FURP.ORG / PUBLIC DATA EXPLORER

ST MARYS HOSPITAL AND MEDICAL CENTER INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
ST MARYS HOSPITAL AND MEDICAL CENTER INC (EIN 84-0425720)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201123199349303327
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-15T09:50:33-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1190 CARONDELET PLAZA SUITE 1300AddressLine1
CityCLAYTONCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840425720EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Mary's Hospital & Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTMANameControl
Phone9702442273Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12635 N 7th StAddressLine1
CityGrand JunctionCity
StateCOState
ZIP Code81502ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFOREST BINDERName
TitleCFOTitle
Date Signed2011-11-10DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142901000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S HOSP THE REGIONAL MED CNTBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonMichael McBrideNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12635 N 7TH STAddressLine1
CityGRAND JUNCTIONCity
StateCOState
ZIP Code81502ZIPCode
FieldValueIRS element (for citing)
Gross Receipts382132450GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.stmarygj.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionWE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2341TotalNbrEmployees
Total Nbr Volunteers529TotalNbrVolunteers
Total Gross UBI3561977TotalGrossUBI
Net Unrelated Business Txbl Income904520NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12226329ContributionsGrantsPriorYear
Contributions Grants Current Year3677454ContributionsGrantsCurrentYear
Program Service Revenue Prior Year329198514ProgramServiceRevenuePriorYear
Program Service Revenue CY359933296ProgramServiceRevenueCY
Investment Income Prior Year3988534InvestmentIncomePriorYear
Investment Income Current Year5074085InvestmentIncomeCurrentYear
Other Revenue Prior Year14784973OtherRevenuePriorYear
Other Revenue Current Year12172883OtherRevenueCurrentYear
Total Revenue Prior Year360198350TotalRevenuePriorYear
Total Revenue Current Year380857718TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2452975GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY2455315GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year144655165SalariesEtcPriorYear
Salaries Etc Current Year145173976SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year425782TotalFundrsngExpCurrentYear
Other Expense Prior Year162998958OtherExpensePriorYear
Other Expenses Current Year206914170OtherExpensesCurrentYear
Total Expenses Prior Year310107098TotalExpensesPriorYear
Total Expenses Current Year354543461TotalExpensesCurrentYear
Revenues Less Expenses Prior Year50091252RevenuesLessExpensesPriorYear
Revenues Less Expenses CY26314257RevenuesLessExpensesCY
Total Assets BOY491957510TotalAssetsBOY
Total Assets EOY497743813TotalAssetsEOY
Total Liabilities BOY85495458TotalLiabilitiesBOY
Total Liabilities EOY69644115TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY406462052NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY428099698NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense147613403Expense
Revenue187118028Revenue
DescriptionINPATIENT 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, 313 OF WHICH WERE STAFFED BY YEAR END 2010. 2010 ACUTE ADULT AND PEDIATRIC ADMISSIONS NUMBERED 12,124; 2,285 BIRTHS; SUB-ACUTE ADMISSIONS 320. MEDICARE REPRESENTS 40.6% OF THE PAYOR MIX; MEDICAID REPRESENTS 13.8% OF THE PAYOR MIX THE HOSPITAL PERFORMED 5,075 INPATIENT SURGERIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense54931900Expense
Revenue48285007Revenue
DescriptionOUTPATIENT 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 2010 OUTPATIENT SERVICES INCLUDED: 402,617 PATIENT VISITS (INCLUDING EMERGENCY ROOM VISITS), 100,072 CLINIC VISITS, AND 2,452 OUTPATIENT SURGERIES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense20853921Expense
Revenue46116911Revenue
DescriptionEMERGENCY & TRAUMA SERVICES - ST. MARY'S OPERATES THE ONLY LEVEL II TRAUMA CENTER BETWEEN DENVER AND SALT LAKE CITY. 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 2010 ST. MARY'S HELICOPTER MADE 370 TRANSPORT FLIGHTS. THE FIXED-WING AIRCRAFT FLEW 312 TRANSPORTS. OF ST. MARY'S 38,118 EMERGENCY DEPARTMENT VISITS DURING 2010, 15,956 PATIENTS WERE ADMITTED AND 22,162 WERE TREATED AS OUTPATIENTS.Description

Activity Other ActivityOther (11 entries)

ExpenseExpenseRevenueRevenueDescriptionDescriptionGrantsGrants
1421711348797755OUTPATIENT RADIOLOGY
2964848128638648REHABILITATION
2191401412418WELLNESS CENTER
4994286RESIDENCY PROGRAM
76460EMERGENCY MED SERVICES OUTREACH
55123742096RESEARCH
2803242248035COMMUNITY BENEFIT PROGRAMS
4467131120712BLOOD BANK
507670153686EDUCATION
2455315OTHER CHARITABLE CONTRIBUTIONS2455315
1093092JOINT VENTURE OUTPATIENT INCOME
FieldValueIRS element (for citing)
Total Of Other Program Service Exp61912336TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt2455315TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev79506442TotalOfOtherProgramServiceRev
Total Program Service Expense285311560TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedfalseFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096306NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2341NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonFOREST BINDERNamePerson
Telephone Number9702442273TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12635 N 7TH STAddressLine1
CityGrand JunctionCity
StateCOState
ZIP Code81502ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
SISTER AMY WILLCOTT
Director1.0X000
JOEL BECHTEL
Director1.0X8236100
GREGG KAMPF
Director1.0X000
ROY CROMER
VICE CHAIR1.0X250000X
DANIEL M ROBERTS
Board Chair1.0X000X
RICHARD BACA
Director1.0X000
ROBERT LADENBURGER
PRESIDENT/CEO50.0X0122409963373X
ROB BICKLEY
TREASURER1.0X000X
KRISTINE REUSS
SECRETARY1.0X000X
MARK LUKER
DIRECTOR1.0X2025000
MICHAEL TROWBRIDGE
Director1.0X
MONIQUE SERRA
DIRECTOR1.0X000
SISTER PHYLLIS STOWELL
DIRECTOR1.0X000
MICHAEL MCBRIDE
PRESIDENT/CEO50.0X013835842486X
TERRI POTTER
PRESIDENT/CEO50.0X0302162398X
LAUREL BARTHOLOMAY
DIRECTOR1.0X1250000
DOUGLAS ADEN
DIRECTOR1.0X000
SISTER JEAN ANNE PANISKO
DIRECTOR1.0X000
FOREST BINDER
CFO50.0029802530150X
CHERIE GORBY
CHIEF OPERATING OFFICER50.0035313059646X
JERRY SPICER
VP NURSING50.0022479621780X
JOHN BEESON
VP PHYSICIAN AFFAIRS50.0039196533703X
JAMES NARROD
PHYSICIAN50.0655660058100X
BRIAN WITWER
PHYSICIAN50.0686931051076X
SUSAN HEMLEY
PHYSICIAN50.0700045041600X
JOHN A LOPEZ
PHYSICIAN50.0697811052600X
ROBERT FOX
PHYSICIAN50.0538914057983X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3396972TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2932535TotalReportableCompFrmRltdOrgs
Total Other Compensation512895TotalOtherCompensation
Number Individuals GT100 K134NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FCI McCarthy
2339 North 7th StGRAND JUNCTIONCO81502Construction22100638
Petroleum Helicopters Inc
2001 SE Evangeline ThruwayLAFAYETTELA70508Helicopter Service3179382
Aramark Corporation
4420 East 142 StGRAND VIEWMO64030Food Service Mgt2786346
Omni Hospital Services
475 28 1/2 RoadGRAND JUNCTIONCO81501Laundry Services2332704
Anesthesia Consultants of Western C
1120 Wellington Suite 206GRAND JUNCTIONCO81501Anesthesia4292838
FieldValueIRS element (for citing)
Number Of Contractors GT100 K59NumberOfContractorsGT100K
Related Organizations1838757RelatedOrganizations
Government Grants1838697GovernmentGrants
Total Contributions3677454TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT REVENUE900099187118028187118028
OUTPATIENT REVENUE6214004879775548797755
OUTPATIENT RADIOLOGY6219904828500748285007
EMERGENCY SERVICES9000994611691146116911
REHABILITATION6214002863864828638648

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column976947TotalRevenueColumn
Related Or Exempt Function Income976947RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue359933296TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2074969TotalRevenueColumn
Related Or Exempt Function Income1093092RelatedOrExemptFunctionIncome
Unrelated Business Revenue73083UnrelatedBusinessRevenue
Exclusion$908,794ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1295541Real
Personal469919Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1114806Real
Personal63418Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real180735Real
Personal406501Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column587236TotalRevenueColumn
Unrelated Business Revenue461307UnrelatedBusinessRevenue
Exclusion$125,929ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3026539Securities
Other7565Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other34988Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities3026539Securities
Other-27423Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column2999116TotalRevenueColumn
Exclusion$2,999,116ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory61520GrossSalesOfInventory
Cost Of Goods Sold61520CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
REFERENCE LAB62150022985152298515
CAFETERIA SALES7222101542275$1,542,275
MANAGEMENT SERVICES561300630228526020$104,208

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column7114629TotalRevenueColumn
Unrelated Business Revenue203052UnrelatedBusinessRevenue
Exclusion$6,911,577ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue11585647TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column380857718TotalRevenueColumn
Related Or Exempt Function Income361026388RelatedOrExemptFunctionIncome
Unrelated Business Revenue3561977UnrelatedBusinessRevenue
Exclusion$12,591,899ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total2412627Total
Program Services2412627ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total42688Total
Program Services42688ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3301098Total
Program Services1334304ProgramServices
Management And General1966794ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total113024934Total
Program Services101792382ProgramServices
Management And General10905325ManagementAndGeneral
Fundraising327227Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6656384Total
Program Services5617847ProgramServices
Management And General1022176ManagementAndGeneral
Fundraising16361Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total12895079Total
Program Services10465513ProgramServices
Management And General2371156ManagementAndGeneral
Fundraising58410Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total9296481Total
Program Services8079862ProgramServices
Management And General1192835ManagementAndGeneral
Fundraising23784Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total12732958Total
Program Services1545524ProgramServices
Management And General11187434ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total126118Total
Management And General126118ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total35173Total
Management And General35173ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total26938Total
Management And General26938ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total124724Total
Management And General124724ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total32488384Total
Program Services23294533ProgramServices
Management And General9193851ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total490483Total
Program Services7518ProgramServices
Management And General482965ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total69639553Total
Program Services68059637ProgramServices
Management And General1579916ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total567389Total
Program Services471369ProgramServices
Management And General96020ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3453478Total
Program Services2939812ProgramServices
Management And General513666ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total838745Total
Program Services605561ProgramServices
Management And General233184ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total341390Total
Program Services240607ProgramServices
Management And General100783ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1868418Total
Management And General1868418ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total32214807Total
Program Services28535876ProgramServices
Management And General3678931ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2664557Total
Program Services2363974ProgramServices
Management And General300583ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT2724555727245557
PROVIDER FEES2028912820289128
RECRUITING68459712125672472
FEDERAL INCOME TAXES415191415191
MISCELLANEOUS EXPENSES666582244244422338

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total354543461Total
Program Services285311560ProgramServices
Management And General68806119ManagementAndGeneral
Fundraising425782Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY789192BOY
EOY869173EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY5917201BOY
EOY7231856EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY46417121BOY
EOY51108592EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7086145BOY
EOY7539706EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1973343BOY
EOY3756890EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis586646381LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec230639312LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY358742565BOY
EOY356007069EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY57917764BOY
EOY66524498EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2839089BOY
EOY2635159EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10275090BOY
EOY2070870EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY491957510BOY
EOY497743813EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY27655524BOY
EOY23824505EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY57839934BOY
EOY45819610EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY85495458BOY
EOY69644115EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY406462052BOY
EOY428099698EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY406462052BOY
EOY428099698EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY491957510BOY
EOY497743813EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses26314257ReconcilationRevenueExpenses
Reconcilation Other Changes-4676611ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationstrueGrantsOtherOrganizations
Grants Other Organizations$11,250GrantsOtherOrganizationsAmount
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$15,688OtherActivitiesAmount
Total Lobbying Expenditures IIB26938TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RURAL REFERRAL CENTERPART II-B LINE 1F$5,000 PAYMENT TO COLORADO HOSPITAL ASSOCIATION $6,000 PAYMENT TO PROMOTE RURAL HOSPITALS $250 PAYMENT TO CLUB 20
LOBBYING PORTION OF MEMBERSHIP DUES REPORTED BY ASSOCIATIONSSCHEDULE C, PART II BLOBBYING PORTION OF DUES REPORTED ON ASSOCIATION MEMBERSHIP INVOICES, $15,688 ST. MARY'S HOSPITAL HAS NO CONTROL OVER HOW THE FUNDS ARE SPENT OR DIRECTED.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5949382BeginningOfYearBalance
Contributions25481Contributions
Investment Earnings Or Losses771583InvestmentEarningsOrLosses
Other Expenditures283763OtherExpenditures
End Of Year Balance6462683EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4225092BeginningOfYearBalance
Contributions2619Contributions
Investment Earnings Or Losses1722549InvestmentEarningsOrLosses
Other Expenditures878OtherExpenditures
End Of Year Balance5949382EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6828227BeginningOfYearBalance
Contributions24377Contributions
Investment Earnings Or Losses-2535754InvestmentEarningsOrLosses
Other Expenditures91758OtherExpenditures
End Of Year Balance4225092EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.98464BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.01536PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis9869071OtherCostOrOtherBasis
Book Value9869071BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis381094715OtherCostOrOtherBasis
Depreciation99141472Depreciation
Book Value281953243BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis312960OtherCostOrOtherBasis
Depreciation300540Depreciation
Book Value12420BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis161433749OtherCostOrOtherBasis
Depreciation120391270Depreciation
Book Value41042479BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis33935886OtherCostOrOtherBasis
Depreciation10806030Depreciation
Book Value23129856BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings356007069TotalOfBookValueLandBuildings
Federal Income Tax Liability40840FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (10 entries)

DescriptionDescriptionAmountAmount
ACCRUED PROPERTY TAXES$329,994
ACCRUED SALES TAXES$13,316
ACCRUED CONSTRUCTION CONTRACTS$548,767
OTHER DEFERRALS-$229,814
SR PROGRAMS - MEALS$26,209
REIMB SETTLEMENT DUE - MCARE$3,082,233
MINORITY INTEREST$2,307,783
STATE INCOME TAX$17,056
CAPITAL STRUCTURE$39,666,521
ACCRUED EXPENSES & LIABILITIES$16,705
FieldValueIRS element (for citing)
Total Of Amounts45819610TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierEndowment FundsIdentifier
Return ReferenceSchedule D, Part V, Line 4ReturnReference
ExplanationBOARD ENDOWMENT - QUASI ENDOWMENT USED FOR AREAS OF GREATEST NEED. BRUCE E. DIXSON PULMONARY REHABILITATION ENDOWMENT - ASSIST LOW INCOME PULMONARY PATIENTS CUMMINGS FAMILY ENDOWMENT - QUASI ENDOWMENT TO ASSIST LOW INCOME CANCER PATIENTS WORLEY FAMILY INFECTION CONTROL ENDOWMENT - INFECTION CONTROL EDUCATION ENDOWMENT FUNDS ARE HELD BY THE ST. MARY'S HOSPITAL FOUNDATION.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicyfalseCharityCarePolicy
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense22575589TotalCommunityBenefitExpense
Direct Offsetting Revenue10310840DirectOffsettingRevenue
Net Community Benefit Expense12264749NetCommunityBenefitExpense
Percent Of Total Expense0.03750PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense56750199TotalCommunityBenefitExpense
Direct Offsetting Revenue48997838DirectOffsettingRevenue
Net Community Benefit Expense8591539NetCommunityBenefitExpense
Percent Of Total Expense0.02620PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense79325788TotalCommunityBenefitExpense
Direct Offsetting Revenue59308678DirectOffsettingRevenue
Net Community Benefit Expense20856288NetCommunityBenefitExpense
Percent Of Total Expense0.06370PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense778587TotalCommunityBenefitExpense
Direct Offsetting Revenue30000DirectOffsettingRevenue
Net Community Benefit Expense748587NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense189849TotalCommunityBenefitExpense
Direct Offsetting Revenue6088DirectOffsettingRevenue
Net Community Benefit Expense183761NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense762283TotalCommunityBenefitExpense
Direct Offsetting Revenue32883DirectOffsettingRevenue
Net Community Benefit Expense729400NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense2327795TotalCommunityBenefitExpense
Direct Offsetting Revenue500DirectOffsettingRevenue
Net Community Benefit Expense2327295NetCommunityBenefitExpense
Percent Of Total Expense0.00710PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4058514TotalCommunityBenefitExpense
Direct Offsetting Revenue69471DirectOffsettingRevenue
Net Community Benefit Expense3989043NetCommunityBenefitExpense
Percent Of Total Expense0.01220PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense83384302TotalCommunityBenefitExpense
Direct Offsetting Revenue59378149DirectOffsettingRevenue
Net Community Benefit Expense24845331NetCommunityBenefitExpense
Percent Of Total Expense0.07590PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1900TotalCommunityBuildingExpense
Net Community Building Expense1900NetCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense1973794TotalCommunityBuildingExpense
Direct Offsetting Revenue248035DirectOffsettingRevenue
Net Community Building Expense1725759NetCommunityBuildingExpense
Percent Of Total Expense0.00530PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense3575TotalCommunityBuildingExpense
Net Community Building Expense3575NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense21000TotalCommunityBuildingExpense
Net Community Building Expense21000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense1462TotalCommunityBuildingExpense
Net Community Building Expense1462NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense678TotalCommunityBuildingExpense
Net Community Building Expense678NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense2002409TotalCommunityBuildingExpense
Direct Offsetting Revenue248035DirectOffsettingRevenue
Net Community Building Expense1754374NetCommunityBuildingExpense
Percent Of Total Expense0.00540PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,380,381BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare83540334AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare99843480CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-16303146MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
PAVILION IMAGING
OUTPATIENT RADIOLOGY0.750000.000000.25000
GRAND VALLEY SURG
OUTPATIENT SURGERY0.500000.000000.50000
SAN JUAN CANCER CNT
OUPATIENT CANCER TREATMENT0.333330.000000.33333
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S HOSPITAL & MEDICAL CENTER INBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line12635 N 7TH STAddressLine1
CityGRAND JUNCTIONCity
StateCOState
ZIP Code81502ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S HOSPITAL & MEDICAL CENTER INBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Grand Valley Surgical Center LLC
710 WellingtonGrand JunctionCO81501Ambulatory Surgery Center
San Juan Cancer Center LLC
600 SOUTH 5TH STREETMONTROSECO81401OUTPATIENT RADIATION THERAPY

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FEDERAL POVERTY GUIDELINESSCHEDULE H, PART I, LINE 3CN/A
COST TO CHARGE RATIOSCH H PART I, LINE 7COST TO CHARGE RATIO. DERIVED FROM WORKSHEET 2 BAD DEBT EXPENSE SUBTRACTED BEFORE CALCULATING PERCENTAGES IN COLUMN (F) WAS $27,245,557.
BAD DEBT FOOTNOTEPART 111, LINE 4COST-TO-CHARGE RATIO. DERIVED FROM WORKSHEET 2. THE HOSPITAL DOES NOT TAKE INTO ACCOUNT DISCOUNTS ON PATIENT ACCOUNTS WHEN DETERMINING BAD DEBT. PATIENT PAYMENTS ON ACCOUNTS WRITTEN OFF TO BAD DEBT DECREASE BAD DEBT EXPENSE.
MEDICAREPART III, LINE 8MEDICARE 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.
COLLECTIONSPART III, LINE 9BAN 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.
NEEDS ASSESSMENTPART VI, QUESTION 2AS 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. MARY'S HOSPITAL & MEDICAL CENTER HAS REGULARLY PARTICIPATED IN NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. THIS ASSESSMENT STUDIES A DEFINED COMMUNITY SERVED BY ST. MARY'S HOSPITAL & MEDICAL CENTER, AND IS DONE BY PARTNERING WITH LOCAL GOVERNMENT AND SOCIAL AGENCIES; COMBINING EFFORTS WITH OTHER LOCAL HOSPITALS AND HEALTH CARE ORGANIZATIONS; AND CONDUCTING SURVEYS AND ASSESSMENTS WITH THE ASSISTANCE OF OUTSIDE CONSULTANTS. 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. SURVEYS WERE ALSO CONDUCTED IN 1998 AND 2005. THE MOST RECENT SURVEY WAS CONDUCTED IN 2009 ANOTHER WILL BE CONDUCTED IN 2012. AS PART OF OUR CORE VALUE OF RESPONSE TO NEED, ST. MARY'S TAKES STEPS TO DETERMINE WHERE THERE IS THE MOST NEED TO PROVIDE THE GREATEST GOOD. ST. MARY'S HOSPITAL & MEDICAL CENTER, IN CONJUNCTION WITH THESE OTHER ORGANIZATIONS, MARILLAC CLINIC, MESA COUNTY HEALTH DEPARTMENT, UNITED WAY OFF MESA COUNTY, ROCKY MOUNTAIN HEALTH PLANS, COLORADO WEST REGIONAL MENTAL HEALTH, MESA COUNTY SCHOOL DISTRICT 51, WESTERN COLORADO AREA HEALTH EDUCATION CENTER, WESTERN HEALTHCARE ALLIANCE, COUNSELING AND EDUCATION CENTER, MESA COUNTY METH TASK FORCE, COMPLETED THE 2009 SURVEY. THIS 2009 COMMUNITY HEALTH & QUALITY OF LIFE SURVEY, A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED LOCALLY SINCE 1994, 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. A PRC COMMUNITY HEALTH & QUALITY OF LIFE SURVEY PROVIDES THE INFORMATION SO THAT COMMUNITIES MAY IDENTIFY ISSUES OF GREATEST CONCERN AND DECIDE TO COMMIT RESOURCES TO THOSE AREAS, THEREBY MAKING THE GREATEST POSSIBLE IMPACT ON COMMUNITY HEALTH STATUS. THIS COMMUNITY HEALTH & QUALITY OF LIFE SURVEY WILL SERVE AS A TOOL TOWARD REACHING THREE BASIC GOALS: 1. TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. A HEALTHY COMMUNITY IS NOT ONLY ONE WHERE ITS RESIDENTS SUFFER LITTLE FROM PHYSICAL AND MENTAL ILLNESS, BUT ALSO ONE WHERE ITS RESIDENTS ENJOY A HIGH QUALITY OF LIFE. 2. TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS BY GATHERING DEMOGRAPHIC INFORMATION ALONG WITH HEALTH STATUS AND BEHAVIOR DATA, IT WILL BE POSSIBLE TO IDENTIFY POPULATION SEGMENTS THAT ARE MOST AT-RISK FOR VARIOUS DISEASES AND INJURIES. INTERVENTION PLANS AIMED AT TARGETING THESE INDIVIDUALS MAY THEN BE DEVELOPED TO COMBAT SOME OF THE SOCIO-ECONOMIC FACTORS WHICH HAVE HISTORICALLY HAD A NEGATIVE IMPACT ON RESIDENTS' HEALTH. 3. TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. MORE ACCESSIBLE PREVENTIVE SERVICES WILL PROVE BENEFICIAL IN ACCOMPLISHING THE FIRST GOAL (IMPROVING HEALTH STATUS, INCREASING LIFE SPANS, AND ELEVATING THE QUALITY OF LIFE), AS WELL AS LOWERING THE COSTS ASSOCIATED WITH CARING FOR LATE-STAGE DISEASES RESULTING FROM LACK OF PREVENTIVE CARE. THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO NATIONAL HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. IT IS VERY SIMILAR TO SURVEYS ADMINISTERED BY PRC IN MESA COUNTY IN 1994, 1997, 2001 AND 2005. THE STUDY AREA FOR THIS EFFORT IS DEFINED AS MESA COUNTY, COLORADO, SEGMENTED INTO THE TWO SUB-AREAS OF GRAND JUNCTION AND THE REMAINDER OF THE COUNTY. A PRECISE AND CAREFULLY EXECUTED METHODOLOGY IS CRITICAL IN ASSERTING THE VALIDITY OF THE RESULTS GATHERED IN THE 2009 PRC COMMUNITY HEALTH SURVEY. THUS, TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODOLOGY WAS EMPLOYED. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A RANDOM SAMPLE OF 1,000 INDIVIDUALS AGED 18 AND OLDER IN THE DEFINED COMMUNITIES. ONCE THE DATA WAS COLLECTED, THE SAMPLE WAS WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION AT THE ZIP CODE LEVEL SO THAT OUR ESTIMATES REFLECT THE AREA AS A WHOLE. POPULATION ESTIMATES WERE BASED ON CENSUS PROJECTIONS OF ADULTS AGED 18 AND OVER PROVIDED IN THE LATEST ESRI BIS DEMOGRAPHIC PORTFOLIO. A FULL TEXT OF THE NEEDS ASSESSMENT IS AVAILABLE AT HTTP://HEALTH .MESACOUNTY.US/ 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. 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. IN ADDITION TO ST. MARY'S USE OF THE DATA, LOCAL AGENCIES AND ORGANIZATION WILL USE THE PUBLICLY AVAILABLE SURVEY RESULTS TO APPLY FOR GRANTS AND DEVELOP OR ADJUST CURRENT SERVICE TO BETTER MEET THE NEEDS OF THEIR CLIENTS.
COLLECTION PRACTICESPART VI, QUESTION 3ST. 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, 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 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 INFORMATIONPART VI, QUESTION 4ST. 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 2009 POPULATION OF MESA COUNTY WAS 144,452. MESA COUNTY HAS EXPERIENCED VERY HEALTHY POPULATION GROWTH RATES AND IS EXPECTING THIS TREND TO CONTINUE. HISTORICALLY, THE AREA HAS GROWN AT 2%, ANNUALLY, AND WAS RECENTLY PROJECTED TO CONTINUE TO GROW AT 2.3%, ANNUALLY, THROUGH 2013. THESE PROJECTIONS WERE PROVIDED PRIOR TO SOME OF 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 2008 2013 % GROWTH CAGR PRIMARY SERVICE AREA 0 TO 14 28,514 33,699 18.2% 3.4% 15 TO 44 59,595 66,061 10.8% 2.1% 45 TO 44 36,769 39,084 6.3% 1.2% 65 TO 74 10,559 12,318 16.7% 3.1% 75 TO 90+ 10,234 11,952 16.8% 3.2% TOTAL 145,671 163,114 12.0% 2.3% SECONDARY SERVICE AREA 0 TO 14 29,353 37,210 26.8% 4.9% 15 TO 44 54,501 69,192 27.0% 4.9% 45 TO 44 37,191 41,997 12.9% 2.5% 65 TO 74 9,398 12,404 32.0% 5.7% 75 TO 90+ 8,685 10,297 18.6% 3.5% TOTAL 139,128 171,100 23.0% 4.2% TERTIARY SERVICE AREA 0 TO 14 44,328 53,038 19.6% 3.7% 15 TO 44 101,855 14,891 12.8% 2.4% 45 TO 44 68,287 75,678 10.8% 2.1% 65 TO 74 12,626 18,778 48.7% 8.3% 75 TO 90+ 8,710 11,289 29.6% 5.3% TOTAL 235,806 273,674 16.1% 3.0% GRAND TOTAL 520,605 607,888 16.8% 3.1% 2007 HH INCOME PRIMARY SERVICE COLORADO STATE USA SEGMENT AREA <$15K 13.5% 9.6% 13.1% $15-25K 13.2% 9.0% 10.9% $25-50K 32.3% 26.1% 26.8% $50-75K 20.0% 20.8% 19.5% $75-100K 9.6% 13.4% 11.9% OVER $1OOK 11.3% 21.1% 17.9% 2007 RACE/ETHNICITY PRIMARY COLORADO USA SERVICE AREA STATE WHITE NON-HISPANIC 85.7% 71.1% 65.9% BLACK NON-HISPANIC 0.6% 3.7% 12.1% HISPANIC 11.2% 20.0% 14.9% ASIAN & PACIFIC NON-HISPANIC 0.6% 2.6% 4.4% ALL OTHERS 2.0% 2.7% 2.8% 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 HEALTHPART VI, QUESTION 5WE 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 $1,754,374 IN 2010 AND INCLUDED EFFORTS IN SIX DIFFERENT CATEGORIES REPORTED IN THE 990: ECONOMIC DEVELOPMENT; COMMUNITY SUPPORT; ENVIRONMENTAL IMPROVEMENTS; COALITION BUILDING; COMMUNITY HEALTH IMPROVEMENT ADVOCACY; AND WORKFORCE DEVELOPMENT. ST. MARY'S LARGEST AREA OF COMMUNITY BUILDING WAS IN THE AREA OF COMMUNITY SUPPORT FOR A TOTAL OF $1,725,759 OR 98%. 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. LIKE SENIOR COMPANION PROGRAMS ACROSS THE COUNTRY, 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. VOLUNTEER COMPANIONS HELP SENIORS WITH DAILY ACTIVITIES, SUCH AS GROCERY SHOPPING, BILL PAYING, AND SIMPLE HOUSEHOLD TASKS. 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 TAKING THEIR MEDICATION AND DOCTORS OR FAMILY ARE ALERTED TO ANY POTENTIAL HEALTH PROBLEMS. 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. QUALIFIED SENIOR VOLUNTEERS RECEIVE A TAX-FREE HOURLY STIPEND. PROVIDING INVALUABLE COMPANIONSHIP AND EDUCATIONAL SUPPORT FOR AT-RISK CHILDREN, THE PROGRAM WORKS IN COLLABORATION WITH A BROAD RANGE OF COMMUNITY AGENCIES INCLUDING: MESA COUNTY SCHOOL DISTRICT; DELTA COUNTY SCHOOL DISTRICT; MONTROSE COUNTY SCHOOL DISTRICT; ROCKY MOUNTAIN HEAD START, GRAND JUNCTION REGIONAL CENTER, MIGRANT HEAD START, HILLTOP'S SAFE HOUSE, KIDS OF THE KINGDOM, CHILD QUEST, KIDDIN' AROUND, LIL'MAVERICKS, GRAND MESA YOUTH SERVICES, AND COLLBRAN JOB CORPS. 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 DINING SITES, HOME-DELIVERED MEALS, AND OTHER NUTRITION-RELATED SERVICES, GRAY GOURMET IS DEDICATED TO THE GOOD HEALTH OF MESA COUNTY SENIORS. SENIORS CURRENTLY GET HOT, NUTRITIOUS MEALS IN FRIENDLY COMPANY AT EIGHT MEAL SITES; 118,316 MEALS WERE SERVED IN 2010. HOMEBOUND SENIORS 60 YEARS OF AGE AND OLDER CAN ARRANGE FOR HOME-DELIVERY SERVICE. WEEKEND, AND FROZEN MEALS ARE AVAILABLE DEPENDING ON THE SENIOR'S LOCATION. A GRAY GOURMET REGISTERED DIETITIAN ASSURES MEALS MEET RECOMMENDED DIETARY STANDARDS. THE DIETITIAN MAKES SURE MEALS MEET ANY DOCTOR-PRESCRIBED DIET RESTRICTIONS. AS A GRAY GOURMET PARTICIPANT, SENIORS WITH A DOCTOR'S PRESCRIPTION MAY ALSO BE ELIGIBLE TO RECEIVE MEDICAL NUTRITIONALS. ALL DIETARY COUNSELING IS FREE. 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 HOSPITALITY HOUSE ST. MARY'S ROSE HILL HOSPITALITY HOUSE PROVIDES SAFE, TEMPORARY HOUSING CLOSE TO THE HOSPITAL CAMPUS FOR THOSE WHO HAVE TRAVELED TO ST. MARY'S HOSPITAL & REGIONAL MEDICAL CENTER FROM OUTSIDE MESA COUNTY WHILE A LOVED ONE IS HOSPITALIZED AND PATIENTS WHO COME FOR LONG-TERM OUTPATIENT TREATMENT. THE ACCOMMODATIONS INCLUDE COMFORTABLE GUESTROOMS, FAMILY BEDROOMS, AND HANDICAPPED ACCESSIBLE ROOMS. ALL ROOMS HAVE PRIVATE BATHROOMS, QUEEN SIZE BEDS, TELEPHONE, AND TELEVISION. THE USE OF ROSE HILL HOSPITAL HOUSE ROOMS IS DETERMINED BY ESTABLISHING CRITERIA. THERE IS NO CHARGE, BUT DONATIONS ARE ACCEPTED. THE PROGRAM ALSO RECEIVES ADDITIONAL COMMUNITY SUPPORT TO ENHANCE THE SERVICES. 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, ALTRUSA, 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 SYSTEMPART VI, QUESTION 6COMMUNITY BENEFITS PROVIDED IN 2010 THROUGHOUT SCLHS TOTALED $204.8 MILLION. AS PART OF SCLHS, WE PROMOTE THE SHARED MISSION THAT "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."
STATE FILING OF COMMUNITY BENEFIT REPORTPART VI, QUESTION 7THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM FILES A COMMUNITY BENEFIT REPORT IN THREE STATES: CALIFORNIA, KANSAS, AND MONTANA.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (20 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceAddress Line2AddressUS/AddressLine2
Co West Mental Health
858 Grand AveGrand JunctionCO81501840625890501(c)(3)512500OPERATIONAL SUPPORT
Marillac Clinic
2333 N 6th StGrand JunctionCO81501841085822501(C)(3)SUPPORT FOR OPERATIONS649500CostSupplies, services
Hilltop Community Resources
1331 HermosaGrand JunctionCO81506841085822501(C)(3)45500OPERATIONAL SUPPORT
Marillac Clinc
2333 N 6th StGrand JunctionCO81501131846366501(C)(3)375000OPERATIONAL SUPPORT
March of Dimes Colorado
518 28 RdGrand JunctionCO81501840972492501(C)(3)8000OPERATIONAL SUPPORT
Grand Junction Economic Partnership
2828 WALKER FIELD DRIVEGrand JunctionCO81506840972492501(C)(3)20000COMMUNITY DEVELOPMENT
Hospice & Palliative Care of Western CO
PO Box 60307Grand JunctionCO81502841316555501(C)(3)51950OPERATIONAL SUPPORT & CAPITAL
American Cancer Society
2754 Compass DrGrand JunctionCO81506841316555501(c)(3)10000OPERATIONAL SUPPORTSte 328
Mesa State College Foundation
1100 North AveGrand JunctionCO81501846037667501(C)(3)80000NURSING SCHOLARSHIPS
Quality Health Network
2764 Compass DriveGrand JunctionCO81506201632384501(C)(3)450000HEALTH RECORD NETWORKINGSuite 203
American Red Cross
506 GunnisonGrand JunctionCO81501530196605501(c)(3)10375OPERATIONAL SUPPORT
Colorado Physicians Health
899 Logan StDenverCO80203742425019501(c)(3)10000PHYSICIAN HEALTHCARE
Western Healthcare Alliance
715 Horizon Drive Suite 485Grand JunctionCO81506841159443501(c)(3)16240NURSING SCOLARSHIPS
Grand Junction Community Homeless Shelter
2853 North AvenueGrand JunctionCO81501981621600501(c)(3)LAUNDRY FOR HOMELESS SHELTER48083CostLaundry Services
GRAND VALLEY CATHOLIC OUTREACH
245 S 1ST STGRAND JUNCTIONCO81501200064007501(c)(3)18750OPERATIONAL SUPPORT
DOWNTOWN DEVELOPMENT AUTHORITY
248 SOUTH 4TH STGRAND JUNCTIONCO81501840833888501(c)(3)10000ART ON THE CORNER/LEGENDS OF THE GRAND VALLEY
CENTER FOR ENRICHED COMMUNICATION & EDUCATION CENT
2708 PATTERSON RDGRAND JUNCTIONCO81056742232416501(c)(3)11000OPERATIONAL SUPPORT
MESA STATE COLLEGE FOUNDATION
1100 NORTH AVENUEGRAND JUNCTIONCO81501846037667501(C)(3)6970OPERATIONAL SUPPORT
HOLY FAMILY CATHOLIC SCHOOL
786 26 1/2 RDGRAND JUNCTIONCO81506860297730501(c)(3)15100EDUCATIONAL SUPPORT
MESA DEVELOPMENTAL SERVICES
950 GRAND AVEGRAND JUNCTIONCO81501846044855501(c)(3)25000OPERATIONAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants19TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (4 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
Indigent Assistance with Expenses184903
Indigent Transport Paid to Others183030COSTTRANSP PAYMENT
Med Sup, Medicines, Healthcare Paid to Others25434550COSTMedicines & Supplies
Indigent Lodging Paid to Others2205COSTAssist w/Lodging

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCESS FOR MONITORING GRANTS AND AWARDSIdentifier
Return ReferenceSCHEDULE I, PART 1, LINE 2ReturnReference
ExplanationTHERE ARE NO SYSTEMS IN PLACE TO MONITOR THE USE OF GRANTS OR AWARDS ONCE THEY ARE GIVEN.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensesfalseWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT LADENBURGER
0576595026875003787540526130107600128747200
FOREST BINDER
0233400024739039886019903010247032817500
CHERIE GORBY
0308800032237012093049567010079041277600
JAMES NARROD
645932000972805810000071376000
BRIAN WITWER
6812820005649051076000738007000
SUSAN HEMLEY
6906750009370041600000741645000
JOHN A LOPEZ
6897120008099052600000750411000
JERRY SPICER
018131401991202357001521806562024657600
MICHAEL MCBRIDE
01021650003619303871803768018084400
TERRI POTTER
025846200043700000398030256000
JOHN BEESON
0318004033868040093019600014103042566800
ROBERT FOX
530197000871700000538914000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SOCIAL CLUB MEMBERSHIPSSCHEDULE J, PART I, LINE 1AST. MARY'S HOSPITAL PROVIDES COUNTRY CLUB MEMBERSHIPS FOR BUSINESS PURPOSES OF ENTERTAINING FOR TWO LISTED PERSONS. BOB lADENBURGER - $680 JOHN BEESON - $4,305
Executive CompensationForm 990, Schedule J, Part I, Line 3PROCESS 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 HEALTHARE SYSTEMS AND HOSPITALS.
Payments from Nonqualified Retirement PlanForm 990, Schedule J, Part I, Line 4bOTHER 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: ROBERT W. LADENBURGER-$120,631 FOREST C. BINDER-$9,439 JOHN C. BEESON-$13,583 JERRY E. SPICER-$7,181
Form 990, Schedule J, Part IITHE SISTERS OF CHARITY OF LEAVENWORTH 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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (8 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
WESTERN COLORADO LUNG CENTER
DRCTR,>5% WEST CO LUNG568951MED DIR FEES, FEES TO PHYS GRPfalse
ROCKY MTN ORTHO ASSOC
DRCTR,>5% WST RCKY MTN OR295245FEES FOR SRVICES & PYM TO GRPfalse
COLORADO WEST EMERGENCY PHYSICIANS
DRCTR,>5% WST CO EMERG PH332123MED DIR FEES FEES TO PHY GROUPfalse
WOMEN'S HEALTH CARE OF WESTERN COLO
DRCTR,>5% WMN HC OF W CO124000FEES TO PHYS GRPfalse
WESTERN COLORADO LUNG CENTER
DRCTR,>5% WEST CO LUNG13948ANSWR SRVC IMAGE STRG PHS GRPfalse
COLORADO WEST EMERGENCY PHYSICIANS
DRCTR,>5% WST CO EMERG PH847CATERING TO PHYS GROUPfalse
WOMEN'S HEALTH CARE OF WESTERN COLO
DRCTR,>5% WMN HC OF W CO5490ANSW SERVICE FOR GRPfalse
ROCKY MTN ORTHO ASSOC
DRCTR,>5% WST RCKY MTN OR35414ANSW SERV IMAGE STOR FROM GRPfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DELEGATE CONTROL OVER MANAGEMENT DUTIESFORM 990, PART VI SECTION A LINE 3ALTHOUGH 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
BOARD MEMBERPART VI LINE 6THE 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. MARY'S HOSPITAL IN GRAND JUNCTION, COLORADO. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. THROUGHOUT THE YEAR ROBERT W. LADENBURGER, TERRY POTTER, AND MICHAEL MCBRIDE WERE PRESIDENT & CHIEF EXECUTIVE OFFICER AND FOREST C. BINDER IS 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.
MEMBERSFORM 990 PART VI LINES 7A & 7BAS THE SOLE CORPORATE MEMBER THE SISTERS OF CHARITY OF LEAVENWORTH 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 990FORM 990 PART VI LINE 11bPRIOR TO SUBMISSION OF THE 990, THE 990 IS REVIEWED EXTERNALLY BY ERNST AND YOUNG 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 INTERESTFORM 990 PART VI SECTION B LINE 12cSENIOR LEADERSHIP OF ST. MARY'S HOSPITAL AND THE SISTERS OF CHARITY 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 VENTURESPART VI SECTION B LINE 16bJOINT 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 DOCUMENTSPART VI SECTION C LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST FROM ADMINISTRATIVE OFFICES OF ST. MARY'S HOSPITAL.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 4EQUITY TRANSFERS (TO)/FROM SCLHS (2,068,978) EQUITY TRANSFER (TO)/FROM FOUNDATION (1,476,897) UBI INCOME FROM JOINT VENTURE- ELIMINATED IN CONSOLIDATION (1,079,690) ELIMINATED IMAGE STORAGE ADDBACK FOR CONSOLIDATED JOINT VENTURE (51,042) ROUNDING (4) TOTAL (4,676,611)
AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VII, COLUMN BNAME & TITLE HOURS PER WEEK ORGANIZATION MICHAEL MCBRIDE 1 ST. MARY'S HOSPITAL FOUNDATION PRESIDENT.CEO TERRI POTTER 1 ST. MARY'S HOSPITAL FOUNDATION INTERIM PRESIDENT.CEO CHERIE GORBY 1 SAN JUAN CANCER CENTER, LLC CHIEF OPERATING OFFICER CHERIE GORBY 2 PAVILION IMAGING, LLC CHIEF OPERATING OFFICER FOREST BINDER 1 ST. MARY'S HOSPITAL FOUNDATION CHIEF FINANCIAL OFFICER ROBERT LADENBURGER CEO OF ST. MARY'S HOSPITAL & MEDICAL CENTER THROUGH JANUARY 2010 CEO OF EXEMPLA 02/2010 THROUGH 12/2010 CFO/VP FINANCE

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SISTERS OF CHARITY LEAVENWORTH HLTH SYST
9801 RENNER BLVD STE 100LENEXAKS66219237379161SUPPORT MMBRSKS501(C)(3)11B-TYPE IINA
CARITAS CLINICS INC
818 NORTH 7TH STREETLEAVENWORTHKS66048481009910CLINIC SVCSKS501(C)(3)3NA
MARIAN CLINIC INC
1001 SW GARFIELDTOPEKAKS66604481046905CLINIC SVCSKS501(C)(3)3NA
MARILLAC CLINIC INC
2333 N 6TH STREETGRAND JUNCTIONCO81501841085822CLINIC SVCSCO501(C)(3)3NA
PROVIDENCE MEDICAL CENTER
8929 PARALLEL PARKWAYKANSAS CITYKS66112480784446HEALTHCAREKS501(C)(3)3NA
ST JOHN HOSPITAL INC
3500 SOUTH FOURTH STREETLEAVENWORTHKS66048480543768HEALTHCAREKS501(C)(3)3NA
BETHANY COMMUNITY PLAZA INC
15 NORTH 12TH STREETKANSAS CITYKS66102481207407HEALTHCAREKS501(C)(3)3NA
PROVIDENCEST JOHN FOUNDATION INC
8929 PARALLEL PARKWAYKANSAS CITYKS661121689480925688SUPPORT 501C3KS501(C)(3)7NA
ST FRANCIS HEALTH CENTER INC
1700 SW 7TH STREETTOPEKAKS66606480547719HEALTHCAREKS501(C)(3)3NA
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREETTOPEKAKS66606481092520SUPPORT 501C3KS501(C)(3)11A-TYPE INA
ST MARYS HOSPITAL FOUNDATION
2635 N 7TH STREETGRAND JUNCTIONCO81502237001007SUPPORT 501C3CO501(C)(3)11A-TYPE INA
SAINT JOSEPH HOSPITAL FOUNDATION
1835 FRANKLIN STREETDENVERCO80218840735096SUPPORT 501C3CO501(C)(3)11A-TYPE INA
HOLY ROSARY HEALTHCARE
2600 WILSONMILES CITYMT59301810231792HEALTHCAREMT501(C)(3)3NA
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSONMILES CITYMT59301202270238SUPPORT 501C3MT501(C)(3)11A-TYPE INA
ST VINCENT HEALTHCARE
1233 NORTH 30THBILLINGSMT59101810232124HEALTHCAREMT501(C)(3)3NA
ST VINCENT HEALTHCARE FOUNDATION
PO BOX 35200BILLINGSMT591075200810468034SUPPORT 501C3MT501(C)(3)7NA
NORTHWEST RESEARCH & EDUCATION INSTITUTE
315 NORTH 25TH STREETBILLINGSMT59101201343024COMM HLTH RESMT501(C)(3)9NA
ST JAMES HEALTHCARE
400 SOUTH CLARK STREETBUTTEMT597012328810231785HEALTHCAREMT501(C)(3)3NA
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK STREETBUTTEMT59701651202190SUPPORT 501C3MT501(C)(3)11A-TYPE INA
SAINT JOHNS HEALTH CENTER
1328 22ND STREETSANTA MONICACA90404951684082HEALTHCARECA501(C)(3)3NA
JOHN WAYNE CANCER INSTITUTE
2000 SANTA MONICA BLVDSANTA MONICACA90404954291515CANCER R&DCA501(C)(3)4NA
SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN
1328 22ND STREETSANTA MONICACA904042091956100079SUPPORT 501C3CA501(C)(3)11A-TYPE INA
EXEMPLA INC FKA LUTHERAN HOSPITAL
2420 W 26TH AVE SUITE 100DDENVERCO80211841103606HEALTHCARECO501(C)(3)3NA
EXEMPLA LUTHERAN MEDICAL CENTER FNDTN
2480 W 26TH AVESUITE 360BDENVERCO80211208846152SUPPORT 501C3CO501(C)(3)7NA
EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN
200 EXEMPLA CIRCLELAFAYETTECO80026841649162SUPPORT 501C3CO501(C)(3)7NA
LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST
2480 W 26TH AVESUITE 360BDENVERCO80211742571584INSURANCECO501(C)(3)11A-TYPE INA
MEDPARK INC
2480 W 26TH AVESUITE 360BDENVERCO80211841490379PARKINGCO501(C)(3)7NA
SAINT JOSEPH HOSPITAL
1835 FRANKLIN STREETDENVERCO80218840417134HEALTHCARECO501(C)(3)3NA

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipDirect Controlling Entity NADirectControllingEntityNA
PAVILION IMAGING LL
750 WELLINGTONGRAND JUNCTIONCO81501030516198OP RADIOLOGYCOST MARY'S HOSPRELATED63100785817407false$0true0.75000
GRAND VALLEY SURGICAL CANTER LLC
710 WELLINGTONGRAND JUNCTIONCO81501841505075OP SURGERYCOST MARY'S HOSPRELATED5617031210503false$414true0.50000
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCOST MARY'S HOSPRELATED2136401697076false$6,962true0.33333
BILLINGS MRI CENTER LLC
1041 NORTH 29TH STREETBILLINGSMT59101810450943MRI-PET SCANMTN/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHRN PKW SUITE 150WHEATRIDGECO800336028020749532OP SURGERYCON/A
COLORADO SURGICAL VENTURES LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038915OP SURGERYCON/A
COLORADO SURGICAL HOSPITAL LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038977OP SURGERYCON/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
CARITAS INC AND SUBSIDIARIES
9801 RENNER BOULEVARD SUITE 100LENEXAKS66219480941069OTHER MEDICALKSN/AC CORP
LEAVEN INSURANCE COMPANY LTD
980370522INSURANCEN/A23 LIME TREE BAY AVE PO BOX 1051GEORGETOWNGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Pavilion Imaging LLC
a2444947
MARILLAC CLINIC
b1024348
ST MARY'S HOSPITAL FOUNDATION
b1476897
ST MARY'S HOSPITAL FOUNDATION
c1838756
GRAND VALLEY SURGICAL CENTER LLC
i554389
PAVILION IMAGING LLC
i666509
GRAND VALLEY SURGICAL CENTER LLC
k142489
PAVILION IMAGING LLC
k1873810
MARILLAC CLINIC
k649348
SAN JUAN CANCER CENTER LLC
k72000
ST MARY'S HOSPITAL FOUNDATION
l1838756
GRAND VALLEY SURGICAL CENTER LLC
n2562054
PAVILION IMAGING LLC
n2930568
MARILLAC CLINIC
n55286
ST MARY'S HOSPITAL FOUNDATION
n2870930
SAN JUAN CANCER CENTER LLC
n414427
ST MARY'S HOSPITAL FOUNDATION
p1476897
GRAND VALLEY SURGICAL CENTER LLC
r638400
PAVILION IMAGING LLC
r6900000
SAN JUAN CANCER CENTER LLC
r371093