2011-11-15T12:11:33-05:00 2010-12-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2010-01-01 810231792 HOLY ROSARY HEALTHCARE HOLY 4062373318 2600 WILSON STREET MILES CITY MT 59301 PAUL LEWIS 2011-11-09 3142901000 2010 2016-03-07 17:11:31Z RON WEBB 2600 WILSON STREET MILES CITY MT 59301 37103118 false 0928 X WWW.HRH-MT.ORG X 1997 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. 10 7 438 59 123043 0 137357 472754 32464440 36138027 365 -46267 407413 487877 33009575 37052391 73797 46119 0 0 19156356 20682130 0 0 0 17025454 17921156 36255607 38649405 -3246032 -1597014 24038596 21970302 12018061 3029198 12020535 18941104 X WE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE. false false 22745297 30120201 HOLY ROSARY HEALTHCARE PROVIDES INPATIENT AND OUTPATIENT HOSPITAL SERVICES TO THE POPULATIONS OF EASTERN MONTANA. THESE SERVICES INCLUDE SURGICAL, ONCOLOGY, AND MATERNITY SERVICES, AS WELL AS 24- HOUR EMERGENCY ROOM AND DIAGNOSTIC AND THERAPUTIC SERVICES. 5473151 3616771 HOLY ROSARY HEALTHCARE'S EXTENDED CARE UNIT PROVIDES SHORT-TERM TRANSITIONAL CARE AFTER ILLNESS, INJURY, OR SURGERY, AS WELL AS, LONG-TERM CARE FOR THOSE UNABLE TO LIVE INDEPENDENTLY. 3871592 2285178 HOLY ROSARY HEALTHCARE CLINIC PROVIDES PRIMARY CARE SERVICES. THE CLINIC ALSO MAKES AVAILABLE VARIOUS SPECIALTY SERVICES OFFERED BY VISITING PROVIDERS. 118002 115877 PROGRAM SERVICE RENTAL INCOME 321019 NON-PATIENT FOOD SERVICE 142593 DEPARTMENT OTHER OPERATING REVENUE 46119 46119 18451 ALL OTHER REVENUE 164121 46119 597940 32254161 true true false true false false false false true true false false false false false false true false false false false false false false false true false true false true false false false false false false false false false false false false false true true true false false true 96 0 true 438 true true true false false false false false false false false false X 10 7 false true false false true true true true true false false true true true true true true false false false X MARK PETESCH DIR OF FINANCE 4062373318 PO BOX 35200 BILLINGS MT 591075200 X MONTY LESH 2.0 X 0 0 0 SISTER MARY LOU MENDEL 2.0 X 0 0 0 SISTER MARIE DAMIAN GLATT 2.0 X 0 0 0 DR J R GRIERSON 2.0 X 0 0 0 JANETTE JONES 2.0 X 0 0 0 JAMES T PAQUETTE 40.0 X X 0 768909 97940 SISTER JUDITH JACKSON 2.0 X 0 0 0 RHONDA VERBECK 2.0 X 0 0 0 TRACI SCHELL 2.0 X 0 0 0 TAD TORGERSON 2.0 X 0 0 0 RON WEBB 40.0 X X 0 211204 30448 JEFF HARDING 2.0 X 0 0 0 SYLVIA DANFORTH 2.0 X 0 0 0 BILL OFTEDAL 2.0 X 0 0 0 STEVE BALLOCK 40.0 X 0 264901 33739 PAUL LEWIS 40.0 X 0 106383 16871 DANIEL G TAILEUR 40.0 X 301448 0 37299 CHRISTINE DRIVDAHL-SMITH 40.0 X 222568 0 30947 EARL BENNETT 40.0 X 139237 0 27656 JAMES MACMILLAN 40.0 X 314431 0 11639 JEFFERY WILLIAMS 40.0 X 212188 0 12229 RICHARD LOPES 40.0 X 0 588276 17185 PAMELA NICHOLS 40.0 X 0 106015 62 1189872 2045688 316015 17 true true false ARAMARK CORPORATION PO BOX 651009 CHARLOTTE NC 282651009 FOOD SERVICES 803356 B E SMITH INC 9777 RIDGE DRIVE LENEXA KS 66219 MANAGEMENT LOCUMS 245540 CONIFER HEALTH SOLUTIONS 1500 SOUTH DOUGLASS ROAD ANAHEIM CA 92806 PATIENT BILLING SERV 1585739 PRAIRIE TRAVELERS INC 130 3RD STREET SOUTH GLASCOW MT 59230 NURSING LOCUMS 209584 HILL FARRER BURRILL LLP 300 SOUTH GRAND STREET 37TH FLR LOS ANGELES CA 900713147 LEGAL SERVICES 148323 15 472754 472754 NET PATIENT SERVICE 900099 36022150 36022150 PROGRAM SERVICE RENTAL INCOME 532000 115877 115877 36138027 -66870 -66870 0 0 1400 2752 -1352 -1352 -1352 68578 2792 45183 -2792 23395 20603 20603 0 0 0 NON-PATIENT FOOD SERVICES 722320 328185 321019 7166 DEPARTMENT OTHER OPERATING REVENUE 900099 142593 142593 ALL OTHER REVENUE 900099 18451 18451 489229 37052391 36504213 123043 -47619 46119 46119 0 0 0 367154 367154 0 16347568 14588582 1758986 731995 668183 63812 2194394 2193948 446 1041019 944395 96623 2291830 153339 2138491 73251 73251 21794 21794 682 682 0 1770 1770 3490307 2801359 688947 139953 139953 5516906 5301647 215259 117880 117880 0 665812 654654 11158 147246 70341 76904 0 0 0 0 2386713 2386713 299713 299713 BAD DEBTS 1796911 1796911 MEDICAID PROVIDER TAXES 414080 414080 RECRUITING EXPENSES 331047 191611 139436 DUES & MEMBERSHIPS 95882 29924 65958 EDUCATION & SEMINARS 32774 30114 2660 96606 96606 38649404 32254161 6395243 0 162117 -1603867 215057 217457 4308962 5578927 857392 816603 183508 376160 39613396 24646310 16756896 14967086 896857 780897 657807 837039 24038596 21970302 4113061 3029198 7905000 0 12018061 3029198 X 12020535 18941104 12020535 18941104 24038596 21970302 X -1597013 8517582 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 682 false false 682 false Schedule C, Part II-B Lobbying Activity Explanation Holy Rosary Healthcare pays dues to the Montana Hospital Association, of which $682 is charged for lobbying. 170256 -15721 2500 3 152032 126507 46785 3000 36 170256 152571 -23564 2500 126507 1.00000 false true true 135511 135511 13548598 6042011 7506587 24213604 17321588 6892016 1715683 1282711 432972 14967086 SCH. D, PART V, LINE 4 ENDOWMENT FUNDS THE INTENDED USE FOR THE KENNETH HOM TRUST ENDOWMENT FUND IS TO PROVIDE NURSING SCHOLARSHIPS. EACH YEAR A $2,500 SCHOLARSHIP IS AWARDED TO AN INDIVIDUAL WITH EASTERN MONTANA TIES WHO IS PURSUING HIS OR HER NURSING EDUCATION. IN 2010, ONE SCHOLARSHIP WAS AWARDED. Endowment funds are held by the Holy Rosary Healthcare Foundation. true true true X true X true true false false true true 480 1840650 1840650 0.04990 4314732 3785606 529126 0.01440 480 6155382 3785606 2369776 0.06430 29 4705 261627 8303 253324 0.00690 16 422 133951 133951 0.00360 2 47623 47623 0.00130 10 3427 21505 800 20705 0.00060 57 8554 464706 9103 455603 0.01240 57 9034 6620088 3794709 2825379 0.07670 2 1199 1199 4 57 2917 2917 0.00010 1 8328 8328 0.00020 1 782 782 1 205939 205939 0.00560 1 539 7541 7541 0.00020 10 596 226706 226706 0.00610 false 1138471 0 13347387 16294191 -2946804 X true true 1 1 Holy Rosary Healthcare

2600 Wilson Street Miles City MT 59301

X X X Holy Rosary Healthcare 1 1 POWDER RIVER MEDICAL CLINIC

507 NORTH LINCOLN AVENUE BROADUS MT 59317

AMBULATORY CARE CLINIC SCHEDULE H, PART VI SUPPLEMENTAL INFORMATION PART I, LINE 3C ELIGIBILITY IS BASED ON FEDERAL POVERTY GUIDELINES. PART I, LINE 6A THE ANNUAL COMMUNITY BENEFIT REPORT IS INCLUDED IN THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM REPORT TO THE COMMUNITY. WE SUBMIT COMMUNITY BENEFIT ACTIVITIES AS NEWS TO LOCAL MEDIA AND REPORT THEM ON OUR WEBSITE AS THEY OCCUR. A SEPARATE PUBLICATION SPECIFICALLY DEDICATED TO COMMUNITY BENEFIT WAS NOT RELEASED IN 2010. PART I, LINE 7G PHYSICIAN CLINICS ACCOUNT FOR $31,649 OF TOTAL SUBSIDIZED SERVICE EXPENSE; THIS IS A CLINIC IN A REMOTE RURAL AREA WITH NO OTHER ACCESS TO HEALTHCARE WITHIN AN 80 MILE RADIUS. PART I, LINE 7, COLUMN F THE AMOUNT OF BAD DEBT EXPENSE DELETED FROM THE DENOMINATOR BEFORE CALCULATING PERCENTAGES IN COLUMN (F) IS $1,796,911. PART I, LINE 7 COST TO CHARGE RATIO IS USED FOR ALL REMAINING CATEGORIES OF COMMUNITY BENEFIT. THE COST TO CHARGE RATIO USED WAS DERIVED FROM WORKSHEET 2. PART II THE MOST SIGNIFICANT EXPENSE IN COMMUNITY BUILDING ACTIVITIES IS THE COST OF PHYSICIAN RECRUITMENT TO OUR MEDICALLY UNDERSERVED AREA. PART III, LINE 4 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, HOWEVER, THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY ALLOWS FINANCIAL ASSISTANCE AWARDS TO BE MADE PRESUMPTIVELY TO INDIVIDUALS WHO HAVE NOT ADEQUATELY COMPLETED THE APPLICATION PROCESS IF THE INDIVIDUAL IS HOMELESS OR IF THE INDIVIDUAL IS NON-RESPONSIVE AND HAS A CREDIT SCORE LESS THAN 600. BAD DEBT EXPENSES INCLUDE ACTUAL WRITE OFFS AND ANY ASSOCIATED ACCRUAL BASED ON ACCOUNTS RECEIVABLE. THE COSTING METHODOLOGY USED TO CALCULATE THE COST OF BAD DEBT INCLUDED ON PART III LINE 2 WAS THE COST TO CHARGE RATIO DERIVED USING THE METHODOLOGY FROM WORKSHEET 2. PART III, LINE 8 THE ORGANIZATION DOES NOT BELIEVE THAT MEDICARE SHORTFALLS SHOULD BE INCLUDED AS COMMUNITY BENEFIT. MEDICARE ALLOWABLE COSTS WERE DERIVED FROM THE MEDICARE COST REPORT'S SCHEDULE D PART V, PART VI AND SCHEDULE D-1. PART III, 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. HOLY ROSARY HEALTHCARE NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. NEEDS ASSESSMENT: AS PART OF OUR CORE VALUE OF RESPONSE TO NEED, WE TAKE STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD. HOLY ROSARY 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 2006, AND ONE IS CURRENTLY BEING CONDUCTED FOR 2011. THIS ASSESSMENT STUDIES MILES CITY, MONTANA, AND THE IMMEDIATE SURROUNDING AREA SERVED BY HOLY ROSARY HEALTHCARE, AND IS COMPLETED BY PARTNERING WITH LOCAL GOVERNMENT AND SOCIAL AGENCIES; COMBINING EFFORTS WITH OTHER LOCAL HOSPITALS AND HEALTH CARE ORGANIZATIONS; AND CONDUCTING SURVEYS, FOCUS GROUPS, AND ASSESSMENTS WITH THE ASSISTANCE OF THE OFFICE OF RURAL HEALTH. COMMUNITY EDUCATION WAS COMPLETED UTILIZING THE MEDIA, INTERNET, AND MAILINGS TO BUILD AWARENESS AND ENCOURAGE PARTICIPATION IN THIS PROJECT. IN 2011, WE ADDED A NEW APPROACH TO IDENTIFY COMMUNITY HEALTH NEEDS BY CREATING THE CONSENSUS BUILDING FORUM: IDENTIFYING PRIORITIES IN HEALTHCARE DELIVERY IN EASTERN MONTANA. THIS IS PROVING TO BE AN INFORMATIVE APPROACH TO IDENTIFYING ISSUES AND PRIORITIZING SOLUTIONS. WE ALSO CONTINUOUSLY ASSESS THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY, AND BY EVALUATING STATE AND COUNTY HEALTH STATISTICS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: HOLY ROSARY HEALTHCARE TREATS PATIENTS WITH RESPECT AND DIGNITY REGARDLESS OF THEIR ABILITY TO PAY. HOLY ROSARY 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 BILLING INVOICES, IN VARIOUS AREAS AROUND THE HOSPITAL AND CLINIC SITES AND ON THE HOSPITAL WEBSITE. WE PROVIDE WRITTEN MATERIALS TO PATIENTS THAT DETAIL OUR FINANCIAL ASSISTANCE POLICY AND HOW IT IS ADMINISTERED. THIS COVERS ELIGIBILITY, STEPS TO FOLLOW TO DETERMINE IF A PATIENT QUALIFIES FOR ASSISTANCE, TYPICAL CHARGES A PATIENT MAY EXPECT FOR ROUTINE PROCEDURES, AND ASSISTANCE AVAILABLE BASED ON A PATIENT'S INCOME LEVEL. WE PROVIDE MATERIALS AND EDUCATION WHEN PATIENTS ARE DISCHARGED, AND INCLUDE INFORMATION IN BILLING STATEMENTS, INCLUDING PHONE NUMBERS AND OTHER METHODS TO CONTACT US WITH QUESTIONS. WE ENSURE THAT OUR FINANCIAL COUNSELORS, ADMISSION EMPLOYEES, SOCIAL WORKERS AND OTHER EMPLOYEES UNDERSTAND OUR POLICIES TO BE ABLE TO ASSIST PATIENTS IN THE MOST APPROPRIATE WAY. WE HAVE A PARTNERSHIP WITH STOCKMAN BANK OF MONTANA 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. COMMUNITY INFORMATION: HOLY ROSARY HEALTHCARE - THE LARGEST HEALTHCARE FACILITY BETWEEN BILLINGS, MONTANA, AND BISMARCK, NORTH DAKOTA - PROVIDES A COMPLETE CONTINUUM OF CARE THROUGH OUR 25-BED ACUTE CARE HOSPITAL, 87-BED EXTENDED CARE LIVING COMMUNITY, OUTPATIENT MEDICAL ARTS CENTER, AND HOSPICE AND PALLIATIVE CARE PROGRAMS. WHILE THE ORGANIZATION DRAWS PATIENTS FROM A 13-COUNTY REGION IN THE STRONGEST SERVICE-LINES, HOLY ROSARY HEALTHCARE'S PRIMARY AND SECONDARY SERVICE AREAS INCLUDE A NINE-COUNTY CORE REGION WITH APPROXIMATELY 45,000 PEOPLE. THE DEMOGRAPHIC MAKE-UP OF OUR PRIMARY AND SECONDARY SERVICE AREAS INCLUDES: - OVERALL DECLINING POPULATION OF 3% IN MOST COUNTIES WIH THE EXCEPTION OF TWO, ROSEBUD AND FALLON COUNTIES. - LARGE GEOGRAPHIC AREA WITH SPARSE POPULATION, AVERAGING 1.4 PEOPLE/SQUARE MILE. - AGING POPULATION WITH AVERAGE AGE OF 43 AND AVERAGE LIFE EXPECTANCY OF 79; EXCEPTION IS ROSEBUD COUNTY WITH AVERAGE AGE OF 36. - PRIMARY INDUSTRIES ARE AGRICULTURE, STATE/LOCAL GOVERNMENT, AND RETAIL. AVERAGE HOUSEHOLD INCOME IS $49,000, $20,000 BELOW THE NATIONAL AVERAGE. PROMOTION OF COMMUNITY HEALTH: WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. OUR COMMUNITY BUILDING ACTIVITIES DEMONSTRATE THIS COMMITMENT. IN 2010, THE MOST SIGNIFICANT EXPENSE IN COMMUNITY BUILDING ACTIVITIES IS THE COST OF PHYSICIAN RECRUITMENT TO OUR MEDICALLY UNDERSERVED AREA. WE ARE ALSO INVOLVED IN MANY COMMUNITY ORGANIZATIONS THAT VARY IN SCOPE INCLUDING CRITICAL INCIDENT STRESS MANAGEMENT, COMMUNITY HEALTH ALLIANCE (WHICH PARTNERS WITH ALL LOCAL HEALTH ORGANIZATION TO CREATE COMMUNITY HEALTH IMPROVEMENT), AND OTHER CIVIC MINDED ORGANIZATIONS. WE ARE AN IMPORTANT PART OF OUR COMMUNITY AND SERVE IN MANY WAYS, FROM DELIVERING CORE HEALTH CARE TO PREVENTIVE CARE TO SUPPORT OF OTHER CIVIC GROUPS. IN 2010, WE PROVIDED COMMUNITY BENEFIT TOTALING $3,659,134, INCLUDING TRADITIONAL CHARITY CARE AND THE UNPAID COST OF MEDICAID. OUR BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS, AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR H STATE FILING OF COMMUNITY BENEFIT REPORT 990 SCHEDULE H, PART VI CA, KS, MT, true HOLY ROSARY FOUNDATION 2600 WILSON MILES CITY MT 59301 202270238 501(C)(3) 38329 ASSIST IN CHARITABLE EXEMPT PURPOSE 1 Description of Organization's Procedures for Monitoring the Use of Grants Form 990, Schedule I, Part I, Line 2 GRANTS ARE MONITORED THROUGH THE HOLY ROSARY HEALTHCARE FOUNDATION. THE FOUNDATION FOLLOWS A TWO-STEP PROCESS IN PREPARING THE SCHEDULE OF EXPENDITURES OF FEDERAL AWARDS (SEFA). THE GRANT PROJECT DIRECTOR IS RESPONSIBLE TO SUBMIT THE INVOICES FOR EACH MONTH'S ACTIVITY TO THE FOUNDATION DIRECTOR. THESE ARE THEN REVIEWED FOR COMPLIANCE WITH FEDERAL STANDARDS AND GUIDELINES AND ARE SUBMITTED TO THE FEDERAL GOVERNMENT FOR REIMBURSEMENT OR APPLIED TO GRANT IF AWARDED UPFRONT. THE AMOUNTS ARE THEN DRAWN DOWN BY THE FOUNDATION ADMINISTRATOR AND THE MONEY IS WIRED TO THE FOUNDATION'S BANK ACCOUNT OR REIMBURSED TO THE HOSPITAL IF THE EXPENDITURES WERE PAID BY THE HOSPITAL AND THE FUNDS MADE AVAILABLE TO THE FOUNDATION IN ADVANCE. THIS INFORMATION IS COMPILED QUARTERLY BY THE DIRECTOR OF FINANCE AND IS TRACKED BY GRANT NAME AND CEDA NUMBER. THE FOUNDATION DIRECTOR ALSO PROVIDES THE FINANCE DIRECTOR WITH THE AWARD LETTER AND ANY COMMUNICATIONS RELATED TO THE GRANT AS WELL AS SUPPORTING INVOICES AND EXPENDITURES. AT THE END OF THE YEAR, QUARTERLY WORKSHEETS ARE USED TO PREPARE THE SEFA. THE SEFA IS PREPARED BY THE DIRECTOR OF FINANCE, REVIEWED BY THE GRANTS ADMINISTRATOR AND FORWARDED TO THE SYSTEM OFFICE AND ERNST AND YOUNG CPA FIRM. true true false false false false false false false JAMES T PAQUETTE 0 768909 0 0 0 0 0 87072 0 10868 0 866849 0 0 DANIEL G TAILEUR 301448 0 0 0 0 0 12250 0 25049 0 338747 0 0 0 CHRISTINE DRIVDAHL-SMITH 222568 0 0 0 0 0 11191 0 19756 0 253515 0 0 0 EARL BENNETT 139237 0 0 0 0 0 11400 0 16257 0 166894 0 0 0 STEVE BALLOCK 0 264901 0 0 0 0 0 18700 0 15039 0 298640 0 0 RICHARD LOPES 0 588276 0 0 0 0 0 14673 0 2512 0 605461 0 0 RON WEBB 0 211204 0 0 0 0 0 19610 0 10838 0 241652 0 0 JAMES MACMILLAN 314431 0 0 0 0 0 0 0 11639 0 326070 0 0 0 JEFFERY WILLIAMS 212188 0 0 0 0 0 0 0 12229 0 224417 0 0 0 PAMELA NICHOLS 0 0 0 0 0 106015 0 0 0 62 0 106077 0 106015 FORM 990, SCHEDULE J, PART I, LINE 3 PROCESS FOR DETERMINING COMPENSATION SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS AND STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHARE SYSTEMS AND HOSPITALS. FORM 990, SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS SEVERANCE WAS PAID IN 2010 TO PAMELA J. NICHOLS, CHIEF NURSING OFFICER , IN THE AMOUNT OF $106,015. FORM 990, SCHEDULE J, PART I, LINE 4B PAYMENTS FROM NONQUALIFIED RETIREMENT PLAN OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR IRS IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2010 WERE: JAMES T. PAQUETTE $108,797 STEVEN A. BALLOCK $9,198 RICHARD T. LOPES $10,148 IN ADDITION, VESTED AMOUNTS ARE PAYABLE UPON END OF EMPLOYMENT. THE AMOUNTS WITHDRAWN FOR THIS TYPE OF PAYMENT IN 2010 WERE FOR RICHARD T. LOPES $152,565. FORM 990 SCHEDULE J, PART II AND FORM 990 PART VII THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING HOLY ROSARY HEALTHCARE (HOLY ROSARY) IN MILES CITY, MONTANA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. JAMES T. PAQUETTE IS PRESIDENT & CHIEF EXECUTIVE OFFICER FOR ST. VINCENT HEALTHCARE (ST. VINCENT) IN BILLINGS, MT. HE ALSO SERVES AS A MEMBER OF HOLY ROSARY'S BOARD. STEVEN A. BALLOCK IS VICE PRESIDENT, CHIEF FINANCIAL OFFICER FOR ST. VINCENT. HE ALSO SERVES AS A MEMBER OF HOLY ROSARY'S BOARD. THE COMPENSATION REFLECTED IS THAT OF MR. PAQUETTE'S AND MR. BALLOCK'S POSITIONS AS ST. VINCENT EXECUTIVES AND NOT AS MEMBERS OF HOLY ROSARY'S BOARD. RICHARD T. LOPES WAS SENIOR VICE PRESIDENT AND CHIEF TRANSFORMATION OFFICER AT SCLHS. AS A FORMER OFFICER OF HOLY ROSARY, THIS DISCLOSURE IS REQUIRED FOR 990 REPORTING PURPOSES ONLY. THE COMPENSATION REFLECTED IS THAT OF MR. LOPES' POSITION AS AN SCLHS EXECUTIVE AND IS NOT RELATED TO HOLY ROSARY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. DISCLOSURES PART I, LINE 18 - THE PRIOR YEAR TOTAL EXPENSE AMOUNT HAS BEEN REVISED DUE TO A MATHMATICAL ERROR. FORM 990, PART III, LINE 4D PROGRAM SERVICE ACCOMPLISHEMENTS HOLY ROSARY HEALTHCARE (HOSPITAL) PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, OR ABILITY TO PAY. THE HOSPITAL PROVIDES CARE TO INDIVIDUALS COVERED BY GOVERNMENTAL PROGRAMS, OTHER BENEFITS, AND ACCOMPLISHMENTS INCLUDE: -ASSISTING EDUCATORS BY WORKING WITH HEALTHCARE INTERNS. -PRESENT SPEAKING ENGAGEMENTS TO THE COMMUNITY COVERING HEALTHCARE ISSUES SUCH AS TELEMEDICINE, ARTHRITIS, HOSPICE PROGRAM, SLEEP DISORDERS, ETHICS, JOINT SEMINARS, EAR, NOSE, AND THROAT ISSUES, PSYCHOLOGY, AND DIABETES. -PARTICIPATED IN HEALTH FAIRS TO PROMOTE HEALTH EDUCATION AND FOSTER PREVENTION TECHNIQUES. -PROVIDE HOSPICE PROGRAM TO COMMUNITY. -PROVIDE DENTAL CARE FOR CHILDREN THROUGH SMILE SAVERS. -PROVIDE HEALTH RELATED ARTICLES TO LOCAL PRESS TO EDUCATE PUBLIC ON VARIOUS TOPICS. -PROVIDE WELLNESS SCREENS TO SCHOOL DISTRICT AT DISCOUNTED RATE. -PROVIDE FREE TOURS TO AREA SCHOOL CHILDREN AND OTHER COMMUNITY GROUPS TO TEACH THEM ABOUT THE HOSPITAL. -PROVIDE MEDICAL EXPLORERS PROGRAM TO PROMOTE CAREERS IN HEALTHCARE. -SPONSOR AFFORDABLE ACCESS ADVANTAGE FOR OUR EMPLOYEES. -SPONSOR BLOOD DRIVES, CHARITY WALKS, 55 ALIVE, SCHOOL NURSE PROGRAM, AND OTHER GROUPS. FORM 990 PART VI, SEC A, LINE 3 MANAGEMENT COMPANIES MANAGEMENT DUTIES DELEGATED BY HOLY ROSARY HEALTHCARE TO MANAGEMENT COMPANIES WERE IN THE FOLLOWING AREAS: (1) CONIFER HEALTH SOLUTIONS: REVENUE CYCLE SERVICES THAT INCLUDES PATIENT ACCESS, CHARGE CAPTURE AND ACCOUNTS RECEIVABLE MANAGEMENT (2) ARAMARK CORPORATION: FOOD SERVICES (3) BROADLANE: SUPPLY CHAIN MANAGEMENT FORM 990 PART VI, SEC A, LINES 6, 7A & 7B CLASS OF MEMBER, NATURE OF RIGHTS, ELECTION OF BOARD MEMBERS, DECISIONS SUBJECT TO APPROVAL THE SOLE MEMBER AND CONTROLLING MEMBER OF THE HOLY ROSARY HEALTHCARE (HRH) CORPORATION IS THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC (SCLHS), A KANSAS NON-FOR-PROFIT CORPORATION. SOME OF THE EXCLUSIVE POWERS OF SCLHS INCLUDE: - TO APPOINT, AFTER CONSULTATION WITH THE HRH CORPORATE BOARD, THE BOARD OF DIRECTORS OF HRH AND APPOINT MEMBERS OF SCLHS TO THE HRH BOARD OF DIRECTORS; - TO REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE HRH CORPORATE BOARD, ANY MEMBER OF THE HRH BOARD OF DIRECTORS; - TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF EXECUTIVE OFFICER AND THE CHIEF ADMINISTRATIVE OFFICER OF HRH; - TO IMPLEMENT CORPORATE GOALS, POLICIES, AND PROCEDURES OF HRH; - TO APPROVE FOR HRH THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS, OR THE LEASE, SALE, TRANSFER, ASSUMPTION, OR ENCUMBERING OF HRH ASSETS; - TO APPROVE THE MERGER, DISSOLUTION, OR CORPORATE RESTRUCTURING OF HRH; AND - TO APPROVE HRH ANNUAL STRATEGIC PLANS AND OPERATING AND CAPITAL BUDGETS. THE HRH BOARD OF DIRECTORS HAVE THE POWERS TO EXERCISE GENERAL MANAGEMENT AND CONTROL OF THE BUSINESS AFFAIRS OF HRH WITH DUE REGARD FOR THE POWERS RESERVED BY SCLHS. THE POWERS OF THE HRH BOARD OF DIRECTORS INCLUDE NOMINATION OF BOARD MEMBERS FOR APPOINTMENT BY SCLHS. FORM 990 PART VI, SEC B, LINE 11B PROCESS THE ORGANIZATION USES TO REVIEW FORM 990 THE 990 FOR HOLY ROSARY HEALTHCARE WILL BE REVIEWED AT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM AND THE HOLY ROSARY HEALTHCARE BOARD MEETINGS BEFORE THE RETURN IS FILED WITH THE IRS. THE 990 TAX RETURN IS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. FORM 990, PART VI, SEC B, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST ALL HOLY ROSARY HEALTHCARE EXECUTIVES, DIRECTORS, AND MANAGERS, BOARD MEMBERS AND BOARD COMMITTEE MEMBERS, MEDICAL EXECUTIVE COMMITTEE (MEC) MEMBERS AND OTHER PHYSICIANS IN DECISION MAKING ROLES OR SERVING ON HRH COMMITTEES, COMPLETE A NEW CONFLICT OF INTEREST (COI) DISCLOSURE FORM ANNUALLY. A COPY OF THE POLICY IS DISTRIBUTED ALONG WITH THE COI FORMS. IN THE EVENT OF A CHANGE OF CIRCUMSTANCE, EACH INDIVIDUAL WHO HAS ALREADY SIGNED A COI IS EXPECTED TO NOTIFY THE ORGANIZATION OF THE CHANGE AND UPDATE THE CONFLICT OF INTEREST INFORMATION. THE STATEMENTS ARE REVIEWED AND COI ISSUES ARE ADDRESSED BY THE ORGANIZATION RESPONSIBILITY OFFICER (ORO) AND LEADERSHIP AT THE APPROPRIATE LEVEL: - BOARD BY BOARD CHAIR - PHYSICIANS BY THE MEC PRESIDENT - HRH DIRECTORS AND MANAGERS BY THE HRH ADMINISTRATION - HRH EXECUTIVES BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM THE SIGNED COI FORMS ARE MAINTAINED IN HRH ADMISTRATION. THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS FOR HRH EXECUTIVES ARE MAINTAINED AT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AT THE BEGINNING OF BOARD AND BOARD COMMITTEE MEETINGS, THE QUESTION OF COI IS ASKED OF THOSE IN ATTENDANCE. WHEN AN ACTUAL CONFLICT IS IDENTIFIED, THE INDIVIDUAL ASKS TO BE EXCUSED FROM PARTICIPATING IN THE DISCUSSIONS AND DECISION-MAKING. FORM 990 PART VI, SEC C, LINE 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE AT HOSPITAL ADMINISTRATION UPON REQUEST. THE SISTERS OF CHARITY CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE SISTERS OF CHARITY WEBSITE WWW.SCLHEALTHSYSTEM.ORG. FORM 990, PART VII AND SCHEDULE J, PART II OFFICERS, DIRECTORS, TRUSTEE, KEY EMPLOYEES ADDITIONAL INFORMATION THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE CORPORATE MEMBER OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING HOLY ROSARY HEALTHCARE (HOLY ROSARY) IN MILES CITY, MONTANA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. JAMES T. PAQUETTE IS PRESIDENT & CHIEF EXECUTIVE OFFICER FOR ST. VINCENT HEALTHCARE (ST. VINCENT) IN BILLINGS, MT. HE ALSO SERVES AS A MEMBER OF HOLY ROSARY'S BOARD. STEVEN A. BALLOCK IS VICE PRESIDENT, CHIEF FINANCIAL OFFICER FOR ST. VINCENT. HE ALSO SERVES AS AN OFFICER OF HOLY ROSARY. THE COMPENSATION REFLECTED IS THAT OF MR. PAQUETTE'S AND MR. BALLOCK'S POSITIONS AS ST. VINCENT EXECUTIVES AND NOT AS MEMBERS OF HOLY ROSARY'S BOARD OR OFFICERS. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. RICHARD T. LOPES IS SENIOR VICE PRESIDENT AND CHIEF TRANSFORMATION OFFICER AT SCLHS. AS A FORMER OFFICER OF HOLY ROSARY, THIS DISCLOSURE IS REQUIRED FOR 990 REPORTING PURPOSES ONLY. THE COMPENSATION REFLECTED IS THAT OF MR. LOPES' POSITION AS AN SCLHS EXECUTIVE AND IS NOT RELATED TO HOLY ROSARY. FORM 990, PART VII AND SCHEDULE J, PART II AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS ESTIMATE OF AVERAGE HOURS PER WEEK, IF ANY, DEVOTED TO RELATED ORGANIZATIONS FOR WHICH COMPENSATION WAS REPORTED IN COLUMNS (E) OR (F) OF PART VII: - JAMES PAQUETTE 36 HOURS/WEEK ON RELATED ORGANIZATIONS - STEVE BALLOCK 35 HOURS/WEEK ON RELATED ORGANIZATIONS - RON WEBB 1 HOUR/WEEK ON WORK FOR HRH FOUNDATION - RICHARD LOPES 1 HOUR/WEEK ON WORK FOR HRH FOUNDATION - PAUL LEWIS 1 HOUR/WEEK ON WORK FOR HRH FOUNDATION FORM 990, PART XI, LINE 5 RECONCILIATION OF NET ASSETS THE CHANGES IN NET ASSETS SHOWN ON LINE 5 OF PART XI ($8,517,582) STEM FROM THE FOLLOWING: (1) THE AMOUNT OF $-233,208 OPERATING EXPENSES OF THE HRH FOUNDATION PAID BY HRH (2) WRITEOFF OF HRH NOTE PAYABLE TO ST VINCENT HEALTHCARE FOR $8,925,000 (3) TRANSFER OF $-291,795 TO SCLHS FOR INFORMATION TECHNOLOGY (4) TRANSFER FROM SCLHS OF $64,511 FOR HRH VIDEO EQUIPMENT (5) UNREALIZED GAIN ON INVESTMENTS NOT RECORDED IN THE TAX RETURN $53,074 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 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 400 SOUTH CLARK STREET BUTTE MT 597012328 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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 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 CARITAS INC AND SUBSIDIARIES 9801 RENNER BOULEVARD SUITE 100 LENEXA KS 66219 480941069 OTHER MEDICAL KS N/A C 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