HOLY ROSARY HEALTHCARE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: HOLY ROSARY HEALTHCARE (EIN 81-0231792)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-07
IRS object ID: 201823119349302227
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-07T14:17:58-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	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	2018-11-05	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	2018-11-05	IPDt
IP Tm	10:36:11	IPTm
IP Timezone	MS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B236A6DFE262EFEA572FAB2E373485E7E96D5340	AtSubmissionCreationDeviceId
At Submission Filing Device Id	DA20D486529A5FD4315A2DABD97CCAE9F7014C42	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2018-06-14 16:35:46Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	PAUL LEWIS	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	$48,755,038	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SCLHEALTH.ORG/LOCATIONS/	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	13	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	358	TotalEmployeeCnt
Total Volunteers	95	TotalVolunteersCnt
Total Gross UBI	$58,391	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$764,929	PYContributionsGrantsAmt
CY Contributions Grants	$347,610	CYContributionsGrantsAmt
PY Program Service Revenue	$43,644,615	PYProgramServiceRevenueAmt
CY Program Service Revenue	$47,483,944	CYProgramServiceRevenueAmt
PY Investment Income	$344,066	PYInvestmentIncomeAmt
CY Investment Income	$539,524	CYInvestmentIncomeAmt
PY Other Revenue	$396,506	PYOtherRevenueAmt
CY Other Revenue	$379,717	CYOtherRevenueAmt
PY Total Revenue	$45,150,116	PYTotalRevenueAmt
CY Total Revenue	$48,750,795	CYTotalRevenueAmt
PY Grants And Similar Paid	$35,438	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$139,538	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$19,997,096	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$20,711,611	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$22,189,595	PYOtherExpensesAmt
CY Other Expenses	$22,971,030	CYOtherExpensesAmt
PY Total Expenses	$42,222,129	PYTotalExpensesAmt
CY Total Expenses	$43,822,179	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,927,987	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,928,616	CYRevenuesLessExpensesAmt
Total Assets BOY	$34,217,459	TotalAssetsBOYAmt
Total Assets EOY	$40,049,491	TotalAssetsEOYAmt
Total Liabilities BOY	$7,215,881	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$8,119,297	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$27,001,578	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$31,930,194	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	$34,295,747	ExpenseAmt
Grant	$139,538	GrantAmt
Revenue	$47,755,979	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 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, A FAITH-BASED, NONPROFIT HEALTH SYSTEM, HOLY ROSARY HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL. SERVICES INCLUDE SURGICAL, ONCOLOGY, AND MATERNITY SERVICES, 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 11,000, 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.DURING 2017, HOLY ROSARY HEALTHCARE HAD THE FOLLOWING RESULTS:ADMISSIONS - 1,223OUTPATIENT VISITS - 53,589EMERGENCY ROOM VISITS - 4,605BIRTHS - 220SURGERIES - 745LAB TESTS - 85,864AS 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 AND 24 PHYSICIAN OFFICES. 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 BE DISTINGUISHED AS THE TRUSTED PERSON-CENTERED PARTNER TO THOSE WHO ENGAGE WITH US IN THEIR PHYSICAL, MENTAL AND SPIRITUAL HEALTH DECISIONS.WE WILL SHARE ACCOUNTABILITY WITH OUR CLINICIANS, ASSOCIATES AND AFFILIATED STAKEHOLDERS TO DELIVER EXCEPTIONAL CARE THAT IS WELL-COORDINATED, ACCESSIBLE, AFFORDABLE, SAFE, AND RESULTS IN OPTIMAL OUTCOMES FOR INDIVIDUALS AND POPULATIONS.WE WILL GROW AS COMMUNITY-BASED HEALTH NETWORKS IN PARTNERSHIP WITH OTHERS WHO SHARE OUR VISION AND VALUES AND ALIGN WITH US TO BE AN ESSENTIAL PROVIDER TO THOSE WE SERVE.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 HELTHCARE 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, PARENT, 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	$34,295,747	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	54	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	358	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SHAWN COFFIN
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
RON HATHAWAY
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
SR EILEEN HURLEY
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
STACY KLIPPENSTEIN
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
STEVE LOVELESS
PRESIDENT CEO MONTANA REGION	3.00	47.00	Yes (X)	$0	$716,119	$117,151	Yes (X)
TAMMIE MCFARLAND
SECRETARY	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
STEVE MUGGLI
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
NIKI MUNROE
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
CHARLES NOTBOHM
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
POLLY PETERSEN
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
JIM REGAN
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
DERRICK RODGERS
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
SR SHARON SMITH
MEMBER	1.00	0.00	Yes (X)	$0	$0	$0
PAUL LEWIS
CHIEF EXECUTIVE OFFICER - HRH	50.00	0.00		$0	$351,634	$78,440	Yes (X)
RON OLDFIELD
VP FINANCE 1/1-3/1	13.00	37.00		$0	$130,356	$8,119	Yes (X)
PAM PALAGI
VP FINANCE MT REGION	3.00	47.00		$0	$208,396	$33,437	Yes (X)
MICHAEL BUSH MD
VP-CHIEF MEDICAL OFFICER-SVH	25.00	25.00		$0	$532,835	$92,309		Yes (X)
CAROL ENDERLE
VP PATIENT CARE SERVICES-HRH	50.00	0.00		$0	$194,753	$45,448		Yes (X)
MARK NICHOLS MD
PSO PHYSICIAN CLINIC	50.00	0.00		$383,640	$0	$31,392			Yes (X)
JEFFERY WILLIAMS MD
PSO PHYSICIAN CLINIC	50.00	0.00		$306,165	$0	$33,895			Yes (X)
STEVEN MAERTENS MD
PSO PHYSICIAN ED	50.00	0.00		$265,546	$0	$42,211			Yes (X)
LISA CADWELL MD
PSO PHYSICIAN CLINIC	50.00	0.00		$230,732	$0	$24,401			Yes (X)
SYLVIA LYMBURNER MD
PSO PHYSICIAN CLINIC	50.00	0.00		$230,143	$0	$12,542			Yes (X)
TRAVIS SCHEVING
FORMER OFFICER	0.00	50.00		$0	$200,450	$34,800				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,416,226	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,334,543	TotReportableCompRltdOrgAmt
Total Other Compensation	$554,145	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	23	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	$1,156,900
SOUTH SOUND INPATIENT PHYSICIANS
1498 PACIFIC AVE	TACOMA	WA	98402	MEDICAL SERVICES	$503,581
TEL NET SYSTEMS INC
547 S 20TH ST WEST	BILLINGS	MT	59102	TECHNOLOGY SERVICES	$261,604
MEDEFIS INC
10826 OLD MILL RD	OMAHA	NE	68154	CONTRACT LABOR	$259,883
EXPRESS LAUNDRY CENTER
1115 S HAYNES AVE	MILES CITY	MT	59301	LAUNDRY SERVICES	$172,088

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	8	CntrctRcvdGreaterThan100KCnt
Related Organizations	$347,610	RelatedOrganizationsAmt
Total Contributions	$347,610	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICES REVENUE	Desc
Business	622110	BusinessCd
Total Revenue Column	$47,483,944	TotalRevenueColumnAmt
Related Or Exempt Func Income	$47,429,660	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$54,284	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$47,483,944	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$539,524	TotalRevenueColumnAmt
Exclusion	$539,524	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$103,575	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	$103,575	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$103,575	TotalRevenueColumnAmt
Exclusion	$103,575	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$4,650	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$4,243	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$407	TotalRevenueColumnAmt
Unrelated Business Revenue	$407	UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722310	$267,176	$267,176
DIETICIAN SERVICES	541900	$4,859	$4,859
ADMINISTRATIVE SERVICES	561000	$2,723		$2,723

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$977	TotalRevenueColumnAmt
Unrelated Business Revenue	$977	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$275,735	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$48,750,795	TotalRevenueColumnAmt
Related Or Exempt Func Income	$47,701,695	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$58,391	UnrelatedBusinessRevenueAmt
Exclusion	$643,099	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$137,306	TotalAmt
Program Services	$137,306	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$2,232	TotalAmt
Program Services	$2,232	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$670,275	TotalAmt
Program Services	$639,669	ProgramServicesAmt
Management And General	$30,606	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$15,657,951	TotalAmt
Program Services	$14,943,083	ProgramServicesAmt
Management And General	$714,868	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$946,344	TotalAmt
Program Services	$861,812	ProgramServicesAmt
Management And General	$84,532	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,313,345	TotalAmt
Program Services	$2,207,096	ProgramServicesAmt
Management And General	$106,249	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,123,696	TotalAmt
Program Services	$1,088,555	ProgramServicesAmt
Management And General	$35,141	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$593	TotalAmt
Management And General	$593	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,960,320	TotalAmt
Program Services	$1,932,120	ProgramServicesAmt
Management And General	$28,200	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$264,703	TotalAmt
Management And General	$264,703	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$99,054	TotalAmt
Program Services	$78,519	ProgramServicesAmt
Management And General	$20,535	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,528,745	TotalAmt
Management And General	$3,528,745	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$676,369	TotalAmt
Program Services	$664,913	ProgramServicesAmt
Management And General	$11,456	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$201,289	TotalAmt
Program Services	$159,299	ProgramServicesAmt
Management And General	$41,990	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$80,680	TotalAmt
Program Services	$76,525	ProgramServicesAmt
Management And General	$4,155	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,602,092	TotalAmt
Program Services	$1,602,092	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$386,150	TotalAmt
Program Services	$386,150	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$4,657,749	$4,657,749
MAINTENANCE SERVICES	$2,693,501	$2,689,501	$4,000
BILLING & COLLECTION -	$1,859,384		$1,859,384
NON-MEDICAL SUPPLIES	$1,065,496	$1,065,496

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,894,905	TotalAmt
Program Services	$1,103,630	ProgramServicesAmt
Management And General	$2,791,275	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$43,822,179	TotalAmt
Program Services	$34,295,747	ProgramServicesAmt
Management And General	$9,526,432	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$61,462	BOYAmt
EOY	$16,266	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,894,134	BOYAmt
EOY	$6,047,959	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$7,890	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$258,534	BOYAmt
EOY	$343,554	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$965,017	BOYAmt
EOY	$937,702	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$415,933	BOYAmt
EOY	$437,727	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$49,885,906	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$34,523,336	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$14,984,157	BOYAmt
EOY	$15,362,570	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$11,630,332	BOYAmt
EOY	$16,903,713	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$34,217,459	BOYAmt
EOY	$40,049,491	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$7,206,914	BOYAmt
EOY	$8,111,159	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$8,967	BOYAmt
EOY	$8,138	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,215,881	BOYAmt
EOY	$8,119,297	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$27,001,578	BOYAmt
EOY	$31,930,194	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$27,001,578	BOYAmt
EOY	$31,930,194	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$34,217,459	BOYAmt
EOY	$40,049,491	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$4,928,616	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	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

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	$593	OtherActivitiesAmt
Total Lobbying Expenditures	$593	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 HEALTHCARE PAYS DUES TO THE MONTANA HOSPITAL ASSOCIATION AND LEADING AGE OF WHICH $593 IS ATTRIBUTED TO LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$139,949	BeginningYearBalanceAmt
Contributions	$19	ContributionsAmt
End Year Balance	$139,968	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$137,825	BeginningYearBalanceAmt
Contributions	$364	ContributionsAmt
End Year Balance	$138,189	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$170,833	BeginningYearBalanceAmt
Contributions	$233	ContributionsAmt
Other Expenditures	$33,241	OtherExpendituresAmt
End Year Balance	$137,825	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	$135,510	OtherCostOrOtherBasisAmt
Book Value	$135,510	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,250,930	OtherCostOrOtherBasisAmt
Depreciation	$8,950,034	DepreciationAmt
Book Value	$6,300,896	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,296,079	OtherCostOrOtherBasisAmt
Depreciation	$10,228,960	DepreciationAmt
Book Value	$2,067,119	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$20,763,678	OtherCostOrOtherBasisAmt
Depreciation	$15,344,342	DepreciationAmt
Book Value	$5,419,336	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,439,709	OtherCostOrOtherBasisAmt
Book Value	$1,439,709	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$15,362,570	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
THIRD PARTY SETTLEMENTS	$1,767,029
OTHER RECEIVABLE	$34,307
INTERCOMPANY RECEIVABLE	$15,102,377

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$16,903,713	TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	THE INTENDED USE FOR THE KENNETH HOM TRUST ENDOWMENT FUND IS TO PROVIDE NURSING SCHOLARSHIPS. ENDOWMENT FUNDS ARE HELD BY THE HOLY ROSARY HEALTHCARE FOUNDATION.	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	0	ExpensesExceedBudgetInd
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	$933,746	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$933,746	NetCommunityBenefitExpnsAmt
Total Expense	0.02130	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,356,138	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,095,538	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	$166,912	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$223,850	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	$7,456,796	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,319,388	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$933,746	NetCommunityBenefitExpnsAmt
Total Expense	0.02130	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$274,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$111,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$163,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$156,829	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$154,329	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,535,365	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,680,617	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,854,748	NetCommunityBenefitExpnsAmt
Total Expense	0.04230	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$40,810	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,810	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,007,204	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,794,117	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,213,087	NetCommunityBenefitExpnsAmt
Total Expense	0.05040	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,464,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,113,505	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,146,833	NetCommunityBenefitExpnsAmt
Total Expense	0.07170	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,011	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$21,011	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$16,200	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$16,200	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$381	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$381	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,287	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,287	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$315	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$315	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$851	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$851	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,045	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$48,045	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$154,338	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$14,146,021	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$14,458,991	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$312,970	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	WWW.SCLHEALTH.ORG/LOCATIONS/	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	15	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	15	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: THE STUDY AREA FOR THIS EFFORT (REFERRED TO AS THE "HOLY ROSARY HEALTHCARE SERVICE AREA OR "HRH SERVICE AREA" IN THIS REPORT) INCLUDES TEN COUNTIES: CARTER, CUSTER, DAWSON, FALLON, GARFIELD, MCCONE, POWDER RIVER, PRAIRIE, ROSEBUD, AND TREASURE. THIS COMMUNITY DEFINITION, WAS DETERMINED BASED ON THE AREAS OF RESIDENCE OF MOST RECENT PATIENTS OF THE HOLY ROSARY HEALTHCARE SYSTEM.TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS ALSO IMPLEMENTED AS PART OF THIS PROCESS. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY HOLY ROSARY HEALTHCARE; THIS LIST INCLUDED INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, COMMUNITY BASED HEALTH ORGANIZATIONS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 56 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS (INCLUDING AFRICAN-AMERICANS, AMISH, ASIANS, CARIBBEAN POPULATIONS, HISPANICS, NATIVE AMERICANS, HOMELESS, LESBIAN/GAY/BISEXUAL/TRANSGENDER RESIDENTS, LOW-INCOME RESIDENTS, THE MENTALLY ILL, SENIORS, SINGLE PARENTS, SUBSTANCE ABUSERS, UNINSURED/UNDERINSURED RESIDENTS, AND WOMEN), OR OTHER MEDICALLY UNDERSERVED POPULATIONS (INCLUDING ADOLESCENTS/YOUNG ADULTS, THE AUTISTIC POPULATION, CHILDREN, DISABLED, ELDERLY, MEDICAID/MEDICARE RECIPIENTS, RURAL PATIENTS AND VETERANS).
HOLY ROSARY HEALTHCARE	PART V, SECTION B, LINE 6B: THE HOLY ROSARY HEALTHCARE CHNA WAS COMPLETED WITH LOCAL GOVERNMENT AND SOCIAL SERVICE AGENCIES AND STAFF, INCLUDING MCCONE COUNTY HEALTH CENTER, GLENDIVE MEDICAL CENTER, GARFIELD PUBLIC HEALTH AND DAHL MEMORIAL HEALTHCARE ASSOCIATION, INC.HOLY ROSARY HEALTHCARE:PART V, SECTION B, LINE 7A: WWW.SCLHEALTH.ORG/LOCATIONS/HOLY-ROSARY-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/HOLY ROSARY HEALTHCARE:PART V, SECTION B, LINE 10A: WWW.SCLHEALTH.ORG/LOCATIONS/HOLY-ROSARY-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/
HOLY ROSARY HEALTHCARE	PART V, SECTION B, LINE 11: THE SERVANT LEADERSHIP TEAM OF HOLY ROSARY HEALTHCARE (HRH) MET TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY, BASED ON FINDINGS OF THE 2015 PRC COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THE MEETING BEGAN WITH A PRESENTATION OF KEY FINDINGS FROM THE CHNA, HIGHLIGHTING THE SIGNIFICANT HEALTH ISSUES IDENTIFIED FROM THE RESEARCH AND INPUT FROM COMMUNITY STAKEHOLDERS (KEY INFORMANTS). TWELVE AREAS OF OPPORTUNITY WERE IDENTIFIED IN THE 2015 CHNA (IN ALPHABETICAL ORDER): ACCESS TO HEALTHCARE SERVICES; CANCER; DEMENTIA, INCLUDING ALZHEIMER'S DISEASE; DIABETES; HEART DISEASE AND STROKE; INFANT HEALTH AND FAMILY PLANNING; INJURY AND VIOLENCE; MENTAL HEALTH; NUTRITION, PHYSICAL ACTIVITY AND WEIGHT; RESPIRATORY DISEASES; SUBSTANCE USE; AND TOBACCO USE. FOLLOWING THE DATA REVIEW, ATTENDEES WERE PROVIDED WORKSHEETS THAT ASKED THEM TO CONSIDER TWO CRITERIA: 1) THE SCOPE AND SEVERITY OF EACH OF THE SIGNIFICANT HEALTH NEEDS PRESENTED; AND 2) THE ABILITY OF HOLY ROSARY HEALTHCARE TO HAVE A SIGNIFICANT IMPACT ON EACH. THIS EXERCISE INFORMED THE DIALOGUE THAT FOLLOWED. THROUGH DISCUSSION, A CONSENSUS WAS REACHED TO ESTABLISH THE FOLLOWING AS PRIORITIES FOR HOLY ROSARY HEALTHCARE TO INCLUDE IN ITS IMPLEMENTATION STRATEGY TO ADDRESS THE TOP HEALTH NEEDS OF THE COMMUNITY IN THE COMING YEARS:1. ACCESS TO HEALTHCARE SERVICESOVER 60% OF RESIDENTS IN THE HOLY ROSARY HEALTHCARE SERVICE AREA LIVE IN A HEALTH PROFESSIONAL SHORTAGE AREA, HIGHER THAN BOTH MONTANA AND US AVERAGES (CHNA, 2015). TO ADDRESS THESE PROVIDER SHORTAGES AND TO INCREASE ACCESS TO HEALTHCARE SERVICES, HOLY ROSARY HAS PARTNERED TO INCREASE ACCESS TO BOTH PRIMARY CARE AND SPECIALISTS, AND USES VIRTUAL HEALTH TECHNOLOGIES TO ADDRESS ACCESS NEEDS OF OUR RURAL RESIDENTS. TO ENABLE THE LOCAL COMMUNITY AND OUTLYING 200 MILE RADIUS RESIDENTS TO UTILIZE AND SEEK HEALTH CARE IN A MORE TIMELY MATTER, HOLY ROSARY HEALTHCARE CONTINUES TO PROVIDE WALK IN CLINIC SERVICES 7 DAYS A WEEK. HRH PARTNERED WITH ST. VINCENT PROVIDER SERVICES TO BRING TWO NEW SPECIALTY PHYSICIANS TO SERVE OUR OUTPATIENT SERVICE NEEDS.OUR TELEMED SERVICES HAS GROWN: CONNECTING PATIENTS WITH SPECIALTY PHYSICIANS FOR A TOTAL OF 364 VISITS. BECAUSE OF THIS GROWTH, ARRANGEMENTS WERE MADE FOR A NEW AREA FOR THESE VISITING SPECIALISTS TO SEE PATIENTS. THE ONCOLOGY DEPARTMENT WILL BE UPGRADED TO BETTER SERVE THE GROWING NUMBER OF PATIENTS SEEKING CHEMO THERAPY LOCALLY (VERSUS TRAVELING 150 MILES TO BILLINGS, MT). HRH INCORPORATES MYCHART, A PATIENT ONLINE PORTAL, FOR EASIER ACCESS; THIS TOOL ENABLES THE PATIENT TO PROVIDER RELATIONSHIP TO BE EASIER AND QUICKER TO ACCESS. DOCTOR ON DEMAND IS ANOTHER TOOL THAT WE HAVE PROMOTED TO COMMUNITY MEMBERS. THIS APP-BASED TOOL PROVIDES A VIRTUAL VISIT WITH A PHYSICIAN, THUS REDUCING THE NEED TO TRAVEL TO RECEIVE HEALTHCARE. THIS YEAR HRH INTRODUCED A NEW LUNG CANCER SCREENING PROGRAM WHICH CONSISTS OF A LOW DOSE CT SCREENING FOR EARLY DETECTION OF LUNG CANCER. LUNG CANCER IS THE NUMBER ONE LEADING CAUSE OF CANCER DEATH FOR BOTH MEN AND WOMEN IN OUR SERVICE AREA. THIS SERVICE IS MADE POSSIBLE THROUGH OUR INTERNAL MEDICINE PHYSICIANS WHO BEGAN WORKING HERE IN 2016. THE HRH PALLIATIVE CARE OUTPATIENT PROGRAM CONTINUES TO BENEFIT CHRONICALLY ILL PATIENTS WITH INDIVIDUAL VISITS, PHONE CALLS AND A DIRECT LINK TO THEIR PRIMARY CARE PROVIDER THROUGH THE REGISTERED NURSE. THIS REDUCES EMERGENCY ROOM VISITS AND FACILITATES A TIMELY RESPONSE TO HEALTH ISSUES THAT MANY PATIENTS SAVE UP FOR A FUTURE DOCTOR VISIT.TO ADDRESS THE NEEDS OF THE 24% OF RESIDENTS WITHOUT INSURANCE, MONTANA HEALTH NETWORK (MHN) PARTNERED WITH HRH THROUGH A GRANT WHICH SUPPORTED THE NAVIGATOR PROGRAM FOR HEALTH INSURANCE. OUR NAVIGATOR IS AVAILABLE TO SUPPORT ANYONE LOOKING TO SIGN UP IN THE MARKET PLACE. IN ADDITION, WE HAVE A WORKING POLICY TO TALK WITH EVERY PATIENT (INPATIENT AND OUTPATIENT) WITHOUT HEALTH INSURANCE AND TO ASSIST THEM IN DETERMINING ELIGIBILITY AND REVIEW OF COVERAGE OPTIONS.IN THE AREA OF ECONOMIC STABILITY AND CAREER ACCESS, HRH SUPPORTS INCREASING WORKFORCE CAPACITY THROUGH TRAINING AND EDUCATION. WE PROVIDE CLINICAL ROTATIONS FOR MILES COMMUNITY COLLEGE NURSING STUDENTS (40) AND RADIOLOGY TECHS (2). IN ADDITION, 4 MD STUDENTS, 1 SPEECH THERAPIST, 4 THERAPISTS FROM NORTHWEST COLLEGES COMPLETED THEIR CLINICAL ROTATIONS AT HRH.2. MENTAL HEALTHTHE 2015 CHNA FOUND THAT AGE-ADJUSTED DEATH RATES FROM SUICIDE WAS AT 37.2%. NEARLY THREE TIMES THE US RATE AND HIGHER THAN RATES IN MONTANA OVERALL. TO ADDRESS MENTAL HEALTH NEEDS, WE HAVE WORKED WITH EASTERN MONTANA COMMUNITY MENTAL HEALTH CENTER (EMCMHC) TO DEVELOP A PROCESSES TO MANAGE PATIENTS PRESENTING TO ER WITH A MENTAL HEALTH CRISIS. OBTAINING THEIR PARTNERSHIP AND INPUT INTO THE PROCESS PROVED TO BE ESSENTIAL IN DEVELOPING APPROPRIATE CARE OPTIONS. THE PROCESS IS WORKING WELL AND PATIENTS ARE BENEFITING FROM THIS POSITIVE APPROACH. WE ARE DOING EXTENSIVE COLLABORATION WITH THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH AND EASTERN MONTANA COMMUNITY MENTAL HEALTH CENTER (EMCHC) TO PROVIDE A PROVEN SCREENING PROCESS FOR BEHAVIORAL HEALTH NEEDS BY OUR PRIMARY CARE PHYSICIANS; AND TO PROVIDE OUTPATIENT SERVICES AT HRH AND IN THE COMMUNITY SO THAT PATIENTS CAN RECEIVE CARE BEFORE A CRISIS. THIS WAS MADE POSSIBLE BY A GRANT FROM THE MONTANA HEALTH CARE FOUNDATION. A BEHAVORAL HEALTH PROVIDER RESOURCE IS SUPPORTED IN THIS PROCESS. ATTEMPTS AT A DIRECT HIRE HAS NOT BEEN SUCCESSFUL, SO WE ARE CURRENTLY WORKING WITH INSIGHT, A COMPANY THAT PROVIDES MENTAL HEALTH SERVICES 24/7 FOR EMERGENCY AND INPATIENT NEEDS. THIS WORK WILL CONTINUE INTO 2018.IN 2017 WE PARTNERED WITH THE STATE OF MONTANA TO IDENTIFY AND TRAIN A MENTAL HEALTH FIRST AID (MHFA) INSTRUCTOR TO SERVE OUR IMMEDIATE AND SURROUNDING COMMUNITIES. THIS LOCALLY BASED INSTRUCTOR WILL BE AVAILABLE TO OUR EASTERN MONTANA COMMUNITY TO PROVIDE MHFA CERTIFICATION INSTRUCTION IN BOTH THE YOUTH AND ADULT MODULES. WE HOSTED AND/OR SUPPORTED EXTERNAL STAKEHOLDERS WITH 5 MHFA CLASSES TO SUCCESSFULLY TRAIN 59 COMMUNITY CITIZENS. THIS TRAINING WAS OFFERED WITH NO COSTS TO THE PARTICIPANT. MHFA CLASS OFFERINGS WILL CONTINUE INTO THE 2018 PROGRAM YEAR.3. RESPIRATORY DISEASE: TOBACCO USEWE INITIATED THE PROCESS OF PROVIDING COUNSELING AND EDUCATION TO BOTH OUTPATIENT AND INPATIENT TOBACCO USERS. EXPECTING MOTHERS ARE ALSO TARGETED. HAVING TRACKED THIS FOR TWO YEARS, WE ARE ENCOURAGED BY THE DIFFERENCE THAT OUR POLICY IS MAKING AND THAT IT IS PART OF THE WORK FLOW IN CLINIC VISITS AND INPATIENT ADMISSIONS. RESPIRATORY THERAPISTS ARE A KEY PART OF THE CONSISTENCY OF THIS EFFORT. AT THIS POINT WE HAVE REACHED THE TARGET POPULATION MORE THAN ONE TIME DURING THE LAST 3 YEARS. WE SUPPLY EDUCATIONAL MATERIALS AND TEACHING AIDS AT ALL OF OUR COMMUNITY EVENTS SUCH AS: AREA HEALTH FAIRS AND AT THE EASTERN MONTANA FAIR. SMOKING CESSATION EFFORTS ARE AN ON-GOING AREA OF COMMUNITY HEALTH IMPROVEMENT THAT WE ARE ESPECIALLY INVESTED. NEEDS NOT ADDRESSEDEACH OF THE HEALTH NEEDS IDENTIFIED IN THE HRH CHNA ARE IMPORTANT AND NUMEROUS PARTNERS THROUGHOUT THE COMMUNITY ARE ADDRESSING THESE NEEDS THROUGH INNOVATIVE PROGRAMS AND INITIATIVES.THESE INCLUDE:CANCER: ADDRESSED BY FRONTIER CANCER CENTER IN PARTNERSHIP WITH OUR ONCOLGY OUTPATIENT DEPARTMENT - FUNDRAISING BEGAN IN 2017 TO UPDDATE HRH'S ONCOLOGY DEPARTMENTDEMENTIA: FRIENDSHIP VILLA CARE CENTER - WE CONTINUE TO PROVIDE ADDITIONAL TRAINING TO OUR ASSOCIATES, ESPECIALLY IN OUR SNFDIABETES: BILLINGS CLINIC-MILES CITY - SEVERAL PROVIDERS IN OUR CLINIC RECEIVED TRAINING IN 2017 TO RE-ESTABLISH ACCESS TO DIABETES EDUCATIONINFANT HEALTH AND FAMILY PLANNING HEALTH: ONE HEALTH (COMBINED PUBLIC HEALTH AND COMMUITY HEALTH CENTER) - WE PARTNER WITH THEM TO DELIVER THE ASTHMA PROGRAM AND SPROUTS YOUTH PROGRAM)SUBSTANCE ABUSE: EASTERN MONTANA COMMUNITY HEALTH CENTER (EMCHC) & EASTERN MONTANA DRUG TASK FORCE - HOLY ROSARY HEALTHCARE IS INITIATING EDUCATIONAL WEBINARS FOR OUR STAFF AND COMMUNITY AS WE RESPOND TO THIS NATIONAL CONCERN.HOLY ROSARY HEALTHCAREPART V, SECTION, B, LINE 16A, 16B, 16C: WWW.SCLHEALTH.ORG/LOCATIONS/HOLYROSARY-HEALTHCARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/

Field	Value	IRS element (for citing)
Facility	6	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HOLY ROSARY FAMILY PRACTICEINT MED
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 - HOLY ROSARY RURAL HEALTH CLINIC WOMENS H
2600 WILSON ST	MILES CITY	MT	59301	OUTPATIENT PHYSICIAN CLINIC
4 - HOLY ROSARY HOSPITAL EMERGENCY
2600 WILSON ST	MILES CITY	MT	59301	OUTPATIENT PHYSICIAN CLINIC
5 - HOLY ROSARY SURGICAL SERVICES
2600 WILSON ST	MILES CITY	MT	59301	OUTPATIENT PHYSICIAN CLINIC
6 - HOLY ROSARY RURAL HEALTH CLINIC PEDIATRI
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 $154,388.
PART II, COMMUNITY BUILDING ACTIVITIES:	WE CONTINUE TO PARTNER WITH THE STATE OF MONTANA (THROUGH A GRANT) TO OFFER OUR AWARD WINNING HEALTHY LIFESTYLES CLASS TWICE A YEAR WITH A LIMIT OF 75 PEOPLE PER SESSION. THESE CLASSES ARE ALSO OFFERED THROUGH TELE-MED SERVICES WHICH ALLOWS PARTICPANTS FROM 75 MILES AWAY TO COMPLETE THE CLASS.WE PROMOTE, PARTICPATE, AND SUPPORT MANY CANCER AWARENESS ACTIVITIES. WE GAVE $1,000.00 TO RELAY TO LIFE, PROVIDED A TEAM AND HAD SEVERAL LEADERS ON THE LOCAL COMMITTEE. ASSOCIATE VOLUNTEER AND IN -KIND SUPPORT IS GIVEN TO ERIN'S HOPE PROJECT AND WAKE UP AND LACE UP. HRH ALSO SPONSORS PINK NIGHT OUT, WHICH IS A COMMUNITY WIDE EVENT TARGETING WOMEN, AND ENCOURAGING THEM TO TAKE CARE OF THEMSELVES IN A HOLISTIC MANNER. THE EVENT EMPHASIZES EDUCATION AND HEALTH EXPERIENCES AROUND SUCH TOPICS AS PREVENTIVE CANCER SCREENINGS, HEALTHY LIVING, NUTRITION AND EMOTIONAL HEALTH. THIS YEAR OUR GUEST MOTIVATIONAL SPEAKER FOCUSED ON ALL THREE AREAS - MIND, BODY AND SPIRIT.IN 2017 WE ADDED MONTHLY HEALTHY LIVING SEMINARS VIA TELE-MED SERVICE WITH OUR PARTNER AT ST VINCENT HEALTHCARE, FEATURING A DIFFERENT HEALTH COMPONENT EACH MONTH. OUR WELLNESS WALK CONTINUES TO BRING OUR COMMUNITY TOGETHER. THIS 2.5 MILE WALKING PATH IS MAINTAINED WITH SNOW REMOVAL, TRASH PICK UP AND DOGGIE STATIONS BY OUR MAINTENANCE DEPARTMENT. IN THE SUMMER MONTHS OUR LOCAL EXTENSION OFFICE PROVIDES READING SIGNS FOR CHILDREN TO READ A "PAGE" AT A TIME WHILE WALKING. THE KIDS LOVE THIS AND ASK TO GO WALK AND SEE IF THERE IS A NEW BOOK OUT. SINCE WE ARE CLOSE TO THE INTERSTATE AND GAS STATIONS, TRAVELERS STOP AND TAKE THEIR DOGS FOR A WALK OR TO STRETCH THEIR LEGS. APPROXIMATELY 500 PEOPLE USE THIS PATH PER YEAR. DURING ADVERSE WEATHER, WE WELCOME WALKERS INTO OUR FACILITY AND PROVIDE THEM WITH A DETAILED WALKING MAP. EVERY YEAR MORE PEOPLE TAKE ADVANTAGE OF THIS SAFE PLACE TO WALK. WE PARTNER WITH OUR LOCAL COUNTY EXTENSION AND A COMMUNITY ADIVSORY BOARD TO HAVE COMMUNITY GARDEN PLOTS ON OUR CAMPUS. WE PROVIDE LAND, WATER AND HELP TO FERTILIZE THE AREA. APPROXIMATELY 40 FAMILIES ARE ABLE TO HAVE FRESH PRODUCE FOR A SMALL CHARGE OF $20 A YEAR. WE INVITE KIDS AND COACHES TO USE OUR GRASS ACREAGE FOR FOOTBALL AND SOCCER PRACTICE. (100 - 200 KIDS A DAY DURING FOOTBALL AND SOCCER SEASON). COMMUNITY GROUPS ARE WELCOMED TO USE OUR PARKING LOT ON A WEEKEND TO START AND END THEIR FUN RUNS AND WALKING EVENTS. MANY COMMUNITY GROUPS UTILIZE OUR CONFERENCE ROOMS. THESE ROOMS ARE EASILY ACCESSED, HAVE AMPLE PARKING SPACES, RESTROOMS, COFFEE AND WATER AT NO CHARGE. HOLY ROSARY HEALTHCARE SENIOR AND DEPARTMENT LEADERS BRING LEADERSHIP, TRAINING AND IN-KIND SUPPORT TO NUMEROUS CITY, COUNTY AND STATE ORGANIZATIONS INCLUDING MILES CITY AREA ECONOMIC DEVELOPMENT COUNCIL, LEADERSHIP MILES CITY, EASTERN MONTANA INDUSTRIES, MONTANA BUILDING ACTIVE COMMUNITIES, MONTANA NUTRITION AND PHYSICAL ACTIVITY PROGRAM, EASTERN MONTANA AREA HEALTH EDUCATION CENTER, MILES CITY SCHOOL SYSTEM, RURAL SCHOOL PHYSICAL ACTIVITIES, MILES CITY COMMUNITY COLLEGE, BEHAVIORAL HEALTH LOCAL ADVISORY COMMITTEE, CUSTER HEALTH ALLIANCE, EAGLES MANOR, AND COUNCIL ON AGING. LEADERSHIP AND ASSOCIATES ARE ACTIVE IN COMMUNITY SERVICE GROUPS AND ACTIVE LIVING ACTIVITIES AS WELL. FOR EXAMPLE, MILES CITY SOUP KITCHEN, KIWANIS, BUILDERS CLUB, 4-H, MC GARDEN CLUB, SOCCER ASSOCIATION, HOCKEY ASSOCIATION, BASEBALL ASSOCIATION, GIRL SCOUTS AND FAITH BASED ACTIVITES.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 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: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE MODIFICATIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCES DUE FROM PATIENTS AFTER INSURANCE.
PART III, LINE 8:	THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO.
PART III, LINE 9B:	AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.
PART VI, LINE 2:	PART OF OUR ORGANIZATIONAL MISSION IS TO RESPOND TO THE HEALTH NEEDS OF THE PEOPLE AND COMMUNITIES WE SERVE. HOLY ROSARY HEALTHCARE (HRH) TAKES STEPS TO DETERMINE WHERE THERE IS THE MOST NEED IN ORDER TO PROVIDE THE GREATEST GOOD. HRH CONTINUOUSLY ASSESSES THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY. HRH ADMINISTRATION IS VERY INVOLVED IN THE MILES CITY AREA ECONOMIC DEVELOPMENT COUNCIL AND THE SOUTHEAST MONTANA ECONOMIC DEVELOPMENT CENTER, LEADERSHIP MONTANA AND MILES CITY COMMUNITY COLLEGE AND NURSING PROGRAM. OUR STRATEGIC PLANNING DIVISION REGULARLY ACCESSES STATE AND COUNTY HEALTH STATISTICS, HEALTHY PEOPLE 2020, AND SOCIAL DETERMINANTS OF HEALTH, AS WELL AS THE NEEDS SHARED BY OUR PATIENTS THAT ARE REVEALED DURING OUR INTERACTIONS WITH LOCAL SERVICE GROUPS, FAITH GROUPS AND GOVERNMENT AGENCIES.THE COUNCIL ON AGING APPROACHED HOLY ROSARY IN 2016 TO JOIN A COMMITTEE TO ADDRESS THE TRANSPORTATION ISSUES FOR THE ELDERLY, HANDICAPPED AND LOW INCOME CITIZENS. OUR BOARD OF DIRECTORS BACKED THE INITIATIVE TO PARTNER WITH THE MONTANA STATE TRANSPORTATION GRANT TO BEGIN A TRANSPORTATION SYSTEM IN CUSTER COUNTY. THEY VOTED TO CONTRIBUTE $2,000 IN 2017 AND $5,000 IN THE SUCCEEDING 4 YEARS. THIS KEY SERVICE TO OUR COMMUNITY WILL ENHANCE ACCESS TO HEALTH CARE (LOCALLY AND TO BILLINGS), GROCERY SHOPPING AND PROVIDES A TOOL AGAINST SOCIAL ISOLATION.
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:	LOCATED IN EASTERN MONTANA, HOLY ROSARY HEALTHCARE IS A FEDERALLY-DESIGNATED CRITICAL ACCESS HOSPITAL PROVIDING CARE TO THE COMMUNITIES OF MILES CITY, MONTANA, AND THE SURROUNDING AREAS. HOLY ROSARY IS THE LARGEST HEALTHCARE FACILITY BETWEEN BILLINGS, MONTANA, AND BISMARCK, NORTH DAKOTA, AND PROVIDES A COMPLETE CONTINUUM OF CARE THROUGH OUR 25-BED ACUTE CARE HOSPITAL, 87-BED EXTENDED CARE LIVING COMMUNITY, OUTPATIENT MEDICAL ARTS CENTER, HOSPICE AND PALLIATIVE CARE PROGRAMS AND REHABILATION.WHILE THE ORGANIZATION DRAWS PATIENTS FROM A 13-COUNTY REGION, HOLY ROSARY'S PRIMARY AND SECONDARY SERVICE AREAS INCLUDE A NINE-COUNTY CORE REGION WITH APPROXIMATELY 45,000 PEOPLE. HOLY ROSARY PROVIDES OVER 60% OF ITS INPATIENT CARE TO PATIENTS LIVING IN THE CITY OF MILES CITY, FOLLOWED BY A HIGH CONCENTRATION OF PATIENTS ORIGINATING FROM THE COMMUNITIES OF BAKER, GLENDIVE AND FORSYTH. COMBINED, PATIENTS FROM MILES CITY AND THESE THREE OTHER COMMUNITIES REPRESENT ABOUT FOUR FIFTHS OF HOLY ROSARY'S DISCHARGES. THE PRIMARY SERVICE AREA IS COMPRISED OF 10 ZIP CODES COMPRISING CUSTER COUNTY (4 ZIP CODES) AND PORTIONS OF ROSEBUD COUNTY (4 ZIP CODES) AND PRAIRIE COUNTY (2 ZIP CODES). THE SECONDARY SERVICE AREA IS REPRESENTED BY ANOTHER 10 ZIP CODES AND INCLUDES PORTIONS OF DAWSON COUNTY (2 ZIP CODES), FALLON COUNTY (3 ZIP CODES), GARFIELD COUNTY (2 ZIP CODES), POWDER RIVER COUNTY (2 ZIP CODES) AND PRAIRIE COUNTY (1 ZIP CODE).WITHIN HOLY ROSARY'S PRIMARY SERVICE AREA THERE ARE THREE CRITICAL ACCESS HOSPITALS. HOLY ROSARY, ROSEBUD HEALTH CARE CENTER LOCATED IN FORSYTH (A NOT-FOR-PROFIT INSTITUTION) AND PRAIRIE COMMUNITY HOSPITAL LOCATED IN TERRY (GOVERNMENT OWNED). THERE ARE TWO CRITICAL ACCESS HOSPITALS IN THE SECONDARY SERVICE AREA, GLENDIVE MEDICAL CENTER (NOT-FOR-PROFIT) LOCATED IN GLENDIVE AND GARFIELD COUNTY HEALTH CENTER (GOVERNMENT OWNED) LOCATED IN JORDAN. FOR MORE SPECIALIZED HEALTHCARE NEEDS, IT IS COMMON FOR PATIENTS IN THESE SERVICE AREAS TO TRAVEL THE 150 MILES TO BILLINGS TO SEEK CARE AT ANOTHER ONE OF OUR SCL FACILITIES IN BILLINGS, ST. VINCENT HOSPITAL AND/OR THE BILLINGS CLINIC. THE HOLY ROSARY HEALTHCARE SERVICE AREA ENCOMPASSES 29,449.31 SQUARE MILES AND HOUSES A TOTAL POPULATIOM OF 40,754. THE DEMOGRAPHIC MAKE-UP OF OUR PRIMARY AND SECONDARY SERVICE AREAS INCLUDES:- IN THE HRH SERVICE AREA, 23.1% OF THE POPULATION ARE INFANTS, CHILDREN OR ADOLESCENTS (AGE 0-17); 59.6% ARE AGES 18 TO 64, WHILE 17.3% ARE AGE 65 AND OLDER. (THE PERCENTAGE OF OLDER ADULTS (65+) IS HIGHER THAN FOUND STATEWIDE OR NATIONALLY.) - IN LOOKING AT RACE INDEPENDENT OF ETHNICITY (HISPANIC OR LATINO ORIGIN), 98.4% OF RESIDENTS OF HRH SERVICE AREA ARE WHITE AND 1.3% ARE NATIVE AMERICAN. A TOTAL OF 2.2% OF SERVICE AREA RESIDENTS ARE HISPANIC OR LATINO. - AMONG THE HRH SERVICE AREA POPULATION AGE 25 AND OLDER, AN ESTIMATED 9.8% (OVER 2,746 INDIVIDUALS) DO NOT HAVE A HIGH SCHOOL DIPLOMA. (THIS IS SLIGHTLY LESS FAVORABLE THAN FOUND STATEWIDE).- THE LATEST CENSUS ESTIMATE SHOWS 14.9% OF THE HRH SERVICE AREA POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL. IN ALL, 35.4% OF SERVICE AREA RESIDENTS (AN ESTIMATED 14,000 INDIVIDUALS) LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL.- OVERALL HEALTH STATUS SHOWS A TOTAL OF 16.0% OF HRH SERVICE AREA ADULTS RATE THEIR OVERALL HEALTH AS "FAIR OR "POOR". (THIS IS LESS FAVORABLE THAN STATEWIDE FINDINGS).- OVERALL FLAT POPULATION CHANGES. WE SERVE A LARGE GEOGRAPHIC AREA WITH SPARSE POPULATION, AVERAGING 1.4 PEOPLE/SQUARE MILE.- PRIMARY INDUSTRIES ARE AGRICULTURE, STATE/LOCAL GOVERNMENT, AND RETAIL. - AVERAGE HOUSEHOLD INCOME IS $51,000, WHICH IS $17,000 BELOW THE NATIONAL AVERAGE
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 COMMUITY HEALTH ALLIANCE, WHICH OPENED UP COMMUNICATION WITH THE OTHER HEALTHCARE FACILITES IN OUR COMMUNITY. OUR FIRST SHARED CHNA WILL BE 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 REGULARLY. HRH 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 INCLUDE INDEPENDENT PERSONS THAT REPRESENT THE COMMUNITY. WITHIN THE BOARD OF DIRECTORS, THERE IS A SPECIFIC COMMUNITY BENEFIT BOARD LEVEL COMMITTEE. THIS COMMITTEE IS DEEPLY INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND PROVIDES DIRECTION TO DEVELOPMENT OF THE ORGANIZATION'S IMPROVEMENT PLAN IN RESPONSE TO RESULTS OF THE 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 HEALTH CARE 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 BOTH HOLY ROSARY HEALTHCARE 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.
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 NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 210 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 16,000 FULL-TIME ASSOCIATES AND MORE THAN 600 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)	$122,923	SUPPORT MISSION
RURAL HEALTH DEVELOPMENT INC
519 PLEASENT STREET	MILES CITY	MT	59301	363769758	501(C)(3)	$5,300	SUPPORT MONTANA HEALTH NETWORK IMPROVEMENT GRANT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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 (11 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 CEO MONTANA REGION	$0	$489,710	$0	$175,767	$0	$50,642	$0	$91,440	$0	$25,711	$0	$833,270	$0	$36,275
PAUL LEWIS
CHIEF EXECUTIVE OFFICER - HRH	$0	$217,368	$0	$84,470	$0	$49,796	$0	$51,629	$0	$26,811	$0	$430,074	$0	$35,969
PAM PALAGI
VP FINANCE MT REGION	$0	$206,396	$0	$220	$0	$1,780	$0	$23,215	$0	$10,222	$0	$241,833	$0	$0
MICHAEL BUSH MD
VP-CHIEF MEDICAL OFFICER-SVH	$0	$324,352	$0	$104,859	$0	$103,624	$0	$61,273	$0	$31,036	$0	$625,144	$0	$90,166
CAROL ENDERLE
VP PATIENT CARE SERVICES-HRH	$0	$153,225	$0	$39,294	$0	$2,234	$0	$27,575	$0	$17,873	$0	$240,201	$0	$0
MARK NICHOLS MD
PSO PHYSICIAN CLINIC	$371,174	$0	$0	$0	$12,466	$0	$13,500	$0	$17,892	$0	$415,032	$0	$0	$0
JEFFERY WILLIAMS MD
PSO PHYSICIAN CLINIC	$299,625	$0	$0	$0	$6,540	$0	$18,994	$0	$14,901	$0	$340,060	$0	$0	$0
STEVEN MAERTENS MD
PSO PHYSICIAN ED	$263,226	$0	$0	$0	$2,320	$0	$19,075	$0	$23,136	$0	$307,757	$0	$0	$0
LISA CADWELL MD
PSO PHYSICIAN CLINIC	$197,730	$0	$22,500	$0	$10,502	$0	$16,008	$0	$8,393	$0	$255,133	$0	$0	$0
SYLVIA LYMBURNER MD
PSO PHYSICIAN CLINIC	$208,195	$0	$0	$0	$21,948	$0	$3,635	$0	$8,907	$0	$242,685	$0	$0	$0
TRAVIS SCHEVING
FORMER OFFICER	$0	$162,244	$0	$37,824	$0	$382	$0	$11,978	$0	$22,822	$0	$235,250	$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	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 2017 WERE: MICHAEL BUSH, MD $21,392 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 2017. 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 2017 WERE: MICAHAEL BUSH, MD $42,699, STEVE LOVELESS $36,275, PAUL LEWIS $35,969, RON OLDFIELD $22,515. 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 PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT AND EMPLOYEE SAFETY, PATIENT EXPERIENCE AND COMMUNITY BENEFIT/MISSION TARGETS. 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. (SCLHS) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF NINE HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 210 AMBULATORY SERVICE CENTERS IN THREE STATES. SCLHS AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON THE BOARD OF DIRECTORS (BOARD) IS COMPENSATED FOR THAT SERVICE. SCLHS' BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEPHANIE THOMASON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	SEE PART V	RelationshipDescriptionTxt
Transaction	$63,919	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE L, PART IV	FormAndLineReferenceDesc
Explanation	DERRICK RODGERS (BOARD MEMBER), IS THE BROTHER IN LAW OF STEPHANIE THOMASON, AN EMPLOYEE OF HOLY ROSARY HEALTHCARE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT 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 SCLHS' 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 SUGGESTIVE OF 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 MANAGERS; 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 EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 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	SCLHS
INTEGRITY HEALTH
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	474520350	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12C, III-FI		0	SCLHS
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	SCLHS
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	SCLHS
SAINT JOSEPH HOSPITAL INC
1375 EAST 19TH AVENUE	DENVER	CO	80218	840417134	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	SCLHS
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	SCLHS
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	SCLHS
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	SCLHS
MARIAN CLINIC INC
3164 SE 6TH AVENUE	TOPEKA	KS	66607	481046905	CLINIC SERVICES	KS	501(C)(3)	LINE 3		0	SCLHS
ST FRANCIS HEALTH CENTER INC
1700 SOUTHWEST 7TH STREET	TOPEKA	KS	66606	480547719	HOSPITAL SERVICES	KS	501(C)(3)	LINE 3		0	SCLHS
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SOUTHWEST 7TH STREET	TOPEKA	KS	66606	481092520	SUPPORTING ORGANIZATION	KS	501(C)(3)	LINE 12A, I		0	ST FRANCIS HEALTH CENTER 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	SCLHS
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	SCLHS
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 (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
DENVER WEST ENDOSCOPY CENTER LLC
382 S ARTHUR AVENUE	LOUISVILLE	CO	80027	460788218	OP ENDOSCOPY	CO	N/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHERAN PKWY STE 150	WHEATRIDGE	CO	80033	020749532	OP SURGERY	CO	N/A
SCL HEALTH - EMERUS LLC
8686 NEW TRAILS DRIVE	THE WOODLANDS	TX	77381	800958129	EMERGENCY CARE	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
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
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
SMHMMH AIR MEDICAL TRANSPORT LLC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	473525381	MEDICAL AIR TRANSPORT	CO	N/A
EKG INTERPRETATION SERVICE
3464 S WILLOW STREET SUITE 111	DENVER	CO	80231	840927945	EKG INTERPRETATION	CO	N/A
ST JOSEPH EKG READER PANAL
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 (11 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
APEX SURGICAL PARTNERS INC
1610 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	473268324	MEDICAL SERVICES	CO	N/A	C	0
EAGLE RIDGE MEDICAL INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	462387681	MEDICAL SERVICES	CO	N/A	C	0
HIGH PLAINS HEART AND VASCULAR CENTER INC
1610 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	272038197	MEDICAL SERVICES	CO	N/A	C	0
INTEGRATIVE INTERNAL MEDICINE AND MEDICAL ACUPUNCTURE INC
1610 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	274433325	MEDICAL SERVICES	CO	N/A	C	0
MOUNTAIN VIEW ORTHOPEDICS INC
1610 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	275382523	MEDICAL SERVICES	CO	N/A	C	0
PVMC MEDICAL TEAM INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	473988808	MEDICAL SERVICES	CO	N/A	C	0
PVMC PHYSICIAN SERVICES INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	943458548	MEDICAL SERVICES	CO	N/A	C	0
PLATTE VALLEY MEDICAL TEAM INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	841110470	MEDICAL SERVICES	CO	N/A	C	0
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
1700 SOUTHWEST 7TH STREET	TOPEKA	KS	66606	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	$122,923	COST
HOLY ROSARY HEALTHCARE FOUNDATION INC
C	$341,610	COST