SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC (EIN 23-7379161)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-07
- IRS object ID
- 202523119349302137
- Schema version
- 2024v5.2
- 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 O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-07T12:14:40-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | 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 | 2005 MARKET ST STE 700 | AddressLine1Txt |
| City | PHILADELPHIA | CityNm |
| State Abbreviation | PA | StateAbbreviationCd |
| ZIP | 19103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | 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 | 8018427851 | 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 | SEAN FADDEN | PersonNm |
| Person Title | VP, FINANCE PEAKS REGION | PersonTitleTxt |
| Phone | 8018427851 | PhoneNum |
| Signature | 2025-11-07 | SignatureDt |
| Discuss With Paid Preparer | 0 | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAUREN E BENNETT | PreparerPersonNm |
| PTIN | P01787029 | PTIN |
| Phone | 2154485000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JIM SHEETS | 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 | $1,001,971,207 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://INTERMOUNTAINHEALTHCARE.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 (SEE SCHEDULE O) AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 5105 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $1,347,881 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $24,958,963 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,972,787 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $815,609,669 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $840,175,004 | CYProgramServiceRevenueAmt |
| PY Investment Income | $54,408,583 | PYInvestmentIncomeAmt |
| CY Investment Income | $127,187,539 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,138,021 | PYOtherRevenueAmt |
| CY Other Revenue | $1,373,897 | CYOtherRevenueAmt |
| PY Total Revenue | $898,115,236 | PYTotalRevenueAmt |
| CY Total Revenue | $990,709,227 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,736,934 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $853,535 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $471,459,225 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $515,212,591 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $358,766,425 | PYOtherExpensesAmt |
| CY Other Expenses | $351,493,539 | CYOtherExpensesAmt |
| PY Total Expenses | $838,962,584 | PYTotalExpensesAmt |
| CY Total Expenses | $867,559,665 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $59,152,652 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $123,149,562 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,723,371,503 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,578,999,231 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $920,499,710 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $478,550,496 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,802,871,793 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,100,448,735 | 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 | $788,202,825 | ExpenseAmt |
| Grant | $853,535 | GrantAmt |
| Revenue | $841,548,901 | RevenueAmt |
| Desc | ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) AFFILIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, AND WYOMING. THE ORGANIZATION EMPLOYS OVER 68,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA.SCLHS WAS FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH, WHO TRACE THEIR ORIGIN AS A RELIGIOUS COMMUNITY TO THE 1600S IN FRANCE, WHERE VINCENT DE PAUL AND LOUISE DE MARILLAC ESTABLISHED THE (SEE SCHEDULE O) 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, TENNESSEE, 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 THE HEALTH SYSTEM.SCLHS WAS FORMED IN 1972 TO STRENGTHEN AND UNIFY THE HEALTHCARE FACILITIES SPONSORED BY SCLHS. IN 2011, THE SISTERS TRANSFERRED SPONSORSHIP OF SCLHS TO LEAVEN MINISTRIES. IN APRIL 2022, SCLHS AFFILIATED WITH AFFILIATED WITH INTERMOUNTAIN HEALTH CARE, INC. CREATING AN INTEGRATED HEALTH SYSTEM WHOSE VISION IS TO "BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST". SCLHS' RICH HERITAGE AND ENDURING LEGACY SERVE AS THE FOUNDATION FOR ITS HEALTH MINISTRY TODAY, AND ITS MISSION, VISION AND VALUES SERVE AS THE FRAMEWORK FOR ITS SUCCESS. SCLHS IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL SCLHS SUBSIDIARIES. SCLHS PERFORMS NUMEROUS COORDINATED AND CENTRALIZED SERVICES FOR THE ENTITIES AND CARE SITES THAT COMPRISE ITS SYSTEM, SUCH AS ADMINISTERING FINANCING AND CAPITAL FORMATION PROGRAMS; ETHICAL AND RELIGIOUS DIRECTIVES; FINANCIAL REPORTING; TAX SERVICES; HUMAN RESOURCES FUNCTIONS, INCLUDING EXECUTIVE RECRUITING AND ADMINISTERING AND MAINTAINING WELFARE, BENEFIT AND RETIREMENT PLANS; INFORMATION TECHNOLOGY SERVICES, INCLUDING ELECTRONIC MEDICAL RECORD SYSTEMS, BUSINESS MANAGEMENT SYSTEMS, EQUIPMENT AND CONNECTIVITY; INTERNAL AUDIT FUNCTIONS; LEGAL SERVICES; PHYSICIAN NETWORK DEVELOPMENT; PROCUREMENT AND SUPPLY CHAIN MANAGEMENT, INCLUDING MEDICAL DEVICES, SUPPLIES AND EQUIPMENT; PROFESSIONAL LIABILITY INSURANCE THROUGH A CAPTIVE PROVIDER, INCLUDING GROUP EXCESS COVERAGE, REINSURANCE AND LITIGATION MANAGEMENT; PUBLIC RELATIONS; COMMUNICATIONS AND LEGISLATIVE AFFAIRS; REAL ESTATE MANAGEMENT SERVICES, INCLUDING LEASING, CONSTRUCTION, PURCHASE AND SALE; REGULATORY COMPLIANCE SERVICES; REVENUE CYCLE MANAGEMENT SERVICES, INCLUDING BILLING AND COLLECTIONS; RISK MANAGEMENT SERVICES, INCLUDING SELF-INSURANCE, GROUP EXCESS COVERAGE AND REINSURANCE; AND LITIGATION MANAGEMENT. THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH-QUALITY, COST-EFFECTIVE AND COMPASSIONATE HEALTHCARE 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 HEALTH SYSTEM. OUR MISSION, VISION AND VALUES ARE LISTED BELOW.MISSION, VISION, & VALUES 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.VISION:BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST.VALUES:WE ARE LEADERS IN CLINICAL EXCELLENCE, DELIVERING SAFE, BEST-IN-QUALITY CARE.WE BELIEVE IN WHAT WE DO, LIVING OUR MISSION EVERY DAY.WE SERVE WITH EMPATHY, CARING FOR EACH CAREGIVER, PATIENT, AND MEMBER WITH COMPASSION AND RESPECT.WE ARE PARTNERS IN HEALTH, COLLABORATING TO KEEP PEOPLE WELL.WE DO THE RIGHT THING, LEARNING AND ACTING WITH PURPOSE.WE ARE BETTER TOGETHER, BUILDING COMMUNITY THROUGH TEAMWORK AND BELONGING. | Desc |
| Total Program Service Expenses | $788,202,825 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 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 | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 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 | 950 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 5105 | 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 | BR | ForeignCountryCd |
| Foreign Country | RS | 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | COLIN QUINCY | PersonNm |
| Phone | 8014423491 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36 SOUTH STATE STREET SUITE 1600 | AddressLine1Txt |
| City | SALT LAKE CITY | CityNm |
| State Abbreviation | UT | StateAbbreviationCd |
| ZIP | 84111 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (58 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|---|
| LYDIA JUMONVILLE | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | Yes (X) | $3,831,755 | $0 | $17,887 | ||||
| JAMES VALIN MD | ||||||||||
| FORMER OFFICER | 50.00 | 8.00 | Yes (X) | $2,247,077 | $0 | $1,292,195 | ||||
| MARK KORTH | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | Yes (X) | $3,483,219 | $0 | $2,027 | ||||
| CLAY ASHDOWN | ||||||||||
| TREASURER, SVP, CFO | 2.00 | 59.00 | $0 | $1,890,547 | $1,278,871 | Yes (X) | ||||
| GREG J MATIS | ||||||||||
| SECRETARY | 2.00 | 58.00 | $0 | $1,727,776 | $979,605 | Yes (X) | ||||
| CRAIG RICHARDVILLE | ||||||||||
| CHIEF DIGITAL & INFO OFF(PARTIAL) | 50.00 | 2.00 | $2,465,075 | $0 | $72,126 | Yes (X) | ||||
| MEGAN MAHNCKE | ||||||||||
| CHIEF MARKETING & COMM. OFFICER | 50.00 | 4.00 | $1,123,969 | $0 | $543,995 | Yes (X) | ||||
| TAJQUAH HUDSON | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | Yes (X) | $1,558,104 | $0 | $8,611 | ||||
| ROBERT FERGUSON MD | ||||||||||
| CHIEF MEDICAL OFFICER, PEAKS REGION (PARTIAL) | 50.00 | 1.00 | $1,145,979 | $0 | $409,422 | Yes (X) | ||||
| SCOTT PEEK | ||||||||||
| FRONT RANGE MKT PRESIDENT, SJD PRES | 2.00 | 56.00 | $0 | $1,119,277 | $385,820 | Yes (X) | ||||
| YEVGENIY AREFIEV MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,354,371 | $0 | $60,498 | Yes (X) | ||||
| JAMES SHEETS | ||||||||||
| SYSTEM PRESIDENT (PARTIAL) | 50.00 | 2.00 | $1,119,623 | $0 | $274,622 | Yes (X) | Yes (X) | |||
| HEIDI WALD | ||||||||||
| CHIEF Q&S OFFICER (PARTIAL) | 50.00 | 0.00 | $1,292,863 | $0 | $44,368 | Yes (X) | ||||
| LOUIS ROSS MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,166,691 | $0 | $53,056 | Yes (X) | ||||
| ALAN BAKER | ||||||||||
| CHIEF ADMIN OFFICER, MEDICAL GROUP | 50.00 | 0.00 | $863,807 | $0 | $321,855 | Yes (X) | ||||
| SUZANNE DRAPER | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | Yes (X) | $0 | $1,140,791 | $16,541 | ||||
| STACY JENNINGS | ||||||||||
| VP, CHIEF INVESTMENT OFFICER | 2.00 | 55.00 | $0 | $835,217 | $297,105 | Yes (X) | ||||
| BRYAN JOHNSON | ||||||||||
| W CO MKT PRES/SMGJ PRES/INT MT MKT PRES/SVB PRES | 2.00 | 56.00 | $0 | $789,764 | $295,366 | Yes (X) | ||||
| BARBARA JAHN | ||||||||||
| VP, SERVICE LINES AND OP (PARTIAL) | 50.00 | 1.00 | $976,088 | $0 | $101,172 | Yes (X) | ||||
| STUART GOODMAN MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $1,012,233 | $0 | $47,118 | Yes (X) | ||||
| AMY CHURCH | ||||||||||
| VP, FINANCIAL PLANNING AND ANALYTICS | 50.00 | 8.00 | $752,763 | $0 | $287,460 | Yes (X) | ||||
| BENJAMIN ROSENBAUM MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $903,876 | $0 | $45,946 | Yes (X) | ||||
| SIMON PAYNE MD | ||||||||||
| CMO, PEAKS REGION (PARTIAL) | 50.00 | 2.00 | $910,662 | $0 | $30,019 | Yes (X) | ||||
| DAVID SIMS MD | ||||||||||
| PHYSICIAN | 50.00 | 0.00 | $857,000 | $0 | $61,923 | Yes (X) | ||||
| TROY SPRING | ||||||||||
| VP, REVENUE CYCLE | 50.00 | 0.00 | $642,049 | $0 | $244,080 | Yes (X) | ||||
| DINA BUSH | ||||||||||
| VP, CHIEF NURSING OFFICER | 50.00 | 1.00 | $558,362 | $0 | $193,725 | Yes (X) | ||||
| LEE BOYLES | ||||||||||
| MONTANA MKT PRESIDENT (PARTIAL) | 2.00 | 52.00 | $0 | $577,655 | $142,739 | Yes (X) | ||||
| SEAN FADDEN | ||||||||||
| VP, FINANCE PEAKS REGION | 50.00 | 7.00 | $531,506 | $0 | $182,934 | Yes (X) | ||||
| LEE SYPHUS | ||||||||||
| VP, OPERATIONS, MEDICAL GROUP | 50.00 | 3.00 | $511,984 | $0 | $192,070 | Yes (X) | ||||
| SUSAN SCHAUB | ||||||||||
| VP, TOTAL REWARDS (PARTIAL) | 50.00 | 0.00 | $640,068 | $0 | $62,869 | Yes (X) | ||||
| JAMES RITCHEY | ||||||||||
| VP, HR STRATEGY/VP HR (PARTIAL) | 50.00 | 0.00 | $487,661 | $0 | $193,103 | Yes (X) | ||||
| JOHN CASEY | ||||||||||
| VP, STRATEGY & BUS DEV, PEAKS REGION | 50.00 | 0.00 | $462,718 | $0 | $172,086 | Yes (X) | ||||
| CHRISTOPHER AWTREY MD | ||||||||||
| REGION CMO, MEDICAL GROUP (PARTIAL) | 2.00 | 54.00 | $0 | $518,345 | $112,360 | Yes (X) | ||||
| MELINDA MENDOZA | ||||||||||
| VP, BUSINESS ETHICS AND COMPLIANCE | 2.00 | 55.00 | $0 | $412,668 | $130,848 | Yes (X) | ||||
| JACOB HARRISON | ||||||||||
| CHIEF CATHOLIC MISSION OFFICER | 50.00 | 0.00 | $367,499 | $0 | $157,738 | Yes (X) | ||||
| TERENCE MOLOUGHNEY | ||||||||||
| ASSISTANT SECRETARY (PARTIAL) | 50.00 | 7.00 | $454,404 | $0 | $62,322 | Yes (X) | ||||
| GREGG MOSS | ||||||||||
| VP, MARKETING AND COMM., PEAKS REGION | 50.00 | 3.00 | $351,169 | $0 | $123,315 | Yes (X) | ||||
| KELLY ADAMS | ||||||||||
| ASSISTANT SECRETARY (PARTIAL) | 50.00 | 8.00 | $294,501 | $0 | $90,592 | Yes (X) | ||||
| ROSLAND MCLEOD | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | Yes (X) | $341,925 | $0 | $10,002 | ||||
| DAVID PRINGLE | ||||||||||
| FORMER OFFICER | 0.00 | 0.00 | Yes (X) | $285,662 | $0 | $21,973 | ||||
| JEREMY ROGERS | ||||||||||
| VP, HR, PEAKS REGION (PARTIAL) | 50.00 | 0.00 | $244,455 | $0 | $42,932 | Yes (X) | ||||
| SHAWN DUFFORD | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | Yes (X) | $231,412 | $0 | $0 | ||||
| KHADIJA SCOTT | ||||||||||
| FORMER OFFICER | 50.00 | 0.00 | Yes (X) | $166,849 | $0 | $46,203 | ||||
| TROY HOLMES | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | Yes (X) | $209,743 | $0 | $737 | ||||
| DOUGLAS ADEN | ||||||||||
| VICE CHAIR | 2.00 | 1.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | |||
| SISTER BARBARA ALDRICH | ||||||||||
| TRUSTEE | 2.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| JOE BREMAN | ||||||||||
| TRUSTEE | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| TRACEY CAMPBELL | ||||||||||
| TRUSTEE | 2.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| JOHN CECH | ||||||||||
| TRUSTEE | 2.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| LINDA CHILDEARS | ||||||||||
| TRUSTEE | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| KAREN FAGG | ||||||||||
| TRUSTEE | 2.00 | 4.00 | $0 | $0 | $0 | Yes (X) | ||||
| JIM GARCIA | ||||||||||
| TRUSTEE (PARTIAL) | 2.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| BERRY MORTON MD | ||||||||||
| TRUSTEE | 2.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| KATHRYN A PAUL | ||||||||||
| TRUSTEE (PARTIAL) | 2.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| NGUYEN-VU PHAM | ||||||||||
| SECRETARY | 2.00 | 4.00 | $0 | $0 | $0 | Yes (X) | ||||
| MICHAEL SALEM MD | ||||||||||
| TRUSTEE | 2.00 | 2.00 | $0 | $0 | $0 | Yes (X) | ||||
| RITA TURLEY | ||||||||||
| TRUSTEE (PARTIAL) | 2.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| BARTH WHITHAM | ||||||||||
| CHAIR | 2.00 | 1.00 | $0 | $0 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $33,847,122 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,012,040 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $9,110,236 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 914 | 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 |
|---|---|---|---|---|---|
| BARTON MALOW-HASELDEN | |||||
| 26500 AMERICAN DRIVE | SOUTHFIELD | MI | 48034 | CONSTRUCTION SERVICES | $49,073,957 |
| RIGHTSOURCING INC | |||||
| 999 STEWART AVENUE SUITE 100 | BETHPAGE | NY | 11714 | CONTRACT LABOR | $48,741,868 |
| SAUNDERS EXPRESS LLC | |||||
| 86 INVERNESS PLACE NORTH | ENGLEWOOD | CO | 80112 | MEDICAL SERVICES | $27,006,332 |
| MIDTOWN INPATIENT MEDICINE LLC | |||||
| 835 E 18TH AVE STE 110 | DENVER | CO | 80218 | MEDICAL SERVICES | $24,974,550 |
| ROCKY MOUNTAIN PRIMARY CARE | |||||
| 7625 W 92ND AVE | WESTMINSTER | CO | 80021 | MEDICAL SERVICES | $22,764,323 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 262 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $21,902,211 | RelatedOrganizationsAmt |
| Government Grants | $70,576 | GovernmentGrantsAmt |
| Total Contributions | $21,972,787 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MANAGEMENT SERVICES | 560000 | $513,136,133 | $513,136,133 | |
| PATIENT SERVICES | 620000 | $212,029,929 | $211,986,174 | $43,755 |
| PHARMACY | 440000 | $114,580,780 | $113,086,971 | $1,493,809 |
| JOINT VENTURES-MEDICAL | 620000 | $428,162 | $428,162 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $840,175,004 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $37,642,463 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$189,683 | UnrelatedBusinessRevenueAmt |
| Exclusion | $37,832,146 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $98,627,259 | SecuritiesAmt |
| Other | $2,179,797 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $11,261,980 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $98,627,259 | SecuritiesAmt |
| Other | -$9,082,183 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89,545,076 | TotalRevenueColumnAmt |
| Exclusion | $89,545,076 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| LEGAL EXPENSE RECOVERY | 541199 | $1,190,826 | $1,190,826 |
| RETIREMENT PLAN CREDIT | 524298 | $183,071 | $183,071 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,373,897 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $990,709,227 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $840,011,337 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,347,881 | UnrelatedBusinessRevenueAmt |
| Exclusion | $127,377,222 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $853,535 | TotalAmt |
| Program Services | $853,535 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,613,296 | TotalAmt |
| Program Services | $3,077,823 | ProgramServicesAmt |
| Management And General | $16,535,473 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,396,895 | TotalAmt |
| Program Services | $384,227,601 | ProgramServicesAmt |
| Management And General | $18,169,294 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,853,996 | TotalAmt |
| Program Services | $15,942,498 | ProgramServicesAmt |
| Management And General | $3,911,498 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,239,192 | TotalAmt |
| Program Services | $32,807,999 | ProgramServicesAmt |
| Management And General | $10,431,193 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,109,212 | TotalAmt |
| Program Services | $28,340,539 | ProgramServicesAmt |
| Management And General | $1,768,673 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,554,328 | TotalAmt |
| Management And General | $11,554,328 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,884 | TotalAmt |
| Management And General | $16,884 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,578 | TotalAmt |
| Management And General | $253,578 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,167 | TotalAmt |
| Management And General | $48,167 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,866,326 | TotalAmt |
| Management And General | $10,866,326 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,111,169 | TotalAmt |
| Program Services | $48,212,510 | ProgramServicesAmt |
| Management And General | $898,659 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,185,770 | TotalAmt |
| Program Services | $7,185,770 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,915,452 | TotalAmt |
| Program Services | $13,848,608 | ProgramServicesAmt |
| Management And General | $66,844 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,829,888 | TotalAmt |
| Program Services | $69,829,888 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,967,578 | TotalAmt |
| Program Services | $14,965,508 | ProgramServicesAmt |
| Management And General | $2,070 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,700,373 | TotalAmt |
| Program Services | $7,299,032 | ProgramServicesAmt |
| Management And General | $401,341 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,271,848 | TotalAmt |
| Program Services | $1,227,234 | ProgramServicesAmt |
| Management And General | $44,614 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,648,436 | TotalAmt |
| Program Services | $2,648,436 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,214,866 | TotalAmt |
| Program Services | $21,466,601 | ProgramServicesAmt |
| Management And General | $748,265 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,174 | TotalAmt |
| Program Services | $275,132 | ProgramServicesAmt |
| Management And General | $29,042 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $94,283,098 | $94,283,098 | |
| CONTRACT LABOR | $18,584,266 | $17,734,423 | $849,843 |
| NON MEDICAL SUPPLIES | $10,729,167 | $10,725,490 | $3,677 |
| SELF-INSURED MAINT | $6,415,179 | $6,415,179 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,592,992 | TotalAmt |
| Program Services | $6,835,921 | ProgramServicesAmt |
| Management And General | $2,757,071 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $867,559,665 | TotalAmt |
| Program Services | $788,202,825 | ProgramServicesAmt |
| Management And General | $79,356,840 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,538,059 | BOYAmt |
| EOY | $19,304,702 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $8,360,519 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,735,006 | BOYAmt |
| EOY | $863,123 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,268,860 | BOYAmt |
| EOY | $14,447,967 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,457,964 | BOYAmt |
| EOY | $3,505,257 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,925,463 | BOYAmt |
| EOY | $16,882,762 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $177,192,877 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $87,771,128 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,323,405 | BOYAmt |
| EOY | $89,421,749 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,462,413,845 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $685,334,351 | BOYAmt |
| EOY | $2,133,858,566 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,256,672 | BOYAmt |
| EOY | $180,734,200 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,850,000 | BOYAmt |
| EOY | $22,050,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,267,878 | BOYAmt |
| EOY | $89,570,386 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,723,371,503 | BOYAmt |
| EOY | $2,578,999,231 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $262,861,953 | BOYAmt |
| EOY | $256,007,392 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,313,569 | BOYAmt |
| EOY | $3,145,472 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $655,324,188 | BOYAmt |
| EOY | $219,397,632 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $920,499,710 | BOYAmt |
| EOY | $478,550,496 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,784,047,058 | BOYAmt |
| EOY | $2,078,688,931 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,824,735 | BOYAmt |
| EOY | $21,759,804 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,802,871,793 | BOYAmt |
| EOY | $2,100,448,735 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,723,371,503 | BOYAmt |
| EOY | $2,578,999,231 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $123,149,562 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $35,461,062 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $138,966,318 | 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 | 10 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (10 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| ST JAMES HEALTHCARE | ||||
| 810231785 | 3 | 0 | $0 | $0 |
| SAINT JOSEPH HOSPITAL INC | ||||
| 840417134 | 3 | 0 | $0 | $0 |
| INTERMOUNTAIN FRONT RANGE INC | ||||
| 841103606 | 3 | 0 | $0 | $0 |
| ST MARY'S HOSPITAL AND MEDICAL CENTER INC | ||||
| 840425720 | 3 | 0 | $0 | $0 |
| SCL HEALTH - MONTANA | ||||
| 810232124 | 3 | 0 | $0 | $0 |
| HOLY ROSARY HEALTHCARE | ||||
| 810231792 | 3 | 0 | $0 | $0 |
| CARITAS CLINICS INC | ||||
| 481009910 | 3 | 0 | $315,511 | $0 |
| MOUNT ST VINCENT HOME | ||||
| 840405260 | 10 | 0 | $500,000 | $0 |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | ||||
| 840482695 | 3 | 0 | $0 | $0 |
| SCL HEALTH RESEARCH INSTITUTE INC | ||||
| 852014794 | 3 | 0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 10 | SupportedOrganizationsTotalCnt |
| Support Sum | $815,511 | 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 | 0 | 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 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE PARENT OF EACH OF ITS SUPPORTED ORGANIZATIONS AND CONTROLS THEM AS PART OF AN INTEGRATED HEALTH SYSTEM. A CLOSE AND HISTORIC ORGANIZATIONAL RELATIONSHIP ENSURES THAT SCLHS AND ITS SUPPORTED ORGANIZATIONS SHARE A SUBSTANTIAL IDENTITY OF INTERESTS. THE SUPPORTED CLASS ALSO INCLUDES OTHER QUALIFIED NONPROFIT ORGANIZATIONS UNDER 501(C)(3) THAT SHARE A SIMILAR MISSION OF IMPROVING THE HEALTH OF PEOPLE AND COMMUNITIES SERVED. |
| 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 SCLHS. |
| SCHEDULE A, PART IV, SECTION C, LINE 1 | EACH OF THE SUPPORTED ORGANIZATIONS IS PART OF AN INTEGRATED HEALTH SYSTEM. SCLHS' MEMBERS, INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN) AND THE MEMBERS OF LEAVEN MINISTRIES, DIRECTLY CONTROL SCLHS AND INDIRECTLY CONTROL ALL OF THE SCLHS SUBSIDIARIES. |
| SCHEDULE A, PART IV, SECTION E, LINE 3A | THE MEMBERS OF SCLHS ARE INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION, AND THE MEMBERS OF LEAVEN MINISTRIES. EACH MEMBER OF LEAVEN MINISTRIES SHALL SERVE AS A MEMBER OF THE CORPORATION DURING THE MEMBER'S TERM OF OFFICE AS A MEMBER OF LEAVEN MINISTRIES, WHICH IS AN UNINCORPORATED PUBLIC JURIDIC PERSON AUTHORIZED BY THE CATHOLIC CHURCH. SCLHS IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS. SCLHS APPROVES MEMBERS OF THE SUPPORTED ORGANIZATIONS' BOARDS OF DIRECTORS SUBJECT TO RATIFICATION BY INTERMOUNTAIN. |
| SCHEDULE A, PART IV, SECTION E, LINE 3B | SCLHS HAS THE FOLLOWING RESERVE POWERS THAT ARE USED TO EXERCISE A SUBSTANTIAL DEGREE OF DIRECTION OVER ITS SUPPORTED ORGANIZATIONS: - INTEGRATE SCLHS INTO THE INTERMOUNTAIN HEALTH CARE, INC. INTERMOUNTAIN GOVERNANCE AND OPERATING MODEL; - IMPLEMENT SCLHS' MISSION, VISION, VALUES, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES AND ADOPT ANY NEEDED SUPPLEMENTAL POLICIES, PROCEDURES, AND GUIDELINES, SO LONG AS SUCH DO NOT CONFLICT WITH INTERMOUNTAIN POLICY, PROCEDURE, OR GUIDELINE; - ENSURE COMMUNITY BOARDS IMPLEMENT INTERMOUNTAIN POLICIES, PROCEDURES, AND GUIDELINES AND, TO THE EXTENT COMMUNITY BOARDS ADOPT ANY SUPPLEMENTAL POLICIES, PROCEDURES, AND GUIDELINES, ENSURE SUCH DO NOT CONFLICT WITH AN INTERMOUNTAIN POLICY, PROCEDURE, OR GUIDELINE; - FACILITATE RELATIONSHIPS WITH GOVERNMENT OFFICIALS AND BUSINESS AND CIVIC LEADERS WITHIN THE REGION AND ITS COMMUNITIES; - PURSUE SHARED RESPONSIBILITY FOR MEANINGFUL PHILANTHROPIC DEVELOPMENT WITHIN THE STATES AND COMMUNITIES IN WHICH SCLHS OPERATES; - NOMINATE TRUSTEES AND BOARD OFFICERS OF SCLHS FOR APPOINTMENT AND ELECTION BY THE MEMBERS; - APPOINT TRUSTEES TO THE COMMUNITY BOARDS, SUBJECT TO RATIFICATION BY INTERMOUNTAIN; - ENSURE COMPLIANCE WITH THE LEAVEN MINISTRIES RESERVED POWERS AND CATHOLIC PROTECTIONS, AS APPROPRIATE; AND - EXERCISE ANY OTHER APPLICABLE DELEGATED OR RETAINED POWERS, AS SET FORTH IN THE GOVERNANCE MATRIX. |
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 | $48,167 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $48,167 | 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 $48,167 WERE DERIVED FROM ADVOCACY SERVICES REALATED TO A LOCAL BALLOT INITIATIVE IMPACTING ONE OF THE HEALTH SYSTEMS' HOSPITAL CAMPUSES. | 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 | $2,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $2,000,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $2,000,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $2,000,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,000,000 | BeginningYearBalanceAmt |
| End Year Balance | $2,000,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| 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 | $11,771,886 | OtherCostOrOtherBasisAmt |
| Book Value | $11,771,886 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,093,429 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,592,919 | DepreciationAmt |
| Book Value | $37,500,510 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,263 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,313 | DepreciationAmt |
| Book Value | $100,950 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $102,904,294 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,215,478 | DepreciationAmt |
| Book Value | $33,688,816 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,317,005 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,957,418 | DepreciationAmt |
| Book Value | $6,359,587 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $89,421,749 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (11 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| JOINT VENTURE - DENVER WEST ENDOSCOPY CTR, LLC | $464,263 | F |
| JOINT VENTURE - LUTHERAN CAMPUS ASC, LLC | $2,118,418 | F |
| JOINT VENTURE - SCLH-GI ENDOSCOPY CENTER HOLDINGS, LLC | $647,357 | F |
| JOINT VENTURE - SCLTDI JV, LLC | $15,441,358 | F |
| JOINT VENTURE - THE REHABILITATION HOSPITAL OF MONTANA, LLC | $780,064 | F |
| JOINT VENTURE - SCL HEALTH PARTNERS, LLC | $1,850,000 | F |
| JOINT VENTURE - SJ EAST CAMPUS ASC, LLC | $592,457 | F |
| REAL RETURN INVESTMENTS | $11,359,058 | F |
| INTEREST IN INTERMOUNTAIN HEALTH CARE INC. INVESTMENTS | $2,094,362,909 | F |
| JOINT VENTURE - GALLATIN | $5,350,064 | F |
| JOINT VENTURE - UC HEALTH VENTURES | $892,618 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $2,133,858,566 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NOTES REC - INTERCOMPANY | Desc |
| Book Value | $180,734,200 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $180,734,200 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLE | $72,882,399 |
| DEFERRED COMPENSATION PLAN PAYABLE | $4,856,566 |
| DUE TO BROKERS FOR SECURITIES PURCHASED | $111,531,471 |
| ACCRUED LIABILITY - OPERATING LEASE | $23,405,132 |
| GUARANTEE FEE PAYABLE | $2,512,536 |
| ACCRUED LIABILITY - FINANCING LEASE | $2,545,140 |
| ACCRUED LIABILITY - EPIC HOSTING FEES | $1,664,388 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $219,397,632 | 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 TO BE USED FOR EDUCATIONAL PURPOSES AS DETERMINED BY SCLHS MANAGEMENT. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (6 entries)
| RegionRegionTxt | OfficesOfficesCnt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt |
|---|---|---|---|
| CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, | 0 | 0 | INVESTMENTS |
| EAST ASIA AND THE PACIFIC - AUSTRALIA, BRUNEI, BURMA, CAMBODIA, | 0 | 0 | INVESTMENTS |
| EUROPE (INCLUDING ICELAND & GREENLAND) - ALBANIA, ANDORRA, AUSTRIA, BELGIUM | 0 | 0 | INVESTMENTS |
| NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES | 0 | 0 | INVESTMENTS |
| SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR, | 0 | 0 | INVESTMENTS |
| SOUTH ASIA-AFGHANISTAN, BANGLADESH, BHUTAN, INDIA, MALDIVES, NEPAL, | 0 | 0 | INVESTMENTS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $0 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $0 | 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 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HISTORICALLY HAS COMPLETED SCHEDULE F, PART I FOR ITS' INVESTMENTS IN THE FOLLOWING REGIONS: CENTRAL AMERICA AND THE CARIBBEAN, EAST ASIA AND THE PACIFIC, EUROPE, NORTH AMERICA (CANADA AND MEXICO), SOUTH AMERICA, AND SOUTH ASIA. IN 2024, AS PART OF ITS CONTINUED INTEGRATION INTO INTERMOUNTAIN HEALTH CARE, INC. (FEIN: 87-0269232) AS PART OF ITS 2022 AFFILIATION, ALL INVESTMENTS WERE TRANSFERRED FROM SCLHS TO INTERMOUNTAIN HEALTH CARE, INC. AS A RESULT, SCLHS IS STILL LISTING ITS INVESTMENT REGIONS FOR 2024, BUT SHOWING ENDING BALANCE SHEET INVESTMENT BALANCES OF $0 FOR EACH REGION. ALL FOREIGN FORMS REFERENCED IN PART IV WILL BE PREPARED BY SCLHS FOR THE ACTIVITY THAT OCCURRED PRIOR TO THE TRANSFERS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,740,254 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,905,030 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $835,224 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,384,059 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $33,503,383 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,124,313 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $36,408,413 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $835,224 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,042,648 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,240,291 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,802,357 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,042,648 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,240,291 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,802,357 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00440 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,166,961 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $38,648,704 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,637,581 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,780,152 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $36,726,551 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $87,336,460 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$50,609,909 | 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 (7 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 | 0.36680 | 0.00000 | 0.25140 |
| 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 |
| 5 SJ EAST CAMPUS ASC LLC | |||
| AMBULATORY SURGICAL | 0.36500 | 0.00000 | 0.25510 |
| 6 GALLATIN VALLEY SURGERY CENTER LLC | |||
| AMBULATORY SURGICAL | 0.51000 | 0.00000 | 0.49000 |
| 7 DOWNTOWN DENVER ENDOSCOPY CENTER LLC | |||
| ENDOSCOPY SERVICES | 0.51000 | 0.00000 | 0.49000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE REHABILITATION HOSPITAL OF MONTANA LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3572 HESPER ROAD | AddressLine1Txt |
| City | BILLINGS | CityNm |
| State Abbreviation | MT | StateAbbreviationCd |
| ZIP | 59102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.REHABHOSPITALOFMONTANA.COM | WebsiteAddressTxt |
| State License | LICENSE# 13564 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE REHABILITATION HOSPITAL OF MONTANA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| THE REHABILITATION HOSPITAL OF MONTANA, LLC | PART V, SECTION B, LINE 5: IN 2023, THE REHABILITATION HOSPITAL OF MONTANA, LLC (RHOM) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN COLLABORATION WITH SCL HEALTH - MONTANA, A NONPROFIT HOSPITAL LOCATED IN BILLINGS, MT; BILLINGS CLINIC, A NONPROFIT HOSPITAL LOCATED IN BILLINGS, MT; RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT AND FEDERALLY QUALIFIED HEALTH CENTER; AND PRC, A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM. A STEERING COMMITTEE PROVIDED GUIDANCE CONSISTING OF REPRESENTATIVES FROM PUBLIC HEALTH, FAITH-BASED ORGANIZATIONS, GOVERNMENT ENTITIES, SOCIAL SERVICE AGENCIES, AND PRIVATE BUSINESS. THE CHNA INCORPORATED INPUT FROM THE FOLLOWING: PRIMARY QUANTITATIVE DATA, INCLUDING TELEPHONE SURVEYS OF HOUSEHOLDS AND ADDITIONAL ONLINE SURVEYS AND ONLINE KEY INFORMANT SURVEYS; AND SECONDARY QUANTITATIVE DATA, INCLUDING PUBLIC HEALTH DATA. THE SAMPLE FOR THE 400 HOUSEHOLD TELEPHONE SURVEYS IS REPRESENTATIVE OF THE YELLOWSTONE COUNTY POPULATION IN TERMS OF DEMOGRAPHIC, SOCIOECONOMIC CHARACTERISTICS, AND GEOGRAPHIC LOCATION. IN ADDITION, COMMUNITY COLLABORATORS CONDUCTED AN ONLINE SURVEY AND IN-PERSON SURVEYS TO OVERSAMPLE KEY DEMOGRAPHIC POPULATIONS, WHICH YIELDED AN ADDITIONAL 294 RESPONSES. BASED ON THE SAMPLE SIZE OF 694 RESPONDENTS, THE COLLABORATIVE IS 95% CONFIDENT THAT THE RESPONSES TO THE SURVEY QUESTIONS ARE REPRESENTATIVE OF THE SERVICE AREA POPULATION, PLUS OR MINUS 3.7%. THE 2023 CHNA WAS A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED IN 2020, 2017, 2014, 2011, AND 2006 DEMONSTRATING TRENDING OVER TIME. AN ONLINE SURVEY SOLICITED INPUT FROM KEY INFORMANTS. A TOTAL OF 86 COMMUNITY STAKEHOLDERS TOOK PART, INCLUDING REPRESENTATIVES OF COMMUNITY-BASED ORGANIZATIONS, EDUCATION, GOVERNMENT, BUSINESS, HEALTHCARE, AND PUBLIC HEALTH. THROUGHOUT THE PROCESS, REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS PROVIDED INPUT. |
| THE REHABILITATION HOSPITAL OF MONTANA, LLC | PART V, SECTION B, LINE 6A: THE HOSPITAL CONDUCTED THE 2023 CHNA IN COLLABORATION WITH TWO NONPROFIT HOSPITALS IN THE SAME COMMUNITY: BILLINGS CLINIC AND SCL HEALTH - MONTANA. |
| THE REHABILITATION HOSPITAL OF MONTANA, LLC | PART V, SECTION B, LINE 6B: THE HOSPITAL CONDUCTED THE 2023 CHNA IN COLLABORATION WITH RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT. IN ADDITION, 93 REPRESENTATIVES FROM BUSINESS, COMMUNITY, EDUCATION, FAITH-BASED ORGANIZATIONS, SOCIAL SERVICE AGENCIES, AND GOVERNMENT ENTITIES ENGAGED IN THE CHNA PROCESS AS MEMBERS OF THE CHNA ADVISORY GROUP, THAT PROVIDED GUIDANCE IN THE CHNA PROCESS. PART V, SECTION B, LINE 7A: WEBSITEHTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: WEBSITEHTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/COMMUNITY-HEALTH-NEEDS-ASSESSMENT |
| THE REHABILITATION HOSPITAL OF MONTANA, LLC | PART V, SECTION B, LINE 7D: A PRESS CONFERENCE WAS HELD ON JANUARY 1, 2023, TO REPORT THE CHNA RESULTS AND PROVIDE A SUMMARY OF KEY FINDINGS. THE CHNA IS ALSO AVAILABLE ON THE HEALTHY BY DESIGN COALITION WEBSITE: HTTP://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG |
| THE REHABILITATION HOSPITAL OF MONTANA, LLC | PART V, SECTION B, LINE 11: THE 2023 CHNA IDENTIFIED 11 AREAS OF OPPORTUNITY THAT WERE EVALUATED AND PRIORITIZED BY APPLYING THE FOLLOWING CRITERIA: RANKING IN COMPARISON TO NATIONAL AND STATE LEVEL BENCHMARK DATA; IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; MAGNITUDE IN TERMS OF NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. IN ALPHABETICAL ORDER, AREAS OF OPPORTUNITY IDENTIFIED IN THE 2023 CHNA:1. ACCESS TO HEALTHCARE SERVICES2. CANCER3. DIABETES4. HEART DISEASE AND STROKE5. INJURY AND VIOLENCE6. MENTAL HEALTH7. NUTRITION, PHYSICAL ACTIVITY, AND HEALTHY WEIGHT8. POTENTIALLY DISABLING CONDITIONS9. RESPIRATORY DISEASES 10. SEXUAL HEALTH11. SUBSTANCE ABUSETHROUGH AN EVIDENCE-BASED PRIORITIZATION PROCESS, RHOM IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY:1. ACCESS TO HEALTHCARE SERVICES2. MENTAL HEALTH 3. NUTRITION, PHYSICAL ACTIVITY, AND HEALTHY WEIGHTSIGNIFICANT HEALTH NEEDS ADDRESSED:1. ACCESS TO HEALTHCARE SERVICES: THE HOSPITAL'S EFFORTS FOCUSED ON INCREASING ACCESS TO REHABILITATION SERVICES AND INCREASING WORKFORCE CAPACITY TO PROVIDE REHABILITATION SERVICES. IN 2024, OUTREACH EDUCATION WAS CONDUCTED IN 16 RURAL COMMUNITIES ACROSS THE STATE OF MONTANA, INCLUDING HARDIN, MILES CITY, ROUNDUP, LIVINGSTON, HARLOWTON, RED LODGE, COLUMBUS, LEWISTOWN, BIG TIMBER, DILLON, SIDNEY, GLENDIVE, FORSYTH, BAKER, TERRY AND JORDAN. THE 34 REHABILITATION BEDS AT THE HOSPITAL SERVED PATIENTS FROM ACROSS THE STATE AND SURROUNDING AREAS. ONE OCCUPATIONAL THERAPY STUDENT RECEIVED CLINICAL TRAINING AT RHOM IN 2024. 2. MENTAL HEALTH: THE HOSPITAL DISSEMINATED MENTAL HEALTH RESOURCES AND PROVIDED MONTHLY COMMUNITY EDUCATION THROUGH ITS SOCIAL MEDIA CHANNELS. 3. NUTRITION, PHYSICAL ACTIVITY, AND HEALTHY WEIGHT: THE HOSPITAL'S EFFORTS FOCUSED ON PROVIDING PHYSICAL ACTIVITY, NUTRITION, AND HEALTHY WEIGHT RESOURCES AND EDUCATION THROUGH ITS SOCIAL MEDIA CHANNELS. OTHER HEALTH NEEDS NOT PRIORITIZED: EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA PROCESS ARE IMPORTANT. RHOM AND NUMEROUS COMMUNITY COLLABORATORS ADDRESSED THESE NEEDS THROUGH OTHER PROGRAMS, INTERVENTIONS, AND INITIATIVES. DUE TO LIMITED RESOURCES AND THE SCOPE OF THE SPECIALTY HOSPITAL, EXPERTISE, AND TIME TO ACHIEVE SUCCESSFUL IMPACT, RHOM LIMITED ITS PRIMARY FOCUS TO THE SIGNIFICANT HEALTH NEEDS IDENTIFIED THROUGH THE CHNA AND DID NOT ADDRESS THE FOLLOWING PRIORITY HEALTH NEEDS: CANCER, DIABETES, HEART DISEASE AND STROKE, INJURY AND VIOLENCE, POTENTIALLY DISABLING CONDITIONS, RESPIRATORY DISEASES, SEXUAL HEALTH, AND SUBSTANCE ABUSE. |
| THE REHABILITATION HOSPITAL OF MONTANA, LLC | PART V, SECTION B, LINE 13B: ELGIBILITY CRITERIA USED TO DETERMINE FINANCIAL ASSISTANCE FOR INCOME LEVELS OTHER THAN FEDERAL POVERTY GUIDELINES INCLUDE OTHER SOURCES OF INCOME AND ASSETS, THE PATIENTS' LEVEL AND TYPE OF LIABILITIES, THE ABILITY TO OBTAIN ADDITIONAL CREDIT, AND THE AMOUNT AND FREQUENCY OF HOSPITAL/MEDICAL BILLS AND HOW THAT IMPACTS THE PATIENTS BECOMING FINANCIALLY INDIGENT. |
| THE REHABILITATION HOSPITAL OF MONTANA, LLC | PART V, SECTION B, LINE 13H: OTHER CRITERIA USED TO DETERMINE ELGIBILTIY FOR FREE OR DISCOUNTED CARE INCLUDE THE EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY, OTHER SOURCES OF INCOME AND ASSETS, LEVEL AND TYPE OF LIABILITIES, ABILITY TO OBTAIN ADDITIONAL CREDIT, AMOUNT AND FREQUENCY OF HOSPITAL/MEDICAL BILLS, AND FAMILY SIZE. |
| PART V, SECTION B, LINES 16A, 16B, 16C, FAP APPLICATION WEBSITE: | HTTPS://WWW.REHABHOSPITALOFMONTANA.COM/PATIENT-EXPERIENCE/FINANCIAL-ASSISTANCEPART V, SECTION B, LINE 22BRHOM DETERMINED THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO A FINANCIAL ASSISTANCE ELIGIBLE PATIENT BY CALCULATING THE AMOUNT GENERALLY BILLED USING THE LOOK-BACK METHOD DESCRIBED IN TREASURY REGULATION SECTION 1.501(R)-5(B)(3). |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 148 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (148 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - GALLATIN VALLEY SURGERY CENTER LLC | |||||
| 2825 WEST MAIN STREET SUITE C | BOZEMAN | MT | 59718 | SURGERY CENTER | |
| 2 - CANCER CENTERS OF COLORADO LLC | |||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | CANCER CENTER | |
| 3 - GS CAMPUS ASC LLC | |||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | SURGERY CENTER | |
| 4 - LUTHERAN CAMPUS ASC LLC | |||||
| 3455 LUTHERAN PKWY STE 150 | WHEATRIDGE | CO | 80033 | OUTPATIENT SURGERY | |
| 5 - SJ EAST CAMPUS ASC LLC | |||||
| 1830 FRANKLIN ST SUITE 200 | DENVER | CO | 80218 | SURGERY CENTER | |
| 6 - DENVER WEST ENDOSCOPY CENTER LLC | |||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | OUTPATIENT ENDOSCOPY | |
| 7 - DOWNTOWN DENVER ENDOSCOPY CENTER LLC | |||||
| 1830 N FRANKLIN ST STE 210 | DENVER | CO | 80218 | ENDOSCOPY SERVICES | |
| 8 - NORTHGLENN ENDOSCOPY CENTER LLC | |||||
| 11900 GRANT STREET | NORTHGLENN | CO | 80233 | ENDOSCOPY SERVICES | |
| 9 - TOUCHSTONE MEDICAL IMAGING - AURORA | |||||
| 3055 SOUTH PARKER RD BLDG A SUITE | AURORA | CO | 80014 | RADIOLOGY SERVICES | 103 |
| 10 - TOUCHSTONE MEDICAL IMAGING - CASTLE ROCK | |||||
| 3911 AMBROSIA ST | CASTLE ROCK | CO | 80109 | RADIOLOGY SERVICES | |
| 11 - TOUCHSTONE MEDICAL IMAGING - DRY CREEK | |||||
| 125 INVERNESS DR EAST SUITE 140 | ENGLEWOOD | CO | 80112 | RADIOLOGY SERVICES | |
| 12 - TOUCHSTONE MEDICAL IMAGING - LAFAYETTE | |||||
| 390 EMPIRE ROAD SUITE 102 | LAFAYETTE | CO | 80026 | RADIOLOGY SERVICES | |
| 13 - TOUCHSTONE MEDICAL IMAGING - LAKEWOOD | |||||
| 14062 DENVER WEST PKWY BLDG 52 | LAKEWOOD | CO | 80401 | RADIOLOGY SERVICES | SUITE 1 |
| 14 - TOUCHSTONE MEDICAL IMAGING - MAMMOGRAPHY | |||||
| 7615 W 38TH AVENUE SUITE B-107 | WHEAT RIDGE | CO | 80033 | RADIOLOGY SERVICES | |
| 15 - TOUCHSTONE MEDICAL IMAGING - RED ROCKS | |||||
| 400 INDIANA ST SUITE 210 | GOLDEN | CO | 80401 | RADIOLOGY SERVICES | |
| 16 - TOUCHSTONE MEDICAL IMAGING - SUPERIOR | |||||
| 3 SUPERIOR WAY SUITE 150 | SUPERIOR | CO | 80027 | RADIOLOGY SERVICES | |
| 17 - TOUCHSTONE MEDICAL IMAGING - THORNTON | |||||
| 12021 PENNSYLVANIA ST SUITE 106 | THORNTON | CO | 80241 | RADIOLOGY SERVICES | |
| 18 - TOUCHSTONE MEDICAL IMAGING - UPTOWN | |||||
| 1007 E COLFAX AVE | UPTOWN | CO | 80218 | RADIOLOGY SERVICES | |
| 19 - TOUCHSTONE MEDICAL IMAGING - WHEAT RIDGE | |||||
| 7615 WEST 38TH AVENUE SUITE B115 | WHEAT RIDGE | CO | 80033 | RADIOLOGY SERVICES | |
| 20 - TOUCHSTONE MEDICAL IMAGING - BILLINGS | |||||
| 1739 SPRING CREEK LANE | BILLINGS | MT | 59106 | RADIOLOGY SERVICES | |
| 21 - SCL FRONT RANGE HOME HEALTH LLC | |||||
| 8300 W 38TH AVENUE | WHEAT RIDGE | CO | 80033 | HOME HEALTH | |
| 22 - RED ROCKS RADIATION ONCOLOGY MANAGEMENT | |||||
| 400 INDIANA ST SUITE 220 | GOLDEN | CO | 80401 | CANCER CENTER | |
| 23 - IH HEART & VASCULAR - CARDIOLOGY | |||||
| 2900 12TH AVE N | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 24 - CANCER CENTERS OF CO - SLOAN'S LAKE | |||||
| 1601 LOWELL BLVD STE 150 | DENVER | CO | 802041545 | OUTPATIENT PHYSICIAN CLINIC | |
| 25 - ST VINCENT EMERGENCY MED | |||||
| 1233 N 30TH ST | BILLINGS | MT | 591010127 | OUTPATIENT PHYSICIAN CLINIC | |
| 26 - DOWNTOWN CLINIC - INTERNAL MEDICINE | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017588 | OUTPATIENT PHYSICIAN CLINIC | |
| 27 - BROADWATER CLINIC - FAMILY MEDICINE | |||||
| 2019 BROADWATER AVE | BILLINGS | MT | 591024810 | OUTPATIENT PHYSICIAN CLINIC | |
| 28 - BUTTE CLINIC - FAMILY MEDICINE | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 29 - DOWNTOWN CLINIC - GASTROENTEROLOGY | |||||
| 1144 N BROADWAY | BILLINGS | MT | 591010110 | OUTPATIENT PHYSICIAN CLINIC | |
| 30 - DOWNTOWN CLINIC - DERMATOLOGY | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017513 | OUTPATIENT PHYSICIAN CLINIC | |
| 31 - DOWNTOWN CLINIC - UROLOGY | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017502 | OUTPATIENT PHYSICIAN CLINIC | |
| 32 - LAUREL CLINIC - FAMILY MEDICINE | |||||
| 1035 1ST AVE | LAUREL | MT | 590442119 | OUTPATIENT PHYSICIAN CLINIC | |
| 33 - NORTH SHILOH CLINIC-FAMILY MEDICINE | |||||
| 2223 MISSION WAY | BILLINGS | MT | 591020160 | OUTPATIENT PHYSICIAN CLINIC | |
| 34 - HEIGHTS CLINIC - FAMILY MEDICINE | |||||
| 32 WICKS LN | BILLINGS | MT | 591053810 | OUTPATIENT PHYSICIAN CLINIC | |
| 35 - ST JAMES EMERGENCY PHYSICIANS | |||||
| 400 S CLARK ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 36 - WEST GRAND CLINIC - FAMILY MEDICINE | |||||
| 2750 GRAND AVE | BILLINGS | MT | 591022629 | OUTPATIENT PHYSICIAN CLINIC | |
| 37 - BUTTE CLINIC - ORTHOPEDICS | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 597011506 | OUTPATIENT PHYSICIAN CLINIC | |
| 38 - IH HEART & VASCULAR -CARDIOTHORACIC | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017504 | OUTPATIENT PHYSICIAN CLINIC | |
| 39 - BROADWATER CLINIC - WALK-IN | |||||
| 2019 BROADWATER AVE | BILLINGS | MT | 591024810 | OUTPATIENT PHYSICIAN CLINIC | |
| 40 - IH WEST END CLINIC INTERNAL MEDICINE | |||||
| 602 HENRY CHAPPLE ST | BILLINGS | MT | 591061874 | OUTPATIENT PHYSICIAN CLINIC | |
| 41 - DOWNTOWN CLINIC - DIABETES & ENDO | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017588 | OUTPATIENT PHYSICIAN CLINIC | |
| 42 - N 27TH WALK-IN CLINIC | |||||
| 1027 N 27TH STREET | BILLINGS | MT | 591010701 | OUTPATIENT PHYSICIAN CLINIC | |
| 43 - DOWNTOWN CLINIC-SLEEP & RESPIRATORY | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591010127 | OUTPATIENT PHYSICIAN CLINIC | |
| 44 - DOWNTOWN CLINIC - MIDWIFERY | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017506 | OUTPATIENT PHYSICIAN CLINIC | |
| 45 - IH WEST END CLINIC WALK-IN | |||||
| 602 HENRY CHAPPLE ST | BILLINGS | MT | 591061874 | OUTPATIENT PHYSICIAN CLINIC | |
| 46 - LAUREL CLINIC - WALK-IN | |||||
| 331 S WASHINGTON ST | LAUREL | MT | 59044 | OUTPATIENT PHYSICIAN CLINIC | |
| 47 - BUTTE FLATS CLINIC - FAMILY MEDICINE | |||||
| 3636 HARRISON AVE | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 48 - DOWNTOWN CLINIC - NEPHROLOGY | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017508 | OUTPATIENT PHYSICIAN CLINIC | |
| 49 - HEIGHTS CLINIC - WALK-IN | |||||
| 32 WICKS LN | BILLINGS | MT | 591053810 | OUTPATIENT PHYSICIAN CLINIC | |
| 50 - ST VINCENT NEONATOLOGY | |||||
| 1233 N 30TH ST | BILLINGS | MT | 591010127 | OUTPATIENT PHYSICIAN CLINIC | |
| 51 - BUTTE CLINIC - OB-GYN | |||||
| 305 W PORPHYRY | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 52 - BUTTE FLATS CLINIC - WALK-IN | |||||
| 3636 HARRISON AVE | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 53 - IH WEST END CLINIC FAMILY MEDICINE | |||||
| 602 HENRY CHAPPLE ST | BILLINGS | MT | 591061874 | OUTPATIENT PHYSICIAN CLINIC | |
| 54 - ST VINCENT INTENSIVISTS | |||||
| 1233 N 30TH ST | BILLINGS | MT | 591010127 | OUTPATIENT PHYSICIAN CLINIC | |
| 55 - IH BILLINGS PEDIATRIC SPECIALTY CLINIC | |||||
| 1232 N 30TH ST | BILLINGS | MT | 591010128 | OUTPATIENT PHYSICIAN CLINIC | |
| 56 - IH BOZEMAN CLINIC - FAMILY MEDICINE | |||||
| 711 W MAIN ST | BOZEMAN | MT | 597153356 | OUTPATIENT PHYSICIAN CLINIC | |
| 57 - IH WEST END CLINIC GYNECOLOGIC ONCOLOGY | |||||
| 602 HENRY CHAPPLE ST | BILLINGS | MT | 59106 | OUTPATIENT PHYSICIAN CLINIC | |
| 58 - LOCKWOOD CLINIC - FAMILY MEDICINE | |||||
| 2054 HWY 87 EAST | BILLINGS | MT | 591016699 | OUTPATIENT PHYSICIAN CLINIC | |
| 59 - DOWNTOWN CLINIC - MATERNAL FETAL MED | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017504 | OUTPATIENT PHYSICIAN CLINIC | |
| 60 - N SHILOH CLINIC-TRANSITIONAL CARE | |||||
| 2223 MISSION WAY | BILLINGS | MT | 59102 | OUTPATIENT PHYSICIAN CLINIC | |
| 61 - IH HEART & VASCULAR - BUTTE CLINIC | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 62 - RED LODGE CLINIC - FAMILY MEDICINE | |||||
| 10 ROBINSON LN | RED LODGE | MT | 590680070 | OUTPATIENT PHYSICIAN CLINIC | |
| 63 - DOWNTOWN CLINIC - BEHAVIORAL HEALTH | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017516 | OUTPATIENT PHYSICIAN CLINIC | |
| 64 - LEWISTOWN CLINIC - FAMILY MEDICINE | |||||
| 70 CATTAIL DR | LEWISTOWN | MT | 59457 | OUTPATIENT PHYSICIAN CLINIC | |
| 65 - BUTTE CLINIC - PHYSICAL THERAPY | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 597011506 | OUTPATIENT PHYSICIAN CLINIC | |
| 66 - DOWNTOWN CLINIC-WOUND HEALING CENTER | |||||
| 2900 12TH AVE N | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 67 - ST VINCENT PEDIATRIC HOSPITALISTS | |||||
| 1233 N 30TH ST | BILLINGS | MT | 591075200 | OUTPATIENT PHYSICIAN CLINIC | |
| 68 - DOWNTOWN CLINIC - WEIGHT MGMT | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017588 | OUTPATIENT PHYSICIAN CLINIC | |
| 69 - BUTTE CLINIC - RADIATION ONCOLOGY | |||||
| 400 S CLARK ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 70 - BUTTE CLINIC - MEDICAL ONCOLOGY | |||||
| 400 S CLARK ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 71 - IH CODY CLINIC | |||||
| 424 YELLOWSTONE AVE | CODY | WY | 82414 | OUTPATIENT PHYSICIAN CLINIC | |
| 72 - IH BUTTE CLINIC - GENERAL SURGERY | |||||
| 435 SOUTH CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 73 - BROADWATER CLINIC-OCCUPATIONAL HEALTH | |||||
| 2019 BROADWATER AVE | BILLINGS | MT | 591024810 | OUTPATIENT PHYSICIAN CLINIC | |
| 74 - BUTTE CLINIC - NEUROLOGY | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 75 - WHITEHALL CLINIC - PHYSICAL THERAPY | |||||
| 309 EAST LEGION | WHITEHALL | MT | 59759 | OUTPATIENT PHYSICIAN CLINIC | |
| 76 - BOULDER CLINIC - FAMILY MEDICINE | |||||
| 214 S MAIN ST | BOULDER | MT | 59632 | OUTPATIENT PHYSICIAN CLINIC | |
| 77 - ABSAROKEE CLINIC - FAMILY MEDICINE | |||||
| 55 N MONTANA | ABSAROKEE | MT | 59001 | OUTPATIENT PHYSICIAN CLINIC | |
| 78 - ST VINCENT PALLIATIVE CARE | |||||
| 1233 N 30TH ST | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 79 - IH BILLINGS PEDIATRIC CARDIOLOGY | |||||
| 1232 N 30TH ST | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 80 - BUTTE CLINIC - SURGICAL ASSOCIATES | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 81 - SCL HEALTH - BILLINGS PHYSIATRY | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591010136 | OUTPATIENT PHYSICIAN CLINIC | |
| 82 - LAUREL CLINIC - PHYSICAL THERAPY | |||||
| 331 S WASHINGTON ST | LAUREL | MT | 59044 | OUTPATIENT PHYSICIAN CLINIC | |
| 83 - MILES CITY CLINIC - NEUROSURGERY | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 84 - GALLATIN CLINIC - WOUND CARE | |||||
| 2825 W MAIN ST STE 1-C | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 85 - IH GYNECOLOGIC ONCOLOGY - MISSOULA | |||||
| 500 W BROADWAY ST | MISSOULA | MT | 59802 | OUTPATIENT PHYSICIAN CLINIC | |
| 86 - CENTENNIAL CLINIC - OB-GYN OUTREACH | |||||
| 445 CENTENNIAL AVE | BUTTE | MT | 597012870 | OUTPATIENT PHYSICIAN CLINIC | |
| 87 - IH BILLINGS PEDIATRIC GASTROENTEROLOGY | |||||
| 1232 N 30TH ST | BILLINGS | MT | 591010128 | OUTPATIENT PHYSICIAN CLINIC | |
| 88 - BUTTE CLINIC - UROLOGY | |||||
| 305 W PORPHYRY | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 89 - MILES CITY CLINIC - NEUROLOGY | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 90 - MILES CITY CLINIC - NEPHROLOGY | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 91 - GALLATIN CLINIC - NEUROLOGY OUTREACH | |||||
| 2825 W MAIN ST STE 1-C | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 92 - IH HEART & VASCULAR - MILES CITY | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 93 - DOWNTOWN CLINIC - PAIN CENTER | |||||
| 2900 12TH AVE N | BILLINGS | MT | 591017506 | OUTPATIENT PHYSICIAN CLINIC | |
| 94 - IH GYNECOLOGIC ONCOLOGY - HELENA | |||||
| 45 MEDICAL PARK DR | HELENA | MT | 59601 | OUTPATIENT PHYSICIAN CLINIC | |
| 95 - MILES CITY CLINIC - UROLOGY | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 96 - IH HEART & VASCULAR-GALLATIN CARDIOLOGY | |||||
| 2825 W MAIN ST STE 1-C | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 97 - MILES CITY CLINIC - SLEEP | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 98 - ST VINCENT HOSPITALISTS | |||||
| 1233 N 30TH ST | BILLINGS | MT | 591010127 | OUTPATIENT PHYSICIAN CLINIC | |
| 99 - SIDNEY CLINIC - UROLOGY OUTREACH | |||||
| 181 12TH AVE SW | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 100 - IH HEART & VASCULAR - GALLATIN THORACIC | |||||
| 2825 W MAIN ST STE 1-C | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 101 - IH HEART & VASCULAR - SIDNEY | |||||
| 216 14TH AVE SW | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 102 - IH RED LODGE CLINIC - DERMATOLOGY | |||||
| 10 ROBINSON LANE | RED LODGE | MT | 590689010 | OUTPATIENT PHYSICIAN CLINIC | |
| 103 - SIDNEY CLINIC - MATERNAL FETAL MED | |||||
| 216 14TH AVE SW | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 104 - DOWNTOWN CLINIC - INFECTIOUS DISEASE | |||||
| 2900 12TH AVE NORTH | BILLINGS | MT | 59101 | OUTPATIENT PHYSICIAN CLINIC | |
| 105 - IH GYNECOLOGIC ONCOLOGY - SIDNEY | |||||
| 216 14TH AVENUE SOUTHWEST | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 106 - SHERIDAN CLINIC - MATERNAL FETAL MED | |||||
| 321 MADISON | SHERIDAN | WY | 82801 | OUTPATIENT PHYSICIAN CLINIC | |
| 107 - GLASGOW CLINIC - NEUROSURGERY | |||||
| 621 3RD STREET SOUTH | GLASGOW | MT | 59230 | OUTPATIENT PHYSICIAN CLINIC | |
| 108 - BUTTE CLINIC-MATERNAL FETAL MEDICINE | |||||
| 305 W PORPHYRY ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 109 - IH GYNECOLOGIC ONCOLOGY - BUTTE | |||||
| 305 W PORPHYRY ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 110 - IH HEART & VASCULAR INSTITUTE - RED LODGE | |||||
| 10 ROBINSON LANE | RED LODGE | MT | 590689010 | OUTPATIENT PHYSICIAN CLINIC | |
| 111 - GLASGOW CLINIC - MATERNAL FETAL MED | |||||
| 621 3RD STREET SOUTH | GLASGOW | MT | 59230 | OUTPATIENT PHYSICIAN CLINIC | |
| 112 - WORLAND CLINIC - NEPHROLOGY | |||||
| 1106 BIG HORN AVE | WORLAND | WY | 824012803 | OUTPATIENT PHYSICIAN CLINIC | |
| 113 - SIDNEY CLINIC - NEUROLOGY | |||||
| 181 12TH AVE SW | SIDNEY | MT | 59270 | OUTPATIENT PHYSICIAN CLINIC | |
| 114 - GALLATIN CLINIC - GYNECOLOGIC ONCOLOGY | |||||
| 2825 W MAIN ST STE 1-C | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 115 - GALLATIN CLINIC - PEDIATRIC SPECIALTY | |||||
| 2825 W MAIN ST STE 1-C | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 116 - GALLATIN CLINIC - NEUROSURGERY | |||||
| 2825 W MAIN ST STE 1-C | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 117 - SCL HEALTH - CODY NEPHROLOGY | |||||
| 720 LINDSAY LN | CODY | WY | 824144103 | OUTPATIENT PHYSICIAN CLINIC | |
| 118 - BUTTE CLINIC - PEDIATRIC CARDIOLOGY | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 119 - SCL HEALTH - LEWISTOWN CLINIC | |||||
| 70 CATTAIL DR | LEWISTOWN | MT | 594574123 | OUTPATIENT PHYSICIAN CLINIC | |
| 120 - SIDNEY CLINIC - PEDIATRIC SPECIALTY | |||||
| 216 14TH AVENUE SW | SIDNEY | MT | 592703521 | OUTPATIENT PHYSICIAN CLINIC | |
| 121 - DEER LODGE CLINIC - OB-GYN | |||||
| 1100 HOLLENBECK LANE | DEER LODGE | MT | 59722 | OUTPATIENT PHYSICIAN CLINIC | |
| 122 - RUBY VALLEY CLINIC - OB-GYN | |||||
| 321 MADISON | SHERIDAN | MT | 59749 | OUTPATIENT PHYSICIAN CLINIC | |
| 123 - GREAT FALLS CLINIC - NEUROSURGERY | |||||
| 401 15TH AVE SOUTH | GREAT FALLS | MT | 59405 | OUTPATIENT PHYSICIAN CLINIC | |
| 124 - SIDNEY CLINIC - PEDIATRIC GASTRO | |||||
| 181 12TH AVE SW | SIDNEY | MT | 592703613 | OUTPATIENT PHYSICIAN CLINIC | |
| 125 - MILES CITY CLINIC - PEDIATRIC CARDIO | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 126 - BOULDER CLINIC - OB-GYN | |||||
| 214 S MAIN ST | BOULDER | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 127 - IH HEART & VASCULAR - LEWISTOWN CLINIC | |||||
| 70 CATTAIL DR | LEWISTOWN | MT | 59457 | OUTPATIENT PHYSICIAN CLINIC | |
| 128 - BUTTE CLINIC - ENT | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 129 - BUTTE CLINIC - NEUROLOGY | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 130 - BUTTE CLINIC - PEDIATRICS | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 131 - GLASGOW CLINIC - NEUROLOGY | |||||
| 621 3RD ST S | GLASGOW | MT | 59230 | OUTPATIENT PHYSICIAN CLINIC | |
| 132 - GALLATIN CLINIC - PEDIATRIC SPECIALTY | |||||
| 2825 W MAIN ST STE 1-C | BOZEMAN | MT | 59715 | OUTPATIENT PHYSICIAN CLINIC | |
| 133 - IH HEART & VASCULAR - MILES CITY SURGERY | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 134 - ST JAMES RADIATION ONCOLOGY | |||||
| 400 S CLARK ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 135 - SCL HEALTH - LEWISTOWN CLINIC | |||||
| 70 CATTAIL DR | LEWISTOWN | MT | 59457 | OUTPATIENT PHYSICIAN CLINIC | |
| 136 - IH HEART & VASCULAR - CODY CLINIC | |||||
| 424 YELLOWSTONE AVE | CODY | WY | 824144103 | OUTPATIENT PHYSICIAN CLINIC | |
| 137 - MILES CITY CLINIC - WOUND | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 138 - BOZEMAN CLINIC - ORTHOPEDICS | |||||
| 711 W MAIN ST | BOZEMAN | MT | 597153356 | OUTPATIENT PHYSICIAN CLINIC | |
| 139 - MILES CITY CLINIC - OCCUPATIONAL HEALTH | |||||
| 2600 WILSON ST | MILES CITY | MT | 59301 | OUTPATIENT PHYSICIAN CLINIC | |
| 140 - SCL HEALTH HEART & VASCULAR | |||||
| 1035 1ST AVE | LAUREL | MT | 590442120 | OUTPATIENT PHYSICIAN CLINIC | |
| 141 - SCL HEALTH - ABSAROKEE CLINIC | |||||
| 55 N MONTANA | ABSAROKEE | MT | 590010425 | OUTPATIENT PHYSICIAN CLINIC | |
| 142 - SCL HEALTH - LEWISTON UROLOGY | |||||
| 70 CATTAIL DR | LEWISTOWN | MT | 59457 | OUTPATIENT PHYSICIAN CLINIC | |
| 143 - SCL HEALTH - CODY UROLOGY | |||||
| 720 LINDSAY LN | CODY | WY | 82414 | OUTPATIENT PHYSICIAN CLINIC | |
| 144 - SCL HEALTH - CODY CLINIC | |||||
| 720 LINDSAY LN | CODY | WY | 824144103 | OUTPATIENT PHYSICIAN CLINIC | |
| 145 - SCL HEALTH - HARDIN CLINIC | |||||
| 16 N MILES AVE | HARDIN | MT | 590342356 | OUTPATIENT PHYSICIAN CLINIC | |
| 146 - SCL HEALTH - HARDIN NEPHROLOGY | |||||
| 16 N MILES AVE | HARDIN | MT | 59034 | OUTPATIENT PHYSICIAN CLINIC | |
| 147 - SCL HEALTH - BUTTE EXPRESS CARE | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 59701 | OUTPATIENT PHYSICIAN CLINIC | |
| 148 - SCL HEALTH LABORATORY | |||||
| 435 S CRYSTAL ST | BUTTE | MT | 597011506 | OUTPATIENT PHYSICIAN CLINIC | |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | MAXIMUM FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). APPLICANTS EQUAL TO OR BELOW THIS THRESHOLD RECEIVE A 100% WAIVER OF PATIENT FINANCIAL OBLIGATION.A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 200% AND 400% OF FPG.TO DETERMINE ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE, A VARIETY OF FACTORS ARE USED, INCLUDING EARNING STATUS AND POTENTIAL OF THE PATIENT AND FAMILY, OTHER SOURCES OF INCOME AND ASSETS, LEVEL AND TYPE OF LIABILITIES, ABILITY TO OBTAIN ADDITIONAL CREDIT, AMOUNT AND FREQUENCY OF HOSPITAL/MEDICAL BILLS, AND FAMILY SIZE.SINCE EACH PATIENT'S CIRCUMSTANCES VARY, ALLOWANCE IS MADE FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. |
| PART I, LINE 6A: | SCLHS IS PART OF THE INTERMOUNTAIN HEALTH CARE, INC. SYSTEM, WHICH PREPARES AN ANNUAL REPORT TO THE COMMUNITY ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, INTERMOUNTAIN HEALTH CARE, 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.PART I, LINE 7, COLUMN (F):THE ADJUSTMENTS FOR UNPAID SERVICES INCLUDED ON FORM 990, PART IX, LINE 25, BUT EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $3,780,152. |
| PART III, LINE 2: | MANAGEMENT ESTIMATES THE PROVISION FOR ADJUSTMENTS FOR UNPAID SERVICES BY ASSESSING THE COLLECTIBILITY, TIMING AND AMOUNT OF PATIENT SERVICES REVENUES BY CONSIDERING HISTORICAL COLLECTION RATES FOR EACH MAJOR PAYER SOURCE, GENERAL ECONOMIC TRENDS, AND OTHER INDICATORS. |
| PART III, LINE 3: | WHEN A PATIENT OR RESPONSIBLE PARTY IS UNINSURED OR UNDERINSURED AND EXPRESSES EITHER CONCERN ABOUT THEIR ABILITY TO PAY OR INTEREST IN APPLYING FOR FINANCIAL ASSISTANCE, STAFF ARE EDUCATED TO GIVE THE PATIENT AN APPLICATION FOR FINANCIAL ASSISTANCE AND INSTRUCTIONS FOR COMPLETING AND RETURNING THE APPLICATION. IN SITUATIONS WHERE THE PATIENT FAILS TO RETURN THE APPLICATION AND THE ACCOUNT PROGRESSES THROUGH THE COLLECTION CYCLE, THE ACCOUNT MAY BE WRITTEN OFF AS AN ADJUSTMENT FOR UNPAID SERVICES.DATA SOURCES ARE UTILIZED TO IDENTIFY NONRESPONDING PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS BELONGING TO QUALIFIED PATIENTS ARE ADJUSTED TO CHARITY CARE RATHER THAN ADJUSTMENTS FOR UNPAID SERVICES AT THE END OF THE INTERNAL COLLECTIONS CYCLE. THIS DATA IS ANALYZED TO ESTIMATE THE NUMBER OF PATIENTS THAT COULD POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE IF ADDITIONAL INFORMATION WERE AVAILABLE OR PROVIDED BY THE PATIENT.THE CHARITY CARE AMOUNTS INCLUDED IN THE FINANCIAL STATEMENTS ARE SEPARATE AND DISTINCT FROM ADJUSTMENTS FOR UNPAID SERVICES, WHICH GENERALLY REPRESENTS PATIENT SERVICES REVENUES THAT ARE NOT COLLECTIBLE DUE TO EITHER AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT OR ANINABILITY TO OBTAIN DOCUMENTATION FROM THOSE RESPONSIBLE FOR PAYMENT THAT WOULD SUBSTANTIATE THE PATIENT'S QUALIFICATION FOR CHARITY CONSIDERATION. ADJUSTMENTS FOR UNPAID SERVICES ARE REFLECTED AS REDUCTIONS TO PATIENT SERVICES REVENUES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AND WERE $3,184,870 AND $3,780,152 FOR THE YEARS ENDED DECEMBER 31, 2023, AND 2024, RESPECTIVELY.PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT OF THE REGISTRATION, BILLING, OR COLLECTION PROCESSES. |
| PART III, LINE 4: | BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF UNINSURED AND UNDERINSURED PATIENTS ARE UNABLE TO PAY FOR THE SERVICES PROVIDED. ACCORDINGLY, ADJUSTMENTS ARE RECORDED TO PATIENT SERVICES REVENUES IN THE PERIOD SERVICES ARE RENDERED FOR AMOUNTS NOT EXPECTED TO BE PAID.MANAGEMENT ESTIMATES THE ADJUSTMENTS RECORDED FOR THESE UNPAID SERVICES BY ASSESSING THE COLLECTIBILITY, TIMING AND AMOUNT OF PATIENT SERVICES REVENUES BY CONSIDERING HISTORICAL COLLECTION RATES FOR EACH MAJOR PAYER SOURCE, GENERAL ECONOMIC TRENDS AND OTHER INDICATORS. MANAGEMENT ALSO ASSESSES THE ADEQUACY OF THE ADJUSTMENTS FOR UNPAID SERVICES BASED ON HISTORICAL WRITE-OFFS, ACCOUNTS RECEIVABLE AGING AND OTHER FACTORS. |
| PART III, LINE 8: | MANAGEMENT BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS THE ORGANIZATION INCURS 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 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" EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. 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.MEDICARE SHORTFALLS SHOULD BE TREATED AND REPORTED ON SCHEDULE H AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:(1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS;(2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, BURDENS BORNE BY GOVERNMENTS ARE RELIEVED;(3) A SIGNIFICANT POSSIBILITY EXISTS THAT CONTINUED REDUCTIONS TO MEDICARE PAYMENTS MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND(4) THE AMOUNT SPENT TO COVER THE REPORTED MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. |
| PART III, LINE 9B: | RHOM RECOGNIZES ITS RESPONSIBILITY TO MANAGE THE COST OF HEALTHCARE BY ASKING THOSE WHO CAN PAY TO DO SO AND IS COMMITTED TO ASSISTING PATIENTS BY PROVIDING VARIOUS OPTIONS FOR RESOLVING THEIR FINANCIAL OBLIGATION, INCLUDING DISCOUNTS FOR THE UNINSURED, PAYMENT PLANS, AND REDUCED OR WAIVED RESPONSIBILITY THROUGH FINANCIAL ASSISTANCE. RHOM ALSO ASSISTS PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS TO APPLY FOR SUCH ASSISTANCE. DELINQUENT ACCOUNTS MAY BE REFERRED TO EXTERNAL COLLECTION AGENCIES ONLY AFTER REASONABLE ATTEMPTS ARE MADE TO CONTACT THE RESPONSIBLE PARTY AND NO ARRANGEMENT HAS BEEN MADE TO PAY THE ACCOUNT BALANCE. SUCH AGENCIES ARE EXPECTED TO TREAT PATIENTS WITH THE SAME RESPECT AND DIGNITY THAT RHOM AFFORDS ALL ITS PATIENTS. FOR EXAMPLE, CONTACTS BY THE AGENCIES WILL INCLUDE FINANCIAL ASSISTANCE OPTIONS FOR PATIENTS UNABLE TO PAY. AGENCIES ARE RESTRICTED FROM PURSUING LEGAL PROCEEDINGS TO COLLECT DEBTS IN LIMITED CIRCUMSTANCES AND MAY ONLY DO SO UPON APPROVAL. STRONGER MEASURES, SUCH AS THE COURTS, ARE NOT USED UNLESS THERE IS EVIDENCE OF FRAUD OR A CLEAR ABILITY TO PAY ACCOMPANIED BY A REFUSAL TO PAY. |
| PART VI, LINE 2: | RHOM PROVIDES OUTREACH TO SURROUNDING SECONDARY AND TERTIARY MARKET FACILITIES TO UNDERSTAND COMMUNITY NEEDS BETTER. |
| PART VI, LINE 3: | BY POLICY HEALTHCARE SERVICES ARE PROVIDED TO INDIVIDUAL BASED ON MEDICAL NEED WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, NATIONAL ORIGIN, DISABILITY, PROTECTED VETERAN STATUS, OR ABILITY TO PAY. AN UNINSURED OR UNDERINSURED LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY. SPECIFIC INFORMATION ON HOW TO APPLY FOR THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON THE WEBSITE IN ENGLISH, SPANISH, ARABIC, CHINESE, FRENCH, KOREAN, RUSSIAN, AND VIETNAMESE AND CAN BE SUBMITTED ELECTRONICALLY, BY MAIL, OR IN PERSON. DETAILS INCLUDE A PLAIN LANGUAGE EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, A TOLL-FREE NUMBER, AND A LINK TO THE APPLICATION. BROCHURES, IN ENGLISH, SPANISH, ARABIC, CHINESE, FRENCH, KOREAN, RUSSIAN AND VIETNAMESE, ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF HOSPITALS AND CLINICS. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES AND HOW TO APPLY. ELIGIBILITY COUNSELORS AND PATIENT FINANCIAL ADVOCATES ARE AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING AND AFTER THE TIME OF SERVICE. THE AVAILABILITY OF FINANCIAL ASSISTANCE CAN BE FOUND IN REGISTRATION AREAS AND PATIENT CARE AREAS IN ENGLISH AND SPANISH. EVERY BILLING STATEMENT STATES THE FOLLOWING: "YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE. TO APPLY VISIT WWW.INTERMOUNTAINHEALTH.ORG/FINANCIALASSISTANCE OR CALL US AT 866.665.2636. THIS STATEMENT IS PROVIDED ON THE FRONT OF EACH STATEMENT IN CONSPICUOUS FONT. |
| PART VI, LINE 4: | RHOM SERVES PATIENTS FROM ACROSS THE STATE OF MONTANA AND THE SURROUNDING STATES. APPROXIMATELY 88% OF PATIENTS COME FROM MONTANA AND 53% OF PATIENTS RESIDE IN YELLOWSTONE COUNTY. RHOM IS A STATE-OF-THE-ART, 34-BED INPATIENT ACUTE REHABILITATION HOSPITAL DEDICATED TO TREATMENT AND RECOVERY FOR INDIVIDUALS WHO HAVE EXPERIENCED A LOSS OF FUNCTION DUE TO AN INJURY OR ILLNESS. POPULATION AND GEOGRAPHY: RHOM'S PRIMARY SERVICE AREA INCLUDES YELLOWSTONE COUNTY, ENCOMPASSING 2,633 SQUARE MILES AND A POPULATION OF 160,390 RESIDENTS. BETWEEN THE 2000 AND 2020 US CENSUSES, THE COUNTY POPULATION INCREASED BY 11.3%, A GREATER PROPORTIONAL INCREASE THAN IN MONTANA AND THE NATION. YELLOWSTONE COUNTY IS PREDOMINANTLY URBAN WITH 83.3% OF THE POPULATION LIVING IN AREAS DESIGNATED AS URBAN WITH SURROUNDING RURAL AND FRONTIER COUNTIES.HOSPITALS IN THE SERVICE AREA: THERE ARE TWO NONPROFIT ACUTE CARE HOSPITALS IN YELLOWSTONE COUNTY: SCL HEALTH - MONTANA D/B/A ST. VINCENT HEALTHCARE AND BILLINGS CLINIC. AGE: IN YELLOWSTONE COUNTY, 23.4% OF THE POPULATION ARE AGE 0-17, 59.6% ARE AGE 18 TO 64, AND 17.0% ARE AGE 65 AND OLDER. RACE AND ETHNICITY: THE MAJORITY OF YELLOWSTONE COUNTY RESIDENTS OR 89.2% ARE WHITE, 4.0% ARE NATIVE AMERICAN, 2.8% ARE ANOTHER RACE, AND 4.0% MULTIPLE RACES. A TOTAL OF 5.9% OF YELLOWSTONE COUNTY RESIDENTS ARE OF HISPANIC ORIGIN, WHICH IS HIGHER THAN THE PREVALENCE IN THE STATE OF MONTANA.THE MAJORITY OF YELLOWSTONE COUNTY RESIDENTS RACE ARE WHITE (89.2%), 4.0% ARE NATIVE AMERICAN, 2.8% ARE ANOTHER RACE, AND 4.0% MULTIPLE RACES. THE ETHNICITY OF YELLOWSTONE COUNTY RESIDENTS ARE 5.9% HISPANIC OR LATINO, WHICH IS HIGHER THAN THE PREVALENCE IN THE STATE OF MONTANA. POVERTY AND ECONOMICS: THE LATEST CENSUS ESTIMATE SHOWS 9.6% OF THE YELLOWSTONE COUNTY POPULATION IS LIVING BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 4,176 CHILDREN. IN YELLOWSTONE COUNTY, 5.2% OF ADULTS OVER AGE 25 DO NOT HAVE A HIGH SCHOOL EDUCATION. THE UNEMPLOYMENT RATE IS 2.5% AND HAS DECREASED SINCE 2020. OTHER ECONOMIC INDICATORS INCLUDE THAT 26.1% OF COUNTY RESIDENTS ARE WORRIED OR STRESSED ABOUT HAVING ENOUGH MONEY TO PAY THEIR RENT OR MORTGAGE AND 30.8% OF PERSONS OF COLOR REPORT HAVING LIVED WITH A FRIEND OR RELATIVE BECAUSE OF AN EMERGENCY. APPROXIMATELY 31,000 RESIDENTS HAVE LOW FOOD ACCESS, AND 21.3% OF ADULTS FIND IT DIFFICULT TO ACCESS AFFORDABLE FRESH FRUITS AND VEGETABLES. HEALTH STATUS: MOST YELLOWSTONE COUNTY RESIDENTS RATED THEIR OVERALL HEALTH FAVORABLY, WITH 84.7% RATING IT AS EXCELLENT, VERY GOOD, OR GOOD. HOWEVER, 15.3% OF ADULTS BELIEVED THEIR HEALTH WAS FAIR OR POOR. LOW-INCOME ADULTS, PERSONS OF COLOR, AND ADULTS 65 AND OLDER HAD HIGHER RATES OF IDENTIFYING THEIR HEALTH AS FAIR OR POOR. UNINSURED RATE: 9.6% OF PEOPLE IN YELLOWSTONE COUNTY ARE UNINSURED, WHICH IS HIGHER THAN THE MT AVERAGE OF 9.3%. |
| PART VI, LINE 5: | RHOM PARTICIPATES IN COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE HEALTHY BY DESIGN COALITION. THE COALITION IS A COLLABORATION WITH BILLINGS CLINIC AND SCL HEALTH - MONTANA IN CONJUNCTION WITH RIVERSTONE HEALTH. THE HOSPITAL COMMITS IN-KIND RESOURCES TO FULFILL GOALS OUTLINED IN THE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY. |
| PART VI, LINE 6: | THE FILING ORGANIZATION IS PART OF INTERMOUNTAIN HEALTH ("IH"), AN INTEGRATED HEALTH SYSTEM WHOSE VISION IS TO "BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST." IH STRIVES TO FULFILL THAT MISSION THROUGH ACCOMPLISHING ITS STATED MISSION OF "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE."IH IS MANAGED BY A PARENT ORGANIZATION, INTERMOUNTAIN HEALTH CARE, INC., A NONPROFIT CORPORATION EXEMPT UNDER IRC SECTION 501(C)(3). AFFILIATES WITHIN THE IH NETWORK INCLUDE NONPROFIT CORPORATIONS EXEMPT UNDER IRC SECTIONS 501(C)(3) AND 501(C)(4), TAXABLE CORPORATIONS, PARTNERSHIPS WITH PHYSICIANS, STRATEGIC INVESTMENTS, AND JOINT VENTURES.HEADQUARTERED IN SALT LAKE CITY, UTAH, IH CONSISTS OF A TEAM OF MORE THAN 68,000 CAREGIVERS WHO SERVE THE HEALTHCARE NEEDS OF PEOPLE ACROSS THE INTERMOUNTAIN WEST, INCLUDING UTAH, IDAHO, NEVADA, COLORADO, MONTANA, AND WYOMING. IH PROVIDES SERVICES TO AND PROMOTES THE HEALTH OF THESE COMMUNITIES THROUGH 33 HOSPITALS, HUNDREDS OF CLINICS, A MEDICAL GROUP, AFFILIATE NETWORKS, HOMECARE, TELEHEALTH, INSURANCE PLANS, MEDICAL AIR TRANSPORT, AND OTHER SERVICES. IH IS WIDELY RECOGNIZED AS A LEADER IN TRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TO CONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS.IH IS WORKING TO IMPROVE HEALTH AND WELL-BEING BY IMPROVING MENTAL WELL-BEING, PREVENTING AVOIDABLE DISEASE, IMPROVING AIR QUALITY, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND OTHER COMMUNITY HEALTH INITIATIVES. THROUGH MULTIPLE CHARITABLE FOUNDATIONS, IH ALSO DEVELOPSFINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTING OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL WELL-BEING SERVICES FOR LOW INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS.PART VI, LINE 7:STATE FILING OF COMMUNITY BENEFIT REPORT - NOT APPLICABLE. |
| PART III - PART V(A-C): | SCLHS HAS A SMALL INVESTMENT IN A LICENSED HOSPITAL (THE REHABILITATION HOSPITAL OF MONTANA, LLC). THE QUESTIONS IN SCHEDULE H REGARDING POLICIES AND PROCEDURES HAVE BEEN COMPLETED BASED UPON THE FILING ORGANIZATION, WHERE APPLICABLE. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| MOUNT ST VINCENT HOME INC | ||||||||
| 4159 LOWELL BOULEVARD | DENVER | CO | 80211 | 840405260 | 501(C)(3) | $500,000 | $0 | SUPPORT MISSION |
| CARITAS CLINICS INC | ||||||||
| 818 NORTH 7TH STREET | LEAVENWORTH | KS | 66048 | 481009910 | 501(C)(3) | $315,511 | $0 | SUPPORT MISSION |
| COLORADO CENTER FOR THE ADVANCEMENT OF PATIENT SAFETY | ||||||||
| 1700 N LINCOLN ST STE 3030 | DENVER | CO | 80203 | 841228675 | 501(C)(3) | $20,000 | $0 | SUPPORT MISSION |
| CITY OF GRAND JUNCTION | ||||||||
| 101 SOUTH 4RD STREET STE 100 | GRAND JUNCTION | CO | 51501 | 846000592 | GOVERNMENT | $7,500 | $0 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.'S 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 |
| 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (44 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LYDIA JUMONVILLE | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $3,831,755 | $0 | $408 | $0 | $17,479 | $0 | $3,849,642 | $0 | $0 | $0 |
| JAMES VALIN MD | ||||||||||||||
| FORMER OFFICER | $1,180,061 | $0 | $937,046 | $0 | $129,970 | $0 | $1,225,156 | $0 | $67,039 | $0 | $3,539,272 | $0 | $654,703 | $0 |
| MARK KORTH | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $3,483,219 | $0 | $2,027 | $0 | $0 | $0 | $3,485,246 | $0 | $455,752 | $0 |
| CLAY ASHDOWN | ||||||||||||||
| TREASURER, SVP, CFO | $0 | $1,069,349 | $0 | $817,518 | $0 | $3,680 | $0 | $1,211,742 | $0 | $67,129 | $0 | $3,169,418 | $0 | $321,841 |
| GREG J MATIS | ||||||||||||||
| SECRETARY | $0 | $842,984 | $0 | $875,227 | $0 | $9,565 | $0 | $918,705 | $0 | $60,900 | $0 | $2,707,381 | $0 | $558,987 |
| CRAIG RICHARDVILLE | ||||||||||||||
| CHIEF DIGITAL & INFO OFF(PARTIAL) | $416,495 | $0 | $439,890 | $0 | $1,608,690 | $0 | $20,700 | $0 | $51,426 | $0 | $2,537,201 | $0 | $357,021 | $0 |
| MEGAN MAHNCKE | ||||||||||||||
| CHIEF MARKETING & COMM. OFFICER | $595,580 | $0 | $479,046 | $0 | $49,343 | $0 | $491,598 | $0 | $52,397 | $0 | $1,667,964 | $0 | $306,752 | $0 |
| TAJQUAH HUDSON | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $1,558,104 | $0 | $152 | $0 | $8,459 | $0 | $1,566,715 | $0 | $0 | $0 |
| ROBERT FERGUSON MD | ||||||||||||||
| CHIEF MEDICAL OFFICER, PEAKS REGION | $662,677 | $0 | $206,313 | $0 | $276,989 | $0 | $345,529 | $0 | $63,893 | $0 | $1,555,401 | $0 | $0 | $0 |
| SCOTT PEEK | ||||||||||||||
| FRONT RANGE MKT PRESIDENT, SJD PRES | $0 | $778,339 | $0 | $336,241 | $0 | $4,697 | $0 | $354,414 | $0 | $31,406 | $0 | $1,505,097 | $0 | $236,241 |
| YEVGENIY AREFIEV MD | ||||||||||||||
| PHYSICIAN | $571,822 | $0 | $758,056 | $0 | $24,493 | $0 | $20,700 | $0 | $39,798 | $0 | $1,414,869 | $0 | $0 | $0 |
| JAMES SHEETS | ||||||||||||||
| SYSTEM PRESIDENT (PARTIAL) | $797,461 | $0 | $60,504 | $0 | $261,658 | $0 | $274,622 | $0 | $0 | $0 | $1,394,245 | $0 | $0 | $0 |
| HEIDI WALD | ||||||||||||||
| CHIEF Q&S OFFICER (PARTIAL) | $363,423 | $0 | $140,481 | $0 | $788,959 | $0 | $20,700 | $0 | $23,668 | $0 | $1,337,231 | $0 | $194,344 | $0 |
| LOUIS ROSS MD | ||||||||||||||
| PHYSICIAN | $869,102 | $0 | $291,822 | $0 | $5,767 | $0 | $20,700 | $0 | $32,356 | $0 | $1,219,747 | $0 | $0 | $0 |
| ALAN BAKER | ||||||||||||||
| CHIEF ADMIN OFFICER, MEDICAL GROUP | $632,644 | $0 | $177,923 | $0 | $53,240 | $0 | $292,300 | $0 | $29,555 | $0 | $1,185,662 | $0 | $224,239 | $0 |
| SUZANNE DRAPER | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $0 | $1,140,791 | $0 | $0 | $0 | $16,541 | $0 | $1,157,332 | $0 | $0 |
| STACY JENNINGS | ||||||||||||||
| VP, CHIEF INVESTMENT OFFICER | $0 | $663,493 | $0 | $171,604 | $0 | $120 | $0 | $252,330 | $0 | $44,775 | $0 | $1,132,322 | $0 | $171,604 |
| BRYAN JOHNSON | ||||||||||||||
| W CO MKT PRES/SMGJ PRES/INT MT MKT P | $0 | $554,316 | $0 | $175,097 | $0 | $60,351 | $0 | $265,522 | $0 | $29,844 | $0 | $1,085,130 | $0 | $228,386 |
| BARBARA JAHN | ||||||||||||||
| VP, SERVICE LINES AND OP (PARTIAL) | $278,009 | $0 | $108,745 | $0 | $589,334 | $0 | $86,551 | $0 | $14,621 | $0 | $1,077,260 | $0 | $331,156 | $0 |
| STUART GOODMAN MD | ||||||||||||||
| PHYSICIAN | $728,005 | $0 | $240,706 | $0 | $43,522 | $0 | $16,313 | $0 | $30,805 | $0 | $1,059,351 | $0 | $0 | $0 |
| AMY CHURCH | ||||||||||||||
| VP, FINANCIAL PLANNING AND ANALYTICS | $562,032 | $0 | $157,184 | $0 | $33,547 | $0 | $256,067 | $0 | $31,393 | $0 | $1,040,223 | $0 | $188,440 | $0 |
| BENJAMIN ROSENBAUM MD | ||||||||||||||
| PHYSICIAN | $862,064 | $0 | $4,104 | $0 | $37,708 | $0 | $9,256 | $0 | $36,690 | $0 | $949,822 | $0 | $0 | $0 |
| SIMON PAYNE MD | ||||||||||||||
| CMO, PEAKS REGION (PARTIAL) | $170,564 | $0 | $119,579 | $0 | $620,519 | $0 | $17,590 | $0 | $12,429 | $0 | $940,681 | $0 | $174,469 | $0 |
| DAVID SIMS MD | ||||||||||||||
| PHYSICIAN | $624,290 | $0 | $12,504 | $0 | $220,206 | $0 | $20,700 | $0 | $41,223 | $0 | $918,923 | $0 | $0 | $0 |
| TROY SPRING | ||||||||||||||
| VP, REVENUE CYCLE | $466,287 | $0 | $131,774 | $0 | $43,988 | $0 | $211,474 | $0 | $32,606 | $0 | $886,129 | $0 | $170,534 | $0 |
| DINA BUSH | ||||||||||||||
| VP, CHIEF NURSING OFFICER | $401,099 | $0 | $122,618 | $0 | $34,645 | $0 | $162,848 | $0 | $30,877 | $0 | $752,087 | $0 | $152,630 | $0 |
| LEE BOYLES | ||||||||||||||
| MONTANA MKT PRESIDENT (PARTIAL) | $0 | $419,440 | $0 | $128,583 | $0 | $29,632 | $0 | $119,788 | $0 | $22,951 | $0 | $720,394 | $0 | $0 |
| SEAN FADDEN | ||||||||||||||
| VP, FINANCE PEAKS REGION | $399,078 | $0 | $106,655 | $0 | $25,773 | $0 | $163,417 | $0 | $19,517 | $0 | $714,440 | $0 | $130,898 | $0 |
| LEE SYPHUS | ||||||||||||||
| VP, OPERATIONS, MEDICAL GROUP | $391,303 | $0 | $93,431 | $0 | $27,250 | $0 | $159,340 | $0 | $32,730 | $0 | $704,054 | $0 | $118,761 | $0 |
| SUSAN SCHAUB | ||||||||||||||
| VP, TOTAL REWARDS (PARTIAL) | $210,043 | $0 | $86,329 | $0 | $343,696 | $0 | $51,564 | $0 | $11,305 | $0 | $702,937 | $0 | $86,329 | $0 |
| JAMES RITCHEY | ||||||||||||||
| VP, HR STRATEGY/VP HR (PARTIAL) | $356,696 | $0 | $101,431 | $0 | $29,534 | $0 | $158,909 | $0 | $34,194 | $0 | $680,764 | $0 | $128,396 | $0 |
| JOHN CASEY | ||||||||||||||
| VP, STRATEGY & BUS DEV, PEAKS REGION | $338,259 | $0 | $85,036 | $0 | $39,423 | $0 | $138,487 | $0 | $33,599 | $0 | $634,804 | $0 | $122,163 | $0 |
| CHRISTOPHER AWTREY MD | ||||||||||||||
| REGION CMO, MEDICAL GROUP (PARTIAL) | $0 | $418,573 | $0 | $95,048 | $0 | $4,724 | $0 | $80,954 | $0 | $31,406 | $0 | $630,705 | $0 | $95,048 |
| MELINDA MENDOZA | ||||||||||||||
| VP, BUSINESS ETHICS AND COMPLIANCE | $0 | $412,598 | $0 | $0 | $0 | $70 | $0 | $113,919 | $0 | $16,929 | $0 | $543,516 | $0 | $0 |
| JACOB HARRISON | ||||||||||||||
| CHIEF CATHOLIC MISSION OFFICER | $286,204 | $0 | $80,645 | $0 | $650 | $0 | $128,636 | $0 | $29,102 | $0 | $525,237 | $0 | $73,711 | $0 |
| TERENCE MOLOUGHNEY | ||||||||||||||
| ASSISTANT SECRETARY (PARTIAL) | $171,180 | $0 | $69,994 | $0 | $213,230 | $0 | $48,033 | $0 | $14,289 | $0 | $516,726 | $0 | $57,779 | $0 |
| GREGG MOSS | ||||||||||||||
| VP, MARKETING AND COMM., PEAKS REGIO | $279,149 | $0 | $68,656 | $0 | $3,364 | $0 | $112,124 | $0 | $11,191 | $0 | $474,484 | $0 | $68,656 | $0 |
| KELLY ADAMS | ||||||||||||||
| ASSISTANT SECRETARY (PARTIAL) | $238,931 | $0 | $24,559 | $0 | $31,011 | $0 | $56,058 | $0 | $34,534 | $0 | $385,093 | $0 | $24,559 | $0 |
| ROSLAND MCLEOD | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $341,925 | $0 | $0 | $0 | $10,002 | $0 | $351,927 | $0 | $0 | $0 |
| DAVID PRINGLE | ||||||||||||||
| FORMER OFFICER | $103,016 | $0 | $130,138 | $0 | $52,508 | $0 | $14,154 | $0 | $7,819 | $0 | $307,635 | $0 | $130,138 | $0 |
| JEREMY ROGERS | ||||||||||||||
| VP, HR, PEAKS REGION (PARTIAL) | $146,783 | $0 | $96,799 | $0 | $873 | $0 | $10,254 | $0 | $32,678 | $0 | $287,387 | $0 | $56,976 | $0 |
| SHAWN DUFFORD | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $231,412 | $0 | $0 | $0 | $0 | $0 | $231,412 | $0 | $0 | $0 |
| KHADIJA SCOTT | ||||||||||||||
| FORMER OFFICER | $154,474 | $0 | $11,756 | $0 | $619 | $0 | $34,309 | $0 | $11,894 | $0 | $213,052 | $0 | $11,756 | $0 |
| TROY HOLMES | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $36,849 | $0 | $172,894 | $0 | $737 | $0 | $0 | $0 | $210,480 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | TAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE FILING ORGANIZATION ALLOWS FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION AND REPORTED ON A FORM W-2 OR 1099. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2024 WERE: ROBERT FERGUSON - $73,632 |
| PART I, LINE 1B | TAX INDEMNIFICATION AND GROSS-UP PAYMENTS WRITTEN POLICY THE FILING ORGANIZATION DOES 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 IS REQUIRED FROM THE EMPLOYEE'S MANAGER AND FROM HUMAN RESOURCES. |
| PART I, LINE 3 | COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH, AN INTEGRATED HEALTH SYSTEM THAT IS NATIONALLY RECOGNIZED FOR PROVIDING QUALITY MEDICAL CARE THAT RANKS AMONG THE HIGHEST IN THE NATION WITH CHARGES THAT ARE AMONG THE LOWEST IN THE NATION. INTERMOUNTAIN HEALTH'S POLICY IS TO COMPENSATE ITS EMPLOYEES, INCLUDING SENIOR MANAGEMENT, AT MARKET COMPETITIVE RATES. THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SISTERS OF CHARITY OF LEAVENWORTH HEALTHY SYSYTEM, INC. AND ALL OF ITS AFFILIATES. THE COMPENSATION COMMITTEE OF THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. (PARENT ORGANIZATION) RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO BECOME A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID, AS REQUIRED IN THE REPORTING SCHEDULE INSTRUCTIONS. |
| PART I, LINES 4A-B | SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO DEPARTING EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2024 WERE: TERENCE MOLOUGHNEY - $212,179; SIMON PAYNE, MD - $564,366; BARBARA JAHN - $362,349; HEIDI WALD - $730,846; SUSAN SCHAUB - $342,209; CRAIG RICHARDVILLE - $1,522,162; ROSLAND MCLEOD - $256,018; SHAWN DUFFORD - $178,010; MARK KORTH - $3,027,257; LYDIA JUMONVILLE - $1,901,827; TROY HOLMES - $172,894; TAJQUAH HUDSON - $835,973; SUZANNE DRAPER - $1,140,791 SCHEDULE J, PART I, LINE 4B PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCLHS PROVIDES A NONQUALIFIED DEFERRED COMPENSATION PLAN (NQDC) KNOWN AS THE 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 NONPROFIT HEALTH SYSTEMS. THIS PLAN ENABLES THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR OF PARTICIPATION. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COSTS 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 PLAN 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 A 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. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2024. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. WHEN THE AMOUNTS BECOME TAXABLE THEY ARE INCLUDED ON THE PARTICIPANTS' W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2024 WERE: ALAN BAKER - $46,316; JAMES VALIN, MD - $123,945; SIMON PAYNE, MD - $54,889; LEE SYPHUS - $25,330; SEAN FADDEN - $24,243; BRYAN JOHNSON - $56,888; BARBARA JAHN - $222,411; DINA BUSH - $30,011; AMY CHURCH - $31,256; TROY SPRING - $38,760; HEIDI WALD - $53,863; JAMES RITCHEY - $26,965; JOHN CASEY - $37,127; MEGAN MAHNCKE - $47,307; CRAIG RICHARDVILLE - $77,914; MARK KORTH - $455,752; LYDIA JUMONVILLE - $1,437,790; DAVID PRINGLE - $43,143; TAJQUAH HUDSON - $534,626 |
| ADDITIONAL OFFICER AND BOARD DISCLOSURES: | 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 SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | CLAY ASHDOWN / GREG J. MATIS - BUSINESS RELATIONSHIP (TRUSTEES OF MOUNTAIN WEST HEALTH CAPTIVE, A FOREIGN SUBSIDIARY OF A RELATED TAX-EXEMPT ORGANIZATION). CLAY ASHDOWN / STACY JENNINGS / GREG J. MATIS / MELINDA MENDOZA - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIPS IN IHC HEALTH SERVICES, INC., A RELATED TAX-EXEMPT ORGANIZATION). CHRISTOPHER AWTREY, MD / SEAN FADDEN / SIMON PAYNE, MD / LEE SYPHUS - BUSINESS RELATIONSHIP (TRUSTEES AND/OR OFFFICERS OF ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK, A RELATED TAXABLE ORGANIZATION). |
| FORM 990, PART VI, SECTION A, LINE 6 | THE MEMBERS OF THE CORPORATION ARE INTERMOUNTAIN HEALTH CARE, INC., A UTAH NONPROFIT CORPORATION, AND THE MEMBERS OF LEAVEN MINISTRIES. EACH MEMBER OF LEAVEN MINISTRIES SERVES AS A MEMBER OF THE CORPORATION DURING THE MEMBER'S TERM OF OFFICE AS A MEMBER OF LEAVEN MINISTRIES, WHICH IS AN UNINCORPORATED PUBLIC JURIDIC PERSON AUTHORIZED BY THE CATHOLIC CHURCH. |
| FORM 990, PART VI, SECTION A, LINE 7A | POWER TO ELECT OR APPOINT MEMBERS THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE CHAIR OF LEAVEN MINISTRIES, OR HIS/HER DESIGNEE, SHALL BE TRUSTEES OF THE BOARD WITH FULL VOTING RIGHTS. THE CHAIR OF LEAVEN MINISTRIES SHALL APPOINT AN ADDITIONAL MEMBER OF LEAVEN MINISTRIES TO SERVE ON THE BOARD OF TRUSTEES OF THE CORPORATION. LEAVEN MINISTRIES AND INTERMOUNTAIN HEALTH CARE, INC. WILL EACH HAVE THE POWER TO REMOVE A TRUSTEE AT ANY TIME WITH OR WITHOUT CAUSE IMMEDIATELY UPON GIVING NOTICE TO THE TRUSTEE AND TO THE OTHER MEMBER. AT THE ANNUAL MEETING OF THE BOARD OF TRUSTEES OF MEMBER INTERMOUNTAIN HEALTH CARE, INC., SUBJECT TO THE LEAVEN MINISTRIES APPOINTMENT AND REMOVAL RIGHTS, THE INTERMOUNTAIN MEMBER WILL APPOINT TRUSTEES, ELECT BOARD OFFICERS, AND TRANSACT SUCH OTHER BUSINESS AS IT CONSIDERS APPROPRIATE. TRUSTEES AND BOARD OFFICERS MAY BE NOMINATED FOR APPOINTMENT BY THE BOARD OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. WHILE THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. WILL MAINTAIN A SET OF COMPETENCIES AND QUALIFICATIONS FOR BOARD APPOINTMENT THAT MAY BE UPDATED FROM TIME TO TIME. |
| FORM 990, PART VI, SECTION A, LINE 7B | DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS RESERVED POWERS ARE HELD BY MEMBERS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. THE MEMBERS ARE INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN) AND LEAVEN MINISTRIES. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE: - ESTABLISH THE MISSION, VISION, AND VALUES FOR SCLHS; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR SCLHS; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF SCLHS; - APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF SCLHS; - PROVIDE FOR THE OVERALL MANAGEMENT OF SCLHS, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF SCLHS; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF SCLHS; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF SCLHS; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF SCLHS; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF SCLHS; AND - DIRECT FINANCES AND INVESTMENTS OF SCLHS, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. RESERVED POWERS HELD BY LEAVEN MINISTRIES INCLUDE: - TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, 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 LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BY ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF INTERMOUNTAIN HEALTH CARE, INC. SET FORTH IN THE MERGER AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE RESERVED POWERS GRANTED TO LEAVEN MINISTRIES AND THOSE OF INTERMOUNTAIN, THE LEAVEN MINISTRIES RESERVED POWERS WILL CONTROL. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE INC. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION COMMITTEE ("COMPENSATION COMMITTEE"), A SUBSET OF INTERMOUNTAIN HEALTH CARE, INC.'S GOVERNING BODY (A RELATED NONPROFIT ORGANIZATION), IS RESPONSIBLE FOR THE PROCESS OF ANNUALLY DETERMINING THE TOTAL COMPENSATION PACKAGES (INCLUDING CASH AND NONCASH BENEFITS) FOR THE FOLLOWING OFFICERS: - PRESIDENT / CHIEF EXECUTIVE OFFICER - EXECUTIVE VICE PRESIDENTS - SENIOR VICE PRESIDENTS THE COMPENSATION COMMITTEE ANNUALLY RETAINS AN INDEPENDENT, EXTERNAL CONSULTING FIRM TO PROVIDE AN ANALYSIS OF COMPARABLE MARKET DATA. THE CONSULTANTS REVIEW THE VARIOUS TYPES OF DIRECT COMPENSATION, INCLUDING BASE SALARY, TOTAL CASH, AND ANNUAL AND LONG-TERM INCENTIVES. INFORMATION FROM A SELECTED GROUP OF COMPARABLE NONPROFIT ORGANIZATIONS IS USED TO SUPPLEMENT PUBLISHED SURVEY DATA. THE CONSULTANTS ALSO CONDUCT AN IN-DEPTH ANALYSIS OF THE ASSOCIATED BENEFITS AND PERQUISITES. INFORMATION PROVIDED BY THE EXTERNAL CONSULTANTS IS REVIEWED BY THE COMPENSATION COMMITTEE ALONG WITH THE PERFORMANCE DATA FOR EACH OFFICER LISTED ABOVE. DECISIONS BY THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THE COMPENSATION COMMITTEE PRESENTS THE COLLECTED INFORMATION AND THE ASSOCIATED COMPENSATION DECISIONS TO THE ENTIRE BOARD OF TRUSTEES. HEALTH SERVICES' PHILOSOPHY IS TO PAY COMPENSATION AT MARKET COMPETITIVE RATES. THE DETERMINATION OF EXECUTIVE COMPENSATION IS ALSO DESIGNED TO MEET THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" STANDARD AS OUTLINED IN THE TREASURY REGULATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. A COPY OF THE CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDES THE FILING ORGANIZATION IS ATTACHED TO THIS RETURN. THE CONSOLIDATED FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE (HTTPS://EMMA.MSRB.ORG/P21914280-P21463550-P21912552.PDF), A SERVICE PROVIDED BY THE MUNICIPAL SECURITIES RULEMAKING BOARD. |
| FORM 990, PART XI, LINE 9: | NET ASSETS RELEASED FROM RESTRICTION 2,935,069. TRANSFERS TO/FROM SUBSIDIARIES -2,011,817. CAPITALIZED INTEREST ADJUSTMENT 12,401,883. TRANSFER OF BOND PROCEEDS FROM AFFILIATE 125,641,183. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (15 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 | $181,036,723 | $55,802,597 | SCL HEALTH MEDICAL GROUP - MONTANA LLC |
| SCL HEALTH MEDICAL GROUP - BUTTE LLC | |||||||||
| 400 SOUTH CLARK STREET | BUTTE | MT | 59701 | 273193107 | PHYSICIAN SERVICES | MT | $35,510,721 | $6,536,821 | SCL HEALTH MEDICAL GROUP - MONTANA LLC |
| SCL HEALTH PARTNERS LLC | |||||||||
| 8300 WEST 38TH AVENUE | WHEAT RIDGE | CO | 80033 | 020749530 | HEALTHCARE SERVICES | CO | $3,941,716 | $19,926,929 | SCLHS |
| CANCER CENTERS OF COLORADO LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 823157615 | OUTPATIENT CANCER CENTER | CO | $4,944,952 | $874,175 | SCL HEALTH PARTNERS LLC |
| GS CAMPUS ASC LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 821536566 | SURGERY CENTER | CO | $6,855,431 | $4,965,041 | SCL HEALTH PARTNERS LLC |
| SCL HEALTH - EMERUS LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 800958129 | HOSPITAL SERVICES | CO | $0 | $0 | SCL HEALTH PARTNERS LLC |
| SCL HEALTH AURORA LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 472156361 | EMERGENCY CARE SERVICES | CO | $0 | $0 | SCL HEALTH - EMERUS LLC |
| SCL HEALTH NORTHGLENN LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 472188745 | HOSPITAL SERVICES | CO | $0 | $0 | SCL HEALTH - EMERUS LLC |
| SCL HEALTH SOUTHWEST LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 472175436 | HOSPITAL SERVICES | CO | $0 | $0 | SCL HEALTH - EMERUS LLC |
| SCL HEALTH WESTMINSTER LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 465180833 | HOSPITAL SERVICES | CO | $0 | $0 | SCL HEALTH - EMERUS LLC |
| SCL HOME HEALTH SOLUTIONS LLC | |||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 462418729 | HOME HEALTH SERVICES | DE | $0 | $0 | SCL HEALTH PARTNERS LLC |
| SCL FRONT RANGE HOME HEALTH LLC | |||||||||
| 8300 W 38TH AVENUE | WHEAT RIDGE | CO | 80207 | 841195134 | HOME HEALTH SERVICES | CO | $6,022,209 | $1,261,160 | SCL HOME HEALTH SOLUTIONS LLC |
| 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 (28 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SCL HEALTH FOUNDATION | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 823290526 | SUPPORT RELATED TAX EXEMPT ORGANIZATIONS | CO | 501(C)(3) | LINE 7 | SCLHS | Yes (1) | |
| SCL HEALTH RESEARCH INSTITUTE INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 852014794 | MEDICAL RESEARCH | CO | 501(C)(3) | LINE 4 | SCLHS | Yes (1) | |
| INTEGRITY HEALTH | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 474520350 | SUPPORTING ORGANIZATION | CO | 501(C)(3) | LINE 12C, III-FI | INTERMOUNTAIN HEALTH CARE INC | 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 | BROOMFIELD | CO | 80021 | 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 7 | SAINT JOSEPH HOSPITAL INC | Yes (1) | |
| INTERMOUNTAIN FRONT RANGE INC | |||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 841103606 | HOSPITAL SERVICES | CO | 501(C)(3) | LINE 3 | INTEGRITY HEALTH | 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 | INTERMOUNTAIN 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 | INTERMOUNTAIN FRONT RANGE INC | Yes (1) | |
| ST MARY'S 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 MARY'S 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) | |
| 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) | |
| SCL HEALTH - MONTANA | |||||||||||
| 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 | SCL HEALTH - MONTANA | Yes (1) | |
| INTERMOUNTAIN HEALTH CARE INC | |||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 870269232 | HOLDING COMPANY | UT | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| INTERMOUNTAIN COMMUNITY CARE FOUNDATION INC | |||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 942853320 | COMMUNITY HEALTH | UT | 501(C)(3) | LINE 12B, II | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | |
| SELECTHEALTH INC | |||||||||||
| 5381 GREEN STREET | MURRAY | UT | 84123 | 870409820 | DELIVERY OF HEALTH BENEFITS | UT | 501(C)(4) | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | ||
| INTERMOUNTAIN HEALTH CARE RETIREE VEBA | |||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 742675605 | RETIREE BENEFIT | UT | 501(C)(9) | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | ||
| INTERMOUNTAIN HEALTHCARE FOUNDATION INC | |||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 800225150 | COMMUNITY HEALTH | UT | 501(C)(3) | LINE 7 | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | |
| INTERMOUNTAIN MEDICAL HOLDINGS NEVADA INC | |||||||||||
| 6355 SOUTH BUFFALO | LAS VEGAS | NV | 89113 | 200160881 | HOLDING COMPANY | DE | 501(C)(3) | LINE 3 | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | |
| IHC HEALTH SERVICES INC | |||||||||||
| 36 S STATE STREET SUITE 2200 | SALT LAKE CITY | UT | 84111 | 942854057 | HEALTHCARE | UT | 501(C)(3) | LINE 3 | INTERMOUNTAIN HEALTH CARE INC | Yes (1) | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (43 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 | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SCLH-GI ENDOSCOPY HOLDINGS LLC | |||||||||||||||
| 382 S ARTHUR AVENUE | LOUISVILLE | CO | 80027 | 812979243 | OUTPATIENT ENDOSCOPY | CO | SCLHS (VIA SCL HEALTH PARTNERS LLC) | RELATED | $3,390,894 | $2,373,387 | 0 | 0 | 0.51000 | ||
| SCLTDI JV LLC | |||||||||||||||
| 4200 SIX FORKS ROAD SUITE 1000 | RALEIGH | NC | 27609 | 472294770 | RADIOLOGY | DE | SCLHS (VIA SCL HEALTH PARTNERS LLC) | RELATED | $973,486 | $13,581,781 | 0 | 0 | 0.51000 | ||
| ATHLETIC MEDICINE & PERFORMANCE LLC | |||||||||||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 272270640 | PHYSICAL THERAPY | MT | 0 | 0 | N/A | ||||||
| SUMMIT SURGERY CENTER LLC | |||||||||||||||
| 434 SOUTH CLARK STREET | BUTTE | MT | 59701 | 810536068 | OUTPATIENT SURGERY | MT | 0 | 0 | N/A | ||||||
| GRAND VALLEY SURGICAL CENTER LLC | |||||||||||||||
| 710 WELLINGTON AVENUE SUITE 21 | GRAND JUNCTION | CO | 81501 | 841505075 | OUTPATIENT SURGERY | CO | 0 | 0 | N/A | ||||||
| HEALTHCARE MANAGEMENT LLC | |||||||||||||||
| PO BOX 1929 | GRAND JUNCTION | CO | 81502 | 841238904 | MANAGEMENT SERVICES | CO | 0 | 0 | N/A | ||||||
| MONUMENT HEALTH LLC | |||||||||||||||
| 744 HORIZON CT STE 260 | GRAND JUNCTION | CO | 81506 | 474424617 | HEALTH CARE NETWORK | CO | 0 | 0 | N/A | ||||||
| PAVILION IMAGING LLC | |||||||||||||||
| 750 WELLINGTON AVENUE | GRAND JUNCTION | CO | 81501 | 030516198 | RADIOLOGY | CO | 0 | 0 | N/A | ||||||
| SAN JUAN CANCER CENTER LLC | |||||||||||||||
| 600 SOUTH 5TH STREET | MONTROSE | CO | 81401 | 202856331 | OUTPATIENT CANCER | CO | 0 | 0 | N/A | ||||||
| CAREFLIGHT OF THE ROCKIES LLC | |||||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 473525381 | MEDICAL AIR TRANSPORT | CO | 0 | 0 | N/A | ||||||
| MED-MAP LLC | |||||||||||||||
| PO BOX 1295 | BILLINGS | MT | 59103 | 810491356 | RENTAL REAL ESTATE | MT | 0 | 0 | N/A | ||||||
| YELLOWSTONE SURGERY CENTER LLC | |||||||||||||||
| 1144 NORTH 28TH STREET | BILLINGS | MT | 59101 | 721519467 | OUTPATIENT SURGERY | MT | 0 | 0 | N/A | ||||||
| GALLATIN VALLEY SURGERY CENTER LLC | |||||||||||||||
| 2825 WEST MAIN STREET SUITE C | BOZEMAN | MT | 59718 | 882505265 | OUTPATIENT SURGERY | MT | SCLHS (VIA SCL HEALTH PARTNERS LLC) | RELATED | $204,674 | $8,326,181 | 0 | 0 | 0.51000 | ||
| FIRST FLIGHT OF WYOMING LLC | |||||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 921785143 | MEDICAL AIR TRANSPORT | CO | 0 | 0 | N/A | ||||||
| MCKAY DEE SURGICAL CENTER LLC | |||||||||||||||
| 3895 HARRISON BLVD STE 200 | OGDEN | UT | 84403 | 260286308 | OUTPATIENT SURGERY | UT | 0 | 0 | N/A | ||||||
| GRANDEUR PEAK INTERNATIONAL STALWARTS LP | |||||||||||||||
| 136 S MAIN STREET STE 720 | SALT LAKE CITY | UT | 84101 | 475468723 | INVESTMENTS | DE | 0 | 0 | N/A | ||||||
| INNOVATION FUND HOLDINGS COMPANY LLC | |||||||||||||||
| 1000 WEST FULTON STREET STE 213 | CHICAGO | IL | 60607 | 471525723 | INNOVATION | DE | 0 | 0 | N/A | ||||||
| HEALTHBOX SALT LAKE CITY I LLC | |||||||||||||||
| 33 WEST MONROE STREET STE 1700 | CHICAGO | IL | 60603 | 465338772 | INNOVATION | DE | 0 | 0 | N/A | ||||||
| INTERMOUNTAIN VENTURES FUND LLC | |||||||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 844037085 | INVESTMENTS | DE | 0 | 0 | N/A | ||||||
| PELION OPPORTUNITY FUND III LLC | |||||||||||||||
| 2750 E COTTONWOOD PARKWAY STE 600 | SALT LAKE CITY | UT | 84121 | 842757193 | INVESTMENTS | DE | 0 | 0 | N/A | ||||||
| AACP KOREA BUYOUT INVESTORS II LP | |||||||||||||||
| ONE EMBARCADERO 16TH FLOOR | SAN FRANCISCO | CA | 94111 | 824971663 | INVESTMENTS | 0 | 0 | N/A | CJ | ||||||
| AACP SPECIAL SITUATIONS II LP | |||||||||||||||
| ONE EMBARCADERO 16TH FLOOR | SAN FRANCISCO | CA | 94111 | 832883726 | INVESTMENTS | 0 | 0 | N/A | CJ | ||||||
| AACP KOREA BUYOUT INVESTORS IV LP | |||||||||||||||
| ONE EMBARCADERO 16TH FLOOR | SAN FRANCISCO | CA | 94111 | 981549044 | INVESTMENTS | 0 | 0 | N/A | CJ | ||||||
| LOGAN SURGERY CENTER LLC | |||||||||||||||
| 1300 NORTH 500 EAST | LOGAN | UT | 84341 | 861965725 | OUTPATIENT SURGERY | UT | 0 | 0 | N/A | ||||||
| ST GEORGE SURGERY CENTER LLC | |||||||||||||||
| 652 SOUTH MEDICAL CENTER DRIVE | ST GEORGE | UT | 84790 | 853880188 | OUTPATIENT SURGERY | UT | 0 | 0 | N/A | ||||||
| SALTZER ASC TEN MILE LLC | |||||||||||||||
| 875 S VANGUARD WAY SUITE 120 | MERIDIAN | ID | 83642 | 845119941 | OUTPATIENT SURGERY | ID | 0 | 0 | N/A | ||||||
| NORTHPOINTE SURGICAL CENTER LLC | |||||||||||||||
| 2326 NORTH 400 EAST STE 100 | TOOELE | UT | 84074 | 461487986 | OUTPATIENT SURGERY | UT | 0 | 0 | N/A | ||||||
| PERFORMANCE EQUITY GROWTH OPPORTUNITIES FUND LP | |||||||||||||||
| 5 GREENWICH OFFICE PARK THIRD FLOOR | GREENWICH | CT | 06831 | 853942801 | INVESTMENTS | DE | 0 | 0 | N/A | ||||||
| MURRAY SURGERY CENTER LLC | |||||||||||||||
| 5848 SOUTH FASHION BOULEVARD | MURRAY | UT | 84107 | 873940183 | OUTPATIENT SURGERY | UT | 0 | 0 | N/A | ||||||
| PROVO SURGERY CENTER LLC | |||||||||||||||
| 1157 NORTH 300 WEST | PROVO | UT | 84604 | 873623664 | OUTPATIENT SURGERY | UT | 0 | 0 | N/A | ||||||
| SARATOGA SPRINGS SURGERY CENTER LLC | |||||||||||||||
| 316 W MEDICAL DR | SARATOGA SPRINGS | UT | 84045 | 873875864 | OUTPATIENT SURGERY | UT | 0 | 0 | N/A | ||||||
| PARK CITY SURGERY CENTER LLC | |||||||||||||||
| 900 ROUND VALLEY DRIVE | PARK CITY | UT | 84060 | 844898736 | OUTPATIENT SURGERY | UT | 0 | 0 | N/A | ||||||
| PARK CITY SURGICAL CENTER REAL ESTATE LLC | |||||||||||||||
| 900 ROUND VALLEY DRIVE | PARK CITY | UT | 84060 | 862568233 | LEASES LAND | UT | 0 | 0 | N/A | ||||||
| CDHC 3 LLC | |||||||||||||||
| 265 N COUNTRY MANOR LANE | ALPINE | UT | 84004 | 873215157 | INVESTMENTS | UT | 0 | 0 | N/A | ||||||
| ARK GLOBAL EMERGING COMPANIES LP | |||||||||||||||
| 22 EAST 100 SOUTH 3RD FLOOR | SALT LAKE CITY | UT | 84111 | 823044843 | INVESTMENTS | UT | 0 | 0 | N/A | ||||||
| PELION OPPORTUNITY FUND IV LLC | |||||||||||||||
| 14761 S FUTURE WAY SUITE 500 | SALT LAKE CITY | UT | 84020 | 853909188 | INVESTMENTS | UT | 0 | 0 | N/A | ||||||
| LAYTON SURGERY CENTER LLC | |||||||||||||||
| 265 EAST LAYTON PARKWAY | LAYTON | UT | 84041 | 923229013 | OUTPATIENT SURGERY | UT | 0 | 0 | N/A | ||||||
| RIVERTON SURGERY CENTER LLC | |||||||||||||||
| 3773 WEST 12600 SOUTH SUITE 301 | RIVERTON | UT | 84065 | 991058501 | OUTPATIENT SURGERY | UT | 0 | 0 | N/A | ||||||
| EAR NOSE & THROAT SURGERY CENTER OF UTAH LLC | |||||||||||||||
| 9450 SOUTH 1300 EAST SUITE 100 | SANDY | UT | 84094 | 201547733 | OUTPATIENT SURGERY | UT | 0 | 0 | N/A | ||||||
| AE CO-INVESTMENT PARTNERS FUND III-F LP | |||||||||||||||
| 6700 BROKEN SOUND PKWY NW | BOCA RATON | FL | 33487 | 331693433 | INVESTMENTS | FL | 0 | 0 | N/A | ||||||
| TELLICA IMAGING - MASSACHUSETTS LLC | |||||||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 934833500 | IMAGING | DE | 0 | 0 | N/A | ||||||
| GRANDEUR PEAK GLOBAL OPPORTUNITIES LP | |||||||||||||||
| 136 SOUTH MAIN STREET SUITE 720 | SALT LAKE CITY | UT | 84101 | 455225518 | INVESTMENTS | UT | 0 | 0 | N/A | ||||||
| AACP AUSTRALIA BUYOUT INVESTORS III LP | |||||||||||||||
| ONE EMBARCADERO 16TH FLOOR | SAN FRANCISCO | CA | 94111 | 981743664 | INVESTMENTS | UT | 0 | 0 | N/A | ||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARENT LABORATORY SOLUTIONS LLC | |||||||||||||
| 22240 COUNTRY ROAD 39 | LASALLE | CO | 80645 | 320557616 | MEDICAL LABORATORY | CO | N/A | C | Yes (1) | ||||
| CARITAS INC AND SUBSIDIARIES | |||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 480941069 | HEALTHCARE | KS | N/A | C | Yes (1) | ||||
| WEST END ASSOCIATION INC | |||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 854261243 | REAL ESTATE MANAGEMENT | MT | N/A | C | Yes (1) | ||||
| MOUNTAIN WEST HEALTH CAPTIVE | |||||||||||||
| 980370522 | INSURANCE | N/A | C | Yes (1) | 23 LIME TREE BAY AVENUE WEST BAY R | GRAND CAYMAN KY | CJ | CJ | |||||
| ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC | |||||||||||||
| 500 ELDORADO BLVD SUITE 4300 | BROOMFIELD | CO | 80021 | 463632053 | HEALTHCARE | MT | N/A | C | Yes (1) | ||||
| SELECTHEALTH BENEFIT ASSURANCE COMPANY | |||||||||||||
| 5381 GREEN STREET | MURRAY | UT | 84123 | 870497549 | DELIVERY OF HEALTH BENEFITS | UT | N/A | C | Yes (1) | ||||
| HEALTHCARE CAPTIVE INSURANCE COMPANY | |||||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 201937561 | INSURANCE | AZ | N/A | C | Yes (1) | ||||
| ALLUCEO INC | |||||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 824614934 | MENTAL HEALTH INTEGRATION SERVICES | DE | N/A | C | Yes (1) | ||||
| SALTZER MEDICAL GROUP INC | |||||||||||||
| 215 EAST HAWAII AVENUE | NAMPA | ID | 83686 | 820299231 | MEDICAL SERVICES | ID | N/A | C | Yes (1) | ||||
| CLASSIC MEDICAL INC | |||||||||||||
| 1021 SOUTH DOUGLAS STREET | SALT LAKE CITY | UT | 84105 | 461141912 | AIRCRAFT HOLDING COMPANY | UT | N/A | C | Yes (1) | ||||
| CLASSIC HELICOPTERS INC | |||||||||||||
| 1021 SOUTH DOUGLAS STREET | SALT LAKE CITY | UT | 84105 | 461153642 | AIRCRAFT HOLDING COMPANY | UT | N/A | C | Yes (1) | ||||
| CULMINATION BIO INC | |||||||||||||
| 36 SOUTH STATE SUITE 2200 | SALT LAKE CITY | UT | 84111 | 365016511 | BIOREPOSITORY | DE | N/A | C | Yes (1) | ||||
| CAN YOU PLAY INC | |||||||||||||
| 1541 SOUTH 120 EAST | FARMINGTON | UT | 84025 | 880846977 | SOFTWARE DEVELOPMENT | UT | N/A | C | Yes (1) | ||||
| 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 | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (39 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| SAINT JOSEPH HOSPITAL INC | ||
| A | $8,708,189 | FMV |
| MOUNT ST VINCENT HOME INC | ||
| B | $500,000 | FMV |
| CARITAS CLINICS INC | ||
| B | $315,511 | FMV |
| SCL HEALTH - MONTANA | ||
| C | $16,013,372 | FMV |
| ST JAMES HEALTHCARE | ||
| C | $3,714,190 | FMV |
| ST VINCENT HEALTHCARE FOUNDATION INC | ||
| C | $1,765,136 | FMV |
| LUTHERAN MEDICAL CENTER FOUNDATION | ||
| C | $271,198 | FMV |
| HOLY ROSARY HEALTHCARE FOUNDATION INC | ||
| C | $108,286 | FMV |
| MED-MAP LLC | ||
| K | $108,006 | FMV |
| SCL HEALTH - MONTANA | ||
| L | $83,769,009 | FMV |
| HOLY ROSARY HEALTHCARE | ||
| L | $10,776,160 | FMV |
| ST JAMES HEALTHCARE | ||
| L | $20,272,621 | FMV |
| ST MARY'S HOSPITAL & MEDICAL CENTER INC | ||
| L | $84,513,109 | FMV |
| SAINT JOSEPH HOSPITAL INC | ||
| L | $97,671,061 | FMV |
| INTERMOUNTAIN FRONT RANGE INC | ||
| L | $147,391,188 | FMV |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | ||
| L | $32,063,816 | FMV |
| ST JAMES HEALTHCARE FOUNDATION INC | ||
| L | $98,683 | FMV |
| ST VINCENT HEALTHCARE FOUNDATION INC | ||
| L | $504,474 | FMV |
| ST MARYS HOSPITAL FOUNDATION | ||
| L | $333,806 | FMV |
| SAINT JOSEPH HOSPITAL FOUNDATION | ||
| L | $375,800 | FMV |
| LUTHERAN MEDICAL CENTER FOUNDATION | ||
| L | $273,065 | FMV |
| GOOD SAMARITAN MEDICAL CENTER FOUNDATION | ||
| L | $199,905 | FMV |
| SCL HEALTH RESEARCH INSTITUTE INC | ||
| L | $292,916 | FMV |
| IHC HEALTH SERVICES INC | ||
| P | $1,619,204,132 | FMV |
| SAINT JOSEPH HOSPITAL INC | ||
| Q | $3,099,387 | FMV |
| INTERMOUNTAIN FRONT RANGE INC | ||
| Q | $12,368,688 | FMV |
| BRIGHTON COMMUNITY HOSPITAL ASSOCIATION | ||
| Q | $1,963,853 | FMV |
| ST MARY'S HOSPITAL & MEDICAL CENTER INC | ||
| Q | $2,703,240 | FMV |
| SCL HEALTH - MONTANA | ||
| Q | $2,672,972 | FMV |
| ST JAMES HEALTHCARE | ||
| Q | $727,253 | FMV |
| HOLY ROSARY HEALTHCARE | ||
| Q | $559,939 | FMV |
| MOUNT ST VINCENT HOME INC | ||
| Q | $7,688,718 | FMV |
| SCL HEALTH RESEARCH INSTITUTE INC | ||
| Q | $3,632,223 | FMV |
| INTERMOUNTAIN FRONT RANGE INC | ||
| R | $2,643,163 | FMV |
| INTERMOUNTAIN HEALTH CARE INC | ||
| S | $617,504 | FMV |
| INTERMOUNTAIN HEALTH CARE INC | ||
| S | $21,514,404 | FMV |
| IHC HEALTH SERVICES INC | ||
| S | $104,126,779 | FMV |
| SCL HEALTH - MONTANA | ||
| S | $25,518,495 | FMV |
| ST JAMES HEALTHCARE | ||
| S | $3,941,282 | FMV |