2011-11-15T11:53:29-05:00 2010-12-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2010-01-01 810231785 ST JAMES HEALTHCARE STJA 4067232500 400 SOUTH CLARK STREET BUTTE MT 597012328 JAMES DOYLE 2011-11-11 3142901000 2010 2016-02-24 21:20:13Z Chuck Wright 400 S Clark St Butte MT 597012328 85512576 false 0928 X www.StJamesHealthcare.org X 1976 MT We will, in the spirit of the Sisters of Charity, reveal God's healing love by improving the health of the individuals and communities we serve, especially those who are poor or vulnerable. 14 11 646 75 365461 0 10575 54840 74781344 87576656 1876520 529698 1237193 -2648618 77905632 85512576 0 0 0 0 38500667 42117637 0 0 0 41715008 51126908 80215675 93244545 -2310043 -7731969 91084181 74250475 30175040 21672884 60909141 52577591 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 63382394 82844656 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. 63382394 true true false true false false false false false true false false true false false false true false false false false false false false false true false false false true false false false false false false false false false false false false false true true true false false true 137 0 true 646 true true true false false false false false false false false false X 14 11 true true false false true true true true true false false true true true true true true false false true true X JAMES DOYLE 4067232414 400 S CLARK ST BUTTE MT 59701 X Gary Staudinger 2.0 X 0 0 0 Joanne Cortese 2.0 X 0 0 0 Sister Bernadette Helfert 2.0 X 0 0 0 Mike Johnson 1.0 X 0 0 0 Sister Rita McGinnis 1.0 X 0 0 0 Jim Falvey 1.0 X 0 0 0 Loren Hines 1.0 X 0 0 0 Tim McHugh 1.0 X 0 0 0 Andrea Stierle 1.0 X 0 0 0 John Beeson MD 1.0 X 0 0 0 David A Repola MD 1.0 X 0 0 0 Michael Gallagher MD 1.0 X 0 0 0 Marcia Johnson 1.0 X 0 0 0 Dan Steele 1.0 X 0 0 0 Chuck Wright 40.0 X 0 273800 54085 John Stevenson 40.0 X 450008 0 0 Shawn Smith 40.0 X 208034 0 0 Adam Childers 40.0 X 154987 0 0 Michael Douthitt 40.0 X 135846 0 0 Tonya Douthitt 40.0 X 135085 0 0 1083960 273800 54085 5 false true false 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 5 54840 54840 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 6215 6215 0 0 87576656 127948 127948 0 0 147090 254660 147090 254660 401750 401750 0 0 0 PHARMACY INCOME 900099 1441569 1441569 JOINT VENTURE - SUMMIT SURGERY CENTER 900099 365461 365461 JOINT VENTURE - SOUTHWEST MONTANA RADIOLOGY 621400 17164 17164 -4472812 -4732000 259188 -2648618 85512576 82844656 365461 2247619 0 0 0 0 533541 533541 0 33217775 25176235 8041540 1973730 1531075 442655 4236659 3195942 1040717 2155932 1616949 538983 1194401 1194401 2797867 2797867 36633 36633 0 0 0 11376359 8216112 3160247 147951 8206 139745 13655046 13416826 238220 1617941 1617941 0 39899 30224 9675 242031 86373 155658 0 54513 22732 31781 0 1443293 1443293 6450050 6450050 640450 640450 BAD DEBT EXPENSE 8184480 8184480 TAXES 851715 790184 61531 UTILITIES 846151 1139 845012 RECRUITING 150187 24111 126076 EQUIPMENT LEASE 159259 144229 15030 1238682 937577 301105 93244545 63382394 29862151 0 2246 2086 3913748 1717592 12816439 11542958 109470 -42701 2400841 2025118 484252 853067 105367577 58470685 51835048 46896892 9542252 8505506 7289261 2429715 283786 60872 2406838 259370 91084181 74250475 17670569 10202019 12504471 11470865 30175040 21672884 X 60869673 52562765 39468 14826 60909141 52577591 91084181 74250475 X -7731969 -599581 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 1193 false false 1193 4146731 4146731 69263026 34592422 34670604 10334 2584 7750 29966026 22339798 7626228 1981460 1535881 445579 46896892 true true X true X true X true true true false true true 1515 3409521 3409521 0.04000 7317 9621181 7539210 2081971 0.02440 8832 13030702 7539210 5491492 0.06440 25 3706 293853 2090 291763 0.00340 5 130 55266 55266 0.00060 5 20016 601284 3575 597709 0.00700 3 1910 27362 27362 0.00030 38 25762 977765 5665 972100 0.01130 38 34594 14008467 7544875 6463592 0.07570 9 20948 94493 94493 0.00100 2 1500 230457 25553 204904 0.00220 1 64100 19262 19262 0.00020 12 86548 344212 25553 318659 0.00340 false 8174480 9876141 20832243 -10956102 X true true Medical Arts Partner Medical Offices 0.50000 0.50000 Summit Surgery Ctr Outpatient Surgery Center 0.50000 0.50000 1 1 ST JAMES HEALTHCARE

400 SOUTH CLARK ST BUTTE MT 59701

X X X SKILLED NURSING FAC PHYSICIAN CLINIC ST JAMES HEALTHCARE 1 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 false false false false false false false false false 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 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. 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 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 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