES CONVENIENTLY LOCATED NEAR BUT SEPARATE FROM THE MAIN HOSPITAL CAMPUS. WITH THEIR OWN ENTRANCES AND PARKING LOTS, THESE FACILITIES KEEP PATIENTS OUT OF THE TRAFFIC AND ACTIVITY FLOW OF THE HOSPITAL BUT CLOSE TO THE MAJOR CONCENTRATION OF MEDICAL SERVICES AND PHYSICIAN OFFICES IN THE COUNTY. ST. MARY'S ADVANCED MEDICINE PAVILION HOUSES OUT-PATIENT MEDICAL AND RADIOLOGY CANCER CARE, IMAGING, BLOOD DONATION, AND LABORATORY SERVICES. ST. MARY'S LIFE CENTER CONTAINS REHABILITATION, WELLNESS, AND WEIGHT LOSS/MANAGEMENT SERVICES. A THIRD FREE-STANDING FACILITY HOUSES ST. MARY'S FAMILY MEDICINE RESIDENCY PROGRAM, WHICH TRAINS PHYSICIANS TO CARE FOR FAMILIES IN SMALL TOWNS AND RURAL AREAS; ST. MARY'S FAMILY MEDICINE CENTER, A MEDICAL CLINIC SPECIALIZING IN PRE-NATAL, OBSTETRICAL, PEDIATRIC, FAMILY, AND GERIATRIC CARE; AND ST. MARY'S WOUND CLINIC. ST. MARY'S 2012 OUTPATIENT SERVICES INCLUDED: 360,160 PATIENT VISITS (INCLUDING EMERGENCY ROOM VISITS), 80,050 CLINIC VISITS, AND 3,318 OUTPATIENT SURGERIES. 17117228 34544098 PROGRAM SERVICE III EMERGENCY & TRAUMA SERVICES - ST. MARY'S OPERATES THE ONLY LEVEL II TRAUMA CENTER BETWEEN DENVER, CO AND SALT LAKE CITY, UT. WITH A 24-7 EMERGENCY DEPARTMENT STAFFED WITH EXPERIENCED EMERGENCY MEDICINE-TRAINED PHYSICIANS AND NURSES, TRAUMA AND NEUROSURGEONS ALWAYS AVAILABLE, AND AIR MEDICAL TRANSPORT SERVICES, ST. MARY'S CARES FOR SERIOUSLY ILL AND INJURED PATIENTS. THE TRANSPORT HELICOPTER ALSO ASSISTS IN RESCUE OR EVACUATION EFFORTS. DURING 2012 ST. MARY'S HELICOPTER MADE 381 TRANSPORT FLIGHTS. THE FIXED-WING AIRCRAFT FLEW 304 TRANSPORTS THERE WERE 32 GROUND TRANSPORTS. OF ST. MARY'S 39,640 EMERGENCY DEPARTMENT VISITS DURING 2012, 6,265 PATIENTS WERE ADMITTED AND 33,375 WERE TREATED AS OUTPATIENTS. 9958329 22036677 OUTPATIENT RADIOLOGY 8458761 20459271 REHABILITATION 1560463 356024 WELLNESS CENTER 6425538 RESIDENCY PROGRAM 656590 collaborative clinic 831960 RESEARCH 2064947 210992 COMMUNITY BENEFIT PROGRAMS 173510 6825 EDUCATION 234447 tumor registry 2581684 2581684 OTHER CHARITABLE CONTRIBUTIONS 32946229 2581684 43069789 328130950 true true false true false false false false false true true false false false true false false true false false false false false false false false true true true true true false false false false false true false true false false false false false true true true false false true 325 0 true 2443 true true true false false false false false false false false false X 15 10 false true false false true true true true true false false true true true true true true false false true false X TERRI CHINN 9702982020 2635 N 7TH ST Grand Junction CO 81502 Roy Cromer 1.0 0.0 X X Gregg Kampf 1.0 0.0 X X Rob Bickley 1.0 0.0 X X Kristine Ruess 1.0 0.0 X X Michael McBride 55.0 1.0 X X 0 505231 69652 Sister Catrina Ann Bones 1.0 0.0 X Bruce Hill 1.0 0.0 X DUANE HARTSHORNE 1.0 0.0 X SISTER JEAN ANNE PANISKO 1.0 0.0 X David James 1.0 0.0 X 72909 0 3246 MIKE MURRAY 1.0 0.0 X Monique Serra 1.0 0.0 X Sister Phyllis Stowell 1.0 0.0 X CHRIS WOOLSLEY 1.0 40.0 X 0 338560 44975 Douglas Aden 1.0 0.0 X Forest Binder 55.0 1.0 X 0 313699 53908 REZA KALEEL 55.0 1.0 X 0 309374 37012 John Beeson 55.0 0.0 X 0 421556 78286 DORA PETERSON 55.0 0.0 X 0 261179 24945 BRIAN WITWER 42.0 0.0 X 790730 0 34784 John Lopez 42.0 0.0 X 786745 0 34607 JAMES NARROD 40.0 0.0 X 704556 0 34553 SUSAN HEMLEY 42.0 0.0 X 685560 0 34801 LEONARD LAPKIN 40.0 0.0 X 584253 0 21602 Robert Ladenburger 0.0 55.0 X 0 1376046 106636 3624753 3525645 579007 142 true true false Anesthesia Consultants of Western C 1120 Wellington Suite 206 GRAND JUNCTION CO 81501 anesthesia svcs 4063751 Petroleum Helicopters Inc 2001 SE Evangeline Thruway LAFAYETTE LA 70508 Helicopter Service 3131761 Aramark Corporation 4420 East 142 St GRAND VIEW MO 64030 Food Service Mgt 2548202 GENERAL SURGEONS OF WESTERN COLORAD 1001 WELLINGTON AVE GRAND JUNCTION CO 81501 PHYSICIAN SVCS 1539868 FCI CONSTRUCTORS PO BOX 1767 GRAND JUNCTION CO 81502 CONSTRUCTION 1370707 54 751239 1341690 3492 2096421 INPATIENT REVENUE 900099 281581252 281581252 EMERGENCY SERVICES 900099 34544098 34544098 OUTPATIENT RADIOLOGY 621990 22036677 22036677 REHABILITATION 621990 20459271 20459271 OUTPATIENT 621400 19689115 19689115 573841 573841 378884254 7452477 1972900 37391 5442186 0 0 1604045 458521 1053928 166673 550117 291848 841965 277937 564028 4263965 106236 4157729 4157729 4157729 0 0 206351 137966 68385 68385 REFERENCE LAB 541380 2417696 2417696 CAFETERIA SALES 722514 1557429 1557429 BILLING SERVICES 541900 238420 238420 10589909 456154 10133755 14803454 408304685 380857154 3427598 21923512 2513065 2513065 68619 68619 0 0 2129106 1813884 315222 0 120057721 111320432 8380775 356514 5854290 4987541 849365 17384 13970825 12184428 1704070 82327 9564958 8736630 802608 25720 5729771 5618957 110814 677679 677679 4429565 4429565 31357 31357 0 0 40721701 26425800 14295901 683968 23755 660213 7737849 6609368 1128481 11473570 9613950 1859620 0 3598664 3274634 324030 821018 766786 54232 0 452399 413056 39343 1557224 1557224 0 32551386 28759340 3792046 3051171 9742 3041429 MEDICAL SUPPLIES 59394466 59318457 76009 BAD DEBT EXPENSE 22736388 22736388 PROVIDER TAXES 22241704 22241704 INCOME TAXES 464708 464708 1169145 694414 474731 373682317 328130950 45069422 481945 428235 3265676 3670318 4957463 0 0 52155700 68485337 0 0 0 0 0 0 6608501 6342862 3886943 3249893 602500342 287664094 332059786 314836248 109947481 137823467 0 0 2500646 3442485 0 0 -35118 -1396215 511222492 541007216 25851305 29099391 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37932224 36374726 63783529 65474117 X 447438963 475533099 0 0 0 0 447438963 475533099 511222492 541007216 X 34622368 -6528232 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 24721 false false true 6636 31357 false form 990, sch c, PART II-B, LINE 1F: $6,000 PAYMENT TO McDermott Will & Emery for promotion of rural health related legislation. $17,721 paid to Capstone group for lobbying of health related issues in colorado. $1,000 payment to Club 20 a lobbying group for issues concerning western colorado. LOBBYING PORTION OF MEMBERSHIP DUES REPORTED BY ASSOCIATIONS form 990, SCH C, PART II-B, line 1i: LOBBYING PORTION OF DUES REPORTED ON ASSOCIATION MEMBERSHIP INVOICES, $6,636. ST. MARY'S HOSPITAL HAS NO CONTROL OVER HOW THE FUNDS ARE SPENT OR DIRECTED. 6419628 924522 686603 81639 7949114 6462683 168214 50698 261967 6419628 5949382 25481 771583 283763 6462683 4225092 2619 1722549 878 5949382 6828227 24377 -2535754 91758 4225092 0.96400 0.03600 false true true 9395131 9395131 234306341 76531457 157774884 312960 305544 7416 340083888 199798789 140285099 18402022 11028304 7373718 314836248 -165858 ACCRUED PROPERTY TAXES 254946 ACCRUED SALES TAXES 13617 OTHER DEFERRALS -210663 SR PROGRAMS - MEALS 28171 REIMB SETTLEMENT DUE - MCARE 2950793 MINORITY INTEREST 2710809 STATE INCOME TAX 24112 CAPITAL STRUCTURE 31478657 ACCRUED EXPENSES & LIABILITIES 34367 PREPAID MEALS -6491 REIMB SETTLE DUE MEDICAID -737734 36374726 Endowment Funds form 990, Sch D, Part V, Line 4: BOARD ENDOWMENT - QUASI ENDOWMENT USED FOR AREAS OF GREATEST NEED. CUMMINGS FAMILY ENDOWMENT - QUASI ENDOWMENT TO ASSIST LOW INCOME CANCER PATIENTS. SACCOMANNO RESEARCH INSTITUTE - QUASI ENDOWMENT TO FURTHER RESEARCH. BRUCE E. DIXSON PULMONARY REHABILITATION ENDOWMENT - ASSIST LOW INCOME PULMONARY PATIENTS WORLEY FAMILY INFECTION CONTROL ENDOWMENT - INFECTION CONTROL EDUCATION DR. LYNN JAMES PULMONARY ENDOWMENT FUND - ASSIST LOW INCOME PULMONARY PATIENTS ENDOWMENT FUNDS ARE HELD BY THE ST. MARY'S HOSPITAL FOUNDATION. true true X true X 40. true X true true true false true true 18196209 5104206 13092003 0.03730 63711827 46994769 16717058 0.04760 81908036 52098975 29809061 0.08490 1116343 6825 1109518 0.00320 6913582 6913582 0.01970 1602005 1602005 0.00460 831960 831960 0.00240 877759 877759 0.00250 11341649 6825 11334824 0.03240 93249685 52105800 41143885 0.11730 1983572 210991 1772581 0.00510 1983572 210991 1772581 0.00510 true 8648843 82812246 80111522 2700724 X true true PAVILION IMAGING OUTPATIENT RADIOLOGY 0.75000 0.25000 GRAND VALLEY SURG OUTPATIENT SURGERY 0.50336 0.49664 SAN JUAN CANCER CNT OUPATIENT CANCER TREATMENT 0.33333 0.33333 1 1 St Mary's Hospital & Medical Ctr In

2635 N 7th ST GTRAND JUNCTION CO 81502

X X X X ST MARY'S HOSPITAL & MEDICAL CTR INC true true 40. true 400. true X X X X X X true true X X X X X true false X X X true false false 2 Grand Valley Surgical Center LLC

710 Wellington Grand Junction CO 81501

outpatient surgery San Juan Cancer Center LLC

600 SOUTH 5TH STREET MONTROSE CO 81401

outpatient cancer treatment FEDERAL POVERTY GUIDELINES form 990, SCHE H, PART I, LINE 3C: N/A COST TO CHARGE RATIO SCH H PART I, LINE 7: COST TO CHARGE RATIO. DERIVED FROM WORKSHEET 2 BAD DEBT EXPENSE SUBTRACTED BEFORE CALCULATING PERCENTAGES IN COLUMN (F) WAS $22,736,388. BAD DEBT FOOTNOTE PART III, LINE 4: A COST TO CHARGE RATIO IS USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 2 AND 3. DISCOUNTS AND PAYMENTS APPLIED TO ACCOUNTS. NO METHOD IS USED TO DETERMINE THE AMOUNT THAT REASONABLY COULD BE ATTRIBUTED TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBLITY. NO PORTION OF BAD DEBT IS INCLUDED IN COMMUNITY BENEFIT. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. WITHIN THE FINANCIAL STATEMENT OF SCL HEALTH SYSTEM, BAD DEBT EXPENSE IS INCLUDED WITHIN OPERATING EXPENSES, AT THE VALUE OF UNCOLLECTED AND ESTIMATED UNCOLLECTIBLE CHARGES AFTER CONTRACTUAL ALLOWANCES AND SELF-PAY DISCOUNTS ARE APPLIED. MEDICARE form 990, sch h, PART III, section b, LINE 8: MEDICARE ALLOWABLE COSTS ARE DETERMINED BASED ON APPLICABLE MEDICARE RULES AND REGULATIONS. NONALLOWABLE EXPENSES ARE REMOVED VIA AN ADJUSTMENT, AS SHOWN ON WORKSHEET A-8 OF THE MEDICARE COST REPORT. COLLECTIONS 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. ST. MARY'S HOSPITAL & MEDICAL CENTER 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. individuals eligibility form 990, sch h, part v, line 19d: The Hospital uses a sliding scale for patients that are under 400% of the FPG. The greatest percentage charged to a qualifying patient is less than the lowest negotiated rate. NEEDS ASSESSMENT PART VI, QUESTION 2: AS OUR MISSION STATES, "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE" AND IN ORDER TO DO THIS WE HAVE REGULARLY PARTICIPATED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. IN 2012 THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE MESA COUNTY HEALTH DEPARTMENT AND INCLUDED THE COLLABORATIVE EFFORT OF MANY ORGANIZATIONS AND PROVIDERS IN OUR COMMUNITY, INCLUDING ST. MARY'S HOSPITAL & MEDICAL CENTER. WE CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY, AND BY EVALUATING STATE AND COUNTY HEALTH STATISTICS. CHNA'S WERE ALSO CONDUCTED IN 1998, 2005, 2009. THE HEALTHY MESA COUNTY 2012 CHNA: STRATEGIES TO ADDRESS COMMUNITY HEALTH NEEDS; IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS, PERCEPTIONS AND NEEDS OF RESIDENTS IN MESA COUNTY. SUBSEQUENTLY, THIS INFORMATION MAY BE USED TO FORMULATE STRATEGIES TO IMPROVE COMMUNITY HEALTH AND WELLNESS. MESA COUNTY HEALTH DEPARTMENT STARTED THE CHNA PROCESS IN 2011 BY CREATING A COMMUNITY HEALTH STEERING COMMITTEE TO LEAD A STRATEGIC PROCESS AND SUGGEST HEALTH PRIORITY AREAS FOR MESA COUNTY. FOLLOWING PRINCIPLES FROM THE COLORADO HEALTH ASSESSMENT AND PLANNING SYSTEM (CHAPS) AND THE PRECEDE/PROCEED MODEL (GREEN AND KREUTER, 2005), THE COMMITTEE DECIDED ON FOUR CRUCIAL STEPS TO ASSESS NEEDS, DETERMINE CAUSES, AND REACH CONSENSUS ON POSSIBLE INTERVENTIONS TO ACHIEVE DESIRED OUTCOMES. THOSE STEPS ARE: COMPILE EXISTING DATA, ENGAGE STAKEHOLDERS AND PRIORITIZE HEALTH PROBLEMS, GATHER PRIMARY DATA FROM COMMUNITY INPUT, AND DETERMINE HEALTH PRIORITIES. IMPLEMENTATION OF PRECEDE/PROCEED AND CHAPS PHASES RESULTED IN WELL-STRUCTURED QUALITATIVE AND QUANTITATIVE HEALTH DATA FOR MESA COUNTY. THOROUGH ANALYSIS OF MESA COUNTY INDICATORS ALLOWED FOR COMPARISON TO COLORADO, AND WHEN AVAILABLE TO THE NATION. THE PURPOSE WAS TO UNDERSTAND TRENDS CONTRIBUTING TO QUALITY OF LIFE, DEATH, DISEASE, ILLNESS, INJURY, AND LIFE CHANGING EVENTS. HEALTH DATA WAS PRESENTED TO THE STAKEHOLDER GROUP IN TEN DIFFERENT CATEGORIES; PARTICIPANTS SCORED EACH CATEGORY BASED ON IMPORTANCE AND ACTION ABILITY. THE RESULTS IDENTIFED SIX HEALTH PRIORITIES THAT CLUSTERED TOGETHER AS MOST IMPORTANT AND ACTIONABLE: MATERNAL AND CHILD HEALTH, MENTAL HEALTH, TOBACCO USE, OBESITY, FAMILY ABUSE AND VIOLENCE, AND SCREENING/DETECTION. TO FURTHER EXPLORE FACTORS CONTRIBUTING TO THE COMMUNITY'S HEALTH AND TO GATHER ADDITIONAL INFORMATION CONCERNING PERSONAL HEALTH NEEDS, THE COMMITTEE FACILITATED SIX SUBJECT-MATTER-EXPERT FOCUS GROUPS, ONE COMMUNITY FOCUS GROUP, AND THREE SUMMITS. GENERAL QUESTIONS ASKED INCLUDED: "HOW MUCH OF AN ISSUE IS... IN OUR COMMUNITY?" AND, "WHAT BARRIERS, SERVICES, OR DATA DO YOU FEEL INFUENCE THIS ISSUE?" COMMUNITY INPUT RESULTED IN A COMPREHENSIVE LIST OF BARRIERS AND POSSIBLE SOLUTIONS RELATED TO THE FOLLOWING THREE CRITICAL ISSUES, IDENTIFED AS MESA COUNTY'S WINNABLE BATTLES: OBESITY, SUICIDE AND UNINTENDED PREGNANCY. THE UNDERLYING APPROACH OF THE PRECEDE/PROCEED MODEL IS TO FRST IDENTIFY FINAL CONSEQUENCES, IN THIS CASE, OBESITY; SUICIDE; AND UNINTENDED PREGNANCY, AND WORK BACKWARDS TO THE CAUSES, KNOWN AS: PREDISPOSING, ENABLING AND REINFORCING FACTORS. A CLOSER LOOK AT THE COMMUNITY INPUT UNDER THIS SCOPE, REVEALED SIGNIFCANT SIMILARITIES AND DETERMINED BUILT ENVIRONMENT, PARENTING, ACCESS TO HEALTH CARE, MENTAL HEALTH, AND BUILDING A SENSE OF COMMUNITY AS CONTRIBUTING FACTORS TO POOR HEALTH OUTCOMES IN MESA COUNTY. RECOGNIZING THEM AS PRIORITIES IS A CRUCIAL STEP IN IDENTIFYING POTENTIAL SOLUTIONS. CHRONIC DISEASE, MATERNAL AND CHILD HEALTH, ORAL HEALTH, COMMUNICABLE DISEASE, AND INJURY AND VIOLENCE ARE FIVE BROAD CATEGORIES THAT ENCOMPASS MORBIDITY AND MORTALITY ISSUES NORMALLY ADDRESSED THROUGH COMMUNITY HEALTH EFFORTS. WHEN EXAMINING THESE ISSUES, SEVERAL ASSOCIATED BEHAVIORAL DETERMINANTS AND ENVIRONMENTAL RISK FACTORS WERE IDENTIFED AND USED TO GUIDE THE MESA COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT THROUGH THE FOLLOWING STEPS: STEP 1: COMPILE EXISTING DATA; IN FEBRUARY 2011, MESA COUNTY HEALTH DEPARTMENT REVIEWED A LIST OF 250 INDICATORS DEVELOPED BY THE PUBLIC HEALTH INDICATOR TASK FORCE AS A STARTING POINT FOR GATHERING LOCAL DATA. MESA COUNTY HEALTH DEPARTMENT STAFF RESEARCHED ALL AVAILABLE DATA FOR MESA COUNTY RELATED TO EACH OF THE 250 INDICATORS AND IDENTIFED WHETHER A STATE STANDARD OR A HEALTHY PEOPLE 2020 OBJECTIVE WAS AVAILABLE FOR COMPARISON. STEP 2: ENGAGE STAKEHOLDERS AND PRIORITIZE HEALTH PROBLEMS: MESA COUNTY HEALTH DEPARTMENT ESTABLISHED THE MESA COUNTY COMMUNITY HEALTH STEERING COMMITTEE, COMPRISED OF SELECTED COMMUNITY REPRESENTATIVES, TO PROVIDE GUIDANCE FOR THE HEALTH ASSESSMENT PROCESS. MEMBERS OF THE STEERING COMMITTEE WERE CHOSEN BASED ON THEIR ABILITIES TO PROVIDE SUBJECT MATTER EXPERTISE, PROVIDE INPUT, SEE THE BIG PICTURE OF COMMUNITY HEALTH, AND REVIEW THE HEALTH-INDICATOR DATA. COMMITTEE MEMBERS WERE ASKED TO COMMIT TO A KICKOFFMEETING, POTENTIALLY PARTICIPATE IN PRIORITY AREA FOCUS GROUPS, AND PROVIDE A REVIEW OF THE FINAL CHNA REPORT. THE FOLLOWING KEY COMMUNITY ORGANIZATIONS PARTICIPATED, REPRESENTING DIVERSITY WITHIN THE PUBLIC HEALTH SYSTEM: CITY OF GRAND JUNCTION, COLORADO WEST REGIONAL MENTAL HEALTH, COMMUNITY HOSPITAL, FAMILY HEALTH WEST, HILLTOP, MARILLAC CLINIC, MESA COUNTY 211, MESA COUNTY DEPARTMENT OF HUMAN SERVICES, MESA COUNTY HEALTH DEPARTMENT, MESA COUNTY LOCAL EMERGENCY PLANNING COMMITTEE (LEPC), MESA COUNTY SCHOOL DISTRICT #51, ST. MARY'S HOSPITAL & REGIONAL MEDICAL CENTER, AND STRIDE. STEP 3: GATHERING PRIMARY DATA: THE STEERING COMMITTEE GATHERED PRIMARY DATA TO FURTHER EXPLORE INFORMATION FOR MESA COUNTY. THIS WAS COMPLETED BY HOLDING FOCUS GROUPS AND BY IDENTIFYING AND REVIEWING DATA AVAILABLE IN A VARIETY OF COMMUNITY PROGRAMS. ONCE THE SUBJECT MATTER EXPERT AND COMMUNITY FOCUS GROUPS WERE COMPLETE, MESA COUNTY HEALTH DEPARTMENT AND COMMUNITY PARTNERS IDENTIFIED KEY PUBLIC HEALTH PRIORITIES THAT WOULD HAVE A LARGE-SCALE IMPACT ON HEALTH AND QUALITY OF LIFE. THESE AREAS BECAME MESA COUNTY'S WINNABLE BATTLES TO BE ADDRESSED OVER THE NEXT SEVERAL YEARS. AS A MEANS TO TRIANGULATE INFORMATION GATHERED IN THE FOCUS GROUPS, LARGE COMMUNITY SUMMITS WERE HELD TO DISCUSS ISSUES RELATED TO MESA COUNTY'S WINNABLE BATTLES. THE SUMMITS ENCOURAGED COMMUNITY PARTNERS, STAKEHOLDERS, AND MEMBERS OF THE PUBLIC TO OFFER IDEAS AND POTENTIAL SOLUTIONS TO BARRIERS. ST. MARY'S CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY, AND BY EVALUATING STATE AND COUNTY HEALTH STATISTICS. ST. MARY'S UTILIZES THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY TO HELP PRIORITIZE THE ALLOCATION OF RESOURCES. THE ST. MARY'S BOARD, LEADERSHIP AND SERVICE MANAGERS WILL DEVELOP PROGRAMS, ALTER CURRENT OPERATIONS OR SPONSOR LOCAL EFFORTS TO RESPOND TO THE NEEDS IDENTIFIED IN THE SURVEY. COLLECTION PRACTICES PART VI, QUESTION 3: ST. MARY'S HOSPITAL & MEDICAL CENTER TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. ST. MARY'S HOSPITAL & MEDICAL CENTER HAS A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINS ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE AT VARIOUS LEVELS, INCLUDING A 100% DISCOUNT, AND IS BASED ON FEDERAL POVERTY GUIDELINES. WE WORK WITH PATIENTS TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS IN DEMONSTRATION OF OUR CORE VALUE OF RESPECT. AS PART OF OUR RESPONSIBILITY TO EDUCATE, WHEN POSSIBLE, WE INFORM OUR PATIENTS AND THEIR FAMILIES OF THE AVAILABILITY OF ASSISTANCE, INCLUDING GOVERNMENT PROGRAMS. WE COMMUNICATE THIS IN A VARIETY OF WAYS TO ENSURE THAT MESSAGES REACH MULTIPLE AUDIENCES. BEFORE, DURING AND/OR AFTER ADMISSION, WE ENCOURAGE OUR SELF PAY PATIENTS TO VISIT WITH A FINANCIAL COUNSELOR TO DISCUSS QUALIFICATIONS FOR FINANCIAL ASSISTANCE. THE FINANCIAL COUNSELOR WORKS WITH THE PATIENT TO COMPLETE A FINANCIAL ASSISTANCE FORM TO DETERMINE THE LEVEL OF DISCOUNT FOR WHICH THE PATIENT MAY BE ELIGIBLE. WE POST FINANCIAL ASSISTANCE INFORMATION IN EMERGENCY AND ADMISSIONS AREAS, ON BILLINGS INVOICES, IN VARIOUS AREAS AROUND THE HOSPITAL AND CLINIC SITES AND ON THE HOSPITAL WEBSITE. WE PROVIDE WRITTEN MATERIALS TO PATIENTS THAT DETAIL OUR FINANCIAL ASSISTANCE POLICY AND HOW IT IS ADMINISTERED. THIS COVERS ELIGIBILITY, STEPS TO FOLLOW TO DETERMINE IF A PATIENT QUALIFIES FOR ASSISTANCE, TYPICAL CHARGES A PATIENT MAY EXPECT FOR ROUTINE PROCEDURES, AND ASSISTANCE AVAILABLE BASED ON A PATIENT'S INCOME LEVEL. WE PROVIDE, WHEN POSSIBLE, MATERIALS AND EDUCATION WHEN PATIENTS ARE DISCHARGED, AND INCLUDE INFORMATION IN BILLING STATEMENTS, INCLUDING PHONE NUMBERS AND OTHER METHODS TO CONTACT US WITH QUESTIONS. WE ENSURE THAT OUR FINANCIAL COUNSELORS, ADMISSION EMPLOYEES, SOCIAL WORKERS AND OTHER EMPLOYEES UNDERSTAND OUR POLICIES TO BE ABLE TO ASSIST PATIENTS IN THE MOST APPROPRIATE WAY. COMMUNITY INFORMATION PART VI, QUESTION 4: ST. MARY'S IS THE LEADING PROVIDER OF COMMUNITY BENEFIT FOR RESIDENTS OF WESTERN COLORADO AND EASTERN UTAH. THE HOSPITAL IS LOCATED IN GRAND JUNCTION, CO THE LARGEST CITY BETWEEN SALT LAKE CITY, UTAH AND DENVER, COLORADO; THEREFORE, IT SERVES AS A REGIONAL HUB FOR SERVICES AND MEDICAL TECHNOLOGIES. MESA COUNTY LIES ON THE WESTERN BORDER OF COLORADO AND COVERS 3,309 SQUARE MILES. ACCORDING TO THE COLORADO STATE DEMOGRAPHY OFFICE THE ESTIMATED 2013 POPULATION OF MESA COUNTY IS 147,445. MESA COUNTY HAS EXPERIENCED STEADY POPULATION GROWTH RATES AND IS EXPECTING THIS TREND TO CONTINUE. HISTORICALLY, THE AREA HAS GROWN AT 2%, ANNUALLY, AND IS PROJECTED TO CONTINUE TO GROW AT 2.3%, ANNUALLY, THROUGH 2018. THESE PROJECTIONS WERE PROVIDED PRIOR TO AND DURING THE ECONOMIC DOWNTURN. HOW THE RECESSIONARY INFLUENCES WILL AFFECT POPULATION GROWTH AND MOVEMENT WILL BE AN INDICATOR WE WILL INVESTIGATE EACH YEAR AS THE PROJECTIONS ARE MADE AVAILABLE. THE 'BABY-BOOMER' COHORT IS PROJECTED TO BE ONE OF THE FASTEST GROWING POPULATION SEGMENTS AND HISTORICALLY HAS BEEN PROVIDED THE MONIKER FOR BEING THE MOST SIGNIFICANT MARKET FORCE DRIVING DEMAND GROWTH AND CHANGES IN HOW CONSUMERS ENGAGE THE HEALTH CARE DELIVERY SYSTEM. ST. MARY'S WILL CONTINUE STRIVING TO PROVIDE HIGH QUALITY CARE OFFERING A FAVORABLE CONSUMER VALUE PROPOSITION TO MATCH THE COMMUNITY'S RISING EXPECTATIONS. IN CORRELATION WITH ST. MARY'S TREMENDOUS GROWTH IN BIRTHS, TODAY'S GENERATION Z (0-14) NOW REPRESENTS A SUBSTANTIALLY LARGE AND FAST GROWING AGE COHORT. POPULATION BY AGE 2013, 2018, % GROWTH CHANGE PRIMARY SERVICE AREA 0 TO 14 29,286 30,914 5.6% 15 TO 34 39,176 38,718 -1.7% 35 TO 54 36,198 35,153 -2.9% 55 TO 64 19,641 19,929 1.5% 65+ 23,144 26,114 12.8% TOTAL 147,445 150,828 2.3% SECONDARY SERVICE AREA 0 TO 14 29,286 27,856 -0.6% 15 TO 34 32,741 32,415 1.0% 35 TO 54 35,569 32,894 -7.5% 55 TO 64 18,926 18,827 -0.5% 65+ 20,814 23,852 14.6% TOTAL 136,061 135,844 -0.2% TERTIARY SERVICE AREA 0 TO 14 44,172 44,454 0.6% 15 TO 34 62,663 59,615 -7.5% 35 TO 54 66,287 63,330 -4.5% 55 TO 64 33,389 34,773 4.1% 65+ 27,760 35,176 26.7% TOTAL 234,271 237,348 1.3% GRAND TOTAL 517,777 524,020 1.2% 2013 HH INCOME PRIMARY SERVICE COLORADO STATE USA SEGMENT AREA. HH COUNT, %OF TOTAL <$15K 9,507 16.3% $15-25K 9,163 15.7% $25-50K 16,018 27.4% $50-75K 10,932 18.7% $75-100K 6,473 11.1% OVER $100K 6,358 10.9% 2013 RACE/ETHNICITY PRIMARY COLORADO USA SERVICE AREA STATE. 2013, %OF TOTAL, 2018, %OF TOTAL WHITE NON-HISPANIC 121,318 82.2% 122,416 81.11% BLACK NON-HISPANIC 824 0.6% 922 0.6% HISPANIC 20,820 14.1% 22,733 15.1% ASIAN & PACIFIC NON-HISPANIC 1,290 0.9% 1,418 2.3% ALL OTHERS 3,333 2.3% 3,488 2.3% FOR ADDITIONAL COMMUNITY STATISTICAL INFORMATION INCLUDING UNINSURANCE RATES (18%), SPECIAL HEALTH RELATED ISSUES, COMMUNITY RISK FACTORS AND OTHER HEALTH RELATED INDICATORS PLEASE REFER TO THE MOST RECENT COMMUNITY HEALTH ASSESSMENT SURVEY AT HTTP://HEALTH .MESACOUNTY.US/ PROMOTION OF COMMUNITY HEALTH. PROMOTION OF COMMUNITY HEALTH PART VI, QUESTION 5: WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR COMMUNITY BUILDING ACTIVITIES DEMONSTRATE THIS COMMITMENT. OUR COMMUNITY BUILDING ACTIVITIES TOTALED $1,772,581 COMMUNITY SUPPORT IN 2012 REPORTED IN THE 990. DURING THIS YEAR OUR COMMUNITY SUPPORT ACTIVITIES INCLUDED ST. MARY'S SENIOR PROGRAMS - SENIOR COMPANION, FOSTER GRANDPARENT AND GRAY GOURMET FEDERALLY SUPPORTED PROGRAMS SPONSORED BY ST. MARY'S. ORIGINALLY SPONSORED BY MESA COUNTY, ST. MARY'S ASSUMED SPONSORSHIP AND SUPPORT OF THESE PROGRAMS DURING THE ECONOMIC DOWNTURN OF THE 1980'S WHEN THE COUNTY SUFFERED SEVERE BUDGET CONSTRAINTS FROM THE LOSS OF ENERGY-RELATED REVENUES. ST. MARY'S HAS CONTINUED TO SPONSOR AND SUPPORT THESE PROGRAMS BECAUSE OF THE UNIQUE SERVICES THEY PROVIDE TO THE SENIORS IN NEED IN MESA COUNTY. SENIOR COMPANION PROGRAM: ST. MARY'S SENIOR COMPANION PROGRAM HELPS OLDER ADULTS REMAIN HEALTHY, INDEPENDENT, AND IN THEIR OWN HOMES. THE NEED FOR THIS PROGRAM GROWS OUT OF THE PROBLEMS FACED BY SENIORS WHEN THEY OR THEIR PARTNER DEVELOPS MOBILITY ISSUES AND NEED HELP WITH EVERYDAY TASKS. 62 VOLUNTEER COMPANIONS SERVED 29,158 HOURS HELPING 349 SENIORS WITH DAILY ACTIVITIES, SUCH AS GROCERY SHOPPING, BILL PAYING, AND TRANSPORTATION TO MEDICAL APPOINTMENTS. WITHOUT HELP OF SENIOR COMPANIONS, MANY OLDER ADULTS WOULD BE FORCED TO LEAVE THEIR HOMES FOR ASSISTED LIVING FACILITIES OR NURSING HOMES. MANY WOULD NEED TO RELY ON PUBLIC SUPPORT SUCH AS MEDICAID TO PAY FOR THESE SERVICES. BY PROVIDING LOW-COST, PERSONAL INTERACTION WITH AT-RISK SENIORS, THE PROGRAM HELPS ENSURE SENIORS ARE ABLE TO GET GROCERY SHOPPING, MEDICAL APPOINTMENT AND ERRANDS COMPLETED. THE PROGRAM BENEFITS MORE THAN ST. MARY'S BECAUSE THE GOAL OF THE PROGRAM IS TO KEEP SENIORS LIVING INDEPENDENTLY OUTSIDE OF ASSISTED LIVING AND TO REDUCE THE RISK OF ILLNESS OR ACCIDENT THAT WOULD REQUIRE A HOSPITAL STAY. IN ADDITION TO MAJOR SUPPORT PROVIDED BY ST. MARY'S, THE COMMUNITY PROVIDES ADDITIONAL FINANCIAL SUPPORT THROUGH CONTRIBUTIONS TO ENHANCE THE SERVICES PROVIDED. FOSTER GRANDPARENT PROGRAM: ST. MARY'S FOSTER GRANDPARENT PROGRAM PROVIDES TWO TYPES OF SUPPORT IN THE COMMUNITY: 1) ASSISTANCE FOR AT-RISK YOUTH, AND 2) SOURCE OF INCOME FOR LOW-INCOME SENIORS. 85 QUALIFIED SENIOR VOLUNTEERS RECEIVE A TAX-FREE HOURLY STIPEND. PROVIDING 59,266 HOURS OF INVALUABLE TUTORING, MENTORING AND ONE-ON-ONE EDUCATIONAL SUPPORT FOR 1,509 AT-RISK CHILDREN, THE PROGRAM WORKS IN COLLABORATION WITH A BROAD RANGE OF COMMUNITY AGENCIES INCLUDING: MESA COUNTY SCHOOL DISTRICT; DELTA COUNTY SCHOOL DISTRICT; ROCKY MOUNTAIN HEAD START, MIGRANT HEAD START, KIDS OF THE KINGDOM, CHILD QUEST, LIL'MAVERICKS, AND COLLBRAN JOB CORPS, JUST TO NAME A FEW. WITHOUT THE PROGRAM, MORE YOUTH WOULD LIKELY DROP OUT OF SCHOOL AND REQUIRE PUBLICLY SUPPORTED INTERVENTION, AND SENIORS WOULD RELY MORE HEAVILY ON PUBLICLY AND PRIVATELY SUPPORTED FINANCIAL ASSISTANCE PROGRAMS. THE PRIMARY BENEFICIARIES OF THIS PROGRAM ARE THE PARTICIPATING SENIORS AND STUDENTS AND COMMUNITY AND GOVERNMENT-SUPPORT PROGRAMS, AS THE BENEFITS ACHIEVED ARE OUTSIDE THE REALM OF ST. MARY'S HOSPITAL'S SERVICES. IN ADDITION TO MAJOR SUPPORT PROVIDED BY ST. MARY'S, THE COMMUNITY PROVIDES ADDITIONAL FINANCIAL SUPPORT THROUGH CONTRIBUTIONS TO ENHANCE THE SERVICES PROVIDED. ST. MARY'S GRAY GOURMET PROGRAM GOOD NUTRITION IS HEALTHY FOOD, GOOD COMPANY, AND AN ENJOYABLE DINING EXPERIENCE. GRAY GOURMET, A NUTRITIONAL MEAL PROGRAM FOR SENIORS SPONSORED BY ST. MARY'S HOSPITAL, DELIVERS ALL THREE. WITH NINE COMMUNITY DINING SITES, HOME-DELIVERED MEALS THROUGH 18 DELIVERY ROUTES, AND OTHER NUTRITION-RELATED SERVICES, GRAY GOURMET IS DEDICATED TO THE GOOD HEALTH OF MESA COUNTY SENIORS. MEALS ARE PREPARED FRESH DAILY. SENIORS CURRENTLY RECEIVE HOT, NUTRIENT-DENSE MEALS IN FRIENDLY COMPANY AT NINE MEAL SITES. HOMEBOUND SENIORS 60 YEARS OF AGE AND OLDER CAN ARRANGE FOR HOME-DELIVERY SERVICE. FOR WEEKENDS, FROZEN MEALS ARE AVAILABLE FOR THOSE ENROLLED IN THE HOME DELIVERY SERVICE. IN 2012, 105,520 MEALS WERE SERVED. GRAY GOURMET'S REGISTERED DIETITIAN ASSURES MEALS MEET RECOMMENDED DIETARY STANDARDS. PERSONALIZED DIETARY COUNSELING IS OFFERED TO ALL PARTICIPANTS, AND NUTRITION EDUCATION IS AVAILABLE TO GROUPS. BOTH ARE FREE TO PARTICIPANTS. WITHOUT THE NUTRITIONAL SUPPORT PROVIDED BY GRAY GOURMET, MORE SENIORS WOULD BE PLACED IN ASSISTED LIVING FACILITIES, RELYING ON PUBLIC SUPPORT SUCH AS MEDICAID TO PAY FOR THESE SERVICES. THIS PROGRAM HELPS SENIORS TO CONTINUE TO LIVE INDEPENDENTLY AND REDUCES THE RISK OF A HOSPITAL STAY BECAUSE OF POOR NUTRITION. ROSE HILL SUMMARY 2012 THE MISSION OF ROSE HILL HOSPITALITY HOUSE IS TO PROVIDE A COMFORTABLE AND CONVENIENT LODGING ON A DONATION ONLY BASIS FOR GUESTS OF A LOVED ONE WHO IS HOSPITALIZED AT ST. MARY'S HOSPITAL, OR FOR PATIENTS COMING FOR OUTPATIENT CANCER TREATMENT AT THE ADVANCED MEDICINE PAVILION. 2,122 GUESTS STAYED AT ROSE HILL WITH AN AVERAGE LENGTH OF STAY OF 4.5 NIGHTS. THESE GUESTS CAME FROM 42 DIFFERENT STATES AND 6 FOREIGN COUNTRIES. BECAUSE OF THE GENEROSITY OF BENEFACTORS, A NUMBER OF MAJOR IMPROVEMENTS WERE MADE LAST YEAR. THESE INCLUDED: NEW WOOD FLOORING IN 7 GUEST ROOMS; NEW LIVING ROOM FURNITURE; 2 DINETTE SETS; DRESSERS AND NIGHTSTANDS FOR 11 GUEST ROOMS; LUGGAGE RACKS IN ALL GUEST ROOMS; AND A NEW WASHER AND DRYER. THIS NEW FURNITURE DONATED BY MESA COUNTY MEDICAL SOCIETY AND AMERICAN FURNITURE WAREHOUSE HELPS TO MAKE A WARM AND HOME LIKE ATMOSPHERE FOR ROSE HILL GUESTS. OUR IT STAFF WAS ABLE TO GREATLY INCREASE THE INTERNET CONNECTIVITY BY INSTALLING A GHOST BRIDGE WIRELESS NETWORK. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. WHEN ST. MARY'S HOSPITAL & MEDICAL CENTER HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. WE ALSO SUPPORT OUR EMPLOYEES IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS, AND PROVIDE OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS UNITED WAY CAMPAIGNS AND FOOD AND CLOTHING DRIVES. WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY. ST. MARY'S HOSPITAL OR ITS REPRESENTATIVES ARE MEMBERS OF THE CHAMBERS OF COMMERCE, ROTARY CLUB, AND CLUB 20. WE PROVIDE FINANCIAL SUPPORT FOR THE AMERICAN RED CROSS, MARCH OF DIMES,AMERICAN CANCER SOCIETY, GRAND JUNCTION ECONOMIC PARTNERSHIP AND THE DOWNTOWN DEVELOPMENT AUTHORITY, CATHOLIC OUTREACH, GRAND JUNCITON COMMUNITY HOMELESS SHELTER, HOSPICE AND PALLIATIVE CARE OF WESTERN COLORADO, HILLTOP COMMUNITY RESOURCES, MESA STATE COLLEGE, AND COLORADO REGIONAL WEST MENTAL HEALTH. WE PROVIDE FOCUSED SUPPORT FOR MARILLAC CLINIC, THE COMMUNITY'S HEALTH CLINIC FOR THE UNINSURED. WE WORK CLOSELY TOGETHER TO PROVIDE INTEGRATED CARE FOR THOSE WHO COME TO EITHER FACILITY FOR THEIR HEALTH NEEDS. MARILLAC CLINIC PROVIDES QUALITY PRIMARY HEALTH CARE SERVICES FOR UNINSURED, LOW-INCOME PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE CLINIC IS COMMITTED TO PROVIDING ACCESS TO COMPASSIONATE AND TRUSTWORTHY CARE FOR THE UNINSURED POOR. SERVICES THE CLINIC PROVIDES INCLUDE PRIMARY CARE, ONGOING MANAGEMENT OF CHRONIC DISEASES, MEDICATION, OPTICAL, AND DENTAL ASSISTANCE. IN ADDITION TO FINANCIAL SUPPORT, ST. MARY'S HOSPITAL ASSISTS THE CLINIC IN MANY OTHER WAYS INCLUDING STRATEGY AND OPERATIONS GUIDANCE, DONATING SUPPLIES, AND PROVIDING IT AND FINANCIAL SYSTEMS MANAGEMENT. AFFILIATED HEALTH CARE SYSTEM PART VI, QUESTION 6: COMMUNITY BENEFITS PROVIDED IN 2012 THROUGHOUT SCLHS TOTALED $252.8 MILLION. AS PART OF SCL HEALTH SYSTEM, WE PROMOTE THE SHARED MISSION THAT "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." STATE FILING OF COMMUNITY BENEFIT REPORT PART VI, QUESTION 7: Montana California and Kansas State filing is not required in Colorado false Colorado West Mental Health 858 Grand Ave Grand Junction CO 81501 840625890 501(c)(3) 250000 OPERATIONAL SUPPORT Marillac Clinic 2333 N 6th St Grand Junction CO 81501 841085822 501(C)(3) 1197055 Cost Supplies, services SUPPORT FOR OPERATIONS St Mary's Hospital Foundation 2635 N 7th St Grand Junction CO 81502 846037667 501(C)(3) 80000 DONATION FOR Colorado Mesa University 1100 North Ave Grand Junction CO 81051 846037667 501(C)(3) 81000 NURSING SCHOLARSHIPS Hilltop Community Resources 1331 Hermosa Grand Junction CO 81501 742321009 501(C)(3) 60750 PRENATAL EDUCATION, CAPITAL CAMPAIGN Marillac Clinc 2333 N 6th St Grand Junction CO 81501 131846366 501(C)(3) 405000 OPERATIONAL SUPPORT March of Dimes Colorado 518 28 Rd Grand Junction CO 81501 840972492 501(C)(3) 10000 OPERATIONAL SUPPORT Grand Junction Economic Partnership 2828 WALKER FIELD DR Grand Junction CO 81506 840972492 501(C)(3) 40627 COMMUNITY DEVELOPMENT Hospice & Palliative Care of Western CO 3090b n 12th st Grand Junction CO 81506 841207388 501(C)(3) 17300 OPERATIONAL SUPPORT Center for Personalized Education 14001 Eiliff Denver CO 80014 981621600 501(C)(3) 11000 Operational Support American Cancer Society 2754 Compass Dr Grand Junction CO 81506 841316555 501(c)(3) 10000 cancer prevention Quality Health Network 2764 Compass Drive Suite 203 Grand Junction CO 81506 201632384 501(C)(3) 250000 HEALTH RECORD NETWORKING Colorado Physicians Health 899 Logan St Denver CO 80210 742425019 501(c)(3) 11000 PHYSICIAN HEALTHCARE Grand Junction Community Homeless Shelter 2853 North Avenue Grand Junction CO 81501 981621600 501(c)(3) 22313 Cost Laundry Services LINEN SVCS GRAND VALLEY CATHOLIC OUTREACH 245 S 1ST ST GRAND JUNCTION CO 81501 200064007 501(c)(3) 9600 assist needy HOLY FAMILY CATHOLIC SCHOOL 786 26 1/2 RD GRAND JUNCTION CO 81506 860297730 501(c)(3) 15000 operations support 15 ambulance services 31 8822 pharmacueticals 287 16467 transportation for indigents 342 11247 PAYMENTS TO OTHERS 6 31337 CASH ASSISTANCE 5 746 PROCESS FOR MONITORING GRANTS AND AWARDS SCHEDULE I, PART 1, LINE 2: The hospital has no mechanisms in place to monitor the use of grant funds. false true false false false false false false false Michael McBride 0 386790 0 104038 0 14403 0 52989 0 16663 0 574883 0 0 CHRIS WOOLSLEY 0 246492 0 79696 0 12372 0 32601 0 12374 0 383535 0 0 REZA KALEEL 0 266436 0 0 0 42938 0 25667 0 11345 0 346386 0 0 Forest Binder 0 240791 0 36780 0 36128 0 41532 0 12376 0 367607 0 0 John Beeson 0 330319 0 50351 0 40886 0 61623 0 16663 0 499842 0 0 BRIAN WITWER 788365 0 0 0 2365 0 17983 0 16801 0 825514 0 0 0 John Lopez 785133 0 0 0 1612 0 18000 0 16607 0 821352 0 0 0 JAMES NARROD 701478 0 0 0 3078 0 18000 0 16553 0 739109 0 0 0 SUSAN HEMLEY 668401 0 4200 0 12959 0 18000 0 16801 0 720361 0 0 0 LEONARD LAPKIN 581356 0 0 0 2897 0 4813 0 16789 0 605855 0 0 0 Robert Ladenburger 0 660676 0 203467 0 511903 0 94171 0 12465 0 1482682 0 0 DORA PETERSON 0 204852 0 0 0 56327 0 20625 0 4320 0 286124 0 0 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: 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 IRS 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 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 2012 WERE: FOREST C. BINDER-$9,722 JOHN C. BEESON-$13,991 Form 990, Schedule J, Part II THE SCL HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. MARY'S HOSPITAL AND MEDICAL CENTER (ST. MARY'S) IN GRAND JUNCTION, COLORADO. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. ROBERT W. LADENBURGER IS EXECUTIVE VICE PRESIDENT AND CHIEF OPERATING OFFICER OF SCL HEALTH SYSTEM, INC. IN DENVER, COLORADO. HE IS A FORMER PRESIDENT & CHIEF EXECUTIVE OFFICER OF ST. MARY'S. THE COMPENSATION REFLECTED IS THAT OF MR. LADENBURGER'S POSITION AS AN SCLHS EXECUTIVE AND NOT AS A ST. MARY'S EXECUTIVE. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. WESTERN COLORADO LUNG CENTER DRCTR,>5% WEST CO LUNG 572381 FEES PAID TO PHYS GROUP false COLORADO WEST EMERGENCY PHYSICIANS DRCTR,>5% WST CO EMERG PH 349479 FEES FOR CO WEST ER PHYS GRP false COLORADO WEST OTOLARYNOLOGISTS DRCTR,>5% CO WEST OTOLAR 222986 RENT PAID TO HOSP BY PHYS GRP false DELEGATE CONTROL OVER MANAGEMENT DUTIES FORM 990, PART VI SECTION A LINE 3 ALTHOUGH THESE SERVICES MAY NOT ALL RISE TO THE LEVEL OF MANAGEMENT CONTROL AS DEFINED IN THE 990 INSTRUCTIONs, WE HAVE IN THE SPIRIT OF FULL TRANSPARENCY PROVIDED THE FOLLOWING DISCLOSURE. AS A MEMBER OF SCL HEALTH SYSTEM, THIS PROVIDER MAY HAVE INDIVIDUAL AND/OR SYSTEM CONTRACT(S) THAT HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES IN SOME OR ALL OF THE FOLLOWING AREAS: DIETARY AND FOOD SERVICE, HOUSEKEEPING, SUPPLY CHAIN, REVENUE CYCLE, AND SECURITY BOARD MEMBER PART VI LINE 6 THE SCL HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE CORPORATE MEMBER OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. MARY'S HOSPITAL IN GRAND JUNCTION, COLORADO. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. THROUGHOUT THE YEAR MICHAEL MCBRIDE WAS PRESIDENT & CHIEF EXECUTIVE OFFICER AND FOREST C. BINDER was VICE PRESIDENT & CHIEF FINANCIAL OFFICER FOR ST. MARY'S HOSPITAL AND MEDICAL CENTER (ST. MARY'S). IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. MEMBERS FORM 990 PART VI LINES 7A & 7B AS THE SOLE CORPORATE MEMBER THE SCL HEALTH SYSTEM HAS THE AUTHORITY TO APPOINT BOARD MEMBERS. CERTAIN DECISIONS MADE BY THE COMMUNITY BOARD ARE SUBJECT TO APPROVAL BY THE CORPORATE MEMBER. THESE DECISIONS ARE PRIMARILY THOSE REGARDING DISSOLUTION. BOARD REVIEW OF FORM 990 FORM 990 PART VI LINE 11b PRIOR TO SUBMISSION OF THE 990, THE 990 IS REVIEWED EXTERNALLY BY ERNST & YOUNG, LLP AND THE SYSTEM OFFICE. THE BOARD MEMBERS ARE THEN PRESENTED WITH COPIES OF THE FORM 990. AT A SUBSEQUENT BOARD MEETING, MEMBERS ARE ENCOURAGED TO ASK QUESTIONS REGARDING CLARIFICATION OR EXPRESS OPINIONS ON THE INFORMATION PROVIDED. CONFLICT OF INTEREST FORM 990 PART VI SECTION B LINE 12c SENIOR LEADERSHIP OF ST. MARY'S HOSPITAL AND THE SCL HEALTH SYSTEM REGULARLY MONITOR AND REVIEW THE CONFLICT OF INTEREST STATEMENTS. WHEN CONFLICTS ARISE, BOARD MEMBERS WITH CONFLICTS RECUSE THEMSELVES FROM DISCUSSIONS AND VOTING ON ACTIONS. JOINT VENTURES PART VI SECTION B LINE 16b JOINT VENTURE ARRANGEMENTS ARE REVIEWED WITH INTERNAL AND EXTERNAL LEGAL COUNSEL AT THE LOCAL AND SYSTEM OFFICE LEVELS PRIOR TO ENTERING INTO THE AGREEMENTS. PUBLIC INSPECTION OF DOCUMENTS PART VI SECTION C LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST FROM ADMINISTRATIVE OFFICES OF ST. MARY'S HOSPITAL. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 5: EQUITY TRANSFER TO MARILLAC CLINIC (3,033,583) EQUITY TRANSFER (TO)/FROM FOUNDATION (1,805,588) UBI INCOME FROM JOINT VENTURE-ELIMINATED IN CONSOLIDATION (1,170,480) UNRECORDED GRANTS (340,188) SYSTEM OFFICE ADJUSTMENTS (163,528) DONATION TO FOUNDTAION FOR GIFT SHOP PROCEEDS 80,000 WOODEN HORSE GIFT SHOP (68,385) PRIOR YEAR ACCRUAL FOR DONATION FROM FOUNDATION (26,480) TOTAL: (6,528,232) THE PROCESS FOR DETERMINING COMPENSATION: FORM 990, PART VI, LINE 15A & 15B: 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 -FORM 990 OF OTHER ORGANIZATIONS -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. OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:SYSTEM OFFICE ALLOCATION TOTAL FEES:9207758 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES - OTHER TOTAL FEES:7931435 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PROFESSIONAL FEES - PHYSICIANS TOTAL FEES:6175323 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT LABOR TOTAL FEES:5690073 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PUR SERV - MAINT CONTRACTS TOTAL FEES:4310383 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PUR SERV - OUTSIDE LAB FEES TOTAL FEES:2652596 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION AGENCIES TOTAL FEES:1491672 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PUR SERV - REP & MAINT TOTAL FEES:1372732 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PROF FEES - CONSULTING TOTAL FEES:747839 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PUR SERV - OTHER MED SERVICES TOTAL FEES:722718 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PROF FEES - OTHER SERVICES TOTAL FEES:305753 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:OTHER CONTRACT LABOR TOTAL FEES:102280 OTHER FEES FOR SERVICES FOR NON-EMPLOYEES FORM 990 PART IX LINE 11G DESCRIPTION:PROF FEES - MARKETING TOTAL FEES:11139 SISTERS OF CHARITY LEAVENWORTH HLTH SYST 2420 W 26TH ST 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 true MARIAN CLINIC INC 1001 SW GARFIELD TOPEKA KS 66604 481046905 CLINIC SVCS KS 501(C)(3) 3 SCLHS true MARILLAC CLINIC INC 2333 N 6TH STREET GRAND 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501(C)(3) 11A-TYPE I SJH true HOLY ROSARY HEALTHCARE 2600 WILSON MILES CITY MT 59301 810231792 HEALTHCARE MT 501(C)(3) 3 SCLHS true HOLY ROSARY HEALTHCARE FOUNDATION INC 2600 WILSON MILES CITY MT 59301 202270238 SUPPORT 501C3 MT 501(C)(3) 11A-TYPE I HRHC true ST VINCENT HEALTHCARE 1233 NORTH 30TH BILLINGS MT 59101 810232124 HEALTHCARE MT 501(C)(3) 3 SCLHS true ST VINCENT HEALTHCARE FOUNDATION PO BOX 35200 BILLINGS MT 59107 810468034 SUPPORT 501C3 MT 501(C)(3) 7 SVHC true NORTHWEST RESEARCH & EDUCATION INSTITUTE 315 NORTH 25TH STREET BILLINGS MT 59101 201343024 COMM HLTH RES MT 501(C)(3) 9 SVHC true ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE MT 59701 810231785 HEALTHCARE MT 501(C)(3) 3 SCLHS true ST JAMES HEALTHCARE FOUNDATION 400 SOUTH CLARK STREET BUTTE MT 59701 651202190 SUPPORT 501C3 MT 501(C)(3) 11A-TYPE I SJHC true SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 951684082 HEALTHCARE CA 501(C)(3) 3 SCLHS true JOHN WAYNE CANCER INSTITUTE 2000 SANTA MONICA BLVD SANTA MONICA CA 90404 954291515 CANCER R&D CA 501(C)(3) 4 SJHHC true SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 956100079 SUPPORT 501C3 CA 501(C)(3) 11A-TYPE I SJHHC true EXEMPLA INC FKA LUTHERAN HOSPITAL 2420 W 26TH AVE SUITE 100D DENVER CO 80211 841103606 HEALTHCARE CO 501(C)(3) 3 SCLHS true EXEMPLA LUTHERAN MEDICAL CENTER FNDTN 2480 W 26TH AVESUITE 360B DENVER CO 80211 208846152 SUPPORT 501C3 CO 501(C)(3) 7 EXEMPLA INC true EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 841649162 SUPPORT 501C3 CO 501(C)(3) 7 EXEMPLA INC true LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST 2480 W 26TH AVESUITE 360B DENVER CO 80211 742571584 INSURANCE CO 501(C)(3) 11A-TYPE I EXEMPLA INC true SAINT JOSEPH HOSPITAL 1835 FRANKLIN STREET DENVER CO 80218 840417134 HEALTHCARE CO 501(C)(3) 3 SCLHS true MOUNT ST VINCENT HOME INC 4159 LOWELL BLVD DENVER CO 80211 840405260 RES CARE CO 501(C)(3) 11A-TYPE I SCLHS true PAVILION IMAGING LL 750 WELLINGTON GRAND JUNCTION CO 81501 030516198 RADIOLOGY CO ST MARY'S HOSP RELATED 6809456 5228192 false 0 true 0.75000 GRAND VALLEY SURGICAL CANTER LLC 710 WELLINGTON GRAND JUNCTION CO 81501 841505075 OP SURGERY CO ST MARY'S HOSP RELATED 401575 1492624 false 0 true 0.50336 SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE CO 81401 202856331 OP CANCER CO ST MARY'S HOSP RELATED 443453 154645 false 0 true 0.33333 BILLINGS MRI CENTER LLC 1041 NORTH 29TH STREET BILLINGS MT 59101 810450943 MRI-PET SCAN MT N/A LUTHERAN CAMPUS ASC LLC 3455 LUTHRN PKW SUITE 150 WHEATRIDGE CO 800336028 020749532 OP SURGERY CO N/A COLORADO SURGICAL VENTURES LLC 30 S WACKER DR SUITE 2302 CHICAGO IL 60605 208038915 OP SURGERY CO N/A COLORADO SURGICAL HOSPITAL LLC 30 S WACKER DR SUITE 2302 CHICAGO IL 60605 208038977 OP SURGERY CO N/A CARITAS INC AND SUBSIDIARIES 2420 W 26TH AVE SUITE 100D DENVER CO 80211 480941069 OTHER MEDICAL KS C CORP false LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVE PO BOX 1051 GEORGETOWN GRAND CAYMAN CJ KY1-1102 980370522 INSURANCE CJ false true true true false false false true false false true false true true true true false true false true GRAND VALLEY SURGICAL CENTER LLC a 554389 cost Pavilion Imaging LLC a 2693949 cost MARILLAC CLINIC b 1602055 COST ST MARY'S HOSPITAL FOUNDATION b 1513220 COST ST MARY'S HOSPITAL FOUNDATION c 751239 COST grand valley surgical center llc g 17484 cost PAVILION IMAGING LLC j 2693949 FMV grand valley surgical center llc j 554389 fmv GRAND VALLEY SURGICAL CENTER LLC l 80168 FMV PAVILION IMAGING LLC l 1934545 FMV MARILLAC CLINIC l 1197055 COST SAN JUAN CANCER CENTER LLC l 72000 FMV ST MARY'S HOSPITAL FOUNDATION m 751239 COST st mary's hospital foundation n 83206 cost marillac clinic n 30948 cost GRAND VALLEY SURGICAL CENTER LLC o 2482902 COST PAVILION IMAGING LLC o 2889431 COST san juan cancer center llc o 416328 COST ST MARY'S HOSPITAL FOUNDATION o 2906986 COST MARILLAC CLINIC o 3033583 COST pavillion imaging llc q 1786576 cost san juan cancer center llc q 302483 cost marillac clinic q 23393 cost ST MARY'S HOSPITAL FOUNDATION q 330537 CASH PAVILION IMAGING LLC s 7275000 CASH SAN JUAN CANCER CENTER LLC s 270909 CASH GRAND VALLEY SURGUCAL CENTER LLC s 327150 CASH