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SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC (EIN 23-7379161)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-04
IRS object ID
202033099349302853
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-04T16:56:44-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 E WASHINGTON ST SUITE 910AddressLine1Txt
CityPHOENIXCityNm
State AbbreviationAZStateAbbreviationCd
ZIP85004ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

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
Signature2020-11-04SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPATRICK SHIELDSPreparerPersonNm
PTINP01508556PTIN
Phone6023223000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address170.188.5.33IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-04IPDt
IP Tm15:54:41IPTm
IP TimezoneMSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id3DE5F749A1903F95D50F7F754F5516E476789552AtSubmissionCreationDeviceId
At Submission Filing Device Id7344F31AB4FCF1C7E5585BE6FD2CA2E0CB73F104AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$674,356,670GrossReceiptsAmt
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 Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee4034TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$1,847,542TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,619,870PYContributionsGrantsAmt
CY Contributions Grants$12,216,198CYContributionsGrantsAmt
PY Program Service Revenue$530,827,844PYProgramServiceRevenueAmt
CY Program Service Revenue$572,463,192CYProgramServiceRevenueAmt
PY Investment Income$157,264,500PYInvestmentIncomeAmt
CY Investment Income$81,936,542CYInvestmentIncomeAmt
PY Other Revenue$8,268,755PYOtherRevenueAmt
CY Other Revenue$6,730,832CYOtherRevenueAmt
PY Total Revenue$697,980,969PYTotalRevenueAmt
CY Total Revenue$673,346,764CYTotalRevenueAmt
PY Grants And Similar Paid$4,192,744PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,835,691CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$305,257,367PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$324,044,045CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$352,050,880PYOtherExpensesAmt
CY Other Expenses$364,753,380CYOtherExpensesAmt
PY Total Expenses$661,500,991PYTotalExpensesAmt
CY Total Expenses$698,633,116CYTotalExpensesAmt
PY Revenues Less Expenses$36,479,978PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$25,286,352CYRevenuesLessExpensesAmt
Total Assets BOY$2,603,987,815TotalAssetsBOYAmt
Total Assets EOY$2,821,772,081TotalAssetsEOYAmt
Total Liabilities BOY$2,554,485,949TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,648,676,633TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$49,501,866NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$173,095,448NetAssetsOrFundBalancesEOYAmt
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$680,056,704ExpenseAmt
Grant$9,835,691GrantAmt
Revenue$579,160,138RevenueAmt
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 15,900 FULL-TIME ASSOCIATES AND MORE THAN 800 EMPLOYED PROVIDERS.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 2019, SCL HEALTH SYSTEM CONTRIBUTED $255 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$680,056,704TotalProgramServiceExpensesAmt
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 Org0MoreThan5000KToOrgInd
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 Document493IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4034EmployeeCnt
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 Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 (42 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)$1,773,465$0$396,591
JANIE WADE
TREASURER / EVP CHIEF FINANCIAL OFFICER50.000.00Yes (X)$1,138,730$0$247,819
MICHAEL TAYLOR
CHIEF OPER OFF-HOSP OPS 1/1-6/2950.000.00$1,119,054$0$142,889Yes (X)
BUUP KIM MD
PSO PHYSICIAN CLINIC50.000.00$1,196,808$0$42,557Yes (X)
ROBERT TERRY MD
PSO PHYSICIAN50.000.00$1,129,378$0$45,839Yes (X)
TAJQUAH HUDSON
EVP CHIEF STRATEGY & GROWTH OFFICER50.000.00$961,808$0$181,855Yes (X)
JOHN WICKLUND
REGIONAL PRESIDENT WESTERN COLORADO & LMC0.0050.00$1,029,656$0$47,017Yes (X)
LOUIS ROSS MD
PSO PHYSICIAN CLINIC50.000.00$1,010,250$0$49,111Yes (X)
MARK KORTH
CHIEF OPER OFF-HOSP OPS 6/17-12/3150.000.00$1,043,905$0$12,342Yes (X)
ROSLAND MCLEOD
SECRETARY / SVP CHIEF LEGAL OFFICER50.000.00Yes (X)$871,238$0$183,403
JAMES VALIN MD
VICE PRESIDENT / EVP CHIEF CLINICAL OFFICER50.000.00Yes (X)$891,364$0$135,834
ROBERT LYNAGH MD
PSO PHYSICIAN CLINIC50.000.00$941,407$0$53,058Yes (X)
SHAWN DUFFORD MD
SVP CHIEF MEDICAL OFFICER SYS50.000.00$815,111$0$119,234Yes (X)
STEVEN CHYUNG
SVP SUPPLY CHAIN & REAL ESTATE50.000.00$628,519$0$101,053Yes (X)
TAMARA SAUNAITIS
SVP CHIEF HUMAN RESOURCES OFFICER50.000.00$612,084$0$97,894Yes (X)
KAREN SCREMIN
VP FINANCE OPERATIONS50.000.00$503,957$0$74,802Yes (X)
DAVID PRINGLE
SVP MISSION INTEGRATION50.000.00$529,858$0$42,901Yes (X)
LOUIS CAPPONI
VP CHIEF MEDICAL INFORMATICS OFFICER50.000.00$502,095$0$68,299Yes (X)
TROY SPRING
VP REVENUE CYCLE50.000.00$434,105$0$78,893Yes (X)
MEGAN MAHNCKE
PRESIDENT SCL HEALTH FDNS & SVP MARKETING C50.000.00$433,046$0$68,420Yes (X)
CRAIG RICHARDVILLE
SVP CHIEF INFORMATION OFCR 2/4-12/3150.000.00$479,660$0$13,596Yes (X)
MARK WILKINSON
VP TREASURER50.000.00$396,838$0$60,116Yes (X)
KERRY KOHNEN
FORMER KEY EMPLOYEE0.000.00$433,802$0$295Yes (X)
GERALDINE TOWNDROW
SVP CHIEF NURSING OFCR SYS 1/1-4/2650.000.00$321,070$0$13,493Yes (X)
LAURA WIGHTMAN
SVP CHIEF NURSING OFCR SYS 4/15-12/3150.000.00$308,708$0$6,320Yes (X)
LYNN SMITH
ASST SECRETARY / BOARD GOV PROG MGR50.000.00Yes (X)$112,226$0$18,621
STEVEN HUEBNER
CHAIR2.000.00Yes (X)Yes (X)$18,000$0$0
C GORDON HOWIE
MEMBER1.000.00Yes (X)$13,000$0$0
KATHRYN PAUL
PAST CHAIR / VICE CHAIR2.000.00Yes (X)Yes (X)$12,000$0$0
PAMELA FEDERBUSCH
MEMBER1.000.00Yes (X)$11,500$0$0
ALAN YORDY
MEMBER1.000.00Yes (X)$11,000$0$0
ROBERT E WILSON
MEMBER1.000.00Yes (X)$10,500$0$0
DOUGLAS ADEN
MEMBER1.000.00Yes (X)$10,000$0$0
BETH BECKMAN
MEMBER1.000.00Yes (X)$10,000$0$0
MICHAEL FORDYCE
MEMBER1.000.00Yes (X)$8,500$0$0
SCOTT KELLER
MEMBER 1/1-5/311.000.00Yes (X)$5,000$0$0
PAUL HUGHES-CROMWICK
MEMBER 1/1-5/311.000.00Yes (X)$4,500$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
SISTER CONSTANCE PHELPS SCL
MEMBER1.000.00Yes (X)$0$0$0
MICHAEL SALEM MD
MEMBER1.000.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$19,732,142TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,302,252TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K662IndivRcvdGreaterThan100KCnt
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
AYA HEALTHCARE INC
5935 CORNERSTONE CT WEST STE 300SAN DIEGOCA92121CONTRACT LABOR$15,731,298
CHG COMPANIES INC
PO BOX 972651DALLASTX75397CONTRACT LABOR$3,937,522
SAUNDERS EXPRESS LLC
6950 SOUTH JORDAN ROADCENTENNIALCO80112CONSTRUCTION SERVICES$3,343,559
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397CONTRACT LABOR$2,883,126
DENTONS US LLP
233 S WACKER DRIVE STE 5900CHICAGOIL60606LEGAL SERVICES$2,838,910
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K119CntrctRcvdGreaterThan100KCnt
Related Organizations$12,216,198RelatedOrganizationsAmt
Total Contributions$12,216,198TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MANAGEMENT SERVICES561000$379,103,132$379,013,132$90,000
PATIENT SERVICE REVENUE621110$170,833,150$170,050,656$782,494
PROGRAM RELATED INVESTMENTS622110$20,043,498$20,043,498
MEDICAL RESEARCH541700$1,989,559$1,989,559
JOINT VENTURES-MEDICAL SERVICES621400$1,339,771$1,339,771

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column-$845,918TotalRevenueColumnAmt
Related Or Exempt Func Income-$845,918RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$572,463,192TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$50,678,308TotalRevenueColumnAmt
Unrelated Business Revenue$975,048UnrelatedBusinessRevenueAmt
Exclusion$49,703,260ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$33,886RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$33,886RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,886TotalRevenueColumnAmt
Exclusion$33,886ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$32,268,140SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$1,009,906OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$32,268,140SecuritiesAmt
Other-$1,009,906OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,258,234TotalRevenueColumnAmt
Exclusion$31,258,234ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescVENDOR ADMINISTRATION REBATEDesc
Business900099BusinessCd
Total Revenue Column$6,696,946TotalRevenueColumnAmt
Related Or Exempt Func Income$6,696,946RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,696,946OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$673,346,764TotalRevenueColumnAmt
Related Or Exempt Func Income$578,287,644RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,847,542UnrelatedBusinessRevenueAmt
Exclusion$80,995,380ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$9,835,691TotalAmt
Program Services$9,835,691ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$16,055,217TotalAmt
Program Services$10,302,773ProgramServicesAmt
Management And General$5,752,444ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$245,948,274TotalAmt
Program Services$245,948,274ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,445,979TotalAmt
Program Services$19,445,979ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,046,501TotalAmt
Program Services$23,046,501ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,548,074TotalAmt
Program Services$19,548,074ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,811,095TotalAmt
Management And General$6,811,095ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,093,253TotalAmt
Management And General$1,093,253ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$170,754TotalAmt
Management And General$170,754ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,748,866TotalAmt
Management And General$4,748,866ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$22,457,735TotalAmt
Program Services$22,457,735ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,059,447TotalAmt
Program Services$5,059,447ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$38,731,872TotalAmt
Program Services$38,731,872ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$410,207TotalAmt
Program Services$410,207ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,464,255TotalAmt
Program Services$10,464,255ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,581,739TotalAmt
Program Services$4,581,739ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,727,951TotalAmt
Program Services$1,727,951ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$104,565,469TotalAmt
Program Services$104,565,469ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$41,712,889TotalAmt
Program Services$41,712,889ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,606,288TotalAmt
Program Services$1,606,288ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$50,867,686$50,867,686
MAINTENANCE SERVICES$45,680,714$45,680,714
SELF-INSURED MAINTENANC$5,534,424$5,534,424
BANK FEES$4,674,312$4,674,312

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$13,854,424TotalAmt
Program Services$13,854,424ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$698,633,116TotalAmt
Program Services$680,056,704ProgramServicesAmt
Management And General$18,576,412ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$175,041,651BOYAmt
EOY$159,786,578EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,280,492BOYAmt
EOY$9,034,124EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,380,000BOYAmt
EOY$6,618,584EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,811,880BOYAmt
EOY$2,168,178EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$28,192,654BOYAmt
EOY$31,345,594EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$547,173,219LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$315,504,382LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$227,542,084BOYAmt
EOY$231,668,837EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,250,468,928BOYAmt
EOY$1,572,238,228EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$467,024,313BOYAmt
EOY$451,489,583EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$441,082,832BOYAmt
EOY$331,136,427EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,898BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,161,083BOYAmt
EOY$26,285,948EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,603,987,815BOYAmt
EOY$2,821,772,081EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$119,106,380BOYAmt
EOY$116,359,817EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$338,431BOYAmt
EOY$3,040,815EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,246,538,360BOYAmt
EOY$1,228,321,730EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,188,502,778BOYAmt
EOY$1,300,954,271EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,554,485,949BOYAmt
EOY$2,648,676,633EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,851,550BOYAmt
EOY$157,841,715EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,650,316BOYAmt
EOY$15,253,733EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,501,866BOYAmt
EOY$173,095,448EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,603,987,815BOYAmt
EOY$2,821,772,081EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$25,286,352ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$176,493,276NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$27,613,342OtherChangesInNetAssetsAmt
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 Organizations11SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (11 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
ST FRANCIS HEALTH CENTER INC
48054771930$0$0
ST JAMES HEALTHCARE
81023178530$10,000$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$14,612$0
ST VINCENT HEALTHCARE
81023212430$8,700,000$0
HOLY ROSARY HEALTHCARE
81023179230$631$0
CARITAS CLINICS INC
48100991030$288,806$0
MARIAN CLINIC INC
48104690530$161,842$0
MOUNT ST VINCENT HOME
840405260100$500,000$0
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
84048269530$0$0
FieldValueIRS element (for citing)
Supported Organizations Total11SupportedOrganizationsTotalCnt
Support Sum$9,675,891SupportSumAmt
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$170,754OtherActivitiesAmt
Total Lobbying Expenditures$170,754TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationLOBBYING EXPENSES OF $66,792 WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION. ADDITIONAL LOBBYING EXPENSES OF $103,962 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$3,813,121BeginningYearBalanceAmt
Investment Earnings Or Losses$25,463InvestmentEarningsOrLossesAmt
Other Expenditures$1,838,584OtherExpendituresAmt
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$56,855,054OtherCostOrOtherBasisAmt
Book Value$56,855,054BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,207,077OtherCostOrOtherBasisAmt
Depreciation$11,367,023DepreciationAmt
Book Value$15,840,054BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,843,887OtherCostOrOtherBasisAmt
Depreciation$11,387,978DepreciationAmt
Book Value$5,455,909BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$418,021,440OtherCostOrOtherBasisAmt
Depreciation$292,749,381DepreciationAmt
Book Value$125,272,059BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,245,761OtherCostOrOtherBasisAmt
Book Value$28,245,761BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$231,668,837TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (14 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
EXECUTIVE DB PLAN INVESTMENTS$28,252,925F
HEDGE FUNDS$96,832,187F
JOINT VENTURE - NORTHERN ROCKIES HEALTHCARE ALLIANCE, LLC$5,154F
JOINT VENTURE - DENVER WEST ENDOSCOPY CTR, LLC$598,465F
JOINT VENTURE - E + PET IMAGING X, LP$90,299F
JOINT VENTURE - LUTHERAN CAMPUS ASC, LLC$1,021,724F
JOINT VENTURE - SAINT JOSEPH ASC$100,000F
JOINT VENTURE - SCLH-GI ENDOS CTR HLDGS, LLC$1,125,624F
JOINT VENTURE - TOUCHSTONE IMAGING$8,234,112F
JOINT VENTURE - REHAB HOSPITAL OF MT$1,160,824F
OPPORTUNISTIC INVESTMENTS$74,653,033F
REAL RETURN INVESTMENTS$213,500,113F
SWEEP ACCOUNTS$25,268,266F
VHA STOCK INVESTMENT$646,857F
FieldValueIRS element (for citing)
Total Book Value Securities$451,489,583TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
NOTES REC - SCL HEALTH - FRONT RANGE, INC.$148,287,000C
NOTES REC - ST. JOSEPH HOSPITAL, INC.$182,849,427C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$331,136,427TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLE$1,220,672,396
DEFERRED COMPENSATION PLAN PAYABLE$36,372,177
INTEREST RATE SWAP PAYABLE$15,967,781
BROKER PAYABLE$6,296,592
ACCRUED LIABILITY - OPERATING LEASE$16,336,320
ACCRUED LIABILITY - FINANCING LEASE$2,698,837
GUARANTEE FEE PAYABLE$2,610,168
FieldValueIRS element (for citing)
Total Liability$1,300,954,271TotalLiabilityAmt

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtSpecific Services ProvidedSpecificServicesProvidedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
CENTRAL AMERICA/CARIBBEAN00PROGRAM SERVICESCAPTIVE INSURANCE PREMIUM$17,133,181
EUROPE/CARIBBEAN00INVESTMENTS, PROGRAM-RELATED$4,906,827
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$22,040,008SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$22,040,008TotalSpentAmt
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 (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III ACCOUNTING METHOD:
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 $17,133,181 NET OF PREMIUM DISCOUNTS.

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$703,910TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$568,095DirectOffsettingRevenueAmt
Net Community Benefit Expns$135,815NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,773,484TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,550,411DirectOffsettingRevenueAmt
Net Community Benefit Expns$223,073NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$19,477,394TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,118,506DirectOffsettingRevenueAmt
Net Community Benefit Expns$358,888NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,311,433TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,921,045DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,390,388NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,700,622TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,990,794DirectOffsettingRevenueAmt
Net Community Benefit Expns$709,828NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,012,055TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,911,839DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,100,216NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,489,449TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,030,345DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,459,104NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,537,909BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$18,201,671ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$43,026,288CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$24,824,617MedicareSurplusOrShortfallAmt

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 (4 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 SURGERY0.551000.000000.44900
3 SCLH-GI ENDOSCOPY CENTER HOLDINGS LLC
ENDOSCOPY SERVICES0.510000.000000.49000
4 NORTHGLENN ENDOSCOPY CENTER LLC
ENDOSCOPY SERVICES0.510000.000000.49000
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 PYYes (1)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA Conducted0CHNAConductedInd
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 URLWWW.REHABHOSPITALOFMONTANA.COM/CHARITY-CAREFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.REHABHOSPITALOFMONTANA.COM/CHARITY-CAREFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.REHABHOSPITALOFMONTANA.COM/CHARITY-CAREFAPSummaryOnWebsiteURLTxt
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
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceREHABILITATION HOSPITAL OF MONTANA, LLCFormAndLineReferenceDesc
ExplanationPART V, SECTION B, LINE 20E: THE HOSPITAL DID NOT INITIATE ANY OF THE ACTIONS LISTED BECAUSE NO PATIENTS QUALIFIED FOR CHARITY CARE OR DISCOUNTED CARE IN 2019. THE HOSPITAL OPENED IN 2019 WAS ONLY OPERATING FOR PART OF THE YEAR.ExplanationTxt
FieldValueIRS element (for citing)
Facility99FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (99 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - CANCER CENTERS OF COLORADO LLC
500 ELDORADO BLVD STE 4300BROOMFIELDCO80021CANCER CENTER
2 - LUTHERAN CAMPUS ASC LLC
3455 LUTHERAN PKWY STE 150WHEATRIDGECO80033OUTPATIENT SURGERY
3 - DENVER WEST ENDOSCOPY CENTER LLC
382 S ARTHUR AVENUELOUISVILLECO80027OUTPATIENT ENDOSCOPY SERVICES
4 - NORTHGLENN ENDOSCOPY CENTER LLC
11900 GRANT STREETNORTHGLENNCO80233OUTPATIENT ENDOSCOPY SERVICES
5 - TOUCHSTONE MEDICAL IMAGING - AURORA
3055 SOUTH PARKER RD BLDG A STE 103AURORACO80014RADIOLOGY SERVICES
6 - TOUCHSTONE MEDICAL IMAGING - CASTLE ROCK
3911 AMBROSIA STCASTLE ROCKCO80109RADIOLOGY SERVICES
7 - TOUCHSTONE MEDICAL IMAGING - DRY CREEK
125 INVERNESS DR EAST STE 140ENGLEWOODCO80112RADIOLOGY SERVICES
8 - TOUCHSTONE MEDICAL IMAGING - HIGHLINE
26 WEST DRY CREEK CIR STE 160LITTLETONCO80120RADIOLOGY SERVICES
9 - TOUCHSTONE MEDICAL IMAGING - LAFAYETTE
390 EMPIRE ROAD STE 102LAFAYETTECO80026RADIOLOGY SERVICES
10 - TOUCHSTONE MEDICAL IMAGING - LAKEWOOD
14062 DENVER WEST PKWY BLDG 52 STELAKEWOODCO80401RADIOLOGY SERVICES180
11 - TOUCHSTONE MEDICAL IMAGING - MAMMOGRAPHY
7615 W 38TH AVENUE SUITE B-107WHEAT RIDGECO80033RADIOLOGY SERVICES
12 - TOUCHSTONE MEDICAL IMAGING - SUPERIOR
3 SUPERIOR WAY SUITE 150SUPERIORCO80027RADIOLOGY SERVICES
13 - TOUCHSTONE MEDICAL IMAGING - THORNTON
12021 PENNSYLVANIA ST STE 106THORNTONCO80241RADIOLOGY SERVICES
14 - TOUCHSTONE MEDICAL IMAGING - UPTOWN
1007 E COLFAX AVEDENVERCO80218RADIOLOGY SERVICES
15 - TOUCHSTONE MEDICAL IMAGING - WHEAT RIDGE
7615 WEST 38TH AVENUE STE B115WHEAT RIDGECO80033RADIOLOGY SERVICES
16 - TOUCHSTONE MEDICAL IMAGING - BILLINGS
1739 SPRING CREEK LANEBILLINGSMT59106RADIOLOGY SERVICES
17 - SCL FRONT RANGE HOME HEALTH LLC
8300 W 38TH AVENUEWHEAT RIDGECO80033HOME HEALTH
18 - SJ EAST CAMPUS ASC LLC
500 ELDORADO BLVD STE 4300BROOMFIELDCO80021SURGERY CENTER
19 - SVP INTERNAL MEDICINE
2900 12TH AVE N STE 310WBILLINGSMT591017588OUTPATIENT PHYSICIAN CLINIC
20 - ST VINCENT HEALTHCARE - MONTANA HEART
2900 12TH AVE N STE 204EBILLINGSMT59101OUTPATIENT PHYSICIAN CLINIC
21 - ST JAMES ROCKY MOUNTAIN CLINIC
435 S CRYSTAL ST STE 300BUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
22 - SVHC HEART AND VASCULAR CENTER
2900 12TH AVE N STE 400EBILLINGSMT591017504OUTPATIENT PHYSICIAN CLINIC
23 - SLOAN'S LAKE INFUSION CENTER
1601 LOWELL BLVD STE 150DENVERCO802041545OUTPATIENT PHYSICIAN CLINIC
24 - SVP BROADWATER FAMILY MEDICINE
2019 BROADWATER AVEBILLINGSMT591024810OUTPATIENT PHYSICIAN CLINIC
25 - SVP LAUREL FAMILY MEDICINE
1035 1ST AVELAURELMT590442119OUTPATIENT PHYSICIAN CLINIC
26 - SVP HEIGHTS FAMILY MEDICINE
32 WICKS LNBILLINGSMT591053810OUTPATIENT PHYSICIAN CLINIC
27 - ST VINCENT DERMATOLOGY
2900 12TH AVE N STE 265WBILLINGSMT591017513OUTPATIENT PHYSICIAN CLINIC
28 - SVP NORTH SHILOH FAMILY MEDICINE
2223 MISSION WAYBILLINGSMT591020160OUTPATIENT PHYSICIAN CLINIC
29 - ST JAMES EMERGENCY PHYSICIANS
400 S CLARK STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
30 - ST VINCENT HEALTHCARE BROADWATER WALK IN
2019 BROADWATER AVEBILLINGSMT591024810OUTPATIENT PHYSICIAN CLINIC
31 - SVP WALK-IN CLINIC NORTH 27TH
1027 N 27TH STREETBILLINGSMT591010701OUTPATIENT PHYSICIAN CLINIC
32 - ST VINCENT HEALTHCARE-GASTROENTEROLOGY
1144 N BROADWAY STE CBILLINGSMT591010110OUTPATIENT PHYSICIAN CLINIC
33 - SVP WEST GRAND FAMILY MEDICINE
2750 GRAND AVEBILLINGSMT591022629OUTPATIENT PHYSICIAN CLINIC
34 - ST VINCENT PHYSICIANS MIDWIFERY & WOMEN
2900 12TH AVE N STE 245WBILLINGSMT591017506OUTPATIENT PHYSICIAN CLINIC
35 - SVP PAIN CENTER
2900 12TH AVE N STE 335WBILLINGSMT591017506OUTPATIENT PHYSICIAN CLINIC
36 - ST VINCENT SLEEP AND RESPIRATORY CENTER
2900 12TH AVE N STE 500 EBILLINGSMT591010127OUTPATIENT PHYSICIAN CLINIC
37 - SVP INTERNAL MEDICINE AND DIABETES
2900 12TH AVE N STE 160WBILLINGSMT591017588OUTPATIENT PHYSICIAN CLINIC
38 - ST VINCENT NEPHROLOGY
2900 12TH AVE STE 160WBILLINGSMT591017508OUTPATIENT PHYSICIAN CLINIC
39 - SVP HARDIN FAMILY MEDICINE
16 N MILESHARDINMT590342356OUTPATIENT PHYSICIAN CLINIC
40 - SVHC MONTANA HEART RED LODGE
10 ROBINSON LANE PO BOX 70RED LODGEMT590689010OUTPATIENT PHYSICIAN CLINIC
41 - ST VINCENT HEALTHCARE BEHAVIORAL HEALTH
2900 12TH AVE N STE 280WBILLINGSMT591017516OUTPATIENT PHYSICIAN CLINIC
42 - ST VINCENT LONG TERM CAREGERIATRICS
2223 MISSION WAYBILLINGSMT59102OUTPATIENT PHYSICIAN CLINIC
43 - ST JAMES MEDICAL GROUP - UROLOGY
305 W PORPHYRY STE 100BUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
44 - ST JAMES MEDICAL GROUP LAB
435 S CRYSTAL ST STE 210BUTTEMT597011506OUTPATIENT PHYSICIAN CLINIC
45 - ST JAMES OBSTETRICS AND GYNECOLOGY
305 W PORPHYRY STE 200BUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
46 - ST VINCENT MATERNAL FETAL MEDICINE
2900 12TH AVE N STE 130WBILLINGSMT591017504OUTPATIENT PHYSICIAN CLINIC
47 - ST JAMES MEDICAL GROUP - HEART CENTER
435 S CRYSTAL ST STE 220BUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
48 - ST VINCENT PHYSIATRY
2900 12TH AVE N STE 500EBILLINGSMT591010136OUTPATIENT PHYSICIAN CLINIC
49 - SVHC CODY CLINIC
720 LINDSAY LN STE ACODYWY824144103OUTPATIENT PHYSICIAN CLINIC
50 - PEDIATRIC GI BOZEMAN
1232 N 30TH STE 200BILLINGSMT591010128OUTPATIENT PHYSICIAN CLINIC
51 - ST VINCENT HEALTHCARE-OCCUPATIONAL MED
2019 BROADWATER AVEBILLINGSMT591024810OUTPATIENT PHYSICIAN CLINIC
52 - ST JAMES CANCER CENTER
400 S CLARK STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
53 - ST VINCENT HEALTHCARE FORTIN PED SPECIAL
1232 N 30TH STE 200BILLINGSMT591010128OUTPATIENT PHYSICIAN CLINIC
54 - ST JAMES NEUROLOGY
435 S CRYSTAL ST STE 300BUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
55 - ST VINCENT HEALTHCARE FORTIN PED CARDIOL
1232 N 30TH STE 300BILLINGSMT59101OUTPATIENT PHYSICIAN CLINIC
56 - ST JAMES THERAPY- WHITEHALL
309 EAST LEGIONWHITEHALLMT59759OUTPATIENT PHYSICIAN CLINIC
57 - SVP ABSAROKEE FAMILY MEDICINE
55 N MONTANA PO BOX 425ABSAROKEEMT590010425OUTPATIENT PHYSICIAN CLINIC
58 - SVP WEIGHT MANAGEMENT
2900 12TH AVE N STE 160WBILLINGSMT591017588OUTPATIENT PHYSICIAN CLINIC
59 - ST JAMES MEDICAL GROUP - BUTTE SURGERY
435 S CRYSTAL ST STE 220BUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
60 - NEURO MILES CITY
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
61 - NEURO FRANCES MAHON GLASGOW
621 3RD ST SGLASGOWMT59230OUTPATIENT PHYSICIAN CLINIC
62 - ST JAMES THERAPY- BOULDER
214 S MAINBOULDERMT59632OUTPATIENT PHYSICIAN CLINIC
63 - SJB - BUTTE - BOULDER
214 S MAIN STBOULDERMT59632OUTPATIENT PHYSICIAN CLINIC
64 - ST JAMES CARDIAC INTERPRETATIONS
400 S CLARK STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
65 - NEUROSURGERY MILES CITY
2600 WILSONMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
66 - NEURO BOZEMAN
650 FERGUSON STE 1BOZEMANMT59715OUTPATIENT PHYSICIAN CLINIC
67 - ST VINCENT HEALTHCARE NEPHROLOGY CODY
720 LINDSAY LN STE ACODYWY824144103OUTPATIENT PHYSICIAN CLINIC
68 - NEURO SIDNEY
216 14TH AVE SWSIDNEYMT59270OUTPATIENT PHYSICIAN CLINIC
69 - ST VINCENT HEALTHCARE NEPHROLOGY MILES C
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
70 - ST JAMES BEHAVIORAL HEALTH
400 S CLARK STBUTTEMT597012328OUTPATIENT PHYSICIAN CLINIC
71 - SVP MIDWIFERY & WOMEN'S CTR
16 N MILES AVE STE 101HARDINMT59034OUTPATIENT PHYSICIAN CLINIC
72 - PEDIATRIC CARDIOLOGY MILES CITY
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
73 - NEPHROLOGY LEWISTOWN
408 WENDELL AVE STE 7LEWISTOWNMT59457OUTPATIENT PHYSICIAN CLINIC
74 - PEDIATRIC GI BOZEMAN
650 SOUTH FERGUSON STE 1BOZEMANMT59718OUTPATIENT PHYSICIAN CLINIC
75 - NEUROSURGERY BOZEMAN
650 FERGUSON STE 1BOZEMANMT59715OUTPATIENT PHYSICIAN CLINIC
76 - ST VINCENT MATERNAL FETAL MEDICINE SHERI
SHERIDAN MEMORIAL HOSPITAL WOMENSSHERIDANWY82801OUTPATIENT PHYSICIAN CLINICCLINI
77 - PEDIATRIC CARDIOLOGY BOZEMAN
650 S FERGUSON ST STE 1BOZEMANMT59718OUTPATIENT PHYSICIAN CLINIC
78 - CODY HEART AND VASCULAR
720 LINDSAY LANE STE ACODYWY824144103OUTPATIENT PHYSICIAN CLINIC
79 - SVP NEUROSURGERY SIDNEY
216 14TH AVE SWSIDNEYMT59270OUTPATIENT PHYSICIAN CLINIC
80 - ST VINCENT HEALTHCARE NEPHROLOGY LEWISTO
408 WENDELL AVE STE 7LEWISTOWNMT59457OUTPATIENT PHYSICIAN CLINIC
81 - NEUROSURGERY CODY
720 LINDSAY LNCODYWY82414OUTPATIENT PHYSICIAN CLINIC
82 - PEDIATRIC CARDIOLOGY BUTTE
435 S CRYSTAL ST STE 300BUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
83 - PEDIATRIC CARDIOLOGY CODY
720 LINDSAY LANE STE ACODYWY82414OUTPATIENT PHYSICIAN CLINIC
84 - ST VINCENT HEALTHCARE NEPHROLOGY WORLAND
1106 BIG HORN AVEWORLANDWY824012803OUTPATIENT PHYSICIAN CLINIC
85 - PEDIATRIC SPECIALTY BOZEMAN
650 SOUTH FERGUSON STE 1BOZEMANMT59718OUTPATIENT PHYSICIAN CLINIC
86 - ST VINCENT MATERNAL FETAL MEDICINE GREAT
1700 11TH ST WWILLISTONND58801OUTPATIENT PHYSICIAN CLINIC
87 - MILES CITY HEART AND VASCULAR
2600 WILSON STMILES CITYMT59301OUTPATIENT PHYSICIAN CLINIC
88 - SVHC SLEEP AND RESPIRATORY CENTER CODY
720 LINDSAY LN STE ACODYWY82414OUTPATIENT PHYSICIAN CLINIC
89 - SVP LOCKWOOD
1932 EAST HIGHWAY 87 EASTBILLINGSMT591016699OUTPATIENT PHYSICIAN CLINIC
90 - CODY DERMATOLOGY
720 LINDSAY LN STE ACODYWY82414OUTPATIENT PHYSICIAN CLINIC
91 - NEUROSURGERY WILLISTON
1213 15TH AVENUE WESTWILLISTONND58801OUTPATIENT PHYSICIAN CLINIC
92 - NEUROSURGERY CODY
720 LINDSAY LN STE ACODYWY82414OUTPATIENT PHYSICIAN CLINIC
93 - NEURO BOZEMAN
650 FERGUSON STE 1BOZEMANMT59715OUTPATIENT PHYSICIAN CLINIC
94 - NEURO BUTTE
435 S CRYSTAL STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
95 - WESTERN MONTANA MENTAL HEALTH
106 W BROADWAY STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
96 - SVHC MONTANA HEART LAUREL
1035 1ST AVELAURELMT590442120OUTPATIENT PHYSICIAN CLINIC
97 - SVHC MONTANA HEART LEWISTOWN
408 WENDELL AVE STE 7LEWISTOWNMT59457OUTPATIENT PHYSICIAN CLINIC
98 - ST VINCENT MATERNAL FETAL MEDICINE BUTTE
ST JAMES HEALTHCARE 400 S CLARK STBUTTEMT59701OUTPATIENT PHYSICIAN CLINIC
99 - SVHC MONTANA HEART RED LODGE
10 ROBINSON LANERED LODGEMT590689010OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 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 $ 1,537,909.
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 (RHOM) BEGAN OPERATIONS IN AUGUST OF 2019 WITH A MISSION TO IMPROVE THE HEALTH, FUNCTION AND QUALITY OF LIFE OF THE PEOPLE IN THE MONTANA REGION. RHOM IS A FREESTANDING, 34-BED REHABILITATION HOSPITAL THAT IS A TRI-VENTURE BETWEEN KINDRED HEALTHCARE, BILLINGS CLINIC AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.. THE FACILITY IS LOCATED IN BILLINGS, MT. DISTINCT CARE INCLUDES A SPECIALIZED UNIT FOR BRAIN INJURY (8 BEDS), WITH THE REMAINDER OF THE BEDS UTILIZED FOR STROKE/AMPUTATION, SPINAL CORD PATIENTS, AND MEDICALLY COMPLEX PATIENTS. RHOM VALUES ITS COMMUNITY PARTNERSHIPS WHICH HAS HELPED TO INCREASE ACCESS TO CRITICAL DATA INSIGHTS FROM MULTI-SECTOR STAKEHOLDERS INCLUDING BILLINGS CLINIC, CHAMBER OF COMMERCE, BILLINGS HEALTHCARE EDUCATION COMMITTEE, BIG SKY BUSINESS DEVELOPMENT AND MONTANA STATE UNIVERSITY. IN ADDITION, RHOM HAS LEVERAGED THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS CONDUCTED BY ST. VINCENT HEALTHCARE WHICH HONORS A COLLABORATIVE PROCESS WITH THE PUBLIC HEALTH DEPARTMENT, BILLINGS CLINIC AND COMMUNITY BASED ORGANIZATIONS. THE CHNA PROCESS RELYS ON BOTH QUANTITATIVE AND QUALITATIVE DATA TO IDENTIFY EMERGENT HEALTH NEEDS, SERVICE GAPS AND DISPARITIES. PUBLIC MEETINGS TO INVITE INPUT FROM LOCAL RESIDENTS IS ALSO A COMPONENT OF THE PROCESS. FOLLOWING THE ASSESSMENT PROCESS, A COMMUNITY HEALTH IMPROVEMENT PLAN WILL BE DEVELOPED TO INDICATE SPECIFIC PRIORITIES AND EXPECTED IMPACT. IMPROVEMENT PLAN ACTIVITIES WILL LEVERAGE EVIDENCE BASED STRATEGIES AROUND PREVENTION, DISEASE MANAGEMENT AND HEALTHY LIVING.
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. 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:-OUR PATIENT POPULATION - OUR PATIENT POPULATION IS DRAWN FROM THE ENTIRE STATE OF MONTANA AND THE SURROUNDING STATES. AROUND 20% OF THE POPULATION OF MONTANA IS 65 YEARS OF AGE OR OLDER AND 22% ARE UNDER THE AGE OF 18. 78% OF OUR POPULATION ARE OUR TARGET PATIENT POPULATION. -ACCESSIBILITY - WE RESIDE IN AN EXTREMELY RURAL REGION AND THE POPULATION IS VERY SPREAD OUT WITH ONLY 6.8 PEOPLE PER SQUARE MILE. WITH THIS, WE HAVE A LARGE PORTION OF THE POPULATION WITHIN THE STATE TRAVELING TO BILLINGS TO RECEIVE THEIR SPECIALIZED HEALTHCARE. THIS ENABLES THE ABILITY OF OUR LOCAL PHYSICIANS, WHO ARE FAMILIAR WITH OUR SERVICES, TO REFER TO OUR FACILITY THEIR PATIENTS FROM ALL OVER THE STATE. -POPULATION & GEOGRAPHY - MONTANA IS A STATE IN THE NORTHWESTERN UNITED STATES. WE HAVE A POPULATION OF APPROXIMATELY 1.05 MILLION IN THE ENTIRE STATE. WE ARE THE HOME TO 64 MOUNTAIN RANGES, AND THE 4TH LARGEST STATE BY LAND MASS BUT 48TH IN POPULATION DENSITY. MUCH OF THE STATE IS PUBLIC LAND. MONTANA HAS 30 MILLION ACRES OF STATE AND FEDERAL LAND, INCLUDING 16 MILLION ACRES OF NATIONAL FOREST. IT'S HOME TO GLACIER NATIONAL PARK AND PARTS OF YELLOWSTONE.-POVERTY - THE LATEST CENSUS ESTIMATE SHOWS 12.5% OF THE YELLOWSTONE COUNTY POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL. IN ALL, 31.2% OF YELLOWSTONE COUNTY RESIDENTS (AN ESTIMATED 46,236 INDIVIDUALS) LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL. ADDITIONALLY, 40.5% OF YELLOWSTONE COUNTY CHILDREN LIVE BELOW THE 200% POVERTY THRESHOLD. -ECONOMICS - THE UNEMPLOYMENT RATE IN YELLOWSTONE COUNTY IN 2015 WAS 3.3% (US DEPARTMENT OF LABOR), MORE FAVORABLE THAN THE STATEWIDE AND NATIONAL UNEMPLOYMENT RATES. AMONG THE ADULT POPULATION, AN ESTIMATED 7.6% OF RESIDENTS DO NOT HAVE A HIGH SCHOOL EDUCATION, IDENTICAL TO MONTANA RATES AND MORE FAVORABLE THAN NATIONAL RATES.-RACE/ETHNICITY - MONTANA HAS A LOW CULTURAL DIVERSITY IN THE POPULATION, WITH 89% WHITE, .6% AFRICAN AMERICAN, 6.6% NATIVE AMERICAN AND 4% HISPANIC WITH THE REMAINDER OF THE POPULATION BEING LESS THAN 1% OF A VARIETY OF MIXED RACES OR ASIAN IN ORIGIN.
PART VI, LINE 5:AS A NEWER HEALTH ENTITY IN THE REGION, OUR COMMUNITY ENGAGEMENT FOOTPRINT IS JUST BEGINNING. WE ARE COMMITTED TO BUILDING RELATIONSHIPS WITH ORGANIZATIONS THAT SHARE OUR MISSION TO IMPROVE THE HEALTH AND QUALITY OF LIFE FOR MONTANA RESIDENTS. ONE SUCH RELATIONSHIP IS WITH MONTANA STATE UNIVERSITY WHERE WE ARE WORKING TO EXPAND OPPORTUNITIES TO IMPACT ECONOMIC STABILITY BY PROVIDING HEALTH PROFESSION EDUCATION THROUGH CLINICAL ROTATIONS. HEALTHCARE CAREER OPPORTUNITIES IS A HIGH NEED AREA FOR THE REGION AND SUPPORTING EDUCATION ADVANCEMENT HAS POTENTIAL TO REDUCE SERVICE GAPS ACROSS THE STATE, AS WELL AS MAINTAINING A WORKFORCE SUPPLY CHAIN WHICH IS OFTEN AN ISSUE FOR HEALTH PROVIDERS. SERVICE PARTICIPATION ON COMMUNITY BOARDS IS ENCOURAGED FOR OUR ASSOCIATE STAFF AND TAKE MANY FORMS TO SUPPORT YOUTH DEVELOPMENT, OLDER ADULTS, EDUCATION AND SOCIAL DETERMINANTS OF HEALTH. FUTURE ACTIVITIES IN PARTNERSHIP WITH BILLINGS CLINIC AND ST. VINCENT HEALTHCARE COULD INCLUDE SAFETY CLINICS, HEALTH LITERACY, AND SOCIAL SUPPORT COORDINATION (E.G. TRANSPORTATION, HOME HEALTH, FOOD SECURITY, HOUSING, AND OTHER SOCIAL SERVICES).
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 15,900 EMPLOYEES AND MORE THAN 800 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 (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ST VINCENT HEALTHCARE
1233 NORTH 30TH STREETBILLINGSMT59101810232124501(C)(3)$8,700,000SUPPORT MISSION
MOUNT SAINT VINCENT HOME
4159 LOWELL BOULEVARDDENVERCO80211840405260501(C)(3)$500,000SUPPORT MISSION
CARITAS CLINICS
818 NORTH 7TH STREETLEAVENWORTHKS66048481009910501(C)(3)$288,806SUPPORT MISSION
MARIAN CLINIC
1001 SW GARFIELD AVETOPEKAKS66604481046905501(C)(3)$161,842SUPPORT MISSION
ST VINCENT HEALTHCARE FOUNDATION INC
1106 N 30TH STREETBILLINGSMT59101810468034501(C)(3)$50,000SUPPORT MISSION
WOMENS FOUNDATION OF COLORADO INC
1901 E ASBURY AVEDENVERCO80208841039305501(C)(3)$35,000SUPPORT MISSION
NATIONAL JEWISH HEALTH
1400 JACKSON STREETDENVERCO80206742044647501(C)(3)$20,000SUPPORT MISSION
ST MARY'S HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREETGRAND JUNCTIONCO81501840425720501(C)(3)$14,612SUPPORT MISSION
ST JAMES HEALTHCARE
400 SOUTH CLARK STREETBUTTEMT59701810231785501(C)(3)$10,000SUPPORT MISSION
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt
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)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
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 (25 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$1,071,348$0$454,944$0$247,173$0$378,365$0$18,226$0$2,170,056$0$224,709$0
JANIE WADE
TREASURER / EVP CHIEF FINANCIAL OFFI$856,985$0$267,976$0$13,769$0$224,622$0$23,197$0$1,386,549$0$0$0
MICHAEL TAYLOR
CHIEF OPER OFF-HOSP OPS 1/1-6/29$663,225$0$306,569$0$149,260$0$133,290$0$9,599$0$1,261,943$0$126,638$0
BUUP KIM MD
PSO PHYSICIAN CLINIC$900,380$0$284,925$0$11,503$0$22,400$0$20,157$0$1,239,365$0$0$0
ROBERT TERRY MD
PSO PHYSICIAN$509,608$0$602,324$0$17,446$0$19,803$0$26,036$0$1,175,217$0$0$0
TAJQUAH HUDSON
EVP CHIEF STRATEGY & GROWTH OFFICER$580,884$0$226,828$0$154,096$0$173,482$0$8,373$0$1,143,663$0$131,633$0
JOHN WICKLUND
REGIONAL PRESIDENT WESTERN COLORADO$534,258$0$195,268$0$300,130$0$22,400$0$24,617$0$1,076,673$0$0$0
LOUIS ROSS MD
PSO PHYSICIAN CLINIC$809,014$0$198,892$0$2,344$0$22,231$0$26,880$0$1,059,361$0$0$0
MARK KORTH
CHIEF OPER OFF-HOSP OPS 6/17-12/31$983,869$0$0$0$60,036$0$0$0$12,342$0$1,056,247$0$0$0
ROSLAND MCLEOD
SECRETARY / SVP CHIEF LEGAL OFFICER$511,474$0$204,160$0$155,604$0$156,639$0$26,764$0$1,054,641$0$139,089$0
JAMES VALIN MD
VICE PRESIDENT / EVP CHIEF CLINICAL$638,420$0$238,200$0$14,744$0$109,360$0$26,474$0$1,027,198$0$0$0
ROBERT LYNAGH MD
PSO PHYSICIAN CLINIC$796,892$0$142,855$0$1,660$0$25,532$0$27,526$0$994,465$0$0$0
SHAWN DUFFORD MD
SVP CHIEF MEDICAL OFFICER SYS$516,135$0$204,065$0$94,911$0$97,199$0$22,035$0$934,345$0$76,429$0
STEVEN CHYUNG
SVP SUPPLY CHAIN & REAL ESTATE$394,801$0$159,110$0$74,608$0$73,318$0$27,735$0$729,572$0$53,078$0
TAMARA SAUNAITIS
SVP CHIEF HUMAN RESOURCES OFFICER$396,000$0$156,667$0$59,417$0$68,956$0$28,938$0$709,978$0$37,210$0
KAREN SCREMIN
VP FINANCE OPERATIONS$374,599$0$97,773$0$31,585$0$66,725$0$8,077$0$578,759$0$29,009$0
DAVID PRINGLE
SVP MISSION INTEGRATION$313,471$0$132,637$0$83,750$0$18,618$0$24,283$0$572,759$0$0$0
LOUIS CAPPONI
VP CHIEF MEDICAL INFORMATICS OFFICER$376,501$0$123,062$0$2,532$0$59,726$0$8,573$0$570,394$0$0$0
TROY SPRING
VP REVENUE CYCLE$300,287$0$81,012$0$52,806$0$51,700$0$27,193$0$512,998$0$48,070$0
MEGAN MAHNCKE
PRESIDENT SCL HEALTH FDNS & SVP MARK$326,720$0$83,059$0$23,267$0$44,023$0$24,397$0$501,466$0$22,048$0
CRAIG RICHARDVILLE
SVP CHIEF INFORMATION OFCR 2/4-12/31$432,517$0$0$0$47,143$0$0$0$13,596$0$493,256$0$0$0
MARK WILKINSON
VP TREASURER$288,671$0$76,044$0$32,123$0$48,573$0$11,543$0$456,954$0$29,696$0
KERRY KOHNEN
FORMER KEY EMPLOYEE$0$0$0$0$433,802$0$0$0$295$0$434,097$0$0$0
GERALDINE TOWNDROW
SVP CHIEF NURSING OFCR SYS 1/1-4/26$139,988$0$131,031$0$50,051$0$10,054$0$3,439$0$334,563$0$0$0
LAURA WIGHTMAN
SVP CHIEF NURSING OFCR SYS 4/15-12/3$255,599$0$0$0$53,109$0$0$0$6,320$0$315,028$0$0$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2019 WERE: CRAIG RICHARDVILLE - $1,302.
PART I, LINE 1BTAX INDEMNIFICATION AND GROSS-UP PAYMENTS - WRITTEN POLICY THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES.
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 2019 WERE: KERRY KOHNEN - $433,507. SCHEDULE J, PART I, LINE 4B PAYMENTS FROM NONQUALIFIED SUPPLEMENTAL EXECUTIVE 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. THE ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENEFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2019 WERE: NONE. 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. 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 2019. 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 2019 WERE: LYDIA JUMONVILLE - $224,709, ROSLAND MCLEOD - $139,089, STEVEN CHYUNG - $53,078, SHAWN DUFFORD - $76,429, TAJQUAH HUDSON - $131,633, MEGAN MAHNCKE - $22,048, DAVID PRINGLE - $38,820, TAMARA SAUNAITIS - $37,210, KAREN SCREMIN - $29,009, TROY SPRING - $48,070, MICHAEL TAYLOR - $126,638, GERALDINE TOWNDROW - $53,879, MARK WILKINSON - $29,696, JOHN WICKLUND - $265,044. 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, PATIENT AND ASSOCIATE SAFETY AND PATIENT EXPERIENCE AND TARGETS 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 15,900 FULL-TIME ASSOCIATES AND MORE THAN 800 EMPLOYED PROVIDERS. 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
A84075293219648AST32010-05-20$605,460,1433/24/98,11/13/02,7/18/02 REFI+HOSP FAYes (1)00
MONTANA FACILITY FINANCE AUTHORITY
B81030240261204KHV62010-05-20$217,535,8683/24/98 & 5/25/00 REFI+HOSP FACYes (1)00
KANSAS DEVELOPMENT FINANCE AUTHORITY
C48106658948542K5N52010-05-20$202,625,4013/24/98 & 5/25/00 REFI+HOSP FACYes (1)00
COLORADO HEALTH FACILITIES AUTHORITY
D840752932NONEAVAIL2011-06-15$62,620,0007/18/02 & 2/4/09 REFI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndBond DefeasedBondDefeasedAmt
A$572,575,000$605,500,535$6,836,215$310,650,923$288,013,3972010Yes (1)Yes (1)Yes (1)Yes (1)
B$203,015,000$217,665,906$2,529,281$94,781,550$120,355,0752010Yes (1)0Yes (1)Yes (1)
C$15,230,000$202,625,401$2,488,006$77,008,019$123,129,3762010Yes (1)0Yes (1)Yes (1)$135,375,000
D$7,315,000$62,620,000$420,000$62,200,0002011Yes (1)0Yes (1)Yes (1)

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 RemdtdProcsNonqualifiedBondRemdtdIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenInd
A0Yes (1)Yes (1)Yes (1)000Yes (1)
B0Yes (1)Yes (1)Yes (1)000Yes (1)
C0Yes (1)Yes (1)Yes (1)0Yes (1)Yes (1)Yes (1)0.64520Yes (1)
D0Yes (1)Yes (1)Yes (1)000Yes (1)

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)0000Yes (1)
C000Yes (1)0000Yes (1)
D000Yes (1)Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2CREBATE COMPLETION DATES: A - COLORADO HEATLH FACILITIES AUTHORITY 2010 - 5/20/19 B - MONTANA FACILITY FINANCE AUTHORITY 2010 - 5/20/19 C - KANSAS DEVELOPMENT FINANCE AUTHORITY 2010 - 5/20/19 D - COLORADO HEATLH FACILITIES AUTHORITY 2011 - 6/15/19 A - COLORADO HEATLH FACILITIES AUTHORITY 2013 - 5/20/19 B - KANSAS DEVELOPMENT FINANCE AUTHORITY 2013 - 11/12/19 C - COLORADO HEALTH FACILITIES AUTHORITY 2016 - 5/12/19
PART I COLUMN (E) & PART II LINE 3ANY DIFFERENCE BETWEEN ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS.
PART III, LINE 8BPROVIDENCE MEDICAL CENTER (KANSAS CITY, KS) AND SAINT JOHN HOPTIAL (LEAVENWORTH, KS) WERE SOLD APRIL 2013 AND REMEDIAL ACTIONS (REISSUANCE AND REDEMPTION) WERE TAKEN WITH RESPECT TO THE OUTSTANDING BONDS.

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
KANSAS DEVELOPMENT FINANCE AUTHORITY
B48106658948542K5N52013-04-01$32,775,000REISSUANCE OF KANSAS 2010Yes (1)00
COLORADO HEALTH FACILITIES AUTHORITY
C84075293219648A5S02016-05-12$221,970,000CONSTRUCT HOSPITAL FACILITY000
COLORADO HEALTH FACILITIES AUTHORITY
D84075293219648FLQ52019-10-03$481,924,6565/20/10 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 MaintAdequateBooksAndRecMaintIndRetiredRetiredAmtOther Spent ProceedsOtherSpentProceedsAmt
A$302,719,375$3,005,563$299,713,812201300Yes (1)Yes (1)
B$32,775,000201300Yes (1)Yes (1)$31,685,000$32,775,000
C$221,976,622$1,908,538$220,068,084201600Yes (1)Yes (1)
D$481,924,656$2,884,0232019Yes (1)0Yes (1)Yes (1)$479,040,633

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 RemdtdProcsNonqualifiedBondRemdtdInd
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)

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)0000Yes (1)
C0Yes (1)00Yes (1)000Yes (1)
D0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MONTANA FACILITY FINANCE AUTHORITY
A81030240261204KMZ12019-10-03$151,631,94405/20/10 REFINANCE000
COLORADO HEALTH FACILITIES AUTHORITY
B84075293219648FMB72019-10-03$111,860,60305/12/16 REFINANCE000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$151,631,944$990,619$150,641,3252019Yes (1)0Yes (1)Yes (1)
B$111,860,603$870,603$110,990,0002019Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)00.013000.001000.0140000Yes (1)
B0Yes (1)Yes (1)Yes (1)000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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
A0Yes (1)000000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

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 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. THE FORM 990 WAS ALSO REVIEWED BY AN OUTSIDE ACCOUNTING FIRM.
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 SYSTEM 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 -153,340. TRANSFER OF ASSETS FROM SUBSIDIARY -35,571,119. EQUITY TRANSFER - SJD AMBULATORY SURGERY 4,140,377. FAS 157 CREDIT RISK ADJUSTMENT -329,674. FAS 158 UNRECOGNIZED EXPENSE FOR THE FROZEN DB PLAN 6,707,532. NEW LEASE STANDARD ADJUSTMENT -2,381,876. OTHER EXPENSE TIMING DIFFRENCES -25,242.

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$94,377,179$25,566,652SCL HEALTH MEDICAL GROUP - MONTANA LLC
SCL HEALTH MEDICAL GROUP - BUTTE LLC
400 SOUTH CLARK STREETBUTTEMT59701273193107PHYSICIAN SERVICESMT$13,598,983$1,939,481SCL HEALTH MEDICAL GROUP - MONTANA LLC
SCL HEALTH PARTNERS LLC
8300 WEST 38TH AVENUEWHEAT RIDGECO80033020749530HEALTHCARE SERVICESCO$1,339,771$12,464,576SCLHS
CANCER CENTERS OF COLORADO LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021823157615OP CANCER CENTERCO$2,857,011$1,288,152SCL HEALTH PARTNERS LLC
GS CAMPUS ASC LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021821536566SURGERY CENTERCO$0$0SCL 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$6,198,140$834,325SCL HOME HEALTH SOLUTIONS LLC
SJ EAST CAMPUS ASC LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021821485491SURGERY CENTERCO$2,006,498$2,090,519SCL 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 7SCLHSYes (1)
INTEGRITY HEALTH
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021474520350SUPPORTING ORGANIZATIONCO501(C)(3)LINE 12C, III-FISCLHSYes (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 10SCLHSYes (1)
NJH-SJH INC
500 ELDORADO BLVD SUITE 4300DENVERCO80211471194849MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICESCO501(C)(3)LINE 12A, ISCLHSYes (1)
SAINT JOSEPH HOSPITAL INC
1375 EAST 19TH AVENUEDENVERCO80218840417134HOSPITAL SERVICESCO501(C)(3)LINE 3SCLHSYes (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 3SCLHSYes (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 3SCLHSYes (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 3SCLHSYes (1)
MARIAN CLINIC INC
3164 EAST 6TH AVENUETOPEKAKS66607481046905CLINIC SERVICESKS501(C)(3)LINE 3SCLHSYes (1)
ST FRANCIS HEALTH CENTER INC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021480547719HOSPITAL SERVICESKS501(C)(3)LINE 3SCLHSYes (1)
HOLY ROSARY HEALTHCARE
2600 WILSON STREETMILES CITYMT59301810231792HOSPITAL SERVICESMT501(C)(3)LINE 3SCLHSYes (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 3SCLHSYes (1)
ST JAMES HEALTHCARE FOUNDATION INC
400 SOUTH CLARK STREETBUTTEMT59701651202190SUPPORTING ORGANIZATIONMT501(C)(3)LINE 12A, IST JAMES HEALTHCAREYes (1)
ST VINCENT HEALTHCARE
1233 NORTH 30TH STREETBILLINGSMT59101810232124HOSPITAL SERVICESMT501(C)(3)LINE 3SCLHSYes (1)
ST VINCENT HEALTHCARE FOUNDATION INC
1106 NORTH 30TH STREETBILLINGSMT59101810468034SUPPORT RELATED TAX EXEMPT ORGANIZATIONSMT501(C)(3)LINE 7ST VINCENT HEALTHCAREYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 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
LUTHERAN CAMPUS ASC LLC
3455 LUTHERAN PKWY STE 150WHEATRIDGECO80033020749532OP SURGERYCOSCL HEALTH PARTNERS LLCRELATED$382,474$1,051,903000.55100
SCLH-GI ENDOSCOPY HOLDINGS LLC
382 S ARTHUR AVENUELOUISVILLECO80027812979243OP ENDOSCOPYCOSCL HEALTH PARTNERS LLCRELATED$1,655,652$1,197,835000.51000
SCLTDI JV LLC
1431 PERRONE WAYFRANKLINTN37069472294770RADIOLOGYDESCL HEALTH PARTNERS LLCRELATED-$1,076,791$15,470,2010Yes (1)0.51000
ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREETBILLINGSMT59101272270640PHYSICAL THERAPYMTN/A
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTON AVENUE SUITE 21GRAND JUNCTIONCO81501841505075OP SURGERYCON/A
HEALTHCARE MANAGEMENT LLC
PO BOX 1929GRAND JUNCTIONCO81502841238904MANAGEMENT SERVICESCON/A
PAVILION IMAGING LLC
750 WELLINGTON AVENUEGRAND JUNCTIONCO81501030516198RADIOLOGYCON/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCON/A
CAREFLIGHT OF THE ROCKIES LLC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021473525381MEDICAL AIR TRANSPORTCON/A
ST JOSEPH EKG READER PANEL
3464 S WILLOW STREET SUITE 174DENVERCO80231841269895EKG READINGCON/A
MED-MAP LLC
PO BOX 1295BILLINGSMT59103810491356RENTAL REAL ESTATEMTN/A
YELLOWSTONE SURGERY CENTER LLC
1144 NORTH 28TH STREETBILLINGSMT59101721519467OP SURGERYMTN/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$7,560,302$11,599,1921.00000Yes (1)
ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC
500 ELDORADO BLVD SUITE 4300BROOMFIELDCO80021462874128HEALTHCAREKSST FRANCIS HEALTH CENTER INCC1.00000Yes (1)
LEAVEN INSURANCE COMPANY LTD
980370522INSURANCESCLHSC$22,416,818$74,323,9521.00000Yes (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 (30 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST MARY'S HOSPITAL & MEDICAL CENTER INC
A$51,151FMV
SCL HEALTH-FRONT RANGE INC
A$8,920,039FMV
SAINT JOSEPH HOSPITAL INC
A$11,072,308FMV
CARITAS CLINICS INC
B$288,806FMV
MARIAN CLINIC INC
B$161,842FMV
MOUNT ST VINCENT HOME INC
B$500,000FMV
ST VINCENT HEALTHCARE
B$8,700,000FMV
ST VINCENT HEALTHCARE
C$8,747,984FMV
ST JAMES HEALTHCARE
C$1,826,584FMV
ST VINCENT HEALTHCARE FOUNDATION
C$1,612,242FMV
SAINT JOSEPH HOSPITAL INC
D$3,788,403FMV
SCL HEALTH-FRONT RANGE INC
D$103,103,000FMV
ST MARY'S HOSPITAL & MEDICAL CENTER INC
D$3,055,003FMV
CARITAS INC AND SUBSIDIARIES
F$8,805,113FMV
LEAVEN INSURANCE COMPANY LTD
F$2,900,000FMV
MED-MAP LLC
K$378,104FMV
ST VINCENT HEALTHCARE
L$60,019,351FMV
HOLY ROSARY HEALTHCARE
L$10,394,513FMV
ST JAMES HEALTHCARE
L$17,579,025FMV
ST MARY'S HOSPITAL & MEDICAL CENTER INC
L$63,388,974FMV
SAINT JOSEPH HOSPITAL INC
L$85,802,603FMV
SCL HEALTH-FRONT RANGE INC
L$111,002,102FMV
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
L$23,337,447FMV
ST JAMES HEALTHCARE FOUNDATION INC
L$110,699FMV
ST VINCENT HEALTHCARE FOUNDATION INC
L$637,290FMV
ST MARYS HOSPITAL FOUNDATION
L$281,529FMV
SAINT JOSEPH HOSPITAL FOUNDATION
L$264,095FMV
LUTHERAN MEDICAL CENTER FOUNDATION
L$241,475FMV
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
L$259,674FMV
HOLY ROSARY HEALTHCARE FOUNDATION
L$56,690FMV