SCL HEALTH MONTANA: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: SCL HEALTH MONTANA (EIN 81-0232124)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-03
IRS object ID: 201633089349301193
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-03T14:04:43-05:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810232124	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST VINCENT HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STVI	BusinessNameControlTxt
Phone	4066577000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1233 NORTH 30TH STREET	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RON OLDFIELD	PersonNm
Person Title	VP FINANCIAL SVS & CFO	PersonTitleTxt
Phone	4066577000	PhoneNum
Signature	2016-11-03	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEVE LOVELESS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1233 NORTH 30TH STREET	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$442,640,642	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SVH-MT.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1972	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2500	TotalEmployeeCnt
Total Volunteers	325	TotalVolunteersCnt
Total Gross UBI	$2,842,931	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$142,917	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,428,110	PYContributionsGrantsAmt
CY Contributions Grants	$18,855,162	CYContributionsGrantsAmt
PY Program Service Revenue	$408,782,437	PYProgramServiceRevenueAmt
CY Program Service Revenue	$407,387,406	CYProgramServiceRevenueAmt
PY Investment Income	$17,729,537	PYInvestmentIncomeAmt
CY Investment Income	$12,994,821	CYInvestmentIncomeAmt
PY Other Revenue	$2,074,981	PYOtherRevenueAmt
CY Other Revenue	$2,565,043	CYOtherRevenueAmt
PY Total Revenue	$440,015,065	PYTotalRevenueAmt
CY Total Revenue	$441,802,432	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,505,049	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,900,094	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$170,679,249	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$130,110,899	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$227,500,600	PYOtherExpensesAmt
CY Other Expenses	$230,107,513	CYOtherExpensesAmt
PY Total Expenses	$399,684,898	PYTotalExpensesAmt
CY Total Expenses	$362,118,506	CYTotalExpensesAmt
PY Revenues Less Expenses	$40,330,167	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$79,683,926	CYRevenuesLessExpensesAmt
Total Assets BOY	$512,236,538	TotalAssetsBOYAmt
Total Assets EOY	$589,444,683	TotalAssetsEOYAmt
Total Liabilities BOY	$27,066,613	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$24,594,601	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$485,169,925	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$564,850,082	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	$342,300,817	ExpenseAmt
Grant	$1,900,094	GrantAmt
Revenue	$409,290,206	RevenueAmt
Desc	THE SISTERS OF CHARITY OF LEAVENWORTH, KANSAS, FOUNDED ST. VINCENT HEALTHCARE IN BILLINGS, MONTANA, IN 1898. MOTIVATED BY ITS MISSION TO PROVIDE COMPASSIONATE CARE AND SERVICE, ST. VINCENT HAS BECOME ONE OF MONTANA'S LEADING COMPREHENSIVE HEALTHCARE PROVIDERS. MODERN MEDICAL TECHNOLOGY HAS BEEN INTEGRATED INTO OUR COMMITMENT TO PROVIDE CARE FOR THE SICK, TO RESPECT LIFE, TO SERVE THE POOR AND TO PROVIDE COMPASSION AND CHARITY FOR ALL WHO NEED IT. ST. VINCENT OFFERS PROGRESSIVE SPECIALTY SERVICES IN HEART & VASCULAR, NEUROLOGY, ONCOLOGY, ORTHOPEDICS, AND WOMEN'S SERVICES. WE HAVE A SPECIAL "HOSPITAL WITHIN A HOSPITAL" JUST FOR CHILDREN, ST. VINCENT CHILDREN'S HEALTHCARE.FROM ITS MODEST BEGINNINGS OVER 100 YEARS AGO, ST. VINCENT HEALTHCARE HAS GROWN INTO ONE OF MONTANA'S LARGEST COMPREHENSIVE HOSPITALS, SERVING THE HEALTHCARE NEEDS OF OVER 400,000 PEOPLE IN A FOUR-STATE AREA. RENOWNED FOR A MISSION OF COMPASSIONATE CARE AND SERVICE TO THE POOR, THE ST. VINCENT HEALTHCARE TEAM IS CONTINUALLY RECOGNIZED AS A TECHNOLOGICAL LEADER IN THE HEALTHCARE INDUSTRY.DURING 2015, THE FOLLOWING STATISTICAL DATA WAS GATHERED:- 11,585 ADMISSIONS- 435,174 OUTPATIENT, CLINIC, AND HOME HEALTH VISTS- 36,373 EMERGENCY DEPARTMENT VISITS- 1,584 BIRTHS- 8,197 SURGERIES- 867,496 LABORATORY TESTSMISSION, VISION & VALUES MISSIONWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISIONINSPIRED BY OUR FAITH,WE WILL BE DISTINGUISHED AS THE PREMIER PERSON-CENTERED HEALTH SYSTEM AND TRUSTED PARTNER.WE WILL ENGAGE PATIENTS IN THEIR CARE DECISIONS AND SHARE ACCOUNTABILITY WITH CLINICIANS AND OTHER STAKEHOLDERS TO COORDINATE CARE ACROSS ALL SETTINGS AND IMPROVE ACCESS, QUALITY, HEALTH OUTCOMES AND AFFORDABILITY.WE WILL GROW AS COMMUNITY-BASED HEALTH NETWORKS IN PARTNERSHIP WITH OTHERS WHO SHARE OUR VISION AND VALUES AND ALIGN WITH US TO BE AN ESSENTIAL PROVIDER TO THOSE WE SERVE.VALUESCARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON.EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS.GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS.INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE.SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES. STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.ST. VINCENT HEALTHCARE OFFERS A WIDE VARIETY OF SERVICES TO THE COMMUNITY:- BARIATRIC SURGERY - BEHAVIORAL HEALTH- BLOOD CONSERVATION PROGRAM- BRAIN INJURY REHABILITATION- CANCER CARE- CARDIOLOGY- CARELINE- DERMATOLOGY- DIABETES CENTER- EMERGENCY SERVICES- GI DIAGNOSTIC CENTER- INTENSIVE CARE SERVICES- JOINT REPLACEMENT CENTER- LAB SERVICES- LIVING WELL- MAMMOGRAPHY- MANSFIELD HEALTH EDUCATION CENTER- WOMEN'S HEALTH- MS CLINIC- NEUROSCIENCE- NURSE ADVISOR- OCCUPATIONAL HEALTH SERVICES- ORTHOPEDIC SERVICES- OTOLARYNGOLOGY - OUTREACH- PAIN CENTER- PEDIATRICS- PRIMARY CARE- RADIOLOGY AND IMAGING SERVICES- REHABILITATION- RESPIRATORY- RONALD MCDONALD CARE MOBILE- SENIOR SERVICES- SLEEP CENTER- SPORTS MEDICINE- STROKE- SURGERY SERVICES- TELEHEALTH- TRAUMA OUTREACH- UROLOGY- VASCULAR CENTER- WALK IN CARE- WEIGHT MANAGEMENT- WOUND HEALING CENTER	Desc
Total Program Service Expenses	$342,300,817	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	292	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2500	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KYLE ENGMAN	PersonNm
Phone	3038135543	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	500 ELDORADO BLVD SUITE 4200	AddressLine1Txt
City	BROOMFIELD	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80021	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
SISTER BARBARA ALDRICH
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
KURT ALME
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
MARTHA ARGUELLES
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
KATHY BOELTER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
DANE BRADFORD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
EVAN BUCHAN MD
DIRECTOR	50.00	0.00	Yes (X)	$307,197	$0	$42,719
RALPH COSTANZO MD
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
DANIELLE EMERY MD
SECRETARY/TREASURER	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
SISTER BERNADETTE HELFERT
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
KEITH LAUVER
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
RICHARD LOPES MD
DIRECTOR 1/1 - 9/30	1.00	50.00	Yes (X)	$0	$802,709	$36,638
STEVE LOVELESS
PRESIDENT & CEO	50.00	0.00	Yes (X)	$0	$563,584	$88,745	Yes (X)
DENNIS MAIER MD
VICE CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
TERRILL MOORE
CHAIR	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
VU PHAM
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
DONALD STERHAN
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
RON OLDFIELD
VICE PRES FINANCIAL SVS - SVB	50.00	0.00		$0	$302,601	$55,464	Yes (X)
MICHAEL BUSH MD
VP-CHIEF MEDICAL OFFICER-SVH	50.00	0.00		$0	$409,053	$87,178		Yes (X)
ROBERT DOWDY
VP STRATEGY-BUSINESS DEV SVB	50.00	0.00		$0	$162,553	$37,715		Yes (X)
BLANCHE GILMORE
VP PATIENT CARE SERVICES - SVB	50.00	0.00		$0	$240,521	$53,304		Yes (X)
MICHAEL SKEHAN
EXEC VP COO SVB	50.00	0.00		$0	$314,107	$40,188		Yes (X)
DARREN WALKER
VP HUMAN RESOURCES SVB-HRH	50.00	0.00		$0	$244,454	$53,245		Yes (X)
JEFFREY ZAVALA
CMO SVB PHYSICIAN NETWORK	50.00	0.00		$0	$379,344	$84,407		Yes (X)
MICHAEL COPELAND MD
PSO PHYSICIAN CLINIC	50.00	0.00		$894,831	$0	$49,163			Yes (X)
STUART GOODMAN MD
PSO PHYSICIAN ANESTHESIA	50.00	0.00		$794,909	$0	$44,866			Yes (X)
WILLIAM SPIRE MD
PSO PHYSICIAN CLINIC	50.00	0.00		$765,114	$0	$45,042			Yes (X)
JASON FITZGERALD MD
PSO PHYSICIAN CLINIC	50.00	0.00		$662,840	$0	$43,802			Yes (X)
MARK MORASCH MD
PHYSICIAN CLINIC	50.00	0.00		$652,400	$0	$42,426			Yes (X)
DAVID IRION
FORMER KEY EMPLOYEE	0.00	50.00		$137,034	$0	$18,603				Yes (X)
JOAN THULLBERY
FORMER KEY EMPLOYEE	50.00	0.00		$161,778	$0	$22,284				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,376,103	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,418,926	TotReportableCompRltdOrgAmt
Total Other Compensation	$845,789	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	129	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
HEMATOLOGY ONCOLOGY CENTERS
1315 GOLDEN VALLEY CIRCLE	BILLINGS	MT	59102	ONCOLOGY PHYSICIANS	$4,622,509
FRONTIER ONCOLOGY
1315 GOLDEN VALLEY CIRCLE	BILLINGS	MT	59106	ONCOLOGY BLDG/EQUIP	$3,700,202
MED-MAP LLC
PO BOX 1295	BILLINGS	MT	59101	RENTAL REAL ESTATE	$3,450,788
MONTANA HEART INSTITUTE
2900 12TH AVE N STE 204E	BILLINGS	MT	591017506	CARDIOLOGY SERVICES	$2,810,392
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	CONTRACT LABOR	$2,560,878

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	48	CntrctRcvdGreaterThan100KCnt
Related Organizations	$18,855,162	RelatedOrganizationsAmt
Total Contributions	$18,855,162	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	622110	$406,795,785	$404,181,174	$2,614,611
MISSION UNITED - JV	621110	$472,442	$472,442
LAUNDRY SERVICE - JV	621110	$97,886	$97,886
ROCKY MTN HEALTH - JV	621110	$90,567	$90,567
COMM CRISIS CTR - JV	621110	-$69,274	-$69,274

Field	Value	IRS element (for citing)
Total Program Service Revenue	$407,387,406	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,209,677	TotalRevenueColumnAmt
Exclusion	$13,209,677	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,047,511	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$613,588	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$433,923	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$433,923	TotalRevenueColumnAmt
Exclusion	$433,923	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$9,766	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$224,622	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$214,856	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$214,856	TotalRevenueColumnAmt
Exclusion	-$214,856	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA SALES	722310	$1,830,986	$1,602,666	$228,320
PARKING LOT FEES	900099	$144,990	$144,990
DIETICIAN SERVICES	900099	$18,300	$18,300

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$136,844	TotalRevenueColumnAmt
Related Or Exempt Func Income	$136,844	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,131,120	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$441,802,432	TotalRevenueColumnAmt
Related Or Exempt Func Income	$406,675,595	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,842,931	UnrelatedBusinessRevenueAmt
Exclusion	$13,428,744	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,900,094	TotalAmt
Program Services	$1,900,094	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$3,466,377	TotalAmt
Program Services	$3,203,184	ProgramServicesAmt
Management And General	$263,193	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$98,253,426	TotalAmt
Program Services	$90,793,287	ProgramServicesAmt
Management And General	$7,460,139	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,147,800	TotalAmt
Program Services	$5,788,170	ProgramServicesAmt
Management And General	$359,630	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,073,931	TotalAmt
Program Services	$14,121,009	ProgramServicesAmt
Management And General	$952,922	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,169,365	TotalAmt
Program Services	$6,734,764	ProgramServicesAmt
Management And General	$434,601	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$38,827	TotalAmt
Program Services	$4,030	ProgramServicesAmt
Management And General	$34,797	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$28,889	TotalAmt
Management And General	$28,889	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$37,310,387	TotalAmt
Program Services	$32,533,344	ProgramServicesAmt
Management And General	$4,777,043	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,049,721	TotalAmt
Program Services	$2,046,572	ProgramServicesAmt
Management And General	$3,149	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,472,137	TotalAmt
Program Services	$1,327,924	ProgramServicesAmt
Management And General	$144,213	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$12,991,825	TotalAmt
Program Services	$10,108,924	ProgramServicesAmt
Management And General	$2,882,901	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,261,147	TotalAmt
Program Services	$855,635	ProgramServicesAmt
Management And General	$405,512	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$330,072	TotalAmt
Program Services	$142,614	ProgramServicesAmt
Management And General	$187,458	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$50	TotalAmt
Program Services	$50	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,729,877	TotalAmt
Program Services	$9,729,877	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,017,476	TotalAmt
Program Services	$4,017,476	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$72,852,040	$72,852,040
SYSTEM ALLOCATION	$44,177,633	$44,177,633
BAD DEBT EXPENSE	$29,400,612	$29,400,612
MAINTENANCE SERVICES	$6,495,848	$6,337,162	$158,686

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,950,972	TotalAmt
Program Services	$6,226,416	ProgramServicesAmt
Management And General	$1,724,556	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$362,118,506	TotalAmt
Program Services	$342,300,817	ProgramServicesAmt
Management And General	$19,817,689	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$150,631	BOYAmt
EOY	$162,206	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$73,795,232	BOYAmt
EOY	$62,797,875	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$52,797	BOYAmt
EOY	$33,373	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,025,303	BOYAmt
EOY	$1,079,643	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,871,129	BOYAmt
EOY	$7,237,080	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,057,730	BOYAmt
EOY	$4,955,832	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$371,313,767	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$258,629,987	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$118,120,963	BOYAmt
EOY	$112,683,780	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,648,430	BOYAmt
EOY	$2,852,842	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$59,108	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$303,455,215	BOYAmt
EOY	$397,642,052	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$512,236,538	BOYAmt
EOY	$589,444,683	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,546,569	BOYAmt
EOY	$24,594,601	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$520,044	BOYAmt
EOY	$0	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,066,613	BOYAmt
EOY	$24,594,601	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$485,169,925	BOYAmt
EOY	$564,850,082	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$485,169,925	BOYAmt
EOY	$564,850,082	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$512,236,538	BOYAmt
EOY	$589,444,683	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$79,683,926	ReconcilationRevenueExpnssAmt
Donated Services And Use Fclts	-$3,769	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

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	$28,889	OtherActivitiesAmt
Total Lobbying Expenditures	$28,889	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	FEDERAL AND STATE LOBBYING WAS PERFORMED ON BEHALF OF THE ORGANIZATION BY AN OUTSIDE THIRD PARTY. A PERCENTAGE OF MONTANA HOSPITAL ASSOCIATION DUES WAS ALSO CONSIDERED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$40,639,150	BeginningYearBalanceAmt
Contributions	$7,967,355	ContributionsAmt
Investment Earnings Or Losses	-$188,066	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,693,288	GrantsOrScholarshipsAmt
Other Expenditures	$1,254,638	OtherExpendituresAmt
End Year Balance	$42,470,513	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$22,166,108	BeginningYearBalanceAmt
Contributions	$27,735,435	ContributionsAmt
Investment Earnings Or Losses	$361,820	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$6,210,518	GrantsOrScholarshipsAmt
Other Expenditures	$3,413,695	OtherExpendituresAmt
End Year Balance	$40,639,150	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$19,944,937	BeginningYearBalanceAmt
Contributions	$9,541,014	ContributionsAmt
Investment Earnings Or Losses	$1,046,819	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,289,936	GrantsOrScholarshipsAmt
Other Expenditures	$3,076,726	OtherExpendituresAmt
End Year Balance	$22,166,108	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,928,484	BeginningYearBalanceAmt
Contributions	$4,861,760	ContributionsAmt
Investment Earnings Or Losses	$670,983	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,704,966	GrantsOrScholarshipsAmt
Other Expenditures	$1,811,324	OtherExpendituresAmt
End Year Balance	$19,944,937	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$17,315,205	BeginningYearBalanceAmt
Contributions	$4,759,507	ContributionsAmt
Investment Earnings Or Losses	-$155,529	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$2,728,621	GrantsOrScholarshipsAmt
Other Expenditures	$1,262,078	OtherExpendituresAmt
End Year Balance	$17,928,484	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.39000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.17000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.44000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,927,894	OtherCostOrOtherBasisAmt
Book Value	$17,927,894	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$158,761,318	OtherCostOrOtherBasisAmt
Depreciation	$109,922,946	DepreciationAmt
Book Value	$48,838,372	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,313,687	OtherCostOrOtherBasisAmt
Depreciation	$9,498,018	DepreciationAmt
Book Value	$4,815,669	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$174,774,017	OtherCostOrOtherBasisAmt
Depreciation	$139,209,023	DepreciationAmt
Book Value	$35,564,994	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,536,851	OtherCostOrOtherBasisAmt
Book Value	$5,536,851	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$112,683,780	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLE	$385,733,678
OTHER ACCT RECEIVABLE	$914,824
3RD PARTY SETTLEMENTS	$10,880,755
JOINT VENTURE RECEIVABLES	$112,795

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$397,642,052	TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, LINE 4:	FormAndLineReferenceDesc
Explanation	THE TWO LARGEST ENDOWMENTS SUPPORT THE MT PEDIATRICS PROJECT AND NURSE EDUCATION. THE REMAINING ENDOWMENTS SUPPORT VARIOUS DEPARTMENTS IN THE HOSPITAL.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,127,695	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,127,695	NetCommunityBenefitExpnsAmt
Total Expense	0.02140	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,459,140	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,525,231	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,933,909	NetCommunityBenefitExpnsAmt
Total Expense	0.02380	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$930,286	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,947,847	DirectOffsettingRevenueAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$46,517,121	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$32,473,078	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,061,604	NetCommunityBenefitExpnsAmt
Total Expense	0.04520	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,625,630	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$224,037	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,401,593	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$995,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$21,750	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$973,912	NetCommunityBenefitExpnsAmt
Total Expense	0.00290	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,554,813	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,844,637	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,710,176	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$226,941	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$226,941	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$676,770	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$398,450	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$278,320	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,079,816	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,488,874	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,590,942	NetCommunityBenefitExpnsAmt
Total Expense	0.01670	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$63,596,937	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$43,961,952	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,652,546	NetCommunityBenefitExpnsAmt
Total Expense	0.06190	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,500	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$323,477	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$214,503	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,974	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,298	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,298	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$68	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$68	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$47,318	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$47,318	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$401,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$214,503	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$187,158	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$29,400,612	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$105,493,982	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$120,914,050	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$15,420,068	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 (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 ATHLETIC MEDICINE & PERFORMANCE LLC
PHYSICAL THERAPY	0.33330	0.00000	0.47410
2 ROCKY MOUNTAIN HEALTH NETWORK INC
PHO - ADMINISTRATIVE SERVICES	0.50000	0.00000	0.50000
3 ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC
ACCOUNTABLE HEALTH NETWORK	0.50000	0.00000	0.50000

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	ST VINCENT HEALTHCARE	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1233 NORTH 30TH STREET	AddressLine1Txt
City	BILLINGS	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59101	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SVH-MT.ORG	WebsiteAddressTxt
State License	13258	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	DURABLE MED EQP & OUTPAT. PHY. CLINIC	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST VINCENT HEALTHCARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	14	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	SVH-MT.ORG/ABOUT-US	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	HEALTHYBYDESIGNYELLOWSTONE.ORG	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SVH-MT.ORG/ABOUT-US; HEALTHYBYDESIGNYELLOWSTONE.ORG	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.SVH-MT.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.SVH-MT.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.SVH-MT.ORG	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 5: THE 2014 COMMUNITY HEALTH ASSESSMENT FOR YELLOWSTONE COUNTY WAS CONDUCTED ON BEHALF OF BILLINGS CLINIC, RIVERSTONE HEALTH (THE LOCAL PUBLIC HEALTH DEPARTMENT) AND ST. VINCENT HEALTHCARE BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC). PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) IN HUNDREDS OF COMMUNITIES. THE CHNA INCORPORATED BOTH QUANTITATIVE PRIMARY RESEARCH AND PUBLIC HEALTH DATA SOURCES AND QUALITATIVE DATA.THE COMMUNITY HEALTH SURVEY DEVELOPED BY PRC PROVIDED A COMPLETE AND TIMELY VIEW OF THE HEALTH STATUS AND BEHAVIORS OF AREA RESIDENTS THROUGH A RANDOMIZED TELEPHONE SURVEY OF 400 YELLOWSTONE COUNTY ADULTS. THE SAMPLE DRAWN FOR THE SURVEY WAS REPRESENTATIVE OF THE ADULT YELLOWSTONE COUNTY POPULATION IN TERMS OF DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS, AS WELL AS GEOGRAPHICAL LOCATION. TO FURTHER GAIN PERSPECTIVE FROM COMMUNITY MEMBERS AND LOCAL ORGANIZATIONS, FIVE FOCUS GROUPS WERE CONDUCTED. THE FOCUS GROUPS INCLUDED DISCUSSIONS WITH 38 KEY INFORMANTS IN THE FOLLOWING AREAS: MEDICAL AND OTHER PUBLIC HEALTH PERSONNEL, LEGISLATORS, EMPLOYERS AND EMPLOYEES, EDUCATORS, SOCIAL SERVICE PROVIDERS, AND A SOUTHSIDE RESIDENT GROUP WHICH REPRESENTED A HIGH POVERTY AREA.
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 6A: ST. VINCENT HEALTHCARE CONDUCTED THE 2014 CHNA IN PARTNERSHIP WITH BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT, AND THE CITY-COUNTY HEALTH DEPARTMENT, RIVERSTONE HEALTH.
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 6B: SINCE 1994, BILLINGS CLINIC, RIVERSTONE HEALTH AND ST. VINCENT HEALTHCARE HAVE BEEN WORKING TOGETHER AS AN ALLIANCE CREATING AND SUSTAINING INNOVATIVE PROGRAMS THAT ADDRESS COMPLEX COMMUNITY-WIDE HEALTH ISSUES. THE ALLIANCE SPONSORED THE 2014 COMMUNITY HEALTH NEEDS ASSESSMENT, A FOLLOW-UP TO SIMILAR STUDIES CONDUCTED IN 2006 AND 2011. ST. VINCENT HEALTHCARE VIEWS THIS RESEARCH AS A COMMUNITY ASSET, BY PROVIDING INFORMATION THAT WILL ASSIST MANY ORGANIZATIONS IN STRENGTHENING THE IMPACT AND EFFECTIVENESS OF THEIR SERVICES TOWARD IMPROVING HEALTH IN OUR COMMUNITY.
ST. VINCENT HEALTHCARE	PART V, SECTION B, LINE 11: THE SIGNIFICANT NEEDS IDENTIFIED IN ST. VINCENT HEALTHCARE'S (SVH) 2014 CHNA REPRESENT THE COMMUNITY BASED ON INFORMATION GATHERED THROUGH THIS CHNA AND GUIDELINES SET FORTH IN HEALTHY PEOPLE 2020. THESE NEEDS, CALLED 'AREAS OF OPPORTUNITY' WERE DETERMINED AFTER CONSIDERATION OF VARIOUS CRITERIA INCLUDING COMPARISON WITH BENCHMARK DATA, TRENDS, SIGNIFICANT FINDING WITHIN TOPIC AREAS, MAGNITUDE OF THE ISSUE IN TERMS OF NUMBER OF PERSONS AFFECTED AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. IN ALPHABETICAL ORDER, THEY ARE:1) ACCESS TO HEALTH SERVICES2) CANCER3) CHRONIC KIDNEY DISEASE4) DEMENTIA, INCLUDING ALZHEIMER'S5) INJURY & VIOLENCE6) INFANT HEALTH & FAMILY PLANNING7) MENTAL HEALTH & MENTAL DISORDERS8) NUTRITION, PHYSICAL ACTIVITY & WEIGHT9) RESPIRATORY DISEASE10) SUBSTANCE ABUSE11) TOBACCO USEAFTER THE CHNA OPPORTUNITY IDENTIFICATION, COMMUNITY FORUM VOTING, AND CHNA ADVISORY COMMITTEE VALIDATION, THREE AREAS WERE IDENTIFIED AS THE PRIORITY COMMUNITY HEALTH NEEDS:A. HEALTHY WEIGHTB. ACCESS TO HEALTH SERVICESC. MENTAL HEALTH, MENTAL DISORDERS AND SUBSTANCE ABUSE ST. VINCENT HEALTHCARE IS ADDRESSING THESE IDENTIFIED HEALTH NEEDS THROUGH BOTH COLLABORATIVE COMMUNITY EFFORTS AND SPECIFIC HOSPITAL EFFORTS. HEALTHY WEIGHT:ST. VINCENT HEALTHCARE PROVIDED LEADERSHIP AND REPRESENTATION TO HEALTHY BY DESIGN WORKGROUPS FOCUSED POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE STRATEGIES FOR HEALTHY WEIGHT. ST. VINCENT HEALTHCARE PROVIDED TWO TECHNICAL ASSISTANTS FOR THE HEALTHY BY DESIGN DEMONSTRATION PROJECT ON WORKSITE WELLNESS WITH BIG SKY ECONOMIC DEVELOPMENT. THE TECHNICAL ASSISTANTS PROVIDE SUPPORT TO LOCAL WORKPLACES TO IMPLEMENT WORKPLACE POLICIES TO INCREASE PHYSICAL ACTIVITY AND NUTRITION. WE SUPPORT YELLOWSTONE COUNTY AREA SCHOOL-BASED EFFORTS TO INCREASE STUDENTS' DAILY CONSUMPTION OF FRUITS AND VEGETABLES AND INCREASE STUDENT'S PHYSICAL ACTIVITY LEVELS. ST. VINCENT HEALTHCARE PROVIDED REPRESENTATION ON SD #2 SCHOOL HEALTH ADVISORY COMMITTEE AND BILLINGS ACTION FOR HEALTHY KIDS COALITION. ST. VINCENT HEALTHCARE CONTINUES THE KOHL'S CARES FOR KIDS GRANT PARTNERSHIP WITH PRIORITY TITLE ONE SCHOOLS, WHICH PROVIDES PHYSICAL ACTIVITY AND NUTRITION EDUCATION AND OUTREACH. OVER 1,491 STUDENTS IN TITLE ONE SCHOOLS WERE SERVED BY PROGRAM THROUGH RUNNING PROGRAMS, HIP HOP PROGRAMS, AND SHOE DISTRIBUTION. ST. VINCENT HEALTHCARE SUPPORTED THE FALL ELEMENTARY CROSS COUNTRY RACE WHICH REACHED 1,385 STUDENTS. ST. VINCENT HEALTHCARE PROVIDED LEADERSHIP FOR THE EVIDENCE-BASED ACTIVE LIVING EVERY DAY PHYSICAL ACTIVITY CLASSES IN OUR COMMUNITY, INCLUDING HOSTING CLASSES. THESE CLASSES REACHED 146 INDIVIDUALS IN 2015. ST. VINCENT HEALTHCARE CONTINUED THE EVIDENCE-BASED DIABETES PREVENTION PROGRAM WHICH SERVED 114 PARTICIPANTS IN 2015. WE PROVIDED BOARD LEADERSHIP AND FINANCIAL AND IN-KIND SUPPORT TO THE BILLINGS FAMILY YMCA, INCLUDING SUPPORT OF THE LIVESTRONG PROGRAM TO PROVIDE PHYSICAL ACTIVITY FOR CANCER PATIENTS AND SURVIVORS. ST. VINCENT HEALTHCARE PROMOTED THE USE OF ACTIVE TRANSPORTATION AND THE VALUATION OF BUILT ENVIRONMENT AS IT RELATES TO HEALTH AND SAFETY THROUGH SPONSORSHIP OF EVENTS AIMED AT PROMOTION OF ACTIVE TRANSPORTATION AND TRAIL USE. IN ADDITION, ST. VINCENT HEALTHCARE PROVIDED FINANCIAL AND IN-KIND SUPPORT OF A LOCAL TRAIL ADVOCACY ORGANIZATION, BILLINGS TRAILNET. ST. VINCENT ADVOCATED FOR ACCESS TO HEALTHY FOODS FOR LOW-INCOME INDIVIDUALS AND FAMILIES. WE SERVED AS A SITE FOR BOUNTIFUL BASKETS AND PROVIDED STAFF SUPPORT FOR THE HEALTHY BY DESIGN COALITION'S GARDENER'S MARKET. THIS MARKET WAS LOCATED IN A FEDERALLY IDENTIFIED FOOD DESERT WITHIN A LOW-INCOME NEIGHBORHOOD AND ACCEPTS WIC CHECKS AND SNAP BENEFITS FOR PAYMENT. ST. VINCENT HEALTHCARE'S CHARITY GARDEN PROVIDES FRESH PRODUCE TO NON-PROFIT ORGANIZATIONS. THE HOSPITAL'S FOOD SERVICE DONATED FOOD TO EVENTS AT COMMUNITY-BASED ORGANIZATIONS SERVING VULNERABLE POPULATIONS SUCH AS ST. VINCENT DE PAUL SOCIETY. ACCESS TO HEALTH SERVICES:ST. VINCENT HEALTHCARE SUPPORTED ADVOCACY EFFORTS FOR THE EXPANSION OF MEDICAID. TOGETHER WITH THE ALLIANCE PARTNERS, BILLINGS CLINIC AND RIVERSTONE HEALTH, A JOINT ADVOCACY STRATEGY WAS DEVELOPED TO INCLUDE ACCESS TO CARE PRIORITIES WHICH ADVOCATE FOR ACCESS TO HEALTHCARE AND DENTAL SERVICE PROGRAMS. THESE PROGRAMS ASSIST THOSE WITH FINANCIAL NEED, INCLUDING PROGRAMS SUCH AS THE HEALTHY MONTANA KIDS, MEDICATION ASSISTANCE PROGRAM, COMMUNITY HEALTH ACCESS PARTNERSHIP, AND MEDICAID. ST. VINCENT HEALTHCARE PROVIDED LEADERSHIP TO IMPLEMENT EDUCATIONAL TRAINING PROGRAMS. ST. VINCENT HEALTHCARE SPONSORED A FAITH COMMUNITY NURSING PROGRAM TO TRAIN AND CERTIFY ADDITIONAL FAITH COMMUNITY NURSES. ST. VINCENT HEALTHCARE ALSO PROVIDED STAFFING AND LEADERSHIP TO IMPLEMENT A LOCAL CLINICAL PASTORAL EDUCATION (CPE) PROGRAM (THE ONLY CPE PROGRAM IN MONTANA). ST. VINCENT HEALTHCARE CONTINUED SUPPORT OF THE MONTANA FAMILY MEDICINE RESIDENCY WITH FINANCIAL SUPPORT, BOARD LEADERSHIP AND CLINICAL INTEGRATION. ST. VINCENT HEALTHCARE SUPPORTED THE PHARMACY RESIDENCY PROGRAM WITH FINANCIAL SUPPORT AND STAFF SUPPORT. NURSING STUDENTS WERE PROVIDED WITH OPPORTUNITIES FOR CLINICAL ROTATIONS AND TRAINING. ST. VINCENT HEALTHCARE'S RONALD MCDONALD CAREMOBILE PROVIDED ACCESS TO DENTAL AND MEDICAL CARE FOR CHILDREN IN POVERTY. THE CAREMOBILE PROVIDES OUTREACH TO OUTLYING COMMUNITIES AND INCREASED ACCESS TO THESE SERVICES. THROUGH THE USE OF TELEMEDICINE, COMMUNITIES WERE PROVIDED WITH PEDIATRIC SPECIALTY OUTREACH. ST. VINCENT HEALTHCARE PROVIDED LEADERSHIP FOR THE CARE TRANSITIONS COALITION. WE PARTICIPATED IN A COMMUNITY COLLABORATIVE TO ADDRESS COMMUNITY-LEVEL PATIENTS WITH HIGH UTILIZATION OF EMERGENCY DEPARTMENTS AND HIGH READMISSION RATES. ST. VINCENT HEALTHCARE CONTINUED THE FINANCIAL SUPPORT OF THE MEDICATION ASSISTANCE PROGRAM AT RIVERSTONE HEALTH. MENTAL HEALTH & MENTAL DISORDERS, SUBSTANCE ABUSE (INCLUDING TOBACCO):ST. VINCENT HEALTHCARE SUPPORTED PUBLIC POLICY WORK TO ADDRESS THESE HEALTH NEEDS INCLUDING ADVOCACY EFFORTS TO REDUCE GAPS IN PREVENTION, AS WELL AS SUPPORT TREATMENT FOR CO-OCCURRING DISORDERS AND TREATMENT OF FAMILY UNITS. ADVOCACY EFFORTS INCLUDED PROMOTING AND ENCOURAGING POLICY OPPORTUNITIES RELATED TO SMOKE FREE/TOBACCO FREE FACILITIES, CAMPUSES, WORKSITES, OR PUBLIC SPACES.ST. VINCENT HEALTHCARE ACTIVELY PARTICIPATES IN THE YELLOWSTONE COUNTY PRESCRIPTION PAIN TASK FORCE. ST. VINCENT HEALTHCARE TRAINED STAFF IN THE EVIDENCE-BASED AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING CLASSES. IN 2015, WE OFFERED FIVE 7-WEEK SESSIONS FOR COMMUNITY MEMBERS TO STOP TOBACCO USE. WE PROVIDE REPRESENTATION FOR THE SUICIDE PREVENTION TASK FORCE AND HOSTED THE ANNUAL SUICIDE PREVENTION CONFERENCE. THROUGH A COMMUNITY GRANT RECEIVED BY ST. VINCENT HEALTHCARE FOUNDATION, ST. VINCENT HAS WORKED TO INCREASE CAPACITY FOR TRAUMA-INFORMED CARE EDUCATION, PROMOTION, COLLABORATION AND IMPLEMENTATION. RECOGNIZING THE STRONG CORRELATION BETWEEN ADVERSE CHILDHOOD EXPERIENCES (ACES) AND OTHER FORMS OF COMPLEX TRAUMA TO SUICIDE, SMOKING AND TOBACCO USE, ALCOHOL AND SUBSTANCE USE, ST. VINCENT HEALTHCARE PROVIDED TRAUMA-INFORMED CARE TRAINING FOR 16 FAITH COMMUNITY NURSES TO HELP COMMUNITY MEMBERS WITH HIGH ACE SCORES AND COMPLEX TRAUMA HISTORIES. ST. VINCENT HEALTHCARE CONTINUES TO SUPPORT THE COMMUNITY CRISIS CENTER WITH FINANCIAL AND IN-KIND SUPPORT. WE HAVE COLLABORATED WITH UNITED WAY OF YELLOWSTONE COUNTY TO SUPPORT THE DATABASE FOR AN ELECTRONIC DIRECTORY OF COMMUNITY RESOURCES TO ADDRESS MENTAL HEALTH AND SUBSTANCE ABUSE NEEDS. ST. VINCENT HEALTHCARE PROVIDED REPRESENTATION TO THE BEST BEGINNINGS/HEALTHY BY DESIGN MENTAL HEALTH WORKGROUP. IN THE CHNA RESULTS, A LISTING OF "AREAS OF OPPORTUNITY" WERE IDENTIFIED BASED ON THE COMPILED DATA INCLUDING INPUT FROM THE FOCUS GROUPS, RESULTS OF THE PHONE SURVEY AND THE SECONDARY DATA. THIS LIST INCLUDED: ACCESS TO HEALTH SERVICES; CANCER; CHRONIC KIDNEY DISEASE; DEMENTIAS, INCLUDING ALZHEIMER'S DISEASE; HEART DISEASE & STROKE; INJURY & VIOLENCE; INFANT HEALTH & FAMILY PLANNING; MENTAL HEALTH & MENTAL DISORDERS; NUTRITION, PHYSICAL ACTIVITY & WEIGHT; RESPIRATORY DISEASES; SUBSTANCE ABUSE; AND TOBACCO USE.
SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUED)	OUR COMMUNITY HEALTH IMPROVEMENT PLAN DIRECTLY ADDRESSES ACCESS TO HEALTH SERVICES; MENTAL HEALTH AND MENTAL DISORDERS; NUTRITION, PHYSICAL ACTIVITY & WEIGHT; SUBSTANCE ABUSE AND TOBACCO USE. ST. VINCENT HEALTHCARE PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ORGANIZATIONS WHICH ADDRESS OTHER IDENTIFIED HEALTH NEEDS INCLUDING THE AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, ALZHEIMER'S ASSOCIATION, AND AMERICAN HEART ASSOCIATION. ST. VINCENT HEALTHCARE PROVIDES TRAUMA EDUCATION AND OUTREACH TO ADDRESS INJURY AND VIOLENCE, INCLUDING A DISTRACTED DRIVING PRESENTATION TO REGIONAL SCHOOLS. UNDERLYING SOCIAL DETERMINANTS OF HEALTH, SUCH AS EDUCATION, ARE ADDRESSED THROUGH COLLABORATION WITH BILLINGS EDUCATIONAL FOUNDATION'S PARTNERS IN EDUCATION PROGRAMS WITH STAFF TUTORING STUDENTS AT A TITLE ONE SCHOOL AND SUPPORT OF UNITED WAY BEST BEGINNINGS COALITION GRADUATION MATTERS INITIATIVE. EXISTING HEALTH CARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY ARE AVAILABLE TO RESPOND TO HEALTH NEEDS OF THE COMMUNITY NOT BEING ADDRESSED BY ST. VINCENT HEALTHCARE.

Field	Value	IRS element (for citing)
Facility	13	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	ATHLETIC MEDICINE
2 - SVHC BILLINGS OBGYN & ASSOCIATES
1611 ZIMMERMAN TRAIL	BILLINGS	MT	59102	OB CLINIC
3 - SVHC CCBDC
1233 N 30TH AVE	BILLINGS	MT	59101	CLINIC
4 - SVHC EMERGENCY MEDICINE
400 S CLARK ST	BUTTE	MT	59701	EMERGENCY MEDICINE
5 - SVHC FCC MED ONC
1315 GOLDEN VALLEY CIRCLE	BILLINGS	MT	59102	ONCOLOGY MEDICINE
6 - SVHC HOSPITALIST NEUROLOGIST
1233 N 30TH ST	BILLINGS	MT	59101	NEUROLOGY MEDICINE
7 - SVHC HOSPITALISTS
1233 N 30TH ST	BILLINGS	MT	591010127	CLINIC
8 - SVHC MONTANA HEART
2900 12TH AVE NORTH SUITE 204E	BILLINGS	MT	59101	CARDIAC MEDICINE
9 - SVHC NEONATOLOGY
1233 N 30TH ST	BILLINGS	MT	591010127	NEONATOLOGY MEDICINE
10 - SVHC PALLIATIVE CARE
1233 N 30TH STREET	BILLINGS	MT	59101	CLINIC
11 - SVHC REDLODGE PT
810 N BROADWAY	REDLODGE	MT	59068	PHYSICAL THERAPY MEDICINE
12 - SVHC ST VINCENT'S WALK-IN CLINIC
1233 N 30TH ST	BILLINGS	MT	591010127	CLINIC
13 - SVHC YELLOWSTONE UROLOGY
2900 12TH AVE N STE 503E	BILLINGS	MT	59101	UROLOGY MEDICINE

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.
PART I, LINE 7:	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 29,400,612.
PART II, COMMUNITY BUILDING ACTIVITIES:	ST. VINCENT HEALTHCARE CONTINUES TO WORK WITH COMMUNITY ORGANIZATIONS THAT SUPPORT ECONOMIC ACTIVITIES AND POLICIES IN THE COMMUNITY. IN 2015, ST. VINCENT PROVIDED SCHOLARSHIPS TO AT-RISK STUDENTS TO ENSURE THEY COMPLETED THEIR EDUCATION. IN SUPPORT OF OUR COMMUNITY, WE PROVIDED FUNDING TO SENIOR PROGRAMS THAT SERVE THE LOW INCOME ELDERLY. WE SUPPORTED AT-RISK YOUTH TO PARTICIPATE IN A HOSPITAL VOLUNTEER MENTORING PROGRAM. WE ALSO PROVIDED SUPPORT TO REDUCE LITTER ON THE STREETS OF OUR COMMUNITY AS WELL AS POLLUTION REDUCTION EFFORTS. TO ENSURE THOSE WHO ARE POOR AND VULNERABLE RECEIVE SERVICES IN THEIR COMMUNITY, WE SUPPORT ADVOCACY WORK THAT BENEFITS THESE INDIVIDUALS. WE BELIEVE OUR PARTICIPATION WILL ENSURE THE SOCIAL DETERMINANTS OF HEALTH ARE BEING ADDRESSED IN OUR COMMUNITY.SCHEDULE H, PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE TO HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF BAD DEBT.
PART III, LINE 2:	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.
PART III, LINE 4:	THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE ORGANIZATIONS FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE MODIFICATIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCES DUE FROM PATIENTS AFTER INSURANCE.
PART III, LINE 8:	THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO.
PART III, LINE 9B:	AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.
PART VI, LINE 2:	ST. VINCENT HEALTHCARE (SVH) USES THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE CHNA WAS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF RESIDENTS IN THE SERVICE AREA OF SVH. SUBSEQUENTLY, THIS INFORMATION WAS USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS AS DESCRIBED IN THE HOSPITAL'S IMPLEMENTATION PLAN.THE CHNA HAD THREE BASIC GOALS: 1) TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. 2) TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS. 3) TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. THE CHNA WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) ON BEHALF OF SVH, IN PARTNERSHIP WITH RIVERSTONE HEALTH, THE LOCAL HEALTH DEPARTMENT, AND BILLINGS CLINIC, ANOTHER HOSPITAL IN THE CITY OF BILLINGS. PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING CHNAS, SUCH AS THIS, IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH AND PUBLIC HEALTH DATA SOURCES (CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AND HEALTHY PEOPLE 2020), WHICH ALLOWS FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES THE DEVELOPMENT OF A SURVEY INSTRUMENT (AS DEVELOPED BY THE YELLOWSTONE COMMUNITY HEALTH NEEDS ASSESSMENT ADVISORY GROUP) WHICH REACHED 400 RESIDENTS USING A TELEPHONE-INTERVIEW METHODOLOGY AS WELL AS IN-PERSON FOCUS GROUPS WHICH CAPTURED THE INPUT OF 38 KEY INFORMANTS. KEY INFORMANTS WERE REPRESENTED BY PHYSICIANS, PUBLIC HEALTH, COMMUNITY LEADERS, ELECTED OFFICIALS AND SOCIAL SERVICES.IN ADDITION TO THE CHNA, ST. VINCENT HEALTHCARE USES SECONDARY DATA SUCH AS COUNTY HEALTH RANKINGS AND BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) TO DETERMINE HEALTH NEEDS FOR COUNTIES BEYOND OUR PRIMARY SERVICE AREA. ST. VINCENT HEALTHCARE ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT.
PART VI, LINE 3:	THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILBLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4:	ST. VINCENT HEALTHCARE'S PRIMARY SERVICE AREA INCLUDES YELLOWSTONE COUNTY WHICH INCLUDES THE ZIP CODES OF 59002, 59006, 59105, 59024, 59037, 59044, 59057, 59064, 59079, 59088, 59101, 59102, 59105, AND 59106. COVERING 2,633 SQUARE MILES WITH AN ESTIMATED POPULATION OF 151,882 RESIDENTS IN 2012. YELLOWSTONE COUNTY IS THE ONLY COUNTY IN MONTANA THAT IS NOT DESIGNATED AS "RURAL." BILLINGS, THE COUNTY SEAT, IS THE STATE'S LARGEST CITY, WITH A 2012 POPULATION ESTIMATED AT 106,954. OTHER CITIES AND TOWNS IN YELLOWSTONE COUNTY INCLUDE: ACTON, BALLANTINE, BROADVIEW, CUSTER, HUNTLEY, LAUREL, POMPEY'S PILLAR, SHEPHERD, AND WORDEN.THE UNEMPLOYMENT RATE FOR YELLOWSTONE COUNTY AS OF NOVEMBER 2013 IS 3.6% COMPARED TO A STATEWIDE RATE OF 5%. PERSONS BELOW THE POVERTY LEVEL IN YELLOWSTONE COUNTY (PER 2008-2012 DATA) STAND AT 11.9% COMPARED WITH 14.8% STATEWIDE.MONTANA'S LARGEST MINORITY POPULATION IS AMERICAN INDIAN, AT 6.3% OF THE STATE'S POPULATION COMPARED TO 0.9% NATIONALLY. IN YELLOWSTONE COUNTY, AMERICAN INDIANS MAKE UP 4.3 PERCENT OF THE POPULATION, WITH SLIGHTLY MORE HISPANIC PEOPLE AT 4.9 PERCENT. THE POPULATION IN YELLOWSTONE COUNTY INCREASED BY 2.6% FROM APRIL 1, 2010 TO JULY 1, 2012 COMPARED WITH A STATEWIDE POPULATION INCREASE OF 1.6%. THE U.S. CENSUS BUREAU PROJECTS THAT BY 2025, MONTANA WILL HAVE THE THIRD HIGHEST PERCENTAGE OF ELDERLY IN THE NATION, WITH NEARLY A FIFTH OF ITS POPULATION ESTIMATED TO BE OVER THE AGE OF 65. 2012 CENSUS ESTIMATES INDICATE 15.7% OF MONTANANS ARE 65 OR OLDER AND 14.7% OF YELLOWSTONE COUNTY RESIDENTS ARE 65 AND OLDER. BY CONTRAST, PERSONS UNDER 18 STAND AT 22.1% AND 23.5% RESPECTIVELY, DEMONSTRATING A YOUNGER POPULATION RESIDES IN YELLOWSTONE COUNTY. ST. VINCENT HEALTHCARE'S TOTAL SERVICE AREA INCLUDES APPROXIMATELY 700,000 RESIDENTS AND COMPRISES MOST OF MONTANA AND PARTS OF WYOMING. AS DESCRIBED IN THE 2012 STATE PUBLIC HEALTH ASSESSMENT, MONTANA'S POPULATION IS HOVERING AROUND 1 MILLION PEOPLE IN AN AREA OF NEARLY 146,000 SQUARE MILES. IN THIS WIDE OPEN SPACE, THERE ARE ONLY SEVEN CITIES WITH MORE THAN 20,000 RESIDENTS INCLUDING 15 COMMUNITIES AND COUNTIES IN MONTANA THAT ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS (HPSAS) WITH MEDICALLY UNDERSERVED POPULATIONS (MUPS).
PART VI, LINE 5:	ST. VINCENT HEALTHCARE OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. OUR ORGANIZATION HAS A VOLUNTEER GOVERNING BODY IN WHICH INCLUDE INDEPENDENT PERSONS THAT REPRESENT THE COMMUNITY. THIS BOARD OF DIRECTORS REPRESENTS MEDICAL AND BUSINESS PROFESSIONALS AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY ARE DEEPLY INVOLVED IN OUR NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. ST. VINCENT HEALTHCARE ENGAGES IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTH CARE PROFESSIONALS AND PARTICIPATES IN MEDICAID, MEDICARE, AND/OR OTHER GOVERNMENT-SPONSORED HEALTH CARE PROGRAMS.ST. VINCENT HEALTHCARE ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, A GUIDE FOR PLANNING AND REPORTING COMMUNITY BENEFIT. ST. VINCENT HEALTHCARE'S COMMUNITY BENEFIT WORK IS DRIVEN BY COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS AND THE BROADER COMMUNITY. COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION AND STAFF AND BOARD EDUCATION IS CONDUCTED. DEDICATED STAFF IS COMMITTED TO COMMUNITY BENEFIT EFFORTS. ST. VINCENT HEALTHCARE EMPLOYS THE STAFF OF ST. VINCENT HEALTHCARE FOUNDATION, A NON-PROFIT ORGANIZATION THAT PROVIDES GRANT WRITING AND FUNDRAISING FOR BOTH ST. VINCENT HEALTHCARE PROGRAMS AND FOR COMMUNITY BENEFIT PROGRAMS THAT REACH BOTH THE POOR AND THE BROADER COMMUNITY. OPERATIONS OF THE ST. VINCENT HEALTHCARE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN ST. VINCENT HEALTHCARE HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTH CARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE'LL BE HERE TO CARE FOR FUTURE GENERATIONS. ST. VINCENT HEALTHCARE CO-LEADS COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE ALLIANCE AND COMMITS TIME AND FINANCIAL RESOURCES TO FULFILLING GOALS OUTLINED IN THE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY. COMMUNITY LEVEL PRIORITIES INCLUDE INCREASING ACCESS TO HEALTHCARE SERVICES, IMPROVING HEALTH WEIGHT STATUS AND MENTAL HEALTH. EMPLOYEES USE PAID WORK TIME TO SUPPORT THESE AND BROADER COMMUNITY HEALTH IMPROVEMENT EFFORTS WITH A VARITY OF PARTNERS INCLUDING: THE ALLIANCE, HEALTHY BY DESIGN, INTERFAITH HOSPITALITY NETWORK, BILLINGS AREA CHAMBER OF COMMERCE, RIVERSTONE HEALTH, MONTANA HOSPITAL ASSOCIATION, UNITED WAY OF YELLOWSTONE COUNTY, YMCA, BIG BROTHERS, BIG SISTERS, RONALD MCDONALD HOUSE, NATIVE AMERICAN DEVELOPMENT CORPORATION, MONTANA CANCER CONTROL COALITION, THE AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCATION, AMERICAN HEART ASSOCIATION, BILLINGS ACTION FOR HEALTHY KIDS, BILLINGS PUBLIC SCHOOLS, SPECIAL OLYMPICS, YWCA, COMMUNITY CRISIS CENTER, HEAD START, ADULT RESOURCE ALLIANCE, COMMUNITY LEADERSHIP DEVELOPMENT INC, ST. VINCENT DE PAUL SOCIETY, AND YOUNG FAMILIES/EARLY HEAD START. WE SUPPORT OUR EMPLOYEES IN VOLUNTEERING FOR COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS, AND PROVIDE OPPORTUNITIES FOR THEM TO SUPPORT CAUSES THROUGH HOSPITAL EVENTS SUCH AS FOOD DRIVES AND AN ANNUAL UNITED WAY GIVING CAMPAIGN.
PART VI, LINE 6:	ST. VINCENT HEALTHCARE IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITY, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES NINE HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 190 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,000 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEMWIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.ST. VINCENT HEALTHCARE PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION AND REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES,TAX SERVICES AND MISSION INTEGRATION.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ST VINCENT HEALTHCARE FOUNDATION
1106 NORTH 30TH STREET	BILLINGS	MT	59101	810468034	501(C)(3)	$1,323,505	SUPPORT OPERATIONS
COMMUNITY CRISIS CENTER LLC
704 NORTH 30TH STREET	BILLINGS	MT	59101	203231164	501(C)(3)	$164,000	SUPPORT CHARITABLE MISSION
BILLINGS AREA CATHOLIC
215 N 31ST STREET	BILLINGS	MT	59101	383819006	501(C)(3)	$110,000	STUDENT SCHOLARSHIPS
FRIENDSHIP HOUSE OF CHRISTIAN SERVICE INC
3123 8TH AVENUE SOUTH	BILLINGS	MT	59101	810300497	501(C)(3)	$75,000	SUPPORT CHARITABLE MISSION
BILLINGS PUBLIC LIBRARY FOUNDATION INC
510 NORTH BROADWAY	BILLINGS	MT	59101	810451892	501(C)(3)	$65,000	SUPPORT EDUCATION
RIVERSTONE HEALTH FOUNDATION
123 SOUTH 27TH STREET	BILLINGS	MT	59101	352332179	501(C)(3)	$52,272	SUPPORT CHARITABLE MISSION
RONALD MCDONALD HOUSE
1144 N 30TH ST	BILLINGS	MT	59101	810400667	501(C)(3)	$40,000	CAPITAL CAMPAIGN - BLDG EXPANSION
FAMILY SERVICE INC
1824 FIRST AVENUE NORTH	BILLINGS	MT	59101	810232120	501(C)(3)	$15,000	SUPPORT CHARITABLE MISSION
MONTANA STATE UNIVERSITY
1500 UNIVERSITY DRIVE	BILLINGS	MT	59101	816001642	GOVT	$11,000	SUPPORT EDUCATION
HEALTHY MOTHERS HEALTHY BABIES
400 N PARK AVE NO 220	HELENA	MT	59601	810436517	501(C)(3)	$10,000	SUPPORT CHARITABLE MISSION
HORSES SPIRITS HEALING INC
7256 HWY 3	BILLINGS	MT	59106	471915118	501(C)(3)	$10,000	SUPPORT CHARITABLE MISSION
AMERICAN HEART ASSOCIATION
2812 1ST AVE NORTH	BILLINGS	MT	59101	135613797	501(C)(3)	$7,500	EVENT SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	MISSION FUND POLICIES ST VINCENT HEALTHCARE PROVIDES A LIMITED NUMBER OF GRANTS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN OUR COMMUNITY. GUIDED BY HOSPITAL POLICY, MISSION FUND AWARD PROJECTS MUST: (1) DEMONSTRATE A COMMITTMENT TO THE ST VINCENT HEALTHCARE MISSION, VISION, AND VALUES; (2) MEET CRITERIA FOR INCLUSION IN THE COMMUNITY BENEFIT REPORT; AND (3) DOCUMENT MEASURABLE OUTCOMES THAT DEMONSTRATE THE SUCCESS OF THE PROJECT. PREFERENCE WILL BE GIVEN WHEN THE PROJECT: (1) ADDRESSES CREATIVELY THE UNMET NEEDS OF THE ECONOMICALLY DISADVANTAGED; (2) FORMS COLLABORATIVE PARTNERSHIPS THAT IMPROVE THE HEALTH OF THE COMMUNITY; (3) AIDS A SIGNIFICANT POPULATION OF THE POOR, UNDERSERVED AND/OR UNINSURED; (4) REFLECTS ST VINCENT HEALTHCARE'S ANNUAL AND STRATEGIC GOALS; AND (5) DEMONSTRATE THE POSSIBILITY FOR SUSTAINABILITY BEYOND THE GRANT PERIOD. APPLICATIONS ARE REVIEWED ON AN ANNUAL BASIS BY COMMITTEE. GRANTEES ARE REQUIRED TO PROVIDE A 6-MONTH AND 1-YEAR REPORT TO ST VINCENT HEALTHCARE AND PROVIDE FOR AN ON-SITE VISIT OF THE PROGRAM. AS NOTED IN THE MISSION FUND APPLICATION, IF FUNDS ARE USED OUTSIDE OF PROJECT GUIDELINES THE GRANTEE MAY BE ASKED TO REIMBURSE ST VINCENT HEALTHCARE FOR FUNDS ALREADY DISTRIBUTED FOR THE PROJECT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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
EVAN BUCHAN MD
DIRECTOR	$214,339	$0	$82,090	$0	$10,768	$0	$21,200	$0	$21,519	$0	$349,916	$0	$0	$0
RICHARD LOPES MD
DIRECTOR 1/1 - 9/30	$0	$520,599	$0	$137,331	$0	$144,779	$0	$19,080	$0	$17,558	$0	$839,347	$0	$0
STEVE LOVELESS
PRESIDENT & CEO	$0	$441,345	$0	$109,303	$0	$12,936	$0	$70,757	$0	$17,988	$0	$652,329	$0	$0
RON OLDFIELD
VICE PRES FINANCIAL SVS - SVB	$0	$215,029	$0	$44,708	$0	$42,864	$0	$38,912	$0	$16,552	$0	$358,065	$0	$36,575
MICHAEL BUSH MD
VP-CHIEF MEDICAL OFFICER-SVH	$0	$312,672	$0	$87,580	$0	$8,801	$0	$57,424	$0	$29,754	$0	$496,231	$0	$0
ROBERT DOWDY
VP STRATEGY-BUSINESS DEV SVB	$0	$115,701	$0	$45,604	$0	$1,248	$0	$29,116	$0	$8,599	$0	$200,268	$0	$0
BLANCHE GILMORE
VP PATIENT CARE SERVICES - SVB	$0	$194,263	$0	$39,485	$0	$6,773	$0	$32,290	$0	$21,014	$0	$293,825	$0	$0
MICHAEL SKEHAN
EXEC VP COO SVB	$0	$276,430	$0	$0	$0	$37,677	$0	$31,499	$0	$8,689	$0	$354,295	$0	$0
DARREN WALKER
VP HUMAN RESOURCES SVB-HRH	$0	$203,347	$0	$39,823	$0	$1,284	$0	$35,556	$0	$17,689	$0	$297,699	$0	$0
JEFFREY ZAVALA
CMO SVB PHYSICIAN NETWORK	$0	$309,394	$0	$64,581	$0	$5,369	$0	$59,795	$0	$24,612	$0	$463,751	$0	$0
MICHAEL COPELAND MD
PSO PHYSICIAN CLINIC	$879,604	$0	$0	$0	$15,227	$0	$21,200	$0	$27,963	$0	$943,994	$0	$0	$0
STUART GOODMAN MD
PSO PHYSICIAN ANESTHESIA	$786,572	$0	$0	$0	$8,337	$0	$18,886	$0	$25,980	$0	$839,775	$0	$0	$0
WILLIAM SPIRE MD
PSO PHYSICIAN CLINIC	$739,999	$0	$0	$0	$25,115	$0	$21,063	$0	$23,979	$0	$810,156	$0	$0	$0
JASON FITZGERALD MD
PSO PHYSICIAN CLINIC	$653,276	$0	$7,200	$0	$2,364	$0	$19,839	$0	$23,963	$0	$706,642	$0	$0	$0
MARK MORASCH MD
PHYSICIAN CLINIC	$514,784	$0	$125,400	$0	$12,216	$0	$21,063	$0	$21,363	$0	$694,826	$0	$0	$0
DAVID IRION
FORMER KEY EMPLOYEE	$114,488	$0	$18,466	$0	$4,080	$0	$9,628	$0	$8,975	$0	$155,637	$0	$0	$0
JOAN THULLBERY
FORMER KEY EMPLOYEE	$141,446	$0	$19,233	$0	$1,099	$0	$7,305	$0	$14,979	$0	$184,062	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
PART I, LINE 4B	A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2015 WERE: RON OLDFIELD - $16,000. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2015. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2015 WERE: RICHARD LOPES - $441,401. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E.
PART I, LINE 7	THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY AND COMMUNITY BENEFIT/MISSION TARGETS. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLANS ARE BASED ON A COMBINATION OF PERFORMANCE MEASURES. PERFORMANCE MEASURES INCLUDE OPERATING INCOME, STEWARDSHIP, PATIENT EXPERIENCE, EMPLOYEE SAFETY AND COMMUNITY BENEFIT/MISSION TARGETS. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON.
ADDITIONAL OFFICER AND BOARD DISCLOSURES	THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF NINE HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 190 AMBULATORY SERVICE CENTERS IN THREE STATES. SCLHS AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON THE BOARD OF DIRECTORS (BOARD) IS COMPENSATED FOR THAT SERVICE. SCLHS' BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	WILLIAM SPIRE MD	PersonNm
Relationship With Org	HIGHEST PAID EMPLOYEE	RelationshipWithOrgTxt
Loan Purpose	RETENTION LOAN	LoanPurposeTxt
Loan From Organization	Yes (X)	LoanFromOrganizationInd
Original Principal	$100,000	OriginalPrincipalAmt
Balance Due	$33,373	BalanceDueAmt
Default	0	DefaultInd
Board Or Committee Approval	Yes (1)	BoardOrCommitteeApprovalInd
Written Agreement	Yes (1)	WrittenAgreementInd

Field	Value	IRS element (for citing)
Total Balance Due	$33,373	TotalBalanceDueAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. VINCENT HEALTHCARE.
FORM 990, PART VI, SECTION A, LINE 7A	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF ST. VINCENT HEALTHCARE, APPOINTS MEMBERS OF ST. VINCENT HEALTHCARE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS.
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	ST. VINCENT HEALTHCARE AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCLHS' PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS SUGGESTIVE OF A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS AND MANAGERS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPROIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	PROFESSIONAL MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 12,725,346. MANAGEMENT AND GENERAL EXPENSES 2,087,588. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,812,934. CONTRACT PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 13,985,725. MANAGEMENT AND GENERAL EXPENSES 182,486. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,168,211. PHYSICIAN MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 3,008,323. MANAGEMENT AND GENERAL EXPENSES 1,604,634. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,612,957. OUTSIDE LABORATORY FEES: PROGRAM SERVICE EXPENSES 2,432,513. MANAGEMENT AND GENERAL EXPENSES 1,490. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,434,003. PROFESSIONAL CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 381,437. MANAGEMENT AND GENERAL EXPENSES 900,845. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,282,282.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (22 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	237379161	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	KS	501(C)(3)	LINE 11C, III-FI	N/A	0
INTEGRITY HEALTH
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	474520350	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 11C, III-FI		0	SCLHS
BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
1600 PRAIRIE CENTER PARKWAY	BRIGHTON	CO	80601	840482695	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	INTEGRITY HEALTH
PLATTE VALLEY MEDICAL CENTER FOUNDATION
1600 PRAIRIE CENTER PARKWAY	BRIGHTON	CO	80601	742255936	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 11A, I		0	BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARD	DENVER	CO	80211	840405260	RESIDENT CARE	CO	501(C)(3)	LINE 9		0	SCLHS
NJH-SJH INC
500 ELDORADO BLVD SUITE 4300	DENVER	CO	80211	471194849	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	CO	501(C)(3)	LINE 11A, I		0	SCLHS
SAINT JOSEPH HOSPITAL INC
1375 E 19TH AVENUE	DENVER	CO	80218	840417134	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	SCLHS
SAINT JOSEPH HOSPITAL FOUNDATION
1375 E 19TH AVENUE	DENVER	CO	80218	840735096	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 11A, I		0	SAINT JOSEPH HOSPITAL INC
SCL HEALTH - FRONT RANGE INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	841103606	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	SCLHS
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	841649162	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7		0	SCL HEALTH-FRONT RANGE INC
LUTHERAN MEDICAL CENTER FOUNDATION
8300 WEST 38TH AVENUE	WHEAT RIDGE	CO	80033	208846152	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7		0	SCL HEALTH-FRONT RANGE INC
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREET	GRAND JUNCTION	CO	81501	840425720	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3		0	SCLHS
ST MARYS HOSPITAL FOUNDATION
2635 N 7TH STREET	GRAND JUNCTION	CO	81501	237001007	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 11A, I		0	ST MARYS HOSPITAL & MEDICAL CENTER INC
CARITAS CLINICS INC
818 NORTH 7TH STREET	LEAVENWORTH	KS	66048	481009910	CLINIC SERVICES	KS	501(C)(3)	LINE 3		0	SCLHS
MARIAN CLINIC INC
3164 EAST SIXTH AVENUE	TOPEKA	KS	66607	481046905	CLINIC SERVICES	KS	501(C)(3)	LINE 3		0	SCLHS
ST FRANCIS HEALTH CENTER INC
1700 SW 7TH STREET	TOPEKA	KS	66606	480547719	HOSPITAL SERVICES	KS	501(C)(3)	LINE 3		0	SCLHS
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREET	TOPEKA	KS	66606	481092520	SUPPORTING ORGANIZATION	KS	501(C)(3)	LINE 11A, I		0	ST FRANCIS HEALTH CENTER INC
HOLY ROSARY HEALTHCARE
2600 WILSON STREET	MILES CITY	MT	59301	810231792	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3		0	SCLHS
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON STREET	MILES CITY	MT	59301	202270238	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 11A, I		0	HOLY ROSARY HEALTHCARE
ST JAMES HEALTHCARE
400 SOUTH CLARK STREET	BUTTE	MT	59701	810231785	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3		0	SCLHS
ST JAMES HEALTHCARE FOUNDATION INC
400 SOUTH CLARK STREET	BUTTE	MT	59701	651202190	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 11A, I		0	ST JAMES HEALTHCARE
ST VINCENT HEALTHCARE FOUNDATION INC
1106 NORTH 30TH STREET	BILLINGS	MT	59101	810468034	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	MT	501(C)(3)	LINE 7		Yes (1)	ST VINCENT HEALTHCARE

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
DENVER WEST ENDOSCOPY CENTER LLC
382 S ARTHUR AVENUE	LOUISVILLE	CO	80027	460788218	OP ENDOSCOPY	CO	N/A
EKG INTERPRETATION SERVICE
3464 S WILLOW STREET SUITE 111	DENVER	CO	80231	840927945	EKG INTERPRETATION	CO	N/A
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTON	GRAND JUNCTION	CO	81501	841505075	OP SURGERY	CO	N/A
HEALTHCARE MANAGEMENT LLC
PO BOX 1929	GRAND JUNCTION	CO	81502	841238904	MANAGEMENT SERVICES	CO	N/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHERAN PKWY STE 150	WHEATRIDGE	CO	80033	020749532	OP SURGERY	CO	N/A
PAVILION IMAGING LLC
750 WELLINGTON	GRAND JUNCTION	CO	81501	030516198	RADIOLOGY	CO	N/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREET	MONTROSE	CO	81401	202856331	OP CANCER	CO	N/A
SMHMMH AIR MEDICAL TRANSPORT LLC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	473525381	MEDICAL AIR TRANSPORT	CO	N/A
SCL HOME HEALTH SOLUTIONS LLC
500 ELDORADO BLVD SUITE 4200	BROOMFIELD	CO	80021	462418729	HOME CARE	DE	N/A
SCLTDI JV LLC
5214 MARYLAND WAY SUITE 200	BRENTWOOD	TN	37027	472294770	RADIOLOGY	DE	N/A
ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	272270640	PHYSICAL THERAPY	MT	N/A
MED-MAP LLC
PO BOX 1295	BILLINGS	MT	59103	810491356	RENTAL REAL ESTATE	MT	N/A
NORTHERN ROCKIES HEALTHCARE ALLIANCE LLC
2475 VILLAGE LANE SUITE 302	BILLINGS	MT	59102	383978770	MEDICAL PROVIDER NETWORK	MT	N/A
YELLOWSTONE SURGERY CENTER LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	721519467	OP SURGERY	MT	N/A
CODY MEDICAL ARTS COMPLEX LLC
720 LINDSAY LANE	CODY	WY	82414	331031839	RENTAL REAL ESTATE	WY	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
APEX SURGICAL PARTNERS INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	473268324	MEDICAL SERVICES	CO	N/A	C	0
EAGLE RIDGE MEDICAL INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	462387681	MEDICAL SERVICES	CO	N/A	C	0
HIGH PLAINS HEART AND VASCULAR CENTER INC
1606 PRAIRIE CENTER PARKWAY SUITE 3	BRIGHTON	CO	80601	272038197	MEDICAL SERVICES	CO	N/A	C	0
INTEGRATIVE INTERNAL MEDICINE AND MEDICAL ACUPUNCTURE INC
1606 PRAIRIE CENTER PARKWAY SUITE 3	BRIGHTON	CO	80601	274433325	MEDICAL SERVICES	CO	N/A	C	0
MOUNTAIN VIEW ORTHOPEDICS INC
1606 PRAIRIE CENTER PARKWAY SUITE 1	BRIGHTON	CO	80601	275382523	MEDICAL SERVICES	CO	N/A	C	0
PVMC MEDICAL TEAM INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	473988808	MEDICAL SERVICES	CO	N/A	C	0
PVMC PHYSICIAN SERVICES INC
1606 PRAIRIE CENTER PARKWAY SUITE 2	BRIGHTON	CO	80601	943458548	MEDICAL SERVICES	CO	N/A	C	0
CARITAS INC AND SUBSIDIARIES
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	480941069	HEALTHCARE	KS	N/A	C	0
PROVIDENCE MEDICAL CENTER INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	480784446	HOSPITAL SERVICES	KS	N/A	C	0
SAINT JOHN HOSPITAL INC
500 ELDORADO BLVD SUITE 4300	BROOMFIELD	CO	80021	480543768	HOSPITAL SERVICES	KS	N/A	C	0
ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC
1700 SW 7TH STREET	TOPEKA	KS	66606	462874128	HEALTHCARE	KS	N/A	C	0
LEAVEN INSURANCE COMPANY LTD
				980370522	INSURANCE		N/A	C	0	23 LIME TREE BAY AVENUE WEST BAY R	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt
ST VINCENT HEALTHCARE FOUNDATION
B	$1,323,505
ST VINCENT HEALTHCARE FOUNDATION
C	$4,855,162