HOLY ROSARY HEALTHCARE: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- HOLY ROSARY HEALTHCARE (EIN 81-0231792)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-04
- IRS object ID
- 202043099349300929
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-04T10:37:31-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 810231792 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY ROSARY HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOLY | BusinessNameControlTxt |
| Phone | 4062332600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 WILSON STREET | AddressLine1Txt |
| City | MILES CITY | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAM PALAGI | PersonNm |
| Person Title | VP FINANCE & CFO | PersonTitleTxt |
| Phone | 4062332600 | PhoneNum |
| Signature | 2020-10-23 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 170.188.5.33 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-23 | IPDt |
| IP Tm | 15:32:24 | IPTm |
| IP Timezone | MD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 3DE5F749A1903F95D50F7F754F5516E476789552 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 3DE5F749A1903F95D50F7F754F5516E476789552 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KAREN COSTELLO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 WILSON STREET | AddressLine1Txt |
| City | MILES CITY | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $61,677,188 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | SEE SCHEDULE O | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | MT | LegalDomicileStateCd |
| Activity Or Mission | WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THEPEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR ANDVULNERABLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 329 | TotalEmployeeCnt |
| Total Volunteers | 44 | TotalVolunteersCnt |
| Total Gross UBI | $35,943 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $510,633 | PYContributionsGrantsAmt |
| CY Contributions Grants | $295,708 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $51,749,977 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $59,322,324 | CYProgramServiceRevenueAmt |
| PY Investment Income | $615,814 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,551,351 | CYInvestmentIncomeAmt |
| PY Other Revenue | $404,945 | PYOtherRevenueAmt |
| CY Other Revenue | $426,643 | CYOtherRevenueAmt |
| PY Total Revenue | $53,281,369 | PYTotalRevenueAmt |
| CY Total Revenue | $61,596,026 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $149,285 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $317,867 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $21,781,246 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,136,651 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $28,705,279 | PYOtherExpensesAmt |
| CY Other Expenses | $33,104,008 | CYOtherExpensesAmt |
| PY Total Expenses | $50,635,810 | PYTotalExpensesAmt |
| CY Total Expenses | $55,558,526 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,645,559 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,037,500 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $43,346,206 | TotalAssetsBOYAmt |
| Total Assets EOY | $51,428,482 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,770,453 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,703,926 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $34,575,753 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $40,724,556 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OFTHE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POORAND VULNERABLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $45,140,579 | ExpenseAmt |
| Grant | $317,867 | GrantAmt |
| Revenue | $59,633,993 | RevenueAmt |
| Desc | FOUNDED IN 1910, HOLY ROSARY HEALTHCARE IS EASTERN MONTANA'S HEALTHCARE DESTINATION. HOLY ROSARY OPERATES A COMPREHENSIVE ACUTE-CARE HOSPITAL, PHYSICIAN CLINICS, A RESIDENTIAL LIVING COMMUNITY, AND HOSPICE AND PALLIATIVE CARE SERVICES - PROVIDING A COMPLETE CONTINUUM OF CARE TO A 10-COUNTY REGION OF EASTERN MONTANA. AS PART OF THE FAITH-BASED AND NONPROFIT, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, HOLY ROSARY HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL. SERVICES INCLUDE SURGICAL, ONCOLOGY, AND MATERNITY SERVICES, INCLUDING A LEVEL II NEO-NATAL CARE UNIT, AS WELL AS 24-HOUR EMERGENCY ROOM AND DIAGNOSTIC AND THERAPEUTIC SERVICES. THE EXTENDED CARE UNIT PROVIDES SHORT-TERM TRANSITIONAL CARE AFTER ILLNESS, INJURY, OR SURGERY, AS WELL AS LONG-TERM CARE FOR THOSE UNABLE TO LIVE INDEPENDENTLY.IN AUGUST 1910, THE PRESENTATION SISTERS OF ABERDEEN, SOUTH DAKOTA, ASSUMED MANAGEMENT AND OPERATION OF THE COUNTY HOSPITAL IN MILES CITY AT THE REQUEST OF THE COMMUNITY, THE MILWAUKEE RAILROAD AND THE DOCTORS ASSOCIATED WITH THE RAILROAD. IN 1915, THE SISTERS PURCHASED THE HOSPITAL, COMMITTING TO A RELATIONSHIP WITH THE COMMUNITY THAT WOULD EXTEND FOR DECADES.IN 1995, HOLY ROSARY HEALTHCARE OPENED A NEW COST EFFECTIVE FACILITY ON A 58-ACRE CAMPUS IN MILES CITY THAT ALLOWED PHYSICIANS AND OTHER CARE FACILITIES TO LOCATE IN THE NEW HOSPITAL BUILDING. THE BUILDING OF THE NEW FACILITY AND MOVING INTO THE NEW FACILITY WAS A COMMUNITY-WIDE EFFORT, AND WAS ACCOMPLISHED THROUGH THE CONTRIBUTIONS OF THE STAFF, PHYSICIANS, BOARD MEMBERS, COMMUNITY MEMBERS AND VOLUNTEERS.IN KEEPING WITH THE NEW COVENANT PROCESS, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) ASSUMED SPONSORSHIP OF HOLY ROSARY HEALTHCARE IN 1997. TODAY, THE HOSPITAL, RESIDENTIAL LIVING COMMUNITY, AND CLINICS SERVE AS A CENTRALIZED SETTING FOR COMPREHENSIVE HEALTH CARE FOR THE PEOPLE ACROSS EASTERN MONTANA. PHYSICIAN SPECIALTIES INCLUDE FAMILY MEDICINE, INTERNAL/ADULT MEDICINE, GENERAL SURGERY, VASCULAR SURGERY, WOMEN'S HEALTH, ORTHOPEDICS, OPHTHALMOLOGY (EYE), PSYCHOLOGY, AUDIOLOGY, CARDIOLOGY, NEUROLOGY, NEUROSURGERY, ORAL SURGERY, NEPHROLOGY (KIDNEY), DERMATOLOGY, AND SLEEP MEDICINE/PULMONOLOGY.TODAY, HOLY ROSARY HEALTHCARE SERVES SEVERAL EASTERN MONTANA COUNTIES, WHICH COVER OVER 20,000 SQUARE MILES OR APPROXIMATELY 13% OF MONTANA. MORE THAN HALF OF THE PEOPLE RECEIVING HEALTHCARE IN MILES CITY, WHICH HAS A POPULATION OF 8,000, ARE FROM OUTSIDE CUSTER COUNTY. THEREFORE, HOLY ROSARY HEALTHCARE'S IMPACT ON THE HEALTHCARE DELIVERY SYSTEM REACHES FAR BEYOND CITY AND COUNTY LINES. WITH A POPULATION DENSITY OF 1.4 PERSONS PER SQUARE MILE ACROSS THE SEVEN-COUNTY REGION AROUND HOLY ROSARY, CLEARLY THIS DEGREE OF CONTEMPORARY HEALTH CARE IS EXTRAORDINARY. THE UNIQUE CAPABILITIES OF HOLY ROSARY WERE RECOGNIZED BY IVANTAGE HEALTH ANALYTICS AND THE CHARTIS CENTER FOR RURAL HEALTH WHEN THEY RECOGNIZED HOLY ROSARY AS ONE OF THE TOP 100 CRITICAL ACCESS HOSPITALS IN 2017, 2018, AND 2019.DURING 2019, HOLY ROSARY HEALTHCARE HAD THE FOLLOWING RESULTS:ADMISSIONS - 1,264OUTPATIENT VISITS - 32,668EMERGENCY ROOM VISITS - 4,971BIRTHS - 201SURGERIES - 692LAB TESTS - 73,120AS PART OF THE MONTANA REGION OF SCL HEALTH, HOLY ROSARY IS AFFILIATED WITH ST. JAMES HEALTHCARE IN BUTTE AND ST. VINCENT HEALTHCARE IN BILLINGS, GIVING IT ACCESS TO SOME OF THE STATE'S MOST ADVANCED MEDICAL TECHNOLOGY. HOLY ROSARY HAS A HISTORIC COMMITMENT TO SERVING THE POOR AND THOSE WITH LIMITED ACCESS TO HEALTHCARE. THE COMMITMENT IS TO THE WORTH AND DIGNITY OF THE WHOLE PERSON - SPIRITUAL, PSYCHOLOGICAL, AND MEDICAL.HOLY ROSARY IS CURRENTLY LICENSED BY THE STATE OF MONTANA AND IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS. HOLY ROSARY HAS 25 ACUTE CARE AND 90 EXTENDED CARE BEDS.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.VALUES CARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON. EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS. GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS. INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE. SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES. STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.HOLY ROSARY HEALTHCARE HAS A VARIETY OF PROGRAMS AND SERVICES TO SERVE THE COMMUNITY:CANCER CAREFROM INITIAL DIAGNOSIS TO TREATMENT AND RECOVERY, PATIENTS AND THEIR FAMILIES CAN ACCESS AN EXCEPTIONAL LEVEL OF CARE CLOSE TO HOME. CARDIAC SERVICESFOR OPTIMAL CONVENIENCE, HOLY ROSARY OFFERS A CONTINUUM OF CARE - STRESS TESTING, PACEMAKER IMPLANTATION, AND CARDIAC REHABILITATION. CHILDREN'S CAREWE UNDERSTAND THE SPECIAL NEEDS OF CHILDREN AND OFFER EXPERIENCED AND SKILLED NURSES, A FAMILY-FRIENDLY EMERGENCY DEPARTMENT AND BOARD-CERTIFIED PEDIATRICIANS.CLINICLOCATED ON THE HOSPITAL CAMPUS, THE HOLY ROSARY HEALTHCARE CLINIC WAS DEVELOPED TO PROVIDE OUTSTANDING PRIMARY AND SPECIALTY CARE. DIABETES CARETHE HOLY ROSARY DIABETES CARE TEAM, CERTIFIED BY THE AMERICAN DIABETES ASSOCIATION, OFFERS BOTH INPATIENT AND OUTPATIENT SERVICES TO ASSIST PATIENTS. EMERGENCY AND TRAUMA SERVICESHOLY ROSARY'S TEAM OF EMERGENCY PROVIDERS AND NURSES ADEPTLY ASSESS CONDITIONS RANGING FROM A CHILD'S RISING FEVER TO LIFE-THREATENING HEART ATTACKS.HOSPICE AND PALLIATIVE CAREALL PALLIATIVE AND HOSPICE CARE TEAM MEMBERS ARE AVAILABLE TO MAKE HOME VISITS, NURSING HOME VISITS, ASSISTED LIVING VISITS AND TO VISIT PATIENTS AT HOLY ROSARY HEALTHCARE.HOSPITALIST PROGRAMA HOSPITALIST'S PRIMARY PROFESSIONAL FOCUS IS THE TOTAL CARE OF A PATIENT FROM THE TIME OF ADMISSION UNTIL THE PATIENT LEAVES THE HOSPITAL. LAB SERVICESTHE LABCHECK PROGRAM HELPS ENCOURAGE PEOPLE TO SEEK PREVENTIVE MEDICINE, ALLOWING PATIENTS TO RECEIVE BLOOD TESTS TO DETECT ILLNESSES AND DISORDERS AT A REDUCED COST.OCCUPATIONAL HEALTH SERVICESHOLY ROSARY HEALTHCARE WORKS TO TAILOR SERVICES MEET THE NEEDS OF THE INDIVIDUALS SERVED IN THE COMMUNITY.RADIOLOGY AND IMAGING SERVICESHOLY ROSARY HEALTHCARE OFFERS INPATIENT AND OUTPATIENT DIAGNOSTIC AND INTERVENTIONAL (MINIMALLY INVASIVE RADIOLOGY) SERVICES. RESIDENTIAL LIVINGRESIDENTIAL LIVING OFFERS NURSING FOR SHORT-TERM, POST-ACUTE HOSPITAL STAYS TO LONG-TERM LIVING. SLEEP MEDICINEHOLY ROSARY HEALTHCARE OPENED ITS SLEEP CENTER TO PROVIDE ON-SITE, CONVENIENT ASSESSMENT FOR INSOMNIA, OBSTRUCTIVE SLEEP APNEA, SNORING AND OTHER SLEEP PROBLEMS.SPORTS MEDICINEPRACTITIONERS WORK CLOSELY WITH ATHLETES, PARENTS, AND COACHES TO EDUCATE AND PROVIDE INDIVIDUAL, AS WELL AS TEAM CONSULTATIONS. SURGICAL SERVICESSURGICAL TEAMS BRING A PERSONAL TOUCH WITH THE SOPHISTICATION OF ADVANCED MEDICINE. THERAPY AND REHABILITATION SERVICESHOLY ROSARY HEALTHCARE OFFERS A HOLISTIC APPROACH TO TREATMENT, WITH SPECIAL CONSIDERATION FOR A PATIENT'S AGE, PHYSICAL ABILITIES, RELIGIOUS AND ETHNIC BELIEFS. WALK IN CLINICHOLY ROSARY HEALTHCARE WALK-IN CLINIC SERVES ALL AGES AND IS OPEN EVERY DAY OF THE WEEK. WOMEN'S HEALTH SERVICESCOMPREHENSIVE WOMEN'S HEALTH CARE TEAM PROVIDING SERVICES TO WOMEN IN EASTERN MONTANA. | Desc |
| Total Program Service Expenses | $45,140,579 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 69 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 329 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KYLE ENGMAN | PersonNm |
| Phone | 3038135543 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 ELDORADO BLVD SUITE 4200 | AddressLine1Txt |
| City | BROOMFIELD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80021 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| STEVE LOVELESS | ||||||||||
| PRESIDENT - MONTANA REGION | 3.00 | 47.00 | Yes (X) | Yes (X) | $0 | $798,757 | $121,286 | |||
| MICHAEL BUSH MD | ||||||||||
| VP CHIEF MEDICAL OFFICER SVB | 3.00 | 47.00 | $0 | $494,446 | $90,081 | Yes (X) | ||||
| KURT AMMERMAN MD | ||||||||||
| PSO PHYSICIAN CLINIC | 50.00 | 0.00 | $420,182 | $0 | $13,057 | Yes (X) | ||||
| THOMAS MOSER | ||||||||||
| VP OPERATIONS MEDICAL GROUP MONTANA REGION | 3.00 | 47.00 | $0 | $320,410 | $56,840 | Yes (X) | ||||
| PAMELA PALAGI | ||||||||||
| VP FINANCE MT REGION | 3.00 | 47.00 | Yes (X) | $0 | $327,869 | $45,644 | ||||
| LANCE ROBBINS MD | ||||||||||
| PSO PHYSICIAN CLINIC | 50.00 | 0.00 | $352,348 | $0 | $19,796 | Yes (X) | ||||
| JEFFERY WILLIAMS MD | ||||||||||
| PSO PHYSICIAN CLINIC | 50.00 | 0.00 | $300,445 | $0 | $33,817 | Yes (X) | ||||
| JAMES RITCHEY | ||||||||||
| VP HUMAN RESOURCES MONTANA REGION | 3.00 | 47.00 | $0 | $257,233 | $66,639 | Yes (X) | ||||
| PAUL LEWIS | ||||||||||
| PRESIDENT - HRH 1/1-9/27 | 50.00 | 0.00 | Yes (X) | $0 | $245,935 | $73,789 | ||||
| CAROL ENDERLE | ||||||||||
| VP CHIEF OPERATING/NURSING OFFICER - HRH | 50.00 | 0.00 | $0 | $248,941 | $48,011 | Yes (X) | ||||
| TRAVIS SCHEVING | ||||||||||
| FORMER OFFICER | 0.00 | 50.00 | $0 | $211,501 | $36,179 | Yes (X) | ||||
| DAVID NELSON MD | ||||||||||
| CERTIFIED RN ANESTHETIST | 50.00 | 0.00 | $200,902 | $0 | $41,564 | Yes (X) | ||||
| TODD ARMSTRONG MD | ||||||||||
| CERTIFIED RN ANESTHETIST | 50.00 | 0.00 | $209,569 | $0 | $30,685 | Yes (X) | ||||
| KAREN COSTELLO | ||||||||||
| INTERIM PRESIDENT - HRH 9/23-12/31 | 50.00 | 0.00 | Yes (X) | $0 | $207,060 | $28,806 | ||||
| SHAWN COFFIN | ||||||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SR EILEEN HURLEY | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARY JANSSEN | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| STACY KLIPPENSTEIN | ||||||||||
| VICE CHAIR 1/1-5/1 | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| STEVE MUGGLI | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLES NOTBOHM | ||||||||||
| MEMBER 1/1-4/30; SECRETARY 5/1-12/31 | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL PRELLER | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| CYNTHIA REID | ||||||||||
| SECRETARY 1/1-4/30; VICE CHAIR 5/1-12/31 | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SR SHARON SMITH | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MISTY STEADMAN | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,483,446 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,112,152 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $706,194 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 30 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | CONTRACT LABOR | $1,437,360 |
| SOUTH SOUND INPATIENT PHYSICIANS | |||||
| 1498 PACIFIC AVE | TACOMA | WA | 98402 | MEDICAL SERVICES | $696,008 |
| DANIEL TAILLEUR JR MD | |||||
| PO BOX 792 | MANASSA | CO | 81141 | MEDICAL SERVICES | $289,139 |
| CHG COMPANIES INC | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | CONTRACT LABOR | $272,464 |
| CHG MEDICAL STAFFING INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | CONTRACT LABOR | $194,754 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $295,708 | RelatedOrganizationsAmt |
| Total Contributions | $295,708 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES REVENUE | Desc |
| Business | 622110 | BusinessCd |
| Total Revenue Column | $59,322,324 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $59,305,023 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $17,301 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $59,322,324 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $664,023 | TotalRevenueColumnAmt |
| Exclusion | $664,023 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $96,332 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $96,332 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,332 | TotalRevenueColumnAmt |
| Exclusion | $96,332 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $960,276 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $72,948 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $887,328 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $887,328 | TotalRevenueColumnAmt |
| Exclusion | $887,328 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $9,719 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $8,214 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,505 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,155 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $350 | UnrelatedBusinessRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA | 722514 | $310,514 | $310,514 | |
| ADMINISTRATIVE SERVICES | 561000 | $18,167 | $18,167 | |
| LAUNDRY SERVICES | 812300 | $125 | $125 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $328,806 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,596,026 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $59,616,692 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $35,943 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,647,683 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $314,046 | TotalAmt |
| Program Services | $314,046 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,821 | TotalAmt |
| Program Services | $3,821 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $868,570 | TotalAmt |
| Program Services | $831,507 | ProgramServicesAmt |
| Management And General | $37,063 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,137,496 | TotalAmt |
| Program Services | $16,406,999 | ProgramServicesAmt |
| Management And General | $730,497 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $613,299 | TotalAmt |
| Program Services | $588,093 | ProgramServicesAmt |
| Management And General | $25,206 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,284,967 | TotalAmt |
| Program Services | $2,224,672 | ProgramServicesAmt |
| Management And General | $60,295 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,232,319 | TotalAmt |
| Program Services | $1,190,993 | ProgramServicesAmt |
| Management And General | $41,326 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344 | TotalAmt |
| Program Services | $344 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $627 | TotalAmt |
| Program Services | $627 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,429,091 | TotalAmt |
| Program Services | $7,392,016 | ProgramServicesAmt |
| Management And General | $37,075 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $302,478 | TotalAmt |
| Program Services | $16,796 | ProgramServicesAmt |
| Management And General | $285,682 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,115 | TotalAmt |
| Program Services | $96,543 | ProgramServicesAmt |
| Management And General | $18,572 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,456,887 | TotalAmt |
| Program Services | $627,736 | ProgramServicesAmt |
| Management And General | $3,829,151 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $759,553 | TotalAmt |
| Program Services | $696,803 | ProgramServicesAmt |
| Management And General | $62,750 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,583 | TotalAmt |
| Program Services | $182,334 | ProgramServicesAmt |
| Management And General | $27,249 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,248 | TotalAmt |
| Program Services | $58,778 | ProgramServicesAmt |
| Management And General | $2,470 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,567 | TotalAmt |
| Program Services | $1,567 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,185,233 | TotalAmt |
| Program Services | $2,185,233 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,332 | TotalAmt |
| Program Services | $399,332 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $6,020,689 | $6,020,689 | |
| BILLING & COLLECTION - | $2,471,356 | $2,471,356 | |
| MAINTENANCE SERVICES | $2,430,211 | $2,419,159 | $11,052 |
| NON MEDICAL SUPPLIES | $1,033,334 | $1,027,549 | $5,785 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,227,360 | TotalAmt |
| Program Services | $2,454,942 | ProgramServicesAmt |
| Management And General | $2,772,418 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,558,526 | TotalAmt |
| Program Services | $45,140,579 | ProgramServicesAmt |
| Management And General | $10,417,947 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,552 | BOYAmt |
| EOY | $10,348 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,875,836 | BOYAmt |
| EOY | $6,416,566 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $341,821 | BOYAmt |
| EOY | $185,636 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $980,908 | BOYAmt |
| EOY | $994,047 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $527,086 | BOYAmt |
| EOY | $582,531 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $61,097,614 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,164,080 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,917,937 | BOYAmt |
| EOY | $25,933,534 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,689,066 | BOYAmt |
| EOY | $17,305,820 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,346,206 | BOYAmt |
| EOY | $51,428,482 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,764,012 | BOYAmt |
| EOY | $10,638,267 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,441 | BOYAmt |
| EOY | $8,417 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $57,242 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,770,453 | BOYAmt |
| EOY | $10,703,926 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,575,753 | BOYAmt |
| EOY | $40,724,556 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,575,753 | BOYAmt |
| EOY | $40,724,556 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,346,206 | BOYAmt |
| EOY | $51,428,482 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,037,500 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $111,303 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $627 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $627 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | HOLY ROSARY PAID MEMBERSHIP DUES TO THE MONTANA HOSPITAL ASSOCIATION OF WHICH $627 IS ATTRIBUTED TO LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $228,876 | BeginningYearBalanceAmt |
| Contributions | $500 | ContributionsAmt |
| Investment Earnings Or Losses | $32,899 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,038 | OtherExpendituresAmt |
| End Year Balance | $257,237 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $139,968 | BeginningYearBalanceAmt |
| Contributions | $99,818 | ContributionsAmt |
| Investment Earnings Or Losses | -$10,910 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $228,876 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $139,949 | BeginningYearBalanceAmt |
| Contributions | $19 | ContributionsAmt |
| End Year Balance | $139,968 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $138,189 | BeginningYearBalanceAmt |
| Contributions | $1,760 | ContributionsAmt |
| Investment Earnings Or Losses | $4,500 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $4,500 | GrantsOrScholarshipsAmt |
| End Year Balance | $139,949 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $138,189 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,500 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,500 | GrantsOrScholarshipsAmt |
| End Year Balance | $138,189 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $135,511 | OtherCostOrOtherBasisAmt |
| Book Value | $135,511 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,911,236 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,842,460 | DepreciationAmt |
| Book Value | $9,068,776 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $14,263,849 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,344,956 | DepreciationAmt |
| Book Value | $3,918,893 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,867,198 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,976,664 | DepreciationAmt |
| Book Value | $5,890,534 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,919,820 | OtherCostOrOtherBasisAmt |
| Book Value | $6,919,820 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $25,933,534 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| THIRD PARTY SETTLEMENTS | $3,207,195 |
| OTHER RECEIVABLE | $97,949 |
| INTERCOMPANY RECEIVABLE | $13,964,383 |
| DEFERRED TAXES | $36,293 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $17,305,820 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FINANCING LEASE | Desc |
| Amt | $57,242 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $57,242 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | CREATED BY THE LATE JUDGE KEN HOM IN HONOR OF HIS WIFE AND NURSING PIONEER, MILLIE HOM, THE HOM TRUST ENDOWMENT IS INTENDED TO PROVIDE NURSING SCHOLARSHIPS. EACH YEAR SHOLARSHIPS ARE AWARDED TO INDIVIDUALS WITH EASTERN MONTANA TIES WHO ARE PURSUING NURSING EDUCATION. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,442,354 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,442,354 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02600 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,324,370 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,106,896 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $188,139 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $211,402 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,954,863 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,318,298 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,442,354 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02600 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $342,068 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,660 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $318,408 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $137,390 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $137,390 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,005,358 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,766,266 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,239,092 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $112,560 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $112,560 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,597,376 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,789,926 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,807,450 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,552,239 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,108,224 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,249,804 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07650 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,472 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,472 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $32,836 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $32,836 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,308 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $35,308 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $312,941 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $20,139,277 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,134,680 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $2,004,597 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY ROSARY HEALTHCARE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2600 WILSON STREET | AddressLine1Txt |
| City | MILES CITY | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WEBSITE: SEE PART VI SUPP INFO | WebsiteAddressTxt |
| State License | 13512 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLY ROSARY HEALTHCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HOLY ROSARY HEALTHCARE | PART V, SECTION B, LINE 5: HOLY ROSARY HEALTHCARE CONDUCTED THE 2018 CHNA IN PARTNERSHIP WITH THE COMMUNITY HEALTH ALLIANCE INCLUDING PARTNERS FROM BILLINGS CLINIC MILES CITY, MONTANA HEALTH NETWORK, ONEHEALTH-CUSTER COUNTY PUBLIC HEALTH, MILES COMMUNITY COLLEGE, AND MONTANA STATE UNIVERSITY EXTENSION. THE CHNA STUDY AREA ENCOMPASSES CUSTER COUNTY WHICH IS A COMMON PATIENT BASE AMONG THE COLLABORATING ENTITIES SPONSORING THE CHNA. A 54 QUESTION ONLINE AND PAPER SURVEY WAS COMPLETED BY 211 ADULTS IN CUSTER COUNTY. DATA WAS COLLECTED THROUGH AN ONLINE SURVEY TOOL- SURVEY MONKEY. A WEB LINK TO THE ONLINE SURVEY WAS SHARED THROUGHOUT THE COMMUNITY USING SOCIAL MEDIA, NEWSPAPER, WEBSITES AND RADIO. THERE WERE ALSO SURVEY COLLECTION BOXES AND HARDCOPIES OF THE SURVEY PLACED AT VARIOUS LOCATIONS IN THE COMMUNITY (EIGHT DIFFERENT SITES) FOR INDIVIDUALS WHO COULD NOT COMPLETE THE SURVEY ONLINE.COMMUNITY STAKEHOLDERS WERE INVOLVED THROUGHOUT THE CHNA PROCESS. THE COMMUNITY HEALTH ALLIANCE CONSISTED OF COMMUNITY PARTNERS AND STAKEHOLDERS FROM 7 ORGANIZATIONS ACROSS THE COMMUNITY REPRESENTING HEALTHCARE, BUSINESS, AND SERVICE ORGANIZATIONS. PRIOR TO THE PUBLIC RELEASE OF THE CHNA RESULTS, A FORUM WAS CONVENED ON MAY 2, 2018 TO GARNER INPUT FROM THE COMMUNITY ON HEALTH IMPROVEMENT PRIORITIES. FOURTEEN COMMUNITY STAKEHOLDERS REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS INCLUDING PUBLIC HEALTH, HEALTHCARE, SOCIAL SERVICES, GOVERNMENT AND FAITH COMMUNITY EVALUATED, DISCUSSED, AND PRIORITIZED HEALTH ISSUES FOR THE COMMUNITY. |
| HOLY ROSARY HEALTHCARE | PART V, SECTION B, LINE 6B: HOLY ROSARY HEALTHCARE CONDUCTED THE 2018 CHNA IN PARTNERSHIP WITH THE COMMUNITY HEALTH ALLIANCE INCLUDING PARTNERS FROM BILLINGS CLINIC MILES CITY, MONTANA HEALTH NETWORK, ONEHEALTH-CUSTER COUNTY PUBLIC HEALTH, MILES COMMUNITY COLLEGE, AND MONTANA STATE UNIVERSITY EXTENSION. HOLY ROSARY HEALTHCARE:PART V, SECTION B, LINE 7A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/HOLY-ROSARY-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/HOLY ROSARY HEALTHCARE:PART V, SECTION B, LINE 10A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/HOLY-ROSARY-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/ |
| HOLY ROSARY HEALTHCARE | PART V, SECTION B, LINE 11: EIGHT AREAS OF OPPORTUNITY WERE IDENTIFIED IN THE 2018 CHNA AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY STATE AND NATIONAL DATA); THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF THE NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE:- ACCESS TO HEALTHCARE SERVICES- ALCOHOL AND SUBSTANCE ABUSE- ALZHEIMER'S DISEASE- CANCER AND CANCER SCREENING- CHRONIC LOWER RESPIRATORY DISEASE- INJURY PREVENTION- NUTRITION, PHYSICAL ACTIVITY AND OBESITY- MENTAL HEALTH AND SUICIDEHOLY ROSARY HEALTHCARE'S SENIOR LEADERSHIP TEAM REVIEWED THE RESULTS OF THE CHNA AND THROUGH A FACILITATED CONSENSUS BUILDING PROCESS SELECTED TWO PRIORITY AREAS BASED ON CRITERIA INCLUDING COMMUNITY PRIORITY RANKING, ORGANIZATIONAL CAPACITY, STRATEGIC ALIGNMENT, AND COMMUNITY RESOURCES AND CAPACITY. FROM THIS PROCESS, TWO PRIORITIES WERE SELECTED: CANCER AND CANCER SCREENINGS AND BEHAVIORAL HEALTH. CANCER AND CANCER SCREENINGS: CUSTER COUNTY RESIDENTS REPORT LOWER RATES OF CANCER SCREENINGS, INCLUDING COLORECTAL, BREAST AND CERVICAL. CANCER INCIDENCE RATES ARE ALSO HIGHER IN CUSTER COUNTY THAN PEER COUNTIES IN THE UNITED STATES. TO ADDRESS THIS HEALTH NEED, HOLY ROSARY HEALTHCARE IS FOCUSING ON ENCOURAGING RESIDENTS TO RECEIVE RECOMMENDED PREVENTIVE CANCER SCREENINGS AND IS WORKING TO INCREASE ACCESS BY PROVIDING ONLINE SCHEDULING AND DECREASING TRANSPORTATION BARRIERS THROUGH FINANCIAL SUPPORT OF CUSTER COUNTY TRANSIT. CANCER SCREENINGS HAVE INCREASED SIGNIFICANTLY WITH THESE EFFORTS. BREAST CANCER SCREENING INCREASED 71.9%; CERVICAL CANCER SCREENINGS WERE UP 72.3% AND COLORECTAL CANCER SCREENINGS INCREASED 60.4%. HOLY ROSARY HEALTHCARE ALSO SUPPORTED THE CUSTER COUNTY TRANSIT PROGRAM WHICH STARTED IN APRIL OF 2019 AND IS CURRENTLY PROVIDING 200 RIDES PER WEEK.BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND ALCOHOL/SUBSTANCE ABUSE:ALL COUNTIES SURROUNDING HOLY ROSARY HEALTHCARE IN EASTERN MONTANA ARE DESIGNATED AS A MENTAL HEALTH PROFESSIONAL SHORTAGE AREA (HRSA). RESPONDENTS FOR THE 2018 CHNA SURVEY REPORTED BEING UNAWARE OF WHERE SOMEONE COULD GO TO RECEIVE MENTAL HEALTH SERVICES AND WERE UNAWARE OF AVAILABLE RESOURCES TO REFER FOR SUBSTANCE ABUSE SERVICES. IN ADDITION, 20% OF SURVEY RESPONDENTS CLASSIFIED THEIR OWN MENTAL HEALTH AS FAIR OR POOR. IN 2019, HOLY ROSARY HEALTHCARE SPONSORED TWO MENTAL HEALTH TRAININGS IN QPR (QUESTION, PERSUADE AND REFER), A SUICIDE PREVENTION TRAINING. FIFTY-TWO INDIVIDUALS IN THE COMMUNITY COMPLETED THE QPR TRAINING. TO ADDRESS GAPS IN KNOWLEDGE OF COMMUNITY RESOURCES FOR MENTAL HEALTH AND SUBSTANCE ABUSE, HOLY ROSARY HEALTHCARE HAS PARTNERED WITH THE UNITED WAY TO PROMOTE THE ONLINE MONTANA 211 RESOURCE DIRECTORY. THIS ONLINE DIRECTORY PROVIDES A COMPREHENSIVE LIST OF SERVICES AVAILABLE IN THE COMMUNITY AND STATEWIDE TO ADDRESS NEEDS FOR MENTAL HEALTH AND SUBSTANCE USE. HOLY ROSARY HEALTHCARE DISTRIBUTED MATERIALS PROMOTING THE MONTANA 211 RESOURCE DIRECTORY THROUGHOUT THE COMMUNITY, INCLUDING AT SPECIAL EVENTS. IN 2019, OVER 105 COMMUNITY MEMBERS UTILIZED MONTANA 211 FOR SEARCHES, A 356% INCREASE FROM THE PRIOR YEAR. OTHER SIGNIFICANT NEEDS NOT PRIORITIZED: EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT AND HOLY ROSARY HEALTHCARE ALONG WITH NUMEROUS PARTNERS THROUGHOUT THE COMMUNITY ARE ADDRESSING THESE NEEDS THROUGH VARIOUS INNOVATIVE PROGRAMS AND INITIATIVES. SOME EXAMPLES OF THESE ARE PROVIDED BELOW. THE HOLY ROSARY HEALTHCARE CHIP WILL ONLY ADDRESS THE PRIORITY AREAS LISTED ABOVE IN ORDER TO MAXIMIZE RESOURCES, EXPERTISE AND TIME TO ACHIEVE SUCCESSFUL IMPACT.ACCESS TO HEALTHCARE SERVICESCUSTER COUNTY, HOLY ROSARY HEALTHCARE'S PRIMARY SERVICE AREA, IS DESIGNATED AS A LOW INCOME POPULATION HEALTHCARE PROVIDER SHORTAGE AREA. IN THE 2018 CHNA, SURVEY RESPONDENTS RANKED ACCESS TO HEALTHCARE SERVICES AS MOST IMPORTANT FOR A HEALTHY COMMUNITY AND EXPRESSED CONCERNS ABOUT THE AVAILABILITY OF VISITING SPECIALISTS AND NEED FOR INCREASED PRIMARY CARE PROVIDERS. THE NUMBER OF VISITING PHYSICIAN SPECIALISTS HAS INCREASED TO 12 EACH MONTH. HOLY ROSARY HEALTHCARE PROVIDES PRIMARY CARE SERVICES INCLUDING WALK-IN CARE. THROUGH VIRTUAL HEALTH TECHNOLOGIES, HOLY ROSARY HEALTHCARE ALSO CONNECTS PATIENTS WITH SPECIALTY SERVICES WITHOUT THE NEED TO TRAVEL. CHEMOTHERAPY SERVICES HAVE BEEN EXPANDED AND AN OUTPATIENT PALLIATIVE CARE PROGRAM WAS DEVELOPED AND IMPLEMENTED. IN ADDITION, VIRTUAL PRIMARY CARE SERVICES ARE AVAILABLE THROUGH DIGITAL TOOLS SUCH AS DOCTOR ON DEMAND. HOLY ROSARY HEALTHCARE SERVES AS A CLINICAL TRAINING SITE FOR HEALTH PROFESSIONAL EDUCATION INCLUDING NURSING, CERTIFIED NURSING ASSISTANTS, PHYSICAL THERAPY, RADIOLOGY, AND SPEECH THERAPY. IN 2019, 50 STUDENTS FROM MILES COMMUNITY COLLEGE TRAINED AT HOLY ROSARY HEALTHCARE. ALZHEIMER'S DISEASE: ALZHEIMER'S DISEASE DEATHS IN CUSTER COUNTY ARE IN THE LEAST FAVORABLE QUARTILE COMPARED TO PEER COUNTIES IN THE UNITED STATES (2018 CHNA). HOLY ROSARY HEALTHCARE PROMOTES EDUCATIONAL OPPORTUNITIES PROVIDED BY COMMUNITY PROGRAMS TO ADDRESS ALZHEIMER'S DISEASE AND DEMENTIA. CHRONIC LOWER RESPIRATORY DISEASE (CLRD): CLRD DEATHS IN CUSTER COUNTY ARE IN THE LEAST FAVORABLE QUARTILE COMPARED TO PEER COUNTIES IN THE UNITED STATES (2018 CHNA). TOBACCO USE IS A CONTRIBUTING FACTOR FOR CLRD. HOLY ROSARY HEALTHCARE OFFERS TOBACCO CESSATION EDUCATIONAL MATERIALS AND PATIENTS RECEIVING THE LOW-DOSE CT LUNG CANCER SCREENINGS ARE ALSO PROVIDED WITH TOBACCO CESSATION EDUCATION. IN 2019, 21 PATIENTS RECEIVED LOW DOSE CT LUNG CANCER SCREENINGS. INJURY PREVENTION:UNINTENTIONAL INJURY, INCLUDING MOTOR VEHICLE DEATHS, ARE IN THE LEAST FAVORABLE QUARTILE COMPARED TO PEER COUNTIES IN THE UNITED STATES (2018 CHNA). HOLY ROSARY HEALTHCARE OFFERS DISTRACTED DRIVING COURSES AND PARTNERS WITH MILES COMMUNITY COLLEGE AND CUSTER COUNTY HIGH SCHOOL TO PROVIDE ATHLETIC TRAINERS FOR SPORTS PROGRAMS. HOLY ROSARY HEALTHCARE ALSO PARTNERS WITH LOCAL FIRST RESPONDERS TO OFFER AN ANNUAL SAFETY DAY FOR THE COMMUNITY. NUTRITION, PHYSICAL ACTIVITY, AND OBESITY: IN THE 2018 CHNA, CUSTER COUNTY RESIDENTS HAD HIGHER LEVELS OF REPORTED PHYSICAL INACTIVITY AND HIGHER OBESITY RATES THAN OTHER MONTANA COUNTIES. TO ADDRESS THESE NEEDS, HOLY ROSARY OFFERS PROGRAMMING FOCUSED ON PHYSICAL ACTIVITY AND NUTRITION. HRH OFFERS A DIABETES AND HEART DISEASE PREVENTION PROGRAM WHICH HELPS INDIVIDUALS LEARN HEALTHY EATING AND EXERCISE HABITS TO PREVENT CHRONIC DISEASE. IN 2018, HOLY ROSARY HEALTHCARE'S DIABETES AND HEART DISEASE PREVENTION PROGRAM EARNED FULL CDC RECOGNITION. 36 PEOPLE COMPLETED THE PROGRAM IN 2019. TO ENCOURAGE ACTIVE LIFESTYLES, HOLY ROSARY HEALTHCARE OFFERS A 2.5 MILE WALKING PATH WHICH IS MAINTAINED WITH SNOW REMOVAL AND TRASH PICKUP BY HOLY ROSARY'S MAINTENANCE STAFF. THIS PATH IS USED BY APPROXIMATELY 1,000 PEOPLE EACH YEAR. DURING ADVERSE WEATHER, HOLY ROSARY PROVIDES INDOOR FACILITY PATHWAYS WITH WALKING MAPS. THE GROUNDS SURROUNDING HOLY ROSARY HEALTHCARE ARE USED BY LOCAL YOUTH AND COACHES FOR FOOTBALL AND SOCCER PRACTICES. PARTNERING WITH THE LOCAL COUNTY EXTENSION AND COMMUNITY ADVISORY BOARD, HOLY ROSARY HEALTHCARE PROVIDES COMMUNITY GARDEN PLOTS ON CAMPUS WITH APPROXIMATELY 40 FAMILIES SERVED ANNUALLY. HOLY ROSARY HEALTHCARE PARTNERS WITH THE COMMUNITY HEALTH ALLIANCE TO PROMOTE HEALTHY LIVING OPTIONS, INCLUDING PROVIDING SUPPORT FOR THE DIETICIAN'S CORNER AT REYNOLD'S MARKET.HOLY ROSARY HEALTHCAREPART V, SECTION, B, LINE 16A, 16B, 16C: WWW.SCLHEALTH.ORG/LOCATIONS/HOLY-ROSARY-HEALTHCARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - HOLY ROSARY FAMILY PRACTICE | ||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC |
| 2 - HOLY ROSARY HOSPITALIST | ||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC |
| 3 - HRHC WOMEN'S HEALTH | ||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC |
| 4 - HOLY ROSARY ED | ||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC |
| 5 - HOLY ROSARY HEALTHCARE- GENERAL SURGERY | ||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. |
| PART I, LINE 7: | THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $312,941. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | HOLY ROSARY HEALTHCARE RECOGNIZES THE NEED TO ADDRESS UNDERLYING FACTORS WHICH INFLUENCE HEALTH IN OUR COMMUNITY SUCH AS EDUCATION, SOCIAL COHESION, EARLY CHILDHOOD DEVELOPMENT AND ECONOMIC STABILITY. HOLY ROSARY HEALTHCARE SENIOR LEADERSHIP AND DEPARTMENT LEADERS BRING LEADERSHIP, TRAINING AND IN-KIND SUPPORT TO NUMEROUS COMMUNITY, REGIONAL, AND STATEWIDE ORGANIZATIONS INCLUDING MILES CITY AREA ECONOMIC DEVELOPMENT COUNCIL, LEADERSHIP MILES CITY, MONTANA HEALTH NETWORK, EASTERN MONTANA INDUSTRIES, RSVP, PUBLIC LIBRARY, ADULT PROTECTIVE SERVICES, MILES CITY PUBLIC SCHOOL SYSTEM, ROCKS AFTER-SCHOOL PROGRAM, SACRED HEART SCHOOL, MONTANA BUILDING ACTIVE COMMUNITIES, MONTANA NUTRITION AND PHYSICAL ACTIVITY PROGRAM, EASTERN MONTANA AREA HEALTH EDUCATION CENTER, RURAL SCHOOL PHYSICAL ACTIVITIES, MILES CITY COMMUNITY COLLEGE, BEHAVIORAL HEALTH LOCAL ADVISORY COMMITTEE, COMMUNITY HEALTH ALLIANCE, AND COUNCIL ON AGING. IN-KIND SUPPORT IS ALSO PROVIDED BY HOLY ROSARY HEALTHCARE STAFF TO COMMUNITY ORGANIZATIONS ADDRESSING SOCIAL NEEDS INCLUDING THE MILES CITY SOUP KITCHEN, CUSTER COUNTY FOOD BANK AND ST. VINCENT DE PAUL. HOLY ROSARY HEALTHCARE'S CONFERENCE ROOMS ARE USED FREQUENTLY BY COMMUNITY GROUPS FOR MEETINGS, EDUCATION AND RETREATS.PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS 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 9B: | AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. |
| PART V, SECTION A | WEBSITE: WWW.SCLHEALTH.ORG/LOCATIONS/HOLY-ROSARY-HEALTHCARE/ |
| PART VI, LINE 2: | HOLY ROSARY HEALTHCARE CONTINUOUSLY ASSESSES THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY. HOLY ROSARY HEALTHCARE'S LEADERSHIP SERVES ON VARIOUS COMMUNITY BOARDS TO UNDERSTAND SPECIFIC NEEDS.IN ADDITION TO THE CHNA DATA FOCUSED ON CUSTER COUNTY, HOLY ROSARY HEALTHCARE REVIEWS SECONDARY DATA SUCH AS COUNTY HEALTH RANKINGS AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) TO DETERMINE HEALTH NEEDS FOR NEIGHBORING COUNTIES. OUTREACH AND RELATIONSHIPS WITH OTHER CRITICAL ACCESS HOSPITALS, HEALTH CENTERS, AND CLINICS IN FORSYTH, TERRY, GLENDIVE, AND JORDAN. THESE ADDITIONAL STEPS ENABLE HOLY ROSARY HEALTHCARE TO BETTER ASSESS THE HEALTH NEEDS OF THESE COMMUNITIES. |
| 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 OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. |
| PART VI, LINE 4: | POPULATION AND GEOGRAPHY:LOCATED IN SOUTHEASTERN MONTANA, HOLY ROSARY HEALTHCARE IS A FEDERALLY-DESIGNATED CRITICAL ACCESS HOSPITAL PROVIDING CARE TO RESIDENTS OF CUSTER COUNTY INCLUDING THE COMMUNITY OF MILES CITY, MONTANA. CUSTER COUNTY HAS A POPULATION OF 11,924 AND IS CLASSIFIED AS RURAL WITH 3.1 PEOPLE PER SQUARE MILE. DEMOGRAPHICS: APPROXIMATELY 20% OF RESIDENTS ARE SENIORS (HIGHER THAN THE STATE OF MONTANA OVERALL) AND 20% OF RESIDENTS ARE UNDER AGE 18. THE COUNTY IS 94.7% WHITE (HIGHER THAN THE STATE OF MONTANA OVERALL), FOLLOWED BY 2.2% NATIVE AMERICAN AND APPROXIMATELY 2% REPORTING TWO OR MORE RACES. THERE ARE 1,081 VETERANS IN CUSTER COUNTY. GENDER REPRESENTATION IS FAIRLY EQUAL BETWEEN MALE AND FEMALE RESIDENTS.ECONOMICS AND POVERTY: THE MEDIAN HOUSEHOLD INCOME FOR CUSTER COUNTY IS $48,720 AND 12.2% OF RESIDENTS ARE IN POVERTY. OVER 12% OF RESIDENTS DON'T HAVE HEALTH INSURANCE.EDUCATION: CUSTER COUNTY SHOWS COMPARATIVE PERCENTAGES (91.4%) TO THE OVERALL STATE (92.8%) FOR HIGH SCHOOL GRADUATES OR HIGHER. |
| PART VI, LINE 5: | HOLY ROSARY HEALTHCARE ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT". HOLY ROSARY HEALTHCARE'S COMMUNITY BENEFIT WORK IS DRIVEN BY IDENTIFIED COMMUNITY HEALTH NEEDS AND BY WORKING WITH LOCAL ORGANIZATIONS AND THE BROADER COMMUNITY. NEW IN 2017 WAS THE FORMATION OF THE CUSTER COMMUNITY HEALTH ALLIANCE, WHICH OPENED UP COMMUNICATION WITH THE OTHER HEALTHCARE FACILITIES IN OUR COMMUNITY AND RESULTED IN THE FIRST SHARED CHNA WHICH WAS PUBLISHED IN 2018. COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION AND STAFF AND BOARD EDUCATION IS CONDUCTED. HOLY ROSARY HEALTHCARE HAS A DEDICATED STAFF COMMITTED TO COMMUNITY BENEFIT EFFORTS. HOSPITAL LEADERS, MANAGERS AND ASSOCIATES ARE INVOLVED IN OUR SMALL COMMUNITY AT EVERY LEVEL, BENEFITING THE HEALTH AND GROWTH OF OUR CITIZENS AND OUR CITY. HOLY ROSARY HEALTHCARE'S BOARD OF DIRECTORS IS A VOLUNTEER GOVERNING BODY WHICH INCLUDES INDEPENDENT PERSONS THAT REPRESENT THE COMMUNITY. WITHIN THE BOARD OF DIRECTORS, THERE IS A SPECIFIC COMMUNITY BENEFIT BOARD COMMITTEE. THIS COMMITTEE IS INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND PROVIDES DIRECTION TO DEVELOPMENT OF THE ORGANIZATION'S IMPROVEMENT PLAN IN RESPONSE TO RESULTS OF COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL'S COMMUNITY BENEFIT BOARD COMMITTEE MONITORS IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND PROVIDES REPORTS BACK TO THE FULL HOSPITAL BOARD. HOLY ROSARY HEALTHCARE OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. HOLY ROSARY HEALTHCARE ENGAGES IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND PARTICIPATES IN MEDICAID, MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. HOLY ROSARY HEALTHCARE EMPLOYS THE STAFF OF THE HOLY ROSARY HEALTHCARE FOUNDATION, A NON-PROFIT ORGANIZATION THAT PROVIDES FUNDRAISING FOR HOLY ROSARY HEALTHCARE FACILITIES AND PROGRAMS THAT REACH BOTH THE POOR AND THE BROADER COMMUNITY. OPERATIONS OF THE HOLY ROSARY HEALTHCARE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN HOLY ROSARY HEALTHCARE HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, AND PROVIDE MEDICAL TRAINING EDUCATION AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE WILL BE ABLE TO CARE FOR FUTURE GENERATIONS. |
| PART VI, LINE 6: | THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| HOLY ROSARY HEALTHCARE FOUNDATION INC | |||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 202270238 | 501(C)(3) | $206,054 | SUPPORT MISSION |
| MONTANA COMMUNITY FOUNDATION | |||||||
| 33 S LAST CHANCE GULCH SUITE 2A | HELENA | MT | 59624 | 810450150 | 501(C)(3) | $100,000 | SUPPORT MISSION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION KEEPS RECORDS TO SUPPORT THE AMOUNTS PROVIDED OR REASON FOR SUCH SUPPORT. FUNDING DECISIONS ARE DETERMINED ON AN INDIVIDUAL BASIS, CONSIDERING THE USE OF THE FUNDS AND HOW THE USE RELATES TO THE ORGANIZATION'S MISSION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVE LOVELESS | ||||||||||||||
| PRESIDENT - MONTANA REGION | $0 | $511,967 | $0 | $202,410 | $0 | $84,380 | $0 | $95,993 | $0 | $25,293 | $0 | $920,043 | $0 | $69,735 |
| MICHAEL BUSH MD | ||||||||||||||
| VP CHIEF MEDICAL OFFICER SVB | $0 | $346,101 | $0 | $93,125 | $0 | $55,220 | $0 | $64,872 | $0 | $25,209 | $0 | $584,527 | $0 | $43,364 |
| KURT AMMERMAN MD | ||||||||||||||
| PSO PHYSICIAN CLINIC | $395,676 | $0 | $0 | $0 | $24,506 | $0 | $1,587 | $0 | $11,470 | $0 | $433,239 | $0 | $0 | $0 |
| THOMAS MOSER | ||||||||||||||
| VP OPERATIONS MEDICAL GROUP MONTANA | $0 | $248,529 | $0 | $67,439 | $0 | $4,442 | $0 | $40,114 | $0 | $16,726 | $0 | $377,250 | $0 | $0 |
| PAMELA PALAGI | ||||||||||||||
| VP FINANCE MT REGION | $0 | $256,870 | $0 | $68,796 | $0 | $2,203 | $0 | $36,600 | $0 | $9,044 | $0 | $373,513 | $0 | $0 |
| LANCE ROBBINS MD | ||||||||||||||
| PSO PHYSICIAN CLINIC | $261,255 | $0 | $53,525 | $0 | $37,568 | $0 | $8,350 | $0 | $11,446 | $0 | $372,144 | $0 | $0 | $0 |
| JEFFERY WILLIAMS MD | ||||||||||||||
| PSO PHYSICIAN CLINIC | $298,906 | $0 | $0 | $0 | $1,539 | $0 | $15,723 | $0 | $18,094 | $0 | $334,262 | $0 | $0 | $0 |
| JAMES RITCHEY | ||||||||||||||
| VP HUMAN RESOURCES MONTANA REGION | $0 | $220,051 | $0 | $34,731 | $0 | $2,451 | $0 | $40,274 | $0 | $26,365 | $0 | $323,872 | $0 | $0 |
| PAUL LEWIS | ||||||||||||||
| PRESIDENT - HRH 1/1-9/27 | $0 | $182,971 | $0 | $0 | $0 | $62,964 | $0 | $50,384 | $0 | $23,405 | $0 | $319,724 | $0 | $38,374 |
| CAROL ENDERLE | ||||||||||||||
| VP CHIEF OPERATING/NURSING OFFICER - | $0 | $176,682 | $0 | $47,628 | $0 | $24,631 | $0 | $29,137 | $0 | $18,874 | $0 | $296,952 | $0 | $20,922 |
| TRAVIS SCHEVING | ||||||||||||||
| FORMER OFFICER | $0 | $158,678 | $0 | $26,718 | $0 | $26,105 | $0 | $11,255 | $0 | $24,924 | $0 | $247,680 | $0 | $25,293 |
| DAVID NELSON MD | ||||||||||||||
| CERTIFIED RN ANESTHETIST | $187,930 | $0 | $10,130 | $0 | $2,842 | $0 | $14,018 | $0 | $27,546 | $0 | $242,466 | $0 | $0 | $0 |
| TODD ARMSTRONG MD | ||||||||||||||
| CERTIFIED RN ANESTHETIST | $196,806 | $0 | $12,070 | $0 | $693 | $0 | $13,780 | $0 | $16,905 | $0 | $240,254 | $0 | $0 | $0 |
| KAREN COSTELLO | ||||||||||||||
| INTERIM PRESIDENT - HRH 9/23-12/31 | $0 | $182,021 | $0 | $23,494 | $0 | $1,545 | $0 | $10,062 | $0 | $18,744 | $0 | $235,866 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). 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. |
| PART I, LINE 4B | PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM 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 RELATED 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 RELATED 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 BENFIT 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 RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. 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: STEVE LOVELESS $69,735, PAUL LEWIS $96,786, MICHAEL BUSH, MD $43,364, CAROL ENDERLE $20,922, TRAVIS SCHEVING $25,293. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. |
| PART I, LINE 7 | 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 DISCLOSURES | THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF EIGHT HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,900 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 O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, LINE J WEBSITE: | WWW.SCLHEALTH.ORG/LOCATIONS/HOLY-ROSARY-HEALTHCARE |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF HOLY ROSARY HEALTHCARE. |
| FORM 990, PART VI, SECTION A, LINE 7A | POWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF HOLY ROSARY HEALTHCARE, APPROVES MEMBERS OF HOLY ROSARY HEALTHCARE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY HOLY ROSARY HEALTHCARE AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS 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 15 | THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACT MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 7,050,466. MANAGEMENT AND GENERAL EXPENSES 37,075. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,087,541. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 271,162. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 271,162. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 70,063. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,063. CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 325. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 325. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER - LONG LIVED ASSETS 111,303. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 237379161 | MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES | KS | 501(C)(3) | LINE 12C, III-FI | N/A | 0 | |
| SCL HEALTH FOUNDATION | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 823290526 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| INTEGRITY HEALTH | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 474520350 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12C, III-FI | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | |||||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 840482695 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | 0 | INTEGRITY HEALTH | |
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | |||||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 742255936 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12A, I | 0 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | |
| MOUNT ST VINCENT HOME INC | |||||||||||
| 4159 LOWELL BOULEVARD | DENVER | CO | 80211 | 840405260 | RESIDENT CARE | CO | 501(C)(3) | LINE 10 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| NJH-SJH INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | DENVER | CO | 80211 | 471194849 | MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES | CO | 501(C)(3) | LINE 12A, I | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| SAINT JOSEPH HOSPITAL INC | |||||||||||
| 1375 EAST 19TH AVENUE | DENVER | CO | 80218 | 840417134 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| SAINT JOSEPH HOSPITAL FOUNDATION | |||||||||||
| 1375 EAST 19TH AVENUE | DENVER | CO | 80218 | 840735096 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SAINT JOSEPH HOSPITAL INC | |
| SCL HEALTH - FRONT RANGE INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 841103606 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| GOOD SAMARITAN MEDICAL CENTER FOUNDATION | |||||||||||
| 200 EXEMPLA CIRCLE | LAFAYETTE | CO | 80026 | 841649162 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SCL HEALTH-FRONT RANGE INC | |
| LUTHERAN MEDICAL CENTER FOUNDATION | |||||||||||
| 8300 WEST 38TH AVENUE | WHEAT RIDGE | CO | 80033 | 208846152 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | 0 | SCL HEALTH-FRONT RANGE INC | |
| ST MARYS HOSPITAL & MEDICAL CENTER INC | |||||||||||
| 2635 NORTH 7TH STREET | GRAND JUNCTION | CO | 81501 | 840425720 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| ST MARYS HOSPITAL FOUNDATION | |||||||||||
| 2635 NORTH 7TH STREET | GRAND JUNCTION | CO | 81501 | 237001007 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12A, I | 0 | ST MARYS HOSPITAL & MEDICAL CENTER INC | |
| CARITAS CLINICS INC | |||||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | CLINIC SERVICES | KS | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| MARIAN CLINIC INC | |||||||||||
| 3164 SE 6TH AVENUE | TOPEKA | KS | 66607 | 481046905 | CLINIC SERVICES | KS | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| ST FRANCIS HEALTH CENTER INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480547719 | HOSPITAL SERVICES | KS | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | |||||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 202270238 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | LINE 12A, I | Yes (1) | HOLY ROSARY HEALTHCARE | |
| ST JAMES HEALTHCARE | |||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 810231785 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| ST JAMES HEALTHCARE FOUNDATION INC | |||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 651202190 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | LINE 12A, I | 0 | ST JAMES HEALTHCARE | |
| ST VINCENT HEALTHCARE | |||||||||||
| 1233 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810232124 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | 0 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC | |
| ST VINCENT HEALTHCARE FOUNDATION INC | |||||||||||
| 1106 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810468034 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | MT | 501(C)(3) | LINE 7 | 0 | ST VINCENT HEALTHCARE | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| LUTHERAN CAMPUS ASC LLC | |||||||
| 3455 LUTHERAN PKWY STE 150 | WHEAT RIDGE | CO | 80033 | 020749532 | OP SURGERY | CO | N/A |
| SCLH-GI ENDOSCOPY HOLDINGS LLC | |||||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | 812979243 | OP ENDOSCOPY | CO | N/A |
| SCLTDI JV LLC | |||||||
| 1431 PERRONE WAY | FRANKLIN | TN | 37069 | 472294770 | RADIOLOGY | DE | N/A |
| ATHLETIC MEDICINE & PERFORMANCE LLC (SVB IS PARTNER) | |||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 272270640 | PHYSICAL THERAPY | MT | N/A |
| GRAND VALLEY SURGICAL CENTER LLC | |||||||
| 710 WELLINGTON AVENUE SUITE 21 | GRAND JUNCTION | CO | 81501 | 841505075 | OP SURGERY | CO | N/A |
| HEALTHCARE MANAGEMENT LLC | |||||||
| PO BOX 1929 | GRAND JUNCTION | CO | 81502 | 841238904 | MANAGEMENT SERVICES | CO | N/A |
| PAVILION IMAGING LLC (5312019) | |||||||
| 750 WELLINGTON AVENUE | GRAND JUNCTION | CO | 81501 | 030516198 | RADIOLOGY | CO | N/A |
| SAN JUAN CANCER CENTER LLC | |||||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | 202856331 | OP CANCER | CO | N/A |
| CAREFLIGHT OF THE ROCKIES LLC | |||||||
| 500 ELDORADO BLVD SUITE4300 | BROOMFIELD | CO | 80021 | 473525381 | MEDICAL AIR TRANSPORT | CO | N/A |
| ST JOSEPH EKG READER PANEL | |||||||
| 3464 S WILLOW STREET SUITE 174 | DENVER | CO | 80231 | 841269895 | EKG READING | CO | N/A |
| MED-MAP LLC | |||||||
| PO BOX 1295 | BILLINGS | MT | 59103 | 810491356 | RENTAL REAL ESTATE | MT | N/A |
| YELLOWSTONE SURGERY CENTER LLC | |||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 721519467 | OP SURGERY | MT | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARITAS INC AND SUBSIDIARIES | ||||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480941069 | HEALTHCARE | KS | N/A | C | 0 | |||||
| ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC | ||||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 462874128 | HEALTHCARE | KS | N/A | C | 0 | |||||
| LEAVEN INSURANCE COMPANY LTD | ||||||||||||||
| 980370522 | INSURANCE | N/A | C | 0 | 23 LIME TREE BAY AVENUE WEST BAY R | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HOLY ROSARY HEALTHCARE FOUNDATION INC | ||
| B | $206,054 | COST |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | ||
| C | $295,708 | COST |