2011-11-15T09:50:33-06:00 2010-12-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2010-01-01 840425720 St Mary's Hospital & Medical Center Inc STMA 9702442273 2635 N 7th St Grand Junction CO 81502 FOREST BINDER 2011-11-10 3142901000 2010 2016-02-24 21:20:13Z ST MARY'S HOSP THE REGIONAL MED CNT Michael McBride 2635 N 7TH ST GRAND JUNCTION CO 81502 382132450 false 0928 X www.stmarygj.org X 1975 CO 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. 15 10 2341 529 3561977 904520 12226329 3677454 329198514 359933296 3988534 5074085 14784973 12172883 360198350 380857718 2452975 2455315 0 0 144655165 145173976 0 0 425782 162998958 206914170 310107098 354543461 50091252 26314257 491957510 497743813 85495458 69644115 406462052 428099698 X WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. false false 147613403 187118028 INPATIENT HEALTHCARE - ST. MARY'S HOSPITAL & MEDICAL CENTER, INC, DBA ST. MARY'S HOSPITAL THE REGIONAL MEDICAL CENTER IS A FULL-SERVICE HOSPITAL PROVIDING QUALITY HEALTHCARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS THE LARGEST HEALTHCARE FACILITY IN A 250-MILE RADIUS, ST. MARY'S PROVIDES MANY ADVANCED HEALTHCARE SERVICES NOT OFFERED BY ANY OTHER FACILITIES IN WESTERN COLORADO AND EASTERN UTAH, INCLUDING COMPREHENSIVE CARDIAC SERVICES, OPEN HEART SURGERY, COMPREHENSIVE CANCER CARE, A NEWBORN INTENSIVE CARE, AND LEVEL II TRAUMA SERVICES. ST. MARY'S IS LICENSED FOR 346 BEDS, 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. 54931900 48285007 OUTPATIENT HEALTHCARE - MOST OF ST. MARY'S OUTPATIENT HEALTHCARE SERVICES ARE DELIVERED IN CLINIC FACILITIES CONVENIENTLY LOCATED NEAR BUT SEPARATE FROM THE MAIN HOSPITAL CAMPUS. WITH THEIR OWN ENTRANCES AND PARKING LOTS, THESE FACILITIES KEEP PATIENTS OUT OF THE TRAFFIC AND ACTIVITY FLOW OF THE HOSPITAL BUT CLOSE TO THE MAJOR CONCENTRATION OF MEDICAL SERVICES AND PHYSICIAN OFFICES IN THE COUNTY. ST. MARY'S ADVANCED MEDICINE PAVILION HOUSES OUT-PATIENT MEDICAL AND RADIOLOGY CANCER CARE, IMAGING, BLOOD DONATION, AND LABORATORY SERVICES. ST. MARY'S LIFE CENTER CONTAINS REHABILITATION, WELLNESS, AND WEIGHT LOSS/MANAGEMENT SERVICES. A THIRD FREE-STANDING FACILITY HOUSES ST. MARY'S FAMILY MEDICINE RESIDENCY PROGRAM, WHICH TRAINS PHYSICIANS TO CARE FOR FAMILIES IN SMALL TOWNS AND RURAL AREAS; ST. MARY'S FAMILY MEDICINE CENTER, A MEDICAL CLINIC SPECIALIZING IN PRE-NATAL, OBSTETRICAL, PEDIATRIC, FAMILY, AND GERIATRIC CARE; AND ST. MARY'S WOUND CLINIC. ST. MARY'S 2010 OUTPATIENT SERVICES INCLUDED: 402,617 PATIENT VISITS (INCLUDING EMERGENCY ROOM VISITS), 100,072 CLINIC VISITS, AND 2,452 OUTPATIENT SURGERIES. 20853921 46116911 EMERGENCY & 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. 14217113 48797755 OUTPATIENT RADIOLOGY 29648481 28638648 REHABILITATION 2191401 412418 WELLNESS CENTER 4994286 RESIDENCY PROGRAM 76460 EMERGENCY MED SERVICES OUTREACH 551237 42096 RESEARCH 2803242 248035 COMMUNITY BENEFIT PROGRAMS 4467131 120712 BLOOD BANK 507670 153686 EDUCATION 2455315 2455315 OTHER CHARITABLE CONTRIBUTIONS 1093092 JOINT VENTURE OUTPATIENT INCOME 61912336 2455315 79506442 285311560 true true false true false false false false true true true false false true false false true false false false false false false false false true false true true true false false false false false true false true false false false false false true true true false false true 306 0 true 2341 true true true false false false false false false false false false X 15 10 false true false false true true true true true false false true true true true true true false false true false X FOREST BINDER 9702442273 2635 N 7TH ST Grand Junction CO 81502 SISTER AMY WILLCOTT 1.0 X 0 0 0 JOEL BECHTEL 1.0 X 82361 0 0 GREGG KAMPF 1.0 X 0 0 0 ROY CROMER 1.0 X X 2500 0 0 DANIEL M ROBERTS 1.0 X X 0 0 0 RICHARD BACA 1.0 X 0 0 0 ROBERT LADENBURGER 50.0 X X 0 1224099 63373 ROB BICKLEY 1.0 X X 0 0 0 KRISTINE REUSS 1.0 X X 0 0 0 MARK LUKER 1.0 X 20250 0 0 MICHAEL TROWBRIDGE 1.0 X MONIQUE SERRA 1.0 X 0 0 0 SISTER PHYLLIS STOWELL 1.0 X 0 0 0 MICHAEL MCBRIDE 50.0 X X 0 138358 42486 TERRI POTTER 50.0 X X 0 302162 398 LAUREL BARTHOLOMAY 1.0 X 12500 0 0 DOUGLAS ADEN 1.0 X 0 0 0 SISTER JEAN ANNE PANISKO 1.0 X 0 0 0 FOREST BINDER 50.0 X 0 298025 30150 CHERIE GORBY 50.0 X 0 353130 59646 JERRY SPICER 50.0 X 0 224796 21780 JOHN BEESON 50.0 X 0 391965 33703 JAMES NARROD 50.0 X 655660 0 58100 BRIAN WITWER 50.0 X 686931 0 51076 SUSAN HEMLEY 50.0 X 700045 0 41600 JOHN A LOPEZ 50.0 X 697811 0 52600 ROBERT FOX 50.0 X 538914 0 57983 3396972 2932535 512895 134 false true false FCI McCarthy 2339 North 7th St GRAND JUNCTION CO 81502 Construction 22100638 Petroleum Helicopters Inc 2001 SE Evangeline Thruway LAFAYETTE LA 70508 Helicopter Service 3179382 Aramark Corporation 4420 East 142 St GRAND VIEW MO 64030 Food Service Mgt 2786346 Omni Hospital Services 475 28 1/2 Road GRAND JUNCTION CO 81501 Laundry Services 2332704 Anesthesia Consultants of Western C 1120 Wellington Suite 206 GRAND JUNCTION CO 81501 Anesthesia 4292838 59 1838757 1838697 3677454 INPATIENT REVENUE 900099 187118028 187118028 OUTPATIENT REVENUE 621400 48797755 48797755 OUTPATIENT RADIOLOGY 621990 48285007 48285007 EMERGENCY SERVICES 900099 46116911 46116911 REHABILITATION 621400 28638648 28638648 976947 976947 359933296 2074969 1093092 73083 908794 0 0 1295541 469919 1114806 63418 180735 406501 587236 461307 125929 3026539 7565 34988 3026539 -27423 2999116 2999116 0 0 61520 61520 0 REFERENCE LAB 621500 2298515 2298515 CAFETERIA SALES 722210 1542275 1542275 MANAGEMENT SERVICES 561300 630228 526020 104208 7114629 203052 6911577 11585647 380857718 361026388 3561977 12591899 2412627 2412627 42688 42688 0 0 3301098 1334304 1966794 0 113024934 101792382 10905325 327227 6656384 5617847 1022176 16361 12895079 10465513 2371156 58410 9296481 8079862 1192835 23784 12732958 1545524 11187434 126118 126118 35173 35173 26938 26938 0 124724 124724 32488384 23294533 9193851 490483 7518 482965 69639553 68059637 1579916 567389 471369 96020 0 3453478 2939812 513666 838745 605561 233184 0 341390 240607 100783 1868418 1868418 0 32214807 28535876 3678931 2664557 2363974 300583 BAD DEBT 27245557 27245557 PROVIDER FEES 20289128 20289128 RECRUITING 684597 12125 672472 FEDERAL INCOME TAXES 415191 415191 MISCELLANEOUS EXPENSES 666582 244244 422338 354543461 285311560 68806119 425782 789192 869173 5917201 7231856 46417121 51108592 7086145 7539706 1973343 3756890 586646381 230639312 358742565 356007069 57917764 66524498 2839089 2635159 10275090 2070870 491957510 497743813 27655524 23824505 57839934 45819610 85495458 69644115 X 406462052 428099698 406462052 428099698 491957510 497743813 X 26314257 -4676611 X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false true 11250 false false true 15688 26938 false RURAL REFERRAL CENTER PART 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 ASSOCIATIONS SCHEDULE C, PART II B LOBBYING 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. 5949382 25481 771583 283763 6462683 4225092 2619 1722549 878 5949382 6828227 24377 -2535754 91758 4225092 0.98464 0.01536 false true true 9869071 9869071 381094715 99141472 281953243 312960 300540 12420 161433749 120391270 41042479 33935886 10806030 23129856 356007069 40840 ACCRUED PROPERTY TAXES 329994 ACCRUED SALES TAXES 13316 ACCRUED CONSTRUCTION CONTRACTS 548767 OTHER DEFERRALS -229814 SR PROGRAMS - MEALS 26209 REIMB SETTLEMENT DUE - MCARE 3082233 MINORITY INTEREST 2307783 STATE INCOME TAX 17056 CAPITAL STRUCTURE 39666521 ACCRUED EXPENSES & LIABILITIES 16705 45819610 Endowment Funds Schedule D, Part V, Line 4 BOARD 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. false true true 22575589 10310840 12264749 0.03750 56750199 48997838 8591539 0.02620 79325788 59308678 20856288 0.06370 778587 30000 748587 0.00230 189849 6088 183761 0.00060 762283 32883 729400 0.00220 2327795 500 2327295 0.00710 4058514 69471 3989043 0.01220 83384302 59378149 24845331 0.07590 1900 1900 1973794 248035 1725759 0.00530 3575 3575 21000 21000 0.00010 1462 1462 678 678 2002409 248035 1754374 0.00540 true 12380381 0 83540334 99843480 -16303146 X true true PAVILION IMAGING OUTPATIENT RADIOLOGY 0.75000 0.00000 0.25000 GRAND VALLEY SURG OUTPATIENT SURGERY 0.50000 0.00000 0.50000 SAN JUAN CANCER CNT OUPATIENT CANCER TREATMENT 0.33333 0.00000 0.33333 1 1 ST MARY'S HOSPITAL & MEDICAL CENTER IN

2635 N 7TH ST GRAND JUNCTION CO 81502

X X X X ST MARY'S HOSPITAL & MEDICAL CENTER IN 1 2 Grand Valley Surgical Center LLC

710 Wellington Grand Junction CO 81501

Ambulatory Surgery Center San Juan Cancer Center LLC

600 SOUTH 5TH STREET MONTROSE CO 81401

OUTPATIENT RADIATION THERAPY FEDERAL POVERTY GUIDELINES SCHEDULE H, PART I, LINE 3C N/A COST TO CHARGE RATIO SCH H PART I, LINE 7 COST TO CHARGE RATIO. DERIVED FROM WORKSHEET 2 BAD DEBT EXPENSE SUBTRACTED BEFORE CALCULATING PERCENTAGES IN COLUMN (F) WAS $27,245,557. BAD DEBT FOOTNOTE PART 111, LINE 4 COST-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. MEDICARE PART III, LINE 8 MEDICARE ALLOWABLE COSTS ARE DETERMINED BASED ON APPLICABLE MEDICARE RULES AND REGULATIONS. NONALLOWABLE EXPENSES ARE REMOVED VIA AN ADJUSTMENT, AS SHOWN ON WORKSHEET A-8 OF THE MEDICARE COST REPORT. COLLECTIONS PART III, LINE 9B AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST, AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. ST. MARY'S HOSPITAL & MEDICAL CENTER NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. NEEDS ASSESSMENT PART VI, QUESTION 2 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. 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 PRACTICES PART VI, QUESTION 3 ST. MARY'S HOSPITAL & MEDICAL CENTER TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. ST. MARY'S HOSPITAL & MEDICAL CENTER HAS A WRITTEN FINANCIAL ASSISTANCE POLICY THAT EXPLAINS ELIGIBILITY CRITERIA FOR FINANCIAL ASSISTANCE AT VARIOUS LEVELS, INCLUDING A 100% DISCOUNT, AND IS BASED ON FEDERAL POVERTY GUIDELINES. WE WORK WITH PATIENTS TO HELP THEM UNDERSTAND THEIR FINANCIAL RESPONSIBILITY FOR CARE RECEIVED, FINANCIAL ASSISTANCE AVAILABLE TO THEM, AND TO ESTABLISH PAYMENT PROGRAMS IN DEMONSTRATION OF OUR CORE VALUE OF RESPECT. AS PART OF OUR RESPONSIBILITY TO EDUCATE, 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 INFORMATION PART VI, QUESTION 4 ST. MARY'S IS THE LEADING PROVIDER OF COMMUNITY BENEFIT FOR RESIDENTS OF WESTERN COLORADO AND EASTERN UTAH. THE HOSPITAL IS LOCATED IN GRAND JUNCTION, CO THE LARGEST CITY BETWEEN SALT LAKE CITY, UTAH AND DENVER, COLORADO; THEREFORE, IT SERVES AS A REGIONAL HUB FOR SERVICES AND MEDICAL TECHNOLOGIES. MESA COUNTY LIES ON THE WESTERN BORDER OF COLORADO AND COVERS 3,309 SQUARE MILES. ACCORDING TO THE COLORADO STATE DEMOGRAPHY OFFICE THE ESTIMATED 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 HEALTH PART VI, QUESTION 5 WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR COMMUNITY BUILDING ACTIVITIES DEMONSTRATE THIS COMMITMENT. OUR COMMUNITY BUILDING ACTIVITIES TOTALED $1,754,374 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 SYSTEM PART VI, QUESTION 6 COMMUNITY 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 REPORT PART VI, QUESTION 7 THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM FILES A COMMUNITY BENEFIT REPORT IN THREE STATES: CALIFORNIA, KANSAS, AND MONTANA. true Co West Mental Health 858 Grand Ave Grand Junction CO 81501 840625890 501(c)(3) 512500 OPERATIONAL SUPPORT Marillac Clinic 2333 N 6th St Grand Junction CO 81501 841085822 501(C)(3) 649500 Cost Supplies, services SUPPORT FOR OPERATIONS Hilltop Community Resources 1331 Hermosa Grand Junction CO 81506 841085822 501(C)(3) 45500 OPERATIONAL SUPPORT Marillac Clinc 2333 N 6th St Grand Junction CO 81501 131846366 501(C)(3) 375000 OPERATIONAL SUPPORT March of Dimes Colorado 518 28 Rd Grand Junction CO 81501 840972492 501(C)(3) 8000 OPERATIONAL SUPPORT Grand Junction Economic Partnership 2828 WALKER FIELD DRIVE Grand Junction CO 81506 840972492 501(C)(3) 20000 COMMUNITY DEVELOPMENT Hospice & Palliative Care of Western CO PO Box 60307 Grand Junction CO 81502 841316555 501(C)(3) 51950 OPERATIONAL SUPPORT & CAPITAL American Cancer Society 2754 Compass Dr Ste 328 Grand Junction CO 81506 841316555 501(c)(3) 10000 OPERATIONAL SUPPORT Mesa State College Foundation 1100 North Ave Grand Junction CO 81501 846037667 501(C)(3) 80000 NURSING SCHOLARSHIPS Quality Health Network 2764 Compass Drive Suite 203 Grand Junction CO 81506 201632384 501(C)(3) 450000 HEALTH RECORD NETWORKING American Red Cross 506 Gunnison Grand Junction CO 81501 530196605 501(c)(3) 10375 OPERATIONAL SUPPORT Colorado Physicians Health 899 Logan St Denver CO 80203 742425019 501(c)(3) 10000 PHYSICIAN HEALTHCARE Western Healthcare Alliance 715 Horizon Drive Suite 485 Grand Junction CO 81506 841159443 501(c)(3) 16240 NURSING SCOLARSHIPS Grand Junction Community Homeless Shelter 2853 North Avenue Grand Junction CO 81501 981621600 501(c)(3) 48083 Cost Laundry Services LAUNDRY FOR HOMELESS SHELTER GRAND VALLEY CATHOLIC OUTREACH 245 S 1ST ST GRAND JUNCTION CO 81501 200064007 501(c)(3) 18750 OPERATIONAL SUPPORT DOWNTOWN DEVELOPMENT AUTHORITY 248 SOUTH 4TH ST GRAND JUNCTION CO 81501 840833888 501(c)(3) 10000 ART ON THE CORNER/LEGENDS OF THE GRAND VALLEY CENTER FOR ENRICHED COMMUNICATION & EDUCATION CENT 2708 PATTERSON RD GRAND JUNCTION CO 81056 742232416 501(c)(3) 11000 OPERATIONAL SUPPORT MESA STATE COLLEGE FOUNDATION 1100 NORTH AVENUE GRAND JUNCTION CO 81501 846037667 501(C)(3) 6970 OPERATIONAL SUPPORT HOLY FAMILY CATHOLIC SCHOOL 786 26 1/2 RD GRAND JUNCTION CO 81506 860297730 501(c)(3) 15100 EDUCATIONAL SUPPORT MESA DEVELOPMENTAL SERVICES 950 GRAND AVE GRAND JUNCTION CO 81501 846044855 501(c)(3) 25000 OPERATIONAL SUPPORT 19 0 Indigent Assistance with Expenses 18 4903 Indigent Transport Paid to Others 18 3030 COST TRANSP PAYMENT Med Sup, Medicines, Healthcare Paid to Others 254 34550 COST Medicines & Supplies Indigent Lodging Paid to Others 2 205 COST Assist w/Lodging PROCESS FOR MONITORING GRANTS AND AWARDS SCHEDULE I, PART 1, LINE 2 THERE ARE NO SYSTEMS IN PLACE TO MONITOR THE USE OF GRANTS OR AWARDS ONCE THEY ARE GIVEN. X false true false true false false false false false false false ROBERT LADENBURGER 0 576595 0 268750 0 378754 0 52613 0 10760 0 1287472 0 0 FOREST BINDER 0 233400 0 24739 0 39886 0 19903 0 10247 0 328175 0 0 CHERIE GORBY 0 308800 0 32237 0 12093 0 49567 0 10079 0 412776 0 0 JAMES NARROD 645932 0 0 0 9728 0 58100 0 0 0 713760 0 0 BRIAN WITWER 681282 0 0 0 5649 0 51076 0 0 0 738007 0 0 0 SUSAN HEMLEY 690675 0 0 0 9370 0 41600 0 0 0 741645 0 0 0 JOHN A LOPEZ 689712 0 0 0 8099 0 52600 0 0 0 750411 0 0 0 JERRY SPICER 0 181314 0 19912 0 23570 0 15218 0 6562 0 246576 0 0 MICHAEL MCBRIDE 0 102165 0 0 0 36193 0 38718 0 3768 0 180844 0 0 TERRI POTTER 0 258462 0 0 0 43700 0 0 0 398 0 302560 0 0 JOHN BEESON 0 318004 0 33868 0 40093 0 19600 0 14103 0 425668 0 0 ROBERT FOX 530197 0 0 0 8717 0 0 0 0 0 538914 0 0 0 SOCIAL CLUB MEMBERSHIPS SCHEDULE J, PART I, LINE 1A ST. MARY'S HOSPITAL PROVIDES COUNTRY CLUB MEMBERSHIPS FOR BUSINESS PURPOSES OF ENTERTAINING FOR TWO LISTED PERSONS. BOB lADENBURGER - $680 JOHN BEESON - $4,305 Executive Compensation Form 990, Schedule J, Part I, Line 3 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 HEALTHARE SYSTEMS AND HOSPITALS. Payments from Nonqualified Retirement Plan Form 990, Schedule J, Part I, Line 4b OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR IRS IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 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 II THE 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. WESTERN COLORADO LUNG CENTER DRCTR,>5% WEST CO LUNG 568951 MED DIR FEES, FEES TO PHYS GRP false ROCKY MTN ORTHO ASSOC DRCTR,>5% WST RCKY MTN OR 295245 FEES FOR SRVICES & PYM TO GRP false COLORADO WEST EMERGENCY PHYSICIANS DRCTR,>5% WST CO EMERG PH 332123 MED DIR FEES FEES TO PHY GROUP false WOMEN'S HEALTH CARE OF WESTERN COLO DRCTR,>5% WMN HC OF W CO 124000 FEES TO PHYS GRP false WESTERN COLORADO LUNG CENTER DRCTR,>5% WEST CO LUNG 13948 ANSWR SRVC IMAGE STRG PHS GRP false COLORADO WEST EMERGENCY PHYSICIANS DRCTR,>5% WST CO EMERG PH 847 CATERING TO PHYS GROUP false WOMEN'S HEALTH CARE OF WESTERN COLO DRCTR,>5% WMN HC OF W CO 5490 ANSW SERVICE FOR GRP false ROCKY MTN ORTHO ASSOC DRCTR,>5% WST RCKY MTN OR 35414 ANSW SERV IMAGE STOR FROM GRP false DELEGATE CONTROL OVER MANAGEMENT DUTIES FORM 990, PART VI SECTION A LINE 3 ALTHOUGH THESE SERVICES MAY NOT ALL RISE TO THE LEVEL OF MANAGEMENT CONTROL AS DEFINED IN THE 990 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 MEMBER PART VI LINE 6 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. 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. MEMBERS FORM 990 PART VI LINES 7A & 7B AS 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 990 FORM 990 PART VI LINE 11b PRIOR 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 INTEREST FORM 990 PART VI SECTION B LINE 12c SENIOR 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 VENTURES PART VI SECTION B LINE 16b JOINT VENTURE ARRANGEMENTS ARE REVIEWED WITH INTERNAL AND EXTERNAL LEGAL COUNSEL AT THE LOCAL AND SYSTEM OFFICE LEVELS PRIOR TO ENTERING INTO THE AGREEMENTS. PUBLIC INSPECTION OF DOCUMENTS PART VI SECTION C LINE 19 DOCUMENTS ARE AVAILABLE UPON REQUEST FROM ADMINISTRATIVE OFFICES OF ST. MARY'S HOSPITAL. RECONCILIATION OF NET ASSETS FORM 990, PART XI, LINE 4 EQUITY 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 ORGANIZATIONS FORM 990, PART VII, COLUMN B NAME & 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 SISTERS OF CHARITY LEAVENWORTH HLTH SYST 9801 RENNER BLVD STE 100 LENEXA KS 66219 237379161 SUPPORT MMBRS KS 501(C)(3) 11B-TYPE II NA CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH KS 66048 481009910 CLINIC SVCS KS 501(C)(3) 3 NA MARIAN CLINIC INC 1001 SW GARFIELD TOPEKA KS 66604 481046905 CLINIC SVCS KS 501(C)(3) 3 NA MARILLAC CLINIC INC 2333 N 6TH STREET GRAND JUNCTION CO 81501 841085822 CLINIC SVCS CO 501(C)(3) 3 NA PROVIDENCE MEDICAL CENTER 8929 PARALLEL PARKWAY KANSAS CITY KS 66112 480784446 HEALTHCARE KS 501(C)(3) 3 NA ST JOHN HOSPITAL INC 3500 SOUTH FOURTH STREET LEAVENWORTH KS 66048 480543768 HEALTHCARE KS 501(C)(3) 3 NA BETHANY COMMUNITY PLAZA INC 15 NORTH 12TH STREET KANSAS CITY KS 66102 481207407 HEALTHCARE KS 501(C)(3) 3 NA PROVIDENCEST JOHN FOUNDATION INC 8929 PARALLEL PARKWAY KANSAS CITY KS 661121689 480925688 SUPPORT 501C3 KS 501(C)(3) 7 NA ST FRANCIS HEALTH 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