2012-11-15T14:43:07-06:00 2011-12-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2011-01-01 810231785 ST JAMES HEALTHCARE % JAMES DOYLE STJA 4067232500 400 SOUTH CLARK STREET BUTTE MT 597012328 JAMES DOYLE 2012-11-14 3142901000 2011 2016-02-24 21:20:13Z Chuck Wright 400 S Clark St Butte MT 597012328 89412983 false 0928 X www.StJamesHealthcare.org X 1976 MT We will, in the spirit of the Sisters of Charity, reveal God's healing love by improving the health of the individuals and communities we serve, especially those who are poor or vulnerable. 14 13 607 70 128716 54840 52922 87576656 87217108 529698 162496 -2648618 1980457 85512576 89412983 0 0 0 0 42117637 37662723 0 0 0 51126908 56556219 93244545 94218942 -7731969 -4805959 74250475 73502332 21672884 27940071 52577591 45562261 WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. false false 63907594 87217108 ALL EXPENSES FOR PROGRAM SERVICES ARE RELATED TO PROVIDING PATIENT HEALTHCARE & COMMUNITY SERVICES. THE NUMBER OF ADJUSTED PATIENT DAYS FOR THE YEAR WAS 24,303. SEE ALSO SUPPLEMENTAL INFORMATION IN SCHEDULE H, AND SCHEDULE O, PART III LINE 4A. 63907594 true true false true false false false false false true false false false false false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 116 0 true 607 true true true false false false false false false false false false X 14 13 false true false false true true true true true false false true true true true true true false false true true X JAMES DOYLE 4067232414 400 S CLARK ST BUTTE MT 59701 X Gary Staudinger 2.0 X Joanne Cortese 2.0 X Sister Bernadette Helfert 2.0 X Mike Johnson 1.0 X Sister Rita McGinnis 1.0 X Jim Falvey 1.0 X Loren Hines 1.0 X Tim McHugh 1.0 X Andrea Stierle 1.0 X John Beeson MD 1.0 X Michael E Lewis 1.0 X Marko Lucich 1.0 X Therese McClafferty 1.0 X Bill McGladdery 1.0 X Chuck Wright 40.0 X 0 275801 59542 James Doyle 40.0 X 0 161713 39955 Shannon Holland 40.0 X 0 150735 28241 John Stevenson 40.0 X 387512 0 40934 Robert Zelman 40.0 X 312500 0 26502 David Silk 40.0 X 259212 0 34079 Nandalur Mohan X 305055 0 25791 Alan Mayer X 237600 0 27214 BAIN FARRIS X 0 553036 99532 1501879 1141285 381790 36 true true false MONTANA INTERVENTIONAL AND DIAGNOST 2969 AIRPORT RD STE 1C HELENA MT 59601 Radiology Diagnostic 1182950 Sound Inpatient Physicians 1123 PACIFIC AVE TACOMA WA 98402 Hospitalist Services 723082 Latham Watkins PO BOX 894256 LOS ANGELES CA 901894256 Legal Services 523306 MONTANA ORTHOPEDICS 415 S CRYSTAL ST BUTTE MT 59701 Orthopedic Surgeons 498690 UNITED BLOOD SERVICES PO BOX 53022 PHOENIX AZ 85072 Blood Supplier 407739 17 52922 52922 PATIENT CARE 621400 86578028 86578028 CAFETERIA SALES 722210 397026 397026 RENAL DIALYSIS 621400 45826 45826 RMAP 621400 131093 131093 BILLINGS ONCOLOGY 621500 46193 46193 18942 18942 87217108 69307 69307 0 0 93189 93189 93189 93189 0 0 0 PHARMACY INCOME 900099 1562395 1562395 JOINT VENTURE - SUMMIT SURGERY CENTER 900099 46597 46597 SPORTS MEDICINE 900099 139945 139945 231520 82119 149401 1980457 89412983 87217108 128716 2014237 0 0 0 0 715987 178976 537011 0 28821648 24646458 4175190 2014731 1693317 321414 3872090 2767238 1104852 2238267 1695468 542799 4169009 4169009 2766342 2766342 66170 66170 0 0 0 10862552 6658376 4204176 184792 25723 159069 14215866 14009181 206685 60852 60852 0 34316 34316 273480 122274 151206 0 50340 11567 38773 0 3448010 3448010 6085181 6085181 869017 869017 BAD DEBT EXPENSE 10693504 10693504 TAXES 801962 730893 71069 UTILITIES 916206 22757 893449 EQUIPMENT LEASE 212244 188432 23812 846376 429114 417262 94218942 63907594 30311348 0 2086 1886 1717592 2150384 0 0 11542958 14162365 0 0 0 0 -42701 -94127 2025118 2025102 853067 1196464 110134281 61082147 46896892 49052134 8505506 2672953 0 0 2429715 815017 60872 0 259370 1520154 74250475 73502332 10202019 13088056 0 0 0 0 0 0 0 0 0 0 11470865 14852015 0 0 0 0 21672884 27940071 X 52562765 45548559 14826 13702 0 0 52577591 45562261 74250475 73502332 X -4805959 -2209371 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false false 0 4146731 4146731 0 76453525 37229786 39223739 27552565 22230543 5322022 0 1981460 1621818 359642 49052134 true true true X true X true true true false true true 1751 2975920 2975920 0.03560 8082 9914100 6757124 3156976 0.03780 9833 12890020 6757124 6132896 0.07340 21 1788 524076 4590 519486 0.00620 6 147 41613 41613 0.00050 4 19651 199379 199379 0.00240 3 130 15656 15656 0.00020 34 21716 780724 4590 776134 0.00930 34 31549 13670744 6761714 6909030 0.08270 6 20726 87048 87048 0.00100 1 60 318980 318980 0.00380 7 20786 406028 406028 0.00480 false 10693503 19351082 24992255 -5641173 X true true Medical Arts Ptnrshp Medical Offices 0.50000 0.50000 Summit Surgery Ctr Outpatient Surgery Center 0.50000 0.50000 1 1 ST JAMES HEALTHCARE

400 SOUTH CLARK ST BUTTE MT 59701

X X X SKILLED NURSING FAC PHYSICIAN CLINIC ST JAMES HEALTHCARE 1 true true 400. true 400. true X X X X X true true X X X true false X X X X true X false false Part I, Line 3c ELIGIBILTY IS BASED ON THE FEDERAL POVERTY GUIDELINES Part I, Line 6a ST JAMES HEALTHCARE PRODUCED A COMMUNITY BENEFIT REPORT IN 2011 AND IT WAS MADE AVAILABLE TO THE PUBLIC. IT WAS PUBLISHED AS AN INSERT IN THE LOCAL NEWSPAPER WITH A DISTRIBUTION OF 15,000. IT ALSO WAS PLACED IN ALL OUR WAITING AREAS AND IS ON OUR PUBLIC WEBSITE. PART I, LINE 7G SUBSIDIZED SERVICES AT ST. JAMES HEALTHCARE THAT WERE COUNTED AS COMMUNITY BENEFIT TOTALED $199,379. THIS AMOUNT INCLUDES PROVIDING ATHLETIC TRAINERS FOR THE HIGH SCHOOLS' ATHLETIC PROGRAMS. TRAINERS ARE PROVIDED TO 7 DIFFERENT SCHOOLS IN SOUTHWEST MONTANA, AND WITHOUT THIS SUPPORT, NONE OF THE SCHOOLS EXCEPT MONTANA TECH (THE COLLEGE IN BUTTE) WOULD BE ABLE TO PROVIDE THIS SERVICE TO THE STUDENT ATHLETES. THESE TRAINERS ATTEND ALL PRACTICES, GAMES AND TOURNAMENTS FOR EACH SCHOOL, AND ST. JAMES PAYS FROM 50 to 80% OF THEIR SALARIES TO PERFORM THIS SERVICE. IN ADDITION, ST. JAMES PROVIDES LOW COST ($5.00) SPORTS PHYSICALS FOR ALL THE ATHLETES. THE TOTAL AMOUNT FOR ATHLETIC SERVICES AND THE SPORTS PHYSICALS WAS $161,683. ST. JAMES HEALTHCARE ALSO PROVIDED A MOBILE PET VAN FOR PATIENTS THAT REQUIRE PET SCANS. SUCH EQUIPMENT IS NOT AVAILABLE IN THE AREA SO PATIENTS WOULD NEED TO TRAVEL TO ANOTHER FACILITY. THE VAN COMES TO ST. JAMES HEALTHCARE PERIODICALLY. SOMETIMES, THERE ARE NO PATIENTS BUT ST. JAMES STILL MUST PAY FOR THE VAN. WE CONSIDER ONLY THOSE PAYMENTS AS COMMUNITY BENEFIT DOLLARS. THE TOTAL IN 2011 WAS $19,832. ST. JAMES ALSO PAID $14,664 FOR AMBULANCE TRANSPORT SERVICES FOR THE POOR. Part I, Line 7, COLUMN (f) THE AMOUNT IN COLUMN (F) IS BASED ON THE NET COMMUNITY BENEFIT IN COLUMN (E) DIVIDED BY THE TOTAL OPERATING EXPENSES MINUS BAD DEBT EXPENSE ($94,218,942 MINUS $10,693,503 = $83,525,439). The denominator is $83,525,439. Part I, Line 7 IN PART I, LINE 7, ST JAMES HEALTHCARE PROVIDES THE AMOUNTS OF FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. THE AMOUNTS REPORTED ARE FROM WORKSHEETS 1 THROUGH 8. PART II WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN 2011, OUR COMMUNITY BUILDING ACTIVITIES TOTALED $406,028 AND INCLUDED PROGRAMS SUCH AS DIABETES OUTREACH, FOOD FOR THE HOMELESS, PHYSICIAN RECRUITING, COMMUNITY SUPPORT GROUPS AND OTHER COMMUNITY VOLUNTEER ACTIVITIES. THE DIABETES OUTREACH PROGRAM IS PRIMARILY FUNDED THROUGH FEDERAL AND STATE GRANTS, BUT THE PROGRAM HAS GROWN SIGNIFICANTLY OVER THE PAST THREE YEARS AND REQUIRES HOSPITAL STAFF TIME THAT IS NOT PAID FOR BY THE GRANTS. THE GOAL OF THE PROGRAM IS TO REACH OVER 1,500 INDIVIDUALS, BOTH ADULTS AND CHILDREN, OVER THE THREE YEAR GRANT PERIOD. WEEKLY CLASSES TO EDUCATE PEOPLE ON DIABETES ARE HELD AS ARE MONTHLY STAFF GROUP MEETINGS, ONE FOR ADULTS AND ONE FOR CHILDREN AND THEIR FAMILIES. SEVERAL HEALTH-FOCUSED CLASSES AT THE LOCAL YMCA WERE IMPLEMENTED IN 2011, AND AN ANNUAL CONFERENCE FOR HEALTH CARE WORKERS THROUGHOUT MONTANA IS ALSO HELD IN CONJUNCTION WITH A PUBLIC DIABETES AWARENESS EXPO. PHYSICIAN RECRUITING IS A CRITICAL ACTIVITY TO ENSURE THE RESIDENTS OF THE COMMUNITY, WHICH IS IN A MEDICALLY UNDERSERVED AREA, HAVE ACCESS TO THE MEDICAL TREATMENT NEEDED. IN 2011, ST JAMES HEALTHCARE RECRUITED FIVE NEW PHYSICIANS INTO THE COMMUNITY. 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 reduce bad debt expense. No method is used to determine the amount that reasonably could be attributable to patients who would likely qualify for financial assistance if sufficient information had been available to make a determination of their eligibility. No portion of bad debt is included as community benefit. The organization's financial statements do not contain a footnote that describes bad debt expense. Within the financial statement of the Sisters of Charity of Leavenworth 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. PART III, LINE 8 St. James Healthcare believes a significant portion of the shortfall from Medicare should be treated as community benefit. St. James provides the resources required to care for these patients and should receive some benefit for doing so. The costing methodology used is the cost to charge ratio because St. James believes this methodology most accurately reflects the actual cost of providing the services. 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. James Healthcare notifies patients of its financial assistance policy prior to admission, upon admission and upon discharge. In addition, we provide 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. In 2011, St. James provided a total of $2,975,920 in traditional charity care and $3,156,976 for the unpaid cost of Medicaid. 2. NEEDS ASSESSMENT - As part of our core value of response to need, we take steps to determine where there is the most need to provide the greatest good. We rely on patient data to help determine if there is a particular health issue that should be addressed. In addition, St. James Healthcare has regularly participated in needs assessment surveys to identify the ongoing and changing needs of the community. The most recent survey was finalized in early 2011. This assessment examined the population of Silver Bow County which is served by St. James Healthcare and was done by partnering with the local public health department and all the local social agencies. With the assistance of outside consultants, the assessment also determined where gaps in services exist. From the "gaps" document, we conducted focus group meetings with social agency personnel to develop objectives and strategies for the following categories of need: Aging Population; Environmental Factors; Socio-Economic; Social and Behavior; and Health Outcomes and Factors. With objectives and strategies in hand, groups have begun to develop action plans (short term and long term) for each of the five areas. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - St. James Healthcare treats patients with respect and dignity regardless of their ability to pay. St. James Healthcare 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, 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. We provide 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. We also have a partnership with Western Security Bank to provide payment plans and medical credit lines. This helps patients meet their financial obligations in a reasonable and dignified manner based on their ability to pay and allows them to continue to ensure the ongoing welfare of their families. This is done in accordance with our core value of respect. 4. COMMUNITY INFORMATION - Silver Bow County, located in Southwestern Montana in a Medically Underserved Area, is the eighth largest county in the state with a population of slightly more than 32,000. Butte-Silver Bow (Butte), the county seat, is the state's fourth largest city, but the population has decreased by 4.8% since 2000. State government, which includes higher education institutions, is the largest employer in Silver Bow County with 22.3% of the total employment. Health care is the top private sector employer at 13% with St. James Healthcare, the community's only hospital, as the largest single private employer. Additional Butte-Silver Bow statistics follow. *Median income for Silver Bow County households in 2011 was $37,346 compared to national median income of $52,175. *37% of the local population is at 200% of the federal poverty level; 15.8% of the residents have an income below the poverty level. *93.7% of Butte's population is Caucasian; 2.9% is American Indian; 2.7% is Hispanic; 1.4% is Asian and Pacific; and 0.6% fall into other categories. *Approximately 17% of Butte's population are over 65. This compares to the national average 13% over 65. *Butte-Silver Bow has more females than males. *Of the Butte-Silver Bow residents, ages 25 and over, 85.2% have a high school education or higher, 21.7% have a bachelor's degree or greater, and 6.9% have a graduate or professional degree. *14 % of the population is uninsured and 13% are covered by Medicaid. From a health perspective, Butte-Silver Bow's leading causes of death are heart disease and cancer. Rates of diabetes and COPD are high. 5. PROMOTION OF COMMUNITY HEALTH - We extend our care beyond our hospital's walls to improve the health of our community. Our community building activities demonstrate this commitment. Most of our community building activities are in the category of community support. These activities promote health in the community in a number of ways. We provide monthly food donations to the local food bank to ensure that it has a sufficient supply of food so its clients have nutritious food each month which in turn promotes better health. Each day, we provide a significant number of free meals to the community to ensure that our poor population has access to nutritious food that helps them maintain better health. Our employees are involved in a number of volunteer activities throughout the year that promote healthy living. These encompass everything from raising funds for the youth program at the local YMCA to helping distribute food at the Food Bank. Service clubs throughout the community are focused on promoting healthy life styles for both children and adults, and St. James staff actively participate in clubs such as the Kiwanis, the Chamber of Commerce, and the Breast and Cervical Cancer Group. In the area of community health improvement advocacy, we partner with public health agencies and serve on the boards and committees of these agencies that are focused on improving the health of the community. St. James is the lead agency in a community-wide diabetes network outreach. Members of our dietary staff, nursing staff, and administrative staff work many hours to provide education and support to both our adult and child diabetic population. We also provide social workers for a bi-monthly Alzheimer Caregiver Support Group. As a medically underserved area, Butte needs more physicians, and St. James actively recruits physicians to the area. When potential recruits make site visits to Butte, we host meetings with local government officials, the local school district, the college, the Chamber of Commerce and other organizations to provide a positive and encompassing experience for the potential recruit. In 2011, we successfully recruited or assisted in the recruitment of five physicians to our area. The recruits included two cardiologists, an internal medicine physician, a prediatrician, and two surgeons. St. James Healthcare is an important part of our community and serves in many ways, from delivering core health care, to preventive care, to support of other civic groups. In 2011, we provided community benefit totaling $7,315,058, including traditional charity care and the unpaid cost of Medicaid. Our Community Board of Directors represents medical and business professionals and all provide hours of service in support of our hospital. They are involved in our community 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. James has exc false true false false false false false true false Chuck Wright 0 258216 0 0 0 17585 0 44798 0 14744 0 335343 0 0 John Stevenson 386151 0 0 0 1361 0 28020 0 12914 0 428446 0 0 0 Robert Zelman 296784 0 15000 0 716 0 21592 0 4910 0 339002 0 0 0 David Silk 258288 0 0 0 924 0 18308 0 15771 0 293291 0 0 0 Nandalur Mohan 289905 0 15000 0 150 0 21085 0 4706 0 330846 0 0 0 Alan Mayer 236053 0 0 0 1547 0 16464 0 10750 0 264814 0 0 0 James Doyle 0 158345 0 0 0 3368 0 24792 0 15163 0 201668 0 0 BAIN FARRIS 0 428580 0 105122 0 19334 0 88843 0 10689 0 652568 0 0 Shannon Holland 0 149275 0 0 0 1460 0 27004 0 1237 0 178976 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 2011 WERE: NONE NOTED. 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 THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. JAMES HEALTHCARE (ST. JAMES) IN BUTTE, MONTANA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. BAIN J. FARRIS IS PRESIDENT & CHIEF EXECUTIVE OFFICER OF EXEMPLA SAINT JOSEPH HOSPITAL (ESJD) IN DENVER, COLORADO WHICH IS AN SCLHS AFFILIATE. AS A FORMER OFFICER OF ST. JAMES, THIS DISCLOSURE IS REQUIRED FOR 990 REPORTING PURPOSES ONLY. THE COMPENSATION REFLECTED IS THAT OF MR. FARRIS' POSITION AS AN ESJD EXECUTIVE AND IS NOT RELATED TO ST. JAMES. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS St. James Healthcare Community Benefit Report 2011 Community Diabetes Network St. James Healthcare's primary market area has an extremely high rate of diabetes among both its young and older population. Consequently, the need for diabetes education for providers and the general public was apparent. In June 2008, the St. James Foundation received a grant to develop a Community Diabetes Network to provide a continuum of care for diabetic patients in Southwest Montana. Through this grant, St. James hired a Diabetes Program Coordinator who is responsible for developing a community needs assessment, establishing both youth and adult diabetes support groups, and growing the Community Diabetes Network to ensure that a consistent diabetes education and prevention program is developed. The Butte Community Diabetes Network was formed and is currently made up of a collaborative partnership between St. James Healthcare, the Butte Family YMCA, the North American Indian Alliance, Butte Community Health Center and two local physicians. The Participate for Life (PAL) Program was established to offer financial assistance to individuals in our community who need to travel out of town to be with a loved one needing specialized medical treatment not offered in Butte as well as to help with expenses for patients who need to travel to Butte from outlying towns for treatment who could not afford to do so. The PAL Program helps families with some type of financial assistance, such as gas cards, hotel expenses, bus vouchers, and air plane tickets. 2011 Freedom Fest- St. James Healthcare and the Foundation joined again on July 3, 2011, to bring food and entertainment to Chester Steele Park before the annual fireworks display. This annual event is a great opportunity for friends and family to gather and enjoy the summer evening. This celebration gives us an opportunity to educate our community on the PAL program, and vendor fees help support the program. Community Share Program - The Community Share Program was established by St James Healthcare employees to help community non-profit agencies who have specific needs. Employees contribute to the program through payroll deductions. Local non-profit agencies and organizations can then submit requests for grants. Wear Red for Heart Health was to educate about heart disease and strokes. Free Screenings for Body Mass, Glucose, Blood Pressure were conducted. Cholestrol testing was done for a nominal fee and if participants were wearing red they received a $5.00 discount. Other Community Benefit Donations Including 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: -Ambulance transport services for the poor or uninsured -Mental health crisis response line -Prescription drug assistance for the poor or uninsured -Meals for more than 6,000 indigent people -Athletic programs, including providing athletic trainers and low-cost sports physicials ($5), to all Southwest Montana schools and colleges -Free public talks on a variety of health issues (presented by medical staff) -Preceptor training for students majoring in nursing, physical and respiratory therapy, pharmacy etc. PART VI, SECTION A, LINE 3 DELEGATE CONTROL OVER MANAGEMENT DUTIES ALTHOUGH THESE SERVICES MAY NOT ALL RISE TO THE LEVEL OF MANAGEMENT CONTROL AS DEFINED IN THE 990 INSTRUCTION, WE HAVE IN THE SPIRIT OF FULL TRANSPARENCY PROVIDED THE FOLLOWING DISCLOSURE. AS A MEMBER OF SISTERS OF CHARITY OF LEAVENWORTH 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 SECURITY PART VI, SEC A, LINE 6 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"). PART VI, SECTION A, LINE 7A&B ELECTION OF MEMBERS AND APPROVAL OF DECISIONS EXCLUSIVE POWERS OF THE CORPORATE MEMBER. 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 ENTITIY 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. Part VI, Sec A, Line 11B PRIOR TO SUBMISSION OF THE 990, IT WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND PERSONNEL AT THE SYSTEM OFFICE. 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. Part VI, Sec B, Line 12c CONFLICT OF INTEREST POLICY Duty to Disclose. 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 thereafter 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 -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. 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. Form 990, Part VII and Form 990, Schedule J, Part II The Sisters of Charity of Leavenworth Health System, Inc. (SCLHS) consists of eleven hospitals and four clinics (Affiliates) in four states including St. James Healthcare (St. James) in Butte, Montana. 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 or Affiliate boards is compensated for that service. Part XI Line 5 EQUITY TRANSFER $2,208,247 AND NET TEMPORARILY RESTRICTED NET ASSETS $1,124 EQUALS THE CHANGE IN NETS ASSETS OF $2,209,371. STATEMENT OF CONTROLLED FOREIGN CORPORATION ST. JAMES HEALTHCARE, PARTICIPATION CORPORATION EIN: 81-0231785 FOR THE TAX YEAR ENDED DECEMBER 31, 2011 THIS STATEMENT IS BEING FILED PURSUANT TO TREAS. REG. 1.6038-2(J)(3). ST. JAMES HEALTHCARE'S FILING REQUIREMENT FOR FORM 5471 FOR THE CONTROLLED FOREIGN CORPORATIONS LISTED BELOW HAS BEEN SATISFIED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (FEIN:23-7379161). SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM HAS INCLUDED THE FORM 5471 WITH ITS FORM 990 WHICH WAS FILED ELECTRONICALLY. LEAVEN INSURANCE COMPANY, LTD. 98-0370522 23 LIMETREE BAY AVE., PO BOX 1051 GEORGE TOWN, GRAND CAYMAN KY1-1102 CJ RIVERVIEW MULTI-SERIES FUND SPC, LTD. 510 THORNALL STREET, SUITE 220 EDISON, NJ 08837 AUSTIN CAPITAL SAFE HARBOR OFFSHORE FUND, LTD. PO BOX 31106, 89 NEXUS WAY, 2ND FLOOR CAMANA BAY GEORGE TOWN, GRAND CAYMAN KY1-1205 CJ JP MORGAN HEDGE FUND SPC-ACCESS MAR09 SEGREGATED 98-0680591 %INT'L FUND SVCS LTD, 78 SIR JOHN ROGERSON'S QUAY DUBLIN, IRELAND 2 EI JP MORGAN HEDGE FUND SPC-ACCESS JUN09 SEGREGATED 98-0680582 %INT'L FUND SVCS LTD, 78 SIR JOHN ROGERSON'S QUAY DUBLIN, IRELAND 2 EI HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gary Staudinger TITLE:Past Chairperson HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Joanne Cortese TITLE:Chairperson HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Sister Bernadette Helfert TITLE:Director HOURS:2 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Mike Johnson TITLE:Vice Chairperson HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Sister Rita McGinnis TITLE:Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jim Falvey TITLE:Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Loren Hines TITLE:Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Tim McHugh TITLE:Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Andrea Stierle TITLE:Secretary-Treasurer HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:John Beeson MD TITLE:Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael E. Lewis TITLE:Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Marko Lucich TITLE:Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Therese McClafferty TITLE:Director HOURS:1 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Bill McGladdery TITLE:Director HOURS:1 SISTERS OF CHARITY LEAVENWORTH HLTH SYST 2420 WEST 26TH AVE STE 100-D 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 JUNCTION CO 81501 841085822 CLINIC SVCS CO 501(c)(3) 3 SCLHS true PROVIDENCE MEDICAL CENTER 8929 PARALLEL PARKWAY KANSAS CITY KS 66112 480784446 HEALTHCARE KS 501(c)(3) 3 SCLHS true ST JOHN HOSPITAL INC 3500 SOUTH FOURTH STREET LEAVENWORTH KS 66048 480543768 HEALTHCARE KS 501(c)(3) 3 PMC true BETHANY COMMUNITY PLAZA INC 15 NORTH 12TH STREET KANSAS CITY KS 66102 481207407 HEALTHCARE KS 501(c)(3) 3 PMC true PROVIDENCEST JOHN FOUNDATION INC 8929 PARALLEL PARKWAY KANSAS CITY KS 66112 480925688 SUPPORT 501C3 KS 501(c)(3) 7 PMC true ST FRANCIS HEALTH CENTER INC 1700 SW 7TH STREET TOPEKA KS 66606 480547719 HEALTHCARE KS 501(c)(3) 3 SCHLS true ST FRANCIS HEALTH CENTER FOUNDATION 1700 SW 7TH STREET TOPEKA KS 66606 481092520 SUPPORT 501C3 KS 501(c)(3) 11A-TYPE I SFHC true ST MARYS HOSPITAL & MEDICAL CENTER INC 2635 N 7TH STREET GRAND JUNCTION CO 81502 840425720 HEALTHCARE CO 501(c)(3) 3 SCLHS true ST MARYS HOSPITAL FOUNDATION 2635 N 7TH STREET GRAND JUNCTION CO 81502 237001007 SUPPORT 501C3 CO 501(c)(3) 11A-TYPE I SMHMC true SAINT JOSEPH HOSPITAL FOUNDATION 1835 FRANKLIN STREET DENVER CO 80218 840735096 SUPPORT 501C3 CO 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 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 Mount St Vincent Home Inc 4159 Lowell Boulevard DENVER CO 80211 840405260 RESIDENT CARE CO 501(c)(3) 11A-Type I SCLHS true SAINT JOSEPH HOSPITAL 1835 FRANKLIN STREET DENVER CO 80218 840417134 HEALTHCARE CO 501(c)(3) 3 SCLHS true PAVILION IMAGING LLC 750 WELLINGTON GRAND JUNCTION CO 81501 030516198 RADIOLOGY CO NA N/A GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON GRAND JUNCTION CO 81501 841505075 OP SURGERY CO NA N/A SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE CO 81401 202856331 OP CANCER CO NA N/A BILLINGS MRI CENTER LLC 1041 NORTH 29TH STREET BILLINGS MT 59101 810450943 MRI-PET SCAN MT NA N/A LUTHERAN CAMPUS ASC LLC 3455 LUTHRN PKW SUITE 150 WHEATRIDGE CO 800336028 020749532 OP SURGERY CO NA N/A COLORADO SURGICAL VENTURES LLC 30 S WACKER DR SUITE 2302 CHICAGO IL 60605 208038915 OP SURGERY CO NA N/A COLORADO SURGICAL HOSPITAL LLC 30 S WACKER DR SUITE 2302 CHICAGO IL 60605 208038977 OP SURGERY CO NA N/A CARITAS INC AND SUBSIDIARIES 9801 RENNER BOULEVARD SUITE 100 LENEXA KS 66219 480941069 OTHER MEDICAL KS C CORP LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVE PO BOX 1051 GEORGETOWN GRAND CAYMAN CJ KY1-1102 980370522 INSURANCE CJ false false false false false false false false false false false false false true false false false false ST JAMES HEALTHCARE FOUNDATION INC N 80382 COST