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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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-07T15:42:01-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG UC LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12323 VICTORY AVENUE SUITE 2000AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP75219ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237379161EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SISTERS OF CHARITY OF LEAVENWORTH HEALTHBusinessNameLine1Txt
Business Name Line2SYSTEM INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSISTBusinessNameControlTxt
Phone3038135190PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 ELDORADO BLVD SUITE 4300AddressLine1Txt
CityBROOMFIELDCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80021ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANIE WADEPersonNm
Person TitleEVP FINANCE & CFOPersonTitleTxt
Phone3038135190PhoneNum
Signature2022-11-07SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJANIEPersonFirstNm
Person LastWADEPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPATRICK SHIELDSPreparerPersonNm
PTINP01508556PTIN
Phone2149698000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLYDIA JUMONVILLEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 ELDORADO BLVD SUITE 4300AddressLine1Txt
CityBROOMFIELDCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80021ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$936,273,347GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SCLHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or 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.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee4403TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$1,702,003TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$18,263,240PYContributionsGrantsAmt
CY Contributions Grants$27,621,970CYContributionsGrantsAmt
PY Program Service Revenue$596,210,229PYProgramServiceRevenueAmt
CY Program Service Revenue$662,550,827CYProgramServiceRevenueAmt
PY Investment Income$114,710,662PYInvestmentIncomeAmt
CY Investment Income$230,222,738CYInvestmentIncomeAmt
PY Other Revenue$8,070,843PYOtherRevenueAmt
CY Other Revenue$8,524,380CYOtherRevenueAmt
PY Total Revenue$737,254,974PYTotalRevenueAmt
CY Total Revenue$928,919,915CYTotalRevenueAmt
PY Grants And Similar Paid$7,707,645PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,781,746CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$371,430,594PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$380,009,532CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$376,340,328PYOtherExpensesAmt
CY Other Expenses$423,572,419CYOtherExpensesAmt
PY Total Expenses$755,478,567PYTotalExpensesAmt
CY Total Expenses$810,363,697CYTotalExpensesAmt
PY Revenues Less Expenses-$18,223,593PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$118,556,218CYRevenuesLessExpensesAmt
Total Assets BOY$3,461,075,103TotalAssetsBOYAmt
Total Assets EOY$3,670,085,821TotalAssetsEOYAmt
Total Liabilities BOY$3,044,682,246TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,112,789,706TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$416,392,857NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$557,296,115NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$788,817,123ExpenseAmt
Grant$6,781,746GrantAmt
Revenue$671,038,455RevenueAmt
DescSISTERS 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$788,817,123TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To OrgYes (1)MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1287IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4403EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Foreign CountryEIForeignCountryCd
Foreign CountryLUForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKYLE ENGMANPersonNm
Phone3038135543PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 ELDORADO BLVD SUITE 4200AddressLine1Txt
CityBROOMFIELDCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80021ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LYDIA JUMONVILLE
SYSTEM PRESIDENT & CEO50.000.00Yes (X)Yes (X)$2,132,408$0$470,113
MARK KORTH
EVP CHIEF OPERATING OFF HOSP OPS50.000.00$1,191,313$0$182,370Yes (X)
JANIE WADE
TREASURER / EVP CHIEF FINANCIAL OFFICER50.000.00Yes (X)$1,095,286$0$162,697
JAMES VALIN MD
VICE PRESIDENT / EVP CHIEF CLINICAL OFFICER50.000.00Yes (X)$1,045,725$0$160,624
TAJQUAH HUDSON
EVP CHIEF STRATEGY & GROWTH OFFICER50.000.00$957,014$0$189,217Yes (X)
LOUIS ROSS MD
PHYSICIAN CLINIC50.000.00$1,051,102$0$44,323Yes (X)
JOHN WICKLUND
PRESIDENT REGIONAL WESTERN CO & LMC0.0050.00$1,056,624$0$33,767Yes (X)
ANTHONY RUSSO MD
MG PHYSICIAN50.000.00$1,030,526$0$39,993Yes (X)
ROSLAND MCLEOD
SECRETARY / SVP CHIEF LEGAL OFFICER50.000.00Yes (X)$869,207$0$187,941
ROBERT TERRY MD
PHYSICIAN50.000.00$996,029$0$46,038Yes (X)
JOHN BRAXTON MD
PHYSICIAN CLINIC50.000.00$913,791$0$17,639Yes (X)
SHAWN DUFFORD MD
SVP CHIEF MEDICAL OFFICER SYS50.000.00$812,632$0$109,807Yes (X)
CRAIG RICHARDVILLE
SVP CHIEF INFORMATION OFFICER50.000.00$683,689$0$106,775Yes (X)
TAMARA SAUNAITIS
SVP CHIEF HUMAN RESOURCES OFFICER50.000.00$625,377$0$99,838Yes (X)
STEVEN CHYUNG
SVP SUPPLY CHAIN & REAL ESTATE50.000.00$621,745$0$101,662Yes (X)
SIMON PAYNE MD
VP CHIEF MEDICAL OFFICER TRANSFORMATION TEAM50.000.00$559,908$0$92,112Yes (X)
MEGAN MAHNCKE
PRESIDENT SCL HLTH FDNS & SVP MKTG50.000.00$531,341$0$87,941Yes (X)
BARBARA JAHN
VP SERVICE LINES AND OPERATIONS50.000.00$532,069$0$79,445Yes (X)
KAREN SCREMIN
FORMER KEY EMPLOYEE0.000.00$517,877$0$55,943Yes (X)
DAVID PRINGLE
SVP MISSION INTEGRATION50.000.00$527,805$0$38,711Yes (X)
LAURA WIGHTMAN
SVP CHIEF NURSING OFFICER SYS50.000.00$461,325$0$65,403Yes (X)
TROY SPRING
VP REVENUE CYCLE50.000.00$423,832$0$80,287Yes (X)
MARK WILKINSON
VP TREASURER50.000.00$398,284$0$70,616Yes (X)
LOUIS CAPPONI
FORMER KEY EMPLOYEE0.000.00$262,446$0$5,734Yes (X)
KHADIJA MOHAMED
ASST SECRETARY / BOARD GOV PROG MGR50.000.00Yes (X)$115,645$0$14,959
MICHAEL FORDYCE
CHAIR2.000.00Yes (X)Yes (X)$17,500$0$0
C GORDON HOWIE
MEMBER1.000.00Yes (X)$14,500$0$0
DOUGLAS ADEN
MEMBER1.000.00Yes (X)$13,500$0$0
BETH BECKMAN
MEMBER1.000.00Yes (X)$13,000$0$0
ROBERT E WILSON
MEMBER1.000.00Yes (X)$12,500$0$0
KATHRYN PAUL
VICE CHAIR2.000.00Yes (X)Yes (X)$10,000$0$0
NGUYEN-VU PHAM
MEMBER1.000.00Yes (X)$9,000$0$0
MARIO CARRERA
MEMBER1.000.00Yes (X)$7,500$0$0
PAMELA FEDERBUSCH
MEMBER1.000.00Yes (X)$7,500$0$0
SHERYL MANNING
MEMBER1.000.00Yes (X)$7,000$0$0
ALAN YORDY
MEMBER1.000.00Yes (X)$6,500$0$0
RITA TURLEY
MEMBER1.000.00Yes (X)$4,000$0$0
STEVEN HUEBNER
PAST CHAIR2.000.00Yes (X)Yes (X)$2,500$0$0
SISTER LYNN CASEY SCL
MEMBER1.000.00Yes (X)$0$0$0
SISTER MAUREEN HALL SCL
MEMBER1.000.00Yes (X)$0$0$0
MARY BETH MIKOLS
MEMBER1.000.00Yes (X)$0$0$0
MICHAEL SALEM MD
MEMBER1.000.00Yes (X)$0$0$0
BARTH WHITHAM
MEMBER1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$19,538,000TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,543,955TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K652IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RIGHTSOURCING INC
999 STEWART AVENUE SUITE 100BETHPAGENY11714CONTRACT LABOR$27,099,852
BARTON MALOW-HASELDEN
26500 AMERICAN DRIVESOUTHFIELDMI48034CONSTRUCTION SERVICES$26,094,770
SAUNDERS EXPRESS LLC
86 INVERNESS PLACE NORTHENGLEWOODCO80112CONSTRUCTION SERVICES$22,771,522
ROCKY MOUNTAIN PRIMARY CARE
7625 W 92ND AVEWESTMINSTERCO80021MEDICAL SERVICES$15,817,293
AYA HEALTHCARE INC
DEPT 3519 PO BOX 123519DALLASTX75312CONTRACT LABOR$15,592,518
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K266CntrctRcvdGreaterThan100KCnt
Related Organizations$20,880,063RelatedOrganizationsAmt
Government Grants$6,741,907GovernmentGrantsAmt
Total Contributions$27,621,970TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT SERVICES560000$414,531,470$414,441,470$90,000
PATIENT SERVICE REVENUE620000$232,504,234$231,156,567$1,347,667
PROGRAM RELATED INVESTMENTS620000$12,015,614$12,015,614
JOINT VENTURES-MEDICAL SERVICES620000$3,499,509$3,499,509
FieldValueIRS element (for citing)
Total Program Service Revenue$662,550,827TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,427,338TotalRevenueColumnAmt
Unrelated Business Revenue$264,336UnrelatedBusinessRevenueAmt
Exclusion$62,163,002ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$36,752RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$36,752RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,752TotalRevenueColumnAmt
Exclusion$36,752ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$171,623,253SecuritiesAmt
Other$3,525,579OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$7,353,432OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$171,623,253SecuritiesAmt
Other-$3,827,853OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$167,795,400TotalRevenueColumnAmt
Exclusion$167,795,400ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescVENDOR ADMINISTRATION REBATEDesc
Business900099BusinessCd
Total Revenue Column$8,487,628TotalRevenueColumnAmt
Related Or Exempt Func Income$8,487,628RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,487,628OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$928,919,915TotalRevenueColumnAmt
Related Or Exempt Func Income$669,600,788RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,702,003UnrelatedBusinessRevenueAmt
Exclusion$229,995,154ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,771,546TotalAmt
Program Services$6,771,546ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$10,200TotalAmt
Program Services$10,200ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$16,852,112TotalAmt
Program Services$10,472,511ProgramServicesAmt
Management And General$6,379,601ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$295,874,460TotalAmt
Program Services$295,874,460ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$18,631,008TotalAmt
Program Services$18,631,008ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$28,563,425TotalAmt
Program Services$28,563,425ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$20,088,527TotalAmt
Program Services$20,088,527ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,226,730TotalAmt
Management And General$8,226,730ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,003,944TotalAmt
Management And General$1,003,944ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$135,880TotalAmt
Management And General$135,880ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$5,800,419TotalAmt
Management And General$5,800,419ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$58,706,812TotalAmt
Program Services$58,706,812ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,752,598TotalAmt
Program Services$10,752,598ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,782,166TotalAmt
Program Services$12,782,166ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$259,536TotalAmt
Program Services$259,536ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$13,133,535TotalAmt
Program Services$13,133,535ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,275,641TotalAmt
Program Services$2,275,641ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,414,012TotalAmt
Program Services$1,414,012ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$98,624,614TotalAmt
Program Services$98,624,614ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$41,944,260TotalAmt
Program Services$41,944,260ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,744,426TotalAmt
Program Services$2,744,426ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram 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

FieldValueIRS element (for citing)
Total$19,810,714TotalAmt
Program Services$19,810,714ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$810,363,697TotalAmt
Program Services$788,817,123ProgramServicesAmt
Management And General$21,546,574ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$149,426,663BOYAmt
EOY$111,436,620EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,348,273BOYAmt
EOY$2,183,645EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$6,590,078BOYAmt
EOY$14,965,118EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,110,332BOYAmt
EOY$1,352,686EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$27,568,087BOYAmt
EOY$33,746,854EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$468,035,410LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$257,154,962LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$235,462,983BOYAmt
EOY$210,880,448EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,193,612,039BOYAmt
EOY$2,308,108,056EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$461,407,398BOYAmt
EOY$582,255,639EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$317,288,908BOYAmt
EOY$307,841,296EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$59,260,342BOYAmt
EOY$97,315,459EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,461,075,103BOYAmt
EOY$3,670,085,821EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$172,931,924BOYAmt
EOY$211,574,268EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,019,922BOYAmt
EOY$4,497,706EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,187,847,502BOYAmt
EOY$1,153,635,325EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,680,882,898BOYAmt
EOY$1,743,082,407EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,044,682,246BOYAmt
EOY$3,112,789,706EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$401,639,649BOYAmt
EOY$542,816,510EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,753,208BOYAmt
EOY$14,479,605EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$416,392,857BOYAmt
EOY$557,296,115EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,461,075,103BOYAmt
EOY$3,670,085,821EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$118,556,218ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$60,518,018NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$38,170,978OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations10SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (10 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
ST JAMES HEALTHCARE
81023178530$0$0
SAINT JOSEPH HOSPITAL INC
84041713430$0$0
SCL HEALTH - FRONT RANGE INC
84110360630$0$0
ST MARY'S HOSPITAL AND MEDICAL CENTER INC
84042572030$0$0
SCL HEALTH - MONTANA
81023212430$5,773,839$0
HOLY ROSARY HEALTHCARE
81023179230$0$0
CARITAS CLINICS INC
48100991030$267,499$0
MARIAN CLINIC INC
48104690530$149,355$0
MOUNT ST VINCENT HOME
840405260100$500,000$0
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
84048269530$0$0
FieldValueIRS element (for citing)
Supported Organizations Total10SupportedOrganizationsTotalCnt
Support Sum$6,690,693SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing Doc0ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (1)SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice Investment0SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART IV, SECTION A, LINE 1THE 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 6SUPPORT 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 3ASISTERS 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 3BSISTERS 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

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$135,880OtherActivitiesAmt
Total Lobbying Expenditures$135,880TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationLOBBYING 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

FieldValueIRS element (for citing)
Beginning Year Balance$2,000,000BeginningYearBalanceAmt
End Year Balance$2,000,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,000,000BeginningYearBalanceAmt
End Year Balance$2,000,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,000,000BeginningYearBalanceAmt
End Year Balance$2,000,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,000,000BeginningYearBalanceAmt
End Year Balance$2,000,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,000,000BeginningYearBalanceAmt
End Year Balance$2,000,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,381,768OtherCostOrOtherBasisAmt
Book Value$72,381,768BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,862,362OtherCostOrOtherBasisAmt
Depreciation$26,813,631DepreciationAmt
Book Value$35,048,731BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,574,802OtherCostOrOtherBasisAmt
Depreciation$464,643DepreciationAmt
Book Value$2,110,159BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$324,360,563OtherCostOrOtherBasisAmt
Depreciation$229,876,688DepreciationAmt
Book Value$94,483,875BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,855,915OtherCostOrOtherBasisAmt
Book Value$6,855,915BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$210,880,448TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (18 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
EXECUTIVE DB PLAN INVESTMENTS$38,797,938F
HEDGE FUNDS$138,993,145F
JOINT VENTURE - NORTHERN ROCKIES HEALTHCARE ALLIANCE, LLC$4,774F
JOINT VENTURE - DENVER WEST ENDOSCOPY CTR, LLC$146,864F
JOINT VENTURE - E + PET IMAGING X, LP-$2,226F
JOINT VENTURE - LUTHERAN CAMPUS ASC, LLC$2,457,865F
JOINT VENTURE - SCLH-GI ENDOS CTR HLDGS, LLC$283,939F
JOINT VENTURE - TOUCHSTONE IMAGING$8,796,928F
JOINT VENTURE - REHAB HOSPITAL OF MT$2,129,333F
JOINT VENTURE - LAFAYETTE SURGERY CENTER-$1,038F
JOINT VENTURE - RED ROCKS RADIATION ONCOLOGY MANAGEMENT LLC$3,509,448F
JOINT VENTURE - SCL HEALTH PARTNERS LLC-$197,260F
JOINT VENTURE - DENVER SURGERY CENTER$776,319F
HSS STOCK$5,318,960F
OPPORTUNISTIC INVESTMENTS$143,589,938F
REAL RETURN INVESTMENTS$230,562,428F
SWEEP ACCOUNTS$6,441,427F
VHA STOCK INVESTMENT$646,857F
FieldValueIRS element (for citing)
Total Book Value Securities$582,255,639TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp

FieldValueIRS element (for citing)
DescNOTES REC - INTERCOMPANYDesc
Book Value$307,841,296BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Program Rltd$307,841,296TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
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
FieldValueIRS element (for citing)
Total Liability$1,743,082,407TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationSCLHS 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA/CARIBBEAN00PROGRAM SERVICESCAPTIVE INSURANCE PREMIUM$18,644,200
EUROPE/CARIBBEAN00INVESTMENTS, PROGRAM-RELATED$5,895,337
SUB-SAHARAN AFRICA00GRANTHOSPITAL AND MEDICAL CENTER$10,200
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$24,549,737SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$24,549,737TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionSUB-SAHARAN AFRICARegionTxt
Purpose Of GrantSUPPORT MISSIONPurposeOfGrantTxt
Cash Grant$10,200CashGrantAmt
Manner Of Cash DisbursementWIRE TRANSFERMannerOfCashDisbursementTxt
Non Cash Assistance$0NonCashAssistanceAmt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (1)ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 3INVESTMENTS 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,732,297TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$827,680DirectOffsettingRevenueAmt
Net Community Benefit Expns$904,617NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,818,412TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$32,455,268DirectOffsettingRevenueAmt
Net Community Benefit Expns$363,144NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,550,709TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$33,282,948DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,267,761NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$64,202TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$64,202NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,451,381TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,065,063DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,386,318NetCommunityBenefitExpnsAmt
Total Expense0.00420TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,515,583TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,065,063DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,450,520NetCommunityBenefitExpnsAmt
Total Expense0.00430TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,066,292TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$36,348,011DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,718,281NetCommunityBenefitExpnsAmt
Total Expense0.00580TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,310,986BadDebtExpenseAmt
Reimbursed By Medicare$27,283,372ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$64,803,408CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$37,520,036MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 DENVER WEST ENDOSCOPY CENTER LLC
OUTPATIENT ENDOSCOPY SERVICES0.510000.000000.49000
2 LUTHERAN CAMPUS ASC LLC
OUTPATIENT SURGERY0.307800.000000.37190
3 SCLH-GI ENDOSCOPY CENTER HOLDINGS LLC
ENDOSCOPY SERVICES0.510000.000000.49000
4 NORTHGLENN ENDOSCOPY CENTER LLC
ENDOSCOPY SERVICES0.510000.000000.49000
5 SJ EAST CAMPUS ASC LLC
0.249900.000000.49000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REHABILITATION HOSPITAL OF MONTANA LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13572 HESPER ROADAddressLine1Txt
CityBILLINGSCityNm
State AbbreviationMTStateAbbreviationCd
ZIP59102ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.REHABHOSPITALOFMONTANA.COMWebsiteAddressTxt
State License13564StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1REHABILITATION HOSPITAL OF MONTANA LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Implementation Strategy Adopt0ImplementationStrategyAdoptInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
REHABILITATION HOSPITAL OF MONTANA, LLCPART 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, LLCPART 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, LLCPART 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, LLCPART 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
FieldValueIRS element (for citing)
Facility131FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (131 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - CANCER CENTERS OF COLORADO LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021CANCER CENTER
2 - GS CAMPUS ASC LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021SURGERY CENTER
3 - RED ROCKS RADIATION ONCOLOGY MANAGEMENT
400 INDIANA ST SUITE 220GOLDENCO80401CANCER CENTER
4 - LUTHERAN CAMPUS ASC LLC
3455 LUTHERAN PKWY STE 150WHEATRIDGECO80033OUTPATIENT SURGERY
5 - SJ EAST CAMPUS ASC LLC
1830 FRANKLIN ST SUITE 200DENVERCO80218SURGERY CENTER
6 - DENVER WEST ENDOSCOPY CENTER LLC
382 S ARTHUR AVENUELOUISVILLECO80027OUTPATIENT ENDOSCOPY
7 - NORTHGLENN ENDOSCOPY CENTER LLC
11900 GRANT STREETNORTHGLENNCO80233ENDOSCOPY SERVICES
8 - TOUCHSTONE MEDICAL IMAGING - AURORA
3055 SOUTH PARKER RD BLDG A SUITEAURORACO80014RADIOLOGY SERVICES103
9 - TOUCHSTONE MEDICAL IMAGING - CASTLE ROCK
3911 AMBROSIA STCASTLE ROCKCO80109RADIOLOGY SERVICES
10 - TOUCHSTONE MEDICAL IMAGING - DRY CREEK
125 INVERNESS DR EAST SUITE 140ENGLEWOODCO80112RADIOLOGY SERVICES
11 - TOUCHSTONE MEDICAL IMAGING - HIGHLINE-LI
26 WEST DRY CREEK CIR SUITE 160LITTLETONCO80120RADIOLOGY SERVICES
12 - TOUCHSTONE MEDICAL IMAGING - LAFAYETTE
390 EMPIRE ROAD SUITE 102LAFAYETTECO80026RADIOLOGY SERVICES
13 - TOUCHSTONE MEDICAL IMAGING - LAKEWOOD
14062 DENVER WEST PKWY BLDG 52LAKEWOODCO80401RADIOLOGY SERVICESSUITE 1
14 - TOUCHSTONE MEDICAL IMAGING - MAMMOGRAPHY
7615 W 38TH AVENUE SUITE B-107WHEAT RIDGECO80033RADIOLOGY SERVICES
15 - TOUCHSTONE MEDICAL IMAGING - RED ROCKS
400 INDIANA ST SUITE 210GOLDENCO80401RADIOLOGY SERVICES
16 - TOUCHSTONE MEDICAL IMAGING - SUPERIOR
3 SUPERIOR WAY SUITE 150SUPERIORCO80027RADIOLOGY SERVICES
17 - TOUCHSTONE MEDICAL IMAGING - THORNTON
12021 PENNSYLVANIA ST SUITE 106THORNTONCO80241RADIOLOGY SERVICES
18 - TOUCHSTONE MEDICAL IMAGING - UPTOWN
1007 E COLFAX AVECOCO80218RADIOLOGY SERVICES
19 - TOUCHSTONE MEDICAL IMAGING - WHEAT RIDGE
7615 WEST 38TH AVENUE SUITE B115WHEAT RIDGECO80033RADIOLOGY SERVICES
20 - TOUCHSTONE MEDICAL IMAGING - BILLINGS
1739 SPRING CREEK LANEBILLINGSMT59106RADIOLOGY SERVICES
21 - SCL FRONT RANGE HOME HEALTH LLC
8300 W 38TH AVENUEWHEAT RIDGECO80033HOME HEALTH
22 - SCL HEALTH MEDICAL GROUP - DOWNTOWN INTE
2900 12TH AVE NBILLINGSMT591017588OUTPATIENT PHYSICIAN CLINIC
23 - SCL HEALTH HEART & VASCULAR INSTITUTE -
2900 12TH AVE NBILLINGSMT59101OUTPATIENT PHYSICIAN CLINIC
24 - CANCER CENTERS OF COLORADO - SLOAN'S LAK
1601 LOWELL BLVD STE 150DENVERCO802041545OUTPATIENT PHYSICIAN CLINIC
25 - SCL HEALTH ST VINCENT EMERGENCY MEDICINE
1233 N 30TH STBILLINGSMT591010127OUTPATIENT PHYSICIAN CLINIC
26 - SCL HEALTH MEDICAL GROUP - BUTTE
435 S CRYSTAL STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
27 - SCL HEALTH MEDICAL GROUP - MONTANA ORTHO
435 S CRYSTAL STBUTTEMT597011506OUTPATIENT PHYSICIAN CLINIC
28 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL
2900 12TH AVE NBILLINGSMT591017502OUTPATIENT PHYSICIAN CLINIC
29 - SCL HEALTH MEDICAL GROUP - BROADWATER
2019 BROADWATER AVEBILLINGSMT591024810OUTPATIENT PHYSICIAN CLINIC
30 - SCL HEALTH MEDICAL GROUP - HEIGHTS
32 WICKS LNBILLINGSMT591053810OUTPATIENT PHYSICIAN CLINIC
31 - SCL HEALTH MEDICAL GROUP - LAUREL
1035 1ST AVELAURELMT590442119OUTPATIENT PHYSICIAN CLINIC
32 - SCL HEALTH HEART & VASCULAR INSTITUTE -
2900 12TH AVE NBILLINGSMT591017504OUTPATIENT PHYSICIAN CLINIC
33 - SCL HEALTH MEDICAL GROUP - BROADWATER WA
2019 BROADWATER AVEBILLINGSMT591024810OUTPATIENT PHYSICIAN CLINIC
34 - SCL HEALTH MEDICAL GROUP - BILLINGS GAST
1144 N BROADWAYBILLINGSMT591010110OUTPATIENT PHYSICIAN CLINIC
35 - SCL HEALTH MEDICAL GROUP - NORTH SHILOH
2223 MISSION WAYBILLINGSMT591020160OUTPATIENT PHYSICIAN CLINIC
36 - SCL HEALTH MEDICAL GROUP - N 27TH WALK-I
1027 N 27TH STREETBILLINGSMT591010701OUTPATIENT PHYSICIAN CLINIC
37 - SCL HEALTH MEDICAL GROUP - WEST GRAND
2750 GRAND AVEBILLINGSMT591022629OUTPATIENT PHYSICIAN CLINIC
38 - SCL HEALTH ST JAMES EMERGENCY PHYSICIANS
400 S CLARK STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
39 - SCL HEALTH MEDICAL GROUP - BILLINGS DIAB
2900 12TH AVE NBILLINGSMT591017588OUTPATIENT PHYSICIAN CLINIC
40 - SCL HEALTH MEDICAL GROUP - BILLINGS PAIN
2900 12TH AVE NBILLINGSMT591017506OUTPATIENT PHYSICIAN CLINIC
41 - SCL HEALTH MEDICAL GROUP - BILLINGS MIDW
2900 12TH AVE NBILLINGSMT591017506OUTPATIENT PHYSICIAN CLINIC
42 - SCL HEALTH MEDICAL GROUP - BILLINGS DERM
2900 12TH AVE NBILLINGSMT591017513OUTPATIENT PHYSICIAN CLINIC
43 - SCL HEALTH MEDICAL GROUP - BILLINGS SLEE
2900 12TH AVE NBILLINGSMT591010127OUTPATIENT PHYSICIAN CLINIC
44 - SCL HEALTH MEDICAL GROUP - BILLINGS NEPH
2900 12TH AVE NBILLINGSMT591017508OUTPATIENT PHYSICIAN CLINIC
45 - SCL HEALTH MEDICAL GROUP - HARDIN
16 N MILESHARDINMT590342356OUTPATIENT PHYSICIAN CLINIC
46 - SCL HEALTH MEDICAL GROUP - BUTTE UROLOGY
305 W PORPHYRYBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
47 - SCL HEALTH MEDICAL GROUP - BILLINGS TRAN
2223 MISSION WAYBILLINGSMT59102OUTPATIENT PHYSICIAN CLINIC
48 - SCL HEALTH MEDICAL GROUP - HEIGHTS WALK-
32 WICKS LNBILLINGSMT591053810OUTPATIENT PHYSICIAN CLINIC
49 - SCL HEALTH MEDICAL GROUP - BUTTE OB-GYN
305 W PORPHYRYBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
50 - SCL HEALTH MEDICAL GROUP - RED LODGE
10 ROBINSON LNRED LODGEMT590680070OUTPATIENT PHYSICIAN CLINIC
51 - SCL HEALTH ST VINCENT NEONATOLOGY
1233 N 30TH STBILLINGSMT591010127OUTPATIENT PHYSICIAN CLINIC
52 - SCL HEALTH MEDICAL GROUP - BOZEMAN
711 W MAIN STBOZEMANMT597153356OUTPATIENT PHYSICIAN CLINIC
53 - SCL HEALTH MEDICAL GROUP - BILLINGS BEHA
2900 12TH AVE NBILLINGSMT591017516OUTPATIENT PHYSICIAN CLINIC
54 - SCL HEALTH MEDICAL GROUP - BILLINGS PEDI
1232 N 30THBILLINGSMT591010128OUTPATIENT PHYSICIAN CLINIC
55 - SCL HEALTH ST VINCENT INTENSIVISTS
1233 N 30TH STBILLINGSMT591010127OUTPATIENT PHYSICIAN CLINIC
56 - SCL HEALTH MEDICAL GROUP - LEWISTOWN
70 CATTAIL DRLEWISTOWNMT594574123OUTPATIENT PHYSICIAN CLINIC
57 - SCL HEALTH MEDICAL GROUP - BILLINGS MATE
2900 12TH AVE NBILLINGSMT591017504OUTPATIENT PHYSICIAN CLINIC
58 - SCL HEALTH HEART & VASCULAR INSTITUTE -
435 S CRYSTAL STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
59 - SCL HEALTH MEDICAL GROUP - MONTANA ORTHO
435 S CRYSTAL STBUTTEMT597011506OUTPATIENT PHYSICIAN CLINIC
60 - SCLHBI WOUND CARE
2900 12TH AVE NBILLINGSMT59101OUTPATIENT PHYSICIAN CLINIC
61 - ST JAMES HEALTHCARE - CANCER CENTERS OF
400 S CLARK STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
62 - SCL HEALTH MEDICAL GROUP BUTTE EXPRESS C
435 S CRYSTAL STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
63 - ST JAMES HEALTHCARE - CANCER CENTERS OF
400 S CLARK STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
64 - SCL HEALTH MEDICAL GROUP - BILLINGS OCCU
2019 BROADWATER AVEBILLINGSMT591024810OUTPATIENT PHYSICIAN CLINIC
65 - SCL HEALTH MEDICAL GROUP - BILLINGS WEIG
2900 12TH AVE NBILLINGSMT591017588OUTPATIENT PHYSICIAN CLINIC
66 - SCL HEALTH MEDICAL GROUP - CODY
720 LINDSAY LNCODYWY824144103OUTPATIENT PHYSICIAN CLINIC
67 - SCL HEALTH ST VINCENT PALLIATIVE CARE
1233 N 30TH STBILLINGSMT59101OUTPATIENT PHYSICIAN CLINIC
68 - SCL HEALTH ST VINCENT PEDIATRIC HOSPITAL
1233 N 30TH STBILLINGSMT591075200OUTPATIENT PHYSICIAN CLINIC
69 - SCL HEALTH MEDICAL GROUP - BOULDER
214 S MAIN STBOULDERMT59632OUTPATIENT PHYSICIAN CLINIC
70 - SCL HEALTH MEDICAL GROUP - ABSAROKEE
55 N MONTANAABSAROKEEMT590010425OUTPATIENT PHYSICIAN CLINIC
71 - SCL HEALTH MEDICAL GROUP - PEDIATRIC SPE
1232 N 30THBILLINGSMT59101OUTPATIENT PHYSICIAN CLINIC
72 - SCL HEALTH MEDICAL GROUP - BUTTE SURGICA
435 S CRYSTAL STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
73 - SCL HEALTH MEDICAL GROUP - BILLINGS PHYS
2900 12TH AVE NBILLINGSMT591010136OUTPATIENT PHYSICIAN CLINIC
74 - SCL HEALTH MEDICAL GROUP WHITEHALL PHYSI
309 EAST LEGIONWHITEHALLMT59759OUTPATIENT PHYSICIAN CLINIC
75 - SCL HEALTH ST VINCENT NEUROLOGY
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
76 - SCL HEALTH MEDICAL GROUP - PEDIATRIC SPE
1232 N 30THBILLINGSMT591010128OUTPATIENT PHYSICIAN CLINIC
77 - SCL HEALTH ST VINCENT NEUROLOGY
621 3RD ST SGLASGOWMT59230OUTPATIENT PHYSICIAN CLINIC
78 - SCL HEALTH ST VINCENT NEUROLOGY
711 W MAIN STBOZEMANMT59715OUTPATIENT PHYSICIAN CLINIC
79 - SCL HEALTH MEDICAL GROUP - BOULDER
214 S MAINBOULDERMT59632OUTPATIENT PHYSICIAN CLINIC
80 - SCL HEALTH MEDICAL GROUP BUTTE NEUROLOGY
435 S CRYSTAL STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
81 - SCL HEALTH MEDICAL GROUP - BUTTE DOWNTOW
3636 HARRISON AVEBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
82 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
83 - SCL HEALTH MEDICAL GROUP - BUTTE ENT
435 S CRYSTAL STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
84 - SCL HEALTH MEDICAL GROUP MILES CITY NEPH
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
85 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL
181 12TH AVE SWSIDNEYMT59270OUTPATIENT PHYSICIAN CLINIC
86 - SCL HEALTH- ST VINCENT NEUROSURGERY
2600 WILSONMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
87 - SCL HEALTH HEART & VASCULAR INSTITUTE -
711 W MAIN STBOZEMANMT597153356OUTPATIENT PHYSICIAN CLINIC
88 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL
720 LINDSAY LNCODYWY82414OUTPATIENT PHYSICIAN CLINIC
89 - SCL HEALTH HEART & VASCULAR INSTITUTE -
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
90 - SCL HEALTH ST VINCENT NEUROLOGY
181 12TH AVE SWSIDNEYMT59270OUTPATIENT PHYSICIAN CLINIC
91 - SCL HEALTH MEDICAL GROUP - BILLINGS MIDW
16 N MILES AVEHARDINMT59034OUTPATIENT PHYSICIAN CLINIC
92 - SCL HEALTH MEDICAL GROUP CODY NEPHROLOGY
720 LINDSAY LNCODYMT824144103OUTPATIENT PHYSICIAN CLINIC
93 - SCL HEALTH MEDICAL GROUP - BUTTE DOWNTOW
3636 HARRISON AVEBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
94 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL
202 PROSPECTGLENDIVEMT59330OUTPATIENT PHYSICIAN CLINIC
95 - SCL HEALTH HEART & VASCULAR INSTITUTE -
216 14TH AVE SWSIDNEYMT59270OUTPATIENT PHYSICIAN CLINIC
96 - SCL HEALTH MEDICAL GROUP - SIDNEY MATERN
216 14TH AVE SWSIDNEYMT59270OUTPATIENT PHYSICIAN CLINIC
97 - SCL HEALTH HEART & VASCULAR INSTITUTE -
711 W MAIN STBOZEMANMT59715OUTPATIENT PHYSICIAN CLINIC
98 - SCL HEALTH HEART & VASCULAR INSTITUTE -
720 LINDSAY LANECODYMT824144103OUTPATIENT PHYSICIAN CLINIC
99 - SCL HEALTH MEDICAL GROUP - LEWISTOWN
70 CATTAIL DRLEWISTOWNMT59457OUTPATIENT PHYSICIAN CLINIC
100 - SCL HEALTH ST VINCENT HOSPITALISTS
1233 N 30TH STBILLINGSMT591010127OUTPATIENT PHYSICIAN CLINIC
101 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL
1106 BIGHORN AVEWORLANDMT82401OUTPATIENT PHYSICIAN CLINIC
102 - SCL HEALTH MEDICAL GROUP - BILLINGS UROL
70 CATTAIL DRLEWISTOWNMT59457OUTPATIENT PHYSICIAN CLINIC
103 - SCL HEALTH HEART & VASCULAR INSTITUTE -
10 ROBINSON LANERED LODGEMT590689010OUTPATIENT PHYSICIAN CLINIC
104 - SCL HEALTH MEDICAL GROUP SHERIDAN MATERN
1333 W 5TH STSHERIDANWY82801OUTPATIENT PHYSICIAN CLINIC
105 - SCL HEALTH MEDICAL GROUP MILES CITY PEDI
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
106 - SCL HEALTH ST VINCENT NEUROSURGERY
711 W MAIN STBOZEMANMT59715OUTPATIENT PHYSICIAN CLINIC
107 - SCL HEALTH MEDICAL GROUP CODY PEDIATRIC
720 LINDSAY LANECODYMT82414OUTPATIENT PHYSICIAN CLINIC
108 - SCL HEALTH ST VINCENT NEUROSURGERY
181 12TH AVE SWSIDNEYMT59270OUTPATIENT PHYSICIAN CLINIC
109 - SCL HEALTH HEART & VASCULAR INSTITUTE -
70 CATTAIL DRLEWISTOWNMT59457OUTPATIENT PHYSICIAN CLINIC
110 - SCLHBI WOUND MILES CITY
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
111 - SCL HEALTH HEARTVASCULAR CODY CARDIOVAS
720 LINDSEY LANECODYWY824144103OUTPATIENT PHYSICIAN CLINIC
112 - SCL HEALTH ST VINCENT NEUROLOGY
70 CATTAIL DRIVELEWISTOWNMT59457OUTPATIENT PHYSICIAN CLINIC
113 - SCL HEALTH MEDICAL GROUP - HARDIN NEPHRO
16 N MILES AVEHARDINMT59034OUTPATIENT PHYSICIAN CLINIC
114 - SCL HEALTH MEDICAL GROUP BUTTE PEDIATRIC
435 S CRYSTAL STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
115 - SCL HEALTH HEART & VASCULAR INSTITUTE -
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
116 - SCL HEALTH MEDICAL GROUP - BOZEMAN
711 W MAIN STBOZEMANMT59715OUTPATIENT PHYSICIAN CLINIC
117 - SCL HEALTH MEDICAL GROUP WORLAND NEPHROL
1106 BIG HORN AVEWORLANDWY824012803OUTPATIENT PHYSICIAN CLINIC
118 - SCL HEALTH ST VINCENT NEUROSURGERY
132 N GOULD STREETSHERIDANWY828010000OUTPATIENT PHYSICIAN CLINIC
119 - SCL HEALTH ST VINCENT NEUROSURGERY
720 LINDSAY LNCODYWY82414OUTPATIENT PHYSICIAN CLINIC
120 - SCL HEALTH MEDICAL GROUP - BOZEMAN
711 W MAIN STBOZEMANMT59715OUTPATIENT PHYSICIAN CLINIC
121 - SCL HEALTH MEDICAL GROUP DEER LODGE OBGY
1100 HOLLENBECK LANEDEER LODGEMT59722OUTPATIENT PHYSICIAN CLINIC
122 - SCL HEALTH MEDICAL GROUP BOULDER OBGYN
214 S MAIN STBOULDERMT59701OUTPATIENT PHYSICIAN CLINIC
123 - SCL HEALTH ST VINCENT NEUROSURGERY
401 15TH AVE SOUTHGREAT FALLSMT59405OUTPATIENT PHYSICIAN CLINIC
124 - SCL HEALTH MEDICAL GROUP - MILES CITY SL
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
125 - SCL HEALTH MEDICAL GROUP SIDNEY PEDIATRI
216 14TH AVENUE SWSIDNEYMT592703521OUTPATIENT PHYSICIAN CLINIC
126 - SCL HEALTH MEDICAL GROUP - BOZEMAN
711 W MAIN STBOZEMANMT59715OUTPATIENT PHYSICIAN CLINIC
127 - SCL HEALTH HEART & VASCULAR INSTITUTE -
70 CATTAIL DRLEWISTOWNMT594570000OUTPATIENT PHYSICIAN CLINIC
128 - SCLHBI UROLOGY BOZEMAN
711 W MAIN STBOZEMANMT59715OUTPATIENT PHYSICIAN CLINIC
129 - SCL HEALTH MEDICAL GROUP BUTTE PEDIATRIC
435 S CRYSTAL STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
130 - SCL HEALTH MEDICAL GROUP - HARDIN SLEEP
16 N MILES AVEHARDINMT59034OUTPATIENT PHYSICIAN CLINIC
131 - SCL HEALTH MEDICAL GROUP BOULDER UROLOGY
214 S MAIN STBOULDERMT59701OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
SCL HEALTH - MONTANA
1233 NORTH 30TH STREETBILLINGSMT59101810232124501(C)(3)$5,773,839$0SUPPORT MISSION
MOUNT SAINT VINCENT HOME
4159 LOWELL BOULEVARDDENVERCO80211840405260501(C)(3)$500,000$0SUPPORT MISSION
CARITAS CLINICS
818 NORTH 7TH STREETLEAVENWORTHKS66048481009910501(C)(3)$267,499$0SUPPORT MISSION
MARIAN CLINIC
1001 SW GARFIELD AVETOPEKAKS66604481046905501(C)(3)$149,355$0SUPPORT MISSION
NATIONAL CATHOLIC BIOETHICS CENTER
6399 DREXEL ROADPHILADELPHIAPA19151042871526501(C)(3)$25,000$0SUPPORT MISSION
PROJECT CURE
W DOUGLAS JACKSON 10377 E GEDDESCENTENIALCO80112841568566501(C)(3)$21,000$0SUPPORT MISSIONAVENUE NO 200
DENVER ART MUSEUM
100 W 14TH AVENUE PKWYDENVERCO80204846038240501(C)(3)$15,000$0SUPPORT MISSION
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationSCLHS' MISSION DEPARTMENT REQUIRES WRITTEN STATEMENTS THREE TIMES A YEAR REGARDING THE PROGRESS AND STATUS OF THE GRANT.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (24 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3COMPENSATION 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-BSCHEDULE 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 7OTHER 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 DISCLOSURESTHE 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
COLORADO HEALTH FACILITIES AUTHORITY
A84075293219648AN842013-11-12$302,719,375CONSTRUCT HOSPITAL FACILITY000
COLORADO HEALTH FACILITIES AUTHORITY
B84075293219648A5S02016-05-12$221,970,000CONSTRUCT HOSPITAL FACILITYYes (1)00
COLORADO HEALTH FACILITIES AUTHORITY
C84075293219648FLQ52019-10-03$481,924,6565/20/10 REFINANCE000
MONTANA FACILITY FINANCE AUTHORITY
D81030240261204KMZ12019-10-03$151,631,94405/20/10 REFINANCE000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndBond DefeasedBondDefeasedAmtRetiredRetiredAmtOther Spent ProceedsOtherSpentProceedsAmt
A$302,719,375$3,005,563$299,713,812201300Yes (1)Yes (1)
B$221,976,622$1,908,538$220,068,084201600Yes (1)Yes (1)$110,990,000
C$481,924,656$2,884,0232019Yes (1)0Yes (1)Yes (1)$15,970,000$479,040,633
D$151,631,944$990,6192019Yes (1)0Yes (1)Yes (1)$5,445,000$150,641,325

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePct
A0Yes (1)Yes (1)Yes (1)000Yes (1)
B0Yes (1)Yes (1)Yes (1)000Yes (1)
C0Yes (1)Yes (1)Yes (1)000Yes (1)
D0Yes (1)Yes (1)Yes (1)000Yes (1)0.001000.00100

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A000Yes (1)0000Yes (1)
B000Yes (1)Yes (1)000Yes (1)
C0Yes (1)000000Yes (1)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2CREBATE 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 3ANY 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

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COLORADO HEALTH FACILITIES AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN840752932BondIssuerEIN
CUSIP19648FMB7CUSIPNum
Bond Issued2019-10-03BondIssuedDt
Issue Price$111,860,603IssuePriceAmt
Purpose05/12/16 REFINANCEPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$111,860,603TotalProceedsAmt
Issuance Costs From Proceeds$870,603IssuanceCostsFromProceedsAmt
Other Spent Proceeds$110,990,000OtherSpentProceedsAmt
Substantial Completion2019SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE 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 7ATHE 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 7BTHE 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 11BTHE 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 12CMONITORING 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 15SISTERS 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 19THE 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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SCL HEALTH MEDICAL GROUP - MONTANA LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021471888400PHYSICIAN SERVICESMT$0$0SCLHS
SCL HEALTH MEDICAL GROUP - BILLINGS LLC
1233 NORTH 30TH STREETBILLINGSMT59101464056262PHYSICIAN SERVICESMT$110,112,707$31,104,931SCL HEALTH MEDICAL GROUP - MONTANA LLC
SCL HEALTH MEDICAL GROUP - BUTTE LLC
400 SOUTH CLARK STREETBUTTEMT59701273193107PHYSICIAN SERVICESMT$22,405,715$8,478,378SCL HEALTH MEDICAL GROUP - MONTANA LLC
SCL HEALTH PARTNERS LLC
8300 WEST 38TH AVENUEWHEAT RIDGECO80033020749530HEALTHCARE SERVICESCO$3,398,838$18,044,311SCLHS
CANCER CENTERS OF COLORADO LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021823157615OP CANCER CENTERCO$4,711,351$1,241,458SCL HEALTH PARTNERS LLC
GS CAMPUS ASC LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021821536566SURGERY CENTERCO$2,603,287$6,297,414SCL HEALTH PARTNERS LLC
SCL HEALTH - EMERUS LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021800958129HOSPITAL SERVICESCO$0$0SCL HEALTH PARTNERS LLC
SCL HEALTH AURORA LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021472156361EMERGENCY CARE SERVICESCO$0$0SCL HEALTH - EMERUS LLC
SCL HEALTH NORTHGLENN LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021472188745HOSPITAL SERVICESCO$0$0SCL HEALTH - EMERUS LLC
SCL HEALTH SOUTHWEST LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021472175436HOSPITAL SERVICESCO$0$0SCL HEALTH - EMERUS LLC
SCL HEALTH WESTMINSTER LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021465180833HOSPITAL SERVICESCO$0$0SCL HEALTH - EMERUS LLC
SCL HOME HEALTH SOLUTIONS LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021462418729HOME HEALTH SERVICESDE$0$0SCL HEALTH PARTNERS LLC
SCL FRONT RANGE HOME HEALTH LLC
8300 W 38TH AVENUEWHEAT RIDGECO80207841195134HOME HEALTH SERVICESCO$4,749,011$781,961SCL HOME HEALTH SOLUTIONS LLC
SJ EAST CAMPUS ASC LLC (BECAME PARTNERSHIP 212021)
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021821485491SURGERY CENTERCO$1,604,206$776,319SCL HEALTH PARTNERS LLC
1227 LOWER LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021810811084REAL ESTATE INVESTMENTCO$0$0SCLHS
1227 UPPER LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021810906413REAL ESTATE INVESTMENTCO$0$0SCLHS

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
SCL HEALTH FOUNDATION
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021823290526SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCO501(C)(3)LINE 7SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
SCL HEALTH RESEARCH INSTITUTE INC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021852014794MEDICAL RESEARCHCO501(C)(3)LINE 4SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
INTEGRITY HEALTH
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021474520350SUPPORTING ORGANIZATIONCO501(C)(3)LINE 12C, III-FISISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
1600 PRAIRIE CENTER PARKWAYBRIGHTONCO80601840482695HOSPITAL SERVICESCO501(C)(3)LINE 3INTEGRITY HEALTHYes (1)
PLATTE VALLEY MEDICAL CENTER FOUNDATION
1600 PRAIRIE CENTER PARKWAYBRIGHTONCO80601742255936SUPPORTING ORGANIZATIONCO501(C)(3)LINE 12A, IBRIGHTON COMMUNITY HOSPITAL ASSOCIATIONYes (1)
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARDDENVERCO80211840405260RESIDENT CARECO501(C)(3)LINE 10SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
NJH-SJH INC
500 ELDORADO BLVD SUITE 4300DENVERCO80211471194849MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICESCO501(C)(3)LINE 12A, ISISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
SAINT JOSEPH HOSPITAL INC
1375 EAST 19TH AVENUEDENVERCO80218840417134HOSPITAL SERVICESCO501(C)(3)LINE 3SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
SAINT JOSEPH HOSPITAL FOUNDATION
1375 EAST 19TH AVENUEDENVERCO80218840735096SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCO501(C)(3)LINE 7SAINT JOSEPH HOSPITAL INCYes (1)
SCL HEALTH - FRONT RANGE INC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021841103606HOSPITAL SERVICESCO501(C)(3)LINE 3SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
200 EXEMPLA CIRCLELAFAYETTECO80026841649162SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCO501(C)(3)LINE 7SCL HEALTH-FRONT RANGE INCYes (1)
LUTHERAN MEDICAL CENTER FOUNDATION
8300 WEST 38TH AVENUEWHEAT RIDGECO80033208846152SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCO501(C)(3)LINE 7SCL HEALTH-FRONT RANGE INCYes (1)
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 NORTH 7TH STREETGRAND JUNCTIONCO81501840425720HOSPITAL SERVICESCO501(C)(3)LINE 3SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
ST MARYS HOSPITAL FOUNDATION
2635 NORTH 7TH STREETGRAND JUNCTIONCO81501237001007SUPPORTING ORGANIZATIONCO501(C)(3)LINE 12A, IST MARYS HOSPITAL & MEDICAL CENTER INCYes (1)
CARITAS CLINICS INC
818 NORTH 7TH STREETLEAVENWORTHKS66048481009910CLINIC SERVICESKS501(C)(3)LINE 3SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
MARIAN CLINIC INC
3164 SE 6TH AVENUETOPEKAKS66607481046905CLINIC SERVICESKS501(C)(3)LINE 3SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
HOLY ROSARY HEALTHCARE
2600 WILSON STREETMILES CITYMT59301810231792HOSPITAL SERVICESMT501(C)(3)LINE 3SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON STREETMILES CITYMT59301202270238SUPPORTING ORGANIZATIONMT501(C)(3)LINE 12A, IHOLY ROSARY HEALTHCAREYes (1)
ST JAMES HEALTHCARE
400 SOUTH CLARK STREETBUTTEMT59701810231785HOSPITAL SERVICESMT501(C)(3)LINE 3SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
ST JAMES HEALTHCARE FOUNDATION INC
400 SOUTH CLARK STREETBUTTEMT59701651202190SUPPORTING ORGANIZATIONMT501(C)(3)LINE 12A, IST JAMES HEALTHCAREYes (1)
SCL HEALTH - MONTANA
1233 NORTH 30TH STREETBILLINGSMT59101810232124HOSPITAL SERVICESMT501(C)(3)LINE 3SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INCYes (1)
ST VINCENT HEALTHCARE FOUNDATION INC
1106 NORTH 30TH STREETBILLINGSMT59101810468034SUPPORT RELATED TAX EXEMPT ORGANIZATIONSMT501(C)(3)LINE 7SCL HEALTH - MONTANAYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
SCLH-GI ENDOSCOPY HOLDINGS LLC
382 S ARTHUR AVENUELOUISVILLECO80027812979243OP ENDOSCOPYCOSCLHS (VIA SCL HEALTH PARTNERS LLC)RELATED$2,454,815$1,318,022000.51000
SCLTDI JV LLC
4200 SIX FORKS ROAD SUITE 1000RALEIGHNC27609472294770RADIOLOGYDESCLHS (VIA SCL HEALTH PARTNERS LLC)RELATED$1,181,290$5,717,8790Yes (1)0.51000
ATHLETIC MEDICINE & PERFORMANCE LLC (SVB IS PARTNER)
1144 NORTH 28TH STREETBILLINGSMT59101272270640PHYSICAL THERAPYMT00N/A
SUMMIT SURGERY CENTER LLC
434 SOUTH CLARK STREETBUTTEMT59701810536068OP SURGERYMT00N/A
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTON AVENUE SUITE 21GRAND JUNCTIONCO81501841505075OP SURGERYCO0Yes (1)N/A
HEALTHCARE MANAGEMENT LLC
PO BOX 1929GRAND JUNCTIONCO81502841238904MANAGEMENT SERVICESCO0Yes (1)N/A
PAVILION IMAGING LLC (FYE 5312021)
750 WELLINGTON AVENUEGRAND JUNCTIONCO81501030516198RADIOLOGYCO0Yes (1)N/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCO0Yes (1)N/A
CAREFLIGHT OF THE ROCKIES LLC
500 ELDORADO BLVD SUITE4300BROOMFIELDCO80021473525381MEDICAL AIR TRANSPORTCO00N/A
MED-MAP LLC
PO BOX 1295BILLINGSMT59103810491356RENTAL REAL ESTATEMT0Yes (1)N/A
YELLOWSTONE SURGERY CENTER LLC
1144 NORTH 28TH STREETBILLINGSMT59101721519467OP SURGERYMT00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CARITAS INC AND SUBSIDIARIES
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021480941069HEALTHCAREKSSCLHSC$10,441,707$13,037,8951.00000Yes (1)
WEST END ASSOCIATION INC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021854261243REAL ESTATE MANAGEMENTMTSCL HEALTH - MONTANAC0.77010Yes (1)
LEAVEN INSURANCE COMPANY LTD
980370522INSURANCESCLHSC$22,763,317$72,022,8851.00000Yes (1)23 LIME TREE BAY AVENUE WEST BAY RGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (1)DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (27 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SCL HEALTH-FRONT RANGE INC
A$2,363,858FMV
SAINT JOSEPH HOSPITAL INC
A$9,651,755FMV
SCL HEALTH - MONTANA
B$5,773,839FMV
MOUNT ST VINCENT HOME INC
B$500,000FMV
CARITAS CLINICS INC
B$267,499FMV
MARIAN CLINIC INC
B$149,355FMV
SCL HEALTH - MONTANA
C$15,055,217FMV
ST JAMES HEALTHCARE
C$3,610,122FMV
ST VINCENT HEALTHCARE FOUNDATION INC
C$2,125,379FMV
SCL HEALTH FOUNDATION
C$64,500FMV
SAINT JOSEPH HOSPITAL INC
D$5,325,832FMV
SCL HEALTH-FRONT RANGE INC
D$4,121,780FMV
CARITAS INC AND SUBSIDIARIES
F$5,723,539FMV
LEAVEN INSURANCE COMPANY LTD
F$16,600,000FMV
SCL HEALTH - MONTANA
L$64,168,178FMV
HOLY ROSARY HEALTHCARE
L$9,091,717FMV
ST JAMES HEALTHCARE
L$19,824,830FMV
ST MARY'S HOSPITAL & MEDICAL CENTER INC
L$66,891,125FMV
SAINT JOSEPH HOSPITAL INC
L$91,202,708FMV
SCL HEALTH-FRONT RANGE INC
L$128,329,324FMV
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
L$26,551,635FMV
ST JAMES HEALTHCARE FOUNDATION INC
L$74,396FMV
ST VINCENT HEALTHCARE FOUNDATION INC
L$603,861FMV
ST MARYS HOSPITAL FOUNDATION
L$243,889FMV
SAINT JOSEPH HOSPITAL FOUNDATION
L$276,913FMV
LUTHERAN MEDICAL CENTER FOUNDATION
L$198,337FMV
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
L$217,031FMV