SCL HEALTH MONTANA: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: SCL HEALTH MONTANA (EIN 81-0232124)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-07
IRS object ID: 202423129349301627
Schema version: 2023v5.1
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 I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-07T09:57:11-06:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810232124	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SCL HEALTH - MONTANA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SCLH	BusinessNameControlTxt
Phone	4062377000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1233 NORTH 30TH STREET	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAM PALAGI	PersonNm
Person Title	VP FINANCE & CFO	PersonTitleTxt
Phone	4062377000	PhoneNum
Signature	2024-11-07	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ST VINCENT HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JENNIFER ALDERFER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1233 NORTH 30TH STREET	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$583,591,478	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	SEE SCHEDULE O	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1972	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	2377	TotalEmployeeCnt
Total Volunteers	114	TotalVolunteersCnt
Total Gross UBI	$3,714,577	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$18,363,128	PYContributionsGrantsAmt
CY Contributions Grants	$10,589,744	CYContributionsGrantsAmt
PY Program Service Revenue	$488,203,847	PYProgramServiceRevenueAmt
CY Program Service Revenue	$546,375,682	CYProgramServiceRevenueAmt
PY Investment Income	$28,000,751	PYInvestmentIncomeAmt
CY Investment Income	$22,506,712	CYInvestmentIncomeAmt
PY Other Revenue	$1,371,522	PYOtherRevenueAmt
CY Other Revenue	$1,683,409	CYOtherRevenueAmt
PY Total Revenue	$535,939,248	PYTotalRevenueAmt
CY Total Revenue	$581,155,547	CYTotalRevenueAmt
PY Grants And Similar Paid	$24,192,754	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$19,863,201	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$146,524,753	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$160,606,852	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$366,608,856	PYOtherExpensesAmt
CY Other Expenses	$393,481,404	CYOtherExpensesAmt
PY Total Expenses	$537,326,363	PYTotalExpensesAmt
CY Total Expenses	$573,951,457	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,387,115	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$7,204,090	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,015,591,872	TotalAssetsBOYAmt
Total Assets EOY	$1,007,922,426	TotalAssetsEOYAmt
Total Liabilities BOY	$59,198,069	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$53,579,649	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$956,393,803	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$954,342,777	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$496,257,222	ExpenseAmt
Grant	$19,863,201	GrantAmt
Revenue	$547,779,116	RevenueAmt
Desc	MOTHER XAVIER ROSS LED THE SISTERS OF CHARITY INTO THE INDIAN TERRITORY OF KANSAS IN 1858. IN 1869, THE SISTERS EXTENDED THEIR CHARITABLE WORKS INTO MONTANA TERRITORY AT THE REQUEST OF FATHER PIERRE JEAN DESMET. SAINT VINCENT HOSPITAL IN BILLINGS WAS FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH IN 1898. THE HOSPITAL OFFICIALLY OPENED ON FEBRUARY 1, 1899. THE CITY AND REGION GREW QUICKLY AND THE DEMAND FOR HEALTHCARE INCREASED DRAMATICALLY. BY 1915, THE SISTERS AND AREA MEDICAL PERSONNEL HAD CARED FOR MORE THAN 20,000 PATIENTS.DURING THE NEXT THIRTY YEARS, RAPID MEDICAL ADVANCEMENTS AND THE AREA'S GROWING POPULATION KEPT THE HOSPITAL IN A CONSTANT STATE OF CHANGE AND GROWTH, BUT TRUE TO ITS MISSION, COMPASSION AND CHARITY REMAINED AT THE FOREFRONT OF THE HOSPITAL'S ENDEAVORS. DURING THE GREAT DEPRESSION OF THE 1930S, THE SISTERS AT SAINT VINCENT HOSPITAL HELPED FEED THE HUNGRY. WITH THE ADVENT OF WORLD WAR II, VOLUNTEER SERVICES BECAME ESSENTIAL TO THE OPERATION OF THE HOSPITAL.ADAPTING TO THE CHANGES IN HEALTHCARE MEANT A NEW NAME FOR SAINT VINCENT HOSPITAL. IN NOVEMBER 2000, WE BECAME ST. VINCENT HEALTHCARE. FROM ITS MODEST BEGINNINGS OVER 100 YEARS AGO, ST. VINCENT HEALTHCARE HAS GROWN INTO ONE OF MONTANA'S LARGEST COMPREHENSIVE HOSPITALS, SERVING THE HEALTHCARE NEEDS OF OVER 400,000 PEOPLE IN A FOUR-STATE AREA. RENOWNED FOR A MISSION OF COMPASSIONATE CARE AND SERVICE TO THE POOR, THE ST. VINCENT HEALTHCARE TEAM IS CONTINUALLY RECOGNIZED AS A TECHNOLOGICAL LEADER IN THE HEALTHCARE INDUSTRY. THE NAME WAS AGAIN CHANGED IN 2021 TO SCL HEALTH - MONTANA. SCL HEALTH - MONTANA IS PART OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM.SCL HEALTH - MONTANA IS RELATED TO SCL HEALTH MEDICAL GROUP -BILLINGS, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS A GROUP OF PHYSICIAN CLINICS THAT PROVIDE PROFESSIONAL SERVICES TO THE SCL HEALTH - MONTANA COMMUNITY AND SUPPORTS THE MISSION OF SCL HEALTH - MONTANA.ALTHOUGH SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS NOT OWNED DIRECTLY BY SCL HEALTH - MONTANA, SCL HEALTH - MONTANA IS REQUIRED TO FUND ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP - BILLINGS, LLC. IN 2023, THE HOSPITAL PROVIDED $37,237,082 IN SUPPORT OF THE LOSSES OF THE PHYSICIAN CLINICS.ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED, CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS MORE THAN 66,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA.AS PART OF INTERMOUNTAIN HEALTH (INTEGRATED HEALTH SYSTEM), SCL HEALTH - MONTANA HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL. SCL HEALTH - MONTANA HAS CONSISTENTLY BEEN RATED BY PRESS GANEY IN THE TOP 95TH PERCENTILE FOR PATIENT EXPERIENCE.SCL HEALTH - MONTANA HAS A VARIETY OF PROGRAMS AND SERVICES TO SERVE THE COMMUNITY INCLUDING BUT NOT LIMITED TO:- CANCER CARE- CARDIOTHORACIC AND VASCULAR MEDICINE- EMERGENCY AND TRAUMA SERVICES (LEVEL II TRAUMA CENTER)- FAMILY MEDICINE- LABOR AND DELIVERY (LEVEL III NEONATAL INTENSIVE CARE UNIT)- ORTHOPEDICS- PALLIATIVE CARE- PEDIATRIC INTENSIVE CARE UNIT- RADIOLOGY, IMAGING AND ANCILLARY SERVICES- SPORTS MEDICINE- SURGERY CENTER- THERAPY AND REHAB SERVICES- WALK-IN CARE 7 DAYS A WEEK- WOMEN'S HEALTHDURING 2023, THE FOLLOWING STATISTICAL DATA WAS GATHERED:ADMISSIONS 12,224OUTPATIENT VISTS 223,854EMERGENCY DEPARTMENT VISITS 38,728BIRTHS 1,828SURGERIES 8,719LABORATORY TESTS 1,294,815MISSION, VISION & VALUESMISSION:WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THEPEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISION:INSPIRED BY OUR FAITH, WE WILL PARTNER WITH OUR PATIENTS ANDCOMMUNITIES TO EXCEED THEIR EXPECTATIONS FOR HEALTH.VALUES:CARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON.EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS.GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS.INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE.SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES.STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.	Desc
Total Program Service Expenses	$496,257,222	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	2377	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	COLIN QUINCY	PersonNm
Phone	8014423491	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	36 SOUTH STATE STREET	AddressLine1Txt
City	SALT LAKE CITY	CityNm
State Abbreviation	UT	StateAbbreviationCd
ZIP	84111	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (42 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
YEVGENIY AREFIEV
FORMER HIGHEST COMPENSATED	0.00	50.00	Yes (X)	$0	$1,150,512	$50,783
BRYAN JOHNSON
INTERIM PRESIDENT, MT REGION (PARTIAL)	22.00	33.00		$0	$684,612	$282,612	Yes (X)	Yes (X)
JENNIFER ALDERFER
PRESIDENT, MT REGION (PARTIAL)	37.00	16.00		$0	$756,683	$42,121	Yes (X)	Yes (X)
JAMES RICHARDS
FORMER HIGHEST COMPENSATED	0.00	50.00	Yes (X)	$0	$668,877	$38,387
CHRISTOFFER SPOJA
VP CHIEF MEDICAL OFF. SVB (PARTIAL)	50.00	0.00		$425,293	$0	$254,261			Yes (X)
JAMES RITCHEY
FORMER KEY EMPLOYEE	0.00	50.00	Yes (X)	$0	$434,421	$181,079
MICHAEL BUSH
FORMER KEY EMPLOYEE	0.00	50.00	Yes (X)	$0	$414,665	$189,929
RONALD SNYDER
FORMER HIGHEST COMPENSATED	0.00	50.00	Yes (X)	$0	$530,303	$46,060
DANIEL LEWIS
FORMER HIGHEST COMPENSATED	0.00	50.00	Yes (X)	$0	$511,364	$44,890
TRENT MIHALICK
FORMER HIGHEST COMPENSATED	0.00	50.00	Yes (X)	$0	$502,689	$45,898
SHELDON NELSON
FORMER HIGHEST COMPENSATED	0.00	50.00	Yes (X)	$0	$494,736	$45,373
PAMELA PALAGI
VP FINANCE REGION MT	37.00	13.00		$386,020	$0	$148,363		Yes (X)
FRANK LAMM
FORMER HIGHEST COMPENSATED	0.00	50.00	Yes (X)	$0	$462,852	$48,917
EDEN JONES
FORMER HIGHEST COMPENSATED	0.00	50.00	Yes (X)	$0	$471,043	$27,916
EDWIN RODRIGUEZ
FORMER HIGHEST COMPENSATED	0.00	50.00	Yes (X)	$0	$432,979	$45,189
RICHARD LAMMERS
FORMER HIGHEST COMPENSATED	0.00	50.00	Yes (X)	$0	$425,378	$46,850
MELISSA FILTER
VP CHIEF NURSING OFFICER SVB	50.00	0.00		$280,996	$0	$147,837			Yes (X)
MARJORIE TEVLIN
FORMER HIGHEST COMPENSATED	0.00	50.00	Yes (X)	$0	$357,383	$45,399
ADAM SCHAFER
VP NETWORK DEVELOPMENT REGION MT	37.00	13.00		$0	$273,752	$122,709			Yes (X)
SUSAN PETERSEN MD
DIRECTOR	1.00	52.00		$0	$330,406	$15,404	Yes (X)
TRACY NEARY
VP MISSION INTEGRATION REGION MT	37.00	13.00		$227,988	$0	$111,563			Yes (X)
KRIKOR JANSEZIAN
FORMER KEY EMPLOYEE	0.00	50.00	Yes (X)	$0	$313,266	$16,568
DUSTIN STRANDELL
DIRECTOR SENIOR SVC LINES	50.00	0.00		$212,974	$0	$80,091				Yes (X)
HEATHER BRENDEN
SENIOR DIRECTOR HR BUSINESS PARTNER SVB	50.00	0.00		$225,102	$0	$62,955				Yes (X)
JACQUELINE HINES
DIRECTOR SENIOR SURG AND PROCEDURAL SERVICES	50.00	0.00		$211,600	$0	$70,885				Yes (X)
JOELLEN MAURER
DIRECTOR PHARMACY	50.00	0.00		$224,278	$0	$48,616				Yes (X)
HEATHER STAMEY
DIRECTOR SENIOR EMERGENCY AND CRITICAL CARE SVB	50.00	0.00		$181,226	$0	$74,957			Yes (X)
JENNY PAULSON
RN SHIFT COORDINATOR	50.00	0.00		$209,533	$0	$10,054				Yes (X)
BECKY RENO
DIRECTOR	1.00	2.00		$0	$0	$0	Yes (X)
BERNARD MCCARTHY
DIRECTOR	1.00	2.00		$0	$0	$0	Yes (X)
CHARLES NOTBOHM
SECRETARY	1.00	2.00		$0	$0	$0	Yes (X)	Yes (X)
CHRISTOPHER EDWARDS
VICE CHAIR	1.00	2.00		$0	$0	$0	Yes (X)	Yes (X)
CINDY SORICH
DIRECTOR	1.00	2.00		$0	$0	$0	Yes (X)
COLLEEN O'LEARY
DIRECTOR	1.00	2.00		$0	$0	$0	Yes (X)
DANETTE GLEASON
CHAIR	1.00	2.00		$0	$0	$0	Yes (X)	Yes (X)
KAREN FAGG
DIRECTOR	1.00	4.00		$0	$0	$0	Yes (X)
MAJEL RUSSELL
DIRECTOR	1.00	2.00		$0	$0	$0	Yes (X)
MISTY STEADMAN
DIRECTOR	1.00	2.00		$0	$0	$0	Yes (X)
MJ JANSSEN
DIRECTOR	1.00	2.00		$0	$0	$0	Yes (X)
NGUYEN-VU PHAM
DIRECTOR	1.00	4.00		$0	$0	$0	Yes (X)
SISTER EILEEN HURLEY
DIRECTOR	1.00	2.00		$0	$0	$0	Yes (X)
SISTER JUDITH JACKSON
DIRECTOR	1.00	2.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,585,010	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,215,921	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,345,666	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	314	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$10,589,744	RelatedOrganizationsAmt
Total Contributions	$10,589,744	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICES	Desc
Business	620000	BusinessCd
Total Revenue Column	$546,375,682	TotalRevenueColumnAmt
Related Or Exempt Func Income	$542,952,698	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,422,984	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$546,375,682	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,348,210	TotalRevenueColumnAmt
Exclusion	$23,348,210	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$26,568	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$38,186	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$11,618	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$11,618	TotalRevenueColumnAmt
Exclusion	-$11,618	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,556,247	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$2,397,745	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$841,498	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$841,498	TotalRevenueColumnAmt
Exclusion	-$841,498	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA SALES	720000	$1,488,209	$1,196,616	$291,593
PARKING LOT FEES	530000	$299,628	$299,628
LAUNDRY SERVICE - JV	810000	-$93,031	-$93,031

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$221	TotalRevenueColumnAmt
Related Or Exempt Func Income	$221	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,695,027	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$581,155,547	TotalRevenueColumnAmt
Related Or Exempt Func Income	$544,356,132	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,714,577	UnrelatedBusinessRevenueAmt
Exclusion	$22,495,094	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$19,863,201	TotalAmt
Program Services	$19,863,201	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,182,074	TotalAmt
Program Services	$3,132,003	ProgramServicesAmt
Management And General	$50,071	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$125,302,493	TotalAmt
Program Services	$123,330,831	ProgramServicesAmt
Management And General	$1,971,662	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,508,358	TotalAmt
Program Services	$5,489,314	ProgramServicesAmt
Management And General	$19,044	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,079,274	TotalAmt
Program Services	$16,867,361	ProgramServicesAmt
Management And General	$211,913	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,534,653	TotalAmt
Program Services	$9,439,342	ProgramServicesAmt
Management And General	$95,311	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$42,914	TotalAmt
Management And General	$42,914	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$50,045	TotalAmt
Management And General	$50,045	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$118,138,185	TotalAmt
Program Services	$117,823,645	ProgramServicesAmt
Management And General	$314,540	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$138,390	TotalAmt
Program Services	$138,390	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,757,481	TotalAmt
Program Services	$1,753,690	ProgramServicesAmt
Management And General	$3,791	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$28,719,286	TotalAmt
Program Services	$111,662	ProgramServicesAmt
Management And General	$28,607,624	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,347,759	TotalAmt
Program Services	$10,141,169	ProgramServicesAmt
Management And General	$206,590	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$540,746	TotalAmt
Program Services	$472,859	ProgramServicesAmt
Management And General	$67,887	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$278,355	TotalAmt
Program Services	$154,981	ProgramServicesAmt
Management And General	$123,374	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,630,785	TotalAmt
Program Services	$2,630,785	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,824,032	TotalAmt
Program Services	$18,824,032	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,824,732	TotalAmt
Program Services	$1,824,732	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$118,937,217	$118,937,217
SHARED SERVICES - ADMIN	$21,024,345		$21,024,345
SHARED SERVICES BILLING	$17,064,988		$17,064,988
MAINTENANCE SERVICES	$10,417,555	$10,390,123	$27,432

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$42,744,589	TotalAmt
Program Services	$34,931,885	ProgramServicesAmt
Management And General	$7,812,704	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$573,951,457	TotalAmt
Program Services	$496,257,222	ProgramServicesAmt
Management And General	$77,694,235	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,261	BOYAmt
EOY	$6,758	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$67,831,692	BOYAmt
EOY	$71,896,153	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$42,438	BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,521,182	BOYAmt
EOY	$10,964,718	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,531,860	BOYAmt
EOY	$2,133,327	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$322,645,150	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$31,327,604	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$278,598,971	BOYAmt
EOY	$291,317,546	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$7,181,285	BOYAmt
EOY	$7,197,845	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$650,876,183	BOYAmt
EOY	$624,406,079	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,015,591,872	BOYAmt
EOY	$1,007,922,426	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$40,382,537	BOYAmt
EOY	$36,255,384	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$517,619	BOYAmt
EOY	$232,844	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,297,913	BOYAmt
EOY	$17,091,421	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$59,198,069	BOYAmt
EOY	$53,579,649	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$956,393,803	BOYAmt
EOY	$954,342,777	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$956,393,803	BOYAmt
EOY	$954,342,777	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,015,591,872	BOYAmt
EOY	$1,007,922,426	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$7,204,090	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$9,255,116	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$50,045	OtherActivitiesAmt
Total Lobbying Expenditures	$50,045	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1, LOBBYING ACTIVITIES:	FormAndLineReferenceDesc
Explanation	LOBBYING EXPENSES OF $50,045 WERE DERIVED FROM FEES FOR ADVOCACY SERVICES RELATED TO MONTANA LEGISLATIVE ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$47,261,047	BeginningYearBalanceAmt
Contributions	$4,087,102	ContributionsAmt
Investment Earnings Or Losses	$3,279,059	InvestmentEarningsOrLossesAmt
Other Expenditures	$5,758,518	OtherExpendituresAmt
End Year Balance	$48,868,690	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$56,646,748	BeginningYearBalanceAmt
Contributions	$4,202,307	ContributionsAmt
Investment Earnings Or Losses	-$6,202,412	InvestmentEarningsOrLossesAmt
Other Expenditures	$7,385,596	OtherExpendituresAmt
End Year Balance	$47,261,047	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,363,477	BeginningYearBalanceAmt
Contributions	$1,844,356	ContributionsAmt
Investment Earnings Or Losses	$3,880,208	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,441,293	OtherExpendituresAmt
End Year Balance	$56,646,748	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$48,881,586	BeginningYearBalanceAmt
Contributions	$4,723,259	ContributionsAmt
Investment Earnings Or Losses	$4,256,990	InvestmentEarningsOrLossesAmt
Other Expenditures	$3,498,358	OtherExpendituresAmt
End Year Balance	$54,363,477	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$42,024,169	BeginningYearBalanceAmt
Contributions	$5,005,363	ContributionsAmt
Investment Earnings Or Losses	$4,621,764	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,769,710	OtherExpendituresAmt
End Year Balance	$48,881,586	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.28400	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.37160	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.34440	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,082,987	OtherCostOrOtherBasisAmt
Book Value	$39,082,987	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$336,380	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$169,021,295	OtherCostOrOtherBasisAmt
Depreciation	$10,392,541	DepreciationAmt
Book Value	$158,965,134	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,910,243	OtherCostOrOtherBasisAmt
Depreciation	$334,292	DepreciationAmt
Book Value	$1,575,951	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,373,068	OtherCostOrOtherBasisAmt
Depreciation	$20,434,452	DepreciationAmt
Book Value	$61,938,616	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,921,177	OtherCostOrOtherBasisAmt
Depreciation	$166,319	DepreciationAmt
Book Value	$29,754,858	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$291,317,546	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLE	$548,408,530
RIGHT OF USE ASSETS	$16,809,242
OTHER ACCT RECEIVABLE	$5,152,053
3RD PARTY SETTLEMENTS	$52,969,249
JOINT VENTURE RECEIVABLES	$440,404
DEFERRED TAXES	$241,838
RENT RECEIVABLES	$384,763

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$624,406,079	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
OPERATING LEASE	$17,060,572
FINANCING LEASE	$30,849

Field	Value	IRS element (for citing)
Total Liability	$17,091,421	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	ST. VINCENT HEALTHCARE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT ST. VINCENT HOSPITAL IN AREAS INCLUDING ASSOCIATE EDUCATION, CARDIOVASCULAR, CHARITY CARE, COMMUNITY HEALTH & WELLNESS, GREATEST NEED, MOM/BABY & PEDIATRICS, NEUROSCIENCES, ONCOLOGY, SPIRITUAL CARE, WOMEN'S SERVICES, AND OTHER SERVICES AND PROGRAMS. THERE ARE ALSO BOARD-DESIGNATED ENDOWMENTS WHICH THE BOARD HAS THE RIGHT TO EXPEND AT ANY TIME.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	500.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,257,398	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,257,398	NetCommunityBenefitExpnsAmt
Total Expense	0.01110	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,182,679	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,793,529	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,389,150	NetCommunityBenefitExpnsAmt
Total Expense	0.00600	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,146,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,229,270	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,586,409	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$74,022,799	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,646,548	NetCommunityBenefitExpnsAmt
Total Expense	0.01710	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$640,275	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,367	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$638,908	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,831,289	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,825,859	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,005,430	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,648,687	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,593,847	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,054,840	NetCommunityBenefitExpnsAmt
Total Expense	0.03730	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$447	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$447	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,235,772	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,235,772	NetCommunityBenefitExpnsAmt
Total Expense	0.03410	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,356,470	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,421,073	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,935,397	NetCommunityBenefitExpnsAmt
Total Expense	0.07430	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$192,942,879	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$141,443,872	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,581,945	NetCommunityBenefitExpnsAmt
Total Expense	0.09140	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$379	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$379	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$126,839	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$126,839	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,418	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,418	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$132,664	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$132,664	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$9,223,430	BadDebtExpenseAmt
Reimbursed By Medicare	$158,230,309	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$203,314,863	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$45,084,554	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 ATHLETIC MEDICINE & PERFORMANCE LLC
PHYSICAL THERAPY	0.33330	0.49580
2 ROCKY MOUNTAIN HEALTH NETWORK INC
PHO - ADMINISTRATIVE SERVICES	0.50000	0.50000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST VINCENT HEALTHCARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1233 NORTH 30TH STREET	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	SEE PART VI SUPP INFO	WebsiteAddressTxt
State License	13258	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST VINCENT HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	23	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE PART V, SECTION C	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	500.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 5: SCL HEALTH - MONTANA (REFERRED TO AS ST. VINCENT HEREAFTER) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2023. THE CHNA WAS IN COLLABORATION WITH BILLINGS CLINIC, A NONPROFIT HOSPITAL LOCATED IN BILLINGS, MT; RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT AND OPERATOR OF A FEDERALLY QUALIFIED HEALTH CENTER; AND THE REHABILITATION HOSPITAL OF MONTANA. ADDITIONALLY, PRC, A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM, WAS UTILIZED TO CONDUCT THE CHNA AND A STEERING COMMITTEE PROVIDED GUIDANCE CONSISTING OF REPRESENTATIVES FROM PUBLIC HEALTH, FAITH-BASED ORGANIZATIONS, GOVERNMENT ENTITIES, SOCIAL SERVICE AGENCIES, AND PRIVATE BUSINESS.THE CHNA INCORPORATED INPUT FROM THE FOLLOWING: PRIMARY QUANTITATIVE DATA INCLUDING TELEPHONE SURVEYS OF 400 HOUSEHOLDS AND ADDITIONAL ONLINE SURVEYS, SECONDARY QUANTITATIVE DATA INCLUDING EXISTING PUBLIC HEALTH DATA, AND PRIMARY QUALITATIVE DATA INCLUDING ONLINE KEY INFORMANT SURVEYS. THE SAMPLE FOR THE 400 HOUSEHOLD TELEPHONE SURVEY IS REPRESENTATIVE OF THE YELLOWSTONE COUNTY POPULATION IN TERMS OF DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS, AS WELL AS GEOGRAPHIC LOCATION. IN ADDITION, COMMUNITY OUTREACH CONDUCTED AN ONLINE SURVEY. COMMUNITY HEALTH WORKERS CONDUCTED ADDITIONAL SURVEYS TO OVERSAMPLE KEY DEMOGRAPHIC POPULATIONS, WHICH YIELDED AN ADDITIONAL 294 RESPONSES. BASED ON THE SAMPLE SIZE OF 694 RESPONDENTS, WE CAN BE 95% CONFIDENT THAT THE RESPONSES TO THE SURVEY QUESTIONS ARE REPRESENTATIVE OF THE SERVICE AREA POPULATION, PLUS OR MINUS 3.7%. THE 2023 CHNA WAS A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED IN 2020, 2017, 2014, 2011, AND 2006 WHICH ALLOWED FOR TRENDING OVER TIME.AN ONLINE SURVEY SOLICITED INPUT FROM KEY INFORMANTS, AND A TOTAL OF 86 COMMUNITY STAKEHOLDERS TOOK PART, INCLUDING REPRESENTATIVES OF COMMUNITY-BASED ORGANIZATIONS, EDUCATION, GOVERNMENT, BUSINESS, HEALTHCARE, AND PUBLIC HEALTH. THROUGHOUT THE PROCESS, REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS PROVIDED INPUT.
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 6A: ST. VINCENT CONDUCTED THE 2023 CHNA IN COLLABORATION WITH BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT, AND THE REHABILITATION HOSPITAL OF MONTANA, A SPECIALTY HOSPITAL LOCATED IN BILLINGS.
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 6B: ST. VINCENT CONDUCTED THE 2023 CHNA WITH RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT. IN ADDITION, 93 REPRESENTATIVES FROM BUSINESS, COMMUNITY, EDUCATION, FAITH-BASED ORGANIZATIONS, SOCIAL SERVICE AGENCIES, AND GOVERNMENT ENTITIES WERE INVOLVED IN THE CHNA PROCESS AS MEMBERS OF THE CHNA ADVISORY GROUP WHICH PROVIDED GUIDANCE IN THE CHNA PROCESS.ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7A: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/-/MEDIA/FILES/INTERMOUNTAIN-HEALTH/CHNA-REPORTS---PEAKS/ST-VINCENT-CHNA-2023.ASHXST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7B: HTTPS://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG/WP-CONTENT/UPLOADS/2023/01/2023-PRC-CHNA-REPORT-YELLOWSTONE-COUNTY-MT.PDF
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 7D: A PRESS CONFERENCE WAS HELD ON JANUARY 1, 2023, TO REPORT THE CHNA RESULTS AND PROVIDE A SUMMARY OF KEY FINDINGS. THE CHNA IS ALSO AVAILABLE ON THE ST. VINCENT AND HEALTHY BY DESIGN COALITION WEBSITES: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/WHO-WE-ARE/CHNA-REPORTS HTTP://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORGST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 10A:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/-/MEDIA/FILES/INTERMOUNTAIN-HEALTH/CHNA-REPORTS---PEAKS/CHIP-SVH-2024.ASHXHTTPS://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG/WP-CONTENT/UPLOADS/2023/06/PLAN_2023-2026YELLOWSTONECOUNTYCHIP_FINAL_2023.06.30.PDF
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 11: THE 2023 CHNA IDENTIFIED 11 AREAS OF OPPORTUNITY AND WERE EVALUATED AND PRIORITIZED BY APPLYING THE FOLLOWING CRITERIA: RANKING IN COMPARISON TO NATIONAL AND STATE LEVEL BENCHMARK DATA; IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; MAGNITUDE IN TERMS OF NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. IN ALPHABETICAL ORDER, AREAS OF OPPORTUNITY IDENTIFIED IN THE 2023 CHNA:1. ACCESS TO HEALTHCARE SERVICES2. CANCER3. DIABETES4. HEART DISEASE AND STROKE5. INJURY AND VIOLENCE6. MENTAL HEALTH7. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT8. POTENTIALLY DISABLING CONDITIONS9. RESPIRATORY DISEASES 10. SEXUAL HEALTH11. SUBSTANCE ABUSECOMMUNITY STAKEHOLDERS REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS CONVENED TO EVALUATE, DISCUSS, AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY. PARTICIPANTS EVALUATED EACH OF THE 11 IDENTIFIED AREAS OF OPPORTUNITY USING THE CRITERIA OF SCOPE AND SEVERITY, AND ABILITY TO IMPACT. THIS PROCESS YIELDED THE TOP PRIORITIZED COMMUNITY NEEDS, WITH THE TOP FOUR IDENTIFIED AS: 1. MENTAL HEALTH2. SUBSTANCE USE 3. ACCESS TO HEALTH CARE4. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHTFOLLOWING THE COMMUNITY'S PRIORITIZATION OF THE NEEDS, ST. VINCENT'S COMMUNITY BENEFIT COMMITTEE OF THE MONTANA MARKET BOARD OF DIRECTORS AND ST. VINCENT'S LEADERSHIP TEAM REVIEWED THE DATA AND PRIORITIZED BASED ON THE FOLLOWING CRITERIA: ABILITY TO IMPACT, SCOPE AND SEVERITY OF THE ISSUE, COMMUNITY PRIORITIZATION OF ISSUES, POTENTIAL COMMUNITY COLLABORATORS, AND ALIGNMENT WITH CURRENT EFFORTS AND STRATEGIES. THEY IDENTIFIED THE TOP PRIORITY NEEDS AS:1. ACCESS TO HEALTHCARE SERVICES2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE) 3. INJURY AND VIOLENCE4. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHTST. VINCENT IS ADDRESSING THESE IDENTIFIED HEALTH NEEDS THROUGH BOTH COLLABORATIVE COMMUNITY EFFORTS AND SPECIFIC HOSPITAL EFFORTS.ACCESS TO HEALTHCARE SERVICES:IN THE 2023 CHNA, 45.4% OF YELLOWSTONE COUNTY ADULTS REPORTED SOME DIFFICULTY OR DELAY IN OBTAINING HEALTHCARE SERVICES IN THE PAST YEAR. THE COUNTY HAS A RATE OF 67% OF INDIVIDUALS RECEIVING A ROUTINE CHECKUP, WHICH WAS LOWER THAN STATE AVERAGE OF 74.9%. YELLOWSTONE COUNTY RESIDENTS EXPERIENCE HEALTHCARE PROVIDER SHORTAGES BASED ON GEOGRAPHIC PROXIMITY AND LOW INCOME. TO ENHANCE ACCESS TO HEALTHCARE SERVICES, ESPECIALLY FOR RESIDENTS IN RURAL AND TRIBAL COMMUNITIES, ST. VINCENT OPENED PRIMARY CARE AND WALK-IN CLINICS IN LOCKWOOD AND WEST BILLINGS, MT, AND EXPANDED VIRTUAL HEALTH SERVICES WITH AN AVERAGE OF 1,171 VIRTUAL HEALTH VISITS EACH MONTH IN 2023. ST. VINCENT ALSO PROVIDED OUTREACH SERVICES SUCH AS MOBILE MAMMOGRAPHY AND PEDIATRIC AND SPECIALTY PROVIDERS OFFERING CLINICAL HOURS AT OUTLYING HOSPITALS. MOBILE MAMMOGRAPHY PROVIDED SCREENINGS TO 3,452 WOMEN AT 60 LOCATIONS, INCLUDING 528 SCREENINGS AT INDIAN HEALTH SERVICE SITES ON THE CROW AND NORTHERN CHEYENNE RESERVATIONS, AND OUTREACH SERVICES PROVIDED 16 OUTLYING COMMUNITIES WITH 16 AREAS OF SPECIALTY CARE. TO INCREASE WORKFORCE CAPACITY FOR HEALTHCARE SERVICES, ST. VINCENT PROVIDES CLINICAL ROTATIONS FOR PHYSICIANS, NURSING, DIETITIAN, PHYSICAL AND OCCUPATIONAL THERAPY, LABORATORY, PARAMEDIC, AND PHARMACY STUDENTS. ADDITIONALLY, ST. VINCENT OFFERS THE ONLY ACCREDITED CLINICAL PASTORAL EDUCATION (CPE) PROGRAM IN THE STATE. IN 2023 THE FOLLOWING NUMBER OF STUDENTS OR INTERNS COMPLETED ROTATIONS: 55 NURSING, 4 PHARMACY, 5 PHYSICAL THERAPY, 6 OCCUPATIONAL THERAPY, 1 SPEECH LANGUAGE PATHOLOGY, 5 DIETETICS, 29 PARAMEDICS, 3 LABORATORY, AND 11 CPE. TO SUPPORT WORKFORCE DEVELOPMENT OF PHYSICIANS, ST. VINCENT PROVIDED LEADERSHIP AND FINANCIAL SUPPORT TO THE MONTANA FAMILY PRACTICE RESIDENCY PROGRAM, WHICH TRAINED 26 RESIDENTS. IN ADDITION, ST. VINCENT OFFERS A MEDICATION ASSISTANCE PROGRAM PROVIDING ASSISTANCE TO LOW-INCOME, UNINSURED INDIVIDUALS TO OBTAIN FREE OR DISCOUNTED PRESCRIPTION MEDICATIONS DIRECTLY FROM PHARMACEUTICAL COMPANIES. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE):YELLOWSTONE COUNTY ADULTS REPORTED HIGHER RATES OF DEPRESSIVE DISORDER (33.3%) THAN STATE OR NATIONAL RATE. THE PERCENTAGE OF ADULTS IN THE COUNTY REPORTING THEIR OVERALL MENTAL HEALTH AS FAIR OR POOR WAS 20.7%, WHICH HAS SIGNIFICANTLY INCREASED SINCE 2005. IN THE 2023 CHNA, 33.1% OF LOW-INCOME RESIDENTS AND 41.7% OF PEOPLE OF COLOR REPORTED CONSIDERING SUICIDE AND 43.4% OF COUNTY ADULTS REPORTED BEING NEGATIVELY IMPACTED BY SUBSTANCE USE. ST. VINCENT HAS INTEGRATED BEHAVIORAL HEALTH INTO PRIMARY CARE AND MIDWIFERY CLINICS. MENTAL HEALTH SPECIALISTS ARE EMBEDDED IN CLINICS AND PROVIDE INCREASED ACCESS TO MENTAL HEALTH SERVICES AND REDUCE BARRIERS RELATED TO STIGMA. IN 2023, ST. VINCENT BEHAVIORAL HEALTH SPECIALISTS COMPLETED 4,555 IN-PERSON, TELEPHONE, AND VIRTUAL VISITS. MIDWIFERY CLINICS ARE ADDRESSING PRENATAL BEHAVIORAL HEALTH, INCLUDING CARE COORDINATORS TO FOCUS ON SCREENINGS FOR MENTAL HEALTH NEEDS AND SUBSTANCE USE AND ADDRESSING SOCIAL NEEDS.ST. VINCENT CONTINUES TO SUPPORT THE COMMUNITY CRISIS CENTER, WHICH PROVIDES ACCESS TO INTEGRATED MENTAL HEALTH SERVICES AND ASSESSMENTS, CASE MANAGEMENT, PEER SUPPORT GROUPS, SUBSTANCE USE DISORDER COUNSELING, REFERRALS TO COMMUNITY SERVICES, AND 24/7 COMMUNITY STABILIZATION RESPONSE FOR AT-RISK INDIVIDUALS IN MENTAL DISTRESS TO PREVENT HOSPITALIZATION. IN 2023, THE CENTER HAD 11,980 RESOLVED CLIENT VISITS, AND 80-85% OF THEIR CLIENTS WERE EXPERIENCING HOMELESSNESS. THE CENTER ALSO PROVIDES CRISIS INTERVENTION TRAINING FOR LAW ENFORCEMENT.ST. VINCENT ALSO INCREASED ACCESS TO MENTAL HEALTH SERVICES BY SUPPORTING A STUDENT-RUN MENTAL HEALTH CLINIC AT WALLA WALLA UNIVERSITY-BILLINGS. IN 2023, THIS CLINIC PROVIDED 866 NO-COST MENTAL HEALTH APPOINTMENTS TO INDIVIDUALS WITHOUT INSURANCE UTILIZING THE CLINICAL HOURS FROM STUDENTS COMPLETING MSW DEGREES.ST. VINCENT CONTINUES SUPPORTING COMMUNITY COLLABORATIONS ADDRESSING SUICIDE AND MENTAL HEALTH, INCLUDING THE YELLOWSTONE VALLEY SUICIDE PREVENTION COALITION. IN 2023, 218 PEOPLE ATTENDED A SUICIDE PREVENTION CONFERENCE PROVIDED BY THE YELLOWSTONE VALLEY SUICIDE PREVENTION COALITION AND HOSTED BY ST. VINCENT. THROUGH COLLABORATION WITH THE COALITION, 1,050 COMMUNITY MEMBERS RECEIVED QPR TRAINING, WHICH PROMOTES SUICIDE PREVENTION. ST. VINCENT IS AN ACTIVE MEMBER OF THE SUBSTANCE ABUSE CONNECT COALITION, FOCUSED ON DECREASING METHAMPHETAMINE USE IN OUR COMMUNITY AND EMPLOYEES SERVE ON THE EXECUTIVE COMMITTEE. ST. VINCENT IS ALSO A MEMBER OF THE HEALTHY BY DESIGN COALITION, WHICH ADOPTED A COLLECTIVE COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS BEHAVIORAL HEALTH CONCERNS THROUGH AN UPSTREAM APPROACH. THESE EFFORTS INCLUDE THE CREATION OF HEALTHY NEIGHBORHOODS, HEALTHY CONNECTIONS TO DECREASE SOCIAL ISOLATION, AND HEALTHY INVESTMENTS TO IMPROVE THE QUALITY OF LIFE AND LIVABILITY OF THE COMMUNITY. INJURY AND VIOLENCE: WHILE NOT A PRIORITY FOCUS FOR COMMUNITY HEALTH IMPROVEMENT UNTIL 2024, ST. VINCENT ADDRESSED THE TRENDING ISSUE OF INJURY AND VIOLENCE IN 2023 THROUGH FALL PREVENTION AND STAYING ACTIVE AND INDEPENDENT FOR LIFE PROGRAMS AND EDUCATIONAL PRESENTATIONS ON WINTER SAFETY, HELMET SAFETY, WATER SAFETY, AND SAFE GUN STORAGE SAFETY. ADDITIONALLY, 1,626 INDIVIDUALS RECEIVED STOP THE BLEED TRAINING AND HIGH SCHOOL STUDENTS RECEIVED DISTRACTED DRIVING CLASSES. IN PARTNERSHIP WITH VITALANT, ST. VINCENT HELD BLOOD DRIVES, WHICH RESULTED IN 261 DONATIONS.NUTRITION, PHYSICAL ACTIVITY, WEIGHT: THE 2023 CHNA REPORTED THAT 73.3% OF YELLOWSTONE COUNTY ADULTS ARE OVERWEIGHT OR OBESE, 27.8% OF ADULTS DAILY CONSUMED FIVE OR MORE SERVINGS OF FRUITS OR VEGETABLES, 29.3% OF ADULTS MET PHYSICAL ACTIVITY RECOMMENDATIONS, AND 33.7% OF CHILDREN REPORTED THREE OR MORE HOURS OF SCREEN TIME DURING SCHOOL FOR ENTERTAINMENT.ST. VINCENT OFFERED EVIDENCE-BASED DIABETES AND HEART DISEASE PREVENTION PROGRAMS TWICE A YEAR AT THE BILLINGS FAMILY YMCA. IN 2023, 115 INDIVIDUALS AT RISK FOR DEVELOPING TYPE 2 DIABETES OR HEART DISEASE ENROLLED IN THE PROGRAM WHICH FOCUSED ON NUTRITION EDUCATION AND PHYSICAL ACTIVITY, SUPPORTING HEALTHY LIFESTYLE CHANGES. PARTICIPANTS WHO FINISHED THE YEAR-LONG PROGRAM HAD % WEIGHT LOSS OF 10% OR 640 POUNDS OF WEIGHT LOSS. CONTINUED IN SCHED H PART V SUPPLEMENTAL INFORMATION
PART V, SECTION B, LINE 11 CONTINUED	AS PRESENTING SPONSOR OF KIDS IN MOTION, ST. VINCENT COLLABORATED WITH THE CITY OF BILLINGS AND SCHOOL DISTRICT 2 TO PROVIDE BICYCLE TUNE-UP CLINICS TO EMPOWER YOUTH TO RIDE THEIR BICYCLES TO SCHOOL. IN 2023, THE PROGRAM INSPECTED A TOTAL OF 218 STUDENT BICYCLES AT NINE SCHOOLS AND PROVIDED REPAIRS AS NEEDED. AS A SPONSORING ENTITY AND MEMBER OF THE HEALTHY BY DESIGN COALITION, ST. VINCENT AIMED TO INCREASE THE PROPORTION OF YELLOWSTONE COUNTY RESIDENTS AT A HEALTHY WEIGHT THROUGH POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE. THE COALITION'S EFFORTS INCLUDED A GARDENERS' MARKET HOSTED IN A FEDERALLY IDENTIFIED FOOD DESERT WITHIN A LOW-INCOME NEIGHBORHOOD. THE GARDENERS' MARKET ACCEPTED SNAP, WIC, AND SENIOR FARMERS MARKET NUTRITION PROGRAM PAYMENTS, WHICH INCREASED ACCESS TO FRESH AND AFFORDABLE PRODUCE. MARKET ATTENDEES REPORTED AN 87% INCREASE IN THEIR CONSUMPTION OF FRUITS AND VEGETABLES. ST. VINCENT ALSO PROVIDED INDIVIDUAL INTERVENTIONS FOR HEALTHY WEIGHT THROUGH THE WEIGHT MANAGEMENT CLINIC. BARIATRIC PATIENTS REDUCED THEIR BMI AT ONE YEAR POST-OPERATION FROM 44.5 TO 32.4. PEDIATRIC SPECIALITY CLINIC OFFERED PEDIATRIC WEIGHT MANAGEMENT SERVICES. OTHER SIGNIFICANT NEEDS NOT PRIORITIZED: ST. VINCENT RECOGNIZES OTHER HEALTH NEEDS AND INDICATORS IDENTIFIED IN THE CHNA PROCESS ARE IMPORTANT FOR THE HOSPITAL AND COMMUNITIES IT SERVES. NUMEROUS OTHER ORGANIZATIONS ARE CONCURRENTLY ADDRESSING THE OTHER NEEDS THAT WERE NOT PRIORITIZED BY ST. VINCENT. DUE TO LIMITED EXPERTISE AND RESOURCES, ST. VINCENT NARROWED ITS PRIORITY HEALTH NEEDS TO THE FOUR HEALTH NEEDS DISCUSSED. ST. VINCENT CONTINUED TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ADDRESS THESE HEALTH NEEDS:CANCER: IN 2023, ST. VINCENT SCREENED 524 PATIENTS FOR LUNG CANCER USING LOW-DOSE CT SCANS. THE MOBILE MAMMOGRAPHY COACH PROVIDED MAMMOGRAMS TO 3,452 WOMEN AT 60 LOCATIONS, INCLUDING 528 SCREENINGS AT INDIAN HEALTH SERVICE SITES. DIABETES: ST. VINCENT OFFERED TWO SESSIONS OF PREVENTIVE PROGRAMS FOR DIABETES AND HEART DISEASE AT THE BILLINGS FAMILY YMCA IN CORRELATION WITH OUR HEALTHY WEIGHT STATUS PRIORITY. ADDITIONALLY, ST. VINCENT PROVIDED FREE DIABETES SCREENINGS AT EVENTS THAT TARGETED AT-RISK POPULATIONS, INCLUDING THE MATE SHOW AND POWWOWS. HEART DISEASE AND STROKE: ST. VINCENT OFFERED A BROAD ARRAY OF SERVICES, INCLUDING CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, ADVANCED THROMBECTOMY-CAPABLE STROKE CENTER CERTIFICATION, AND CARDIAC REHABILITATION. THE HEALTHY WEIGHT STATUS PRIORITY ALSO ADDRESSED THE PREVENTION OF HEART DISEASE.INFANT HEALTH AND SEXUAL HEALTH: ST. VINCENT OFFERED MATERNAL FETAL MEDICINE WITH OUTREACH TO RURAL COMMUNITIES, AND OUR MIDWIFERY CLINIC PROVIDED OUTREACH TO TRIBAL COMMUNITIES. BEHAVIORAL HEALTH SCREENINGS WERE PROVIDED AT PRENATAL APPOINTMENTS, AND OTHER TARGETED INTERVENTIONS WERE DEVELOPED FOR HIGH-RISK PARENTS. POTENTIAL DISABLING CONDITIONS: ST. VINCENT IS A MEMBER OF THE DEMENTIA FRIENDLY BILLINGS COALITION AND PARTICIPATED IN THE AGE FRIENDLY BILLINGS INITIATIVE. RESPIRATORY DISEASE: LOW-DOSE CT SCANS WERE OFFERED TO 524 CURRENT AND FORMER HEAVY SMOKERS TO SCREEN FOR LUNG CANCER. ST. VINCENT PROVIDED TOBACCO CESSATION INFORMATION IN CONJUNCTION WITH SCREENINGS AND PULMONARY REHABILITATION SERVICES. SOCIAL DETERMINANTS OF HEALTH: ST. VINCENT RECOGNIZED THE EMERGING NEED TO ADDRESS UNDERLYING FACTORS THAT INFLUENCE COMMUNITY HEALTH, SUCH AS EDUCATION, HOUSING, EARLY CHILDHOOD DEVELOPMENT, AND ECONOMIC SECURITY. ST. VINCENT SPONSORED THE FOSTER GRANDPARENT PROGRAM, WHICH ALLOWED LOW-INCOME SENIORS TO MENTOR AT-RISK STUDENTS AT SCHOOLS AND HEAD START CENTERS IN THREE COUNTIES AND ONE RESERVATION. THE PROGRAM VOLUNTEERS PROVIDED 9,244 HOURS OF SERVICE THAT RESULTED IN IMPROVED ACADEMIC SCORES. ST. VINCENT PARTICIPATED WITH THE CONTINUUM OF CARE COALITION TO ADDRESS HOUSING FOR INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 16A, 16B, 16C: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMING

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SCL HEALTH ST VINCENT MS CENTER
1041 N 29TH ST	BILLINGS	MT	59101	OUTPATIENT PHYSICIAN CLINIC
2 - SCL HEALTH ST VINCENT NEUROLOGY
1041 N 29TH ST	BILLINGS	MT	59101	OUTPATIENT PHYSICIAN CLINIC
3 - SCL HEALTH ST VINCENT NEUROSURGERY
1041 N 29TH ST	BILLINGS	MT	59101	OUTPATIENT PHYSICIAN CLINIC
4 - SCL HEALTH ST VINCENT ORTHOPEDICS
2900 12TH AVE N	BILLINGS	MT	59101	OUTPATIENT PHYSICIAN CLINIC
5 - SCL HEALTH ST VINCENT RHEUMATOLOGY
2900 12TH AVE N	BILLINGS	MT	59101	OUTPATIENT PHYSICIAN CLINIC
6 - CANCER CENTERS OF MONTANA
1315 GOLDEN VALLEY CIR	BILLINGS	MT	59102	OUTPATIENT PHYSICIAN CLINIC
7 - CANCER CENTERS OF MONTANA
1315 GOLDEN VALLEY CIR	BILLINGS	MT	59102	OUTPATIENT PHYSICIAN CLINIC
8 - ST VINCENT NEUROLOGY HOSPITALISTS
1233 N 30TH ST	BILLINGS	MT	59101	OUTPATIENT PHYSICIAN CLINIC
9 - SCL HEALTH MEDICAL GROUP - RED LODGE
810 N BROADWAY	REDLODGE	MT	59086	OUTPATIENT PHYSICIAN CLINIC
10 - CANCER CENTERS OF MONTANA
1315 GOLDEN VALLEY CIR	BILLINGS	MT	59102	OUTPATIENT PHYSICIAN CLINIC
11 - SCL CANCER CENTERS OF MONTANA
2600 WILSON STREET	MILES CITY	MT	59301	OUTPATIENT PHYSICIAN CLINIC
12 - ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	PHYSICAL THERAPY
13 - FIRST FLIGHT OF WYOMING LLC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	AIR AMBULANCE SERVICES

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	MAXIMUM FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). APPLICANTS EQUAL TO OR BELOW THIS THRESHOLD RECEIVE A 100% WAIVER OF PATIENT FINANCIAL OBLIGATION.A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 250% AND 500% OF FPG.TO DETERMINE ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE, A VARIETY OF FACTORS IS USED, INCLUDING INCOME, MEDICAL INDIGENCE, INSURANCE STATUS, SOCIAL-ECONOMIC, GEOGRPAHICAL LOCATION, AND MEDICAID ELIGIBILITY.TOTAL CHARGES ARE LIMITED IN RELATION TO THE GROSS HOUSEHOLD INCOME. CHARGES ARE DISCOUNTED TO NOT EXCEED 25% OF GROSS ANNUAL HOUSEHOLD INCOME.SINCE EACH PATIENT'S CIRCUMSTANCES VARY, ALLOWANCE IS MADE FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.
PART I, LINE 6A:	THIS ORGANIZATION IS PART OF THE INTERMOUNTAIN HEALTH CARE, INC. SYSTEM WHICH PREPARES AN ANNUAL REPORT TO THE COMMUNITY ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, INTERMOUNTAIN HEALTH CARE, INC.
PART I, LINE 7:	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $9,223,430.
PART II, COMMUNITY BUILDING ACTIVITIES:	ST. VINCENT RECOGNIZES THE NEED TO ADDRESS UNDERLYING FACTORS THAT INFLUENCE HEALTH IN OUR COMMUNITY SUCH AS EDUCATION, HOUSING, EARLY CHILDHOOD DEVELOPMENT, AND ECONOMIC SECURITY. WE SPONSOR THE FOSTER GRANDPARENT PROGRAM WITH LOW-INCOME SENIORS MENTORING STUDENTS IN NEED AT SCHOOLS, AFTER-SCHOOL PROGRAMS, AND HEAD START CENTERS IN THREE COUNTIES AND ON ONE RESERVATION, RESULTING IN IMPROVED ACADEMIC SCORES. IN 2023, FOSTER GRANDPARENT VOLUNTEERS PROVIDED 9,244 HOURS MENTORING AT-RISK YOUTH. ST. VINCENT PARTICIPATED WITH THE CONTINUUM OF CARE COALITION TO ADDRESS HOUSING FOR INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS.SCHEDULE H, PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT.
PART III, LINE 2:	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.
PART III, LINE 4:	THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE PATIENT SERVICE REVENUE FOOTNOTE WHICH DESCRIBES BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGES 12 AND 13 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS, WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS. ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS. BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, BURDENS BORNE BY GOVERNMENTS ARE RELIEVED. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO.
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. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR 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.
PART V, SECTION A	WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH-ST-VINCENT-REGIONAL-HOSPITAL
PART VI, LINE 2:	ST. VINCENT LEADERS SERVE ON VARIOUS COMMUNITY BOARDS TO UNDERSTAND SPECIFIC NEEDS. ST. VINCENT ALSO UTILIZES OUTREACH AND RELATIONSHIPS WITH OTHER HOSPITALS AND CLINICS TO ASSESS BETTER THE HEALTHCARE NEEDS OF OUR RURAL MONTANA COMMUNITIES.IN ADDITION TO THE CHNA, ST. VINCENT USED SECONDARY DATA SUCH AS COUNTY HEALTH RANKINGS AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) TO DETERMINE HEALTH NEEDS FOR COUNTIES BEYOND OUR PRIMARY SERVICE AREA. ST. VINCENT ALSO UTILIZED OTHER LOCAL NEEDS ASSESSMENTS AND REPORTS FROM COMMUNITY ORGANIZATIONS SUCH AS UNITED WAY OF YELLOWSTONE COUNTY AND HRDC.
PART VI, LINE 3:	THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS AND THROUGH THE PATIENT PORTAL, MYCHART. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4:	POPULATION AND GEOGRAPHY: ST. VINCENT'S PRIMARY SERVICE AREA INCLUDES YELLOWSTONE COUNTY, ENCOMPASSING 2,633 SQUARE MILES AND A POPULATION OF 160,390 RESIDENTS. BETWEEN THE 2000 AND 2020 US CENSUSES, THE COUNTY POPULATION INCREASED 11.3%, A GREATER PROPORTIONAL INCREASE THAN IN MONTANA AND THE NATION. YELLOWSTONE COUNTY IS PREDOMINANTLY URBAN, WITH 83.3% OF THE POPULATION LIVING IN AREAS DESIGNATED AS URBAN WITH SURROUNDING RURAL AND FRONTIER COUNTIES.HOSPITALS IN THE SERVICE AREA: THERE ARE TWO ACUTE CARE HOSPITALS IN YELLOWSTONE COUNTY: ST. VINCENT HEALTHCARE AND BILLINGS CLINIC, A NON-PROFIT HEALTH SYSTEM HOSPITAL. THERE IS ALSO AN ACUTE REHABILITATION HOSPITAL, THE REHABILITATION HOSPITAL OF MONTANA, LOCATED IN BILLINGS.AGE: IN YELLOWSTONE COUNTY, 23.4% OF THE POPULATION ARE AGE 0-17, 59.6% ARE AGE 18 TO 64, AND 17.0% ARE AGE 65 AND OLDER. RACE AND ETHNICITY: THE MAJORITY OF YELLOWSTONE COUNTY RESIDENTS OR 89.2% ARE WHITE, 4.0% ARE NATIVE AMERICAN, 2.8% ARE ANOTHER RACE, AND 4.1% MULTIPLE RACES. A TOTAL OF 5.9% OF YELLOWSTONE COUNTY RESIDENTS ARE HISPANIC OR LATINO, WHICH IS HIGHER THAN THE STATE OF MONTANA PREVALENCE. POVERTY AND ECONOMICS: THE LATEST CENSUS ESTIMATE SHOWS 9.6% OF THE YELLOWSTONE COUNTY POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 4,176 CHILDREN. IN YELLOWSTONE COUNTY, 5.2% OF ADULTS OVER AGE 25 DO NOT HAVE A HIGH SCHOOL EDUCATION. THE UNEMPLOYMENT RATE IS 2.5% AND DECREASED SINCE 2020. OTHER ECONOMIC INDICATORS INCLUDE 26.1% OF COUNTY RESIDENTS ARE WORRIED OR STRESSED ABOUT HAVING ENOUGH MONEY TO PAY THEIR RENT OR MORTGAGE AND 30.8% OF PERSONS OF COLOR REPORT HAVING LIVED WITH A FRIEND OR RELATIVE BECAUSE OF AN EMERGENCY. APPROXIMATELY 31,000 RESIDENTS HAVE LOW FOOD ACCESS, AND 21.3% OF ADULTS FIND IT DIFFICULT TO ACCESS AFFORDABLE FRESH FRUITS AND VEGETABLES. HEALTH STATUS: MOST YELLOWSTONE COUNTY RESIDENTS RATED THEIR OVERALL HEALTH FAVORABLY, WITH 84.7% RATING IT AS EXCELLENT, VERY GOOD, OR GOOD. HOWEVER, 15.3% OF ADULTS BELIEVED THEIR HEALTH WAS FAIR OR POOR. LOW-INCOME ADULTS, PERSONS OF COLOR, AND ADULTS 65 AND OLDER HAD HIGHER RATES OF IDENTIFYING THEIR HEALTH AS FAIR OR POOR.UNINSURED RATE: 9.6% OF PEOPLE IN YELLOWSTONE COUNTY ARE UNINSURED, WHICH IS HIGHER THAN THE U.S AVERAGE OF 9.3%.
PART VI, LINE 5:	ST. VINCENT ADHERED TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT." ST. VINCENT'S COMMUNITY BENEFIT WORK WAS DRIVEN BY IDENTIFIED COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS AND THE BROADER COMMUNITY. A COMMUNITY BENEFIT REPORT TO THE COMMUNITY IS PUBLISHED ANNUALLY AND FOUND AT: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/-/MEDIA/FILES/INTERMOUNTAIN-HEALTH/CHNA-REPORTS---PEAKS/SVH_COMMUNITY-HEALTH-ANNUAL-REPORT_FINAL-2022.ASHXST. VINCENT INTEGRATED COMMUNITY BENEFIT STRATEGIES IN THE ORGANIZATIONAL STRATEGIC PLAN INCLUDE PROGRAMS AND EDUCATION OFFERED BY VARIOUS ORGANIZATIONAL STAFF AND HAS DEDICATED STAFF COMMITTED TO COMMUNITY BENEFIT EFFORTS. HOSPITAL LEADERS, MANAGERS, AND SUPERVISORS PARTICIPATE ANNUALLY IN COMMUNITY BENEFIT SERVICE EVENTS WITH NONPROFIT ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH.MONTANA MARKET'S BOARD OF DIRECTORS IS A VOLUNTEER GOVERNING BODY THAT INCLUDES INDEPENDENT PERSONS REPRESENTING THE COMMUNITY. WITHIN THE BOARD OF DIRECTORS, THERE IS A SPECIFIC COMMUNITY BENEFIT BOARD LEVEL COMMITTEE. THIS COMMITTEE WAS DEEPLY INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND PROVIDED DIRECTION TO THE DEVELOPMENT OF THE ORGANIZATION'S IMPROVEMENT PLAN IN RESPONSE TO THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL'S COMMUNITY BENEFIT BOARD COMMITTEE MONITORS THE IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND PROVIDES REPORTS BACK TO THE FULL MARKET BOARD.ST. VINCENT OPERATES AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. ST. VINCENT ENGAGED IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS, TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS, AND PARTICIPATED IN MEDICAID, MEDICARE, AND OTHER GOVERNMENT-SPONSORED HEALTH PROGRAMS. ST. VINCENT EMPLOYS THE STAFF OF THE ST. VINCENT HEALTHCARE FOUNDATION, A NONPROFIT ORGANIZATION THAT PROVIDES FUNDRAISING FOR BOTH ST. VINCENT AND COMMUNITY PROGRAMS THAT BENEFIT BOTH THE POOR AND THE BROADER COMMUNITY. A SEPARATE FOUNDATION BOARD GOVERNS THE ST. VINCENT FOUNDATION WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN ST. VINCENT HAS EXCESS REVENUE OVER OPERATING EXPENSES, IT USES FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE THEY WILL BE ABLE TO CARE FOR FUTURE GENERATIONS. ST. VINCENT CO-LEADS COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE ALLIANCE, A COLLABORATION WITH BILLINGS CLINIC AND RIVERSTONE HEALTH, AND COMMITS TIME AND FINANCIAL RESOURCES TO FULFIL GOALS OUTLINED IN THE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY.
PART VI, LINE 6:	THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN), AN INTEGRATED HEALTH SYSTEM WHOSE VISION IS TO "BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICES AT AN AFFORDABLE COST." INTERMOUNTAIN STRIVES TO FULFILL THAT MISSION THROUGH ACCOMPLISHING ITS STATED MISSION OF "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE." INTERMOUNTAIN, IS A NONPROFIT CORPORATION EXEMPT UNDER INTERNAL REVENUE CODE 501(C)(3). AFFILIATES WITHIN THE HEALTH SYSTEM NETWORK INCLUDE NONPROFIT CORPORATIONS EXEMPT UNDER IRS 501(C)(3) AND 501(C)(4), TAXABLE CORPORATIONS, PARTNERSHIPS WITH PHYSICIANS, STRATEGIC INVESTMENTS, AND JOINT VENTURES.HEADQUARTERED IN UTAH WITH LOCATIONS IN SEVEN STATES AND ADDITIONAL OPERATIONS ACROSS THE WESTERN U.S., INTERMOUNTAIN HEALTH IS A NONPROFIT SYSTEM OF MORE THAN 66,000 CAREGIVERS, 33 HOSPITALS, 385 CLINICS, MEDICAL GROUP, A HEALTH PLAN DIVISION CALLED SELECT HEALTH WITH MORE THAN ONE MILLION MEMBERS, AND OTHER HEALTH SERVICES. HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE, INTERMOUNTAIN IS COMMITTED TO IMPROVING COMMUNITY HEALTH AND IS WIDELY RECOGNIZED AS A LEADER IN TRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TO CONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS. INTERMOUNTAIN IS WORKING TO IMPROVE THE HEALTH AND WELL-BEING BY IMPROVING MENTAL WELL-BEING, PREVENTING AVOIDABLE DISEASE, IMPROVING AIR QUALITY, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND OTHER COMMUNITY HEALTH INITIATIVES.THROUGH MULTIPLE CHARITABLE FOUNDATIONS, INTERMOUNTAIN ALSO DEVELOPS FINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTING OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL SERVICES FOR LOW-INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (20 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	237379161	501(C)(3)	$17,659,243	$0	SUPPORT MONTANA CLINICS
ST VINCENT HEALTHCARE FOUNDATION
1106 NORTH 30TH STREET	BILLINGS	MT	59101	810468034	501(C)(3)	$1,868,123	$0	SUPPORT OPERATIONS
RIVERSTONE HEALTH FOUNDATION
123 S 27TH STREET	BILLINGS	MT	59101	352332179	501(C)(3)	$29,857	$0	PROGRAM SUPPORT
BILLINGS PUBLIC LIBRARY FOUNDATION INC
510 NORTH BROADWAY	BILLINGS	MT	59101	810451892	501(C)(3)	$25,000	$0	LIBRARY EXPRESS LOCKER PROJECT
MONTANA STATE UNIVERSITY FOUNDATION
PO BOX 172750	BOZEMAN	MT	59717	816001649	501(C)(3)	$21,500	$0	PROGRAM SUPPORT
BILLINGS CATHOLIC SCHOOLS FOUNDATION
215 N 31ST STREET	BILLINGS	MT	59101	383819006	501(C)(3)	$20,500	$0	PROGRAM SUPPORT
MONTANA AMATEUR SPORTS INC
PO BOX 7136	BILLINGS	MT	59103	810431595	501(C)(3)	$17,500	$0	SUPPORT COMMUNITY HEALTH
ROCKY MOUNTAIN COLLEGE
1511 POLY DR	BILLINGS	MT	59102	810235407	501(C)(3)	$13,250	$0	SPONSORSHIP
AMERICAN CANCER SOCIETY
1903 CENTRAL AVE	BILLINGS	MT	59102	131788491	501(C)(3)	$12,500	$0	PROGRAM SUPPORT
BILLINGS CHAMBER OF COMMERCE
815 S 27TH ST	BILLINGS	MT	59101	810111570	501(C)(6)	$11,000	$0	SPONSORSHIP
BIG SKY ECONOMIC DEVELOPMENT CORPORATION
201 BROADWATER AVE	BILLINGS	MT	59101	223880639	501(C)(3)	$10,000	$0	PROGRAM SUPPORT
BILLINGS COMMUNITY FOUNDATION
404 N 30TH STREET	BILLINGS	MT	59101	204286919	501(C)(3)	$10,000	$0	PROGRAM SUPPORT
EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS
415 N 30TH STREET	BILLINGS	MT	59101	810452904	501(C)(3)	$10,000	$0	SPONSORSHIP
NATIONAL MULTIPLE SCLEROSIS SOCIETY
900 S BROADWAY SUITE 200	DENVER	CO	80209	135661935	501(C)(3)	$8,000	$0	SPONSORSHIP
BILLINGS FAMILY YMCA INC
402 NORTH 32ND STREET	BILLINGS	MT	59101	810229386	501(C)(3)	$7,500	$0	PROGRAM SUPPORT
ST JOHNS FOUNDATION
3940 RIMROCK RD	BILLINGS	MT	59102	810459472	501(C)(3)	$7,500	$0	PROGRAM SUPPORT
GALLATIN VALLEY YOUNG MENS CHRISTIAN ASSOCIATION INC
3673 LOVE LANE	BOZEMAN	MT	59718	810542574	501(C)(3)	$7,000	$0	PROGRAM SUPPORT
AMERICAN FOUNDATION FOR SUICIDE PREVENTION
199 WATER STREET 11TH FLOOR	NEW YORK	NY	10038	133393329	501(C)(3)	$6,750	$0	PROGRAM SUPPORT
ST JAMES HEALTHCARE FOUNDATION INC
400 SOUTH CLARK ST	BUTTE	MT	59701	651202190	501(C)(3)	$6,500	$0	PROGRAM SUPPORT
BILLINGS SYMPHONY SOCIETY
2820 2ND AVE N	BILLINGS	MT	59102	237083873	501(C)(3)	$6,500	$0	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	19	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	MISSION FUND POLICIES ST VINCENT HEALTHCARE PROVIDES A LIMITED NUMBER OF GRANTS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN OUR COMMUNITY. GUIDED BY HOSPITAL POLICY, MISSION FUND AWARD PROJECTS MUST: (1) DEMONSTRATE A COMMITTMENT TO THE SCL HEALTH - MONTANA MISSION, VISION, AND VALUES; (2) MEET CRITERIA FOR INCLUSION IN THE COMMUNITY BENEFIT REPORT; AND (3) DOCUMENT MEASURABLE OUTCOMES THAT DEMONSTRATE THE SUCCESS OF THE PROJECT. PREFERENCE WILL BE GIVEN WHEN THE PROJECT CAN: (1) ADDRESS CREATIVELY THE UNMET NEEDS OF THE ECONOMICALLY DISADVANTAGED; (2) FORM COLLABORATIVE PARTNERSHIPS THAT IMPROVE THE HEALTH OF THE COMMUNITY; (3) AID A SIGNIFICANT POPULATION OF THE POOR, UNDERSERVED AND/OR UNINSURED; (4) REFLECT ST VINCENT HEALTHCARE'S ANNUAL AND STRATEGIC GOALS; AND (5) DEMONSTRATE THE POSSIBILITY FOR SUSTAINABILITY BEYOND THE GRANT PERIOD. APPLICATIONS ARE REVIEWED ON AN ANNUAL BASIS BY COMMITTEE. GRANTEES ARE REQUIRED TO PROVIDE A 6-MONTH AND 1-YEAR REPORT TO ST VINCENT HEALTHCARE AND PROVIDE FOR AN ON-SITE VISIT OF THE PROGRAM. AS NOTED IN THE MISSION FUND APPLICATION, IF FUNDS ARE USED OUTSIDE OF PROJECT GUIDELINES THE GRANTEE MAY BE ASKED TO REIMBURSE ST VINCENT HEALTHCARE FOR FUNDS ALREADY DISTRIBUTED FOR THE PROJECT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
YEVGENIY AREFIEV
FORMER HIGHEST COMPENSATED	$0	$499,838	$0	$626,774	$0	$23,900	$0	$13,200	$0	$37,583	$0	$1,201,295	$0	$0
BRYAN JOHNSON
INTERIM PRESIDENT, MT REGION (PARTIA	$0	$502,548	$0	$109,425	$0	$72,639	$0	$255,252	$0	$27,360	$0	$967,224	$0	$162,823
JENNIFER ALDERFER
PRESIDENT, MT REGION (PARTIAL)	$0	$549,575	$0	$130,931	$0	$76,177	$0	$14,518	$0	$27,603	$0	$798,804	$0	$203,684
JAMES RICHARDS
FORMER HIGHEST COMPENSATED	$0	$658,834	$0	$6,652	$0	$3,391	$0	$14,278	$0	$24,109	$0	$707,264	$0	$0
CHRISTOFFER SPOJA
VP CHIEF MEDICAL OFF. SVB (PARTIAL)	$366,167	$0	$56,508	$0	$2,618	$0	$224,734	$0	$29,527	$0	$679,554	$0	$56,508	$0
JAMES RITCHEY
FORMER KEY EMPLOYEE	$0	$327,797	$0	$62,403	$0	$44,221	$0	$150,869	$0	$30,210	$0	$615,500	$0	$73,082
MICHAEL BUSH
FORMER KEY EMPLOYEE	$0	$313,152	$0	$48,455	$0	$53,058	$0	$165,638	$0	$24,291	$0	$604,594	$0	$48,455
RONALD SNYDER
FORMER HIGHEST COMPENSATED	$0	$503,094	$0	$20,000	$0	$7,209	$0	$14,714	$0	$31,346	$0	$576,363	$0	$0
DANIEL LEWIS
FORMER HIGHEST COMPENSATED	$0	$422,741	$0	$82,535	$0	$6,088	$0	$14,196	$0	$30,694	$0	$556,254	$0	$0
TRENT MIHALICK
FORMER HIGHEST COMPENSATED	$0	$494,027	$0	$0	$0	$8,662	$0	$14,353	$0	$31,545	$0	$548,587	$0	$0
SHELDON NELSON
FORMER HIGHEST COMPENSATED	$0	$314,402	$0	$175,346	$0	$4,988	$0	$14,163	$0	$31,210	$0	$540,109	$0	$0
PAMELA PALAGI
VP FINANCE REGION MT	$309,390	$0	$47,018	$0	$29,612	$0	$137,628	$0	$10,735	$0	$534,383	$0	$74,294	$0
FRANK LAMM
FORMER HIGHEST COMPENSATED	$0	$454,702	$0	$0	$0	$8,150	$0	$14,353	$0	$34,564	$0	$511,769	$0	$0
EDEN JONES
FORMER HIGHEST COMPENSATED	$0	$426,113	$0	$20,000	$0	$24,930	$0	$14,177	$0	$13,739	$0	$498,959	$0	$0
EDWIN RODRIGUEZ
FORMER HIGHEST COMPENSATED	$0	$364,429	$0	$62,290	$0	$6,260	$0	$14,253	$0	$30,936	$0	$478,168	$0	$0
RICHARD LAMMERS
FORMER HIGHEST COMPENSATED	$0	$342,451	$0	$81,401	$0	$1,526	$0	$13,909	$0	$32,941	$0	$472,228	$0	$0
MELISSA FILTER
VP CHIEF NURSING OFFICER SVB	$242,036	$0	$36,796	$0	$2,164	$0	$128,473	$0	$19,364	$0	$428,833	$0	$36,796	$0
MARJORIE TEVLIN
FORMER HIGHEST COMPENSATED	$0	$350,542	$0	$0	$0	$6,841	$0	$14,053	$0	$31,346	$0	$402,782	$0	$0
ADAM SCHAFER
VP NETWORK DEVELOPMENT REGION MT	$0	$261,298	$0	$10,565	$0	$1,889	$0	$112,625	$0	$10,084	$0	$396,461	$0	$10,565
SUSAN PETERSEN MD
DIRECTOR	$0	$222,183	$0	$106,353	$0	$1,870	$0	$12,912	$0	$2,492	$0	$345,810	$0	$0
TRACY NEARY
VP MISSION INTEGRATION REGION MT	$183,426	$0	$28,674	$0	$15,888	$0	$85,749	$0	$25,814	$0	$339,551	$0	$42,913	$0
KRIKOR JANSEZIAN
FORMER KEY EMPLOYEE	$0	$0	$0	$0	$0	$313,266	$0	$0	$0	$16,568	$0	$329,834	$0	$0
DUSTIN STRANDELL
DIRECTOR SENIOR SVC LINES	$196,885	$0	$15,178	$0	$911	$0	$60,242	$0	$19,849	$0	$293,065	$0	$15,178	$0
HEATHER BRENDEN
SENIOR DIRECTOR HR BUSINESS PARTNER	$205,830	$0	$18,305	$0	$967	$0	$43,727	$0	$19,228	$0	$288,057	$0	$15,805	$0
JACQUELINE HINES
DIRECTOR SENIOR SURG AND PROCEDURAL	$196,784	$0	$13,970	$0	$846	$0	$55,832	$0	$15,053	$0	$282,485	$0	$13,970	$0
JOELLEN MAURER
DIRECTOR PHARMACY	$205,472	$0	$17,320	$0	$1,486	$0	$34,080	$0	$14,536	$0	$272,894	$0	$15,820	$0
HEATHER STAMEY
DIRECTOR SENIOR EMERGENCY AND CRITIC	$168,777	$0	$11,793	$0	$656	$0	$53,091	$0	$21,866	$0	$256,183	$0	$11,793	$0
JENNY PAULSON
RN SHIFT COORDINATOR	$206,548	$0	$2,045	$0	$940	$0	$9,189	$0	$865	$0	$219,587	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCLHS AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECURIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
PART I, LINES 4A-B	PART I, LINE 4A SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO DEPARTING EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2023 WERE: KRIKOR JANSEZIAN - $306,324. PART I, LINE 4B PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY 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. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COSTS AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2023. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2023 WERE: JENNIFER ALDERFER - $72,753; BRYAN JOHNSON - 53,398; PAMELA PALAGI - $27,276; TRACY NEARY - $14,239; MICHAEL BUSH - $46,411; JAMES RITCHEY - $25,482.
ADDITIONAL OFFICER AND BOARD DISCLOSURES	INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	CHRISTOPHER EDWARDS BOARD	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$3,324,049	TransactionAmt
Transaction	BUSINESS	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS:	FormAndLineReferenceDesc
Explanation	CHRISTOPHER EDWARDS (BOARD MEMBER) OWNS GREATER THAN 35% OF EDWARDS JET CENTER, WHOM SCH HEALTH - MONTANA DOES BUSINESS WITH.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, LINE J WEBSITE:	HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH- ST-VINCENT-REGIONAL-HOSPITAL
FORM 990, PART V, LINE 1A	EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED.
FORM 990, PART VI, SECTION A, LINE 6	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF SCL HEALTH - MONTANA.
FORM 990, PART VI, SECTION A, LINE 7A	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF SCL HEALTH - MONTANA, HAS THE POWER TO APPOINT MEMBERS OF THE SCL HEALTH - MONTANA BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION BY THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC.
FORM 990, PART VI, SECTION A, LINE 7B	WHILE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMEBER OF SCL HEALTH - MONTANA , RESERVED POWERS ARE PRIMARILY HELD BY INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN), WHO AS A RESULT OF AFFILIATION, IS A MEMBER OF SCLHS. SCLHS, HAS THE POWER TO APPOINT TRUSTEES TO THE BOARD OF DIRECTORS, WHICH ARE SUBJECT TO RATIFICATION BY INTERMOUNTAIN. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE: - ESTABLISH THE MISSION, VISION, AND VALUES FOR THE CORPORATION; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR THE CORPORATION; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF THE CORPORATION; - FIX THE NUMBER OF TRUSTEES OF THE BOARD AND APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE CORPORATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. THE OTHER MEMBER OF SCLHS IS LEAVEN MINISTRIES, WHO WAS GRANTED THE FOLLOWING RESERVED POWERS: - TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BY ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF THE CONSOLIDATED SYSTEM PARENT SET FORTH IN THE MERGER AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE RESERVED POWERS GRANTED TO LEAVEN MINISTRIES AND THOSE OF INTERMOUNTAIN, THE LEAVEN RESERVED POWERS WILL CONTROL.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES . THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCLHS AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE, INC.'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) COMPENSATION SURVEYS AND STUDIES 5) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PROFESSIONAL MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 36,719,148. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,719,148. PHYSICIAN MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 75,774,485. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 75,774,485. OUTSIDE LABORATORY FEES: PROGRAM SERVICE EXPENSES 5,326,140. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,326,140. PROFESSIONAL CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 3,872. MANAGEMENT AND GENERAL EXPENSES 314,540. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 318,412.
FORM 990, PART XI, LINE 9:	ASBESTOS LIABILITY -2,300,000. TRANSFERS TO SUBSIDIARIES -1,204,230. FAIR VALUE ACQUISITION ADJUSTMENT -5,750,886.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	237379161	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	KS	501(C)(3)	LINE 12C, III-FI	INTERMOUNTAIN HEALTH CARE INC	Yes (1)
SCL HEALTH FOUNDATION
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	823290526	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
SCL HEALTH RESEARCH INSTITUTE INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	852014794	MEDICAL RESEARCH	CO	501(C)(3)	LINE 4	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
INTEGRITY HEALTH
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	474520350	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12C, III-FI	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
1600 PRAIRIE CENTER PARKWAY	BRIGHTON	CO	80601	840482695	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	INTEGRITY HEALTH	Yes (1)
PLATTE VALLEY MEDICAL CENTER FOUNDATION
1600 PRAIRIE CENTER PARKWAY	BRIGHTON	CO	80601	742255936	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	Yes (1)
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARD	DENVER	CO	80211	840405260	RESIDENT CARE	CO	501(C)(3)	LINE 10	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
NJH-SJH INC
500 ELDORADO BLVD SUITE 4300	DENVER	CO	80211	471194849	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	CO	501(C)(3)	LINE 12A, I	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
SAINT JOSEPH HOSPITAL INC
1375 EAST 19TH AVENUE	DENVER	CO	80218	840417134	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
SAINT JOSEPH HOSPITAL FOUNDATION
1375 EAST 19TH AVENUE	DENVER	CO	80218	840735096	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SAINT JOSEPH HOSPITAL INC	Yes (1)
SCL HEALTH - FRONT RANGE INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	841103606	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	841649162	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCL HEALTH-FRONT RANGE INC	Yes (1)
LUTHERAN MEDICAL CENTER FOUNDATION
8300 WEST 38TH AVENUE	WHEAT RIDGE	CO	80033	208846152	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCL HEALTH-FRONT RANGE INC	Yes (1)
ST MARY'S HOSPITAL & MEDICAL CENTER INC
2635 NORTH 7TH STREET	GRAND JUNCTION	CO	81501	840425720	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
ST MARY'S HOSPITAL FOUNDATION
2635 NORTH 7TH STREET	GRAND JUNCTION	CO	81501	237001007	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	ST MARYS HOSPITAL & MEDICAL CENTER INC	Yes (1)
CARITAS CLINICS INC
818 NORTH 7TH STREET	LEAVENWORTH	KS	66048	481009910	CLINIC SERVICES	KS	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
HOLY ROSARY HEALTHCARE
2600 WILSON STREET	MILES CITY	MT	59301	810231792	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON STREET	MILES CITY	MT	59301	202270238	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I	HOLY ROSARY HEALTHCARE	Yes (1)
ST JAMES HEALTHCARE
400 SOUTH CLARK STREET	BUTTE	MT	59701	810231785	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC	Yes (1)
ST JAMES HEALTHCARE FOUNDATION INC
400 SOUTH CLARK STREET	BUTTE	MT	59701	651202190	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I	ST JAMES HEALTHCARE	Yes (1)
ST VINCENT HEALTHCARE FOUNDATION INC
1106 NORTH 30TH STREET	BILLINGS	MT	59101	810468034	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	MT	501(C)(3)	LINE 7	SCL HEALTH - MONTANA	Yes (1)
INTERMOUNTAIN HEALTH CARE INC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	870269232	HOLDING COMPANY	UT	501(C)(3)	LINE 12B, II		0	N/A
INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	942853320	COMMUNITY HEALTH	UT	501(C)(3)	LINE 12B, II	INTERMOUNTAIN HEALTH CARE INC	Yes (1)
SELECTHEALTH INC
5381 GREEN STREET	MURRAY	UT	84123	870409820	DELIVERY OF HEALTH BENEFITS	UT	501(C)(4)		INTERMOUNTAIN HEALTH CARE INC	Yes (1)
INTERMOUNTAIN HEALTH CARE RETIREE VEBA
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	742675605	RETIREE BENEFIT	UT	501(C)(9)		INTERMOUNTAIN HEALTH CARE INC	Yes (1)
INTERMOUNTAIN HEALTHCARE FOUNDATION INC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	800225150	COMMUNITY HEALTH	UT	501(C)(3)	LINE 7	INTERMOUNTAIN HEALTH SERVICES INC	Yes (1)
INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC
6355 SOUTH BUFFALO	LAS VEGAS	NV	89113	200160881	HOLDING COMPANY	DE	501(C)(3)	LINE 3	INTERMOUNTAIN HEALTH SERVICES INC	Yes (1)
IHC HEALTH SERVICES INC
36 S STATE STREET SUITE 2200	SALT LAKE CITY	UT	84111	942854057	HEALTHCARE	UT	501(C)(3)	LINE 3	INTERMOUNTAIN HEALTH CARE INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (37 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
SCLH-GI ENDOSCOPY HOLDINGS LLC
382 S ARTHUR AVENUE	LOUISVILLE	CO	80027	812979243	OP ENDOSCOPY	CO	N/A	0	0
SCLTDI JV LLC
4200 SIX FORKS ROAD SUITE 1000	RALEIGH	NC	27609	472294770	RADIOLOGY	DE	N/A	0	0
ATHLETIC MEDICINE & PERFORMANCE LLC (SVB IS PARTNER)
1144 NORTH 28TH STREET	BILLINGS	MT	59101	272270640	PHYSICAL THERAPY	MT	N/A	0	0
SUMMIT SURGERY CENTER LLC
434 SOUTH CLARK STREET	BUTTE	MT	59701	810536068	OP SURGERY	MT	N/A	0	0
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTON AVENUE SUITE 21	GRAND JUNCTION	CO	81501	841505075	OP SURGERY	CO	N/A	0	0
HEALTHCARE MANAGEMENT LLC
PO BOX 1929	GRAND JUNCTION	CO	81502	841238904	MANAGEMENT SERVICES	CO	N/A	0	0
MONUMENT HEALTH LLC
744 HORIZON CT STE 260	GRAND JUNCTION	CO	81506	474424617	HEALTH CARE NETWORK	CO	N/A	0	0
PAVILION IMAGING LLC
750 WELLINGTON AVENUE	GRAND JUNCTION	CO	81501	030516198	RADIOLOGY	CO	N/A	0	0
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREET	MONTROSE	CO	81401	202856331	OP CANCER	CO	N/A	0	0
CAREFLIGHT OF THE ROCKIES LLC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	473525381	MEDICAL AIR TRANSPORT	CO	N/A	0	0
MED-MAP LLC
PO BOX 1295	BILLINGS	MT	59103	810491356	RENTAL REAL ESTATE	MT	N/A	0	0
YELLOWSTONE SURGERY CENTER LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	721519467	OP SURGERY	MT	N/A	0	0
GALLATIN VALLEY SURGERY CENTER LLC
2825 WEST MAIN STREET SUITE C	BOZEMAN	MT	59718	882505265	OP SURGERY	MT	N/A	0	0
FIRST FLIGHT OF WYOMING LLC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	921785143	MEDICAL AIR TRANSPORT	CO		0	0	ST VINCENT HEALTHCARE	RELATED	-$380,205	$3,013,104	0.65000
MCKAY DEE SURGICAL CENTER LLC
3895 HARRISON BLVD STE 200	OGDEN	UT	84403	260286308	OP SURGERY	UT	N/A	0	0
GRANDEUR PEAK INTERNATIONAL STALWARTS LP
136 S MAIN STREET STE 720	SALT LAKE CITY	UT	84101	475468723	INVESTMENTS	DE	N/A	0	0
INNOVATION FUND HOLDINGS COMPANY LLC
1000 WEST FULTON STREET STE 213	CHICAGO	IL	60607	471525723	INNOVATION	DE	N/A	0	0
HEALTHBOX SALT LAKE CITY I LLC
33 WEST MONROE STREET STE 1700	CHICAGO	IL	60603	465338772	INNOVATION	DE	N/A	0	0
INTERMOUNTAIN VENTURES FUND LLC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	844037085	INVESTMENTS	DE	N/A	0	0
PELION OPPORTUNITY FUND III LLC
2750 E COTTONWOOD PARKWAY STE 600	SALT LAKE CITY	UT	84121	842757193	INVESTMENTS	DE	N/A	0	0
AACP KOREA BUYOUT INVESTORS II LP
ONE EMBARCADERO 16TH FLOOR	SAN FRANCISCO	CA	94111	824971663	INVESTMENTS		N/A	0	0						CJ
AACP SPECIAL SITUATIONS II LP
ONE EMBARCADERO 16TH FLOOR	SAN FRANCISCO	CA	94111	832883726	INVESTMENTS		N/A	0	0						CJ
AACP KOREA BUYOUT INVESTORS IV LP
ONE EMBARCADERO 16TH FLOOR	SAN FRANCISCO	CA	94111	981549044	INVESTMENTS		N/A	0	0						CJ
LOGAN SURGERY CENTER LLC
1300 NORTH 500 EAST	LOGAN	UT	84341	861965725	OP SURGERY	UT	N/A	0	0
ST GEORGE SURGERY CENTER LLC
652 SOUTH MEDICAL CENTER DRIVE	ST GEORGE	UT	84790	853880188	OP SURGERY	UT	N/A	0	0
SALTZER ASC TEN MILE LLC
875 S VANGUARD WAY SUITE 120	MERIDIAN	ID	83642	845119941	OP SURGERY	ID	N/A	0	0
NORTHPOINTE SURGICAL CENTER LLC
2326 NORTH 400 EAST STE 100	TOOELE	UT	84074	461487986	OP SURGERY	UT	N/A	0	0
HW AE CO-INVESTMENT PARTNERS LP
2500 N MILITARY TRAIL 470	BOCA RATON	FL	33431	873405511	INVESTMENTS	DE	N/A	0	0
PERFORMANCE EQUITY GROWTH OPPORTUNITIES FUND LP
5 GREENWICH OFFICE PARK THIRD FLOOR	GREENWICH	CT	06831	853942801	INVESTMENTS	DE	N/A	0	0
MURRAY SURGERY CENTER LLC
5848 SOUTH FASHION BOULEVARD	MURRAY	UT	84107	873940183	OP SURGERY	UT	N/A	0	0
PROVO SURGERY CENTER LLC
1157 NORTH 300 WEST	PROVO	UT	84604	873623664	OP SURGERY	UT	N/A	0	0
SARATOGA SPRINGS SURGERY CENTER LLC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	873875864	OP SURGERY	UT	N/A	0	0
PARK CITY SURGERY CENTER LLC
900 ROUND VALLEY DRIVE	PARK CITY	UT	84060	844898736	OP SURGERY	UT	N/A	0	0
PARK CITY SURGICAL CENTER REAL ESTATE LLC
900 ROUND VALLEY DRIVE	PARK CITY	UT	84060	862568233	OP SURGERY	UT	N/A	0	0
CDHC 3 LLC
265 N COUNTRY MANOR LANE	ALPINE	UT	84004	873215157	INVESTMENTS	UT	N/A	0	0
ARK GLOBAL EMERGING COMPANIES LP
22 EAST 100 SOUTH 3RD FLOOR	SALT LAKE CITY	UT	84111	823044843	INVESTMENTS	UT	N/A	0	0
PELION OPPORTUNITY FUND IV LLC
14761 S FUTURE WAY SUITE 500	SALT LAKE CITY	UT	84020	853909188	INVESTMENTS	UT	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CARENT LABORATORY SOLUTIONS LLC
22240 COUNTRY ROAD 39	LASALLE	CO	80645	320557616	MEDICAL LABORATORY	CO	N/A	C	Yes (1)
CARITAS INC AND SUBSIDIARIES
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	480941069	HEALTHCARE	KS	N/A	C	Yes (1)
WEST END ASSOCIATION INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	854261243	REAL ESTATE MANAGEMENT	MT		C	Yes (1)	SCL HEALTH - MONTANA	0.61000
LEAVEN INSURANCE COMPANY LTD
				980370522	INSURANCE		N/A	C	Yes (1)			23 LIME TREE BAY AVENUE WEST BAY R	GRAND CAYMAN KY	CJ	CJ
ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	463632053	HEALTHCARE	MT	N/A	C	Yes (1)
SELECTHEALTH BENEFIT ASSURANCE COMPANY
5381 GREEN STREET	MURRAY	UT	84123	870497549	DELIVERY OF HEALTH BENEFITS	UT	N/A	C	Yes (1)
HEALTHCARE CAPTIVE INSURANCE COMPANY
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	201937561	INSURANCE	AZ	N/A	C	Yes (1)
ALLUCEO INC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	824614934	MENTAL HEALTH INTEGRATION SERVICES	DE	N/A	C	Yes (1)
SALTZER MEDICAL GROUP INC
215 EAST HAWAII AVENUE	NAMPA	ID	83686	820299231	MEDICAL SERVICES	ID	N/A	C	Yes (1)
CLASSIC MEDICAL INC
1021 SOUTH DOUGLAS STREET	SALT LAKE CITY	UT	84105	461141912	AIRCRAFT HOLDING COMPANY	UT	N/A	C	Yes (1)
CLASSIC HELICOPTERS INC
1021 SOUTH DOUGLAS STREET	SALT LAKE CITY	UT	84105	461153642	AIRCRAFT HOLDING COMPANY	UT	N/A	C	Yes (1)
CULMINATION BIO INC
36 SOUTH STATE SUITE 2200	SALT LAKE CITY	UT	84111	365016511	BIOREPOSITORY	DE	N/A	C	Yes (1)
CAN YOU PLAY INC
1541 SOUTH 120 EAST	FARMINGTON	UT	84025	880846977	SOFTWARE DEVELOPMENT	UT	N/A	C	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
ST VINCENT HEALTHCARE FOUNDATION
B	$1,868,123
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
B	$17,659,243
ST VINCENT HEALTHCARE FOUNDATION
C	$3,639,699
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
C	$6,950,045
SCL HEALTH RESEARCH INSTITUTE INC
M	$2,351,728
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
P	$2,136,273
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
R	$19,577,840
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
M	$77,531,408