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      <OtherRevenueMisc>
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      <BenefitsToMembers>
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      <TravelEntrtnmntPublicOfficials>
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        <Description>ESTIMATED 3RD PARTY PAYER SETTLEMENTS</Description>
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      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ACCRUED SALARIES</Description>
        <Amount>4293714</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LIABILITIES</Description>
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      </OtherLiabilities>
      <TotalOfAmounts>17198658</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>PART V, LINE 4</Identifier>
        <ReturnReference>ENDOWMENT FUND PURPOSE</ReturnReference>
        <Explanation>THE TWO LARGEST ENDOWMENTS ARE DESIGNATED FOR INSURANCE COVERAGE FOR THE WORKING POOR AND NURSE EDUCATION. THE REMAINDER SUPPORT VARIOUS DEPARTMENTS IN THE HOSPITAL AND FOR GREATEST NEED FOR THE HOSPITAL AND FOR PATIENTS. THE ENDOWMENTS ARE HELD BY ST. VINCENT HEALTHCARE FOUNDATION.</Explanation>
      </Form990ScheduleDPartXIV>
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            <State>MT</State>
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            <State>MT</State>
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          <FacilityType>NEUROLOGY CARE</FacilityType>
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            <State>MT</State>
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            <State>MT</State>
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            <BusinessNameLine1>MATERNAL FETAL CLINIC</BusinessNameLine1>
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            <City>BILLINGS</City>
            <State>MT</State>
            <ZIPCode>59101</ZIPCode>
          </Address>
          <FacilityType>PERINATOLOGIST CARE</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>BIG HORN BASIN RADIATION ONCOLOGY CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1025 9TH STREET</AddressLine1>
            <City>CODY</City>
            <State>WY</State>
            <ZIPCode>824143441</ZIPCode>
          </Address>
          <FacilityType>RADIATION ONCOLOGY CARE</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>SCHEDULE H, PART VI</Identifier>
        <ReturnReference>SUPPLEMENTAL INFORMATION</ReturnReference>
        <Explanation>PART I, LINE 3C: ELIGIBILITY IS BASED ON FEDERAL POVERTY GUIDELINES. PART I, LINE 6A: NA PART I, LINE 7G SEVERAL PHYSICIAN CLINICS ARE INCLUDED IN SUBSIDIZED SERVICES. THESE INCLUDE PRIMARY CARE CLINICS IN RURAL AREAS AS WELL AS CLINICS PROVIDING UNDER-REPRESENTED SPECIALTY CARE. TOTAL COSTS INCLUDED ON SCHEDULE H RELATED TO THESE CLINICS AS SUBSIDIZED SERVICES WERE $3,793,704. SUBSIDIDIZED SERVICES ARE EVALUATED FOR INCLUSION USING CHA/VHA GUIDELINES. PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT EXCLUDED FROM THESE CALCULATONS WAS $13,744,423. PART I, LINE 7 COST ACCOUNTING IS USED TO DETERMINE COMMUNITY BENEFIT EXPENSES FOR SUBSIDIZED HEALTH SERVICES. THE COST ACCOUNTING SYSTEM INCLUDES THE COSTS FROM ALL BUSINESS COMPONENTS TO INCLUDE INPATIENT, OUTPATIENT, EMERGENCY ROOM AND CLINICS, AS WELL AS, ALL PAYOR SEGMENTS. A COST TO CHARGE RATIO WAS USED IN ALL THE OTHER CALCULATIONS AND WAS DERIVED USING THE WORKSHEET 2 METHODOLOGY. PART II WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN 2010 OUR COMMUNITY BUILDING ACTIVITIES TOTALED $334,819 AND INCLUDED CONTRIBUTIONS TO NON-HEALTH RELATED NOT-FOR PROFIT ORGANIZATIONS; STUDENT VOLUNTEER MENTOR PROGRAM; ADVOCACY RELATED TO PUBLIC HEALTH AND ACCESS TO CARE; FOSTER GRANDPARENT PROGRAM; AND WORK WITH THE HEALTHY PLACES COALITION OF THE ALLIANCE. THE HEALTHY PLACES COALITION OF THE ALLIANCE IS THE COMMUNITY GROUP WHO PROVIDES OVERSIGHT TO PRIORITIZING OUR COMMUNITY HEALTH NEEDS ASSESSMENT AND LEADING EFFORTS TO CREATE AND IMPLEMENT OUR PLAN TO IMPROVE THE COMMUNITY'S HEALTH (PITCH). THIS COLLATION MARKED SEVERAL COMMUNITY HEALTH IMPROVEMENT SUCCESSES DURING THE YEAR AS ACTION PLANS OF THE PITCH WERE IMPLEMENTED. THE COALITION HAS DEVELOPED THE "HEALTHY BY DESIGN" ENDORSEMENT. THE ENDORSEMENT WAS DEVELOPED AS A WAY OF ESTABLISHING A STANDARD OF EXCELLENCE RELATED TO EVENT PLANNING IN ORDER TO PROMOTE EVENTS IN BILLINGS THAT ARE DESIGNED WITH HEALTH IN MIND. THIS ENDORSEMENT IS DONE THROUGH AN APPLICATION PROCESS AND EACH APPLICATION IS REVIEWED AND EVALUATED BY A TEAM OF EXPERTS. THERE ARE FIVE CRITERIA ADDRESSED WHICH INCLUDE SAFETY; NUTRITION; PHYSICAL ACTIVITY; PREVENTION AND WELLNESS; AND ENVIRONMENTAL STEWARDSHIP. THE PROGRAM HAS BEEN WELL RECEIVED AND RECOGNIZED AT THE MONTANA PUBLIC HEALTH ASSOCIATION ANNUAL MEETING. PARTICIPANTS USING THE PROGRAM TO HELP GUIDE EVENT PLANNING REPORT MAKING HEALTHIER CHOICES RELATED TO MENU SELECTION, INCREASING PHYSICAL ACTIVITY AND PROMOTING SAFETY AT EVENTS. THOUSAND OF AREA RESIDENTS HAVE BEEN IMPACTED BY THIS WORK. THE COALITION APPLIED FOR AND SECURED AN ACHIEVE GRANT FROM THE CDC'S HEALTHY COMMUNITIES PROGRAM IN COLLABORATION WITH THE NATIONAL ASSOCIATION OF COUNTY &amp; CITY HEALTH OFFICIALS, NATIONAL ASSOCIATION OF CHRONIC DISEASE DIRECTORS, NATIONAL RECREATION AND PARK ASSOCIATION, SOCIETY OF PUBLIC HEALTH EDUCATION AND YMCA OF THE USA. THE GRANT WAS AWARDED BASED ON THE SUCCESS OF THE ALLIANCE AND ITS COMMUNITY HEALTH IMPROVEMENT EFFORTS. THE GRANT FOCUSES ON IMPROVING COMMUNITY HEALTH THROUGH POLICY, SYSTEM &amp; ENVIRONMENTAL CHANGE STRATEGIES. WE CREATED ACTION PLANS FOR THIS GRANT THAT ARE PART OF OUR UPDATE TO OUR PITCH. OUR PRELIMINARY TARGET AREAS INCLUDE GOAL OF ADOPTING A COMPLETE STREETS POLICY FOR THE CITY OF BILLINGS AND IN IMPROVING THE NUTRITIONAL OFFERINGS IN WORKSITES. OUR TARGET AREAS WILL TIE BACK TO GAPS IDENTIFIED IN OUR MOST RECENT COMMUNITY HEALTH ASSESSMENT AND WITH COMMUNITY BENEFIT OBJECTIVES IN OUR ORGANIZATIONAL STRATEGIC PLAN. THE WORK OF THIS COALITION HAS BEEN SHARED AT LOCAL, STATE AND NATIONAL PRESENTATIONS INCLUDING THE NATIONAL ASSOCIATION OF COUNTY-CITY HEALTH OFFICIALS ANNUAL MEETING, BILLINGS CITY COUNCIL, THE MONTANA PUBLIC HEALTH ASSOCIATION ANNUAL MEETING, THE MONTANA ASSOCIATION OF PLANNERS ANNUAL MEETING, BILLINGS AVIATION AND TRANSIT COMMISSION, CITY OF BILLINGS PLANNING DEPARTMENT AND PLANNING BOARD, BETTER BILLINGS FOUNDATION, THE CITY OF BILLINGS PARKS AND RECREATION DEPARTMENT AND HEALTHY PLACES ADVISORY COMMITTEE, AND THE CDC'S ACHIEVE COMMUNITIES CONFERENCES. ADDITIONAL COMMUNITY BUILDING ACTIVITIES INCLUDED STATE AND NATIONAL ADVOCACY EFFORTS TARGETED AT HEALTHCARE REFORM AND INCREASING ACCESS TO HEALTHCARE FOR VULNERABLE POPULATIONS. COMMUNITY BUILDING ACTIVITIES ALSO INCLUDE EXPENSES RELATED TO THE FOSTER GRANDPARENT PROGRAM, AIMED AT IMPROVING LITERACY FOR VULNERABLE CHILDREN, WITH SPECIAL OUTREACH TO MARGINALIZED POPULATIONS ON AMERICAN INDIAN RESERVATIONS. THE PROGRAM SERVES 7 MONTANA COUNTIES THAT INCLUDE THE INDIAN RESERVATIONS: CROW, FT. BELKNAP, AND NORTHERN CHEYENNE. PART III, LINE 4 DISCOUNTS AND PAYMENTS APPLIED TO ACCOUNTS REDUCE BAD DEBT EXPENSE. NO METHOD IS USED TO DETERMINE THE AMOUNT THAT COULD BE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE, HOWEVER, THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ALLOWS FINANCIAL ASSISTANCE AWARDS TO BE MADE PRESUMPTIVELY TO INDIVIDUALS WHO HAVE NOT ADEQUATELY COMPLETED THE APPLICATION PROCESS IF THE INDIVIDUAL IS HOMELESS OR IF THE INDIVIDUAL IS NON-RESPONSIVE AND HAS A CREDIT SCORE LESS THAN 600. BAD DEBT EXPENSES INCLUDE ACTUAL WRITE OFFS AND ANY ASSOCIATED ACCRUAL BASED ON ACCOUNTS RECEIVABLE. THE COSTING METHODOLDY USED TO CALCULATE THE COST OF BAD DEBT INCLUDED ON PART III LINE 2 WAS THE COST TO CHARGE RATIO DERIVED USING THE METHOLOGY FROM WORKSHEET 2. PART III, LINE 8 THE ORGANIZATION DOES NOT BELIEVE THAT MEDICARE SHORTFALLS SHOULD BE INCUDED AS COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT'S SCHEDULE D PART V, PART VI AND SCHEDULE D-1. 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. VINCENT HEALTHCARE 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- INCLUDING REFERRAL TO A COLLECTION AGENCY, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. SVH PROVIDED CHARITY CARE AT A COST OF $12,367,798 FOR 2010. NEEDS ASSESSMENT: AS PART OF OUR CORE VALUE OF RESPONSE TO NEED, WE TAKE STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD. ST. VINCENT HEALTHCARE REGULARLY PARTICIPATED IN NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. THE MOST RECENT SURVEY WAS CONDUCTED IN 2010, IN COLLABORATION WITH RIVERSTONE HEALTH - THE PUBLIC HEALTH DEPARTMENT - AND BILLINGS CLINIC, THE OTHER NON-PROFIT HOSPITAL IN OUR COMMUNITY. THIS ASSESSMENT STUDIES HEALTH NEEDS IN YELLOWSTONE COUNTY AND WAS CONDUCTED WITH PROFESSIONAL RESEARCH CONSULTANTS THROUGH THE USE OF RANDOM PHONE CALLS TO 400 HOUSEHOLDS IN THE COUNTY AND THROUGH FOCUS GROUPS. RESULTS OF THE SURVEY HAVE BEEN MADE WIDELY AVAILABLE AND COMMUNITY WIDE ACTION PLANS ARE IN DEVELOPMENT. WE ALSO 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. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: ST. VINCENT HEALTHCARE TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. ST. VINCENT 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 ST. VINCENT HEALTHCARE AND CLINIC SITES AND ON THE ST. VINCENT HEALTHCARE WEBSITE</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>STATE FILING OF COMMUNITY BENEFIT REPORT</Identifier>
        <ReturnReference>990 SCHEDULE H, PART VI</ReturnReference>
        <Explanation>CA, KS, MT THE COMMUNITY BENEFIT REPORT IS FILED BY SCLHS.</Explanation>
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    </IRS990ScheduleH>
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          <BusinessNameLine1>COMMUNITY CRISIS CENTER LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>704 NORTH 30TH ST</AddressLine1>
          <City>BILLINGS</City>
          <State>MT</State>
          <ZIPCode>59101</ZIPCode>
        </AddressUS>
        <EINOfRecipient>203231164</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfCashGrant>300000</AmountOfCashGrant>
        <PurposeOfGrant>FUNDING FOR THE COMMUNITY CRISIS CENTER. IT OPERATES A CRISIS STABILIZATION PROGRAM FOR CITIZENS IN NEED IN BILLINGS.</PurposeOfGrant>
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      <RecipientTable>
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          <BusinessNameLine1>ST VINCENT HEALTHCARE FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 35200</AddressLine1>
          <City>BILLINGS</City>
          <State>MT</State>
          <ZIPCode>591075200</ZIPCode>
        </AddressUS>
        <EINOfRecipient>810468034</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>976268</AmountOfCashGrant>
        <PurposeOfGrant>EQUITY TRANSFER</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>ST VINCENT DE PAUL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>2610 MONTANA AVE</AddressLine1>
          <City>BILLINGS</City>
          <State>MT</State>
          <ZIPCode>59101</ZIPCode>
        </AddressUS>
        <EINOfRecipient>910879988</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>30000</AmountOfCashGrant>
        <PurposeOfGrant>COMMUNITY HEALTH NEEDS</PurposeOfGrant>
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      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>RIVERSTONE HEALTH</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>123 SOUTH 27TH ST</AddressLine1>
          <City>BILLINGS</City>
          <State>MT</State>
          <ZIPCode>59101</ZIPCode>
        </AddressUS>
        <EINOfRecipient>810513538</EINOfRecipient>
        <IRCSection>501(C)(1)</IRCSection>
        <AmountOfCashGrant>15000</AmountOfCashGrant>
        <PurposeOfGrant>MEDICATION ASSISTANCE PROGRAM</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>BILLINGS AREA CATHOLIC EDUCATION TRUST</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 31158</AddressLine1>
          <City>BILLINGS</City>
          <State>MT</State>
          <ZIPCode>591071158</ZIPCode>
        </AddressUS>
        <EINOfRecipient>816081234</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>10000</AmountOfCashGrant>
        <PurposeOfGrant>STUDENT SCHOLARSHIPS</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>4</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>1</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>MISSION FUND POLICIES</Identifier>
        <ReturnReference>PART I LINE 2</ReturnReference>
        <Explanation>ST VINCENT HEALTHCARE PROVIDES A LIMITED NUMBER OF GRANTS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN OUR COMMUNITY. GUIDED BY HOSPITAL POLICY, MISSION FUND AWARD PROJECTS MUST: (1) DEMONSTRATE A COMMITTMENT TO THE ST VINCENT HEALTHCARE MISSION, VISION, AND VALUES; (2) MEET CRITERIA FOR INCLUSION IN THE COMMUNITY BENEFIT REPORT; AND (3) DOCUMENT MEASURABLE OUTCOMES THAT DEMONSTRATE THE SUCCESS OF THE PROJECT. PREFERENCE WILL BE GIVEN WHEN THE PROJECT: (1) ADDRESSES CREATIVELY THE UNMET NEEDS OF THE ECONOMICALLY DISADVANTAGED; (2) FORMS COLLABORATIVE PARTNERSHIPS THAT IMPROVE THE HEALTH OF THE COMMUNITY; (3) AIDS A SIGNIFICANT POPULATION OF THE POOR, UNDERSERVED AND/OR UNINSURED; (4) REFLECTS ST VINCENT HEALTHCARE'S ANNUAL AND STRATEGIC GOALS; AND (5) DEMONSTRATE THE POSSIBILITY FOR SUSTAINABILITY BEYOND THE GRANT PERIOD. APPLICATIONS ARE REVIEWED ON AN ANNUAL BASIS BY COMMITTEE. GRANTEES ARE REQUIRED TO PROVIDE A 6-MONTH AND 1-YEAR REPORT TO ST VINCENT HEALTHCARE AND PROVIDE FOR AN ON-SITE VISIT OF THE PROGRAM. AS NOTED IN THE MISSION FUND APPLICATION, IF FUNDS ARE USED OUTSIDE OF PROJECT GUIDELINES THE GRANTEE MAY BE ASKED TO REIMBURSE ST VINCENT HEALTHCARE FOR FUNDS ALREADY DISTRIBUTED FOR THE PROJECT.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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        <DeferredCompFilingOrg>12250</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>26692</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>443775</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>FORM 990, SCHEDULE J, PART I, LINE 3</Identifier>
        <Explanation>PROCESS FOR DETERMINING COMPENSATION 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 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. DISREGARDED ENTITY, NORTHERN ROCKIES RADIATION ONCOLOGY CENTER: THE NRROC BOARD OF DIRECTORS DETERMINED THE SALARY OF THE ADMINISTRATIVE DIRECTOR. THE NRROC BOARD MINUTES DID NOT INCLUDE CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT FOR THE SALARY OF THE ADMINISTRATIVE DIRECTOR. THE ADMINISTRATIVE DIRECTOR DETERMINED THE SALARIES OF KEY EMPLOYEES. THIS WAS DONE IN CONJUNCTION WITH THE HR DIRECTOR AT NRROC. DATA WAS USED TO COMPARE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE DOCUMENTATION WAS KEPT IN THE FILES OF THE HR DIRECTOR.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>FORM 990, SCHEDULE J, PART I, LINE 4A</Identifier>
        <ReturnReference>SEVERANCE PAYMENTS</ReturnReference>
        <Explanation>SEVERANCE WAS PAID IN 2010 TO WALTER J. FURLONG, FORMER SVH VP BUSINESS DEVELOPMENT AND STRATEGY, IN THE AMOUNT OF $71,181.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>FORM 990, SCHEDULE J, PART I, LINE 4B</Identifier>
        <ReturnReference>PAYMENTS FROM NONQUALIFIED RETIREMENT PLAN</ReturnReference>
        <Explanation>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 2010 WERE: JAMES T. PAQUETTE $108,797 STEVEN A. BALLOCK $9,198 STEVEN P. SHANDERA $8,231</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>FORM 990 PART VII AND SCHEDULE J, PART II</Identifier>
        <Explanation>THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. VINCENT HEALTHCARE (ST. VINCENT) IN BILLINGS, 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.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>28</NumberOfContributions>
        <NoncashContribsRptdF990>10694</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>FMV BY ARTIST</MethodOfDeterminingRevenues>
      </WorksOfArt>
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NoncashContribsRptdF990>454</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>ACTUAL COST</MethodOfDeterminingRevenues>
      </ClothingAndHouseholdGoods>
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded />
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>FOOD AT EVENT</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>122</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>ACTUAL COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>BROCHURES</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>900</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>ACTUAL COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>POSTAGE</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>532</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>ACTUAL COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>ADVERTISING</Description>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>460</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>ACTUAL COST</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
      <Form990ScheduleMPartII>
        <Identifier>NORTHERN ROCKIES RADIATION ONCOLOGY CENTER</Identifier>
        <ReturnReference>DISREGARDED ENTITY</ReturnReference>
        <Explanation>NORTHERN ROCKIES RADIATION ONCOLOGY CENTER, A DISREGARDED ENTITY OF SVH, RECEIVED NONCASH DONATIONS FOR EVENTS TO BENEFIT THE MEADOWLARK HOUSE, A CANCER PATIENT FREE HOUSING PROGRAM. THESE DONATIONS WERE RECORDED IN THE FINANCIAL RECORDS AS IN-KIND DONATIONS. THE FOLLOWING NONCASH DONATIONS WERE RECEIVED: FOR THE "ART FROM THE HEART" EVENT: $10,694 ART FROM LOCAL ARTISTS $ 460 ADVERTISING $ 900 BROCHURES $ 532 POSTAGE COSTS FOR "THE MESSIAH FESTIVAL" $122 COMMITTEE LUNCH FOR THE MEADOWLARK HOUSE $454 PAPER SUPPLIES</Explanation>
      </Form990ScheduleMPartII>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>DISCLOSURES</Identifier>
        <Explanation>FORM 990 PART III, LINE 4D OTHER PROGRAM SERVICES OTHER PROGRAM SERVICES ARE DETAILED IN THE NARRATIVES OF FORM 990 SCHEDULE H. FORM 990, 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 FORM 990 PART VI, SEC A, LINES 6, 7A &amp; 7B CLASS OF MEMBER, NATURE OF RIGHTS, ELECTION OF BOARD MEMBERS, DECISIONS SUBJECT TO APPROVAL THE SOLE MEMBER AND CONTROLLING MEMBER OF THE ST VINCENT HEALTHCARE (SVH) CORPORATION IS THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC (SCLHS), A KANSAS NON-FOR-PROFIT CORPORATION. SOME OF THE EXCLUSIVE POWERS OF SCLHS INCLUDE: (1) TO APPOINT, AFTER CONSULTATION WITH THE SVH CORPORATE BOARD, THE BOARD OF DIRECTORS OF SVH AND APPOINT MEMBERS OF SCLHS TO THE SVH BOARD OF DIRECTORS; (2) TO REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE SVH CORPORATE BOARD, ANY MEMBER OF THE SVH BOARD OF DIRECTORS; (3) TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER AND THE CHIEF ADMINISTRATIVE OFFICER OF SVH; (4) TO IMPLEMENT CORPORATE GOALS, POLICIES, AND PROCEDURES OF SVH; (5) TO APPROVE FOR SVH THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS, OR THE LEASE, SALE, TRANSFER, ASSUMPTION, OR ENCUMBERING OF SVH ASSETS; (6) TO APPROVE THE MERGER, DISSOLUTION, OR CORPORATE RESTRUCTURING OF SVH; AND (7) TO APPROVE SVH ANNUAL STRATEGIC PLANS AND OPERATING AND CAPITAL BUDGETS. THE SVH BOARD OF DIRECTORS HAVE THE POWERS TO EXERCISE GENERAL MANAGEMENT AND CONTROL OF THE BUSINESS AFFAIRS OF SVH WITH DUE REGARD FOR THE POWERS RESERVED BY SCLHS. THE POWERS OF THE SVH BOARD OF DIRECTORS INCLUDE NOMINATION OF BOARD MEMBERS FOR APPOINTMENT BY SCLHS. FORM 990 PART VI, SEC B, LINE 11B PROCESS FOR REVIEWING FORM 990 DURING THE PREPARATION OF THE RETURN, IT IS REVIEWED BY THE SYSTEM OFFICE AND BY AN INDEPENDENT ACCOUNTING FIRM. THEN THE FORM 990 IS REVIEWED BY THE ST VINCENT BOARD BEFORE THE RETURN IS SUBMITTED TO THE IRS. DUE TO THE TIMING OF BOARD MEETINGS THERE MAY BE CHANGES TO THE FORM 990 THAT ARE COMMUNICATED TO THE BOARD AFTER THEIR REVIEW. FORM 990 PART VI, SEC B, LINE 12C WRITTEN CONFLICT OF INTEREST POLICIES ALL ST VINCENT HEALTHCARE EXECUTIVES, DIRECTORS, AND MANAGERS, BOARD MEMBERS AND BOARD COMMITTEE MEMBERS, MEDICAL EXECUTIVE COMMITTEE (MEC) MEMBERS AND OTHER PHYSICIANS IN DECISION MAKING ROLES OR SERVING ON SVH EXECUTIVE COMMITTEES, COMPLETE A NEW CONFLICT OF INTEREST (COI) DISCLOSURE FORM ANNUALLY. A COPY OF THE POLICY IS DISTRIBUTED ALONG WITH THE COI FORMS. IN THE EVENT OF A CHANGE OF CIRCUMSTANCE, EACH INDIVIDUAL WHO HAS ALREADY SIGNED A COI IS EXPECTED TO NOTIFY THE ORGANIZATION OF THE CHANGE AND UPDATE THE CONFLICT OF INTEREST INFORMATION. THE STATEMENTS ARE REVIEWED AND COI ISSUES ARE ADDRESSED BY THE ORGANIZATION RESPONSIBILITY OFFICER (ORO) AND LEADERSHIP AT THE APPROPRIATE LEVEL: - BOARD BY BOARD CHAIR - PHYSICIANS BY THE MEC PRESIDENT - SVH DIRECTORS AND MANAGERS BY THE SVH ADMINISTRATION - SVH EXECUTIVES BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM THE SIGNED COI FORMS ARE MAINTAINED IN SVH ADMINISTRATION. THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS FOR SVH EXECUTIVES ARE MAINTAINED AT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AT THE BEGINNING OF BOARD AND BOARD COMMITTEE MEETINGS, THE QUESTION OF COI IS ASKED OF THOSE IN ATTENDANCE. WHEN AN ACTUAL CONFLICT IS IDENTIFIED, THE INDIVIDUAL ASKS TO BE EXCUSED FROM PARTICIPATING IN THE DISCUSSION AND DECISION-MAKING. DISREGARDED ENTITY, NORTHERN ROCKIES RADIATION ONCOLOGY CENTER, CONFLICT OF INTEREST POLICY REQUIRED ANNUAL DISCLOSURE OF ANY CONFLICTS OF INTEREST. THE NRROC BOARD OF DIRECTORS INQUIRED ABOUT COI AT THE BEGINNING OF EACH BOARD MEETING. FORM 990 PART VI, SEC B, LINE 16B JOINT VENTURE WRITTEN POLICIES AND PROCEDURES ST VINCENT HEALTHCARE MAINTAINS DETAILED RECORDS OF THE JOINT VENTURES IN ADMINISTRATION. ALL FILES ARE SCANNED AND REVIEWED. E&amp;Y PERFORMED A COMPREHENSIVE ANALYSIS OF THE JOINT VENTURES IN 2008. FORM 990 PART VI, SEC C, LINE 19 WRITTEN CONFLICT OF INTEREST POLICY A WRITTEN COPY OF THE GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY IS AVAILABLE FROM HOSPITAL ADMINISTRATION. AN AUDITED COPY OF THE SCLHS FINANCIAL STATEMENTS ARE AVAILABLE ON THE SISTERS OF CHARITY HEALTH SYSTEM WEBSITE WWW.SCLHEALTHSYSTEM.ORG. FORM 990 PART VII AND SCHEDULE J, PART II THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE CORPORATE MEMBER OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST VINCENT HEALTHCARE (ST VINCENT) IN BILLINGS, MONTANA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. RICHARD T. LOPES IS SENIOR VICE PRESIDENT AND CHIEF TRANSFORMATION OFFICER FOR SCLHS. MR. LOPES SERVE AS A MEMBER OF ST. VINCENT'S BOARD. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. FORM 990 PART VII AND SCHEDULE J, PART II AVERAGE HOURS SPENT ON RELATED ORGANIZATIONS BASED ON INDIVIDUAL EMPLOYEES ESTIMATE OF AVERAGE HOURS PER WEEK, IF ANY, DEVOTED TO RELATED ORGANIZATIONS FOR WHICH COMPENSATION WAS REPORTED IN COLUMNS (E) OR (F) OF PART VII: JAMES PAQUETTE 12 HOURS/WEEK ON RELATED ORGANIZATIONS STEVE BALLOCK 5 HOURS/WEEK ON RELATED ORGANIZATIONS MARYANN REESE 2 HOURS/WEEK ON RELATED ORGANIZATIONS STEVE SHANDERA 2 HOURS/WEEK ON RELATED ORGANIZATIONS WALT FURLONG 2 HOURS/WEEK ON RELATED ORGANIZATIONS . JOAN THULLBERY 2 HOURS/WEEK ON RELATED ORGANIZATIONS FORM 990 PART XI, LINE 5 RECONCILIATION OF NET ASSETS THE CHANGES IN NET ASSETS SHOWN ON LINE 5 OF PART XI ($-1,381,754) STEM FROM THE FOLLOWING: (1)NORTHERN ROCKIES RADIATION ONCOLOGY CENTER (NRROC) CLOSED ITS OPERATIONS ON OCTOBER 31, 2010. BEFORE THAT TIME, NRROC WAS A DISREGARDED ENTITY OF SVH AND NRROC'S FINANCIALS WERE CONSOLIDATED WITH SVH. TRANSACTIONS RELATED TO THE CLOSING OF NRROC AMOUNTED TO $1,591,549 TO SVH'S EQUITY. (2)THE AMOUNT OF $3,559,289 WAS OPERATING EXPENSES OF THE SVH FOUNDATION PAID BY SVH AND LATER REIMBURSED BY THE FOUNDATION IN THE FORM OF A CONTRIBUTION TO SVH. (3)OTHER TRANSACTIONS AMOUNTED TO $11,320,070: - COMMUNITY CRISIS CENTER 2009 GRANT PAYMENT IN 2010 ($30,000) - TRANSFER TO SCLHS FOR INFORMATION TECHNOLOGY ($2,383,214) - WRITEOFF OF HOLY ROSARY HEALTHCARE NOTE RECEIVABLE ($8,925,000) - WRITEOFF OF ICE CONSTRUCTION IN PROGRESS ($310,275) - CAPITALIZED INTEREST ON CONSTRUCTION ($-254,126) - CONTRIBUTION FROM SCLHS TO SVH FOR VIDEO EQUIPMENT ($-74,293) (4)UNREALIZED GAIN ON INVESTMENTS WAS NOT RECORDED IN THE TAX RETURN ($-15,089,069) (5)MISCELLANEOUS ADJUSTMENTS ($-85)</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>NORTHERN ROCKIES RADIATION ONCOLOGY CTR</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1041 NORTH 29TH STREET</AddressLine1>
          <City>BILLINGS</City>
          <State>MT</State>
          <ZIPCode>59101</ZIPCode>
        </AddressUS>
        <EIN>010797122</EIN>
        <PrimaryActivities>RADIATION ONC</PrimaryActivities>
        <LegalDomicileState>MT</LegalDomicileState>
        <TotalIncome>4211190</TotalIncome>
        <EOYAssets>10970522</EOYAssets>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>SISTERS OF CHARITY LEAVENWORTH HLTH SYST</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>9801 RENNER BLVD STE 100</AddressLine1>
          <City>LENEXA</City>
          <State>KS</State>
          <ZIPCode>66219</ZIPCode>
        </AddressUS>
        <EIN>237379161</EIN>
        <PrimaryActivities>SUPPORT MMBRS</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B-TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CARITAS CLINICS INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>818 NORTH 7TH STREET</AddressLine1>
          <City>LEAVENWORTH</City>
          <State>KS</State>
          <ZIPCode>66048</ZIPCode>
        </AddressUS>
        <EIN>481009910</EIN>
        <PrimaryActivities>CLINIC SVCS</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MARIAN CLINIC INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1001 SW GARFIELD</AddressLine1>
          <City>TOPEKA</City>
          <State>KS</State>
          <ZIPCode>66604</ZIPCode>
        </AddressUS>
        <EIN>481046905</EIN>
        <PrimaryActivities>CLINIC SVCS</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>MARILLAC CLINIC INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>2333 N 6TH STREET</AddressLine1>
          <City>GRAND JUNCTION</City>
          <State>CO</State>
          <ZIPCode>81501</ZIPCode>
        </AddressUS>
        <EIN>841085822</EIN>
        <PrimaryActivities>CLINIC SVCS</PrimaryActivities>
        <LegalDomicileState>CO</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROVIDENCE MEDICAL CENTER</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>8929 PARALLEL PARKWAY</AddressLine1>
          <City>KANSAS CITY</City>
          <State>KS</State>
          <ZIPCode>66112</ZIPCode>
        </AddressUS>
        <EIN>480784446</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST JOHN HOSPITAL INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>3500 SOUTH FOURTH STREET</AddressLine1>
          <City>LEAVENWORTH</City>
          <State>KS</State>
          <ZIPCode>66048</ZIPCode>
        </AddressUS>
        <EIN>480543768</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>BETHANY COMMUNITY PLAZA INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>15 NORTH 12TH STREET</AddressLine1>
          <City>KANSAS CITY</City>
          <State>KS</State>
          <ZIPCode>66102</ZIPCode>
        </AddressUS>
        <EIN>481207407</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROVIDENCEST JOHN FOUNDATION INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>8929 PARALLEL PARKWAY</AddressLine1>
          <City>KANSAS CITY</City>
          <State>KS</State>
          <ZIPCode>661121689</ZIPCode>
        </AddressUS>
        <EIN>480925688</EIN>
        <PrimaryActivities>SUPPORT 501C3</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ST FRANCIS HEALTH CENTER INC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1700 SW 7TH STREET</AddressLine1>
          <City>TOPEKA</City>
          <State>KS</State>
          <ZIPCode>66606</ZIPCode>
        </AddressUS>
        <EIN>480547719</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>KS</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
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        <NameOfOtherOrganization>
          <BusinessNameLine1>HOLY ROSARY HEALTHCARE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>8925000</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>NORTHWEST RESEARCH &amp; EDUCATION INSTITUTE</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>335858</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <Form990ScheduleRPartVII>
        <Identifier>DISREGARDED ENTITY</Identifier>
        <ReturnReference>SCH R, PART I, LINE 1</ReturnReference>
        <Explanation>NORTHERN ROCKIES RADIATION ONCOLOGY CENTER, LLC (NRROC) DISSOLVED AND CLOSED ITS OPERATIONS ON OCTOBER 31, 2010. NRROC HAD BEEN A JOINT VENTURE (50%,50%) BETWEEN ST VINCENT HEALTHCARE AND THE BILLINGS CLINIC AND THIS JOINT VENTURE WAS DISSOLVED ON DECEMBER 31, 2008. AFTER THE JOINT VENTURE DISSOLVED, ST VINCENT HEALTHCARE BECAME THE SOLE OWNER. IN 2009, NRROC WAS REPORTED AS A DISREGARDED ENTITY IN THE ST VINCENT HEALTHCARE 990 TAX RETURN.</Explanation>
      </Form990ScheduleRPartVII>
    </IRS990ScheduleR>
  </ReturnData>
</Return>