SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC (EIN 23-7379161)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-07
- IRS object ID
- 202223119349303247
- Schema version
- 2021v4.2
- 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 F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-07T15:42:01-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG UC LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2323 VICTORY AVENUE SUITE 2000 | AddressLine1Txt |
| City | DALLAS | CityNm |
| State Abbreviation | TX | StateAbbreviationCd |
| ZIP | 75219 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237379161 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | SYSTEM INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SIST | BusinessNameControlTxt |
| Phone | 3038135190 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 ELDORADO BLVD SUITE 4300 | AddressLine1Txt |
| City | BROOMFIELD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80021 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JANIE WADE | PersonNm |
| Person Title | EVP FINANCE & CFO | PersonTitleTxt |
| Phone | 3038135190 | PhoneNum |
| Signature | 2022-11-07 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JANIE | PersonFirstNm |
| Person Last | WADE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICK SHIELDS | PreparerPersonNm |
| PTIN | P01508556 | PTIN |
| Phone | 2149698000 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LYDIA JUMONVILLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 ELDORADO BLVD SUITE 4300 | AddressLine1Txt |
| City | BROOMFIELD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80021 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $936,273,347 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SCLHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | KS | 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 | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 4403 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $1,702,003 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $18,263,240 | PYContributionsGrantsAmt |
| CY Contributions Grants | $27,621,970 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $596,210,229 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $662,550,827 | CYProgramServiceRevenueAmt |
| PY Investment Income | $114,710,662 | PYInvestmentIncomeAmt |
| CY Investment Income | $230,222,738 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,070,843 | PYOtherRevenueAmt |
| CY Other Revenue | $8,524,380 | CYOtherRevenueAmt |
| PY Total Revenue | $737,254,974 | PYTotalRevenueAmt |
| CY Total Revenue | $928,919,915 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,707,645 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,781,746 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $371,430,594 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $380,009,532 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $376,340,328 | PYOtherExpensesAmt |
| CY Other Expenses | $423,572,419 | CYOtherExpensesAmt |
| PY Total Expenses | $755,478,567 | PYTotalExpensesAmt |
| CY Total Expenses | $810,363,697 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$18,223,593 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $118,556,218 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,461,075,103 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,670,085,821 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,044,682,246 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,112,789,706 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $416,392,857 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $557,296,115 | 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 | $788,817,123 | ExpenseAmt |
| Grant | $6,781,746 | GrantAmt |
| Revenue | $671,038,455 | RevenueAmt |
| Desc | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,700 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PHYSICIANS.BASED IN DENVER, THE HEALTH NETWORK IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES AND INDIVIDUALS IT SERVES, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. IN 2021, SCL HEALTH SYSTEM CONTRIBUTED $307.6 MILLION IN COMMUNITY BENEFIT, INCLUDING SERVICES FOR THE POOR, HEALTH SCREENINGS, EDUCATIONAL PROGRAMS, COMMUNITY DONATIONS AND RESEARCH.SCL HEALTH WAS FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH (SCL), WHO TRACE THEIR ORIGIN AS A RELIGIOUS COMMUNITY TO THE 1600S IN FRANCE, WHERE VINCENT DE PAUL AND LOUISE DE MARILLAC ESTABLISHED THE DAUGHTERS OF CHARITY. THESE WOMEN WERE DEDICATED TO SERVING THE SICK AND POOR THROUGH AN ACTIVE MINISTRY.IN 1857, A SMALL CONGREGATION OF SISTERS FROM NASHVILLE, TENN., LED BY MOTHER XAVIER ROSS, VENTURED TO THE EDGE OF AN EXPANDING FRONTIER IN THE THEN-INDIAN TERRITORY OF KANSAS. THEY OPENED THE FIRST PRIVATE HOSPITAL IN THE STATE IN 1864, WITH THE FIRST TRAINED NURSE IN THE STATE AND SURELY THE FIRST WOMAN IN THE WESTERN TERRITORY TO RUN A HOSPITAL. IN 1873, THE SISTERS FOUNDED WHAT IS NOW SAINT JOSEPH HOSPITAL IN DENVER, THE OLDEST PRIVATE TEACHING HOSPITAL IN COLORADO, AND ONE OF THE FIVE COLORADO HOSPITALS OF SCL HEALTH.SCL HEALTH WAS FORMED IN 1972 TO STRENGTHEN AND UNIFY THE HEALTHCARE FACILITIES SPONSORED BY SCL. IN 2011, THE SISTERS TRANSFERRED SPONSORSHIP OF SCL HEALTH TO LEAVEN MINISTRIES. OUR ORGANIZATION'S RICH HERITAGE AND ENDURING LEGACY SERVE AS THE FOUNDATION FOR OUR HEALTH MINISTRY TODAY, AND OUR MISSION, VISION AND VALUES SERVE AS THE FRAMEWORK FOR OUR SUCCESS.SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE PARENT CORPORATION OF A LARGE HOSPITAL AND HEALTHCARE SYSTEM. SCLHS IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL SCL HEALTH SUBSIDIARIES.SCLHS PERFORMS NUMEROUS COORDINATED AND CENTRALIZED SERVICES FOR THE ENTITIES & CARE SITES THAT COMPRISE ITS SYSTEM, SUCH AS ADMINISTERING FINANCING & CAPITAL FORMATION PROGRAMS, ETHICAL & RELIGIOUS DIRECTION, FINANCIAL REPORTING, TAX SERVICES, HUMAN RESOURCES FUNCTIONS INCLUDING EXECUTIVE RECRUITING & ADMINISTERING & MAINTAINING WELFARE, BENEFIT & RETIREMENT PLANS, INFORMATION TECHNOLOGY SERVICES INCLUDING ELECTRONIC MEDICAL RECORD SYSTEMS, BUSINESS MANAGEMENT SYSTEMS, EQUIPMENT & CONNECTIVITY, INTERNAL AUDIT FUNCTIONS, LEGAL SERVICES, PHYSICIAN NETWORK DEVELOPMENT, PROCUREMENT & SUPPLY CHAIN MANAGEMENT, INCLUDING MEDICAL DEVICES, SUPPLIES & EQUIPMENT, PROFESSIONAL LIABILITY INSURANCE THROUGH A CAPTIVE PROVIDER INCLUDING GROUP EXCESS COVERAGE AND REINSURANCE AND LITIGATION MANAGEMENT, PUBLIC RELATIONS, COMMUNICATIONS & LEGISLATIVE AFFAIRS, REAL ESTATE MANAGEMENT SERVICES, INCLUDING LEASING & CONSTRUCTION, PURCHASE & SALE, REGULATORY COMPLIANCE SERVICES, REVENUE CYCLE MANAGEMENT SERVICES INCLUDING BILLING & COLLECTIONS, RISK MANAGEMENT SERVICES INCLUDING SELF-INSURANCE, GROUP EXCESS COVERAGE & REINSURANCE, LITIGATION MANAGEMENT, INSPECTION & CONTROLS.THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH QUALITY, COST EFFECTIVE AND COMPASSIONATE HEALTH CARE MANAGEMENT AND MEDICAL SERVICES FOR THE COMMUNITIES WE SERVE. THEREFORE, THESE MANAGEMENT SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF OWNING AND MANAGING PUBLIC HOSPITALS AND A HEALTHCARE SYSTEM. OUR MISSION, VISION AND VALUES ARE LISTED BELOW. MISSIONWE 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.VISIONINSPIRED BY OUR FAITH, WE WILL PARTNER WITH OUR PATIENTS AND COMMUNITIES TO EXCEED THEIR EXPECTATIONS FOR HEALTH.VALUESCARING 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 | $788,817,123 | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | Yes (1) | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | 0 | 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 | Yes (1) | 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 |
| IRP Document | 1287 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4403 | 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 | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Foreign Country | EI | ForeignCountryCd |
| Foreign Country | LU | ForeignCountryCd |
| 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 | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KYLE ENGMAN | PersonNm |
| Phone | 3038135543 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 ELDORADO BLVD SUITE 4200 | AddressLine1Txt |
| City | BROOMFIELD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80021 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LYDIA JUMONVILLE | ||||||||||
| SYSTEM PRESIDENT & CEO | 50.00 | 0.00 | Yes (X) | Yes (X) | $2,132,408 | $0 | $470,113 | |||
| MARK KORTH | ||||||||||
| EVP CHIEF OPERATING OFF HOSP OPS | 50.00 | 0.00 | $1,191,313 | $0 | $182,370 | Yes (X) | ||||
| JANIE WADE | ||||||||||
| TREASURER / EVP CHIEF FINANCIAL OFFICER | 50.00 | 0.00 | Yes (X) | $1,095,286 | $0 | $162,697 | ||||
| JAMES VALIN MD | ||||||||||
| VICE PRESIDENT / EVP CHIEF CLINICAL OFFICER | 50.00 | 0.00 | Yes (X) | $1,045,725 | $0 | $160,624 | ||||
| TAJQUAH HUDSON | ||||||||||
| EVP CHIEF STRATEGY & GROWTH OFFICER | 50.00 | 0.00 | $957,014 | $0 | $189,217 | Yes (X) | ||||
| LOUIS ROSS MD | ||||||||||
| PHYSICIAN CLINIC | 50.00 | 0.00 | $1,051,102 | $0 | $44,323 | Yes (X) | ||||
| JOHN WICKLUND | ||||||||||
| PRESIDENT REGIONAL WESTERN CO & LMC | 0.00 | 50.00 | $1,056,624 | $0 | $33,767 | Yes (X) | ||||
| ANTHONY RUSSO MD | ||||||||||
| MG PHYSICIAN | 50.00 | 0.00 | $1,030,526 | $0 | $39,993 | Yes (X) | ||||
| ROSLAND MCLEOD | ||||||||||
| SECRETARY / SVP CHIEF LEGAL OFFICER | 50.00 | 0.00 | Yes (X) | $869,207 | $0 | $187,941 | ||||
| ROBERT TERRY MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $996,029 | $0 | $46,038 | Yes (X) | ||||
| JOHN BRAXTON MD | ||||||||||
| PHYSICIAN CLINIC | 50.00 | 0.00 | $913,791 | $0 | $17,639 | Yes (X) | ||||
| SHAWN DUFFORD MD | ||||||||||
| SVP CHIEF MEDICAL OFFICER SYS | 50.00 | 0.00 | $812,632 | $0 | $109,807 | Yes (X) | ||||
| CRAIG RICHARDVILLE | ||||||||||
| SVP CHIEF INFORMATION OFFICER | 50.00 | 0.00 | $683,689 | $0 | $106,775 | Yes (X) | ||||
| TAMARA SAUNAITIS | ||||||||||
| SVP CHIEF HUMAN RESOURCES OFFICER | 50.00 | 0.00 | $625,377 | $0 | $99,838 | Yes (X) | ||||
| STEVEN CHYUNG | ||||||||||
| SVP SUPPLY CHAIN & REAL ESTATE | 50.00 | 0.00 | $621,745 | $0 | $101,662 | Yes (X) | ||||
| SIMON PAYNE MD | ||||||||||
| VP CHIEF MEDICAL OFFICER TRANSFORMATION TEAM | 50.00 | 0.00 | $559,908 | $0 | $92,112 | Yes (X) | ||||
| MEGAN MAHNCKE | ||||||||||
| PRESIDENT SCL HLTH FDNS & SVP MKTG | 50.00 | 0.00 | $531,341 | $0 | $87,941 | Yes (X) | ||||
| BARBARA JAHN | ||||||||||
| VP SERVICE LINES AND OPERATIONS | 50.00 | 0.00 | $532,069 | $0 | $79,445 | Yes (X) | ||||
| KAREN SCREMIN | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $517,877 | $0 | $55,943 | Yes (X) | ||||
| DAVID PRINGLE | ||||||||||
| SVP MISSION INTEGRATION | 50.00 | 0.00 | $527,805 | $0 | $38,711 | Yes (X) | ||||
| LAURA WIGHTMAN | ||||||||||
| SVP CHIEF NURSING OFFICER SYS | 50.00 | 0.00 | $461,325 | $0 | $65,403 | Yes (X) | ||||
| TROY SPRING | ||||||||||
| VP REVENUE CYCLE | 50.00 | 0.00 | $423,832 | $0 | $80,287 | Yes (X) | ||||
| MARK WILKINSON | ||||||||||
| VP TREASURER | 50.00 | 0.00 | $398,284 | $0 | $70,616 | Yes (X) | ||||
| LOUIS CAPPONI | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $262,446 | $0 | $5,734 | Yes (X) | ||||
| KHADIJA MOHAMED | ||||||||||
| ASST SECRETARY / BOARD GOV PROG MGR | 50.00 | 0.00 | Yes (X) | $115,645 | $0 | $14,959 | ||||
| MICHAEL FORDYCE | ||||||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $17,500 | $0 | $0 | |||
| C GORDON HOWIE | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $14,500 | $0 | $0 | ||||
| DOUGLAS ADEN | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $13,500 | $0 | $0 | ||||
| BETH BECKMAN | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $13,000 | $0 | $0 | ||||
| ROBERT E WILSON | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $12,500 | $0 | $0 | ||||
| KATHRYN PAUL | ||||||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $10,000 | $0 | $0 | |||
| NGUYEN-VU PHAM | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $9,000 | $0 | $0 | ||||
| MARIO CARRERA | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | ||||
| PAMELA FEDERBUSCH | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | ||||
| SHERYL MANNING | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $7,000 | $0 | $0 | ||||
| ALAN YORDY | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $6,500 | $0 | $0 | ||||
| RITA TURLEY | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $4,000 | $0 | $0 | ||||
| STEVEN HUEBNER | ||||||||||
| PAST CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $2,500 | $0 | $0 | |||
| SISTER LYNN CASEY SCL | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER MAUREEN HALL SCL | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARY BETH MIKOLS | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL SALEM MD | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| BARTH WHITHAM | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $19,538,000 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,543,955 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 652 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RIGHTSOURCING INC | |||||
| 999 STEWART AVENUE SUITE 100 | BETHPAGE | NY | 11714 | CONTRACT LABOR | $27,099,852 |
| BARTON MALOW-HASELDEN | |||||
| 26500 AMERICAN DRIVE | SOUTHFIELD | MI | 48034 | CONSTRUCTION SERVICES | $26,094,770 |
| SAUNDERS EXPRESS LLC | |||||
| 86 INVERNESS PLACE NORTH | ENGLEWOOD | CO | 80112 | CONSTRUCTION SERVICES | $22,771,522 |
| ROCKY MOUNTAIN PRIMARY CARE | |||||
| 7625 W 92ND AVE | WESTMINSTER | CO | 80021 | MEDICAL SERVICES | $15,817,293 |
| AYA HEALTHCARE INC | |||||
| DEPT 3519 PO BOX 123519 | DALLAS | TX | 75312 | CONTRACT LABOR | $15,592,518 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 266 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $20,880,063 | RelatedOrganizationsAmt |
| Government Grants | $6,741,907 | GovernmentGrantsAmt |
| Total Contributions | $27,621,970 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MANAGEMENT SERVICES | 560000 | $414,531,470 | $414,441,470 | $90,000 |
| PATIENT SERVICE REVENUE | 620000 | $232,504,234 | $231,156,567 | $1,347,667 |
| PROGRAM RELATED INVESTMENTS | 620000 | $12,015,614 | $12,015,614 | |
| JOINT VENTURES-MEDICAL SERVICES | 620000 | $3,499,509 | $3,499,509 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $662,550,827 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,427,338 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $264,336 | UnrelatedBusinessRevenueAmt |
| Exclusion | $62,163,002 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $36,752 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $36,752 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,752 | TotalRevenueColumnAmt |
| Exclusion | $36,752 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $171,623,253 | SecuritiesAmt |
| Other | $3,525,579 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $7,353,432 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $171,623,253 | SecuritiesAmt |
| Other | -$3,827,853 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $167,795,400 | TotalRevenueColumnAmt |
| Exclusion | $167,795,400 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | VENDOR ADMINISTRATION REBATE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,487,628 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,487,628 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,487,628 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $928,919,915 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $669,600,788 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,702,003 | UnrelatedBusinessRevenueAmt |
| Exclusion | $229,995,154 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,771,546 | TotalAmt |
| Program Services | $6,771,546 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,200 | TotalAmt |
| Program Services | $10,200 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,852,112 | TotalAmt |
| Program Services | $10,472,511 | ProgramServicesAmt |
| Management And General | $6,379,601 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $295,874,460 | TotalAmt |
| Program Services | $295,874,460 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,631,008 | TotalAmt |
| Program Services | $18,631,008 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,563,425 | TotalAmt |
| Program Services | $28,563,425 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,088,527 | TotalAmt |
| Program Services | $20,088,527 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,226,730 | TotalAmt |
| Management And General | $8,226,730 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,003,944 | TotalAmt |
| Management And General | $1,003,944 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,880 | TotalAmt |
| Management And General | $135,880 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,800,419 | TotalAmt |
| Management And General | $5,800,419 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,706,812 | TotalAmt |
| Program Services | $58,706,812 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,752,598 | TotalAmt |
| Program Services | $10,752,598 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,782,166 | TotalAmt |
| Program Services | $12,782,166 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,536 | TotalAmt |
| Program Services | $259,536 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,133,535 | TotalAmt |
| Program Services | $13,133,535 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,275,641 | TotalAmt |
| Program Services | $2,275,641 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,414,012 | TotalAmt |
| Program Services | $1,414,012 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,624,614 | TotalAmt |
| Program Services | $98,624,614 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,944,260 | TotalAmt |
| Program Services | $41,944,260 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,744,426 | TotalAmt |
| Program Services | $2,744,426 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $72,888,362 | $72,888,362 |
| MAINTENANCE SERVICES | $59,540,845 | $59,540,845 |
| NON-MEDICAL SUPPLIES | $7,828,525 | $7,828,525 |
| SELF-INSURED MAINTENANC | $5,699,400 | $5,699,400 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,810,714 | TotalAmt |
| Program Services | $19,810,714 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $810,363,697 | TotalAmt |
| Program Services | $788,817,123 | ProgramServicesAmt |
| Management And General | $21,546,574 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,426,663 | BOYAmt |
| EOY | $111,436,620 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,348,273 | BOYAmt |
| EOY | $2,183,645 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,590,078 | BOYAmt |
| EOY | $14,965,118 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,110,332 | BOYAmt |
| EOY | $1,352,686 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,568,087 | BOYAmt |
| EOY | $33,746,854 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $468,035,410 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $257,154,962 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $235,462,983 | BOYAmt |
| EOY | $210,880,448 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,193,612,039 | BOYAmt |
| EOY | $2,308,108,056 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,407,398 | BOYAmt |
| EOY | $582,255,639 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,288,908 | BOYAmt |
| EOY | $307,841,296 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,260,342 | BOYAmt |
| EOY | $97,315,459 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,461,075,103 | BOYAmt |
| EOY | $3,670,085,821 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $172,931,924 | BOYAmt |
| EOY | $211,574,268 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,019,922 | BOYAmt |
| EOY | $4,497,706 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,187,847,502 | BOYAmt |
| EOY | $1,153,635,325 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,680,882,898 | BOYAmt |
| EOY | $1,743,082,407 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,044,682,246 | BOYAmt |
| EOY | $3,112,789,706 | 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 | $401,639,649 | BOYAmt |
| EOY | $542,816,510 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,753,208 | BOYAmt |
| EOY | $14,479,605 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $416,392,857 | BOYAmt |
| EOY | $557,296,115 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,461,075,103 | BOYAmt |
| EOY | $3,670,085,821 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $118,556,218 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $60,518,018 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$38,170,978 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 10 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (10 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| ST JAMES HEALTHCARE | ||||
| 810231785 | 3 | 0 | $0 | $0 |
| SAINT JOSEPH HOSPITAL INC | ||||
| 840417134 | 3 | 0 | $0 | $0 |
| SCL HEALTH - FRONT RANGE INC | ||||
| 841103606 | 3 | 0 | $0 | $0 |
| ST MARY'S HOSPITAL AND MEDICAL CENTER INC | ||||
| 840425720 | 3 | 0 | $0 | $0 |
| SCL HEALTH - MONTANA | ||||
| 810232124 | 3 | 0 | $5,773,839 | $0 |
| HOLY ROSARY HEALTHCARE | ||||
| 810231792 | 3 | 0 | $0 | $0 |
| CARITAS CLINICS INC | ||||
| 481009910 | 3 | 0 | $267,499 | $0 |
| MARIAN CLINIC INC | ||||
| 481046905 | 3 | 0 | $149,355 | $0 |
| MOUNT ST VINCENT HOME | ||||
| 840405260 | 10 | 0 | $500,000 | $0 |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | ||||
| 840482695 | 3 | 0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 10 | SupportedOrganizationsTotalCnt |
| Support Sum | $6,690,693 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | 0 | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | Yes (1) | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | 0 | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (1) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (1) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART IV, SECTION A, LINE 1 | THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IS THE PARENT OF EACH OF ITS SUPPORTED ORGANIZATIONS AND CONTROLS THEM AS PART OF AN INTEGRATED HEALTH SYSTEM. EACH SUPPORTED ORGANIZATION IS CONTROLLED BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. A CLOSE AND HISTORIC ORGANIZATIONAL RELATIONSHIP ENSURES THAT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND ITS SUPPORTED ORGANIZATIONS SHARE A SUBSTANTIAL IDENTITY OF INTERESTS. |
| SCHEDULE A, PART IV, SECTION A, LINE 6 | SUPPORT WAS PROVIDED TO MEDICAL AND OTHER CHARITABLE ORGANIZATIONS NOT CONSIDERED SUPPORTED ORGANIZATIONS. HOWEVER, THESE INSTITUTIONS ARE SUPPORTING MEDICAL AND OTHER ACTIVITIES BENEFITING THE COMMUNITIES SERVED BY SUPPORTED ORGANIZATIONS. AMOUNTS GRANTED ARE INSIGNIFICANT TO THE OVERALL OPERATIONS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. |
| SCHEDULE A, PART IV, SECTION E, LINE 3A | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS. SCLHS APPROVES MEMBERS OF THE SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS. |
| SCHEDULE A, PART IV, SECTION E, LINE 3B | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. |
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 | $135,880 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $135,880 | 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: | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENSES OF $78,090 WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION. ADDITIONAL LOBBYING EXPENSES OF $57,790 WERE DERIVED FROM FEES FOR ADVOCACY SERVICES RELATED TO COLORADO AND MONTANA LEGISLATIVE ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $2,000,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $2,000,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $2,000,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $2,000,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $2,000,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $72,381,768 | OtherCostOrOtherBasisAmt |
| Book Value | $72,381,768 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,862,362 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,813,631 | DepreciationAmt |
| Book Value | $35,048,731 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,574,802 | OtherCostOrOtherBasisAmt |
| Depreciation | $464,643 | DepreciationAmt |
| Book Value | $2,110,159 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $324,360,563 | OtherCostOrOtherBasisAmt |
| Depreciation | $229,876,688 | DepreciationAmt |
| Book Value | $94,483,875 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,855,915 | OtherCostOrOtherBasisAmt |
| Book Value | $6,855,915 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $210,880,448 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (18 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| EXECUTIVE DB PLAN INVESTMENTS | $38,797,938 | F |
| HEDGE FUNDS | $138,993,145 | F |
| JOINT VENTURE - NORTHERN ROCKIES HEALTHCARE ALLIANCE, LLC | $4,774 | F |
| JOINT VENTURE - DENVER WEST ENDOSCOPY CTR, LLC | $146,864 | F |
| JOINT VENTURE - E + PET IMAGING X, LP | -$2,226 | F |
| JOINT VENTURE - LUTHERAN CAMPUS ASC, LLC | $2,457,865 | F |
| JOINT VENTURE - SCLH-GI ENDOS CTR HLDGS, LLC | $283,939 | F |
| JOINT VENTURE - TOUCHSTONE IMAGING | $8,796,928 | F |
| JOINT VENTURE - REHAB HOSPITAL OF MT | $2,129,333 | F |
| JOINT VENTURE - LAFAYETTE SURGERY CENTER | -$1,038 | F |
| JOINT VENTURE - RED ROCKS RADIATION ONCOLOGY MANAGEMENT LLC | $3,509,448 | F |
| JOINT VENTURE - SCL HEALTH PARTNERS LLC | -$197,260 | F |
| JOINT VENTURE - DENVER SURGERY CENTER | $776,319 | F |
| HSS STOCK | $5,318,960 | F |
| OPPORTUNISTIC INVESTMENTS | $143,589,938 | F |
| REAL RETURN INVESTMENTS | $230,562,428 | F |
| SWEEP ACCOUNTS | $6,441,427 | F |
| VHA STOCK INVESTMENT | $646,857 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $582,255,639 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NOTES REC - INTERCOMPANY | Desc |
| Book Value | $307,841,296 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $307,841,296 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLE | $1,533,806,507 |
| DEFERRED COMPENSATION PLAN PAYABLE | $46,965,400 |
| INTEREST RATE SWAP PAYABLE | $13,021,826 |
| BROKER PAYABLE | $117,670,003 |
| ACCRUED LIABILITY - OPERATING LEASE | $25,663,598 |
| ACCRUED LIABILITY - FINANCING LEASE | $3,344,905 |
| GUARANTEE FEE PAYABLE | $2,610,168 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,743,082,407 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | SCLHS HAS A PERMANENT ENDOWMENT IN THE AMOUNT OF $2,000,000. THE EARNINGS FROM THE PERMANENT ENDOWMENT ARE TO BE USED FOR EDUCATIONAL PURPOSES AS DETERMINED BY SCLHS MANAGEMENT. | ExplanationTxt |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| CENTRAL AMERICA/CARIBBEAN | 0 | 0 | PROGRAM SERVICES | CAPTIVE INSURANCE PREMIUM | $18,644,200 |
| EUROPE/CARIBBEAN | 0 | 0 | INVESTMENTS, PROGRAM-RELATED | $5,895,337 | |
| SUB-SAHARAN AFRICA | 0 | 0 | GRANT | HOSPITAL AND MEDICAL CENTER | $10,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $24,549,737 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $24,549,737 | TotalSpentAmt |
Grants To Org Outside US GrantsToOrgOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | SUB-SAHARAN AFRICA | RegionTxt |
| Purpose Of Grant | SUPPORT MISSION | PurposeOfGrantTxt |
| Cash Grant | $10,200 | CashGrantAmt |
| Manner Of Cash Disbursement | WIRE TRANSFER | MannerOfCashDisbursementTxt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (1) | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III ACCOUNTING METHOD: | |
| SCHEDULE F, PART I, LINE 2: | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) PROVIDES ASSISTANCE TO ONLY ONE ORGANIZATION OUTSIDE THE U.S. SCLHS OBTAINED AN INITIAL NEEDS ASSESSMENT REPORT FROM THE ORGANIZATION, WHICH ALSO OUTLINED THE COMMITMENT OF SCLHS TO PROVIDE SUPPORT TO THE ORGANIZATION BASED ON AN INITIAL SITE VISIT. SCLHS MAINTAINS REGULAR CONTACT WITH THE ORGANIZATION, SENDS A TEAM OF CLINICIANS FOR SITE VISITS TO THE ORGANIZATION EVERY YEAR AND REVIEWS THE ORGANIZATION'S ANNUAL REPORT. |
| SCHEDULE F, PART I, LINE 3 | INVESTMENTS REPORTED IN SCHEDULE F ARE ACCOUNTED FOR ON THE ACCRUAL BASIS OF ACCOUNTING. SCLHS' EXPENDITURES (PREMIUMS PAID) FOR ITS CAPTIVE INSURANCE PREMIUMS WERE $18,644,200 NET OF PREMIUM DISCOUNTS. |
| SCHEDULE F, PART II, COLUMN (D): | (D) PURPOSE OF GRANT: SUPPORT SELIAN LUTHERAN HOSPITAL AND ITS SISTER HOSPITAL ARUSHA LUTHERAN MEDICAL CENTER IN TANZANIA. |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| 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 | $1,732,297 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $827,680 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $904,617 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,818,412 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,455,268 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $363,144 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,550,709 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,282,948 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,267,761 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,202 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $64,202 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,451,381 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,065,063 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,386,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,515,583 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,065,063 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,450,520 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $41,066,292 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,348,011 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,718,281 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,310,986 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $27,283,372 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $64,803,408 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$37,520,036 | 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 (5 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 DENVER WEST ENDOSCOPY CENTER LLC | |||
| OUTPATIENT ENDOSCOPY SERVICES | 0.51000 | 0.00000 | 0.49000 |
| 2 LUTHERAN CAMPUS ASC LLC | |||
| OUTPATIENT SURGERY | 0.30780 | 0.00000 | 0.37190 |
| 3 SCLH-GI ENDOSCOPY CENTER HOLDINGS LLC | |||
| ENDOSCOPY SERVICES | 0.51000 | 0.00000 | 0.49000 |
| 4 NORTHGLENN ENDOSCOPY CENTER LLC | |||
| ENDOSCOPY SERVICES | 0.51000 | 0.00000 | 0.49000 |
| 5 SJ EAST CAMPUS ASC LLC | |||
| 0.24990 | 0.00000 | 0.49000 | |
| 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 | REHABILITATION HOSPITAL OF MONTANA LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3572 HESPER ROAD | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.REHABHOSPITALOFMONTANA.COM | WebsiteAddressTxt |
| State License | 13564 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHABILITATION HOSPITAL OF MONTANA LLC | 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 |
| CHNA Conducted | 21 | 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 |
| Implementation Strategy Adopt | 0 | ImplementationStrategyAdoptInd |
| 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| REHABILITATION HOSPITAL OF MONTANA, LLC | PART V, SECTION B, LINE 5: A SURVEY WAS CONDUCTED WITH KEY INFORMANTS AT THE END OF JULY 2021. SURVEYS WERE EMAILED TO 29 KEY STAKEHOLDERS REPRESENTING HEALTHCARE, PUBLIC HEALTH, STATE HEALTH AGENCIES, AND STATEWIDE NON-PROFIT ORGANIZATIONS. THE SURVEY INSTRUMENT INCLUDED 8 QUESTIONS FOCUSED ON GENERAL HEALTH STATUS, SERIOUS HEALTH CONCERNS, NEEDS FOR A HEALTHY COMMUNITY INCLUDING SOCIAL DETERMINANTS OF HEALTH, SERVICES OF THE MONTANA REHABILITATION HOSPITAL, BARRIERS TO HEALTH FOR PATIENTS, AND OPPORTUNITIES TO ADDRESS HEALTH NEEDS. 15 KEY STAKEHOLDERS COMPLETED THE SURVEY, A 51% RESPONSE RATE. |
| REHABILITATION HOSPITAL OF MONTANA, LLC | PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED WITH PARTNERING HOSPITAL FACILITIES BILLINGS CLINIC, KINDRED HEALTHCARE, AND SCL HEALTH ST. VINCENT HEALTHCARE. |
| REHABILITATION HOSPITAL OF MONTANA, LLC | PART V, SECTION B, LINE 6B: RIVERSTONE HEALTH (YELLOWSTONE COUNTY PUBLIC HEALTH DEPARTMENT) AND THE HEALTHY BY DESIGN COMMUNITY HEALTH IMPROVEMENT MANAGER ASSISTED WITH CONDUCTING THE 2021 CHNA.PART V, SECTION B, LINE 7A: WEBSITEHTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| REHABILITATION HOSPITAL OF MONTANA, LLC | PART V, SECTION B, LINE 11: THE 2021 CHNA WAS APPROVED BY THE BOARD OF DIRECTORS IN FALL OF 2021. A COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN FOR THE REHABILITATION HOSPITAL OF MONTANA WAS UNDER DEVELOPMENT IN 2021 AND WAS APPROVED IN 2022. IT CAN BE ACCESSED ON THE HOSPITALS WEBSITE. WWW.REHABHOSPITALOF MONTANA.COM/PATIENT-EXPERIENCE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT THE REHABILITATION HOSPITAL OF MONTANA PARTICIPATED IN A COLLECTIVE COMMUNITY HEALTH IMPROVEMENT PLAN DEVELOPED IN 2020. THIS COLLECTIVE CHIP ADDRESSES THE IDENTIFIED NEEDS OF MENTAL HEALTH, SUBSTANCE ABUSE, NUTRITION, PHYSICAL ACTIVITY AND HEALTHY WEIGHT THROUGH A FOCUS ON HEALTHY NEIGHBORHOODS, HEALTHY CONNECTIONS, AND HEALTHY INVESTMENTS. |
| PART V, SECTION B, LINES 16A, 16B, 16C, FAP APPLICATION WEBSITE: | WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/FINANCIAL-ASSISTANCE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 131 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (131 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - CANCER CENTERS OF COLORADO LLC | |||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | CANCER CENTER | |
| 2 - GS CAMPUS ASC LLC | |||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | SURGERY CENTER | |
| 3 - RED ROCKS RADIATION ONCOLOGY MANAGEMENT | |||||
| 400 INDIANA ST SUITE 220 | GOLDEN | CO | 80401 | CANCER CENTER | |
| 4 - LUTHERAN CAMPUS ASC LLC | |||||
| 3455 LUTHERAN PKWY STE 150 | WHEATRIDGE | CO | 80033 | OUTPATIENT SURGERY | |
| 5 - SJ EAST CAMPUS ASC LLC | |||||
| 1830 FRANKLIN ST SUITE 200 | DENVER | CO | 80218 | SURGERY CENTER | |
| 6 - DENVER WEST ENDOSCOPY CENTER LLC | |||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | OUTPATIENT ENDOSCOPY | |
| 7 - NORTHGLENN ENDOSCOPY CENTER LLC | |||||
| 11900 GRANT STREET | NORTHGLENN | CO | 80233 | ENDOSCOPY SERVICES | |
| 8 - TOUCHSTONE MEDICAL IMAGING - AURORA | |||||
| 3055 SOUTH PARKER RD BLDG A SUITE | AURORA | CO | 80014 | RADIOLOGY SERVICES | 103 |
| 9 - TOUCHSTONE MEDICAL IMAGING - CASTLE ROCK | |||||
| 3911 AMBROSIA ST | CASTLE ROCK | CO | 80109 | RADIOLOGY SERVICES | |
| 10 - TOUCHSTONE MEDICAL IMAGING - DRY CREEK | |||||
| 125 INVERNESS DR EAST SUITE 140 | ENGLEWOOD | CO | 80112 | RADIOLOGY SERVICES | |
| 11 - TOUCHSTONE MEDICAL IMAGING - HIGHLINE-LI | |||||
| 26 WEST DRY CREEK CIR SUITE 160 | LITTLETON | CO | 80120 | RADIOLOGY SERVICES | |
| 12 - TOUCHSTONE MEDICAL IMAGING - LAFAYETTE | |||||
| 390 EMPIRE ROAD SUITE 102 | LAFAYETTE | CO | 80026 | RADIOLOGY SERVICES | |
| 13 - TOUCHSTONE MEDICAL IMAGING - LAKEWOOD | |||||
| 14062 DENVER WEST PKWY BLDG 52 | LAKEWOOD | CO | 80401 | RADIOLOGY SERVICES | SUITE 1 |
| 14 - TOUCHSTONE MEDICAL IMAGING - MAMMOGRAPHY | |||||
| 7615 W 38TH AVENUE SUITE B-107 | WHEAT RIDGE | CO | 80033 | RADIOLOGY SERVICES | |
| 15 - TOUCHSTONE MEDICAL IMAGING - RED ROCKS | |||||
| 400 INDIANA ST SUITE 210 | GOLDEN | CO | 80401 | RADIOLOGY SERVICES | |
| 16 - TOUCHSTONE MEDICAL IMAGING - SUPERIOR | |||||
| 3 SUPERIOR WAY SUITE 150 | SUPERIOR | CO | 80027 | RADIOLOGY SERVICES | |
| 17 - TOUCHSTONE MEDICAL IMAGING - THORNTON | |||||
| 12021 PENNSYLVANIA ST SUITE 106 | THORNTON | CO | 80241 | RADIOLOGY SERVICES | |
| 18 - TOUCHSTONE MEDICAL IMAGING - UPTOWN | |||||
| 1007 E COLFAX AVE | CO | CO | 80218 | RADIOLOGY SERVICES | |
| 19 - TOUCHSTONE MEDICAL IMAGING - WHEAT RIDGE | |||||
| 7615 WEST 38TH AVENUE SUITE B115 | WHEAT RIDGE | CO | 80033 | RADIOLOGY SERVICES | |
| 20 - TOUCHSTONE MEDICAL IMAGING - BILLINGS | |||||
| 1739 SPRING CREEK LANE | BILLINGS | MT | 59106 | RADIOLOGY SERVICES | |
| 21 - SCL FRONT RANGE HOME HEALTH LLC | |||||
| 8300 W 38TH AVENUE | WHEAT RIDGE | CO | 80033 | HOME HEALTH | |
| 22 - SCL HEALTH MEDICAL GROUP - DOWNTOWN INTE | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017588 | OUTPATIENT PHYSICIAN CLINIC | |
| 23 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 2900 12TH AVE N | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 24 - CANCER CENTERS OF COLORADO - SLOAN'S LAK | |||||
| 1601 LOWELL BLVD STE 150 | DENVER | CO | 802041545 | OUTPATIENT PHYSICIAN CLINIC | |
| 25 - SCL HEALTH ST VINCENT EMERGENCY MEDICINE | |||||
| 1233 N 30TH ST | BILLINGS | MT | 591010127 | OUTPATIENT PHYSICIAN CLINIC | |
| 26 - SCL HEALTH MEDICAL GROUP - BUTTE | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 27 - SCL HEALTH MEDICAL GROUP - MONTANA ORTHO | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 597011506 | OUTPATIENT PHYSICIAN CLINIC | |
| 28 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017502 | OUTPATIENT PHYSICIAN CLINIC | |
| 29 - SCL HEALTH MEDICAL GROUP - BROADWATER | |||||
| 2019 BROADWATER AVE | BILLINGS | MT | 591024810 | OUTPATIENT PHYSICIAN CLINIC | |
| 30 - SCL HEALTH MEDICAL GROUP - HEIGHTS | |||||
| 32 WICKS LN | BILLINGS | MT | 591053810 | OUTPATIENT PHYSICIAN CLINIC | |
| 31 - SCL HEALTH MEDICAL GROUP - LAUREL | |||||
| 1035 1ST AVE | LAUREL | MT | 590442119 | OUTPATIENT PHYSICIAN CLINIC | |
| 32 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017504 | OUTPATIENT PHYSICIAN CLINIC | |
| 33 - SCL HEALTH MEDICAL GROUP - BROADWATER WA | |||||
| 2019 BROADWATER AVE | BILLINGS | MT | 591024810 | OUTPATIENT PHYSICIAN CLINIC | |
| 34 - SCL HEALTH MEDICAL GROUP - BILLINGS GAST | |||||
| 1144 N BROADWAY | BILLINGS | MT | 591010110 | OUTPATIENT PHYSICIAN CLINIC | |
| 35 - SCL HEALTH MEDICAL GROUP - NORTH SHILOH | |||||
| 2223 MISSION WAY | BILLINGS | MT | 591020160 | OUTPATIENT PHYSICIAN CLINIC | |
| 36 - SCL HEALTH MEDICAL GROUP - N 27TH WALK-I | |||||
| 1027 N 27TH STREET | BILLINGS | MT | 591010701 | OUTPATIENT PHYSICIAN CLINIC | |
| 37 - SCL HEALTH MEDICAL GROUP - WEST GRAND | |||||
| 2750 GRAND AVE | BILLINGS | MT | 591022629 | OUTPATIENT PHYSICIAN CLINIC | |
| 38 - SCL HEALTH ST JAMES EMERGENCY PHYSICIANS | |||||
| 400 S CLARK ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 39 - SCL HEALTH MEDICAL GROUP - BILLINGS DIAB | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017588 | OUTPATIENT PHYSICIAN CLINIC | |
| 40 - SCL HEALTH MEDICAL GROUP - BILLINGS PAIN | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017506 | OUTPATIENT PHYSICIAN CLINIC | |
| 41 - SCL HEALTH MEDICAL GROUP - BILLINGS MIDW | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017506 | OUTPATIENT PHYSICIAN CLINIC | |
| 42 - SCL HEALTH MEDICAL GROUP - BILLINGS DERM | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017513 | OUTPATIENT PHYSICIAN CLINIC | |
| 43 - SCL HEALTH MEDICAL GROUP - BILLINGS SLEE | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591010127 | OUTPATIENT PHYSICIAN CLINIC | |
| 44 - SCL HEALTH MEDICAL GROUP - BILLINGS NEPH | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017508 | OUTPATIENT PHYSICIAN CLINIC | |
| 45 - SCL HEALTH MEDICAL GROUP - HARDIN | |||||
| 16 N MILES | HARDIN | MT | 590342356 | OUTPATIENT PHYSICIAN CLINIC | |
| 46 - SCL HEALTH MEDICAL GROUP - BUTTE UROLOGY | |||||
| 305 W PORPHYRY | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 47 - SCL HEALTH MEDICAL GROUP - BILLINGS TRAN | |||||
| 2223 MISSION WAY | BILLINGS | MT | 59102 | OUTPATIENT PHYSICIAN CLINIC | |
| 48 - SCL HEALTH MEDICAL GROUP - HEIGHTS WALK- | |||||
| 32 WICKS LN | BILLINGS | MT | 591053810 | OUTPATIENT PHYSICIAN CLINIC | |
| 49 - SCL HEALTH MEDICAL GROUP - BUTTE OB-GYN | |||||
| 305 W PORPHYRY | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 50 - SCL HEALTH MEDICAL GROUP - RED LODGE | |||||
| 10 ROBINSON LN | RED LODGE | MT | 590680070 | OUTPATIENT PHYSICIAN CLINIC | |
| 51 - SCL HEALTH ST VINCENT NEONATOLOGY | |||||
| 1233 N 30TH ST | BILLINGS | MT | 591010127 | OUTPATIENT PHYSICIAN CLINIC | |
| 52 - SCL HEALTH MEDICAL GROUP - BOZEMAN | |||||
| 711 W MAIN ST | BOZEMAN | MT | 597153356 | OUTPATIENT PHYSICIAN CLINIC | |
| 53 - SCL HEALTH MEDICAL GROUP - BILLINGS BEHA | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017516 | OUTPATIENT PHYSICIAN CLINIC | |
| 54 - SCL HEALTH MEDICAL GROUP - BILLINGS PEDI | |||||
| 1232 N 30TH | BILLINGS | MT | 591010128 | OUTPATIENT PHYSICIAN CLINIC | |
| 55 - SCL HEALTH ST VINCENT INTENSIVISTS | |||||
| 1233 N 30TH ST | BILLINGS | MT | 591010127 | OUTPATIENT PHYSICIAN CLINIC | |
| 56 - SCL HEALTH MEDICAL GROUP - LEWISTOWN | |||||
| 70 CATTAIL DR | LEWISTOWN | MT | 594574123 | OUTPATIENT PHYSICIAN CLINIC | |
| 57 - SCL HEALTH MEDICAL GROUP - BILLINGS MATE | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017504 | OUTPATIENT PHYSICIAN CLINIC | |
| 58 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 59 - SCL HEALTH MEDICAL GROUP - MONTANA ORTHO | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 597011506 | OUTPATIENT PHYSICIAN CLINIC | |
| 60 - SCLHBI WOUND CARE | |||||
| 2900 12TH AVE N | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 61 - ST JAMES HEALTHCARE - CANCER CENTERS OF | |||||
| 400 S CLARK ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 62 - SCL HEALTH MEDICAL GROUP BUTTE EXPRESS C | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 63 - ST JAMES HEALTHCARE - CANCER CENTERS OF | |||||
| 400 S CLARK ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 64 - SCL HEALTH MEDICAL GROUP - BILLINGS OCCU | |||||
| 2019 BROADWATER AVE | BILLINGS | MT | 591024810 | OUTPATIENT PHYSICIAN CLINIC | |
| 65 - SCL HEALTH MEDICAL GROUP - BILLINGS WEIG | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017588 | OUTPATIENT PHYSICIAN CLINIC | |
| 66 - SCL HEALTH MEDICAL GROUP - CODY | |||||
| 720 LINDSAY LN | CODY | WY | 824144103 | OUTPATIENT PHYSICIAN CLINIC | |
| 67 - SCL HEALTH ST VINCENT PALLIATIVE CARE | |||||
| 1233 N 30TH ST | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 68 - SCL HEALTH ST VINCENT PEDIATRIC HOSPITAL | |||||
| 1233 N 30TH ST | BILLINGS | MT | 591075200 | OUTPATIENT PHYSICIAN CLINIC | |
| 69 - SCL HEALTH MEDICAL GROUP - BOULDER | |||||
| 214 S MAIN ST | BOULDER | MT | 59632 | OUTPATIENT PHYSICIAN CLINIC | |
| 70 - SCL HEALTH MEDICAL GROUP - ABSAROKEE | |||||
| 55 N MONTANA | ABSAROKEE | MT | 590010425 | OUTPATIENT PHYSICIAN CLINIC | |
| 71 - SCL HEALTH MEDICAL GROUP - PEDIATRIC SPE | |||||
| 1232 N 30TH | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 72 - SCL HEALTH MEDICAL GROUP - BUTTE SURGICA | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 73 - SCL HEALTH MEDICAL GROUP - BILLINGS PHYS | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591010136 | OUTPATIENT PHYSICIAN CLINIC | |
| 74 - SCL HEALTH MEDICAL GROUP WHITEHALL PHYSI | |||||
| 309 EAST LEGION | WHITEHALL | MT | 59759 | OUTPATIENT PHYSICIAN CLINIC | |
| 75 - SCL HEALTH ST VINCENT NEUROLOGY | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 76 - SCL HEALTH MEDICAL GROUP - PEDIATRIC SPE | |||||
| 1232 N 30TH | BILLINGS | MT | 591010128 | OUTPATIENT PHYSICIAN CLINIC | |
| 77 - SCL HEALTH ST VINCENT NEUROLOGY | |||||
| 621 3RD ST S | GLASGOW | MT | 59230 | OUTPATIENT PHYSICIAN CLINIC | |
| 78 - SCL HEALTH ST VINCENT NEUROLOGY | |||||
| 711 W MAIN ST | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 79 - SCL HEALTH MEDICAL GROUP - BOULDER | |||||
| 214 S MAIN | BOULDER | MT | 59632 | OUTPATIENT PHYSICIAN CLINIC | |
| 80 - SCL HEALTH MEDICAL GROUP BUTTE NEUROLOGY | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 81 - SCL HEALTH MEDICAL GROUP - BUTTE DOWNTOW | |||||
| 3636 HARRISON AVE | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 82 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 83 - SCL HEALTH MEDICAL GROUP - BUTTE ENT | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 84 - SCL HEALTH MEDICAL GROUP MILES CITY NEPH | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 85 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL | |||||
| 181 12TH AVE SW | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 86 - SCL HEALTH- ST VINCENT NEUROSURGERY | |||||
| 2600 WILSON | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 87 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 711 W MAIN ST | BOZEMAN | MT | 597153356 | OUTPATIENT PHYSICIAN CLINIC | |
| 88 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL | |||||
| 720 LINDSAY LN | CODY | WY | 82414 | OUTPATIENT PHYSICIAN CLINIC | |
| 89 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 90 - SCL HEALTH ST VINCENT NEUROLOGY | |||||
| 181 12TH AVE SW | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 91 - SCL HEALTH MEDICAL GROUP - BILLINGS MIDW | |||||
| 16 N MILES AVE | HARDIN | MT | 59034 | OUTPATIENT PHYSICIAN CLINIC | |
| 92 - SCL HEALTH MEDICAL GROUP CODY NEPHROLOGY | |||||
| 720 LINDSAY LN | CODY | MT | 824144103 | OUTPATIENT PHYSICIAN CLINIC | |
| 93 - SCL HEALTH MEDICAL GROUP - BUTTE DOWNTOW | |||||
| 3636 HARRISON AVE | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 94 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL | |||||
| 202 PROSPECT | GLENDIVE | MT | 59330 | OUTPATIENT PHYSICIAN CLINIC | |
| 95 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 216 14TH AVE SW | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 96 - SCL HEALTH MEDICAL GROUP - SIDNEY MATERN | |||||
| 216 14TH AVE SW | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 97 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 711 W MAIN ST | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 98 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 720 LINDSAY LANE | CODY | MT | 824144103 | OUTPATIENT PHYSICIAN CLINIC | |
| 99 - SCL HEALTH MEDICAL GROUP - LEWISTOWN | |||||
| 70 CATTAIL DR | LEWISTOWN | MT | 59457 | OUTPATIENT PHYSICIAN CLINIC | |
| 100 - SCL HEALTH ST VINCENT HOSPITALISTS | |||||
| 1233 N 30TH ST | BILLINGS | MT | 591010127 | OUTPATIENT PHYSICIAN CLINIC | |
| 101 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL | |||||
| 1106 BIGHORN AVE | WORLAND | MT | 82401 | OUTPATIENT PHYSICIAN CLINIC | |
| 102 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL | |||||
| 70 CATTAIL DR | LEWISTOWN | MT | 59457 | OUTPATIENT PHYSICIAN CLINIC | |
| 103 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 10 ROBINSON LANE | RED LODGE | MT | 590689010 | OUTPATIENT PHYSICIAN CLINIC | |
| 104 - SCL HEALTH MEDICAL GROUP SHERIDAN MATERN | |||||
| 1333 W 5TH ST | SHERIDAN | WY | 82801 | OUTPATIENT PHYSICIAN CLINIC | |
| 105 - SCL HEALTH MEDICAL GROUP MILES CITY PEDI | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 106 - SCL HEALTH ST VINCENT NEUROSURGERY | |||||
| 711 W MAIN ST | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 107 - SCL HEALTH MEDICAL GROUP CODY PEDIATRIC | |||||
| 720 LINDSAY LANE | CODY | MT | 82414 | OUTPATIENT PHYSICIAN CLINIC | |
| 108 - SCL HEALTH ST VINCENT NEUROSURGERY | |||||
| 181 12TH AVE SW | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 109 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 70 CATTAIL DR | LEWISTOWN | MT | 59457 | OUTPATIENT PHYSICIAN CLINIC | |
| 110 - SCLHBI WOUND MILES CITY | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 111 - SCL HEALTH HEARTVASCULAR CODY CARDIOVAS | |||||
| 720 LINDSEY LANE | CODY | WY | 824144103 | OUTPATIENT PHYSICIAN CLINIC | |
| 112 - SCL HEALTH ST VINCENT NEUROLOGY | |||||
| 70 CATTAIL DRIVE | LEWISTOWN | MT | 59457 | OUTPATIENT PHYSICIAN CLINIC | |
| 113 - SCL HEALTH MEDICAL GROUP - HARDIN NEPHRO | |||||
| 16 N MILES AVE | HARDIN | MT | 59034 | OUTPATIENT PHYSICIAN CLINIC | |
| 114 - SCL HEALTH MEDICAL GROUP BUTTE PEDIATRIC | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 115 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 116 - SCL HEALTH MEDICAL GROUP - BOZEMAN | |||||
| 711 W MAIN ST | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 117 - SCL HEALTH MEDICAL GROUP WORLAND NEPHROL | |||||
| 1106 BIG HORN AVE | WORLAND | WY | 824012803 | OUTPATIENT PHYSICIAN CLINIC | |
| 118 - SCL HEALTH ST VINCENT NEUROSURGERY | |||||
| 132 N GOULD STREET | SHERIDAN | WY | 828010000 | OUTPATIENT PHYSICIAN CLINIC | |
| 119 - SCL HEALTH ST VINCENT NEUROSURGERY | |||||
| 720 LINDSAY LN | CODY | WY | 82414 | OUTPATIENT PHYSICIAN CLINIC | |
| 120 - SCL HEALTH MEDICAL GROUP - BOZEMAN | |||||
| 711 W MAIN ST | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 121 - SCL HEALTH MEDICAL GROUP DEER LODGE OBGY | |||||
| 1100 HOLLENBECK LANE | DEER LODGE | MT | 59722 | OUTPATIENT PHYSICIAN CLINIC | |
| 122 - SCL HEALTH MEDICAL GROUP BOULDER OBGYN | |||||
| 214 S MAIN ST | BOULDER | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 123 - SCL HEALTH ST VINCENT NEUROSURGERY | |||||
| 401 15TH AVE SOUTH | GREAT FALLS | MT | 59405 | OUTPATIENT PHYSICIAN CLINIC | |
| 124 - SCL HEALTH MEDICAL GROUP - MILES CITY SL | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 125 - SCL HEALTH MEDICAL GROUP SIDNEY PEDIATRI | |||||
| 216 14TH AVENUE SW | SIDNEY | MT | 592703521 | OUTPATIENT PHYSICIAN CLINIC | |
| 126 - SCL HEALTH MEDICAL GROUP - BOZEMAN | |||||
| 711 W MAIN ST | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 127 - SCL HEALTH HEART & VASCULAR INSTITUTE - | |||||
| 70 CATTAIL DR | LEWISTOWN | MT | 594570000 | OUTPATIENT PHYSICIAN CLINIC | |
| 128 - SCLHBI UROLOGY BOZEMAN | |||||
| 711 W MAIN ST | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 129 - SCL HEALTH MEDICAL GROUP BUTTE PEDIATRIC | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 130 - SCL HEALTH MEDICAL GROUP - HARDIN SLEEP | |||||
| 16 N MILES AVE | HARDIN | MT | 59034 | OUTPATIENT PHYSICIAN CLINIC | |
| 131 - SCL HEALTH MEDICAL GROUP BOULDER UROLOGY | |||||
| 214 S MAIN ST | BOULDER | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 IN THIS COLUMN IS $ 2,310,986. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | N/APART III, LINE 1:THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF 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 FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: NET PATIENT SERVICE REVENUE GENERALLY RELATES TO CONTRACTS WITH PATIENTS IN WHICH THE PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO PATIENTS OVER A PERIOD OF TIME. REVENUE IS ESTIMATED FOR PATIENTS WHO HAVE NOT BEEN DISCHARGED AS OF THE REPORTING PERIOD BASED ON ACTUAL CHARGES INCURRED TO DATE IN RELATION TO TOTAL EXPECTED CHARGES. SCL HEALTH BELIEVES THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. THE CONTRACTUAL RELATIONSHIP WITH PATIENTS ALSO TYPICALLY INVOLVES A THIRD-PARTY PAYER (MEDICARE, MEDICAID, MANAGED CARE PLANS, AND COMMERCIAL INSURANCE COMPANIES), AND THE TRANSACTION PRICES FOR THE SERVICES PROVIDED ARE DEPENDENT UPON THE TERMS PROVIDED BY OR NEGOTIATED WITH THE THIRD-PARTY PAYERS. THE PAYMENT ARRANGEMENTS WITH THIRD-PARTY PAYERS FOR THE SERVICES PROVIDED TO THE RELATED PATIENTS TYPICALLY SPECIFY PAYMENT OR REIMBURSEMENT TO SCL HEALTH AT OTHER-THAN-STANDARD CHARGES.BECAUSE ALL OF ITS PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, SCL HEALTH HAS ELECTED TO APPLY THE OPTION EXEMPTION, AND THEREFORE, IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY SATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY SATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD.NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATES OF IMPLICIT PRICE CONCESSIONS AND RETROACTIVE REVENUE ADJUSTMENTS DUE TO AUDITS, REVIEWS, AND INVESTIGATIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO UNINSURED PATIENTS AND PATIENTS WITH CO-PAYS, CO-INSURANCE AND DEDUCTIBLES AND ARE ESTIMATED BASED ON HISTORICAL COLLECTION DATA. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, OR INVESTIGATIONS. |
| 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.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 VI, LINE 2: | THE REHABILITATION HOSPITAL OF MONTANA IS A PARTNERSHIP BETWEEN SCL HEALTH ST. VINCENT HEALTHCARE, BILLINGS CLINIC AND KINDRED HEALTHCARE, INC. OPENING IN AUGUST OF 2019, THE REHABILITATION HOSPITAL OF MONTANA PROVIDES A 34-BED INPATIENT REHABILITATION HOSPITAL TO TREAT PATIENTS RECOVERING FROM CONDITIONS SUCH AS STROKE, TRAUMATIC BRAIN INJURY AND SPINAL CORD INJURY. PARTNERING ORGANIZATIONS, BILLINGS CLINIC AND ST. VINCENT HEALTHCARE CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2020 WITH THE PARTICIPATION OF REHABILITATION HOSPITAL OF MONTANA STAFF. THIS COMPREHENSIVE CHNA FOCUSED ON YELLOWSTONE COUNTY, MONTANA, WHICH SERVES AS THE PRIMARY SERVICE AREA FOR BOTH BILLINGS CLINIC AND ST. VINCENT HEALTHCARE, REPRESENTING APPROXIMATELY 60% AND 64% OF HOSPITAL AND EMERGENCY ADMISSIONS, RESPECTIVELY. THIS COMPREHENSIVE CHNA PROVIDED AN IN-DEPTH VIEW OF COMMUNITY HEALTH NEEDS AND CAN BE ACCESSED ONLINE: HTTPS://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG/WP-CONTENT/UPLOADS/2020-PRC-CHNA-REPORT-YELLOWSTONE-COUNTY-MT-FINAL-2020.02.07.PDFIN 2021, THE REHABILITATION HOSPITAL OF MONTANA EMBARKED ON A CHNA TO INCLUDE ADDITIONAL STATEWIDE DATA RELATED TO APPLICABLE HEALTH CONDITIONS. THIS COMMUNITY HEALTH NEEDS ASSESSMENT INCLUDES SECONDARY DATA FROM STATEWIDE SOURCES, DATA FROM THE YELLOWSTONE COUNTY CHNA, AND PRIMARY DATA FROM A KEY STAKEHOLDER SURVEY. STATEWIDE SECONDARY DATA FOR THE REHABILITATION HOSPITAL OF MONTANA COMMUNITY HEALTH NEEDS ASSESSMENT HAVE BEEN QUERIED FROM THE MONTANA PUBLIC HEALTH INFORMATION SYSTEM AND INCLUDE DATA FROM THE BEHAVIORAL HEALTH RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AND DATA FROM THE MONTANA HOSPITAL DISCHARGE DATA SYSTEM (MHDDS). A SURVEY WAS CONDUCTED WITH KEY INFORMANTS AT THE END OF JULY 2021. SURVEYS WERE EMAILED TO 29 KEY STAKEHOLDERS. THE SURVEY INSTRUMENT INCLUDED 8 QUESTIONS FOCUSED ON GENERAL HEALTH STATUS, SERIOUS HEALTH CONCERNS, NEEDS FOR A HEALTHY COMMUNITY INCLUDING SOCIAL DETERMINANTS OF HEALTH, SERVICES OF THE MONTANA REHABILITATION HOSPITAL, BARRIERS TO HEALTH FOR PATIENTS, AND OPPORTUNITIES TO ADDRESS HEALTH NEEDS. 15 KEY STAKEHOLDERS COMPLETED THE SURVEY, A 51% RESPONSE RATE. |
| 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: | THE REHABILITATION HOSPITAL OF MONTANA (RHOM) SERVES PATIENTS FROM ACROSS THE STATE OF MONTANA AND THE SURROUNDING STATES. APPROXIMATELY 88% OF PATIENTS COME FROM MONTANA AND 53% OF PATIENTS ARE LOCATED IN YELLOWSTONE COUNTY. THE REHABILITATION HOSPITAL OF MONTANA IS A STATE-OF-THE-ART, 34-BED INPATIENT ACUTE REHABILITATION HOSPITAL DEDICATED TO THE TREATMENT AND RECOVERY OF INDIVIDUALS WHO HAVE EXPERIENCED A LOSS OF FUNCTION DUE TO AN INJURY OR ILLNESS. POPULATION AND GEOGRAPHY: THE STATE OF MONTANA HAS A POPULATION OF 1,084,225. BETWEEN THE 2010 AND 2020 CENSUS, THE STATESIDE POPULATION INCREASED BY 9.5%. MONTANA HAS A TOTAL LAND AREA OF 145,545.42 SQUARE MILES AND A POPULATION DENSITY OF 7.44 PEOPLE PER SQUARE MILE. (CENSUS.GOV/QUICKFACTS)DEMOGRAPHICS: MOST RESIDENTS OF MONTANA (88.9%) ARE WHITE. APPROXIMATELY 6.7% OF RESIDENTS ARE NATIVE AMERICAN/ALASKA NATIVE, 4.1% ARE HISPANIC OR LATINO, AND 2.8% REPORT TWO OR MORE RACES. LESS THAN 1% OF THE POPULATION ARE BLACK, ASIAN, OR NATIVE HAWAIIAN/OTHER PACIFIC ISLANDER. (CENSUS.GOV/QUICKFACTS)DATA FROM THE U.S. CENSUS BUREAU REPORTS 86,787 VETERANS IN THE STATE, APPROXIMATELY 10.6% OF THE TOTAL POPULATION. APPROXIMATELY 93.6% OF MONTANA RESIDENTS HAVE A HIGH SCHOOL DIPLOMA, WITH 32% OF RESIDENTS HAVING A BACHELOR'S DEGREE OR HIGHER. AN ADDITIONAL 9.2% OF RESIDENTS UNDER AGE 65 HAVE A DISABILITY. POVERTY AND ECONOMICS: THE MEDIAN HOUSEHOLD INCOME (IN 2019 DOLLARS) FROM 2015-2019 WAS $54,970. APPROXIMATELY 12.6% OF RESIDENTS LIVE IN POVERTY. HEALTH STATUS: MOST RESIDENTS IN MONTANA HAVE HEALTHCARE COVERAGE, BUT 10.3% REPORT NO HEALTHCARE COVERAGE (BRFSS, 2018). A SIMILAR PERCENTAGE OF RESIDENTS (10.1%) REPORTED BEING UNABLE TO GET NEEDED MEDICAL CARE DUE TO COST IN 2018. NEARLY A THIRD OF RESIDENTS (27.2%) HAD NO PRIMARY CARE PROVIDER. MOST RESIDENTS (73%) REPORTED A ROUTINE HEALTH VISIT IN THE LAST YEAR. THE MAJORITY OF MONTANA RESIDENTS (84.5%) REPORT EXCELLENT-GOOD OVERALL HEALTH, BUT 15.5% OF RESIDENTS REPORT FAIR/POOR OVERALL HEALTH. RESIDENTS WITH LOWER INCOMES WERE MORE LIKELY TO REPORT FAIR/POOR OVERALL HEALTH THAN RESIDENTS OF HIGHER INCOMES. AN ADDITIONAL 9.2% OF RESIDENTS UNDER AGE 65 HAVE A DISABILITY. (BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, 2015-2018). |
| PART VI, LINE 5: | THE REHABILITATION HOSPITAL OF MONTANA PARTICIPATES IN COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE HEALTHY BY DESIGN COALITION, A COLLABORATIVE SPONSORED BY JOINT VENTURE PARTNERS BILLINGS CLINIC AND SCL HEALTH ST. VINCENT HEALTHCARE IN CONJUNCTION WITH RIVERSTONE HEALTH, AND COMMITS IN-KIND RESOURCES TO FULFILL GOALS OUTLINED IN THE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY. THE REHABILITATION HOSPITAL OF MONTANA PROVIDED COMMUNITY EDUCATION DURING NATIONAL STROKE AWARENESS MONTH INCLUDING INTERVIEWS WITH LOCAL MEDIA TO RAISE AWARENESS OF THE WARNING SIGNS OF STROKE. |
| PART VI, LINE 6: | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE PARENT ORGANIZATION OF A LARGE HEALTHCARE SYSTEM. SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND 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." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITIES, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,700 EMPLOYEES AND MORE THAN 500 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION.PART VI, LINE 7:STATE FILING OF COMMUNITY BENEFIT REPORT - NOT APPLICABLE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|---|
| SCL HEALTH - MONTANA | |||||||||
| 1233 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810232124 | 501(C)(3) | $5,773,839 | $0 | SUPPORT MISSION | |
| MOUNT SAINT VINCENT HOME | |||||||||
| 4159 LOWELL BOULEVARD | DENVER | CO | 80211 | 840405260 | 501(C)(3) | $500,000 | $0 | SUPPORT MISSION | |
| CARITAS CLINICS | |||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | 501(C)(3) | $267,499 | $0 | SUPPORT MISSION | |
| MARIAN CLINIC | |||||||||
| 1001 SW GARFIELD AVE | TOPEKA | KS | 66604 | 481046905 | 501(C)(3) | $149,355 | $0 | SUPPORT MISSION | |
| NATIONAL CATHOLIC BIOETHICS CENTER | |||||||||
| 6399 DREXEL ROAD | PHILADELPHIA | PA | 19151 | 042871526 | 501(C)(3) | $25,000 | $0 | SUPPORT MISSION | |
| PROJECT CURE | |||||||||
| W DOUGLAS JACKSON 10377 E GEDDES | CENTENIAL | CO | 80112 | 841568566 | 501(C)(3) | $21,000 | $0 | SUPPORT MISSION | AVENUE NO 200 |
| DENVER ART MUSEUM | |||||||||
| 100 W 14TH AVENUE PKWY | DENVER | CO | 80204 | 846038240 | 501(C)(3) | $15,000 | $0 | SUPPORT MISSION | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 7 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | SCLHS' MISSION DEPARTMENT REQUIRES WRITTEN STATEMENTS THREE TIMES A YEAR REGARDING THE PROGRESS AND STATUS OF THE GRANT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LYDIA JUMONVILLE | ||||||||||||||
| SYSTEM PRESIDENT & CEO | $1,302,227 | $0 | $439,629 | $0 | $390,552 | $0 | $448,852 | $0 | $21,261 | $0 | $2,602,521 | $0 | $378,434 | $0 |
| MARK KORTH | ||||||||||||||
| EVP CHIEF OPERATING OFF HOSP OPS | $934,809 | $0 | $251,834 | $0 | $4,670 | $0 | $156,290 | $0 | $26,080 | $0 | $1,373,683 | $0 | $0 | $0 |
| JANIE WADE | ||||||||||||||
| TREASURER / EVP CHIEF FINANCIAL OFFI | $867,860 | $0 | $222,790 | $0 | $4,636 | $0 | $136,927 | $0 | $25,770 | $0 | $1,257,983 | $0 | $0 | $0 |
| JAMES VALIN MD | ||||||||||||||
| VICE PRESIDENT / EVP CHIEF CLINICAL | $737,150 | $0 | $216,000 | $0 | $92,575 | $0 | $132,400 | $0 | $28,224 | $0 | $1,206,349 | $0 | $87,735 | $0 |
| TAJQUAH HUDSON | ||||||||||||||
| EVP CHIEF STRATEGY & GROWTH OFFICER | $627,325 | $0 | $181,845 | $0 | $147,844 | $0 | $179,927 | $0 | $9,290 | $0 | $1,146,231 | $0 | $135,727 | $0 |
| LOUIS ROSS MD | ||||||||||||||
| PHYSICIAN CLINIC | $840,047 | $0 | $208,711 | $0 | $2,344 | $0 | $17,400 | $0 | $26,923 | $0 | $1,095,425 | $0 | $0 | $0 |
| JOHN WICKLUND | ||||||||||||||
| PRESIDENT REGIONAL WESTERN CO & LMC | $588,508 | $0 | $172,200 | $0 | $295,916 | $0 | $14,500 | $0 | $19,267 | $0 | $1,090,391 | $0 | $0 | $0 |
| ANTHONY RUSSO MD | ||||||||||||||
| MG PHYSICIAN | $810,198 | $0 | $217,639 | $0 | $2,689 | $0 | $11,677 | $0 | $28,316 | $0 | $1,070,519 | $0 | $0 | $0 |
| ROSLAND MCLEOD | ||||||||||||||
| SECRETARY / SVP CHIEF LEGAL OFFICER | $554,630 | $0 | $163,673 | $0 | $150,904 | $0 | $159,817 | $0 | $28,124 | $0 | $1,057,148 | $0 | $142,715 | $0 |
| ROBERT TERRY MD | ||||||||||||||
| PHYSICIAN | $630,051 | $0 | $352,713 | $0 | $13,265 | $0 | $10,265 | $0 | $35,773 | $0 | $1,042,067 | $0 | $0 | $0 |
| JOHN BRAXTON MD | ||||||||||||||
| PHYSICIAN CLINIC | $905,579 | $0 | $0 | $0 | $8,212 | $0 | $0 | $0 | $17,639 | $0 | $931,430 | $0 | $0 | $0 |
| SHAWN DUFFORD MD | ||||||||||||||
| SVP CHIEF MEDICAL OFFICER SYS | $561,740 | $0 | $163,597 | $0 | $87,295 | $0 | $94,564 | $0 | $15,243 | $0 | $922,439 | $0 | $79,180 | $0 |
| CRAIG RICHARDVILLE | ||||||||||||||
| SVP CHIEF INFORMATION OFFICER | $519,634 | $0 | $151,937 | $0 | $12,118 | $0 | $85,514 | $0 | $21,261 | $0 | $790,464 | $0 | $0 | $0 |
| TAMARA SAUNAITIS | ||||||||||||||
| SVP CHIEF HUMAN RESOURCES OFFICER | $441,539 | $0 | $128,037 | $0 | $55,801 | $0 | $73,758 | $0 | $26,080 | $0 | $725,215 | $0 | $48,455 | $0 |
| STEVEN CHYUNG | ||||||||||||||
| SVP SUPPLY CHAIN & REAL ESTATE | $431,635 | $0 | $127,556 | $0 | $62,554 | $0 | $73,438 | $0 | $28,224 | $0 | $723,407 | $0 | $55,103 | $0 |
| SIMON PAYNE MD | ||||||||||||||
| VP CHIEF MEDICAL OFFICER TRANSFORMAT | $400,498 | $0 | $79,928 | $0 | $79,482 | $0 | $68,328 | $0 | $23,784 | $0 | $652,020 | $0 | $77,469 | $0 |
| MEGAN MAHNCKE | ||||||||||||||
| PRESIDENT SCL HLTH FDNS & SVP MKTG | $393,397 | $0 | $109,340 | $0 | $28,604 | $0 | $59,161 | $0 | $28,780 | $0 | $619,282 | $0 | $26,602 | $0 |
| BARBARA JAHN | ||||||||||||||
| VP SERVICE LINES AND OPERATIONS | $402,284 | $0 | $78,301 | $0 | $51,484 | $0 | $61,139 | $0 | $18,306 | $0 | $611,514 | $0 | $44,611 | $0 |
| KAREN SCREMIN | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $78,404 | $0 | $439,473 | $0 | $49,404 | $0 | $6,539 | $0 | $573,820 | $0 | $48,455 | $0 |
| DAVID PRINGLE | ||||||||||||||
| SVP MISSION INTEGRATION | $364,423 | $0 | $106,334 | $0 | $57,048 | $0 | $17,400 | $0 | $21,311 | $0 | $566,516 | $0 | $0 | $0 |
| LAURA WIGHTMAN | ||||||||||||||
| SVP CHIEF NURSING OFFICER SYS | $353,666 | $0 | $101,760 | $0 | $5,899 | $0 | $56,240 | $0 | $9,163 | $0 | $526,728 | $0 | $0 | $0 |
| TROY SPRING | ||||||||||||||
| VP REVENUE CYCLE | $321,542 | $0 | $64,963 | $0 | $37,327 | $0 | $53,363 | $0 | $26,924 | $0 | $504,119 | $0 | $34,986 | $0 |
| MARK WILKINSON | ||||||||||||||
| VP TREASURER | $304,164 | $0 | $60,979 | $0 | $33,141 | $0 | $49,379 | $0 | $21,237 | $0 | $468,900 | $0 | $30,993 | $0 |
| LOUIS CAPPONI | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $262,446 | $0 | $0 | $0 | $5,734 | $0 | $268,180 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'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 SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'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, SCL HEALTH 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) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) 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 | SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2021 WERE: LOUIS CAPPONI - $256,712 AND KAREN SCREMIN - $384,479. SCHEDULE J, PART I, LINE 4B PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE 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 COST 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 PRIOR TO 2014 PRIOR TO 2014, THE ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. IN 2019, THE ORGANIZATION CONSOLIDATED FOUR NON QUALIFED DEFERRED COMPENSATION PLANS INTO ONE PLAN. AS PART OF THIS EFFORT, ALL VESTED BALANCES FROM THE SERP PLANS PRIOR TO 2014 WERE PAID TO THE PARTICIPANTS IN 2020. THERE ARE NO REMAINING PARTICIPANTS IN THE LEGACY PLANS. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE 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. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2021. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. 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 2021 WERE: LYDIA JUMONVILLE - $378,434, ROSLAND MCLEOD - $142,715, JAMES VALIN, MD - $87,735, STEVEN CHYUNG - $55,103, SHAWN DUFFORD, MD - $79,180, TAJQUAH HUDSON - $135,727, BARBARA JAHN - $44,611, MEGAN MAHNCKE - $26,602, SIMON PAYNE - $77,469, DAVID PRINGLE - $41,889, TAMARA SAUNAITIS - $48,455, TROY SPRING - $34,986, MARK WILKINSON - $30,993, JOHN WICKLUND - $281,185, KAREN SCREMIN - $48,455. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. |
| PART I, LINE 7 | OTHER NON-FIXED PAYMENTS THE AT-RISK COMPENSATION (ARC) PLAN WAS ESTABLISHED TO ENABLE SCL HEALTH TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION AND STRATEGIC IMPERATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND AWARD OPPORTUNITIES ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR MANAGEMENT LEVEL AT SCL HEALTH. ACTUAL AWARDS WILL BE PAID OUT BASED ON ATTAINMENT OF SELECTED SCL HEALTH BOARD-APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, QUALITY, PATIENT AND ASSOCIATE SAFETY AND PATIENT EXPERIENCE AND FULFILLMENT OF OUR MISSION. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON. |
| ADDITIONAL OFFICER AND BOARD DISCLOSURES | THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF EIGHT HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,700 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PHYSICIANS. SCL HEALTH AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCL HEALTH'S CORE VALUE OF STEWARDSHIP, SCL HEALTH'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 K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| COLORADO HEALTH FACILITIES AUTHORITY | ||||||||
| A | 840752932 | 19648AN84 | 2013-11-12 | $302,719,375 | CONSTRUCT HOSPITAL FACILITY | 0 | 0 | 0 |
| COLORADO HEALTH FACILITIES AUTHORITY | ||||||||
| B | 840752932 | 19648A5S0 | 2016-05-12 | $221,970,000 | CONSTRUCT HOSPITAL FACILITY | Yes (1) | 0 | 0 |
| COLORADO HEALTH FACILITIES AUTHORITY | ||||||||
| C | 840752932 | 19648FLQ5 | 2019-10-03 | $481,924,656 | 5/20/10 REFINANCE | 0 | 0 | 0 |
| MONTANA FACILITY FINANCE AUTHORITY | ||||||||
| D | 810302402 | 61204KMZ1 | 2019-10-03 | $151,631,944 | 05/20/10 REFINANCE | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Bond DefeasedBondDefeasedAmt | RetiredRetiredAmt | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $302,719,375 | $3,005,563 | $299,713,812 | 2013 | 0 | 0 | Yes (1) | Yes (1) | |||
| B | $221,976,622 | $1,908,538 | $220,068,084 | 2016 | 0 | 0 | Yes (1) | Yes (1) | $110,990,000 | ||
| C | $481,924,656 | $2,884,023 | 2019 | Yes (1) | 0 | Yes (1) | Yes (1) | $15,970,000 | $479,040,633 | ||
| D | $151,631,944 | $990,619 | 2019 | Yes (1) | 0 | Yes (1) | Yes (1) | $5,445,000 | $150,641,325 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | ||
| B | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | ||
| C | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | ||
| D | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | 0.00100 | 0.00100 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2C | REBATE COMPLETION DATES: A-COLORADO HEATLH FACILITIES AUTHORITY 2013 -11/12/2021 B -COLORADO HEATLH FACILITIES AUTHORITY 2016 -05/12/2021 |
| PART I COLUMN (E) & PART II LINE 3 | ANY DIFFRENCE BETWEEN ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLORADO HEALTH FACILITIES AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 840752932 | BondIssuerEIN |
| CUSIP | 19648FMB7 | CUSIPNum |
| Bond Issued | 2019-10-03 | BondIssuedDt |
| Issue Price | $111,860,603 | IssuePriceAmt |
| Purpose | 05/12/16 REFINANCE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $111,860,603 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $870,603 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $110,990,000 | OtherSpentProceedsAmt |
| Substantial Completion | 2019 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | Yes (1) | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) SHALL BE THE MEMBERS OF LEAVEN MINISTRIES. THE MEMBERS OF LEAVEN MINISTRIES SHALL SERVE AS MEMBERS OF SCLHS DURING THEIR TERMS OF OFFICE AS MEMBERS OF LEAVEN MINISTRIES. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE CHAIR OF LEAVEN MINISTRIES, OR HIS/HER DESIGNEE, SHALL BE EX-OFFICIO MEMBERS OF THE BOARD WITH FULL VOTING RIGHTS. THE CHAIR OF LEAVEN MINISTRIES SHALL APPOINT AN ADDITIONAL MEMBER OF THE CORPORATION TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. THE BOARD OF DIRECTORS SHALL ENSURE THE PRESENCE OF REPRESENTATIVES NOMINATED BY THE PARTICIPATING ENTITIES ON THIS BOARD AND ON THE BOARD OF ANY CORPORATION OF WHICH THIS CORPORATION IS A CONTROLLING MEMBER. EXCEPT FOR EX-OFFICIO MEMBERS OF THE BOARD OF DIRECTORS, THE MEMBERS SHALL APPOINT DIRECTORS AT THE ANNUAL MEETING OF THE MEMBERS. A SLATE OF NAMES PROPOSED BY A NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS FOR APPOINTMENT AS DIRECTORS SHALL BE SUBMITTED TO THE MEMBERS BY THE CHAIRPERSON OF THE BOARD, PROVIDED, HOWEVER, THAT THE MEMBERS MAY APPOINT INDIVIDUALS AS DIRECTORS WHO HAVE NOT BEEN NOMINATED BY THE NOMINATING COMMITTEE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS OF THE CORPORATION SHALL BE THE MEMBERS OF LEAVEN MINISTRIES. THE MEMBERS OF LEAVEN MINISTRIES SHALL SERVE AS MEMBERS OF THE CORPORATION DURING THEIR TERM OF OFFICE AS MEMBERS OF LEAVEN MINISTRIES. IN ADDITION TO ALL MATTERS REQUIRED BY LAW OR BY THE ARTICLES OF INCORPORATION OR OTHER PROVISIONS OF THESE BYLAWS WHICH ARE REQUIRED TO BE PERFORMED BY THE MEMBERS, THE MEMBERS SHALL HAVE THE SOLE PREROGATIVE TO ACT UPON ANY OF THE FOLLOWING MATTERS AND, IF ANY ACTION WITH RESPECT TO ANY OF THE FOLLOWING IS INITIATED BY A BODY OTHER THAN THE MEMBERS, IT SHALL NOT BECOME EFFECTIVE UNTIL APPROVED BY AN AFFIRMATIVE VOTE OF THE MEMBERS: TO ESTABLISH/APPROVE THE MISSION/PHILOSOPHY OF THIS CORPORATION AND ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; TO ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION AND THE ARTICLES AND BYLAWS OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; TO FIX THE NUMBER OF DIRECTORS OF THIS CORPORATION AND APPOINT THE CORPORATION'S BOARD OF DIRECTORS, AFTER RECEIVING RECOMMENDATIONS FROM THE BOARD, PROVIDED THAT THE MEMBERS' APPOINTMENT AUTHORITY SHALL NOT BE LIMITED TO THE NOMINATIONS RECEIVED; TO REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD OF DIRECTORS, ANY MEMBER OF THE BOARD OF THIS CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD OF DIRECTORS, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THIS CORPORATION; TO APPROVE FOR THIS CORPORATION, OR FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, 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 THIS CORPORATION; TO APPROVE THE MERGER, DISSOLUTION OR CORPORATE RESTRUCTURING OF THIS CORPORATION OR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT. THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND DIRECTOR LEVEL MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON HIRE/APPOINTMENT AND ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCL HEALTH'S PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS DETERMINED TO CONSTITUTE A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR MINISTRY INTEGRITY AND COMPLIANCE COMMITTEE AND TO THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. |
| FORM 990, PART VI, SECTION B, LINE 15 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) PROCESS FOR DETERMINING COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'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 SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'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, SCL HEALTH 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) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) 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 XI, LINE 9: | CHANGE IN SELF INSURED LIABILITY -273,604. TRANSFER OF ASSETS FROM SUBSIDIARY -1,408,496. FAS 158 UNRECOGNIZED EXPENSE FOR THE FROZEN DB PLAN -892,516. TRANSFER FROM SUBSIDIARY HOSPITAL -35,596,362. GRANT EXPENSE NOT RECOGNIZED ON BOOKS 723,839. DIVIDEND INCOME NOT RECOGNIZED ON BOOKS -723,839. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| SCL HEALTH MEDICAL GROUP - MONTANA LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 471888400 | PHYSICIAN SERVICES | MT | $0 | $0 | SCLHS |
| SCL HEALTH MEDICAL GROUP - BILLINGS LLC | |||||||||
| 1233 NORTH 30TH STREET | BILLINGS | MT | 59101 | 464056262 | PHYSICIAN SERVICES | MT | $110,112,707 | $31,104,931 | SCL HEALTH MEDICAL GROUP - MONTANA LLC |
| SCL HEALTH MEDICAL GROUP - BUTTE LLC | |||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 273193107 | PHYSICIAN SERVICES | MT | $22,405,715 | $8,478,378 | SCL HEALTH MEDICAL GROUP - MONTANA LLC |
| SCL HEALTH PARTNERS LLC | |||||||||
| 8300 WEST 38TH AVENUE | WHEAT RIDGE | CO | 80033 | 020749530 | HEALTHCARE SERVICES | CO | $3,398,838 | $18,044,311 | SCLHS |
| CANCER CENTERS OF COLORADO LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 823157615 | OP CANCER CENTER | CO | $4,711,351 | $1,241,458 | SCL HEALTH PARTNERS LLC |
| GS CAMPUS ASC LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 821536566 | SURGERY CENTER | CO | $2,603,287 | $6,297,414 | SCL HEALTH PARTNERS LLC |
| SCL HEALTH - EMERUS LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 800958129 | HOSPITAL SERVICES | CO | $0 | $0 | SCL HEALTH PARTNERS LLC |
| SCL HEALTH AURORA LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 472156361 | EMERGENCY CARE SERVICES | CO | $0 | $0 | SCL HEALTH - EMERUS LLC |
| SCL HEALTH NORTHGLENN LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 472188745 | HOSPITAL SERVICES | CO | $0 | $0 | SCL HEALTH - EMERUS LLC |
| SCL HEALTH SOUTHWEST LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 472175436 | HOSPITAL SERVICES | CO | $0 | $0 | SCL HEALTH - EMERUS LLC |
| SCL HEALTH WESTMINSTER LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 465180833 | HOSPITAL SERVICES | CO | $0 | $0 | SCL HEALTH - EMERUS LLC |
| SCL HOME HEALTH SOLUTIONS LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 462418729 | HOME HEALTH SERVICES | DE | $0 | $0 | SCL HEALTH PARTNERS LLC |
| SCL FRONT RANGE HOME HEALTH LLC | |||||||||
| 8300 W 38TH AVENUE | WHEAT RIDGE | CO | 80207 | 841195134 | HOME HEALTH SERVICES | CO | $4,749,011 | $781,961 | SCL HOME HEALTH SOLUTIONS LLC |
| SJ EAST CAMPUS ASC LLC (BECAME PARTNERSHIP 212021) | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 821485491 | SURGERY CENTER | CO | $1,604,206 | $776,319 | SCL HEALTH PARTNERS LLC |
| 1227 LOWER LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 810811084 | REAL ESTATE INVESTMENT | CO | $0 | $0 | SCLHS |
| 1227 UPPER LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 810906413 | REAL ESTATE INVESTMENT | CO | $0 | $0 | SCLHS |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 MARYS 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 MARYS 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) |
| MARIAN CLINIC INC | ||||||||||
| 3164 SE 6TH AVENUE | TOPEKA | KS | 66607 | 481046905 | 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) |
| SCL HEALTH - MONTANA | ||||||||||
| 1233 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810232124 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | 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) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCLH-GI ENDOSCOPY HOLDINGS LLC | ||||||||||||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | 812979243 | OP ENDOSCOPY | CO | SCLHS (VIA SCL HEALTH PARTNERS LLC) | RELATED | $2,454,815 | $1,318,022 | 0 | 0 | 0.51000 | |
| SCLTDI JV LLC | ||||||||||||||
| 4200 SIX FORKS ROAD SUITE 1000 | RALEIGH | NC | 27609 | 472294770 | RADIOLOGY | DE | SCLHS (VIA SCL HEALTH PARTNERS LLC) | RELATED | $1,181,290 | $5,717,879 | 0 | Yes (1) | 0.51000 | |
| ATHLETIC MEDICINE & PERFORMANCE LLC (SVB IS PARTNER) | ||||||||||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 272270640 | PHYSICAL THERAPY | MT | 0 | 0 | N/A | |||||
| SUMMIT SURGERY CENTER LLC | ||||||||||||||
| 434 SOUTH CLARK STREET | BUTTE | MT | 59701 | 810536068 | OP SURGERY | MT | 0 | 0 | N/A | |||||
| GRAND VALLEY SURGICAL CENTER LLC | ||||||||||||||
| 710 WELLINGTON AVENUE SUITE 21 | GRAND JUNCTION | CO | 81501 | 841505075 | OP SURGERY | CO | 0 | Yes (1) | N/A | |||||
| HEALTHCARE MANAGEMENT LLC | ||||||||||||||
| PO BOX 1929 | GRAND JUNCTION | CO | 81502 | 841238904 | MANAGEMENT SERVICES | CO | 0 | Yes (1) | N/A | |||||
| PAVILION IMAGING LLC (FYE 5312021) | ||||||||||||||
| 750 WELLINGTON AVENUE | GRAND JUNCTION | CO | 81501 | 030516198 | RADIOLOGY | CO | 0 | Yes (1) | N/A | |||||
| SAN JUAN CANCER CENTER LLC | ||||||||||||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | 202856331 | OP CANCER | CO | 0 | Yes (1) | N/A | |||||
| CAREFLIGHT OF THE ROCKIES LLC | ||||||||||||||
| 500 ELDORADO BLVD SUITE4300 | BROOMFIELD | CO | 80021 | 473525381 | MEDICAL AIR TRANSPORT | CO | 0 | 0 | N/A | |||||
| MED-MAP LLC | ||||||||||||||
| PO BOX 1295 | BILLINGS | MT | 59103 | 810491356 | RENTAL REAL ESTATE | MT | 0 | Yes (1) | N/A | |||||
| YELLOWSTONE SURGERY CENTER LLC | ||||||||||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 721519467 | OP SURGERY | MT | 0 | 0 | N/A | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARITAS INC AND SUBSIDIARIES | |||||||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480941069 | HEALTHCARE | KS | SCLHS | C | $10,441,707 | $13,037,895 | 1.00000 | Yes (1) | |||||
| WEST END ASSOCIATION INC | |||||||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 854261243 | REAL ESTATE MANAGEMENT | MT | SCL HEALTH - MONTANA | C | 0.77010 | Yes (1) | |||||||
| LEAVEN INSURANCE COMPANY LTD | |||||||||||||||||
| 980370522 | INSURANCE | SCLHS | C | $22,763,317 | $72,022,885 | 1.00000 | Yes (1) | 23 LIME TREE BAY AVENUE WEST BAY R | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | 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 | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (27 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SCL HEALTH-FRONT RANGE INC | ||
| A | $2,363,858 | FMV |
| SAINT JOSEPH HOSPITAL INC | ||
| A | $9,651,755 | FMV |
| SCL HEALTH - MONTANA | ||
| B | $5,773,839 | FMV |
| MOUNT ST VINCENT HOME INC | ||
| B | $500,000 | FMV |
| CARITAS CLINICS INC | ||
| B | $267,499 | FMV |
| MARIAN CLINIC INC | ||
| B | $149,355 | FMV |
| SCL HEALTH - MONTANA | ||
| C | $15,055,217 | FMV |
| ST JAMES HEALTHCARE | ||
| C | $3,610,122 | FMV |
| ST VINCENT HEALTHCARE FOUNDATION INC | ||
| C | $2,125,379 | FMV |
| SCL HEALTH FOUNDATION | ||
| C | $64,500 | FMV |
| SAINT JOSEPH HOSPITAL INC | ||
| D | $5,325,832 | FMV |
| SCL HEALTH-FRONT RANGE INC | ||
| D | $4,121,780 | FMV |
| CARITAS INC AND SUBSIDIARIES | ||
| F | $5,723,539 | FMV |
| LEAVEN INSURANCE COMPANY LTD | ||
| F | $16,600,000 | FMV |
| SCL HEALTH - MONTANA | ||
| L | $64,168,178 | FMV |
| HOLY ROSARY HEALTHCARE | ||
| L | $9,091,717 | FMV |
| ST JAMES HEALTHCARE | ||
| L | $19,824,830 | FMV |
| ST MARY'S HOSPITAL & MEDICAL CENTER INC | ||
| L | $66,891,125 | FMV |
| SAINT JOSEPH HOSPITAL INC | ||
| L | $91,202,708 | FMV |
| SCL HEALTH-FRONT RANGE INC | ||
| L | $128,329,324 | FMV |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | ||
| L | $26,551,635 | FMV |
| ST JAMES HEALTHCARE FOUNDATION INC | ||
| L | $74,396 | FMV |
| ST VINCENT HEALTHCARE FOUNDATION INC | ||
| L | $603,861 | FMV |
| ST MARYS HOSPITAL FOUNDATION | ||
| L | $243,889 | FMV |
| SAINT JOSEPH HOSPITAL FOUNDATION | ||
| L | $276,913 | FMV |
| LUTHERAN MEDICAL CENTER FOUNDATION | ||
| L | $198,337 | FMV |
| GOOD SAMARITAN MEDICAL CENTER FOUNDATION | ||
| L | $217,031 | FMV |