SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC (EIN 23-7379161)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-06
- IRS object ID
- 201703109349301975
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-06T16:42:02-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 370 17TH STREET 3300 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237379161 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | SYSTEM INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SIST | BusinessNameControlTxt |
| Phone | 3038135190 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 ELDORADO BLVD SUITE 4300 | AddressLine1Txt |
| City | BROOMFIELD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80021 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYDIA JUMONVILLE | PersonNm |
| Person Title | PRESIDENT & CEO/CFO | PersonTitleTxt |
| Phone | 3038135190 | PhoneNum |
| Signature | 2017-11-06 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLEY SIMON | PreparerPersonNm |
| PTIN | P00791436 | PTIN |
| Phone | 7209314000 | PhoneNum |
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 | 2017-11-06 | IPDt |
| IP Tm | 15:41:18 | IPTm |
| IP Timezone | MS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D592015B8FE208EA5042194ABEAF8E5B275B46FB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D592015B8FE208EA5042194ABEAF8E5B275B46FB | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LYDIA JUMONVILLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 ELDORADO BLVD SUITE 4300 | AddressLine1Txt |
| City | BROOMFIELD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80021 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $464,201,432 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SCLHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | KS | LegalDomicileStateCd |
| Activity Or Mission | WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 2954 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | -$1,688,251 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$1,962,849 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,844,653 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,510,868 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $374,990,782 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $423,557,861 | CYProgramServiceRevenueAmt |
| PY Investment Income | $65,683,477 | PYInvestmentIncomeAmt |
| CY Investment Income | $27,121,930 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,549,478 | PYOtherRevenueAmt |
| CY Other Revenue | $8,554,927 | CYOtherRevenueAmt |
| PY Total Revenue | $451,068,390 | PYTotalRevenueAmt |
| CY Total Revenue | $461,745,586 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $15,517,172 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $5,917,019 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $223,489,307 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $261,229,095 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $297,828,263 | PYOtherExpensesAmt |
| CY Other Expenses | $324,602,026 | CYOtherExpensesAmt |
| PY Total Expenses | $536,834,742 | PYTotalExpensesAmt |
| CY Total Expenses | $591,748,140 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$85,766,352 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$130,002,554 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,439,912,230 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,405,899,688 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,972,946,859 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,302,998,525 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$533,034,629 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $102,901,163 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $575,582,607 | ExpenseAmt |
| Grant | $5,917,019 | GrantAmt |
| Revenue | $431,973,750 | RevenueAmt |
| Desc | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 190 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES 15,000 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PROVIDERS.BASED IN DENVER, THE HEALTH NETWORK IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES AND INDIVIDUALS IT SERVES, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. IN 2016, SCL HEALTH CONTRIBUTED $257 MILLION IN COMMUNITY BENEFIT, INCLUDING SERVICES FOR THE POOR, HEALTH SCREENINGS, EDUCATIONAL PROGRAMS, COMMUNITY DONATIONS AND RESEARCH.SCL HEALTH WAS FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH (SCL), WHO TRACE THEIR ORIGIN AS A RELIGIOUS COMMUNITY TO THE 1600S IN FRANCE, WHERE VINCENT DE PAUL AND LOUISE DE MARILLAC ESTABLISHED THE DAUGHTERS OF CHARITY. THESE WOMEN WERE DEDICATED TO SERVING THE SICK AND POOR THROUGH AN ACTIVE MINISTRY.IN 1857, A SMALL CONGREGATION OF SISTERS FROM NASHVILLE, TENN., LED BY MOTHER XAVIER ROSS, VENTURED TO THE EDGE OF AN EXPANDING FRONTIER IN THE THEN-INDIAN TERRITORY OF KANSAS. THEY OPENED THE FIRST PRIVATE HOSPITAL IN THE STATE IN 1864, WITH THE FIRST TRAINED NURSE IN THE STATE AND SURELY THE FIRST WOMAN IN THE WESTERN TERRITORY TO RUN A HOSPITAL. IN 1873, THE SISTERS FOUNDED WHAT IS NOW SAINT JOSEPH HOSPITAL IN DENVER, THE OLDEST PRIVATE TEACHING HOSPITAL IN COLORADO, AND ONE OF THE FIVE COLORADO HOSPITALS OF SCL HEALTH.SCL HEALTH WAS FORMED IN 1972 TO STRENGTHEN AND UNIFY THE HEALTHCARE FACILITIES SPONSORED BY SCL. IN 2011, THE SISTERS TRANSFERRED SPONSORSHIP OF SCL HEALTH TO LEAVEN MINISTRIES. OUR ORGANIZATION'S RICH HERITAGE AND ENDURING LEGACY SERVE AS THE FOUNDATION FOR OUR HEALTH MINISTRY TODAY, AND OUR MISSION, VISION AND VALUES SERVE AS THE FRAMEWORK FOR OUR SUCCESS.SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE PARENT CORPORATION OF A LARGE HOSPITAL AND HEALTHCARE SYSTEM. SCLHS IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL SCL HEALTH SUBSIDIARIES.SCLHS PERFORMS NUMEROUS COORDINATED AND CENTRALIZED SERVICES FOR THE ENTITIES & CARE SITES THAT COMPRISE ITS SYSTEM, SUCH AS ADMINISTERING FINANCING & CAPITAL FORMATION PROGRAMS, ETHICAL & RELIGIOUS DIRECTION, FINANCIAL REPORTING, TAX SERVICES, HUMAN RESOURCES FUNCTIONS INCLUDING EXECUTIVE RECRUITING & ADMINISTERING & MAINTAINING WELFARE, BENEFIT & RETIREMENT PLANS, INFORMATION TECHNOLOGY SERVICES INCLUDING ELECTRONIC MEDICAL RECORD SYSTEMS, BUSINESS MANAGEMENT SYSTEMS, EQUIPMENT & CONNECTIVITY, INTERNAL AUDIT FUNCTIONS, LEGAL SERVICES, PHYSICIAN NETWORK DEVELOPMENT, PROCUREMENT & SUPPLY CHAIN MANAGEMENT, INCLUDING MEDICAL DEVICES, SUPPLIES & EQUIPMENT, PROFESSIONAL LIABILITY INSURANCE THROUGH A CAPTIVE PROVIDER INCLUDING GROUP EXCESS COVERAGE AND REINSURANCE AND LITIGATION MANAGEMENT, PUBLIC RELATIONS, COMMUNICATIONS & LEGISLATIVE AFFAIRS, REAL ESTATE MANAGEMENT SERVICES, INCLUDING LEASING & CONSTRUCTION, PURCHASE & SALE, REGULATORY COMPLIANCE SERVICES, REVENUE CYCLE MANAGEMENT SERVICES INCLUDING BILLING & COLLECTIONS, RISK MANAGEMENT SERVICES INCLUDING SELF-INSURANCE, GROUP EXCESS COVERAGE & REINSURANCE, LITIGATION MANAGEMENT, INSPECTION & CONTROLS.THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH QUALITY, COST EFFECTIVE AND COMPASSIONATE HEALTH CARE MANAGEMENT AND MEDICAL SERVICES FOR THE COMMUNITIES WE SERVE. THEREFORE, THESE MANAGEMENT SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF OWNING AND MANAGING PUBLIC HOSPITALS AND A HEALTHCARE SYSTEM. OUR MISSION, VISION AND VALUES ARE LISTED BELOW. MISSIONWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISIONINSPIRED BY OUR FAITH,WE WILL 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.VALUESCARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON.EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS.GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS.INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE.SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES. STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US. | Desc |
| Total Program Service Expenses | $575,582,607 | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 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 | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln 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 | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 490 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2954 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Foreign Country | EI | ForeignCountryCd |
| 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 | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KYLE ENGMAN | PersonNm |
| Phone | 3038135543 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 ELDORADO BLVD SUITE 4200 | AddressLine1Txt |
| City | BROOMFIELD | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80021 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| JERRY BELL JR | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER LYNN CASEY SCL | ||||||||||
| PAST CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SISTER MAUREEN HALL SCL | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| C GORDON HOWIE | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVEN HUEBNER | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL HUGHES-CROMWICK | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SISTER EILEEN HURLEY SCL | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT KELLER | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| DONNA KING | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KNUTE KNUDSON | ||||||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MAUREEN MAHONEY | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATHRYN PAUL | ||||||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| SISTER CONSTANCE PHELPS SCL | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| KENT RUSSELL | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| VINOD SAHNEY PHD | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL SALEM MD | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL SLUBOWSKI | ||||||||||
| SYSTEM PRESIDENT AND CEO | 50.00 | 0.00 | Yes (X) | $1,951,205 | $0 | $38,596 | Yes (X) | |||
| J PAUL SOLVERSON | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARLA WILLIAMS | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| ALAN YORDY | ||||||||||
| MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| LYDIA JUMONVILLE | ||||||||||
| TREASURER & CFO/EVP | 50.00 | 0.00 | $1,012,271 | $0 | $238,836 | Yes (X) | ||||
| ROSLAND MCLEOD | ||||||||||
| SECRETARY/SVP CHIEF LEGAL OFFICER | 50.00 | 0.00 | $570,645 | $0 | $168,979 | Yes (X) | ||||
| LYNN SMITH | ||||||||||
| ASSISTANT SECRETARY/EXEC ASST-CEO | 50.00 | 0.00 | $108,004 | $0 | $17,545 | Yes (X) | ||||
| MICHAEL TAYLOR | ||||||||||
| CHIEF OPERATING OFF-HOSP OPS | 50.00 | 0.00 | $849,356 | $0 | $156,505 | Yes (X) | ||||
| WILLIAM ANDERSON | ||||||||||
| SVP-CHIEF HUMAN RESOURCES OFCR | 50.00 | 0.00 | $549,453 | $0 | $39,826 | Yes (X) | ||||
| STEVEN CHYUNG | ||||||||||
| CHIEF STEWARDSHP & TRNFMTN OFC | 50.00 | 0.00 | $529,038 | $0 | $96,488 | Yes (X) | ||||
| SHAWN DUFFORD | ||||||||||
| SVP CHIEF MEDICAL OFFICER SYS | 50.00 | 0.00 | $557,563 | $0 | $109,394 | Yes (X) | ||||
| TAJQUAH HUDSON | ||||||||||
| SVP-CHIEF STRAT-BUS DEV OFCR | 50.00 | 0.00 | $534,535 | $0 | $143,874 | Yes (X) | ||||
| KERRY KOHNEN | ||||||||||
| SVP PAYER & POP HEALTH STRAT | 50.00 | 0.00 | $317,041 | $0 | $201 | Yes (X) | ||||
| WILLIAM PACK | ||||||||||
| VP FINANCE OPERATIONS 1/1-5/6 | 50.00 | 0.00 | $192,388 | $0 | $66,404 | Yes (X) | ||||
| DAVID PECORARO | ||||||||||
| SVP-CHIEF INFORMATION OFFICER | 50.00 | 0.00 | $599,562 | $0 | $37,290 | Yes (X) | ||||
| DAVID PRINGLE | ||||||||||
| SVP MISSION INTEGRATION | 50.00 | 0.00 | $378,720 | $0 | $68,345 | Yes (X) | ||||
| KAREN SCREMIN | ||||||||||
| VP FINANCE OPERATIONS | 50.00 | 0.00 | $342,779 | $0 | $54,820 | Yes (X) | ||||
| TROY SPRING | ||||||||||
| VP REVENUE CYCLE | 50.00 | 0.00 | $276,110 | $0 | $61,406 | Yes (X) | ||||
| GERALDINE TOWNDROW | ||||||||||
| SVP CHIEF NURSING OFFICER SYS | 50.00 | 0.00 | $402,244 | $0 | $22,315 | Yes (X) | ||||
| MARK WILKINSON | ||||||||||
| VP TREASURER | 50.00 | 0.00 | $355,496 | $0 | $53,651 | Yes (X) | ||||
| CHRISTINE WOOLSEY | ||||||||||
| SVP AND CHIEF COMM-MKTG OFCR | 50.00 | 0.00 | $384,431 | $0 | $97,819 | Yes (X) | ||||
| J GRANT WICKLUND | ||||||||||
| PRESIDENT-CEO LMC | 0.00 | 50.00 | $555,162 | $0 | $263,703 | Yes (X) | ||||
| WILLIAM ANDERSON | ||||||||||
| MEDICAL DIRECTOR | 0.00 | 50.00 | $724,399 | $0 | $42,035 | Yes (X) | ||||
| DAVID HAMM | ||||||||||
| PRESIDENT-CEO EGSM | 0.00 | 50.00 | $530,418 | $0 | $208,359 | Yes (X) | ||||
| STEVE LOVELESS | ||||||||||
| PRESIDENT CEO SVH-MT REG | 0.00 | 50.00 | $628,244 | $0 | $97,110 | Yes (X) | ||||
| THOMAS PETERSON | ||||||||||
| CHIEF SAFETY OFFICER 1/1-9/9 | 50.00 | 0.00 | $513,397 | $0 | $35,018 | Yes (X) | ||||
| ROBERT LADENBURGER | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $323,002 | $0 | $6,893 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $13,185,463 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,125,412 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 500 | 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 |
|---|---|---|---|---|---|
| CHG COMPANIES INC | |||||
| PO BOX 972651 | DALLAS | TX | 75397 | CONTRACT LABOR | $6,263,510 |
| DENTONS US LLP | |||||
| 233 S WACKER DRIVE STE 7800 | CHICAGO | IL | 60606 | LEGAL SERVICES | $4,412,055 |
| WEATHERBY LOCUMS INC | |||||
| PO BOX 972633 | DALLAS | TX | 75397 | CONTRACT LABOR | $3,109,805 |
| ERNST & YOUNG US LLP | |||||
| 200 PLAZA DR | SECAUCUS | NJ | 07094 | AUDIT SERVICES | $1,861,566 |
| CONTINUUM HEALTH SOLUTIONS LLC | |||||
| 8100 E ARPAHOE ROAD | CENTENNIAL | CO | 80112 | CONSULTING SERVICES | $1,804,808 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 100 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,077,223 | RelatedOrganizationsAmt |
| Government Grants | $433,645 | GovernmentGrantsAmt |
| Total Contributions | $2,510,868 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MANAGEMENT SERVICES | 541900 | $340,416,425 | $340,386,425 | $30,000 |
| PATIENT SERVICE REVENUE | 622110 | $66,785,597 | $66,753,807 | $31,790 |
| PROGRAM RELATED INVESTMENTS | 900099 | $22,587,374 | $22,587,374 | |
| JOINT VENTURES - MEDICAL SERVICE | 622110 | -$6,231,535 | -$6,231,535 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $423,557,861 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,581,842 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$1,750,041 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,331,883 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $67,929 | TotalRevenueColumnAmt |
| Exclusion | $67,929 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $71,109 | 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 | $71,109 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $71,109 | TotalRevenueColumnAmt |
| Exclusion | $71,109 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,950,934 | SecuritiesAmt |
| Other | $45,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $2,455,846 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,950,934 | SecuritiesAmt |
| Other | -$2,410,846 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,540,088 | TotalRevenueColumnAmt |
| Exclusion | $8,540,088 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | VENDOR ADMINISTRATION REBATE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $8,415,889 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,415,889 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,415,889 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $461,745,586 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $431,911,960 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$1,688,251 | UnrelatedBusinessRevenueAmt |
| Exclusion | $29,011,009 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,846,739 | TotalAmt |
| Program Services | $5,846,739 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,280 | TotalAmt |
| Program Services | $70,280 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,383,131 | TotalAmt |
| Program Services | $7,402,598 | ProgramServicesAmt |
| Management And General | $3,980,533 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,274,936 | TotalAmt |
| Program Services | $201,274,936 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,652,276 | TotalAmt |
| Program Services | $9,652,276 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,248,009 | TotalAmt |
| Program Services | $23,248,009 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,670,743 | TotalAmt |
| Program Services | $15,670,743 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,124,272 | TotalAmt |
| Management And General | $10,124,272 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,672,422 | TotalAmt |
| Management And General | $1,672,422 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,802 | TotalAmt |
| Management And General | $164,802 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,504 | TotalAmt |
| Management And General | $223,504 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,808,816 | TotalAmt |
| Program Services | $23,808,816 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,780,981 | TotalAmt |
| Program Services | $6,780,981 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,654,781 | TotalAmt |
| Program Services | $25,654,781 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,724,231 | TotalAmt |
| Program Services | $9,724,231 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,214,874 | TotalAmt |
| Program Services | $12,214,874 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,174,728 | TotalAmt |
| Program Services | $4,174,728 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,746,608 | TotalAmt |
| Program Services | $1,746,608 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,516,709 | TotalAmt |
| Program Services | $126,516,709 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,942,855 | TotalAmt |
| Program Services | $38,942,855 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,471,503 | TotalAmt |
| Program Services | $1,471,503 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MAINTENANCE CONTRACTS | $34,208,922 | $34,208,922 |
| BANK FEES | $8,302,946 | $8,302,946 |
| COLLECTION AGENCIES | $5,244,674 | $5,244,674 |
| MEDICAL SUPPLIES | $4,963,845 | $4,963,845 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,660,553 | TotalAmt |
| Program Services | $8,660,553 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,748,140 | TotalAmt |
| Program Services | $575,582,607 | ProgramServicesAmt |
| Management And General | $16,165,533 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,421,354 | BOYAmt |
| EOY | $128,199,906 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $150,227 | BOYAmt |
| EOY | $47,906 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,947,634 | BOYAmt |
| EOY | $5,777,838 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,508 | BOYAmt |
| EOY | $404,056 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,127 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,432,452 | BOYAmt |
| EOY | $21,834,032 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $430,747,212 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $211,237,735 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,949,295 | BOYAmt |
| EOY | $219,509,477 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,117,812,707 | BOYAmt |
| EOY | $1,056,299,971 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $506,412,767 | BOYAmt |
| EOY | $483,727,675 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $510,330,252 | BOYAmt |
| EOY | $488,574,692 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,417,333 | BOYAmt |
| EOY | $195,072 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,733,701 | BOYAmt |
| EOY | $1,322,936 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,439,912,230 | BOYAmt |
| EOY | $2,405,899,688 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $127,128,973 | BOYAmt |
| EOY | $123,530,581 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,412 | BOYAmt |
| EOY | $609,742 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,487,706,042 | BOYAmt |
| EOY | $1,296,666,898 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,358,017,432 | BOYAmt |
| EOY | $882,191,304 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,972,946,859 | BOYAmt |
| EOY | $2,302,998,525 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$549,999,666 | BOYAmt |
| EOY | $84,640,146 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,965,037 | BOYAmt |
| EOY | $16,261,017 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,000,000 | BOYAmt |
| EOY | $2,000,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$533,034,629 | BOYAmt |
| EOY | $102,901,163 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,439,912,230 | BOYAmt |
| EOY | $2,405,899,688 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$130,002,554 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $63,425,630 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $702,512,716 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 11 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (11 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| ST FRANCIS HEALTH CENTER INC | ||||
| 480547719 | 3 | 0 | $0 | $0 |
| ST JAMES HEALTHCARE | ||||
| 810231785 | 3 | 0 | $0 | $0 |
| SAINT JOSEPH HOSPITAL INC | ||||
| 840417134 | 3 | 0 | $0 | $0 |
| SCL HEALTH - FRONT RANGE INC | ||||
| 841103606 | 3 | 0 | $0 | $0 |
| ST MARY'S HOSPITAL AND MEDICAL CENTER INC | ||||
| 840425720 | 3 | 0 | $0 | $0 |
| ST VINCENT HEALTHCARE | ||||
| 810232124 | 3 | 0 | $0 | $0 |
| HOLY ROSARY HEALTHCARE | ||||
| 810231792 | 3 | 0 | $0 | $0 |
| CARITAS CLINICS INC | ||||
| 481009910 | 3 | 0 | $64,929 | $0 |
| MARIAN CLINIC INC | ||||
| 481046905 | 3 | 0 | $92,411 | $0 |
| MOUNT ST VINCENT HOME | ||||
| 840405260 | 10 | 0 | $627,849 | $0 |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | ||||
| 840482695 | 3 | 0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 11 | SupportedOrganizationsTotalCnt |
| Support Sum | $785,189 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | 0 | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | Yes (1) | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | Yes (1) | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | 0 | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (1) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (1) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART IV, SECTION A, LINE 1 | THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IS THE PARENT OF EACH OF ITS SUPPORTED ORGANIZATIONS AND CONTROLS THEM AS PART OF AN INTEGRATED HEALTH SYSTEM. EACH SUPPORTED ORGANIZATION IS CONTROLLED BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. A CLOSE AND HISTORIC ORGANIZATIONAL RELATIONSHIP ENSURES THAT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND ITS SUPPORTED ORGANIZATIONS SHARE A SUBSTANTIAL IDENTITY OF INTERESTS. |
| SCHEDULE A, PART IV, SECTION A, LINE 5A | ORGANIZATION ADDED: BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 84-0482695 BRIGHTON COMMUNITY HOSPITAL ASSOCIATION WAS ACQUIRED IN LATE 2015. SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. CONSIDERS BRIGHTON COMMUNITY HOSPITAL ASSOCIATION A SUPPORTED ORGANIZATION STARTING IN 2016. |
| SCHEDULE A, PART IV, SECTION A, LINE 6 | SUPPORT WAS PROVIDED TO MEDICAL AND OTHER CHARITABLE ORGANIZATIONS NOT CONSIDERED SUPPORTED ORGANIZATIONS. HOWEVER, THESE INSTITUTIONS ARE SUPPORTING MEDICAL AND OTHER ACTIVITIES BENEFITING THE COMMUNITIES SERVED BY SUPPORTED ORGANIZATIONS. AMOUNTS GRANTED ARE INSIGNIFICANT TO THE OVERALL OPERATIONS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. |
| SCHEDULE A, PART IV, SECTION E, LINE 3A | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS. SCLHS APPOINTS MEMBERS OF THE SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS. |
| SCHEDULE A, PART IV, SECTION E, LINE 3B | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $164,802 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $164,802 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENSES OF $64,802 WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION. ADDITIONAL LOBBYING EXPENSES OF $100,000 WERE DERIVED FROM FEES FOR ADVOCACY SERVICES TO DEFEAT COLORADO AMENDMENT 69. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $2,000,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,813,121 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $25,463 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,838,584 | OtherExpendituresAmt |
| End Year Balance | $2,000,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,663,849 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $149,272 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,813,121 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,521,063 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $142,786 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,663,849 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,524,552 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $140,511 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $144,000 | OtherExpendituresAmt |
| End Year Balance | $3,521,063 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $37,697,596 | OtherCostOrOtherBasisAmt |
| Book Value | $37,697,596 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,533,199 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,428,286 | DepreciationAmt |
| Book Value | $7,104,913 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,511,278 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,573,306 | DepreciationAmt |
| Book Value | $8,937,972 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $338,216,369 | OtherCostOrOtherBasisAmt |
| Depreciation | $195,236,143 | DepreciationAmt |
| Book Value | $142,980,226 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,788,770 | OtherCostOrOtherBasisAmt |
| Book Value | $22,788,770 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $219,509,477 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (14 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| VHA STOCK INVESTMENT | $621,978 | F |
| ABSOLUTE RETURN INVESTMENTS | $7,317,967 | F |
| TACTICAL - PINEBRIDGE | $92,106,252 | F |
| OPPORTUNISTIC INVESTMENTS | $40,815,125 | F |
| EXECUTIVE DB PLAN INVESTMENTS | $19,360,345 | F |
| JOINT VENTURE - LUTHERAN CAMPUS ASC, LLC | $814,283 | F |
| JOINT VENTURE - DENVER WEST ENDOSCOPY CTR, LLC | $786,374 | F |
| JOINT VENTURE - E + PET IMAGING X, LP | $251,077 | F |
| JOINT VENTURE - SCL HEALTH - EMERUS, LLC | $4,917,015 | F |
| JOINT VENTURE - NORTHERN ROCKIES HEALTHCARE ALLIANCE, LLC | $426,217 | F |
| JOINT VENTURE - SCLTDI JV, LLC | $6,469,839 | F |
| JOINT VENTURE - SCLH-GI ENDOSCOPY CENTER HOLDINGS, LLC | $1,305,000 | F |
| REAL RETURN INVESTMENTS | $273,656,510 | F |
| SWEEP ACCOUNTS | $34,879,693 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $483,727,675 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| NOTES REC - ST. JOSEPH HOSPITAL, INC. | $193,659,180 | C |
| NOTES REC - SCL HEALTH - FRONT RANGE, INC. | $274,650,000 | C |
| NOTES REC - ST. JAMES HEALTHCARE | $5,637,379 | C |
| NOTES REC - ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. | $14,628,133 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $488,574,692 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLE | $819,760,694 |
| DEFERRED COMPENSATION PLAN PAYABLE | $43,741,875 |
| INTEREST RATE SWAP PAYABLE | $18,496,758 |
| INFORMATION TECHNOLOGY SERVICES PAYABLE | $191,977 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $882,191,304 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART V, LINE 4: | FormAndLineReferenceDesc |
| Explanation | SCLHS HAS A PERMANENT ENDOWMENT IN THE AMOUNT OF $2,000,000. THE EARNINGS FROM THE PERMANENT ENDOWMENT ARE A TERM ENDOWMENT TO BE USED FOR EDUCATIONAL PURPOSES AS DETERMINED BY SCLHS MANAGEMENT. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|---|
| CENTRAL AMERICA/CARIBBEAN | 0 | 0 | PROGRAM SERVICES | CAPTIVE INSURANCE PREMIUM | $12,823,650 |
| CENTRAL AMERICA/CARIBBEAN | 0 | 0 | INVESTMENTS, PROGRAM-RELATED | $58,542 | |
| EUROPE | 0 | 0 | INVESTMENTS, PROGRAM-RELATED | $1,976,715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continutation Total Office | 0 | ContinutationTotalOfficeCnt |
| Continutation Total Employee | 0 | ContinutationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $14,858,907 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $14,858,907 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (1) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (1) | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | INVESTMENTS REPORTED IN SCHEDULE F ARE ACCOUNTED FOR ON THE ACCRUAL BASIS OF ACCOUNTING. SCLHS' EXPENDITURES (PREMIUMS PAID) FOR ITS CAPTIVE INSURANCE PREMIUMS WERE $12,823,650 NET OF PREMIUM DISCOUNTS. | 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 |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 500.000000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| 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 | $541,881 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $541,881 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,075,893 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,876,161 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,199,732 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,617,774 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,876,161 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,741,613 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,451,079 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,898,066 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,553,013 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $785,189 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $785,189 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,236,268 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,898,066 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,338,202 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,854,042 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,774,227 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,079,815 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01700 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,607,661 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $17,849,465 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $35,897,252 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$18,047,787 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 DENVER WEST ENDOSCOPY CENTER LLC | |||
| OUTPATIENT ENDOSCOPY SERVICES | 0.51000 | 0.00000 | 0.49000 |
| 2 LUTHERAN CAMPUS ASC LLC | |||
| OUTPATIENT SURGERY | 0.52520 | 0.00000 | 0.47480 |
| 3 SCLH-GI ENDOSCOPY CENTER HOLDINGS LLC | |||
| ENDOSCOPY SERVICES | 0.51000 | 0.00000 | 0.49000 |
| 4 NORTHGLENN ENDOSCOPY CENTER LLC | |||
| ENDOSCOPY SERVICES | 0.51000 | 0.00000 | 0.49000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd |
|---|---|---|---|---|---|---|---|---|---|---|
| SCL HEALTH WESTMINSTER LLC | ||||||||||
| 1 | 6500 WEST 104TH AVENUE SUITE 100 | WESTMINSTER | CO | 80020 | WWW.SCLHEALTHCOMMUNITY.ORG/WESTMINSTER | 01A413 | Yes (X) | Yes (X) | Yes (X) | A |
| SCL HEALTH SOUTHWEST LLC | ||||||||||
| 2 | 8515 W COAL MINE AVENUE | LITTLETON | CO | 80123 | WWW.SCLHEALTHCOMMUNITY.ORG/SOUTHWEST | 01U326 | Yes (X) | Yes (X) | Yes (X) | A |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FACILITY REPORTING GROUP - A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | Yes (1) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | 0 | CHNAConductedInd |
| 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 | 500.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.SCLHEALTHCOMMUNITY.ORG/HELPINGHANDS | 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 |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: SCL HEALTH WESTMINSTER, LLC, - FACILITY 2: SCL HEALTH SOUTHWEST, LLC |
| PART V, SECTION B, LINE 2: | SCL HEALTH WESTMINSTER COMMUNITY HOSPITAL WAS PLACED INTO SERVICE IN NOVEMBER 2015. SCL HEALTH SOUTHWEST COMMUNITY HOSPITAL WAS PLACED INTO SERVICE IN JUNE 2016. THE HOSPITALS ARE OWNED THROUGH A JOINT VENTURE, SCL HEALTH - EMERUS, LLC. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 105 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (105 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - DENVER WEST ENDOSCOPY CENTER LLC | |||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | OUTPATIENT ENDOSCOPY SERVICES | |
| 2 - LUTHERAN CAMPUS ASC LLC | |||||
| 3455 LUTHERAN PKWY STE 150 | WHEATRIDGE | CO | 80033 | OUTPATIENT SURGERY | |
| 3 - NORTHGLENN ENDOSCOPY CENTER LLC | |||||
| 11900 GRANT STREET | NORTHGLENN | CO | 80233 | ENDOSCOPY SERVICES | |
| 4 - TOUCHSTONE MEDICAL IMAGING - AURORA | |||||
| 3055 SOUTH PARKER RD BLDG A STE 103 | AURORA | CO | 80014 | RADIOLOGY SERVICES | |
| 5 - TOUCHSTONE MEDICAL IMAGING - DRY CREEK | |||||
| 125 INVERNESS DR EAST STE 140 | ENGLEWOOD | CO | 80112 | RADIOLOGY SERVICES | |
| 6 - TOUCHSTONE MEDICAL IMAGING - HIGHLINE | |||||
| 26 WEST DRY CREEK CIR STE 160 | LITTLETON | CO | 80120 | RADIOLOGY SERVICES | |
| 7 - TOUCHSTONE MEDICAL IMAGING - LAFAYETTE | |||||
| 390 EMPIRE ROAD STE 102 | LAFAYETTE | CO | 80026 | RADIOLOGY SERVICES | |
| 8 - TOUCHSTONE MEDICAL IMAGING - LAKEWOOD | |||||
| 14062 DENVER WEST PKWY BLDG 52 STE | LAKEWOOD | CO | 80401 | RADIOLOGY SERVICES | 180 |
| 9 - TOUCHSTONE MEDICAL IMAGING - THORNTON | |||||
| 12021 PENNSYLVANIA ST STE 106 | THORNTON | CO | 80241 | RADIOLOGY SERVICES | |
| 10 - TOUCHSTONE IMAGING MAMMOGRAPHY AND BONE | |||||
| 3455 N LUTHERAN PKWY 110 | WHEAT RIDGE | CO | 80033 | RADIOLOGY SERVICES | |
| 11 - TOUCHSTONE MEDICAL IMAGING - UPTOWN | |||||
| 1007 E COLFAX AVE | DENVER | CO | 80218 | RADIOLOGY SERVICES | |
| 12 - TOUCHSTONE MEDICAL IMAGING - WHEAT RIDGE | |||||
| 7615 WEST 38TH AVENUE STE B115 | WHEAT RIDGE | CO | 80033 | RADIOLOGY SERVICES | |
| 13 - SCL FRONT RANGE HOME HEALTH LLC | |||||
| 3980 QUEBEC STREET SUITE 100 | DENVER | CO | 80207 | HOME HEALTH | |
| 14 - ROCKY MOUNTAIN CLINIC FAM PRAC & INT MED | |||||
| 435 S CRYSTAL ST STE 300 | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 15 - ROCKY MTN CLINIC FAM PRAC & INT MED - BE | |||||
| 400 S CLARK ST | BUTTE | MT | 597012328 | OUTPATIENT PHYSICIAN CLINIC | |
| 16 - ROCKY MOUNTAIN CLINIC NEUROLOGY | |||||
| 435 S CRYSTAL ST STE 300 | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 17 - ST JAMES CARDIAC & THORACIC SURG- CVTS | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 18 - ST JAMES CARDIAC & THORACIC SURG - SURGI | |||||
| 400 W PORPHYRY ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 19 - ST JAMES CARDIAC INTERPRETATIONS | |||||
| 400 S CLARK ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 20 - ST JAMES CARDIOLOGY | |||||
| 435 S CRYSTAL ST STE 220 | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 21 - ST JAMES EMERGENCY PHYSICIANS | |||||
| 400 S CLARK ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 22 - ST JAMES HEALTHCARE REHAB - BOULDER | |||||
| 214 S MAIN | BOULDER | MT | 59632 | OUTPATIENT PHYSICIAN CLINIC | |
| 23 - ST JAMES HEALTHCARE REHAB - WHITEHALL | |||||
| 309 EAST LEGION | WHITEHALL | MT | 59759 | OUTPATIENT PHYSICIAN CLINIC | |
| 24 - ST JAMES OBSTETRICS & GYNECOLOGY | |||||
| 305 W PORPHYRY STE 200 | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 25 - ST JAMES RADIATION ONCOLOGY | |||||
| 400 S CLARK ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 26 - ST JAMES SUMMIT LAB | |||||
| 435 S CIRYSTAL ST STE 300 | BUTTE | MT | 597011506 | OUTPATIENT PHYSICIAN CLINIC | |
| 27 - ST JAMES UROLOGY | |||||
| 305 W PORPHYRY STE 100 | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 28 - ST JAMES WMMH OUTREACH | |||||
| 106 W BROADWAY ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 29 - ST VINCENT HEALTH CENTER CCBDC | |||||
| 1233 N 30TH ST | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 30 - SVP - ABSAROKEE FAMILY MEDICINE | |||||
| 55 N MONTANA | ABSAROKEE | MT | 590010425 | OUTPATIENT PHYSICIAN CLINIC | |
| 31 - SVP - BEHAVIORAL HEALTH | |||||
| 2900 12TH AVE N STE 280W | BILLINGS | MT | 591017516 | OUTPATIENT PHYSICIAN CLINIC | |
| 32 - SVP - BIG HORN BASIN REG CANCER CTR | |||||
| 1025 9TH ST | CODY | WY | 824143441 | OUTPATIENT PHYSICIAN CLINIC | |
| 33 - SVP - BROADWATER FAMILY MEDICINE | |||||
| 2019 BROADWATER AVE | BILLINGS | MT | 591024810 | OUTPATIENT PHYSICIAN CLINIC | |
| 34 - SVP - BROADWATER WALK-IN CLINIC | |||||
| 2019 BROADWATER AVE | BILLINGS | MT | 591024810 | OUTPATIENT PHYSICIAN CLINIC | |
| 35 - SVP - CODY FAMILY MEDICINE | |||||
| 720 LINDSAY LN STE A | CODY | WY | 824144103 | OUTPATIENT PHYSICIAN CLINIC | |
| 36 - SVP - DERMATOLOGY | |||||
| 2900 12TH AVE N STE 265W | BILLINGS | MT | 591017513 | OUTPATIENT PHYSICIAN CLINIC | |
| 37 - SVP - DIABETES CENTER | |||||
| 2900 12TH AVE N STE 160W | BILLINGS | MT | 591017588 | OUTPATIENT PHYSICIAN CLINIC | |
| 38 - SVP - FORTIN PED SPEC CLINIC - CARDIO | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 39 - SVP - FORTIN PED SPEC CLINIC - CARDIO - | |||||
| 935 HIGHLAND PARK BLVD STE 2200 | BOZEMAN | MT | 59718 | OUTPATIENT PHYSICIAN CLINIC | |
| 40 - SVP - FORTIN PED SPEC CLINIC - CARDIO BU | |||||
| 435 S CRYSTAL ST STE 300 | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 41 - SVP - FORTIN PED SPEC CLINIC - FORTIN PE | |||||
| 1232 N 30TH STE 300 | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 42 - SVP - FORTIN PED SPEC CLINIC - FORTIN PE | |||||
| 1232 N 30TH STE 200 | BILLINGS | MT | 591010128 | OUTPATIENT PHYSICIAN CLINIC | |
| 43 - SVP - FORTIN PED SPEC CLINIC - GI BOZEMA | |||||
| 935 HIGHLAND PARK BLVD STE 2200 | BOZEMAN | MT | 59718 | OUTPATIENT PHYSICIAN CLINIC | |
| 44 - SVP - FORTIN PED SPEC CLINIC - MILES CIT | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 45 - SVP - FORTIN PED SPEC CLINIC - ONC BOZEM | |||||
| 935 HIGHLAND PARK BLVD STE 2200 | BOZEMAN | MT | 59718 | OUTPATIENT PHYSICIAN CLINIC | |
| 46 - SVP - FORTIN PED SPEC CLINIC - ONC G FAL | |||||
| 1300 28TH ST S STE 4 | GREAT FALLS | MT | 59405 | OUTPATIENT PHYSICIAN CLINIC | |
| 47 - SVP - FORTIN PED SPEC CLINIC - PED BOZEM | |||||
| 120 N 19TH ST | BOZEMAN | MT | 59718 | OUTPATIENT PHYSICIAN CLINIC | |
| 48 - SVP - FORTIN PED SPEC CLINIC - PED BUTTE | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 49 - SVP - FORTIN PED SPEC CLINIC - PED G FAL | |||||
| 1300 28TH ST S STE 4 | GREAT FALLS | MT | 59405 | OUTPATIENT PHYSICIAN CLINIC | |
| 50 - SVP - FORTIN PED SPEC CLINIC - PED GI | |||||
| 1232 N 30TH STE 200 | BILLINGS | MT | 591010128 | OUTPATIENT PHYSICIAN CLINIC | |
| 51 - SVP - FORTIN PED SPEC CLINIC - PED GI BU | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 52 - SVP - FORTIN PED SPEC CLINIC - PED GI G | |||||
| 1300 28TH ST S STE 4 | GREAT FALLS | MT | 59405 | OUTPATIENT PHYSICIAN CLINIC | |
| 53 - SVP - FORTIN PED SPEC CLINIC - PED GI HE | |||||
| 3330 PTARMIGAN LN | HELENA | MT | 59602 | OUTPATIENT PHYSICIAN CLINIC | |
| 54 - SVP - FORTIN PED SPEC CLINIC - PED HELEN | |||||
| 3330 PTARMIGAN LN | HELENA | MT | 59602 | OUTPATIENT PHYSICIAN CLINIC | |
| 55 - SVP - FORTIN PED SPEC CLINIC PED CARDIO | |||||
| 707 SHERIDAN AVE | CODY | WY | 82414 | OUTPATIENT PHYSICIAN CLINIC | |
| 56 - SVP - GASTROENTEROLOGY | |||||
| 1144 N BROADWAY STE C | BILLINGS | MT | 591010110 | OUTPATIENT PHYSICIAN CLINIC | |
| 57 - SVP - HARDIN FAMILY MEDICINE | |||||
| 16 N MILES STE 101 | HARDIN | MT | 590342356 | OUTPATIENT PHYSICIAN CLINIC | |
| 59 - SVP - HEART & VASCULAR CTR - CODY | |||||
| 720 LINDSEY LANE STE A | CODY | WY | 824144103 | OUTPATIENT PHYSICIAN CLINIC | |
| 60 - SVP - HEART & VASCULAR CTR - GLASGO | |||||
| 621 3RD ST SOUTH | GLASGOW | MT | 592301111 | OUTPATIENT PHYSICIAN CLINIC | |
| 61 - SVP - HEART & VASCULAR CTR - MILES CITY | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 62 - SVP - HEART & VASCULAR CTR - VASCULAR | |||||
| 2900 12TH AVE N STE 400E | BILLINGS | MT | 591017504 | OUTPATIENT PHYSICIAN CLINIC | |
| 63 - SVP - HEIGHTS FAMILY MEDICINE | |||||
| 32 WICKS LN | BILLINGS | MT | 591053810 | OUTPATIENT PHYSICIAN CLINIC | |
| 64 - SVP - INTERNAL MEDICINE ASSOCIATES | |||||
| 2900 12TH AVE N STE 310W | BILLINGS | MT | 591017588 | OUTPATIENT PHYSICIAN CLINIC | |
| 65 - SVP - LAUREL FAMILY MEDICINE | |||||
| 1035 1ST AVE | LAUREL | MT | 590442119 | OUTPATIENT PHYSICIAN CLINIC | |
| 66 - SVP - LONG TERM CARE | |||||
| 1101 N 27TH ST STE 101 | BILLINGS | MT | 591010100 | OUTPATIENT PHYSICIAN CLINIC | |
| 67 - SVP - MATERNAL FETAL MED - FETAL MED | |||||
| 2900 12TH AVE N STE 130W | BILLINGS | MT | 591017504 | OUTPATIENT PHYSICIAN CLINIC | |
| 68 - SVP - MATERNAL FETAL MED - GREAT PLAINS | |||||
| 1700 11TH ST W | WILLISTON | ND | 58801 | OUTPATIENT PHYSICIAN CLINIC | |
| 69 - SVP - MIDWIFERY & WOMEN'S HEALTH | |||||
| 2900 12TH AVE N STE 245W | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 70 - SVP - MONTANA HEART | |||||
| 2900 12TH AVE N STE 204E | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 71 - SVP - MONTANA HEART - ABSAROKEE | |||||
| 55 N MONTANA | ABSAROKEE | MT | 590016331 | OUTPATIENT PHYSICIAN CLINIC | |
| 72 - SVP - MONTANA HEART - CODY | |||||
| 720 LINDSAY LANE STE A | CODY | WY | 824144103 | OUTPATIENT PHYSICIAN CLINIC | |
| 73 - SVP - MONTANA HEART - HARDIN | |||||
| 16 N MILES AVE STE 101 | HARDIN | MT | 590342356 | OUTPATIENT PHYSICIAN CLINIC | |
| 74 - SVP - MONTANA HEART - LAUREL | |||||
| 1035 1ST AVE | LAUREL | MT | 590442120 | OUTPATIENT PHYSICIAN CLINIC | |
| 75 - SVP - MONTANA HEART - MTN VIEW | |||||
| 10 ROBINSON LANE | RED LODGE | MT | 590689010 | OUTPATIENT PHYSICIAN CLINIC | |
| 76 - SVP - MOUNTAIN VIEW FAMILY MEDICINE | |||||
| 10 ROBINSON LN | RED LODGE | MT | 590680070 | OUTPATIENT PHYSICIAN CLINIC | |
| 77 - SVP - NEPHROLOGY | |||||
| 2900 12TH AVE STE 160W | BILLINGS | MT | 591017508 | OUTPATIENT PHYSICIAN CLINIC | |
| 78 - SVP - NEPHROLOGY - CODY | |||||
| 720 LINDSAY LN STE A | CODY | WY | 824144103 | OUTPATIENT PHYSICIAN CLINIC | |
| 79 - SVP - NEPHROLOGY - LEWISTON | |||||
| 310 WENDELL AVE STE 5 | LEWISTOWN | MT | 59457 | OUTPATIENT PHYSICIAN CLINIC | |
| 80 - SVP - NEPHROLOGY - MILES CITY | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 81 - SVP - NEPHROLOGY - WORLAND | |||||
| 1106 BIG HORN AVE | WORLAND | WY | 824012803 | OUTPATIENT PHYSICIAN CLINIC | |
| 82 - SVP - NEUROSURGERY | |||||
| 1041 N 29TH ST | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 83 - SVP - NORTH SHILOH FAMILY MEDICINE | |||||
| 2223 MISSION WAY | BILLINGS | MT | 591020160 | OUTPATIENT PHYSICIAN CLINIC | |
| 84 - SVP - OCCUPATIONAL HEALTH | |||||
| 2019 BROADWATER AVE | BILLINGS | MT | 591024810 | OUTPATIENT PHYSICIAN CLINIC | |
| 85 - SVP - OP NEURO CLINIC & MS CTR - BOZEMAN | |||||
| 650 FERGUSON STE 1 | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 86 - SVP - OP NEURO CLINIC & MS CTR - BUTTE | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 87 - SVP - OP NEURO CLINIC & MS CTR - CODY | |||||
| 720 LINDSAY LN | CODY | WY | 82414 | OUTPATIENT PHYSICIAN CLINIC | |
| 88 - SVP - OP NEURO CLINIC & MS CTR - FM GLAS | |||||
| 621 3RD STREET SOUTH | GLASGOW | MT | 59230 | OUTPATIENT PHYSICIAN CLINIC | |
| 89 - SVP - OP NEURO CLINIC & MS CTR - GI FM G | |||||
| 621 3RD ST S | GLASGOW | MT | 59230 | OUTPATIENT PHYSICIAN CLINIC | |
| 90 - SVP - OP NEURO CLINIC & MS CTR - HELENA | |||||
| 2550 BROADWAY | HELENA | MT | 59602 | OUTPATIENT PHYSICIAN CLINIC | |
| 91 - SVP - OP NEURO CLINIC & MS CTR - LEWISTO | |||||
| 310 WENDELL STE 5 | LEWISTOWN | MT | 59457 | OUTPATIENT PHYSICIAN CLINIC | |
| 92 - SVP - OP NEURO CLINIC & MS CTR - MILES C | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 93 - SVP - OP NEURO CLINIC & MS CTR - MILES C | |||||
| 2600 WILSON | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 94 - SVP - OP NEURO CLINIC & MS CTR - NEURO | |||||
| 1041 N 29TH ST | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 95 - SVP - OP NEURO CLINIC & MS CTR - NEURO G | |||||
| 621 3RD ST S | GLASGOW | MT | 59230 | OUTPATIENT PHYSICIAN CLINIC | |
| 96 - SVP - OP NEURO CLINIC & MS CTR - NSGY BO | |||||
| 650 FERGUSON STE 1 | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 97 - SVP - OP NEURO CLINIC & MS CTR - NSGY SI | |||||
| 216 14TH AVE SW | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 98 - SVP - OP NEURO CLINIC & MS CTR - OP NEUR | |||||
| 1041 N 29TH ST | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 99 - SVP - OP NEURO CLINIC & MS CTR - SIDNEY | |||||
| 216 14TH AVE SW | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 100 - SVP - OP NEURO CLINIC & MS CTR - SNSGY W | |||||
| 1213 15TH AVENUE WEST | WILLISTON | ND | 58801 | OUTPATIENT PHYSICIAN CLINIC | |
| 101 - SVP - OP NEURO CLINIC & MS CTR - WILLIST | |||||
| 1213 15TH AVE W | WILLISTON | ND | 58801 | OUTPATIENT PHYSICIAN CLINIC | |
| 102 - SVP - PAIN CENTER | |||||
| 2900 12TH AVE N STE 335W | BILLINGS | MT | 591017506 | OUTPATIENT PHYSICIAN CLINIC | |
| 103 - SVP - PHYSIATRY & INFECTIOUS DISEASE | |||||
| 2900 12TH AVE N STE 201E | BILLINGS | MT | 591010136 | OUTPATIENT PHYSICIAN CLINIC | |
| 104 - SVP - SLEEP & RESPIRATORY | |||||
| 2900 12TH AVE N STE 300 E | BILLINGS | MT | 591010127 | OUTPATIENT PHYSICIAN CLINIC | |
| 105 - SVP - WEIGHT MANAGEMENT | |||||
| 2900 12TH AVE N STE 160W | BILLINGS | MT | 591017588 | OUTPATIENT PHYSICIAN CLINIC | |
| 106 - SVP - WEST GRAND FAMILY MEDICINE | |||||
| 2750 GRAND AVE | BILLINGS | MT | 591022629 | OUTPATIENT PHYSICIAN CLINIC | |
Supplemental Information Detail SupplementalInformationDetail (13 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 (A) - (F): THE SCL HEALTH WESTMINSTER, LLC HOSPITAL OPENED IN LATE NOVEMBER 2015 AND THE SCL HEALTH SOUTHWEST, LLC HOSPITAL OPENED IN JUNE 2016. THE HOSPITALS WERE NOT CERTIFIED FOR MEDICARE AND MEDICAID UNTIL DECEMBER 2016. BECAUSE THE HOSPITALS WERE NOT CERTIFIED FOR MEDICARE AND MEDICAID UNTIL DECEMBER 2016, THERE WERE NO UNREIMBURSED COSTS FOR MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS FOR THESE TWO HOSPITALS REPORTED ON SCHEDULE H, PART I, LINES 7B AND 7C. DUE TO LIMITED FINANCIAL RESOURCES AND THE SHORT PERIOD OF TIME THE TWO HOSPITAL FACILITIES HAVE BEEN OPERATIONAL, THERE WERE NO COMMUNITY BENEFIT EXPENSES FOR THESE TWO HOSPITALS REPORTED ON SCHEDULE H, PART I, LINES 7E-7H. |
| PART I, LINE 7, COLUMN (F): | THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,607,661. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | DUE TO LIMITED FINANCIAL RESOURCES AND THE SHORT PERIOD OF TIME THE TWO HOSPITAL FACILITIES HAVE BEEN OPERATIONAL, THERE WERE NO COMMUNITY BUILDING ACTIVITIES EXPENSE TO REPORT ON SCHEDULE H, PART II.PART III, LINE 1:THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF BAD DEBT. |
| PART III, LINE 2: | THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. |
| PART III, LINE 4: | THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE 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 TO THE ORGANIZATIONS FINANCIAL STATEMENTS THAT DESCRIBE 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 SCL HEALTH WESTMINSTER, LLC HOSPITAL OPENED IN LATE NOVEMBER 2015 AND THE SCL HEALTH SOUTHWEST, LLC HOSPITAL OPENED IN JUNE 2016. THE HOSPITALS WERE NOT CERTIFIED FOR MEDICARE AND MEDICAID UNTIL DECEMBER 2016. BECAUSE THE HOSPITALS WERE NOT CERTIFIED FOR MEDICARE AND MEDICAID UNTIL DECEMBER 2016, THERE WERE NO UNREIMBURSED COSTS FOR MEDICARE FOR THESE TWO HOSPITALS REPORTED ON SCHEDULE H, PART III, LINES 5, 6 AND 7. 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. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SO WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO ALL PATIENTS. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED IN THE HOSPITAL. IN ADDITION, THE PATIENTS RECEIVES INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. UNINSURED/UNDERINSURED PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE WILL HAVE DISCOUNTS APPLIED TO OUTSTANDING BALANCES BASED ON THE CORRESPONDING DISCOUNT GUIDELINES PROVIDED WITHIN THE FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORT TO QUALIFY PATIENTS FOR FINANCIAL ASSISTANCE THROUGH THE PRESUMPTIVE ELIGIBILITY PROCESS WILL BE MADE IN ACCORDANCE WITH THE FINANCIAL ASSISTANCE POLICY. IF PATIENTS DO NOT QUALIFY UNDER THIS PROCESS, THEY MAY INITIATE AND SUBMIT A FINANCIAL APPLICATION FOR FURTHER CONSIDERATION. 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: | SCL COMMUNITY HOSPITAL (SCLCH) OPENED ITS DOORS IN NOVEMBER OF 2015 AND WILL COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS PER THE COMPLIANCE TIMELINES. THE MISSION OF SCL HEALTH COMMUNITY HOSPITALS IS TO INCREASE THE COMMUNITY'S ACCESS TO HIGH-QUALITY HEALTH CARE THROUGH AN EXPERIENCED STAFF AND STATE-OF-THE-ART RESOURCES. SERVICES INCLUDE EMERGENCY CARE, INPATIENT CARE, DIAGNOSTIC AND SURGICAL SERVICES OFFERED WITH A PATIENT-CENTERED APPROACH. SCL COMMUNITY HOSPITAL - SOUTHWEST OPENED ITS DOORS IN JUNE OF 2016 AND WILL COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS PER THE COMPLIANCE TIMELINES. THE MISSION OF SCL HEALTH COMMUNITY HOSPITALS IS TO INCREASE THE COMMUNITY'S ACCESS TO HIGH-QUALITY HEALTH CARE THROUGH AN EXPERIENCED STAFF AND STATE-OF-THE-ART RESOURCES. SERVICES INCLUDE EMERGENCY CARE, INPATIENT CARE, DIAGNOSTIC AND SURGICAL SERVICES OFFERED WITH A PATIENT-CENTERED APPROACH.OUR APPROACH TO COMPLETE THE COMMUNITY HEALTH NEEDS ASSESSMENT WILL INCLUDE A COLLABORATIVE PROCESS WITH PUBLIC HEALTH DEPARTMENTS, COMMUNITY BASED ORGANIZATIONS AND COMMUNITY RESIDENTS TO GATHER THE BROADEST REPRESENTATION OF INPUT ON KEY HEALTH INDICATORS. WE WILL RELY ON BOTH QUANTITATIVE AND QUALITATIVE DATA TO IDENTIFY EMERGENT HEALTH NEEDS, SERVICE GAPS AND DISPARITIES. AS A PART OF THE ASSESSMENT PROCESS, WE WILL PRESENT FINDINGS IN A PUBLIC MEETING TO INVITE PARTICIPATION IN THE PRIORITY SELECTION PROCESS. FOLLOWING THE ASSESSMENT PROCESS, A COMMUNITY HEALTH IMPROVEMENT PLAN WILL BE DEVELOPED TO INDICATE SPECIFIC PRIORITIES AND EXPECTED IMPACT. IMPROVEMENT PLAN ACTIVITIES WILL LEVERAGE EVIDENCE BASED STRATEGIES AROUND PREVENTION, DISEASE MANAGEMENT AND HEALTHY LIVING. ACTIVITY EXAMPLES COULD INCLUDE COMMUNITY HEALTH AND SAFETY CLINICS, CANCER SCREENINGS, CHRONIC DISEASE MANAGEMENT, AND HEALTH LITERACY SEMINARS. IN ADDITION, A FOCUS ON PREVENTATIVE INTERVENTIONS WITH OUTREACH TO UNDERSERVED COMMUNITIES WILL BE ESSENTIAL TO ADDRESSING SUCH AREAS AS ANNUAL YOUTH PHYSICALS, SENIOR FALL PREVENTION, AND ASSISTING COMMUNITY MEMBERS IN CONNECTING TO OTHER COMMUNITY HEALTH SUPPORT RESOURCES (E.G. TRANSPORTATION, HOME HEALTH, HOUSING, AND OTHER SOCIAL SERVICES). |
| PART VI, LINE 3: | THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY BY PROVIDING A PLAIN LANGUAGE SUMMARY OF THE FINANCIAL ASSISTANCE POLICY TO ALL PATIENTS. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED IN 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: | SCL COMMUNITY HOSPITAL (SCLCH) IS LOCATED IN THE CITY OF WESTMINSTER, COLORADO. WESTMINSTER IS LOCATED IN JEFFERSON COUNTY, BUT INCLUDES A UNIQUE SERVICE AREA OF THREE INTERSECTING COUNTIES (ADAMS, BROOMFIELD AND JEFFERSON). WITH THE POSITIONING OF THE COMMUNITY HOSPITAL, ALONG A MAJOR TRANSPORTATION CORRIDOR, THE PRIMARY SERVICE AREA IS DEFINED BY A GEOGRAPHIC RADIUS OF 50 MILES FOR HEALTH DATA REVIEW.DATA SHARED BELOW REPRESENTS A COMBINATION OF COUNTY AND SERVICE MARKET DATA AS OF 2010-2012 GATHERED AS A CHNA PRECURSOR FROM MULTIPLE PUBLIC HEALTH DEPARTMENTS - (JEFFERSON COUNTY PUBLIC HEALTH, BOULDER COUNTY PUBLIC HEALTH, TRI-COUNTY PUBLIC HEALTH AND GOOD SAM MEDICAL CENTER).DEMOGRAPHICS OF THE COMMUNITY (U.S. CENSUS BUREAU 2010)JEFFERSON COUNTY'S POPULATION AS OF 2010 WAS 534,543; ADAM'S COUNTY 441,603; AND BROOMFIELD 55,889. PRIMARY SERVICE AREA POPULATION FOR SCLCH IS 302,901 WHICH REPRESENTS APPROXIMATELY 115,911 HOUSEHOLDS.GENDER: THE POPULATION OF MALES AND FEMALES IS NEARLY EQUAL - 49.7% (MALE) AND 50.3% (FEMALE)AGE: SERVICE AREA SHOWS A DOMINANCE OF PERSONS BETWEEN THE AGES OF 18 AND 64 (53.4%) WITH A MEDIAN AGE OF 36.1RACIAL AND ETHNIC DIVERSITY: THE POPULATION IN JEFFERSON AND BROOMFIELD COUNTIES IS PREDOMINANTLY WHITE, WITH HISPANIC ORIGIN FOLLOWING. PRIMARY SERVICE AREA PERCENTAGES SHOW 78.4% (WHITE) AND 15.1% (HISPANIC). OTHER RACES (ASIAN, BLACKS/AFRICAN AMERICAN AND AMERICAN INDIAN/ALASKA NATIVES) HAVE RELATIVELY SMALL PERCENTAGES. EDUCATION: WITHIN SERVICE AREA, 40,207 HOLD HIGH SCHOOL DIPLOMAS AND 43,464 HOLD BACHELOR'S DEGREES. 23,183 REPRESENT A GRADUATE DEGREE OR HIGHER. ADAMS COUNTY HAS ONE OF THE LOWEST EDUCATION LEVELS IN THE STATE WITH ONLY 81% HAVING A HIGH SCHOOL EDUCATION AND 20% WITH A BACHELOR DEGREE OR HIGHER. BY COMPARISON, JEFFERSON COUNTY HAD THE HIGHEST HIGH SCHOOL COMPLETION RATE AT 84.5% AND THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WHO HAVE COMPLETED HIGH SCHOOL AT 94.0%. JEFFERSON ALSO HAD THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WITH A BACHELOR'S DEGREE OR HIGHER AT 41.6%.LANGUAGE: FOR JEFFERSON COUNTY 10.5% OF PERSONS AGE 5 YEARS AND OVER SPEAK A LANGUAGE OTHER THAN ENGLISH IN THE HOME; FOR BROOMFIELD THAT PERCENTAGE IS 12.2 AND ADAMS 26.2.ECONOMICS: THE MEDIAN HOUSEHOLD INCOME IS $62,890 FOR SERVICE AREA, COMPARED TO $61,303 FOR THE STATE. HOWEVER ADAMS COUNTY HAS ONE OF THE HIGHEST POVERTY RATES IN THE STATE AT 13.3% AND BROOMFIELD IS ONE OF THE LOWEST LEVELS IN THE STATE AT 4.9%.OVERALL HEALTH RANK: THIS MEASURE RANKS THE OVERALL HEALTH OF COUNTY CITIZENS FOR ALL COUNTIES IN COLORADO. THE RANKINGS ARE BASED ON A MODEL OF POPULATION HEALTH THAT EMPHASIZES THE MANY FACTORS THAT, IF IMPROVED, CAN HELP TO MAKE COMMUNITIES HEALTHIER PLACES TO LIVE, LEARN, WORK AND PLAY. FACTORS INCLUDED IN THE RANKING ARE HEALTH OUTCOMES, HEALTH FACTORS, POLICIES/PROGRAMS AND SOCIAL DETERMINANTS OF HEALTH. JEFFERSON RANKS 14TH; BROOMFIELD RANKS 2ND AND ADAMS RANKS 37TH.HEALTH BEHAVIORS: ADULT OBESITY IS 20% IN BROOMFIELD COUNTY; COMMUNITY HEALTH NEEDS SHOWING PREVALENCE:JEFFERSON COUNTY- ACCESS TO CARE- OBESITY- BEHAVIORAL HEALTH- FALLS PREVENTIONBROOMFIELD COUNTY- ACCESS TO CARE- BEHAVIORAL HEALTH- OBESITY- CANCERADAMS COUNTY- ACCESS TO CARE- BEHAVIORAL HEALTH- SMOKINGSCL COMMUNITY HOSPITAL (SCLCH) IS LOCATED IN THE CITY OF LITTLETON, COLORADO. LITTLETON IS LOCATED IN JEFFERSON COUNTY, BUT INCLUDES A SERVICE AREA THAT INTERSECTS WITH DOUGLASS COUNTY. WITH THE POSITIONING OF THE COMMUNITY HOSPITAL, ALONG A MAJOR TRANSPORTATION CORRIDOR, THE PRIMARY SERVICE AREA IS DEFINED BY A GEOGRAPHIC RADIUS OF 50 MILES FOR HEALTH DATA REVIEW.DATA SHARED BELOW REPRESENTS A COMBINATION OF AVAILABLE PUBLIC HEALTH DATA AS OF 2010-2015 GATHERED AS A CHNA PRECURSOR. COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS FROM OUR NEAREST ACUTE CARE FACILITY LOCATED IN THE LAKEWOOD/WHEAT RIDGE AREA WAS REVIEWED AS DATA SUPPORT AS WELL.DEMOGRAPHICS OF THE COMMUNITY (U.S. CENSUS BUREAU 2010)JEFFERSON COUNTY'S POPULATION AS OF 2010 WAS 534,543. 2016 ESTIMATED GROWTH SHOWS A 7% CHANGE BETWEEN 2010 AND 2016 FOR A TOTAL OF 571,837 COMPARED TO A 10% GROWTH CHANGE FOR THE STATE.GENDER: THE POPULATION OF MALES AND FEMALES IS NEARLY EQUAL - 49.7% (MALE) AND 50.3% (FEMALE)AGE: SERVICE AREA SHOWS A DOMINANCE OF PERSONS BETWEEN THE AGES OF 18 AND 64 (64.3%) WITH A MEDIAN AGE OF 36.1. JEFFERSON COUNTY ALSO SHOWS A STRIKING REPRESENTATION OF ADULTS WHO ARE AGE 65 AND OLDER (15.1%) COMPARED TO (13%) FOR THE STATE. RACIAL AND ETHNIC DIVERSITY: THE POPULATION IN JEFFERSON COUNTY IS PREDOMINANTLY WHITE, WITH HISPANIC ORIGIN FOLLOWING. PRIMARY SERVICE AREA PERCENTAGES SHOW 78.5% (WHITE) AND 15.1% (HISPANIC). OTHER RACES (ASIAN, BLACKS/AFRICAN AMERICAN AND AMERICAN INDIAN/ALASKA NATIVES) HAVE RELATIVELY SMALL PERCENTAGES. EDUCATION: WITHIN THE SERVICE AREA, JEFFERSON HAD THE HIGHEST HIGH SCHOOL COMPLETION RATE AT 84.5% AND THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WHO HAVE COMPLETED HIGH SCHOOL AT 94.0%. JEFFERSON ALSO HAD THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WITH A BACHELOR'S DEGREE OR HIGHER AT 41.6%.LANGUAGE: FOR JEFFERSON COUNTY 89.6% OF HOUSEHOLDS SPEAK "ONLY" ENGLISH. APPROXIMATELY 10 % OF HOUSEHOLDS SPEAK A LANGUAGE OTHER THAN ENGLISH (E.G. SPANISH, ASIAN & PACIFIC ISLANDER, OR OTHER INDO EUROPEAN LANGUAGES)ECONOMICS: THE MEDIAN HOUSEHOLD INCOME IS $70,164 FOR SERVICE AREA, COMPARED TO $60,629 FOR THE STATE. PERCENT OF PERSONS IN POVERTY IS 7.9% COMPARED TO 11.5% FOR THE STATE. OVERALL HEALTH RANK: THIS MEASURE RANKS THE OVERALL HEALTH OF COUNTY CITIZENS FOR ALL COUNTIES IN COLORADO. THE RANKINGS ARE BASED ON A MODEL OF POPULATION HEALTH THAT EMPHASIZES THE MANY FACTORS THAT, IF IMPROVED, CAN HELP TO MAKE COMMUNITIES HEALTHIER PLACES TO LIVE, LEARN, WORK AND PLAY. FACTORS INCLUDED IN THE RANKING ARE HEALTH OUTCOMES, HEALTH FACTORS, POLICIES/PROGRAMS AND SOCIAL DETERMINANTS OF HEALTH. JEFFERSON COUNTY RANKS 14TH OUT OF 60.COMMUNITY HEALTH NEEDS SHOWING PREVALENCE:JEFFERSON COUNTY- CARDIOVASCULAR DISEASE- CANCER- UNINTENTIONAL INJURIES- CHRONIC LOWER RESPIRATORY DISEASE- MENTAL HEALTH/SUICIDE- DIABETES |
| PART VI, LINE 5: | SCL HEALTH COMMUNITY HOSPITALS IS A NATIONALLY RECOGNIZED INNOVATIVE LEADER IN THE DELIVERY OF EMERGENCY, INPATIENT AND DIAGNOSTIC MEDICAL HEALTH CARE THAT STRIVES TO BE THERE FOR ANYONE, ANYWHERE, ANYTIME.WE UNDERSTAND THAT SUPPORTING OUR PATIENTS AND THEIR FAMILIES AS THEY HEAL IS AN IMPORTANT PART OF HEALTH AND WELL-BEING. WE STRIVE TO OFFER PATIENT-CENTERED CARE AND OPERATIONALLY EFFICIENT FACILITIES THAT ARE STAFFED BY MEDICAL PROFESSIONALS WHO TREAT YOU LIKE THEIR OWN FAMILY. OUR COMMUNITY HOSPITALS PRIORITIZE LIMITED INPATIENT STAYS, EFFICIENT EMERGENCY ROOMS AND COST-EFFECTIVE PRICING IN A SMALLER-CAMPUS SETTING.AS PART OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCL HEALTH), OUR NEW SCL HEALTH COMMUNITY HOSPITALS SHARE OUR MISSION TO 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. WITH OUR INITIAL OUTREACH FOR OUR SERVICE MARKETS, GREAT FOCUS HAS BEEN PLACED ON CONNECTING WITH PRIMARY DEMOGRAPHIC AREAS SUCH AS YOUNG FAMILIES, SENIORS AND THOSE HAVING LOW SOCIO-ECONOMIC STATUS. OUR COMMUNITY BENEFIT INITIATIVES HAVE FAVORED GENERAL HEALTH AND WELLNESS APPROACHES LIKE PREVENTIVE EDUCATION, HEALTH SCREENINGS, EVENT SPONSORSHIP IN SUPPORT OF COMMUNITY BASED ORGANIZATIONS AND HEALTH CAUSES. WHEN THE COMMUNITY HEALTH NEEDS ASSESSMENT IS COMPLETED, A MORE ROBUST STRATEGY AND IMPLEMENTATION PLAN WILL BE CREATED TO ADDRESS HEALTH PRIORITIES HAVING THE GREATEST NEED AND THAT REPRESENT MEANINGFUL IMPACT OPPORTUNITIES FOR OUR COMMUNITY HOSPITALS.THE FOLLOWING REPRESENTS SOME SPECIFIC EXAMPLES OF OUR SUPPORT FOR COMMUNITY HEALTH IMPROVEMENT: - ACCESS TO CARE - HOST PARTNER WITH SENIOR LIVING FACILITY TO OFFER A HEALTH LITERACY EVENT. EVENT WELCOMED OVER 100 SENIOR RESIDENTS TO MEET PROVIDERS, ASK-THE-DOC, TOUR AND PRESENTATION ON UNDERSTANDING APPROPRIATE ACCESS TO CARE POINTS IN THE COMMUNITY (E.G. URGENT, PRIMARY CARE, AMBULATORY, ETC.).- COMMUNITY PARTNER WITH BONFILS BLOOD CENTERS TO HOST BLOOD DRIVES. PROVIDE SPACE, STAFF AND MATERIALS. EACH COMMUNITY HOSPITAL PARTICIPATES IN A ROTATING SCHEDULE FOR THE DRIVES.- HOSTED A SENIOR HEALTH FAIR, OFFERING VARIOUS HEALTH SCREENINGS INCLUDING BLOOD PRESSURE, BONE DENSITY, MEDICATION REVIEW, BODY MASS INDEX, AND OTHERS.- GENERAL WELLNESS AND PREVENTION - EVENT SPONSOR AND HOST FOR THE HOME RUN AGAINST DRUGS PROGRAM WHICH PARTNERS WITH (5) LOCAL ELEMENTARY SCHOOLS. PROGRAM ADDRESSES PRESCRIPTION DRUGS, MARIJUANA, AND OVER-THE-COUNTER DRUG USE.- SAFETY-PALOOSA - EVENT SPONSOR AND HOST FOR A BROAD SERVING COMMUNITY EVENT THAT PROVIDES MATERIALS, EDUCATION AND EXPERT INTERACTION AROUND EVIDENCE BASED INJURY PREVENTION INTERVENTIONS (E.G. BABY'S FIRST RIDE, SEAT BELT CAR FITTINGS, SAFE DISPOSAL OF PRESCRIPTION DRUGS, BIKE SAFETY, AND OTHERS)- WESTYFEST - JEFFERSON COUNTY COMMUNITY HEALTH AND WELLNESS EVENT FOR FAMILIES THAT DRAWS ATTENDANCE FROM MULTIPLE COUNTIES. PARTNER TO OFFER FREE HEALTH IMPROVEMENT RESOURCES FOR CHILDHOOD OBESITY PREVENTION, MENTAL HEALTH FIRST AID CLASSES, CHRONIC DISEASE SELF-MANAGEMENT, AND SOCIAL SERVICES RESOURCE MATERIALS. |
| PART VI, LINE 6: | SCL HEALTH COMMUNITY HOSPITALS ARE AFFILIATED WITH 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 COMMUNITY, 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 190 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,000 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.SCLHS AND ITS AFFILIATED ENTITIES PROMOTE 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 AND 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 (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| INTEGRITY HEALTH | |||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 474520350 | 501(C)(3) | $5,000,000 | SUPPORT MISSION |
| MOUNT SAINT VINCENT HOME | |||||||
| 4159 LOWELL BOULEVARD | DENVER | CO | 80211 | 840405260 | 501(C)(3) | $627,849 | SUPPORT MISSION |
| MARIAN CLINIC | |||||||
| 1001 SW GARFIELD AVE | TOPEKA | KS | 66604 | 481046905 | 501(C)(3) | $92,411 | SUPPORT MISSION |
| CARITAS CLINICS | |||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | 501(C)(3) | $64,929 | SUPPORT MISSION |
| LUTHERAN MEDICAL CENTER FOUNDATION | |||||||
| 8300 WEST 38TH AVENUE | WHEAT RIDGE | CO | 80033 | 208846152 | 501(C)(3) | $56,000 | SUPPORT MISSION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SECONDARY EDUCATION SCHOLARSHIP | GrantTypeTxt |
| Recipient | 27 | RecipientCnt |
| Cash Grant | $70,280 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | SCLHS' MISSION DEPARTMENT REQUIRES WRITTEN STATEMENTS THREE TIMES A YEAR REGARDING THE PROGRESS AND STATUS OF THE GRANT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Written Policy Ref T And E Expnss | 0 | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL SLUBOWSKI | ||||||||||||||
| SYSTEM PRESIDENT AND CEO | $1,132,496 | $0 | $220,576 | $0 | $598,133 | $0 | $19,080 | $0 | $19,516 | $0 | $1,989,801 | $0 | $0 | $0 |
| LYDIA JUMONVILLE | ||||||||||||||
| TREASURER & CFO/EVP | $706,515 | $0 | $97,092 | $0 | $208,664 | $0 | $220,478 | $0 | $18,358 | $0 | $1,251,107 | $0 | $190,203 | $0 |
| ROSLAND MCLEOD | ||||||||||||||
| SECRETARY/SVP CHIEF LEGAL OFFICER | $476,267 | $0 | $76,875 | $0 | $17,503 | $0 | $141,090 | $0 | $27,889 | $0 | $739,624 | $0 | $0 | $0 |
| MICHAEL TAYLOR | ||||||||||||||
| CHIEF OPERATING OFF-HOSP OPS | $700,141 | $0 | $112,079 | $0 | $37,136 | $0 | $129,931 | $0 | $26,574 | $0 | $1,005,861 | $0 | $0 | $0 |
| WILLIAM ANDERSON | ||||||||||||||
| SVP-CHIEF HUMAN RESOURCES OFCR | $367,647 | $0 | $61,436 | $0 | $120,370 | $0 | $18,240 | $0 | $21,586 | $0 | $589,279 | $0 | $0 | $0 |
| STEVEN CHYUNG | ||||||||||||||
| CHIEF STEWARDSHP & TRNFMTN OFC | $365,105 | $0 | $61,181 | $0 | $102,752 | $0 | $66,652 | $0 | $29,836 | $0 | $625,526 | $0 | $85,581 | $0 |
| SHAWN DUFFORD | ||||||||||||||
| SVP CHIEF MEDICAL OFFICER SYS | $476,834 | $0 | $65,891 | $0 | $14,838 | $0 | $87,580 | $0 | $21,814 | $0 | $666,957 | $0 | $0 | $0 |
| TAJQUAH HUDSON | ||||||||||||||
| SVP-CHIEF STRAT-BUS DEV OFCR | $445,804 | $0 | $71,036 | $0 | $17,695 | $0 | $137,057 | $0 | $6,817 | $0 | $678,409 | $0 | $0 | $0 |
| KERRY KOHNEN | ||||||||||||||
| SVP PAYER & POP HEALTH STRAT | $269,667 | $0 | $0 | $0 | $47,374 | $0 | $0 | $0 | $201 | $0 | $317,242 | $0 | $0 | $0 |
| WILLIAM PACK | ||||||||||||||
| VP FINANCE OPERATIONS 1/1-5/6 | $147,546 | $0 | $42,624 | $0 | $2,218 | $0 | $56,393 | $0 | $10,011 | $0 | $258,792 | $0 | $0 | $0 |
| DAVID PECORARO | ||||||||||||||
| SVP-CHIEF INFORMATION OFFICER | $417,839 | $0 | $68,142 | $0 | $113,581 | $0 | $19,080 | $0 | $18,210 | $0 | $636,852 | $0 | $0 | $0 |
| DAVID PRINGLE | ||||||||||||||
| SVP MISSION INTEGRATION | $285,518 | $0 | $47,097 | $0 | $46,105 | $0 | $49,930 | $0 | $18,415 | $0 | $447,065 | $0 | $0 | $0 |
| KAREN SCREMIN | ||||||||||||||
| VP FINANCE OPERATIONS | $312,819 | $0 | $28,524 | $0 | $1,436 | $0 | $45,080 | $0 | $9,740 | $0 | $397,599 | $0 | $0 | $0 |
| TROY SPRING | ||||||||||||||
| VP REVENUE CYCLE | $249,373 | $0 | $23,773 | $0 | $2,964 | $0 | $32,629 | $0 | $28,777 | $0 | $337,516 | $0 | $0 | $0 |
| GERALDINE TOWNDROW | ||||||||||||||
| SVP CHIEF NURSING OFFICER SYS | $307,717 | $0 | $40,664 | $0 | $53,863 | $0 | $14,617 | $0 | $7,698 | $0 | $424,559 | $0 | $0 | $0 |
| MARK WILKINSON | ||||||||||||||
| VP TREASURER | $266,163 | $0 | $30,586 | $0 | $58,747 | $0 | $44,119 | $0 | $9,532 | $0 | $409,147 | $0 | $57,309 | $0 |
| CHRISTINE WOOLSEY | ||||||||||||||
| SVP AND CHIEF COMM-MKTG OFCR | $319,297 | $0 | $51,614 | $0 | $13,520 | $0 | $82,402 | $0 | $15,417 | $0 | $482,250 | $0 | $0 | $0 |
| J GRANT WICKLUND | ||||||||||||||
| PRESIDENT-CEO LMC | $451,185 | $0 | $74,595 | $0 | $29,382 | $0 | $241,737 | $0 | $21,966 | $0 | $818,865 | $0 | $0 | $0 |
| WILLIAM ANDERSON | ||||||||||||||
| MEDICAL DIRECTOR | $686,101 | $0 | $27,160 | $0 | $11,138 | $0 | $16,430 | $0 | $25,605 | $0 | $766,434 | $0 | $0 | $0 |
| DAVID HAMM | ||||||||||||||
| PRESIDENT-CEO EGSM | $428,582 | $0 | $71,471 | $0 | $30,365 | $0 | $189,399 | $0 | $18,960 | $0 | $738,777 | $0 | $0 | $0 |
| STEVE LOVELESS | ||||||||||||||
| PRESIDENT CEO SVH-MT REG | $461,919 | $0 | $71,543 | $0 | $94,782 | $0 | $75,503 | $0 | $21,607 | $0 | $725,354 | $0 | $80,560 | $0 |
| THOMAS PETERSON | ||||||||||||||
| CHIEF SAFETY OFFICER 1/1-9/9 | $229,046 | $0 | $36,417 | $0 | $247,934 | $0 | $14,095 | $0 | $20,923 | $0 | $548,415 | $0 | $0 | $0 |
| ROBERT LADENBURGER | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $323,002 | $0 | $0 | $0 | $6,893 | $0 | $329,895 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | TAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2016 WERE: MICHAEL TAYLOR - $2,141, KERRY KOHNEN - $1,477. |
| PART I, LINE 1B | TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - WRITTEN POLICY THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES. |
| PART I, LINE 3 | COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. |
| PART I, LINES 4A-B | SCHEDULE J, PART I, LINE 4A THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2016 WERE: ROBERT LADENBURGER - $318,682, THOMAS PETERSON - $100,522. SCHEDULE J, PART I, LINE 4B PAYMENTS FROM NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THE ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENEFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2016 WERE: LYDIA JUMONVILLE - $86,105, STEVEN CHYUNG - $37,071, MARK WILKINSON - $24,970, STEVE LOVELESS - $36,382. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2016. 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 2016 WERE: MICHAEL SLUBOWSKI - $566,716, WILLIAM ANDERSON - $77,197, DAVID PECORARO - $90,679, GERALDINE TOWNDROW - $34,500, THOMAS PETERSON - $114,483. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. |
| PART I, LINE 7 | OTHER NON-FIXED PAYMENTS THE AT RISK COMPENSATION 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 EXPERIENCE, EMPLOYEE SAFETY 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 PLANS ARE BASED ON A COMBINATION OF PERFORMANCE MEASURES. PERFORMANCE MEASURES INCLUDE OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY AND COMMUNITY BENEFIT/MISSION TARGETS. 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 190 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 K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| COLORADO HEALTH FACILITIES AUTHORITY | ||||||||
| A | 840752932 | 19648AST3 | 2010-05-20 | $605,460,143 | 3/24/98,11/13/02,7/18/02 REFI+HOSP FA | 0 | 0 | 0 |
| MONTANA FACILITY FINANCE AUTHORITY | ||||||||
| B | 810302402 | 61204KHV6 | 2010-05-20 | $217,535,868 | 3/24/98 & 5/25/00 REFI+HOSP FAC | 0 | 0 | 0 |
| KANSAS DEVELOPMENT FINANCE AUTHORITY | ||||||||
| C | 481066589 | 48542K5N5 | 2010-05-20 | $202,625,401 | 3/24/98 & 5/25/00 REFI+HOSP FAC | Yes (1) | 0 | 0 |
| COLORADO HEALTH FACILITIES AUTHORITY | ||||||||
| D | 840752932 | NONEAVAIL | 2011-06-15 | $62,620,000 | 7/18/02 & 2/4/09 REFI | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Bond DefeasedBondDefeasedAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $74,170,000 | $605,500,535 | $6,836,215 | $310,650,923 | $288,013,397 | 2010 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | |
| B | $32,180,000 | $217,665,906 | $2,529,281 | $94,781,550 | $120,355,075 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| C | $29,745,000 | $202,625,401 | $2,488,006 | $77,008,019 | $123,129,376 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | $135,375,000 |
| D | $5,105,000 | $62,620,000 | $420,000 | $62,200,000 | 2011 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Change In Use Bond Financed PropChangeInUseBondFinancedPropPct | Remedial Action TakenRemedialActionTakenInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | |||||
| B | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) | 0.01300 | 0.00100 | 0.01400 | ||
| C | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (1) | Yes (1) | 0.64520 | Yes (1) | |||
| D | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2C | REBATE COMPLETION DATES: A - COLORADO HEALTH FACILITIES AUTHORITY 2010 - 5/20/16 B - MONTANA FACILITY FINANCE AUTHORITY 2010 - 5/20/16 C - KANSAS DEVELOPMENT FINANCE AUTHORITY 2010 - 5/20/16 D - COLORADO HEALTH FACILITIES AUTHORITY 2011 - 6/15/16 A - COLORADO HEALTH FACILITIES AUTHORITY 2013 - 11/12/16 B - KANSAS DEVELOPMENT FINANCE AUTHORITY 2013 - 5/20/16 |
| PART I COLUMN (E) & PART II LINE 3 | ANY DIFFERENCE BETWEEN ISSUES PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS. |
| PART III, LINE 8B | PROVIDENCE MEDICAL CENTER (KANSAS CITY, KS) AND SAINT JOHN HOSPITAL (LEAVENWORTH, KS) WERE SOLD APRIL 2013 AND REMEDIAL ACTIONS (REISSUANCE AND REDEMPTION) WERE TAKEN WITH RESPECT TO THE OUTSTANDING BONDS. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| COLORADO HEALTH FACILITY AUTHORITY | ||||||||
| A | 840752932 | 19648AN84 | 2013-11-12 | $302,719,375 | CONSTRUCT HOSPITAL FACILITY | 0 | 0 | 0 |
| KANSAS DEVELOPMENT FINANCE AUTHORITY | ||||||||
| B | 481066589 | 48542K5N5 | 2013-04-01 | $32,775,000 | REISSUANCE OF KANSAS 2010 | Yes (1) | 0 | 0 |
| COLORADO HEALTH FACILITY AUTHORITY | ||||||||
| C | 840752932 | 19648A5S0 | 2016-05-12 | $221,970,000 | CONSTRUCT HOSPITAL FACILITY | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $302,719,375 | $3,005,563 | $299,713,812 | 2013 | 0 | 0 | Yes (1) | Yes (1) | ||||
| B | $32,775,000 | 2013 | 0 | 0 | Yes (1) | Yes (1) | $3,170,000 | $7,805,000 | $32,775,000 | |||
| C | $221,976,622 | $1,908,538 | $219,956,622 | 2016 | 0 | 0 | 0 | Yes (1) | $111,462 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) SHALL BE THE MEMBERS OF LEAVEN MINISTRIES. THE MEMBERS OF LEAVEN MINISTRIES SHALL SERVE AS MEMBERS OF SCLHS DURING THEIR TERMS OF OFFICE AS MEMBERS OF LEAVEN MINISTRIES. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE CHAIR OF LEAVEN MINISTRIES, OR HIS/HER DESIGNEE, SHALL BE EX-OFFICIO MEMBERS OF THE BOARD WITH FULL VOTING RIGHTS. THE CHAIR OF LEAVEN MINISTRIES SHALL APPOINT AN ADDITIONAL MEMBER OF THE CORPORATION TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. THE BOARD OF DIRECTORS SHALL ENSURE THE PRESENCE OF REPRESENTATIVES NOMINATED BY THE PARTICIPATING ENTITIES ON THIS BOARD AND ON THE BOARD OF ANY CORPORATION OF WHICH THIS CORPORATION IS A CONTROLLING MEMBER. EXCEPT FOR EX-OFFICIO MEMBERS OF THE BOARD OF DIRECTORS, THE MEMBERS SHALL APPOINT DIRECTORS AT THE ANNUAL MEETING OF THE MEMBERS. A SLATE OF NAMES PROPOSED BY A NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS FOR APPOINTMENT AS DIRECTORS SHALL BE SUBMITTED TO THE MEMBERS BY THE CHAIRPERSON OF THE BOARD, PROVIDED, HOWEVER, THAT THE MEMBERS MAY APPOINT INDIVIDUALS AS DIRECTORS WHO HAVE NOT BEEN NOMINATED BY THE NOMINATING COMMITTEE. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE MEMBERS OF THE CORPORATION SHALL BE THE MEMBERS OF LEAVEN MINISTRIES. THE MEMBERS OF LEAVEN MINISTRIES SHALL SERVE AS MEMBERS OF THE CORPORATION DURING THEIR TERM OF OFFICE AS MEMBERS OF LEAVEN MINISTRIES. IN ADDITION TO ALL MATTERS REQUIRED BY LAW OR BY THE ARTICLES OF INCORPORATION OR OTHER PROVISIONS OF THESE BYLAWS WHICH ARE REQUIRED TO BE PERFORMED BY THE MEMBERS, THE MEMBERS SHALL HAVE THE SOLE PREROGATIVE TO ACT UPON ANY OF THE FOLLOWING MATTERS AND, IF ANY ACTION WITH RESPECT TO ANY OF THE FOLLOWING IS INITIATED BY A BODY OTHER THAN THE MEMBERS, IT SHALL NOT BECOME EFFECTIVE UNTIL APPROVED BY AN AFFIRMATIVE VOTE OF THE MEMBERS: TO ESTABLISH/APPROVE THE MISSION/PHILOSOPHY OF THIS CORPORATION AND ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; TO ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION AND THE ARTICLES AND BYLAWS OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; TO FIX THE NUMBER OF DIRECTORS OF THIS CORPORATION AND APPOINT THE CORPORATION'S BOARD OF DIRECTORS, AFTER RECEIVING RECOMMENDATIONS FROM THE BOARD, PROVIDED THAT THE MEMBERS' APPOINTMENT AUTHORITY SHALL NOT BE LIMITED TO THE NOMINATIONS RECEIVED; TO REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD OF DIRECTORS, ANY MEMBER OF THE BOARD OF THIS CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD OF DIRECTORS, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THIS CORPORATION; TO APPROVE FOR THIS CORPORATION, OR FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF THIS CORPORATION; TO APPROVE THE MERGER, DISSOLUTION OR CORPORATE RESTRUCTURING OF THIS CORPORATION OR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT. THE FORM 990 IS REVIEWED BY SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 WAS ALSO REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND 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 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) PROCESS FOR DETERMINING COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN SELF INSURED LIABILITY 1,577,654. EQUITY TRANSFER - FUND NEGATIVE CASH BALANCES IN PHYSICIAN CLINICS 72,900,000. EQUITY TRANSFER - INTEREST EXPENSE IN EXCESS OF INTEREST INCOME 99,091,862. EQUITY TRANSFER - MARIAN CLINIC 649,000. EQUITY TRANSFER - MOUNT SAINT VINCENT HOME 3,800,000. EQUITY TRANSFER - REFUNDING OF KANSAS 2010 BOND ISSUE 163,662,319. EQUITY TRANSFER - REFUNDING OF KANSAS 2012 BOND ISSUE 32,467,007. EQUITY TRANSFER - SYSTEM ACQUISITION COST 280,000,000. EQUITY TRANSFER - UNRECOGNIZED LOSSES NOT EXPENSED TO PENSION PLAN 14,670,430. EQUITY TRANSFER - UNRECOVERED COST OF SYSTEM OFFICE FIXED ASSETS 20,558,442. FAS 157 CREDIT RISK ADJUSTMENT -46,756. FAS 158 UNRECOGNIZED FROZEN DB PLAN -2,317,242. LEAVEN INSURANCE DIVIDEND 15,500,000. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| SCL HEALTH MEDICAL GROUP - MONTANA LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 471888400 | PHYSICIAN SERVICES | MT | $0 | $0 | SCLHS |
| SCL HEALTH MEDICAL GROUP - BILLINGS LLC | |||||||||
| 1233 NORTH 30TH STREET | BILLINGS | MT | 59101 | 464056262 | PHYSICIAN SERVICES | MT | $54,519,851 | $16,439,581 | SCL HEALTH MEDICAL GROUP - MONTANA LLC |
| ST JAMES HEALTHCARE PHYSICIAN BILLING LLC | |||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 273193107 | PHYSICIAN SERVICES | MT | $6,390,530 | $1,624,994 | SCL HEALTH MEDICAL GROUP - MONTANA LLC |
| SCL HEALTH MEDICAL GROUP - MILES CITY LLC | |||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 464056338 | PHYSICIAN SERVICES | MT | $0 | $0 | SCL HEALTH MEDICAL GROUP - MONTANA LLC |
| SCL HEALTH PARTNERS LLC | |||||||||
| 8300 WEST 38TH AVENUE | WHEAT RIDGE | CO | 80033 | 020749530 | HEALTHCARE SERVICES | CO | -$6,231,535 | $14,969,805 | SCLHS |
| SCL HOME HEALTH SOLUTIONS LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 462418729 | HOME CARE | DE | $0 | $0 | SCL HEALTH PARTNERS LLC |
| SCL FRONT RANGE HOME HEALTH LLC | |||||||||
| 3980 QUEBEC STREET SUITE 100 | DENVER | CO | 80207 | 841195134 | HOME HEALTH SERVICES | CO | $3,810,338 | $1,498,098 | SCL HOME HEALTH SOLUTIONS LLC |
| SCL HEALTH PSO LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 473534856 | PHYSICIAN SERVICES | CO | $0 | $0 | SCLHS |
| 1227 LOWER LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 810811084 | REAL ESTATE INVESTMENT | CO | $0 | $0 | SCLHS |
| 1227 UPPER LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 810906413 | REAL ESTATE INVESTMENT | CO | $0 | $0 | SCLHS |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| INTEGRITY HEALTH | ||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 474520350 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12C, III-FI | SCLHS | Yes (1) |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | ||||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 840482695 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | INTEGRITY HEALTH | Yes (1) |
| PLATTE VALLEY MEDICAL CENTER FOUNDATION | ||||||||||
| 1600 PRAIRIE CENTER PARKWAY | BRIGHTON | CO | 80601 | 742255936 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12A, I | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | Yes (1) |
| MOUNT ST VINCENT HOME INC | ||||||||||
| 4159 LOWELL BOULEVARD | DENVER | CO | 80211 | 840405260 | RESIDENT CARE | CO | 501(C)(3) | LINE 10 | SCLHS | Yes (1) |
| NJH-SJH INC | ||||||||||
| 500 ELDORADO BLVD SUITE 4300 | DENVER | CO | 80211 | 471194849 | MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES | CO | 501(C)(3) | LINE 12A, I | SCLHS | Yes (1) |
| SAINT JOSEPH HOSPITAL INC | ||||||||||
| 1375 EAST 19TH AVENUE | DENVER | CO | 80218 | 840417134 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | SCLHS | Yes (1) |
| SAINT JOSEPH HOSPITAL FOUNDATION | ||||||||||
| 1375 EAST 19TH AVENUE | DENVER | CO | 80218 | 840735096 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 10 | SAINT JOSEPH HOSPITAL INC | Yes (1) |
| SCL HEALTH - FRONT RANGE INC | ||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 841103606 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | SCLHS | Yes (1) |
| GOOD SAMARITAN MEDICAL CENTER FOUNDATION | ||||||||||
| 200 EXEMPLA CIRCLE | LAFAYETTE | CO | 80026 | 841649162 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | SCL HEALTH-FRONT RANGE INC | Yes (1) |
| LUTHERAN MEDICAL CENTER FOUNDATION | ||||||||||
| 8300 WEST 38TH AVENUE | WHEAT RIDGE | CO | 80033 | 208846152 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | SCL HEALTH-FRONT RANGE INC | Yes (1) |
| ST MARYS HOSPITAL & MEDICAL CENTER INC | ||||||||||
| 2635 NORTH 7TH STREET | GRAND JUNCTION | CO | 81501 | 840425720 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | SCLHS | Yes (1) |
| ST MARYS HOSPITAL FOUNDATION | ||||||||||
| 2635 NORTH 7TH STREET | GRAND JUNCTION | CO | 81501 | 237001007 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12A, I | ST MARYS HOSPITAL & MEDICAL CENTER INC | Yes (1) |
| CARITAS CLINICS INC | ||||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | CLINIC SERVICES | KS | 501(C)(3) | LINE 3 | SCLHS | Yes (1) |
| MARIAN CLINIC INC | ||||||||||
| 3164 EAST 6TH AVENUE | TOPEKA | KS | 66607 | 481046905 | CLINIC SERVICES | KS | 501(C)(3) | LINE 3 | SCLHS | Yes (1) |
| ST FRANCIS HEALTH CENTER INC | ||||||||||
| 1700 SOUTHWEST 7TH STREET | TOPEKA | KS | 66606 | 480547719 | HOSPITAL SERVICES | KS | 501(C)(3) | LINE 3 | SCLHS | Yes (1) |
| ST FRANCIS HEALTH CENTER FOUNDATION | ||||||||||
| 1700 SOUTHWEST 7TH STREET | TOPEKA | KS | 66606 | 481092520 | SUPPORTING ORGANIZATION | KS | 501(C)(3) | LINE 12A, I | ST FRANCIS HEALTH CENTER INC | Yes (1) |
| HOLY ROSARY HEALTHCARE | ||||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 810231792 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | SCLHS | Yes (1) |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | ||||||||||
| 2600 WILSON STREET | MILES CITY | MT | 59301 | 202270238 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | LINE 12A, I | HOLY ROSARY HEALTHCARE | Yes (1) |
| ST JAMES HEALTHCARE | ||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 810231785 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | SCLHS | Yes (1) |
| ST JAMES HEALTHCARE FOUNDATION INC | ||||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 651202190 | SUPPORTING ORGANIZATION | MT | 501(C)(3) | LINE 12A, I | ST JAMES HEALTHCARE | Yes (1) |
| ST VINCENT HEALTHCARE | ||||||||||
| 1233 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810232124 | HOSPITAL SERVICES | MT | 501(C)(3) | LINE 3 | SCLHS | Yes (1) |
| ST VINCENT HEALTHCARE FOUNDATION INC | ||||||||||
| 1106 NORTH 30TH STREET | BILLINGS | MT | 59101 | 810468034 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | MT | 501(C)(3) | LINE 7 | ST VINCENT HEALTHCARE | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DENVER WEST ENDOSCOPY CENTER LLC | ||||||||||||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | 460788218 | OP ENDOSCOPY | CO | SCL HEALTH PARTNERS LLC | RELATED | $859,185 | $435,476 | 0 | 0 | 0.51000 | |
| LUTHERAN CAMPUS ASC LLC | ||||||||||||||
| 3455 LUTHERAN PKWY STE 150 | WHEATRIDGE | CO | 80033 | 020749532 | OP SURGERY | CO | SCL HEALTH PARTNERS LLC | RELATED | $858,943 | $1,018,225 | 0 | 0 | 0.54220 | |
| SCLH-GI ENDOSCOPY HOLDINGS LLC | ||||||||||||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | 812979243 | OP ENDOSCOPY | CO | SCL HEALTH PARTNERS LLC | RELATED | -$65,745 | $1,239,255 | 0 | 0 | 0.51000 | |
| SCLTDI JV LLC | ||||||||||||||
| 1431 PERRONE WAY | FRANKLIN | TN | 37069 | 472294770 | RADIOLOGY | DE | SCL HEALTH PARTNERS LLC | RELATED | -$333,830 | $15,457,495 | 0 | 0 | 0.51000 | |
| ATHLETIC MEDICINE & PERFORMANCE LLC | ||||||||||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 272270640 | PHYSICAL THERAPY | MT | N/A | |||||||
| GRAND VALLEY SURGICAL CENTER LLC | ||||||||||||||
| 710 WELLINGTON | 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 | 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 PANEL | ||||||||||||||
| 3464 S WILLOW STREET SUITE 174 | DENVER | CO | 80231 | 841269895 | EKG READING | CO | N/A | |||||||
| CODY MEDICAL ARTS COMPLEX LLC | ||||||||||||||
| 720 LINDSAY LANE | CODY | WY | 82414 | 331031839 | RENTAL REAL ESTATE | WY | 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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| APEX SURGICAL PARTNERS INC | |||||||||||||||||
| 1610 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 473268324 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | $1,383,177 | $243,311 | 1.00000 | Yes (1) | |||||
| EAGLE RIDGE MEDICAL INC | |||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 462387681 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | $2,157,609 | $208,308 | 1.00000 | Yes (1) | |||||
| HIGH PLAINS HEART AND VASCULAR CENTER INC | |||||||||||||||||
| 1610 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 272038197 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | $2,407,106 | $401,355 | 1.00000 | Yes (1) | |||||
| INTEGRATIVE INTERNAL MEDICINE AND MEDICAL ACUPUNCTURE INC | |||||||||||||||||
| 1610 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 274433325 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | $899,601 | $129,737 | 1.00000 | Yes (1) | |||||
| MOUNTAIN VIEW ORTHOPEDICS INC | |||||||||||||||||
| 1610 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 275382523 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | $3,458,320 | $336,119 | 1.00000 | Yes (1) | |||||
| PVMC MEDICAL TEAM INC | |||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 473988808 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | 1.00000 | Yes (1) | |||||||
| PVMC PHYSICIAN SERVICES INC | |||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 943458548 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | 1.00000 | Yes (1) | |||||||
| PLATTE VALLEY MEDICAL TEAM INC | |||||||||||||||||
| 1606 PRAIRIE CENTER PARKWAY SUITE 2 | BRIGHTON | CO | 80601 | 841110470 | MEDICAL SERVICES | CO | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | C | $19,948 | 1.00000 | Yes (1) | ||||||
| CARITAS INC AND SUBSIDIARIES | |||||||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480941069 | HEALTHCARE | KS | SCLHS | C | $10,204,481 | $23,943,964 | 1.00000 | Yes (1) | |||||
| ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC | |||||||||||||||||
| 1700 SOUTHWEST 7TH STREET | TOPEKA | KS | 66606 | 462874128 | HEALTHCARE | KS | ST FRANCIS HEALTH CENTER INC | C | $165,793 | 1.00000 | Yes (1) | ||||||
| LEAVEN INSURANCE COMPANY LTD | |||||||||||||||||
| 980370522 | INSURANCE | SCLHS | C | $13,642,706 | $59,511,687 | 1.00000 | Yes (1) | 23 LIME TREE BAY AVENUE WEST BAY R | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (1) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (27 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST MARY'S HOSPITAL & MEDICAL CENTER INC | ||
| A | $786,285 | FMV |
| ST JAMES HEALTHCARE | ||
| A | $301,160 | FMV |
| SCL HEALTH-FRONT RANGE INC | ||
| A | $9,446,828 | FMV |
| SAINT JOSEPH HOSPITAL INC | ||
| A | $12,052,910 | FMV |
| CARITAS CLINICS INC | ||
| B | $64,929 | FMV |
| MARIAN CLINIC INC | ||
| B | $92,411 | FMV |
| MOUNT ST VINCENT HOME INC | ||
| B | $627,849 | FMV |
| LUTHERAN MEDICAL CENTER FOUNDATION | ||
| B | $56,000 | FMV |
| INTEGRITY HEALTH | ||
| B | $5,000,000 | FMV |
| LEAVEN INSURANCE COMPANY LTD | ||
| C | $109,720 | FMV |
| ST VINCENT HEALTHCARE FOUNDATION | ||
| C | $1,967,503 | FMV |
| SAINT JOSEPH HOSPITAL INC | ||
| D | $3,251,196 | FMV |
| SCL HEALTH-FRONT RANGE INC | ||
| D | $10,870,000 | FMV |
| ST JAMES HEALTHCARE | ||
| D | $2,212,945 | FMV |
| ST MARY'S HOSPITAL & MEDICAL CENTER INC | ||
| D | $5,421,418 | FMV |
| LEAVEN INSURANCE COMPANY LTD | ||
| F | $15,500,000 | FMV |
| ST FRANCIS HEALTH CENTER INC | ||
| L | $46,334,735 | FMV |
| ST VINCENT HEALTHCARE | ||
| L | $49,548,985 | FMV |
| HOLY ROSARY HEALTHCARE | ||
| L | $7,395,034 | FMV |
| ST JAMES HEALTHCARE | ||
| L | $14,424,023 | FMV |
| ST MARY'S HOSPITAL & MEDICAL CENTER INC | ||
| L | $52,711,786 | FMV |
| SAINT JOSEPH HOSPITAL INC | ||
| L | $65,279,444 | FMV |
| SCL HEALTH-FRONT RANGE INC | ||
| L | $96,368,531 | FMV |
| ST JAMES HEALTHCARE | ||
| S | $2,212,945 | CASH |
| ST MARY'S HOSPITAL & MEDICAL CENTER INC | ||
| S | $5,421,418 | CASH |
| SAINT JOSEPH HOSPITAL INC | ||
| S | $3,251,196 | CASH |
| SCL HEALTH-FRONT RANGE INC | ||
| S | $10,870,000 | CASH |