2017-11-06T16:23:13-06:00 2016-12-31 990 2016-01-01 810232124 ST VINCENT HEALTHCARE STVI 4066577000 1233 NORTH 30TH STREET BILLINGS MT 59101 PAM PALAGI VP FINANCE & CFO 4066577000 2017-11-06 170.188.5.33 2017-11-06 12:47:51 MS P D592015B8FE208EA5042194ABEAF8E5B275B46FB D592015B8FE208EA5042194ABEAF8E5B275B46FB 2016 2021-01-29 14:40:06Z STEVE LOVELESS 1233 NORTH 30TH STREET BILLINGS MT 59101 413513132 0 0928 X SEE SCHEDULE O X 1972 MT 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. 14 12 2015 316 2239308 -615966 18855162 5446726 407387406 388533997 12994821 16374722 2565043 2315171 441802432 412670616 1900094 1682566 0 0 130110899 130814908 0 0 0 230107513 216416065 362118506 348913539 79683926 63757077 589444683 569099817 24594601 26533011 564850082 542566806 X 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. 0 0 289411195 1682566 390259644 THE SISTERS OF CHARITY OF LEAVENWORTH, KANSAS, FOUNDED ST. VINCENT HEALTHCARE IN BILLINGS, MONTANA, IN 1898. MOTIVATED BY ITS MISSION TO PROVIDE COMPASSIONATE CARE AND SERVICE, ST. VINCENT HAS BECOME ONE OF MONTANA'S LEADING COMPREHENSIVE HEALTHCARE PROVIDERS. MODERN MEDICAL TECHNOLOGY HAS BEEN INTEGRATED INTO OUR COMMITMENT TO PROVIDE CARE FOR THE SICK, TO RESPECT LIFE, TO SERVE THE POOR AND TO PROVIDE COMPASSION AND CHARITY FOR ALL WHO NEED IT. ST. VINCENT OFFERS PROGRESSIVE SPECIALTY SERVICES IN HEART & VASCULAR, NEUROLOGY, ONCOLOGY, ORTHOPEDICS, AND WOMEN'S SERVICES. WE HAVE A SPECIAL "HOSPITAL WITHIN A HOSPITAL" JUST FOR CHILDREN, ST. VINCENT CHILDREN'S HEALTHCARE.FROM ITS MODEST BEGINNINGS OVER 100 YEARS AGO, ST. VINCENT HEALTHCARE HAS GROWN INTO ONE OF MONTANA'S LARGEST COMPREHENSIVE HOSPITALS, SERVING THE HEALTHCARE NEEDS OF OVER 400,000 PEOPLE IN A FOUR-STATE AREA. RENOWNED FOR A MISSION OF COMPASSIONATE CARE AND SERVICE TO THE POOR, THE ST. VINCENT HEALTHCARE TEAM IS CONTINUALLY RECOGNIZED AS A TECHNOLOGICAL LEADER IN THE HEALTHCARE INDUSTRY.DURING 2016, THE FOLLOWING STATISTICAL DATA WAS GATHERED:- 11,629 ADMISSIONS- 456,041 OUTPATIENT, CLINIC, AND HOME HEALTH VISTS- 34,601 EMERGENCY DEPARTMENT VISITS- 1,631 BIRTHS- 8,141 SURGERIES- 891,858 LABORATORY TESTSMISSION, VISION & VALUES 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.ST. VINCENT HEALTHCARE OFFERS A WIDE VARIETY OF SERVICES TO THE COMMUNITY:- BARIATRIC SURGERY - BEHAVIORAL HEALTH- BLOOD CONSERVATION PROGRAM- BRAIN INJURY REHABILITATION- CANCER CARE- CARDIOLOGY- CARELINE- DERMATOLOGY- DIABETES CENTER- EMERGENCY SERVICES- GI DIAGNOSTIC CENTER- INTENSIVE CARE SERVICES- JOINT REPLACEMENT CENTER- LAB SERVICES- LIVING WELL- MAMMOGRAPHY- MANSFIELD HEALTH EDUCATION CENTER- WOMEN'S HEALTH- MS CLINIC- NEUROSCIENCE- NURSE ADVISOR- OCCUPATIONAL HEALTH SERVICES- ORTHOPEDIC SERVICES- OTOLARYNGOLOGY - OUTREACH- PAIN CENTER- PEDIATRICS- PRIMARY CARE- RADIOLOGY AND IMAGING SERVICES- REHABILITATION- RESPIRATORY- RONALD MCDONALD CARE MOBILE- SENIOR SERVICES- SLEEP CENTER- SPORTS MEDICINE- STROKE- SURGERY SERVICES- TELEHEALTH- TRAUMA OUTREACH- UROLOGY- VASCULAR CENTER- WALK IN CARE- WEIGHT MANAGEMENT- WOUND HEALING CENTERST. VINCENT HEALTHCARE IS RELATED TO SCL HEALTH MEDICAL GROUP - BILLINGS, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS A GROUP OF PHYSICIAN CLINICS THAT PROVIDE PROFESSIONAL SERVICES TO THE ST. VINCENT HEALTHCARE COMMUNITY AND SUPPORTS THE MISSION OF ST. VINCENT HEALTHCARE.ALTHOUGH SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS NOT OWNED DIRECTLY BY ST. VINCENT HEALTHCARE, ST. VINCENT HEALTHCARE IS REQUIRED TO FUND ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP - BILLINGS, LLC THROUGH EQUITY TRANSFERS TO SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IN 2016, LOSSES RELATED TO THE PHYSICIAN PRACTICES WERE $24,544,727. 289411195 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 270 0 1 2015 1 1 1 0 0 0 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 X KYLE ENGMAN 3038135543 500 ELDORADO BLVD SUITE 4200 BROOMFIELD CO 80021 KURT ALME DIRECTOR 1.00 0.00 X 0 0 0 MARTHA ARGUELLES DIRECTOR 1.00 0.00 X 0 0 0 JOHN BEDFORD DIRECTOR 1.00 0.00 X 0 0 0 EVAN BUCHAN MD DIRECTOR 50.00 0.00 X 285084 0 43730 CORI COOK DIRECTOR 1.00 0.00 X 0 0 0 DANIELLE EMERY MD VICE CHAIR 2.00 0.00 X X 0 0 0 KAREN FAGG DIRECTOR 1.00 0.00 X 0 0 0 SISTER BERNADETTE HELFERT DIRECTOR 1.00 0.00 X 0 0 0 KEITH LAUVER DIRECTOR 1.00 0.00 X 0 0 0 STEVE LOVELESS PRESIDENT & CEO 50.00 0.00 X X 0 628244 97110 DENNIS MAIER MD CHAIR 2.00 0.00 X X 0 0 0 TERRILL MOORE DIRECTOR 1.00 0.00 X 0 0 0 VU PHAM SECRETARY 2.00 0.00 X X 0 0 0 DONALD STERHAN TREASURER 2.00 0.00 X X 0 0 0 RON OLDFIELD VICE PRES FINANCIAL SVS - SVB 50.00 0.00 X 0 317212 35359 MICHAEL BUSH MD VP-CHIEF MEDICAL OFFICER-SVH 50.00 0.00 X 0 390307 93014 BLANCHE GILMORE VP PATIENT CARE SERVICES - SVB 50.00 0.00 X 0 241437 60543 MICHAEL SKEHAN EXEC VP COO MONTANA REGION 50.00 0.00 X 0 335110 62525 JOHN KOMINSKY MD PHYSICIAN 50.00 0.00 X 464341 0 37258 LEE MCNEELY MD PHYSICIAN 50.00 0.00 X 462941 0 23381 DANIEL LEWIS MD PHYSICIAN 50.00 0.00 X 462045 0 41848 JOSHUA HOLSTEAD MD PHYSICIAN 50.00 0.00 X 434551 0 30924 JAMES BENTLER MD PHYSICIAN 50.00 0.00 X 434158 0 41856 SCOTT SEARS FORMER OFFICER 0.00 50.00 X 0 104234 7383 DARREN WALKER FORMER KEY EMPLOYEE 50.00 0.00 X 0 138680 40053 JEFFREY ZAVALA FORMER KEY EMPLOYEE 50.00 0.00 X 0 362978 83948 MICHAEL COPELAND MD FORMER HIGHEST PAID 0.00 50.00 X 0 901490 50366 STUART GOODMAN MD FORMER HIGHEST PAID 0.00 50.00 X 0 833086 41119 WILLIAM SPIRE MD FORMER HIGHEST PAID 0.00 50.00 X 0 762166 47019 2543120 5014944 837436 133 1 1 0 HEMATOLOGY ONCOLOGY CENTERS 1315 GOLDEN VALLEY CIRCLE BILLINGS MT 59102 ONCOLOGY PHYSICIANS 3986303 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 CONTRACT LABOR 3823941 FRONTIER ONCOLOGY 1315 GOLDEN VALLEY CIRCLE BILLINGS MT 59106 ONCOLOGY BLDG/EQUIP 3421579 MONTANA FAMILY PRACTICE 123 S 27TH ST BILLINGS MT 59101 MEDICAL SERVICES 2807080 MED-MAP LLC PO BOX 1295 BILLINGS MT 59101 RENTAL REAL ESTATE 2548914 49 5430556 16170 5446726 PATIENT SERVICE REVENUE 622110 387397142 385367759 2029383 MISSION UNITED - JV 621110 996532 996532 COMM CRISIS CTR - JV 621110 84188 84188 ROCKY MTN HEALTH - JV 621110 56135 56135 388533997 16364822 16364822 1047619 668020 379599 379599 379599 184396 174496 9900 9900 9900 CAFETERIA SALES 722310 1717106 1507181 209925 PARKING LOT FEES 900099 123006 123006 LAUNDRY SERVICE - JV 900099 70368 70368 25092 25092 1935572 412670616 388230261 2239308 16754321 1682566 1682566 2589675 2462142 127533 100403220 95458674 4944546 6255099 5847019 408080 14536206 14201017 335189 7030708 6850119 180589 3326 3326 265 265 13198 13198 34257227 32384524 1872703 3244719 175023 3069696 1360358 1288060 72298 22965614 22965614 10996938 10754530 242408 858648 706360 152288 680845 596606 84239 10169366 10169366 3779084 3779084 MEDICAL SUPPLIES 73994147 73994147 BAD DEBT EXPENSE 9506976 9506976 BILLING & COLLECTION - 7879326 7879326 MAINTENANCE SERVICES 6121957 6112779 9178 30584071 13442203 17141868 348913539 289411195 59502344 0 162206 116489 62797875 61761899 33373 96029 1079643 351809 7237080 7529510 4955832 4175100 353545104 232752527 112683780 120792577 2852842 3790594 397642052 370485810 589444683 569099817 24594601 26491790 41221 24594601 26533011 X 564850082 542566806 564850082 542566806 589444683 569099817 X 63757077 -3285 -86037068 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13198 13198 0 PART II-B, LINE 1: FEDERAL AND STATE LOBBYING WAS PERFORMED ON BEHALF OF THE ORGANIZATION BY AN OUTSIDE THIRD PARTY. A PERCENTAGE OF MONTANA HOSPITAL ASSOCIATION DUES WAS ALSO CONSIDERED FOR LOBBYING ACTIVITIES. 42470513 7159174 441785 3861558 3169905 43040009 40639150 7967355 -188066 4693288 1254638 42470513 22166108 27735435 361820 6210518 3413695 40639150 19944937 9541014 1046819 5289936 3076726 22166108 17928484 4861760 670983 1704966 1811324 19944937 0.38140 0.17700 0.44160 0 1 1 17927894 17927894 163223240 113625546 49597694 14255047 9944866 4310181 143664176 109182115 34482061 14474747 14474747 120792577 INTERCOMPANY RECEIVABLE 358600614 OTHER ACCT RECEIVABLE 2218430 3RD PARTY SETTLEMENTS 9347718 JOINT VENTURE RECEIVABLES 319048 370485810 PART V, LINE 4: THE TWO LARGEST ENDOWMENTS SUPPORT THE MT PEDIATRICS PROJECT AND NURSE EDUCATION. THE REMAINING ENDOWMENTS SUPPORT VARIOUS DEPARTMENTS IN THE HOSPITAL. 1 1 X 1 X 1 X 1 1 0 1 1 3947670 0 3947670 0.01160 50984165 34066347 16917818 0.04980 750631 1254033 0 0.00000 55682466 35320380 20865488 0.06140 1216865 0 1216865 0.00360 3190217 1853334 1336883 0.00390 17536280 14351634 3184646 0.00940 169836 49416 120420 0.00040 722691 0 722691 0.00210 22835889 16254384 6581505 0.01940 78518355 51574764 27446993 0.08080 5351 0 5351 0.00000 113161 0 113161 0.00030 5183 0 5183 0.00000 5351 0 5351 0.00000 49944 0 49944 0.00010 178990 178990 0.00040 1 9506976 0 99562809 130335034 -30772225 X 1 1 1 ATHLETIC MEDICINE & PERFORMANCE LLC PHYSICAL THERAPY 0.33330 0.47410 2 ROCKY MOUNTAIN HEALTH NETWORK INC PHO - ADMINISTRATIVE SERVICES 0.50000 0.50000 3 ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC ACCOUNTABLE CARE ORGANIZATION 0.50000 0.50000 1 1 ST VINCENT HEALTHCARE 1233 NORTH 30TH STREET BILLINGS MT 59101 WWW.SCLHEALTH.ORG/LOCATIONS/ 13258 X X X X DURABLE MED EQP & OUTPAT. PHY. CLINIC ST VINCENT HEALTHCARE 1 0 0 1 X X X X X X X X X 14 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X 1 14 1 SEE PART V, SECTION C 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X 1 X 0 X X X X 1 X 0 0 ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 5: ST. VINCENT HEALTHCARE CONDUCTED THE 2014 CHNA IN PARTNERSHIP WITH BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT, AND THE CITY-COUNTY HEALTH DEPARTMENT, RIVERSTONE HEALTH. THE 2014 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS A FOLLOW-UP TO SIMILAR STUDIES CONDUCTED IN 2005/2006 AND 2010/2011. THE 2014 CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) IN HUNDREDS OF COMMUNITIES. THE CHNA INCORPORATED: 1) PRIMARY QUANTITATIVE DATA (A 404 HOUSEHOLD TELEPHONE COMMUNITY HEALTH SURVEY), 2) SECONDARY QUANTITATIVE DATA (EXISTING PUBLIC HEALTH DATA) AND 3) PRIMARY QUALITATIVE DATA (FOCUS GROUPS WITH 38 KEY INFORMANTS FROM HEALTHCARE, GOVERNMENT, SOCIAL SERVICES, BUSINESS AND 24 LOCAL RESIDENTS). 1) PRIMARY QUANTITIIVE DATA: THE SAMPLE DRAWN FOR THIS SURVEY IS REPRESENTATIVE OF THE ADULT YELLOWSTONE COUNTY POPULATION IN TERMS OF DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS, AS WELL AS GEOGRAPHICAL LOCATION. THE MAXIMUM ERROR RATE ASSOCIATED WITH THE TOTAL SAMPLE OF 400 RESIDENTS IS 4.9% AT THE 95 PERCENT LEVEL OF CONFIDENCE. EXISTING VITAL STATISTICS AND OTHER DATA ARE INCORPORATED INTO THIS ASSESSMENT FOR YELLOWSTONE COUNTY. COMPARISONS ARE ALSO MADE, WHERE AVAILABLE, TO STATE AND NATIONAL BENCHMARKS. FURTHERMORE, WHEREVER POSSIBLE, HEALTH PROMOTION GOALS OUTLINED IN HEALTHY PEOPLE 2020 ARE INCLUDED.2) SECONDARY QUANTITIAVE DATA: A VARIETY OF EXISTING (SECONDARY) DATA SOURCES WAS CONSULTED TO COMPLEMENT THE RESEARCH QUALITY OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. SEONDARY DATA FOR YELLOWSTONE COUNTY WAS OBTAINED FROM THE FOLLOWING SOURCES: CENTERS FOR DISEASE CONTROL & PREVENTION, NATIONAL CENTER FOR HEALTH STATISTICS, MONTANA DEPARTMENT OF PUBLIC HEALTH & HUMAN SERVICES, MONTANA BOARD OF CRIME CONTROL, US CENSUS BUREAU, US DEPARTMENT OF HEALTH AND HUMAN SERVICES AND THE US DEPARTMENT OF JUSTICE, FEDERAL BUREAU OF INVESTIGATION. 3) PRIMARY QUALITATIVE DATA: TO FURTHER GAIN PERSPECTIVE FROM COMMUNITY MEMBERS AND LOCAL ORGANIZATIONS, FIVE FOCUS GROUPS WERE CONDUCTED. THE FOCUS GROUPS INCLUDED DISCUSSIONS WITH 38 KEY INFORMANTS IN THE FOLLOWING AREAS: EMPLOYERS, EDUCATORS AND PUBLIC SERVANTS; SOCIAL SERVICE PROVIDERS; PHYSICIANS AND OTHER HEALTH PROFESSIONALS; ELECTED OFFICIALS; AND 24 BILLINGS SOUTH SIDE RESIDENTS WHICH REPRESENTED A HIGH POVERTY AREA. ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 6A: ST. VINCENT HEALTHCARE CONDUCTED THE 2014 COMMUNITY HEALTH NEEDS ASSESSMENT WITH 2 OTHER PARTNERS. ONE OF THOSE PARTNERS WAS BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT, AND THE OTHER PARTNER WAS THE CITY-COUNTY HEALTH DEPARTMENT, RIVERSTONE HEALTH. ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 6B: ST. VINCENT HEALTHCARE CONDUCTED THE 2014 COMMUNITY HEALTH ASSESSMENT WITH 2 OTHER PARTNERS. ONE OF THOSE PARTNERS WAS RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT, AND THE OTHER WAS BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT.SINCE 1994, BILLINGS CLINIC (COMMUNITY HOSPITAL), RIVERSTONE HEALTH (PUBLIC HEALTH DEPARTMENT) AND ST. VINCENT HEALTHCARE HAVE BEEN WORKING TOGETHER AS THE ALLIANCE, CREATING AND SUSTAINING INNOVATIVE PROGRAMS THAT ADDRESS COMPLEX COMMUNITY-WIDE HEALTH ISSUES. THE ALLIANCE SPONSORED THE 2014 COMMUNITY HEALTH ASSESSMENT, A FOLLOW-UP TO SIMILAR STUDIES CONDUCTED IN 2006 AND 2011. ST. VINCENT HEALTHCARE VIEWS THIS RESEARCH AS A COMMUNITY ASSET, BY PROVIDING INFORMATION THAT WILL ASSIST MANY ORGANIZATIONS IN STRENGTHENING THE IMPACT AND EFFECTIVENESS OF THEIR SERVICES TOWARD IMPROVING HEALTH IN OUR COMMUNITY.ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7A: WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7B: WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG/COMMUNITY-DATA/ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 10A: WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/ ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED IN ST. VINCENT HEALTHCARE'S 2014 CHNA REPRESENT THE COMMUNITY BASED INFORMATION GATHERED THROUGH THE CHNA AND GUIDELINES SET FORTH IN HEALTHY PEOPLE 2020. THESE NEEDS, CALLED "AREAS OF OPPORTUNITY", WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA INCLUDING COMPARISON WITH BENCHMARK DATA, TRENDS, SIGNIFICANT FINDINGS WITHIN TOPIC AREAS, MAGNITUDE OF THE ISSUE IN TERMS OF NUMBER OF PERSONS AFFECTED AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. IN ALPHABETICAL ORDER, THEY ARE: 1) ACCESS TO HEALTH SERVICES 2) CANCER 3) CHRONIC KIDNEY DISEASE 4) DEMENTIA, INCLUDING ALZHEIMER'S 5) INJURY & VIOLENCE 6) INFANT HEALTH & FAMILY PLANNING 7) MENTAL HEALTH & MENTAL DISORDERS 8) NUTRITION, PHYSICAL ACTIVITY & WEIGHT 9) RESPIRATORY DISEASE 10) SUBSTANCE ABUSE 11) TOBACCO USEFOLLOWING CHNA OPPORTUNITY IDENTIFICATION, A COMMUNITY FORUM WAS HELD TO PRIORITIZE FINDINGS. CRITERIA FROM THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) WAS USED IN THIS PROCESS AND INCLUDED: COST AND RETURN ON INVESTMENT, AVAILABILITY OF SOLUTIONS, IMPACT OF PROBLEM, AVAILABILITY OF RESOURCES (STAFF, TIME, MONEY, EQUIPMENT) TO SOLVE PROBLEM, URGENCY OF SOLVING PROBLEM, AND SIZE OF PROBLEM (NUMBER OF INDIVIDUALS AFFECTED). FROM THIS COMMUNITY PROCESS, THREE AREAS WERE IDENTIFIED AS THE PRIORITY COMMUNITY HEALTH NEEDS: A. HEALTHY WEIGHT B. ACCESS TO HEALTH SERVICES C. MENTAL HEALTH, MENTAL DISORDERS AND SUBSTANCE ABUSE ST. VINCENT HEALTHCARE IS ADDRESSING THESE IDENTIFIED HEALTH NEEDS THROUGH BOTH COLLABORATIVE COMMUNITY EFFORTS AND SPECIFIC HOSPITAL EFFORTS. HEALTHY WEIGHT:ST. VINCENT HEALTHCARE CONTINUES TO SUPPORT YELLOWSTONE COUNTY AREA SCHOOL-BASED EFFORTS TO INCREASE STUDENTS' DAILY CONSUMPTION OF FRUITS AND VEGETABLES AND INCREASE STUDENT'S PHYSICAL ACTIVITY LEVELS. ST. VINCENT HEALTHCARE PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR KIDS IN MOTION, A COLLABORATIVE ACTIVE TRANSPORTATION PROGRAM FACILITATED BY SCHOOL DISTRICT #2, EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS, THE CITY OF BILLINGS, AND OTHER COMMUNITY PARTNERS. KIDS IN MOTION COMBINES VOLUNTEER-COORDINATED EVENTS SUCH AS BICYCLE TUNE-UP CLINICS, WITH IN-CLASS EDUCATION TO EMPOWER YOUTH WITH THE SKILLS AND CONFIDENCE NEEDED TO WALK AND RIDE THEIR BICYCLE EVERY DAY. OVER 204 STUDENT BICYCLES WERE INSPECTED, AND IF NEEDED, REPAIRED IN 2016 AT 6 SCHOOLS. ST. VINCENT HEALTHCARE PROVIDES REPRESENTATION ON SCHOOL DISTRICT #2 SCHOOL HEALTH ADVISORY COMMITTEE AND BILLINGS ACTION FOR HEALTHY KIDS COALITION. ST. VINCENT HEALTHCARE CONTINUES THE KOHL'S CARES FOR KIDS GRANT PARTNERSHIP WITH PRIORITY TITLE ONE SCHOOLS, WHICH PROVIDES PHYSICAL ACTIVITY AND NUTRITION EDUCATION AND OUTREACH. IN 2016, 1,491 STUDENTS IN TITLE ONE SCHOOLS WERE SERVED BY PROGRAM THROUGH RUNNING PROGRAMS, HIP HOP PROGRAMS, AND SHOE DISTRIBUTION. ST. VINCENT HEALTHCARE ALSO SPONSORED THE 2016 FALL ELEMENTARY CROSS COUNTRY RACE WHICH REACHED 1,385 STUDENTS. ST. VINCENT HEALTHCARE PROVIDES LEADERSHIP AND REPRESENTATION TO THE HEALTHY BY DESIGN COALITION INCLUDING WORKGROUPS FOCUSED POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE STRATEGIES FOR HEALTHY WEIGHT. COALITION EFFORTS IN 2016 INCLUDED ADVOCACY FOR THE CITY OF BILLINGS COMPLETE STREETS RESOLUTION, PROMOTION OF THE EVIDENCE-BASED ACTIVE LIVING EVERY DAY PHYSICAL ACTIVITY CLASSES, AND A GARDENERS' MARKET LOCATED IN A FEDERALLY IDENTIFIED FOOD DESERT WITHIN A LOW-INCOME NEIGHBORHOOD WHICH ACCEPTS SNAP BENEFITS AND WIC CHECKS FOR PAYMENT. TOGETHER WITH PARTNERS FROM BILLINGS CLINIC AND RIVERSTONE HEALTH, ST. VINCENT HEALTHCARE SERVES AS A MEMBER OF THE BACKBONE AND STEERING COMMITTEES FOR THE HEALTHY BY DESIGN COALITION. ST. VINCENT HEALTHCARE CONTINUED THE EVIDENCE-BASED DIABETES AND HEART DISEASE PREVENTION PROGRAM WHICH SERVED 115 PARTICIPANTS IN 2016. THE DIABETES AND HEART DISEASE PREVENTION PROGRAM IS DEDICATED TO CHANGING THE BEHAVIOR OF THOSE AT RISK OF DEVELOPING DIABETES. THIS PROGRAM FOCUSING ON NUTRITION EDUCATION AND PHYSICAL ACTIVITY INCLUDES COLLABORATION BETWEEN ST. VINCENT HEALTHCARE AND THE BILLINGS FAMILY YMCA AND FUNDING FROM THE STATE OF MONTANA. IN ADDITION, WE PROVIDE BOARD LEADERSHIP AND FINANCIAL AND IN-KIND SUPPORT TO THE BILLINGS FAMILY YMCA, INCLUDING SUPPORT OF THE LIVESTRONG PROGRAM TO PROVIDE PHYSICAL ACTIVITY FOR CANCER PATIENTS AND SURVIVORS. ST. VINCENT HEALTHCARE PROVIDED FINANCIAL SUPPORT AND LEADERSHIP FOR LOCAL NON-PROFITS FOCUSED ON OBESITY PREVENTION, NUTRITION AND PHYSICAL ACTIVITY PROMOTION. THESE ORGANIZATIONS INCLUDED TRAILNET, A LOCAL TRAIL ADVOCACY ORGANIZATION AND BIG SKY STATE GAMES, A LOCAL ORGANIZATION WHICH PROVIDES COMMUNITY PHYSICAL ACTIVITY OPPORTUNITIES. ST. VINCENT HEALTHCARE ADVOCATED FOR ACCESS TO HEALTHY FOODS FOR LOW-INCOME INDIVIDUALS AND FAMILIES. WE SERVE AS A SITE FOR BOUNTIFUL BASKETS AND PROVIDED FOOD DONATIONS FOR EVENTS AT COMMUNITY-BASED ORGANIZATIONS SERVING VULNERABLE POPULATIONS SUCH AS ST. VINCENT DE PAUL SOCIETY. ACCESS TO HEALTH SERVICES:ST. VINCENT HEALTHCARE HAS ENGAGED IN ADVOCACY EFFORTS TO DECREASE THE PERCENTAGE OF ADULTS IN YELLOWSTONE COUNTY WITHOUT HEALTH INSURANCE. BEGINNING JANUARY 1, 2016, THE MONTANA HEALTH AND ECONOMIC LIVELIHOOD PARTNERSHIP (HELP) PLAN EXPANDED HEALTH COVERAGE IN MONTANA TO AN ESTIMATED 70,000 NEW ADULTS WITH INCOMES UP TO 138 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL). THE HELP PLAN OFFERED MEDICAL, BEHAVIORAL HEALTH, DENTAL, VISION, AND PRESCRIPTION DRUG BENEFITS. ST. VINCENT HEALTHCARE ADVOCACY EFFORTS SUPPORTED THIS EXPANSION OF MEDICAID COVERAGE. TOGETHER WITH THE ALLIANCE PARTNERS, BILLINGS CLINIC AND RIVERSTONE HEALTH, A JOINT ADVOCACY STRATEGY WAS DEVELOPED TO INCLUDE ACCESS TO CARE PRIORITIES WHICH ADVOCATE FOR ACCESS TO HEALTHCARE AND DENTAL SERVICE PROGRAMS THAT ASSIST THOSE WITH FINANCIAL NEED INCLUDING HEALTHY MONTANA KIDS, MEDICATION ASSISTANCE PROGRAM, COMMUNITY HEALTH ACCESS PARTNERSHIP, AND MEDICAID. ST. VINCENT HEALTHCARE OFFERS A MEDICATION ASSISTANCE PROGRAM AND PROVIDED FINANCIAL SUPPORT FOR THE MEDICATION ASSISTANCE PROGRAM AT RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT. THE MEDICATION ASSISTANCE PROGRAM (MAP) PROVIDES ASSISTANCE TO LOW INCOME, UNINSURED INDIVIDUALS TO OBTAIN FREE OR DISCOUNTED PRESCRIPTION MEDICATIONS DIRECTLY FROM PHARMACEUTICAL COMPANIES. MAP PROVIDES SERVICES WITH CERTIFIED PHARMACY TECHNICIANS PROVIDING GUIDANCE AND ASSISTANCE IN COMPLETING THE INDIGENT DRUG APPLICATIONS SPECIFIC TO EACH PHARMACEUTICAL COMPANY. EACH COMPANY UTILIZES DIFFERENT APPLICATIONS, DIFFERENT INCOME GUIDELINES, AND REQUIRES DIFFERENT FORMS OF INCOME VERIFICATION. THE MAP ADVOCATES ASSIST THE CLIENTS IN NAVIGATING THESE CONFUSING REQUIREMENTS IN ORDER TO RECEIVE APPROVAL OF THE REQUEST QUICKLY AND WITH A MINIMUM OF DIFFICULTY FOR THE CLIENT. APPROXIMATELY 2,000 APPLICATIONS FOR ASSISTANCE WERE COMPLETED THROUGH THIS PROGRAM. ST. VINCENT HEALTHCARE PROVIDES LEADERSHIP TO IMPLEMENT EDUCATIONAL TRAINING PROGRAMS. STAFFING AND LEADERSHIP WERE PROVIDED TO IMPLEMENT A LOCAL CLINICAL PASTORAL EDUCATION (CPE) PROGRAM, THE ONLY CPE PROGRAM IN MONTANA. ST. VINCENT HEALTHCARE CONTINUES SUPPORT OF THE MONTANA FAMILY MEDICINE RESIDENCY WITH FINANCES, BOARD LEADERSHIP AND CLINICAL INTEGRATION. ST. VINCENT HEALTHCARE SUPPORTED THE PHARMACY RESIDENCY PROGRAM WITH FINANCES AND STAFF SUPPORT. NURSING STUDENTS WERE PROVIDED WITH OPPORTUNITIES FOR CLINICAL ROTATIONS AND TRAINING. RADIOLOGY STUDENTS WERE ALSO PROVIDED CLINICAL TRAINING OPPORTUNITIES. HIGH SCHOOL STUDENTS IN THE MEDICAL CAREERS PROGRAM WERE PROVIDED WITH OPPORTUNITIES FOR HEALTHCARE CAREER TRAINING INCLUDING EXPERIENCES IN THE LABORATORY, PHARMACY, CARDIOPULMONARY, AND CLINICAL ENGINEERING. RURAL COMMUNITIES WERE PROVIDED WITH ACCESS TO HEALTHCARE SERVICES. ST. VINCENT HEALTHCARE'S RONALD MCDONALD CAREMOBILE PROVIDED ACCESS TO DENTAL AND MEDICAL CARE FOR CHILDREN IN POVERTY. THE CAREMOBILE PROVIDED OUTREACH TO OUTLYING AND RURAL COMMUNITIES, INCREASING ACCESS TO THESE SERVICES FOR 2,763 CHILDREN IN 2016. THROUGH THE USE OF TELEMEDICINE, COMMUNITIES WERE ALSO PROVIDED WITH PEDIATRIC SPECIALTY OUTREACH. ST. VINCENT HEALTHCARE'S MOBILE MAMMOGRAPHY COACH PROVIDED MAMOGRAM OUTREACH TO 3,565 WOMEN INCLUDING 649 INDIAN HEALTH SERVICE PATIENTS ON SURROUNDING RESERVATIONS. CONTINUED ON SCHEDULE OST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 16A, 16B, 16C: WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/ 21 1 - ATHLETIC MEDICINE & PERFORMANCE LLC 1144 NORTH 28TH STREET BILLINGS MT 59101 PHYSICIAL THERAPY 2 - SVB FRONTIER CANCER CTR - MED ONC 1315 GOLDEN VALLEY CIR BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 3 - SVB FRONTIER CANCER CTR - RAD ONC 1315 GOLDEN VALLEY CIR BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 4 - SVB FRONTIER CANCER CTR-TELEMEDICINE 1315 GOLDEN VALLEY CIR BILLINGS MT 59102 OUTPATIENT PHYSICIAN CLINIC 5 - ST VINCENT HEALTHCARE RED LODGE PT 810 N BROADWAY REDLODGE MT 59086 OUTPATIENT PHYSICIAN CLINIC 6 - ST VINCENT HEALTHCARE WALK-IN CLINIC 1233 N 30TH ST BILLINGS MT 591010127 OUTPATIENT PHYSICIAN CLINIC 7 - SVHC EMERGENCY MEDICINE 1233 N 30TH ST BILLINGS MT 591010127 OUTPATIENT PHYSICIAN CLINIC 8 - SVHC HOSPITALIST NEUROLOGIST 1233 N 30TH ST BILLINGS MT 591010127 OUTPATIENT PHYSICIAN CLINIC 9 - SVHC HOSPITALISTS 1233 N 30TH ST BILLINGS MT 591010127 OUTPATIENT PHYSICIAN CLINIC 10 - SVHC INTENSIVIST PHYSICIANS 1233 N 30TH ST BILLINGS MT 591010127 OUTPATIENT PHYSICIAN CLINIC 11 - SVHC NEONATOLOGY 1233 N 30TH ST BILLINGS MT 591010127 OUTPATIENT PHYSICIAN CLINIC 12 - SVHC ORTHOPEDIC SERVICES 2900 12TH AVE N STE 140W BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 13 - SVHC PALLIATIVE CARE 1233 N 30TH ST BILLINGS MT 59101 OUTPATIENT PHYSICIAN CLINIC 14 - SVHC PEDIATRIC ICU PHYSICIANS 1233 N 30TH ST BILLINGS MT 591075200 OUTPATIENT PHYSICIAN CLINIC 15 - SVP - MONTANA HEART - LEWISTOWN 310 WENDELL AVE STE 5 LEWISTOWN MT 59457 OUTPATIENT PHYSICIAN CLINIC 16 - SVP - MONTANA HEART - MILES CITY 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 17 - SVP - YELLOWSTONE UROLOGY - BILLINGS 2900 12TH AVE N STE 503 E BILLINGS MT 591017502 OUTPATIENT PHYSICIAN CLINIC 18 - SVP - YELLOWSTONE UROLOGY - GLENDIVE 202 PROSPECT GLENDIVE MT 59330 OUTPATIENT PHYSICIAN CLINIC 19 - SVP - YELLOWSTONE UROLOGY - LEWISTOWN 408 WENDELL AVE LEWISTOWN MT 59457 OUTPATIENT PHYSICIAN CLINIC 20 - SVP - YELLOWSTONE UROLOGY-MILES CITY 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 21 - SVP - YELLOWSTONE UROLOGY - WORLAND 1106 BIGHORN BASIN WORLAND WY 82401 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 6A: THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 9,506,976. PART II, COMMUNITY BUILDING ACTIVITIES: ST. VINCENT HEALTHCARE PROVIDED FINANCIAL SUPPORT AND LEADERSHIP FOR ORGANIZATIONS FOCUSED ON ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH INCLUDING BIG BROTHERS BIG SISTERS, BOYS AND GIRLS CLUBS, FAMILY PROMISE, ST. VINCENT DE PAUL SOCIETY, FAMILY TREE CENTER, SALVATION ARMY, YWCA, BIG SKY SENIOR SERVICES, RONALD MCDONALD CHARITIES, AND COURT APPOINTED SPECIAL ADVOCATES (CASA). THESE ORGANIZATIONS SERVE VULNERABLE POPULATIONS IN OUR COMMUNITY INCLUDING AT-RISK YOUTH, HOMELESS FAMILIES, AND LOW-INCOME SENIORS. IN SUPPORT OF EDUCATION IN OUR COMMUNITY, ST. VINCENT HEALTHCARE PROVIDED CLASSROOM TUTORS AND SUPPORT FOR A TITLE ONE SCHOOL IN BILLINGS, MT. THE HOSPITAL SERVES AS THE SPONSORING AGENCY FOR THE FOSTER GRANDPARENT PROGRAM WHICH IS A PARTIALLY FEDERALLY FUNDED VOLUNTEER PROGRAM FOR LOW INCOME SENIORS TO SERVE AS CLASSROOM MENTORS FOR 659 AT-RISK CHILDREN. ST. VINCENT HEALTHCARE PARTICIPATED WITH UNITED WAY'S GRADUATION MATTERS INITIATIVE AIMED AT INCREASING HIGH SCHOOL GRADUATION RATES. STAFF ALSO SERVED ON THE BEST BEGINNINGS WORKGROUPS TO ENSURE CHILDREN UNDER AGE 5 WERE PREPARED FOR SCHOOL. TO MAINTAIN A HEALTH PROMOTING ENVIRONMENT, ST. VINCENT HEALTHCARE SUPPORTED LITTER REDUCTION EFFORTS INCLUDING THE ADOPTION OF A STRETCH OF HIGHWAY FOR QUARTERLY CLEAN-UP AND AN ANNUAL RIVER CLEANUP. TO ENSURE THOSE WHO ARE POOR AND VULNERABLE RECEIVE SERVICES IN THEIR COMMUNITY, WE SUPPORT ADVOCACY WORK THAT BENEFITS THESE INDIVIDUALS. WE BELIEVE OUR PARTICIPATION WILL ENSURE THE SOCIAL DETERMINANTS OF HEALTH ARE BEING ADDRESSED IN OUR COMMUNITY.ECONOMIC DEVELOPMENT EFFORTS INCLUDE COLLABORATIONS WITH BIG SKY ECONOMIC DEVELOPMENT AND THE BILLINGS CHAMBER OF COMMERCE. ST. VINCENT HEALTHCARE PROVIDED IN-KIND LEADERSHIP SUPPORT TO THOSE ORGANIZATIONS IN ADDITION TO FINANCIAL SUPPORT.SCHEDULE H, PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE TO HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF BAD DEBT. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT 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 ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. PART III, LINE 9B: AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. PART VI, LINE 2: ST. VINCENT HEALTHCARE PRIMARILY USES THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY IT SERVES. THE CHNA WAS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF RESIDENTS IN THE SERVICE AREA. SUBSEQUENTLY, THIS INFORMATION WAS USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS AS DESCRIBED IN THE HOSPITAL'S IMPLEMENTATION PLAN. ST. VINCENT HEALTHCARE LEADERS SERVE ON VARIOUS COMMUNITY BOARDS TO UNDERSTAND SPECIFIC NEEDS. OUTREACH AND RELATIONSHIPS WITH OTHER HOSPITALS AND CLINICS ALSO ENABLES ST. VINCENT TO BETTER ASSESS HEALTH CARE NEEDS OF OUR RURAL MONTANA COMMUNITIES. IN ADDITION TO THE CHNA, ST. VINCENT HEALTHCARE USES SECONDARY DATA SUCH AS COUNTY HEALTH RANKINGS, BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AND THE COMMUNITY HEALTH STATUS INDICATORS REPORT TO DETERMINE HEALTH NEEDS FOR COUNTIES BEYOND OUR PRIMARY SERVICE AREA. ST. VINCENT HEALTHCARE ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT. PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: ST. VINCENT HEALTHCARE'S PRIMARY SERVICE AREA INCLUDES YELLOWSTONE COUNTY WHICH INCLUDES THE ZIP CODES OF 59002, 59006, 59015, 59024, 59037, 59044, 59057, 59064, 59079, 59088, 59101, 59102, 59105, AND 59106. YELLOWSTONE COUNTY COVERS 2,633 SQUARE MILES WITH AN ESTIMATED POPULATION OF 151,882 RESIDENTS IN 2012. BILLINGS, THE COUNTY SEAT, IS THE STATE'S LARGEST CITY, WITH A 2012 POPULATION ESTIMATED AT 106,954. OTHER CITIES AND TOWNS IN YELLOWSTONE COUNTY INCLUDE: ACTON, BALLANTINE, BROADVIEW, CUSTER, HUNTLEY, LAUREL, POMPEY'S PILLAR, SHEPHERD, AND WORDEN. AS THE LARGEST CITY IN A 500 MILE RADIUS, BILLINGS SERVES AS A COMMERCIAL AND TRANSPORTATION HUB FOR THE STATE, AS WELL AS A MAJOR CENTER FOR EDUCATION AND MEDICAL SERVICES. BILLINGS BENEFITS FROM HAVING A DIVERSIFIED ECONOMY, WHERE OIL AND GAS, HEALTHCARE, LIVESTOCK, AND BANKING PLAY SIGNIFICANT ROLES. THE CITY BOASTS THREE COLLEGES (MSU-BILLINGS, CITY COLLEGE, AND ROCKY MOUNTAIN COLLEGE), TWO MAJOR HOSPITALS, TWO OIL REFINERIES, AND AN INTERNATIONAL AIRPORT. THE UNEMPLOYMENT RATE FOR YELLOWSTONE COUNTY AS OF NOVEMBER 2013 IS 3.6% COMPARED TO A STATEWIDE RATE OF 5%. PERSONS BELOW THE POVERTY LEVEL IN YELLOWSTONE COUNTY (PER 2008-2012 DATA) STAND AT 11.9% COMPARED WITH 14.8% STATEWIDE. THE POPULATION IN YELLOWSTONE COUNTY INCREASED BY 2.6% FROM APRIL 1, 2010 TO JULY 1, 2012 COMPARED WITH A STATEWIDE POPULATION INCREASE OF 1.6%. MONTANA'S LARGEST MINORITY POPULATION IS AMERICAN INDIAN, AT 6.3% OF THE STATE'S POPULATION COMPARED TO 0.9% NATIONALLY. IN YELLOWSTONE COUNTY, AMERICAN INDIANS MAKE UP 4.3% OF THE POPULATION, WITH SLIGHTLY MORE HISPANIC PEOPLE AT 4.9%. THE U.S. CENSUS BUREAU PROJECTS THAT BY 2025; MONTANA WILL HAVE THE THIRD HIGHEST PERCENTAGE OF ELDERLY IN THE NATION, WITH NEARLY A FIFTH OF ITS POPULATION ESTIMATED TO BE OVER THE AGE OF 65. 2012 CENSUS ESTIMATES INDICATE 15.7% OF MONTANANS ARE 65 OR OLDER AND 14.7% OF YELLOWSTONE COUNTY RESIDENTS ARE 65 AND OLDER. BY CONTRAST, PERSONS UNDER 18 STAND AT 22.1% AND 23.5%, RESPECTIVELY.ST. VINCENT HEALTHCARE'S TOTAL SERVICE AREA INCLUDES APPROXIMATELY 700,000 RESIDENTS AND COMPRISES MOST OF MONTANA AND PARTS OF WYOMING. AS DESCRIBED IN THE 2012 STATE PUBLIC HEALTH ASSESSMENT, MONTANA'S POPULATION IS HOVERING AROUND 1 MILLION PEOPLE IN AN AREA OF NEARLY 146,000 SQUARE MILES. IN THIS WIDE OPEN SPACE, THERE ARE ONLY SEVEN CITIES WITH MORE THAN 20,000 RESIDENTS AND 15 COMMUNITIES WITH 5,000 TO 19,999 RESIDENTS. NEARLY ALL THE STATE'S COMMUNITIES AND COUNTIES IN MONTANA ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) WITH MEDICALLY UNDERSERVED POPULATIONS (MUPS). PART VI, LINE 5: IN KEEPING WITH 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, ST. VINCENT HEALTHCARE ESTABLISHES INFRASTRUCTURE TO SUPPORT THE PROMOTION OF THE HEALTH OF THE COMMUNITY. ST. VINCENT HEALTHCARE ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, A GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT. ST. VINCENT HEALTHCARE'S COMMUNITY BENEFIT WORK IS DRIVEN BY IDENTIFIED COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS AND THE BROADER COMMUNITY. COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION AND STAFF AND BOARD EDUCATION IS CONDUCTED. ST. VINCENT HEALTHCARE HAS DEDICATED STAFF COMMITTED TO COMMUNITY BENEFIT EFFORTS. HOSPITAL LEADERS, MANAGERS, AND SUPERVISORS ARE REQUIRED TO PARTICIPATE ANNUALLY IN COMMUNITY BENEFIT SERVICE EVENTS WITH NON-PROFIT ORGANIZATIONS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. TO ENSURE THESE SERVICE EVENTS ARE MORE THAN A RANDOM ACT OF KINDNESS, EVENTS MUST MEET THE COMMUNITY BENEFIT DEFINITION. EMPLOYEES USE PAID WORK TIME TO SUPPORT THESE AND BROADER COMMUNITY HEALTH IMPROVEMENT EFFORTS WITH A VARIETY OF PARTNERS INCLUDING: HEALTHY BY DESIGN COALITION, THE ALLIANCE, SPECIAL OLYMPICS, BIG BROTHERS BIG SISTERS, BILLINGS FAMILY YMCA, MONTANA HOSPITAL ASSOCIATION, UNITED WAY OF YELLOWSTONE COUNTY, ALZHEIMER'S ASSOCIATION, AMERICAN DIABETES ASSOCIATION, COMMUNITY CRISIS CENTER, SUICIDE PREVENTION COALITION, BIG SKY SENIOR SERVICES, BILLINGS ACTION FOR HEALTHY KIDS, BILLINGS EDUCATION FOUNDATION PARTNERS IN EDUCATION, COURT APPOINTED SPECIAL ADVOCATES, ST. VINCENT DE PAUL, TRAILNET, YELLOWSTONE AIDS PROJECT, LAVIE, DRESS FOR SUCCESS, FAMILY TREE, THE COMPASSIONATE FRIENDS, MS SOCIETY, PARKINSON'S ASSOCIATION, MONTANA RESCUE MISSION, MONTANA PHARMACY ASSOCIATION, ICHANGEBILLINGS, INSTITUTIONAL REVIEW BOARD OF BILLINGS, BIG SKY ECONOMIC DEVELOPMENT. IN 2016, OUR LEADERS PROVIDED 3,477 HOURS OF SERVICE IN THE COMMUNITY, BENEFITTING MORE THAN 66 ORGANIZATIONS.ST. VINCENT HEALTHCARE'S BOARD OF DIRECTORS HAS A SPECIFIC COMMUNITY BENEFIT BOARD LEVEL COMMITTEE. THIS COMMITTEE IS DEEPLY INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND PROVIDES DIRECTION TO DEVELOPMENT OF THE ORGANIZATION'S IMPROVEMENT PLAN IN RESPONSE TO RESULTS OF COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL'S COMMUNITY BENEFIT BOARD COMMITTEE MONITORS IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND PROVIDES REPORTS BACK TO THE FULL HOSPITAL BOARD. ST. VINCENT HEALTHCARE OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. ST. VINCENT HEALTHCARE ENGAGES IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND PARTICIPATES IN MEDICAID, MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. ST. VINCENT HEALTHCARE EMPLOYS THE STAFF OF THE ST. VINCENT HEALTHCARE FOUNDATION, A NON-PROFIT ORGANIZATION THAT PROVIDES GRANT WRITING AND FUNDRAISING FOR BOTH ST. VINCENT HEALTHCARE PROGRAMS AND FOR COMMUNITY BENEFIT PROGRAMS THAT REACH BOTH THE POOR AND BROADER COMMUNITY. OPERATIONS OF THE ST. VINCENT HEALTHCARE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN ST. VINCENT HEALTHCARE HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL EDUCATION AND RESEARCH AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE WILL BE ABLE TO CARE FOR FUTURE GENERATIONS. ST. VINCENT CO-LEADS COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE ALLIANCE AND COMMITS TIME AND FINANCIAL RESOURCES TO FULFILLING GOALS OUTLINED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY. IN 2016, WE PROVIDED $286,466 IN MISSION FUND AWARDS TO THE COMMUNITY CRISIS CENTER, RIVERSTONE HEALTH (CITY-COUNTY HEALTH DEPARTMENT), YWCA, BIG SKY SENIOR SERVICES, FAMILY PROMISE, BOYS AND GIRLS CLUB, AND SPECIAL OLYMPICS. ST. VINCENT HEALTHCARE VALUES THESE COMMUNITY PARTNERSHIPS AND COLLABORATIONS AS AN INTEGRAL PART OF OUR COMMUNITY HEALTH IMPROVEMENT EFFORTS. PART VI, LINE 6: THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE 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.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION 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. 1 ST VINCENT HEALTHCARE FOUNDATION 1106 NORTH 30TH STREET BILLINGS MT 59101 810468034 501(C)(3) 1208000 SUPPORT OPERATIONS AMERICAN CANCER SOCIETY 1903 CENTRAL AVE BILLINGS MT 59102 131788491 501(C)(3) 13000 EVENT SPONSORSHIP AMERICAN DIABETES ASSOCIATION 1701 N BEAUREGARD ST ALEXANDRA VA 22311 131623888 501(C)(3) 5000 TOUR DE CURE MONTANA BIG SKY ECONOMIC DEVELOPMENT 222 NORTH 32ND STREET STE 200 BILLINGS MT 59101 810465162 501(C)(3) 5000 2016-17 BSED INVESTMENT BIG SKY SENIOR SERVICES 937 GRAND AVE BILLINGS MT 59102 810364919 501(C)(3) 26500 FY 2016 MISSION FUND AWARD BILLINGS AREA CHAMBER OF COMMERCE PO BOX 31177 BILLINGS MT 59107 810111570 501(C)(3) 5500 2017 CHAMBER BREAKFAST SPONSOR BILLINGS CATHOLIC SCHOOL PO BOX 31158 BILLINGS MT 59107 816081234 501(C)(3) 5000 READERBOARD SPONSORSHIP BILLINGS PUBLIC SCHOOL 415 N 30TH STREET BILLINGS MT 59101 810452904 501(C)(3) 11500 YES FOR KIDS DONATION/ADVOCACY BOYS & GIRLS CLUB 505 ORCHARD LANE BILLINGS MT 59101 810308003 501(C)(3) 12500 FY 2016 MISSION FUND AWARD COMMUNITY CRISIS CENTER 704 N 30TH STREET BILLINGS MT 59101 203231164 501(C)(3) 82000 OPERATIONAL SUPPORT FOR CRISIS INTERVENTION CENTER FAMILY PROMISE OF YELLOWSTONE VALLEY 40 10TH STREET BILLINGS MT 59102 200323622 501(C)(3) 26500 FY 2016 MISSION FUND AWARD LEADERSHIP MONTANA PO BOX 1373 BILLINGS MT 59103 208571151 501(C)(3) 5000 EVENT SPONSORSHIP FOUNDATION OF MONTANA STATE UNIV - BILLINGS 1500 UNIVERSITY DRIVE BILLINGS MT 59102 810301477 501(C)(3) 10500 EVENT SPONSORSHIP - STUDENT SCHOLARSHIPS MONTANA STATE UNIVERSITY FOUNDATION PO BOX 172750 BOZEMAN MT 59717 816001649 501(C)(3) 24000 YELLOWSTONE HALL PLEDGE, FOXMAN FAMILY FOUNDATION RIVERSTONE HEALTH 123 S 27TH STREET BILLINGS MT 59101 352332179 501(C)(3) 108027 FY 2016 MISSION FUND AWARD ROCKY MOUNTAIN COLLEGE 1500 POLY DRIVE BILLINGS MT 59102 810235407 501(C)(3) 10250 EVENT SPONSORSHIP RONALD MCDONALD HOUSE 1144 N 30TH STREET BILLINGS MT 59101 810400667 501(C)(3) 6600 CORKS AND CANVAS AUCTION & DINNER SPECIAL OLYMPICS MONTANA PO BOX 3507 GREAT FALLS MT 59403 810367064 501(C)(3) 10600 FY 2016 MISSION FUND AWARD ST JOHN LUTHERAN 3940 RIMROCK ROAD BILLINGS MT 59106 810288768 501(C)(3) 6500 SUMMER CONCERT SERIES SPONSOR YMCA 402 NORTH 32ND STREET BILLINGS MT 59101 810229386 501(C)(3) 40000 LIVESTRONG SPONSORSHIP, SALUTE CELEBRATION 20 0 PART I, LINE 2: MISSION FUND POLICIES ST VINCENT HEALTHCARE PROVIDES A LIMITED NUMBER OF GRANTS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN OUR COMMUNITY. GUIDED BY HOSPITAL POLICY, MISSION FUND AWARD PROJECTS MUST: (1) DEMONSTRATE A COMMITTMENT TO THE ST VINCENT HEALTHCARE MISSION, VISION, AND VALUES; (2) MEET CRITERIA FOR INCLUSION IN THE COMMUNITY BENEFIT REPORT; AND (3) DOCUMENT MEASURABLE OUTCOMES THAT DEMONSTRATE THE SUCCESS OF THE PROJECT. PREFERENCE WILL BE GIVEN WHEN THE PROJECT: (1) ADDRESSES CREATIVELY THE UNMET NEEDS OF THE ECONOMICALLY DISADVANTAGED; (2) FORMS COLLABORATIVE PARTNERSHIPS THAT IMPROVE THE HEALTH OF THE COMMUNITY; (3) AIDS A SIGNIFICANT POPULATION OF THE POOR, UNDERSERVED AND/OR UNINSURED; (4) REFLECTS ST VINCENT HEALTHCARE'S ANNUAL AND STRATEGIC GOALS; AND (5) DEMONSTRATE THE POSSIBILITY FOR SUSTAINABILITY BEYOND THE GRANT PERIOD. APPLICATIONS ARE REVIEWED ON AN ANNUAL BASIS BY COMMITTEE. GRANTEES ARE REQUIRED TO PROVIDE A 6-MONTH AND 1-YEAR REPORT TO ST VINCENT HEALTHCARE AND PROVIDE FOR AN ON-SITE VISIT OF THE PROGRAM. AS NOTED IN THE MISSION FUND APPLICATION, IF FUNDS ARE USED OUTSIDE OF PROJECT GUIDELINES THE GRANTEE MAY BE ASKED TO REIMBURSE ST VINCENT HEALTHCARE FOR FUNDS ALREADY DISTRIBUTED FOR THE PROJECT. 0 1 0 0 0 0 0 1 0 EVAN BUCHAN MD DIRECTOR 191542 0 84168 0 9374 0 21200 0 22530 0 328814 0 0 0 STEVE LOVELESS PRESIDENT & CEO 0 461919 0 71543 0 94782 0 75503 0 21607 0 725354 0 80560 RON OLDFIELD VICE PRES FINANCIAL SVS - SVB 0 219715 0 25544 0 71953 0 17370 0 17989 0 352571 0 0 MICHAEL BUSH MD VP-CHIEF MEDICAL OFFICER-SVH 0 317933 0 59104 0 13270 0 60065 0 32949 0 483321 0 0 BLANCHE GILMORE VP PATIENT CARE SERVICES - SVB 0 204559 0 23659 0 13219 0 37522 0 23021 0 301980 0 0 MICHAEL SKEHAN EXEC VP COO MONTANA REGION 0 299754 0 32597 0 2759 0 52700 0 9825 0 397635 0 0 JOHN KOMINSKY MD PHYSICIAN 379528 0 75582 0 9231 0 21200 0 16058 0 501599 0 0 0 LEE MCNEELY MD PHYSICIAN 425412 0 33965 0 3564 0 13250 0 10131 0 486322 0 0 0 DANIEL LEWIS MD PHYSICIAN 415701 0 39692 0 6652 0 21200 0 20648 0 503893 0 0 0 JOSHUA HOLSTEAD MD PHYSICIAN 397602 0 0 0 36949 0 17308 0 13616 0 465475 0 0 0 JAMES BENTLER MD PHYSICIAN 389230 0 41848 0 3080 0 21200 0 20656 0 476014 0 0 0 SCOTT SEARS FORMER OFFICER 0 84122 0 20000 0 112 0 0 0 7383 0 111617 0 0 DARREN WALKER FORMER KEY EMPLOYEE 0 114081 0 23762 0 837 0 30161 0 9892 0 178733 0 0 JEFFREY ZAVALA FORMER KEY EMPLOYEE 0 320701 0 36899 0 5378 0 63172 0 20776 0 446926 0 0 MICHAEL COPELAND MD FORMER HIGHEST PAID 0 886223 0 0 0 15267 0 21200 0 29166 0 951856 0 0 STUART GOODMAN MD FORMER HIGHEST PAID 0 825083 0 0 0 8003 0 19192 0 21927 0 874205 0 0 WILLIAM SPIRE MD FORMER HIGHEST PAID 0 737777 0 0 0 24389 0 20996 0 26023 0 809185 0 0 PART I, LINE 3 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. PART I, LINE 4B A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2016 WERE: 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 RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 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: RON OLDFIELD - $67,854. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E. PART I, LINE 7 THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT 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. JOSHUA HOLSTEAD MD HIGHEST PAID EMPLOYEE RETENTION LOAN X 138000 96029 0 1 1 96029 GREGORY BUSH SEE PART V 15632 EMPLOYMENT 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: MICHAEL BUSH (KEY EMPLOYEE), IS THE FATHER OF GREGORY BUSH, AN EMPLOYEE OF ST. VINCENT HEALTHCARE 990, PART I, LINE J WEBSITE: WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/ FORM 990, PART VI, SECTION A, LINE 6 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. VINCENT HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 7A SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF ST. VINCENT HEALTHCARE, APPROVES MEMBERS OF ST. VINCENT HEALTHCARE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ST. VINCENT HEALTHCARE AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCLHS' PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS SUGGESTIVE OF A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS AND MANAGERS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: EQUITY TRANSFER - FUND NEGATIVE CASH BALANCES IN PHYSICIAN CLINICS -62,500,000. EQUITY TRANSFER - INTEREST EXPENSE IN EXCESS OF INTEREST INCOME -23,537,068. FORM 990, PART XI: ST. VINCENT HEALTHCARE IS RELATED TO SCL HEALTH MEDICAL GROUP - BILLINGS, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS A GROUP OF PHYSICIAN CLINICS THAT PROVIDE PROFESSIONAL SERVICES TO THE ST. VINCENT HEALTHCARE COMMUNITY AND SUPPORTS THE MISSION OF ST. VINCENT HEALTHCARE. ALTHOUGH SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS NOT OWNED DIRECTLY BY ST. VINCENT HEALTHCARE, ST. VINCENT HEALTHCARE IS REQUIRED TO FUND ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP - BILLINGS, LLC THROUGH EQUITY TRANSFERS TO SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IN 2016, LOSSES RELATED TO THE PHYSICIAN PRACTICES WERE $24,544,727. SCHEDULE H, SECTION B, LINE 11 (CONTINUED) ST. VINCENT HEALTHCARE PROVIDED LEADERSHIP FOR THE CARE TRANSITIONS COALITION. ST. VINCENT HEALTHCARE STAFF CO-FACILITATED A COMMUNITY COLLABORATIVE, IN CONJUNCTION WITH A SPECIAL INNOVATIONS PROJECT LEAD BY MOUNTAIN PACIFIC QUALITY HEALTH, TO ADDRESS COMMUNITY-LEVEL PATIENTS WITH HIGH UTILIZATION OF EMERGENCY DEPARTMENTS AND HIGH READMISSION RATES. ST. VINCENT HEALTHCARE ALSO COLLABORATED WITH BILLINGS CLINIC, RIVERSTONE HEALTH, AND BLUE CROSS BLUE SHIELD OF MONTANA TO DEVELOP A HEALTH INFORMATION EXCHANGE WHICH WOULD INCLUDE DATA FOR THE COMMUNITY SUPER UTLIZER COLLABORATIVE. AS A MEMBER OF THE HEALTHY BY DESIGN COALITION, ST. VINCENT HEALTHCARE PARTNERED WITH UNITED WAY OF YELLOWSTONE COUNTY TO POPULATE A COMMUNITY RESOURCE DATABASE, MONTANA 211. THIS ELECTRONIC DATABASE PROVIDES RESIDENTS OF YELLOWSTONE COUNTY WITH A USER-FRIENDLY SEARCHABLE DATABASE FOR BASIC NEEDS AND HEALTH RESOURCES. MENTAL HEALTH & MENTAL DISORDERS, SUBSTANCE ABUSE (INCLUDING TOBACCO): ST. VINCENT HEALTHCARE CONTINUES TO SUPPORT ITS NON-PROFIT LLC PARTNERSHIP, THE COMMUNITY CRISIS CENTER, WITH FINANCIAL AND IN-KIND SUPPORT. THE COMMUNITY CRISIS CENTER PROVIDES ASSESSMENTS, CASE MANAGEMENT, GROUPS, ADDICTIONS COUNSELING, REFERRALS, AND STABILIZATION SERVICES TO PEOPLE 24 HOURS PER DAY 365 DAYS PER YEAR. THESE SERVICES ARE PROVIDED FOR PERSONS IN CRISIS WHO NEED ACCESS TO INTEGRATED MENTAL HEALTH, CHEMICAL DEPENDENCY AND SOCIAL SERVICES, REGARDLESS OF ABILITY TO PAY FOR THESE SERVICES. THIS INCLUDES A 24 HOUR STABILIZATION AREA FOR THOSE MOST AT RISK THAT DO NOT NEED HOSPITALIZATION. THE COMMUNITY CRISIS CENTER ALSO PROVIDES CRISIS INTERVENTION TEAM TRAINING FOR LAW ENFORCEMENT. IN 2016, OVER 10,000 CLIENT VISITS WERE MADE TO THE COMMUNITY CRISIS CENTER. ST. VINCENT HEALTHCARE HAS BEEN WORKING TO INTEGRATE BEHAVIORAL HEALTH SERVICES INTO EXISTING PRIMARY CARE PHYSICIAN PRACTICES. IN ADDITION, ST. VINCENT HEALTHCARE IS A MEMBER OF THE COMMUNITY COLLABORATIVE FOCUSED ON DEVELOPING A SYSTEMS APPROACH TO ADDRESS TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES (ACES) IN OUR COMMUNITY. THESE EFFORTS INCLUDE TRAINING 2,254 INDIVIDUALS INCLUDING MEDICAL PROVIDERS, SOCIAL SERVICE PROVIDERS, FAITH COMMUNITY, AND EDUCATORS OF THE EFFECTS OF TRAUMA AND ASSESSING ORGANIZATIONAL TRAUMA-RESPONSIVENESS FOR 9 ORGANIZATIONS. ST. VINCENT HEALTHCARE HAS ALSO TRAINED PERSONNEL TO PROVIDE MINDFULNESS CLASSES AS A COMMUNITY RESOURCE FOR TRAUMA RESPONSE. ST. VINCENT HEALTHCARE HAS PROVIDED FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY ORGANIZATIONS AND COLLABORATIONS ADDRESSING SUICIDE AND MENTAL HEALTH INCLUDING THE SUICIDE PREVENTION TASK FORCE, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), AND AMERICAN FOUNDATION FOR SUICIDE PREVENTION. ST. VINCENT HEALTHCARE PROVIDES TOBACCO CESSATION CLASSES FOR THE COMMUNITY. THE 7-WEEK EVIDENCE-BASED AMERICAN LUNG ASSOCIATION FREEDOM FROM SMOKING CLASS WAS OFFERED TEN TIMES DURING 2016 FOR TOBACCO USERS. ADVOCACY EFFORTS INCLUDED PROMOTING AND ENCOURAGING POLICY OPPORTUNITIES RELATED TO SMOKE FREE/TOBACCO FREE FACILITIES, CAMPUSES, WORKSITES, OR PUBLIC SPACES SUCH AS PARKS. ST. VINCENT HEALTHCARE PARTICIPATES IN THE COMMUNITY INNOVATIONS INITIATIVE. SPECIFICALLY ADDRESSING ISSUES OF CHRONIC PUBLIC INTOXICATION. THE MOTIVATED ADDITIONAL ALTERNATIVE PROGRAM (MAAP) PROVIDES THIS AT RISK-POPULATION WITH 12 HOURS OF INTENSIVE OUTPATIENT COUNSELING PER WEEK FOR 4 MONTHS. IN ADDITION, ST. VINCENT HEALTHCARE PARTICIPATES IN THE YELLOWSTONE COUNTY PRESCRIPTION PAIN TASK FORCE. ST. VINCENT HEALTHCARE PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ORGANIZATIONS WHICH ADDRESS OTHER IDENTIFIED HEALTH NEEDS INCLUDING THE AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, ALZHEIMER'S ASSOCIATION, AMERICAN HEART ASSOCIATION, MARCH OF DIMES, MS SOCIETY, PARKINSONS ASSOCIATION AND YELLOWSTONE AIDS PROJECT. ST. VINCENT HEALTHCARE PROVIDES INJURY PREVENTION, INCLUDING A DISTRACTED DRIVING PRESENTATION TO REGIONAL SCHOOLS. UNDERLYING SOCIAL DETERMINANTS OF HEALTH, SUCH AS EDUCATION, ARE ADDRESSED THROUGH COLLABORATION WITH BILLINGS EDUCATIONAL FOUNDATION'S PARTNERS IN EDUCATION PROGRAM WITH STAFF TUTORING STUDENTS AT A TITLE ONE SCHOOL AND SUPPORT OF UNITED WAY BEST BEGINNINGS COALITION AND UNITED WAY'S GRADUATION MATTERS INITIATIVE. EXISTING HEALTHCARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY ARE AVAILABLE TO RESPOND TO HEALTH NEEDS OF THE COMMUNITY NOT BEING ADDRESSED BY ST. VINCENT HEALTHCARE. ST. VINCENT HEALTHCARE CONTINUES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE THESE HEALTH NEEDS ARE ADDRESSED. 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