ST JAMES HEALTHCARE: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: ST JAMES HEALTHCARE (EIN 81-0231785)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-15
IRS object ID: 201123199349304317
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-15T11:53:29-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	190 CARONDELET PLAZA SUITE 1300	AddressLine1
City	CLAYTON	City
State	MO	State
ZIP Code	63105	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	810231785	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST JAMES HEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STJA	NameControl
Phone	4067232500	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 SOUTH CLARK STREET	AddressLine1
City	BUTTE	City
State	MT	State
ZIP Code	597012328	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JAMES DOYLE	Name
Title	VP/CFO	Title
Date Signed	2011-11-11	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3142901000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Chuck Wright	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	400 S Clark St	AddressLine1
City	Butte	City
State	MT	State
ZIP Code	597012328	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	85512576	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Group Exemption Number	0928	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.StJamesHealthcare.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1976	YearFormation
State Legal Domicile	MT	StateLegalDomicile
Activity Or Mission Description	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.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	646	TotalNbrEmployees
Total Nbr Volunteers	75	TotalNbrVolunteers
Total Gross UBI	365461	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	10575	ContributionsGrantsPriorYear
Contributions Grants Current Year	54840	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	74781344	ProgramServiceRevenuePriorYear
Program Service Revenue CY	87576656	ProgramServiceRevenueCY
Investment Income Prior Year	1876520	InvestmentIncomePriorYear
Investment Income Current Year	529698	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1237193	OtherRevenuePriorYear
Other Revenue Current Year	-2648618	OtherRevenueCurrentYear
Total Revenue Prior Year	77905632	TotalRevenuePriorYear
Total Revenue Current Year	85512576	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	38500667	SalariesEtcPriorYear
Salaries Etc Current Year	42117637	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	41715008	OtherExpensePriorYear
Other Expenses Current Year	51126908	OtherExpensesCurrentYear
Total Expenses Prior Year	80215675	TotalExpensesPriorYear
Total Expenses Current Year	93244545	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-2310043	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-7731969	RevenuesLessExpensesCY
Total Assets BOY	91084181	TotalAssetsBOY
Total Assets EOY	74250475	TotalAssetsEOY
Total Liabilities BOY	30175040	TotalLiabilitiesBOY
Total Liabilities EOY	21672884	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	60909141	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	52577591	NetAssetsOrFundBalancesEOY
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	63382394	Expense
Revenue	82844656	Revenue
Description	ALL EXPENSES FOR PROGRAM SERVICES ARE RELATED TO PROVIDING PATIENT HEALTHCARE & COMMUNITY SERVICES. THE NUMBER OF ADJUSTED PATIENT DAYS FOR THE YEAR WAS 28,268. SEE ALSO SUPPLEMENTAL INFORMATION SCHEDULE O, PART III LINE 4A.	Description
Total Program Service Expense	63382394	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	false	FinancialStmtAttached
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	137	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	646	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	true	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JAMES DOYLE	NamePerson
Telephone Number	4067232414	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	400 S CLARK ST	AddressLine1
City	BUTTE	City
State	MT	State
ZIP Code	59701	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee
Gary Staudinger
Past Chairperson	2.0	X	0	0	0
Joanne Cortese
Chairperson	2.0	X	0	0	0
Sister Bernadette Helfert
Director	2.0	X	0	0	0
Mike Johnson
Vice Chairperson	1.0	X	0	0	0
Sister Rita McGinnis
Director	1.0	X	0	0	0
Jim Falvey
Director	1.0	X	0	0	0
Loren Hines
Director	1.0	X	0	0	0
Tim McHugh
Director	1.0	X	0	0	0
Andrea Stierle
Director	1.0	X	0	0	0
John Beeson MD
Director	1.0	X	0	0	0
David A Repola MD
Secretary-Treasurer	1.0	X	0	0	0
Michael Gallagher MD
Director	1.0	X	0	0	0
Marcia Johnson
Director	1.0	X	0	0	0
Dan Steele
Director	1.0	X	0	0	0
Chuck Wright
President & CEO	40.0		0	273800	54085	X
John Stevenson
Radiation Oncologist	40.0		450008	0	0		X
Shawn Smith
Physician	40.0		208034	0	0		X
Adam Childers
Physician	40.0		154987	0	0		X
Michael Douthitt
Director of Pharmacy	40.0		135846	0	0		X
Tonya Douthitt
Carequest Project Coordinator	40.0		135085	0	0		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1083960	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	273800	TotalReportableCompFrmRltdOrgs
Total Other Compensation	54085	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ARAMARK CORPORATION
PO BOX 100401	PASADENA	CA	911890401	JANITORIAL ENGINEER	3411125
Synthes USA
PO Box 8538-662	PHILADELPHIA	PA	19171	Supplies	2056436
Northwest Emergency Physicians
PO BOX 634850	CINCINNATI	OH	452634850	ER Doctors	1956539
Owens Minor Inc
PO Box 841420	DALLAS	TX	75284	supplies	1499451
Stryker-Orthopaedics Division
PO Box 93213	CHICAGO	IL	60673	supplies	1291975

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Related Organizations	54840	RelatedOrganizations
Total Contributions	54840	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE	621400	86897600	86897600
CAFETERIA SALES	722210	507730	507730
RENAL DIALYSIS	621400	78408	78408
NUTRITION COUNSELING	621300	42504	42504
BILLINGS ONCOLOGY	621500	44199	44199

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	6215	TotalRevenueColumn
Related Or Exempt Function Income	6215	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	87576656	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	127948	TotalRevenueColumn
Exclusion	$127,948	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	147090	Securities
Other	254660	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	147090	Securities
Other	254660	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	401750	TotalRevenueColumn
Exclusion	$401,750	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
PHARMACY INCOME	900099	1441569	$1,441,569
JOINT VENTURE - SUMMIT SURGERY CENTER	900099	365461		365461
JOINT VENTURE - SOUTHWEST MONTANA RADIOLOGY	621400	17164	$17,164

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-4472812	TotalRevenueColumn
Related Or Exempt Function Income	-4732000	RelatedOrExemptFunctionIncome
Exclusion	$259,188	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	-2648618	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	85512576	TotalRevenueColumn
Related Or Exempt Function Income	82844656	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	365461	UnrelatedBusinessRevenue
Exclusion	$2,247,619	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	533541	Total
Management And General	533541	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	33217775	Total
Program Services	25176235	ProgramServices
Management And General	8041540	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1973730	Total
Program Services	1531075	ProgramServices
Management And General	442655	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4236659	Total
Program Services	3195942	ProgramServices
Management And General	1040717	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2155932	Total
Program Services	1616949	ProgramServices
Management And General	538983	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1194401	Total
Management And General	1194401	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2797867	Total
Management And General	2797867	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	36633	Total
Management And General	36633	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	11376359	Total
Program Services	8216112	ProgramServices
Management And General	3160247	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	147951	Total
Program Services	8206	ProgramServices
Management And General	139745	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	13655046	Total
Program Services	13416826	ProgramServices
Management And General	238220	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1617941	Total
Management And General	1617941	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	39899	Total
Program Services	30224	ProgramServices
Management And General	9675	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	242031	Total
Program Services	86373	ProgramServices
Management And General	155658	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	54513	Total
Program Services	22732	ProgramServices
Management And General	31781	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	1443293	Total
Management And General	1443293	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	6450050	Total
Management And General	6450050	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	640450	Total
Management And General	640450	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
BAD DEBT EXPENSE	8184480	8184480
TAXES	851715	790184	61531
UTILITIES	846151	1139	845012
RECRUITING	150187	24111	126076
EQUIPMENT LEASE	159259	144229	15030

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1238682	Total
Program Services	937577	ProgramServices
Management And General	301105	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	93244545	Total
Program Services	63382394	ProgramServices
Management And General	29862151	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2246	BOY
EOY	2086	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	3913748	BOY
EOY	1717592	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	12816439	BOY
EOY	11542958	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	109470	BOY
EOY	-42701	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	2400841	BOY
EOY	2025118	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	484252	BOY
EOY	853067	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	105367577	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	58470685	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	51835048	BOY
EOY	46896892	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	9542252	BOY
EOY	8505506	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	7289261	BOY
EOY	2429715	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	283786	BOY
EOY	60872	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2406838	BOY
EOY	259370	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	91084181	BOY
EOY	74250475	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	17670569	BOY
EOY	10202019	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	12504471	BOY
EOY	11470865	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	30175040	BOY
EOY	21672884	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	60869673	BOY
EOY	52562765	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	39468	BOY
EOY	14826	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	60909141	BOY
EOY	52577591	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	91084181	BOY
EOY	74250475	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-7731969	ReconcilationRevenueExpenses
Reconcilation Other Changes	-599581	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$1,193	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	1193	TotalLobbyingExpendituresIIB

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4146731	OtherCostOrOtherBasis
Book Value	4146731	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	69263026	OtherCostOrOtherBasis
Depreciation	34592422	Depreciation
Book Value	34670604	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	10334	OtherCostOrOtherBasis
Depreciation	2584	Depreciation
Book Value	7750	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	29966026	OtherCostOrOtherBasis
Depreciation	22339798	Depreciation
Book Value	7626228	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1981460	OtherCostOrOtherBasis
Depreciation	1535881	Depreciation
Book Value	445579	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	46896892	TotalOfBookValueLandBuildings

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Tailored To Ind Hospitals	X	PolicyTailoredToIndHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	1515	PersonsServed
Total Community Benefit Expense	3409521	TotalCommunityBenefitExpense
Net Community Benefit Expense	3409521	NetCommunityBenefitExpense
Percent Of Total Expense	0.04000	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	7317	PersonsServed
Total Community Benefit Expense	9621181	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7539210	DirectOffsettingRevenue
Net Community Benefit Expense	2081971	NetCommunityBenefitExpense
Percent Of Total Expense	0.02440	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	8832	PersonsServed
Total Community Benefit Expense	13030702	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7539210	DirectOffsettingRevenue
Net Community Benefit Expense	5491492	NetCommunityBenefitExpense
Percent Of Total Expense	0.06440	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	25	NumberOfActivitiesOrPrograms
Persons Served	3706	PersonsServed
Total Community Benefit Expense	293853	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2090	DirectOffsettingRevenue
Net Community Benefit Expense	291763	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	130	PersonsServed
Total Community Benefit Expense	55266	TotalCommunityBenefitExpense
Net Community Benefit Expense	55266	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	5	NumberOfActivitiesOrPrograms
Persons Served	20016	PersonsServed
Total Community Benefit Expense	601284	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3575	DirectOffsettingRevenue
Net Community Benefit Expense	597709	NetCommunityBenefitExpense
Percent Of Total Expense	0.00700	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	3	NumberOfActivitiesOrPrograms
Persons Served	1910	PersonsServed
Total Community Benefit Expense	27362	TotalCommunityBenefitExpense
Net Community Benefit Expense	27362	NetCommunityBenefitExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	38	NumberOfActivitiesOrPrograms
Persons Served	25762	PersonsServed
Total Community Benefit Expense	977765	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5665	DirectOffsettingRevenue
Net Community Benefit Expense	972100	NetCommunityBenefitExpense
Percent Of Total Expense	0.01130	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	38	NumberOfActivitiesOrPrograms
Persons Served	34594	PersonsServed
Total Community Benefit Expense	14008467	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7544875	DirectOffsettingRevenue
Net Community Benefit Expense	6463592	NetCommunityBenefitExpense
Percent Of Total Expense	0.07570	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	9	NumberOfActivitiesOrPrograms
Persons Served	20948	PersonsServed
Total Community Building Expense	94493	TotalCommunityBuildingExpense
Net Community Building Expense	94493	NetCommunityBuildingExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	2	NumberOfActivitiesOrPrograms
Persons Served	1500	PersonsServed
Total Community Building Expense	230457	TotalCommunityBuildingExpense
Direct Offsetting Revenue	25553	DirectOffsettingRevenue
Net Community Building Expense	204904	NetCommunityBuildingExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	1	NumberOfActivitiesOrPrograms
Persons Served	64100	PersonsServed
Total Community Building Expense	19262	TotalCommunityBuildingExpense
Net Community Building Expense	19262	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Number Of Activities Or Programs	12	NumberOfActivitiesOrPrograms
Persons Served	86548	PersonsServed
Total Community Building Expense	344212	TotalCommunityBuildingExpense
Direct Offsetting Revenue	25553	DirectOffsettingRevenue
Net Community Building Expense	318659	NetCommunityBuildingExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$8,174,480	BadDebtExpenseAmount
Amount Reimbursed By Medicare	9876141	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	20832243	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-10956102	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
Medical Arts Partner
Medical Offices	0.50000	0.50000
Summit Surgery Ctr
Outpatient Surgery Center	0.50000	0.50000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ST JAMES HEALTHCARE	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	400 SOUTH CLARK ST	AddressLine1
City	BUTTE	City
State	MT	State
ZIP Code	59701	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	SKILLED NURSING FAC PHYSICIAN CLINIC	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST JAMES HEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)

IdentifierIdentifier	ExplanationExplanation
Part I, Line 3c	ELIGIBILTY IS BASED ON THE FEDERAL POVERTY GUIDELINES
Part I, Line 6a	ST JAMES HEALTHCARE PRODUCED A COMMUNITY BENEFIT REPORT IN 2010 AND IT WAS MADE AVAILABLE TO THE PUBLIC. IT WAS PUBLISHED AS AN INSERT IN THE LOCAL NEWSPAPER WITH A DISTRIBUTION OF 15,000. IT ALSO WAS PLACED IN ALL OUR WAITING AREAS AND IS ON OUR PUBLIC WEBSITE.
PART I, LINE 7G	SUBSIDIZED SERVICES AT ST. JAMES HEALTHCARE THAT WERE COUNTED AS COMMUNITY BENEFIT TOTALED $597,709. THIS AMOUNT INCLUDES PROVIDING ATHLETIC TRAINERS FOR THE HIGH SCHOOLS' ATHLETIC PROGRAMS. TRAINERS ARE PROVIDED TO 7 DIFFERENT SCHOOLS IN SOUTHWEST MONTANA, AND WITHOUT THIS SUPPORT, NONE OF THE SCHOOLS EXCEPT MONTANA TECH (THE COLLEGE IN BUTTE) WOULD BE ABLE TO PROVIDE THIS SERVICE TO THE STUDENT ATHLETES. THESE TRAINERS ATTEND ALL PRACTICES, GAMES AND TOURNAMENTS FOR EACH SCHOOL, AND ST. JAMES PAYS FOR 80% OF THEIR SALARIES TO PERFORM THIS SERVICE. IN ADDITION, ST. JAMES PROVIDES LOW COST ($5.00) SPORTS PHYSICALS FOR ALL THE ATHLETES. THE TOTAL AMOUNT FOR ATHLETIC SERVICES AND THE SPORTS PHYSICALS WAS $146,563. ST. JAMES HEALTHCARE SUBSIDIZED ITS TRANSITIONAL CARE UNIT AND COUNTED $331,715 IN COMMUNITY BENEFIT DOLLARS FOR THIS SERVICE. THE TRANSITIONAL CARE UNIT PROVIDED A BENEFIT TO PHYSICIANS AND PATIENTS WHEN HOME CARE WAS APPROPRIATE BUT ASSISTANCE AT HOME WAS NOT AVAILABLE. THIS CARE WAS PERFORMED AT A LOSS TO THE HOSPITAL AND AS A BENEFIT TO THE COMMUNITY, THE PATIENTS AND THIER FAMILIES. IN MID-2010, LOCAL NURSING HOMES ACQUIRED THE STAFF NECESSARY TO TAKE OVER THIS FUNCTION. IN COLLABORATION WITH THESE NURSING HOMES, ST. JAMES HEALTHCARE CLOSED ITS TRANSITIONAL CARE UNIT IN AUGUST 2010, AND THESE PATIENTS NOW RECEIVE EXTENDED CARE IN THE NURSING HOMES. ST. JAMES HEALTHCARE ALSO PROVIDED A MOBILE PET VAN FOR PATIENTS THAT REQUIRE PET SCANS. SUCH EQUIPMENT IS NOT AVAILABLE IN THE AREA SO PATIENTS WOULD NEED TO TRAVEL TO ANOTHER FACILITY. THE VAN COMES TO ST. JAMES HEALTHCARE EVERY OTHER WEEK. SOMETIMES, THERE ARE NO PATIENTS BUT ST. JAMES STILL MUST PAY FOR THE VAN. WE CONSIDER ONLY THOSE PAYMENTS AS COMMUNITY BENEFIT DOLLARS. THE TOTAL IN 2010 WAS $63,438. ST. JAMES ALSO PAID $55,993 FOR AMBULANCE TRANSPORT SERVICES FOR THE POOR.
Part I, Line 7, COLUMN (f)	THE AMOUNT IN COLUMN (F) IS BASED ON THE NET COMMUNITY BENEFIT IN COLUMN (E) DIVIDED BY THE TOTAL OPERATING EXPENSES MINUS BAD DEBT EXPENSE ($93,244,545 MINUS $8,184,480 = $85,060,065). The denominator is $85,060,065.
Part I, Line 7	IN PART I, LINE 7, ST JAMES HEALTHCARE PROVIDES THE AMOUNTS OF FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. THE AMOUNTS REPORTED ARE FROM WORKSHEET 1 THROUGH 8.
PART II	WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN 2010, OUR COMMUNITY BUILDING ACTIVITIES TOTALED $318,659 AND INCLUDED PROGRAMS SUCH AS DIABETES OUTREACH, FOOD FOR THE HOMELESS, PHYSICIAN RECRUITING, COMMUNITY SUPPORT GROUPS AND OTHER COMMUNITY VOLUNTEER ACTIVITIES AND WORK ON THE COMMUNTIY NEEDS ASSESSMENT. THE DIABETES OUTREACH PROGRAM IS PRIMARILY FUNDED THROUGH FEDERAL AND STATE GRANTS, BUT THE PROGRAM HAS GROWN SIGNIFICANTLY OVER THE PAST TWO YEARS AND REQUIRES HOSPITAL STAFF TIME THAT IS NOT PAID FOR BY THE GRANTS. THE GOAL OF THE PROGRAM IS TO REACH OVER 1,500 INDIVIDUALS, BOTH ADULTS AND CHILDREN, OVER THE THREE YEAR GRANT PERIOD. WEEKLY CLASSES TO EDUCATE PEOPLE ON DIABETES ARE HELD AS ARE MONTHLY STAFF GROUP MEETINGS, ONE FOR ADULTS AND ONE FOR CHILDREN AND THEIR FAMILIES. SEVERAL HEALTH-FOCUSED CLASSES AT THE LOCAL YMCA WERE IMPLEMENTED IN 2010, AND AN ANNUAL CONFERENCE FOR HEALTH CARE WORKERS THROUGHOUT MONTANA IS ALSO HELD IN CONJUNCTION WITH A PUBLIC DIABETES AWARENESS EXPO. PHYSICIAN RECRUITING IS A CRITICAL ACTIVITY TO ENSURE THE RESIDENTS OF THE COMMUNITY, WHICH IS IN A MEDICALLY UNDERSERVED AREA, HAVE ACCESS TO THE MEDICAL TREATMENT NEEDED. IN 2010, ST JAMES HELATHCARE RECRUITED THREE NEW PHYSICIANS INTO THE COMMUNITY. HOWEVER, BASED ON THE OUTCOME OF THE COMMUNITY NEEDS ASSESSMENT, BUTTE IS STILL LACKING MORE THAT 18 PHYSICIANS IN A NUMBER OF SPECIALTIES. CONDUCTING A COMMUNITY NEEDS OF ASSESSMENT IS AN IMPORTANT COMMUNITY BUILDING ACTIVITY. THIS PROCESS BROUGHT TOGETHER MORE THAN 30 SOCIAL SERVICE AGENCIES AND HEALTH PROVIDERS AND MORE THAN 100 PEOPLE. UPON COMPLETION OF THE ASSESSMENT, TEAMS WERE FORMED TO DEVELOP ACTION PLANS FOR SOME OF THE HIGHEST PRIORITY FINDINGS IN THE ASSESSMENT. THIS WORK WILL CONTINUE OVER THE NEXT THREE YEARS.
PART III, LINE 4	A cost to charge ratio is used to determine the amount reported in Part III, lines 2 and 3. Discounts and payments applied to accounts reduce bad debt expense. No method is used to determine the amount that reasonably could be attributable to patients who would likely qualify for financial assistance if sufficient information had been available to make a determination of their eligibility. No portion of bad debt is included as community benefit. The organization's financial statements do not contain a footnote that describes bad debt expense. Within the financial statement of the Sisters of Charity of Leavenworth Health System, bad debt expense is included within operating expenses, at the value of uncollected and estimated uncollectible charges after contractual allowances and self-pay discounts are applied.
PART III, LINE 8	St. James Healthcare believes a significant portion of the shortfall from Medicare should be treated as community benefit. In St. James' case in 2010 that shortfall was more than $4.6 million. St. James provided the resources required to care for these patients and should receive some benefit for doing so. The costing methodology used is the Cost to Charge ratio because St. James believes this methodology most accurately reflects the actual cost of providing the services.
PART III, LINE 9B	An integral component of our Mission is to be good financial stewards. This requires us to determine which patients are in need of charity care and which are able to contribute some payment for care received. We maintain a balance that enables us to continue to provide charity care to those who need it most, and to ensure that we manage our resources so that we can continue to be here when people need us most. St. James Healthcare notifies patients of its financial assistance policy prior to admission, upon admission and upon discharge. In addition, we provide communication regarding patient bills. Patients are contacted multiple times about unpaid balances prior to initiating any collection action. If a patient is determined to be eligible for financial assistance at any time during the collection process, the account is reclassified as financial assistance and debt collection efforts are ceased. In 2010, St. James provided a total of $3,409,521 in traditional charity care and $2,081,971 for the unpaid cost of Medicaid. 2. NEEDS ASSESSMENT - As part of our core value of response to need, we take steps to determine where there is the most need to provide the greatest good. St. James Healthcare has regularly participated in needs assessment surveys to identify the ongoing and changing needs of the community. The most recent survey was conducted in 2010 and finalized in early 2011. This assessment examined the population of Silver Bow County which is served by St. James Healthcare and was done by partnering with the local public health department and all the local social agencies. With the assistance of outside consultants, the assessment also determined where gaps in services exist. From the "gaps" document, we conducted focus group meetings with social agency personnel to develop objectives and strategies for the following categories of need: Aging Population; Environmental Factors; Socio-Economic; Social and Behavior; and Health Outcomes and Factors. With objectives and strategies in hand, groups have begun to develop action plans (short term and long term) for each of the five areas. Groups will meet quarterly throughout 2011 and into 2012 to report progress. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - St. James Healthcare treats patients with respect and dignity regardless of their ability to pay. St. James Healthcare has a written financial assistance policy that explains eligibility criteria for financial assistance at various levels, including a 100% discount, and is based on federal poverty guidelines. We work with patients to help them understand their financial responsibility for care received, financial assistance available to them, and to establish payment programs in demonstration of our core value of respect. As part of our responsibility to educate, we inform our patients and their families of the availability of assistance, including government programs. We communicate this in a variety of ways to ensure that messages reach multiple audiences. Before, during and/or after admission, we encourage our self pay patients to visit with a financial counselor to discuss qualifications for financial assistance. The financial counselor works with the patient to complete a financial assistance form to determine the level of discount for which the patient may be eligible. We post financial assistance information in emergency and admissions areas, on billings invoices, in various areas around the hospital and clinic sites and on the hospital website. We provide written materials to patients that detail our financial assistance policy and how it is administered. We provide materials and education when patients are discharged, and include information in billing statements, including phone numbers and other methods to contact us with questions. We ensure that our financial counselors, admission employees, social workers and other employees understand our policies to be able to assist patients in the most appropriate way. We also have a partnership with Western Security Bank to provide payment plans and medical credit lines. This helps patients meet their financial obligations in a reasonable and dignified manner based on their ability to pay and allows them to continue to ensure the ongoing welfare of their families. This is done in accordance with our core value of respect. 4. COMMUNITY INFORMATION - Silver Bow County, located in Southwestern Montana in a Medically Underserved Area, is the eighth largest county in the state with a population of slightly more than 32,000. Butte-Silver Bow (Butte), the county seat, is the state's fourth largest city, but the population has decreased by 4.8% since 2000. State government, which includes higher education institutions, is the largest employer in Silver Bow County with 22.3% of the total employment. Health care is the top private sector employer at 13% with St. James Healthcare, the community's only hospital, as the largest single private employer. Additional Butte-Silver Bow statistics follow. Median income for Silver Bow County households in 2010 was $37,346 compared to national median income of $52,175. 37% of the local population is at 200% of the federal poverty level; 15.8% of the residents have an income below the poverty level. 93.7% of Butte's population is Caucasian; 2.9% is American Indian; 2.7% is Hispanic; 1.4% is Asian and Pacific; and 0.6% fall into other categories. Approximately 17% of Butte's population are over 65. This compares to the national average 13% over 65. Butte-Silver Bow has more females than males. Of the Butte-Silver Bow residents, ages 25 and over, 85.2% have a high school education or higher, 21.7% have a bachelor's degree or greater, and 6.9% have a graduate or professional degree. *14 % of the population is uninsured and 13% are covered by Medicaid. From a health perspective, Butte-Silver Bow's leading causes of death are heart disease and cancer. Rates of diabetes and COPD are high. 5. PROMOTION OF COMMUNITY HEALTH - We extend our care beyond our hospital's walls to improve the health of our community. Our community building activities demonstrate this commitment. Most of our community building activities are in the category of community support. These activities promote health in the community in a number of ways. We provide monthly food donations to the local food bank to ensure that it has a sufficient supply of food so its clients have nutritious food each month which in turn promotes better health. Each day, we provide a significant number of free meals to the community to ensure that our poor population has access to nutritious food that helps them maintain better health. Our employees are involved in a number of volunteer activities throughout the year that promote healthy living. These encompass everything from raising funds for the youth program at the local YMCA to helping distribute food at the Food Bank. Service clubs throughout the community are focused on promoting healthy life styles for both children and adults, and St. James staff actively participate in clubs such as the Kiwanis, the Chamber of Commerce, and the Breast and Cervical Cancer Group. In the area of community health improvement advocacy, we partner with public health agencies and serve on the boards and committees of these agencies that are focused on improving the health of the community. St. James is the lead agency in a community-wide diabetes network outreach. Members of our dietary staff, nursing staff, and administrative staff work many hours to provide education and support to both our adult and child diabetic population. We also provide social workers for a bi-monthly Alzheimer Caregiver Support Group. St. James and the Butte-Silver Bow Public Health Department are the lead agencies for conducting a Community Needs Assessment and driving action plans to improve the overall health of the community. As a medically underserved area, Butte needs more physicians, and St. James actively recruits physicians to the area. When potential recruits make site visits to Butte, we host meetings with local government officials, the local school district, the college, the Chamber of Commerce and other organizations to provide a positive and encompassing experience for the potential recruit. In 2010, we successfully recruited one Emergency Department physician, a pediatrician, and a family medicine physician to the community. St. James Healthcare is an important part of our community and serves in many ways, from delivering core health care, to preventive care, to support of other civic groups. In 2010, we provided community benefit totaling $6,782,251, including traditional charity care and the unpaid cost of Medicaid. Our Community Board of Directors represents medical and business professionals and all provide hours of service in support of our hospital. They are involved in our community needs assessment process, building programs and services, and community out

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Chuck Wright
0	258050	0	0	0	15750	0	42572	0	11513	0	327885	0	0
John Stevenson
450008	0	0	0	0	0	0	0	0	0	450008	0	0	0
Shawn Smith
208034	0	0	0	0	0	0	0	0	0	208034	0	0	0
Adam Childers
154987	0	0	0	0	0	0	0	0	0	154987	0	0	0
James Doyle
0	157677	0	0	0	5168	0	25131	0	13084	0	201060	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifier	ExplanationExplanation
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 HEALTHCARE SYSTEMS AND HOSPITALS.
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: NONE NOTED.
FORM 990, SCHEDULE J, PART II	THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND THREE CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. JAMES HEALTHCARE (ST. JAMES) IN BUTTE, MONTANA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. BAIN J. FARRIS IS PRESIDENT & CHIEF EXECUTIVE OFFICER OF EXEMPLA SAINT JOSEPH HOSPITAL (ESJD) IN DENVER, COLORADO WHICH IS AN SCLHS AFFILIATE. AS A FORMER OFFICER OF ST. JAMES, THIS DISCLOSURE IS REQUIRED FOR 990 REPORTING PURPOSES ONLY. THE COMPENSATION REFLECTED IS THAT OF MR. FARRIS' POSITION AS AN ESJD EXECUTIVE AND IS NOT RELATED TO ST. JAMES. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS	St. James Healthcare Community Benefit Report 2010 Community Diabetes Network St. James Healthcare's primary market area has an extremely high rate of diabetes among both its young and older population. Consequently, the need for diabetes education for providers and the general public was apparent. In June 2008, the St. James Foundation received a grant to develop a Community Diabetes Network to provide a continuum of care for diabetic patients in Southwest Montana. Through this grant, St. James hired a Diabetes Program Coordinator who is responsible for developing a community needs assessment, establishing both youth and adult diabetes support groups, and growing the Community Diabetes Network to ensure that a consistent diabetes education and prevention program is developed. The Butte Community Diabetes Network was formed and is currently made up of a collaborative partnership between St. James Healthcare, the Butte Family YMCA, the North American Indian Alliance, Butte Community Health Center and two local physicians. St. James Healthcare Ticker Tuner Fun Run For the past three years, St James Healthcare has co-sponsored a Ticker Tuner Fun Run for the community. In 2010, over 100 runners and walkers participated in a 10 kilometer or 5 Kilometer race or a one mile walk. Proceeds from the event were used to help purchase new equipment for the St James Healthcare Cardiac Rehabilitation Department, which is extensively used by those in the community who have undergone cardiac treatment and require follow-on rehabilitation services. The Participate for Life (PAL) Program was established to offer financial assistance to individuals in our community who need to travel out of town to be with a loved one needing specialized medical treatment not offered in Butte as well as to help with expenses for patients who need to travel to Butte from outlying towns for treatment who could not afford to do so. The PAL Program helps families with some type of financial assistance, such as gas cards, hotel expenses, bus vouchers, air plane tickets. 2010 Freedom Fest- St. James Healthcare and the Foundation joined again on July 3, 2010, to bring food and entertainment to Chester Steele Park before the annual fireworks display. This annual event is a great opportunity for friends and family to gather and enjoy the summer evening. This celebration gives us an opportunity to educate our community on the PAL program, and vendor fees help support the program. Community Share Program - The Community Share Program was established by St James Healthcare employees to help community non-profit agencies who have specific needs. Employees contribute to the program through payroll deductions. Local non-profit agencies and organizations can then submit requests for grants. Wear Red for Heart Health was to educate about heart disease and strokes. Free Screenings for Body Mass, Glucose, Blood Pressure were conducted. Cholestrol testing was done for a nominal fee and if participants were wearing red they received a $5.00 discount. Other Community Benefit Donations Including the provision of health care for the poor and uninsured (charity care) and the unpaid cost of Medicaid, St. James Healthcare also supported, through monetary or in-kind donations, a number of other community-enhancing activities. Some of the other activities included: -Ambulance transport services for the poor or uninsured -Mental health crisis response line -Prescription drug assistance for the poor or uninsured -Meals for more than 6,000 indigent people -Athletic programs, including providing athletic trainers and low-cost sports physicials ($5), to all Southwest Montana schools and colleges -Free public talks on a variety of health issues (presented by medical staff) -Preceptor training for students majoring in nursing, physical and respiratory therapy, pharmacy etc.
Part VI, Section A, Line 2	MEMBERSHIP	T. DOUTHITT AND M. DOUTHITT ARE HUSBAND AND WIFE. PART VI, SECTION A, LINE 3, DELEGATE CONTROL OVER MANAGEMENT DUTIES ALTHOUGH THESE SERVICES MAY NOT ALL RISE TO THE LEVEL OF MANAGEMENT CONTROL AS DEFINED IN THE 990 INSTRUCTION, WE HAVE IN THE SPIRIT OF FULL TRANSPARENCY PROVIDED THE FOLLOWING DISCLOSURE. AS A MEMBER OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, THIS PROVIDER MAY HAVE INDIVIDUAL AND/OR SYSTEM CONTRACT(S) THAT HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES IN SOME OR ALL OF THE FOLLOWING AREAS: DIETARY AND FOOD SERVICE HOUSEKEEPING SUPPLY CHAIN REVENUE CYCLE SECURITY
PART VI, SEC A, LINE 6		THE SOLE MEMBER OF ST. JAMES HEATHCARE IS THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., A KANSAS NOT-FOR-PROFIT CORPORATION (THE "CORPORATE MEMBER"). PART VI, SECTION A, LINE 7A&B ELECTION OF MEMBERS AND APPROVAL OF DECISIONS EXCLUSIVE POWERS OF THE CORPORATE MEMBER. THE FOLLOWING POWERS ARE RESERVED TO THE CORPORATE MEMBER OF THIS CORPORATION AND NO ATTEMPTED EXERCISE OF ANY SUCH POWERS BY ANYONE OTHER THAN THE CORPORATE MEMBER SHALL BE VALID OR OF ANY FORCE OR EFFECT WHATSOEVER: (A)TO CHANGE THE MISSION AND PHILOSOPHY OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (B)TO ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION AND THE ARTICLES AND BYWAS OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (C)TO APPOINT, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (D)TO ENSURE THE PRESENCE OF THE SISTERS OF CHARITY OF LEAVENWORTH ON THE BOARD OF DIRECTORS OF THIS CORPORATION, TO APPOINT MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH TO THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, WHICH APPOINTEES SHALL BE OTHERWISE QUALIFIED UNDER SECTION 2 OF ARTICLE IV OF THESE BYLAWS; (E)TO REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, ANY MEMBER OF THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (F)TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF ADMINISTRATIVE OFFICER OF THIS CORPORATION AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE SCLHS MONTANA REGION; (G)TO IMPLEMENT CORPORATE GOALS, POLICIES AND PROCEDURES FOR THIS CORPORATION AND ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (H)TO APPROVE FOR THIS CORPORATION, OR FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE, TRANSFER, ASSUMPTION, OR ENCUMBERING OF THE ASSETS PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; (I)TO APPROVE THE MERGER, DISSOLUTION OR CORPORATE RESTRUCTURING OF THIS CORPORATION OR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (J)TO APPROVE THE ANNUAL STRATEGIC PLANS AND OPERATING AND CAPITAL BUDGETS AND DEVIATIONS THERETO FOR THIS CORPORATION AND FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (K)TO APPOINT THE AUDITORS OF THIS CORPORATION AND FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; AND (L) TO (I) TRANSFER ASSETS, OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, TO THE CORPORATE MEMBER OR AN ENTITIY CONTROLLED BY, CONTROLLING OR UNDER COMMON CONTROL WITH THE CORPORATE MEMBER, WHETHER WITHIN OR WITHOUT THE STATE OF DOMICILE OF THE CORPORATION, TO THE EXTENT DEEMED NECESSARY BY THE CORPORATE MEMBER TO ACCOMPLISH THE CHARITABLE GOALS AND OBJECTIVES OF THE CORPORATE MEMBER; AND (II) (NOTWITHSTANDING THE PROVISIONS OF SUBSECTION 2(h)), AUTHORIZE THE EXPENDITURE, HYPOTHECATION OR LOAN OF ASSETS OF THE CORPORATION TO ANOTHER CHARITABLE ENTITIY CONTROLLED, CONTROLLING OR UNDER COMMON CONTROL WITH THE CORPORATE MEMBER TO CARRY OUT THE CHARITABLE PURPOSES OF THE SCLHS SYSTEM AND TO FURTHER SECURE THE MEMBER'S MASTER TRUST INDENTURE OR SIMILAR FINANCING INSTRUMENT OR PROCESS. THE EXCLUSIVE POWERS UNDER THIS SUBSECTION 2(L) ARE IN RECOGNITION OF THE BENEFITS ACCRUING TO THE CORPORATION FROM THE CORPORATE MEMBER, AND IN ADDITION TO ANY OTHER RIGHTS RESERVED TO THE CORPORATE MEMBER UNDER APPLICABLE LAW OR THE ARTICLES OF INCORPORTION OR BYLAWS OF THE CORPORATION. IN COMPLYING WITH THE EXERCISE OF THE CORPORATE MEMBER'S EXCLUSIVE POWERS UNDER THIS SUBSECTION, THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS STATEMENT OF PURPOSES AS SET FORTH HEREIN, THE TERMS OF ANY RESTRICTED GIFTS TO THE CORPORATION, THE COVENANTS OF ITS DEBT INSTRUMENTS, OR THE LAW OF ANY JURISDICTION.
Part VI, Sec A, Line 11B		PRIOR TO SUBMISSION OF THE 990, IT WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND PERSONNEL AT THE SYSTEM OFFICE. St. James Healthcare management provided copies for review of the 990 form to the Board of Director's Finance Committee. The review process included formal acceptance and approval for completeness of the form before filing. This review and approval was then reported to the full Board of Directors for general Board acceptance.
Part VI, Sec B, Line 12c	CONFLICT OF INTEREST POLICY	Duty to Disclose. In order to avoid a conflict of interest, each SJH employee, hospital representative or interested person is obliged to identify any possible conflicts on interest to their Director or Vice President, or to the Organizational Responsibility Officer (ORO). Potential conflicts of interest do not automatically disqualify prospective vendors from consideration. Willful failure to identify possible conflicts of interest may jeopardize employment status or relationship with SJH of the responsible individual. Annual Statements A. Each member of the Board of Directors, senior management team, contract SJH management representatives, any physicians who are in a decision-making/influencing role and compensated by SJH, and any other employee or member of the medical staff who fits the definition of an interested person: are required upon appointment or hire and at least annually thereafter to sign a copy of the Statement Pertaining to Conflict of Interest and Disclosure of Certain Interests Policy. B. The Organizational Responsibility Program (ORP) Committee will review COI statements, and investigate all disclosures of possible conflicts of interest. C. The ORP Committee will prepare a report for the SJH Chief Executive Officer and the SJH Audit Committee. D. The SJH Audit Committee is responsible for final review and investigation of potential conflicts of interest and presentation of its findings to the SJH Board of Directors on an annual basis.
Part VI, Sec C, Line 19	GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC	St James Healthcare Administration maintains governing documents, conflict of interest policy, and financial statements. Upon request documents subject to disclosure are made available to the general public.
Form 990, Part VII and Form 990, Schedule J, Part II		The Sisters of Charity of Leavenworth Health System, Inc. (SCLHS) consists of eleven hospitals and four clinics (Affiliates) in four states including St. James Healthcare (St. James) in Butte, Montana. SCLHS and its Affiliates adhere to governance excellence standards including transparency and accountability. In keeping with SCLHS' Core Value of Stewardship, no board member serving on SCLHS or Affiliate boards is compensated for that service.
Part XI Line 5		EQUITY TRANSFER $574,940 AND NET TEMPORARILY RESTRICTED NET ASSETS $24,641 EQUALS THE CHANGE IN NETS ASSETS OF $599,581.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Gary Staudinger TITLE:Past Chairperson HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Joanne Cortese TITLE:Chairperson HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Sister Bernadette Helfert TITLE:Director HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Mike Johnson TITLE:Vice Chairperson HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Sister Rita McGinnis TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Jim Falvey TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Loren Hines TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Tim McHugh TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Andrea Stierle TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:David A Repola MD TITLE:Secretary-Treasurer HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Michael Gallagher MD TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Marcia Johnson TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Dan Steele TITLE:Director HOURS:1

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
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 CENTER INC
1700 SW 7TH STREET	TOPEKA	KS	66606	480547719	HEALTHCARE	KS	501(C)(3)	3	NA
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREET	TOPEKA	KS	66606	481092520	SUPPORT 501C3	KS	501(C)(3)	11A-TYPE I	NA
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREET	GRAND JUNCTION	CO	81502	840425720	HEALTHCARE	CO	501(C)(3)	3	NA
ST MARYS HOSPITAL FOUNDATION
2635 N 7TH STREET	GRAND JUNCTION	CO	81502	237001007	SUPPORT 501C3	CO	501(C)(3)	11A-TYPE I	NA
SAINT JOSEPH HOSPITAL FOUNDATION
1835 FRANKLIN STREET	DENVER	CO	80218	840735096	SUPPORT 501C3	CO	501(C)(3)	11A-TYPE I	NA
HOLY ROSARY HEALTHCARE
2600 WILSON	MILES CITY	MT	59301	810231792	HEALTHCARE	MT	501(C)(3)	3	NA
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON	MILES CITY	MT	59301	202270238	SUPPORT 501C3	MT	501(C)(3)	11A-TYPE I	NA
ST VINCENT HEALTHCARE
1233 NORTH 30TH	BILLINGS	MT	59101	810232124	HEALTHCARE	MT	501(C)(3)	3	NA
ST VINCENT HEALTHCARE FOUNDATION
PO BOX 35200	BILLINGS	MT	591075200	810468034	SUPPORT 501C3	MT	501(C)(3)	7	NA
NORTHWEST RESEARCH & EDUCATION INSTITUTE
315 NORTH 25TH STREET	BILLINGS	MT	59101	201343024	COMM HLTH RES	MT	501(C)(3)	9	NA
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK STREET	BUTTE	MT	59701	651202190	SUPPORT 501C3	MT	501(C)(3)	11A-TYPE I	NA
SAINT JOHN'S HEALTH CENTER
1328 22ND STREET	SANTA MONICA	CA	90404	951684082	HEALTHCARE	CA	501(C)(3)	3	NA
JOHN WAYNE CANCER INSTITUTE
2000 SANTA MONICA BLVD	SANTA MONICA	CA	90404	954291515	CANCER R&D	CA	501(C)(3)	4	NA
SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN
1328 22ND STREET	SANTA MONICA	CA	904042091	956100079	SUPPORT 501C3	CA	501(C)(3)	11A-TYPE I	NA
EXEMPLA INC FKA LUTHERAN HOSPITAL
2420 W 26TH AVE SUITE 100D	DENVER	CO	80211	841103606	HEALTHCARE	CO	501(C)(3)	3	NA
EXEMPLA LUTHERAN MEDICAL CENTER FNDTN
2480 W 26TH AVESUITE 360B	DENVER	CO	80211	208846152	SUPPORT 501C3	CO	501(C)(3)	7	NA
EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN
200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	841649162	SUPPORT 501C3	CO	501(C)(3)	7	NA
LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST
2480 W 26TH AVESUITE 360B	DENVER	CO	80211	742571584	INSURANCE	CO	501(C)(3)	11A-TYPE I	NA
MEDPARK INC
2480 W 26TH AVESUITE 360B	DENVER	CO	80211	841490379	PARKING	CO	501(C)(3)	7	NA
SAINT JOSEPH HOSPITAL
1835 FRANKLIN STREET	DENVER	CO	80218	840417134	HEALTHCARE	CO	501(C)(3)	3	NA

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType
PAVILION IMAGING LLC
750 WELLINGTON	GRAND JUNCTION	CO	81501	030516198	RADIOLOGY	CO	NA	N/A
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTON	GRAND JUNCTION	CO	81501	841505075	OP SURGERY	CO	NA	N/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREET	MONTROSE	CO	81401	202856331	OP CANCER	CO	NA	N/A
BILLINGS MRI CENTER LLC
1041 NORTH 29TH STREET	BILLINGS	MT	59101	810450943	MRI-PET SCAN	MT	NA	N/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHRN PKW SUITE 150	WHEATRIDGE	CO	800336028	020749532	OP SURGERY	CO	NA	N/A
COLORADO SURGICAL VENTURES LLC
30 S WACKER DR SUITE 2302	CHICAGO	IL	60605	208038915	OP SURGERY	CO	NA	N/A
COLORADO SURGICAL HOSPITAL LLC
30 S WACKER DR SUITE 2302	CHICAGO	IL	60605	208038977	OP SURGERY	CO	NA	N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	Province Or StateAddressForeign/ProvinceOrState	CountryAddressForeign/Country	Postal CodeAddressForeign/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountry
CARITAS INC AND SUBSIDIARIES
9801 RENNER BOULEVARD SUITE 100	LENEXA	KS	66219	480941069	OTHER MEDICAL	KS	N/A	C CORP
LEAVEN INSURANCE COMPANY LTD
				980370522	INSURANCE		N/A		23 LIME TREE BAY AVE PO BOX 1051	GEORGETOWN	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	true	SharingOfPaidEmployees
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	ST JAMES HEALTHCARE FOUNDATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	N	TransactionType
Amount Involved	107473	AmountInvolved