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ST MARYS HOSPITAL AND MEDICAL CENTER INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
ST MARYS HOSPITAL AND MEDICAL CENTER INC (EIN 84-0425720)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-10
IRS object ID
201533149349302873
Schema version
2014v5.0
Note
A later return for the same period supersedes this one.
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-10T13:55:52-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN840425720EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S HOSPITAL & MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTMABusinessNameControlTxt
Phone9702982273PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12635 N 7TH STREETAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81502ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRI CHINNPersonNm
Person TitleCFOPersonTitleTxt
Phone9702982273PhoneNum
Signature2015-11-10SignatureDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDR BRIAN DAVIDSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12635 N 7TH STREETAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81502ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$421,405,526GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STMARYGJ.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OFTHE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POORAND VULNERABLE.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee2417TotalEmployeeCnt
Total Volunteers602TotalVolunteersCnt
Total Gross UBI$2,783,985TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$24,693NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,096,421PYContributionsGrantsAmt
CY Contributions Grants$3,392,150CYContributionsGrantsAmt
PY Program Service Revenue$378,884,254PYProgramServiceRevenueAmt
CY Program Service Revenue$399,354,864CYProgramServiceRevenueAmt
PY Investment Income$11,610,206PYInvestmentIncomeAmt
CY Investment Income$13,273,898CYInvestmentIncomeAmt
PY Other Revenue$15,713,804PYOtherRevenueAmt
CY Other Revenue$5,384,614CYOtherRevenueAmt
PY Total Revenue$408,304,685PYTotalRevenueAmt
CY Total Revenue$421,405,526CYTotalRevenueAmt
PY Grants And Similar Paid$2,581,684PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,585,388CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$151,576,900PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$148,556,613CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$219,523,733PYOtherExpensesAmt
CY Other Expenses$236,382,233CYOtherExpensesAmt
PY Total Expenses$373,682,317PYTotalExpensesAmt
CY Total Expenses$387,524,234CYTotalExpensesAmt
PY Revenues Less Expenses$34,622,368PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$33,881,292CYRevenuesLessExpensesAmt
Total Assets BOY$490,077,021TotalAssetsBOYAmt
Total Assets EOY$514,151,818TotalAssetsEOYAmt
Total Liabilities BOY$55,745,993TotalLiabilitiesBOYAmt
Total Liabilities EOY$50,974,553TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$434,331,028NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$463,177,265NetAssetsOrFundBalancesEOYAmt
MissionWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OFTHE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POORAND VULNERABLE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$318,248,042ExpenseAmt
Grant$2,585,388GrantAmt
Revenue$400,031,259RevenueAmt
DescSEE SCHEDULE "O"Desc
Total Program Service Expenses$318,248,042TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document293IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2417EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KYLE ENGMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3038135543PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 ELDORADO BOULEVARD SUITE 4200AddressLine1Txt
CityBROOMFIELDCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80021ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
CHRISTINE WOOLSEY
SVP SCLHS0.0050.00Yes (X)$0$365,511$88,097
CHRISTINA REDDIN
DIRECTOR1.000.00Yes (X)$0$0$0
DOUGLAS ADEN
VICE CHAIR2.000.00Yes (X)$0$0$0Yes (X)
DAVID JAMES MD
DIRECTOR50.000.00Yes (X)$352,633$0$39,634
MICHAEL HOLT MD
DIRECTOR1.000.00Yes (X)$0$0$0
DUANE HARTSHORN MD
DIRECTOR1.000.00Yes (X)$0$0$0
GREGG KAMPF
CHAIR2.000.00Yes (X)$0$0$0Yes (X)
JANET COMERFORD
DIRECTOR1.000.00Yes (X)$0$0$0
JUDY L GOODHART
SECRETARY2.000.00Yes (X)$0$0$0Yes (X)
MARSHALL STEEL MD
DIRECTOR/PRESIDENT OF MEDICAL STAFF1.000.00Yes (X)$0$0$0
MICHAEL MCBRIDE
PRESIDENT/CEO50.001.00Yes (X)$0$536,937$164,336Yes (X)
MIKE MURRAY MD
DIRECTOR1.000.00Yes (X)$0$0$0
MONIQUE SERRA
TREASURER2.000.00Yes (X)$0$0$0Yes (X)
SISTER CATRINA ANN BONES
DIRECTOR1.000.00Yes (X)$0$0$0
SISTER JEAN ANNE PANISKO
DIRECTOR1.000.00Yes (X)$0$0$0
SISTER PHYLLIS STOWELL
DIRECTOR1.000.00Yes (X)$0$0$0
TERRI CHINN
VP-CHIEF FINANCIAL OFCR-SMGJ50.000.00$0$247,779$49,088Yes (X)
BRIAN DAVIDSON MD
VP MEDICAL AFFAIRS - SMGJ50.000.00$0$248,499$24,817Yes (X)
CHRISTOPHER STEEN MD
VP MEDICAL GROUP50.000.00$0$214,248$53,954Yes (X)
DANIEL PRINSTER
VP BUSINESS DEVELOPMENT - SMGJ50.000.00$0$244,862$61,188Yes (X)
DORA PETERSON
VP PATIENT SERVICES - SMGJ50.000.00$0$279,051$48,322Yes (X)
GEORGE SCOTT MD
CHIEF MEDICAL INFO OFFICER50.000.00$264,279$0$33,555Yes (X)
JOHN BEESON MD
VP & CMO - THRU 7/19/201450.000.00$0$184,631$10,495Yes (X)
JUDITH WHITE HOUSE
VP HUMAN RESOURCES - SMGJ50.000.00$0$242,492$45,460Yes (X)
REZA KALEEL
EXEC VP COO SMGJ50.000.00$0$338,635$62,216Yes (X)
BRIAN WITWER MD
NEURO SURGEON50.000.00$947,579$0$37,301Yes (X)
JAMES NARROD MD
CARDIOVASCULAR SURGEON50.000.00$711,426$0$44,380Yes (X)
EDWARD MAURIN MD
NEURO SURGEON50.000.00$612,705$0$14,637Yes (X)
SARA PEREIRS MD
CARDIOVASCULAR SURGEON50.000.00$576,403$0$41,131Yes (X)
DOUGLAS ROCK MD
DOCTOR - RADIATION ONCOLOGY50.000.00$580,645$0$36,464Yes (X)
FOREST BINDER
FORMER CFO50.000.00$0$338,263$67,945Yes (X)
ROBERT LADENBURGER
FORMER CEO50.000.00$0$1,563,657$29,709Yes (X)
THAD RITTER
FORMER OFFICER50.000.00$134,831$0$21,459Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,180,501TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,804,565TotReportableCompRltdOrgAmt
Total Other Compensation$974,188TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K172IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ANESTHESIA CONSULTANTS OF WESTERN CO
1120 WELLINGTON STREETGRAND JUNCTIONCO81501ANESTHESIA SERVICES$3,881,029
GENERAL SURGEONS OF WESTERN CO
1001 WELLINGTON AVENUEGRAND JUNCTIONCO81501PHYSICIAN SERVICES$1,831,892
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX753972633PROFESSIONAL SERVICES$1,347,345
CHG COMPANIES INC
PO BOX 972651DALLASTX753972651PHYSICIAN SERVICES$1,264,501
ROCKY MOUNTAIN ORTHOPEDIC ASSOCIATION
624 25 1/2 RDGRAND JUNCTIONCO81505PHYSICIAN SERVICES$1,138,559
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Related Organizations$1,103,024RelatedOrganizationsAmt
Government Grants$2,289,126GovernmentGrantsAmt
Total Contributions$3,392,150TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT REVENUE624100$398,322,912$396,779,093$1,543,819
CANCER CARE SERVICES621400$648,249$648,249
SURGERY CENTER SERVICES621400$266,631$266,631
HEALTHCARE MANAGEMENT SERVICES621400$117,072$117,072
FieldValueIRS element (for citing)
Total Program Service Revenue$399,354,864TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,279,333TotalRevenueColumnAmt
Exclusion$3,279,333ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,969,859RealAmt
Personal$887,473PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,969,859RealAmt
Personal$887,473PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,857,332TotalRevenueColumnAmt
Related Or Exempt Func Income$666,551RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$220,922UnrelatedBusinessRevenueAmt
Exclusion$1,969,859ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,974,565SecuritiesAmt
Other$20,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$9,974,565SecuritiesAmt
Other$20,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,994,565TotalRevenueColumnAmt
Exclusion$9,994,565ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA SALES624210$1,498,194$1,498,194
MANAGEMENT SERVICES624100$492,758$0$492,758
DIRECTOR'S FEES624210$330,000$0$330,000

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$206,330TotalRevenueColumnAmt
Related Or Exempt Func Income$9,844RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$196,486UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,527,282OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$421,405,526TotalRevenueColumnAmt
Related Or Exempt Func Income$398,487,440RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,783,985UnrelatedBusinessRevenueAmt
Exclusion$16,741,951ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,512,444TotalAmt
Program Services$2,512,444ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$72,944TotalAmt
Program Services$72,944ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,747,134TotalAmt
Program Services$3,185,063ProgramServicesAmt
Management And General$562,071ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$114,673,608TotalAmt
Program Services$97,608,824ProgramServicesAmt
Management And General$17,064,784ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,013,281TotalAmt
Program Services$5,111,403ProgramServicesAmt
Management And General$901,878ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,954,390TotalAmt
Program Services$13,581,109ProgramServicesAmt
Management And General$2,373,281ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,168,200TotalAmt
Program Services$8,036,407ProgramServicesAmt
Management And General$131,793ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$6,092,318TotalAmt
Program Services$5,990,356ProgramServicesAmt
Management And General$101,962ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$88,554TotalAmt
Program Services$88,554ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$15,851TotalAmt
Management And General$15,851ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$36,719,581TotalAmt
Program Services$36,060,864ProgramServicesAmt
Management And General$658,717ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$983,560TotalAmt
Program Services$982,891ProgramServicesAmt
Management And General$669ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$894,634TotalAmt
Program Services$797,380ProgramServicesAmt
Management And General$97,254ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,042,712TotalAmt
Program Services$4,687,411ProgramServicesAmt
Management And General$355,301ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$603,944TotalAmt
Program Services$599,936ProgramServicesAmt
Management And General$4,008ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$499,427TotalAmt
Program Services$499,108ProgramServicesAmt
Management And General$319ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,233,764TotalAmt
Program Services$1,233,764ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,400,497TotalAmt
Program Services$27,921,383ProgramServicesAmt
Management And General$3,479,114ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,161,987TotalAmt
Program Services$1,964,724ProgramServicesAmt
Management And General$197,263ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$67,267,849$67,267,849
SYSTEM ALLOCATION$43,114,783$43,114,783
MEDICAID PROVIDER TAXES$16,216,749$16,216,749
BAD DEBT EXPENSE$15,294,527$15,294,527

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$8,751,496TotalAmt
Program Services$8,534,352ProgramServicesAmt
Management And General$217,144ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$387,524,234TotalAmt
Program Services$318,248,042ProgramServicesAmt
Management And General$69,276,192ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,275BOYAmt
EOY$9,375EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,315,557BOYAmt
EOY$321,598EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$55,032,341BOYAmt
EOY$48,839,688EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,038,203BOYAmt
EOY$86,253EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,689,527BOYAmt
EOY$7,379,297EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,741,776BOYAmt
EOY$3,512,988EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$635,565,466LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$350,820,088LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$293,785,252BOYAmt
EOY$284,745,378EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,709,947BOYAmt
EOY$3,549,050EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$118,755,143BOYAmt
EOY$165,708,191EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$490,077,021BOYAmt
EOY$514,151,818EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$30,531,492BOYAmt
EOY$25,732,186EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,214,501BOYAmt
EOY$25,242,367EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$55,745,993BOYAmt
EOY$50,974,553EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$434,331,028BOYAmt
EOY$463,177,265EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$434,331,028BOYAmt
EOY$463,177,265EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$490,077,021BOYAmt
EOY$514,151,818EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$33,881,292ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,034,955NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts-$100DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$15,851OtherActivitiesAmt
Total Lobbying Expenditures$15,851TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCH C, PART II-B, LINE 1I:FormAndLineReferenceDesc
ExplanationST.MARY'S HOSPITAL & MEDICAL CENTER, INC.,INCURRED $10,443 AS THE LOBBYING PORTION INCLUDED IN DUES REPORTED ON ASSOCIATION MEMBERSHIP INVOICES, AND $5,418 PAID TO THE CAPSTONE GROUP FOR LOBBYING OF HEALTH RELATED ISSUES IN COLORADO.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,632,352BeginningYearBalanceAmt
Contributions$130,991ContributionsAmt
Investment Earnings Or Losses$416,575InvestmentEarningsOrLossesAmt
Other Expenditures$292,554OtherExpendituresAmt
End Year Balance$8,887,364EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$7,949,114BeginningYearBalanceAmt
Contributions$69,271ContributionsAmt
Investment Earnings Or Losses$941,428InvestmentEarningsOrLossesAmt
Other Expenditures$327,461OtherExpendituresAmt
End Year Balance$8,632,352EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,419,628BeginningYearBalanceAmt
Contributions$924,522ContributionsAmt
Investment Earnings Or Losses$686,603InvestmentEarningsOrLossesAmt
Other Expenditures$81,639OtherExpendituresAmt
End Year Balance$7,949,114EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,462,683BeginningYearBalanceAmt
Contributions$168,214ContributionsAmt
Investment Earnings Or Losses$50,698InvestmentEarningsOrLossesAmt
Other Expenditures$261,967OtherExpendituresAmt
End Year Balance$6,419,628EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,949,382BeginningYearBalanceAmt
Contributions$25,481ContributionsAmt
Investment Earnings Or Losses$771,583InvestmentEarningsOrLossesAmt
Other Expenditures$283,763OtherExpendituresAmt
End Year Balance$6,462,683EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.96230BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.03770PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,130,155OtherCostOrOtherBasisAmt
Book Value$9,130,155BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$401,145,024OtherCostOrOtherBasisAmt
Depreciation$187,175,311DepreciationAmt
Book Value$213,969,713BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$18,777,620OtherCostOrOtherBasisAmt
Depreciation$13,210,366DepreciationAmt
Book Value$5,567,254BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$188,929,422OtherCostOrOtherBasisAmt
Depreciation$150,434,411DepreciationAmt
Book Value$38,495,011BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,583,245OtherCostOrOtherBasisAmt
Book Value$17,583,245BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$284,745,378TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$163,599,145
DEPOSITS$149,917
OTHER RECEIVABLES$1,959,129
FieldValueIRS element (for citing)
Total Book Value Other Assets$165,708,191TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescST. MARY'S HOSPITAL CONSTRUCTION LOANDesc
Amt$25,242,367Amt
FieldValueIRS element (for citing)
Total Liability$25,242,367TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4FormAndLineReferenceDesc
ExplanationENDOWMENT FUNDS ARE HELD BY THE ST. MARY'S HOSPITAL DEVELOPMENT FOUNDATION FOR THE BENEFIT OF ST. MARY'S HOSPITAL & MEDICAL CENTER. BOARD ENDOWMENT - QUASI-ENDOWMENT FUNDS ARE USED FOR AREAS OF GREATEST NEED AS DETERMINED BY SENIOR LEADERSHIP OF ST. MARY'S HOSPITAL & MEDICAL CENTER,INC. CUMMINGS FAMILY ENDOWMENT - QUASI-ENDOWMENT FUND TO ASSIST LOW INCOME CANCER PATIENTS WITH NON-MEDICAL EXPENSES. SACCOMANNO RESEARCH INSTITUTE - QUASI-ENDOWMENT FUND DEDICATED TO RESEARCH. BRUCE E. DIXSON PULMONARY REHABILITATION ENDOWMENT - ASSIST LOW INCOME PULMONARY PATIENTS WITH NON-MEDICAL EXPENSES. WORLEY FAMILY INFECTION CONTROL ENDOWMENT - INFECTION CONTROL EDUCATION. DR. LYNN JAMES PULMONARY ENDOWMENT - ASSIST LOW INCOME PULMONARY PATIENTS WITH NON-MEDICAL EXPENSES.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,089,025TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,468,010DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,621,015NetCommunityBenefitExpnsAmt
Total Expense0.01780TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$67,458,917TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,825,995DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,632,922NetCommunityBenefitExpnsAmt
Total Expense0.06080TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,759,389TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,528,934DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,230,455NetCommunityBenefitExpnsAmt
Total Expense0.02480TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$98,307,331TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$59,822,939DirectOffsettingRevenueAmt
Net Community Benefit Expns$38,484,392NetCommunityBenefitExpnsAmt
Total Expense0.10340TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$53,499TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,499NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,392,073TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,203,456DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,188,617NetCommunityBenefitExpnsAmt
Total Expense0.01130TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,825,598TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,705,452DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,120,146NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$564,666TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$564,666NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,835,836TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,908,908DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,926,928NetCommunityBenefitExpnsAmt
Total Expense0.01860TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$113,143,167TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,731,847DirectOffsettingRevenueAmt
Net Community Benefit Expns$45,411,320NetCommunityBenefitExpnsAmt
Total Expense0.12200TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$433,001TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$207,750DirectOffsettingRevenueAmt
Net Community Benefit Expns$225,251NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$433,001TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$207,750DirectOffsettingRevenueAmt
Net Community Benefit Expns$225,251NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$15,294,527BadDebtExpenseAmt
Reimbursed By Medicare$99,122,619ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$126,035,970CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$26,913,351MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 PAVILION IMAGING LLC
RADIOLOGY SERVICES0.750000.000000.25000
2 GRAND VALLEY SURGERY CENTER LLC
OUTPATIENT SURGERY0.270000.000000.73000
3 SAN JUAN CANCER CENTER LLC
OUTPATIENT CANCER TREATMENT0.333300.000000.33330
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S HOSPITAL & MEDICAL CENTER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12635 N 7TH STREETAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81502ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.STMARYGJ.ORGWebsiteAddressTxt
State License011160StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S HOSPITAL & MEDICAL CENTER INBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTPS://WWW.STMARYGJ.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/OwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTPS://WWW.STMARYGJ.ORG/ABOUT-US/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/StrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. MARY'S HOSPITAL & MEDICAL CENTER, INC.PART V, SECTION B, LINE 5: AS OUR MISSION STATES, "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND THE COMMUNITIES WE SERVE" AND IN ORDER TO DO THIS WE HAVE REGULARLY PARTICIPATED IN OUR COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. CHNA'S WERE CONDUCTED IN 1998, 2005, 2009. IN 2012, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY THE MESA COUNTY HEALTH DEPARTMENT. THE HEALTHY MESA COUNTY 2012 CHNA IS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS, PERCEPTIONS AND NEEDS OF RESIDENTS IN MESA COUNTY. SUBSEQUENTLY, THIS INFORMATION MAY BE USED TO FORMULATE STRATEGIES TO IMPROVE COMMUNITY HEALTH AND WELLNESS. MESA COUNTY HEALTH DEPARTMENT STARTED THE CHNA PROCESS DECIDED ON FOUR CRUCIAL STEPS TO ASSESS NEEDS, DETERMINE CAUSES, AND REACH CONSENSUS ON POSSIBLE INTERVENTIONS TO ACHIEVE DESIRED OUTCOMES. THOSE STEPS WERE: COMPILE EXISTING DATA, ENGAGE STAKEHOLDERS AND PRIORITIZE HEALTH PROBLEMS, GATHER PRIMARY DATA FROM COMMUNITY INPUT, AND DETERMINE HEALTH PRIORITIES.COMPILE EXISTING DATA-- IN FEBRUARY 2011, MESA COUNTY HEALTH DEPARTMENT REVIEWED A LIST OF 250 INDICATORS DEVELOPED BY THE PUBLIC HEALTH INDICATOR TASK FORCE AS A STARTING POINT FOR GATHERING LOCAL DATA. MESA COUNTY HEALTH DEPARTMENT STAFF RESEARCHED ALL AVAILABLE DATA FOR MESA COUNTY RELATED TO EACH OF THE 250 INDICATORS AND IDENTIFED WHETHER A STATE STANDARD OR A HEALTHY PEOPLE 2020 OBJECTIVE WAS AVAILABLE FOR COMPARISON.ENGAGE STAKEHOLDERS AND PRIORITIZE HEALTH PROBLEMS-- MESA COUNTY HEALTH DEPARTMENT ESTABLISHED THE MESA COUNTY COMMUNITY HEALTH STEERING COMMITTEE, COMPRISED OF SELECTED COMMUNITY REPRESENTATIVES TO PROVIDE GUIDANCE FOR THE HEALTH ASSESSMENT PROCESS. MEMBERS OF THE STEERING COMMITTEE WERE CHOSEN BASED ON THEIR ABILITIES TO PROVIDE SUBJECT MATTER EXPERTISE, PROVIDE INPUT, SEE THE BIG PICTURE OF COMMUNITY HEALTH, AND REVIEW THE HEALTH-INDICATOR DATA. COMMITTEE MEMBERS WERE ASKED TO COMMIT TO A KICKOFF MEETING, POTENTIALLY PARTICIPATE IN PRIORITY AREA FOCUS GROUPS, AND PROVIDE A REVIEW OF THE FINAL CHNA REPORT.THE FOLLOWING KEY COMMUNITY ORGANIZATIONS PARTICIPATED, REPRESENTING DIVERSITY WITHIN THE PUBLIC HEALTH SYSTEM: CITY OF GRAND JUNCTION, COLORADO WEST REGIONAL MENTAL HEALTH, COMMUNITY HOSPITAL, FAMILY HEALTH WEST, HILLTOP, MARILLAC CLINIC, MESA COUNTY 211, MESA COUNTY DEPARTMENT OF HUMAN SERVICES, MESA COUNTY HEALTH DEPARTMENT, MESA COUNTY LOCAL EMERGENCY PLANNING COMMITTEE (LEPC), MESA COUNTY SCHOOL DISTRICT #51, ST. MARY'S HOSPITAL & REGIONAL MEDICAL CENTER, AND STRIVE.
ST. MARY'S HOSPITAL & MEDICAL CENTER, INC.PART V, SECTION B, LINE 6A: COMMUNITY HOSPITAL, GRAND JUNCTION, THE DEPARTMENT OF VETERAN AFFAIRS MEDICAL CENTER, GRAND JUNCTION, FAMILY HEALTH WEST, FRUITA, AND COLORADO WEST PSYCHIATRIC HOSPITAL, GRAND JUNCTION, COLORADO WERE ALL PARTNERS WHO PARTICIPATED WITH MESA COUNTY ON THE CHNA.
ST. MARY'S HOSPITAL & MEDICAL CENTER, INC.PART V, SECTION B, LINE 11: ST. MARY'S MEDICAL CENTER (SM) HAS BEEN ADDRESSING THE TOP HEALTH NEEDS THROUGH COMMUNITY PARTNERSHIPS. UNDER THE LEADERSHIP OF MESA COUNTY HEALTH, THE IMPLEMENTATION PLAN WAS DEVELOPED UNDER THE ASSUMPTION THAT SUSTAINABLE CHANGE AND POSITIVE HEALTH OUTCOMES ARE ONLY POSSIBLE IF PROGRAMS AND AGENCIES WITH SIMILAR MISSIONS JOIN FORCES AND DEDICATE THEIR RESOURCES TO ACHIEVING A COMMON GOAL. COMPLETING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS LED TO THE IDENTIFICATION OF SEVERAL HEALTH OUTCOMES AND HEALTH BEHAVIORS WHERE MESA COUNTY CAN IMPROVE. THE FOLLOWING FIVE PREDISPOSING, REINFORCING AND ENABLING FACTORS WERE IDENTIFIED AS HAVING A POTENTIAL IMPACT ON HEALTH OUTCOMES IN MESA COUNTY AND WILL BECOME THE EMPHASIS OF FUTURE PUBLIC HEALTH IMPROVEMENT EFFORTS: - PARENTING, SOCIAL & EMOTIONAL WELLBEING, ACCESS TO HEALTHCARE, BUILT ENVIRONMENT AND BUILDING A SENSE OF COMMUNITY.PRIORITY AREAS WERE SELECTED BY ANALYZING THE ROOT CAUSES OF MORBIDITIES AND MORTALITIES IN MESA COUNTY. THE MESA COUNTY HEALTH DEPARTMENT UNDERSTOOD THAT IN ORDER TO IMPACT HEALTH OUTCOMES, HEALTH OFFICIALS MUST LOOK BEYOND PROGRAMS, POLICIES, AND EVEN INDIVIDUAL BEHAVIORS AND FOCUS ON ADDRESSING THE CONTRIBUTING FACTORS AND DETERMINANTS OF POOR HEALTH. THE PRIORITY AREAS, RECOMMENDATIONS, AND STRATEGIES FOR IMPLEMENTATION RECOGNIZE THE INTERCONNECTEDNESS OF INDIVIDUAL BEHAVIORS AND THE SYSTEMS AND ENVIRONMENTS IN WHICH PEOPLE GROW AND LEARN. SM SELECTED THE FOLLOWING CONTRIBUTING HEALTH FACTORS OF MENTAL HEALTH, OBESITY AND TOBACCO CESSATION.MENTAL HEALTH - MESA COUNTY REPORTS THAT ADULTS WHO REPORT THEIR HEALTH WAS NOT GOOD IS ABOVE THE STATE AVERAGE AT 3.9 DAYS VERSUS 3.1 DAYS. THIS INDICATOR LINKS PHYSICAL AND BEHAVIORAL UNHEALTHY WHICH INTERFERES WITH OVERALL HEALTH. WORSE YET IS MESA COUNTY'S RATE OF SUICIDE: 34.4 DEATHS PER 100,000 PERSONS VERSUS THE STATE AVERAGE IF 17.4 PERSONS. SUICIDE IS A SERIOUS PUBLIC HEALTH PROBLEM THAT CAN HAVE LASTING HARMFUL EFFECTS ON INDIVIDUALS, FAMILIES, AND COMMUNITIES. WHILE ITS CAUSES ARE COMPLEX AND DETERMINED BY MULTIPLE FACTORS, THE GOAL OF SUICIDE PREVENTION IS SIMPLE: REDUCE FACTORS THAT INCREASE RISK (I.E. RISK FACTORS) AND INCREASE FACTORS THAT PROMOTE RESILIENCE (I.E. PROTECTIVE FACTORS). IDEALLY, PREVENTION ADDRESSES ALL LEVELS OF INFLUENCE: INDIVIDUAL, RELATIONSHIP, COMMUNITY, AND SOCIETAL. SM HAS BEEN A STRONG SUPPORTER OF ADDRESSING MENTAL HEALTH IN MESA COUNTY AND WORKS WITH MIND SPRINGS HEALTH, THE LOCAL BEHAVIORAL HEALTH ORGANIZATION AS A REFERRAL SOURCE FOR ITS MANY COMMUNITY-BASED PROGRAMS, SERVICES AND TRAININGS. FOR THOSE USING SM, THE HOSPITAL FUNDED AN INPATIENT MENTAL HEALTH SERVICE AND NOW SUPPORTS MIND SPRINGS HEALTH, THE LOCAL BEHAVIORAL HEALTH ORGANIZATION. MIND SPRINGS HEALTH HAS FULL-TIME THERAPISTS AT ST. MARY'S FAMILY PRACTICE AND AT THE MARILLAC CLINIC WHICH ARE ORGANIZATIONS FINANCIALLY SUPPORTED BY SM. THESE THERAPISTS ARE TRAINED IN INTEGRATED CARE MODELS OF TREATMENT AND PROVIDE BRIEF, SOLUTION-FOCUSED BEHAVIORAL INTERVENTION TO PATIENTS. FURTHER, THERAPISTS ARE READILY ABLE TO EASILY CONSULT WITH MEDICAL PROVIDERS REGARDING MENTAL/BEHAVIORAL HEALTH ISSUES. THE HOSPITAL ALSO EMPLOYS PSYCHIATRIC PHYSICIANS FOR BOTH ADULTS AND CHILDREN WHICH HELPS INCREASE COMMUNITY ACCESS TO THIS IMPORTANT SERVICE. IN 2014, SM PROVIDED FINANCIAL SUPPORT TO THE SUICIDE PREVENTION FOUNDATION, MESA COUNTY COUNSELING AND EDUCATION CENTER, AND WESTERN COLORADO SUICIDE PREVENTION. THESE ORGANIZATIONS PROVIDE FREE OR LOW COST BEHAVIORAL HEALTH SERVICES TO THE COMMUNITY AND INCREASE ACCESS TO THOSE WITHOUT COVERAGE FOR THE SERVICE. OBESITY - THE RATE OF OBESITY IS RISING IN MESA COUNTY. IN 2014, 22% OF ADULTS WERE CONSIDERED OBESE VERSUS THE STATE RATE OF 20% (COUNTY HEALTH RANKINGS, 2014). AS A PARTNER WITH HEALTH MESA COUNTY, OBESITY IS BEING ADDRESSED AS A PROMOTION OF HEALTH THROUGH WELL-CONSTRUCTED AND INCLUSIVE NEIGHBORHOODS, TRAILS, SIDEWALKS AND OPEN SPACES. HEALTHY MESA COUNTY HAS A COMMUNITY-LEVEL WEBSITE WHERE CITIZENS CAN FIND ACTIVITIES AND RESOURCES SUCH AS BIKING TRAIL MAPS THAT SUPPORT INCREASED PHYSICAL ACTIVITY. TOBACCO CESSATIONTHE RATE OF TOBACCO USE IN MESA COUNTY IS 20% AS COMPARED TO THE STATE RATE OF 17% (COUNTY HEALTH RANKINGS, 2014). IN PARTNERSHIP WITH MESA COUNTY HEALTH DEPARTMENT AND THE SCL HEALTH SYSTEM, A HOSPITAL LEVEL APPROACH HAS BEEN UNTAKEN AS FIRST STEPS. THIS INCLUDES UPDATING THE HOSPITAL TOBACCO USE POLICY, ASSURING THERE IS DESIGNATED SMOKING AREAS ON THE HOSPITAL CAMPUS AWAY FROM PUBLIC ACCESS. AS A HOSPITAL THAT SERVES ITS COMMUNITY, SEVERAL NEW INTERVENTIONS WILL ASSURE PATIENTS WHO SMOKE ARE SCREENED AND PROVIDED APPROPRIATE INTERVENTIONS TO QUIT. ELECTRONIC REFERRAL TO THE QUIT LINE--SM AND SCL HEALTH ARE WORKING IN PARTNERSHIP WITH THE QUIT LINE TO ESTABLISH ELECTRONIC REFERRALS FOR PATIENTS READY TO QUIT. RATES OF PATIENT USE--SM IS WORKING WITH SYSTEM HOSPITALS TO OBTAIN REGULAR REPORTS ON RATES OF PATIENT SMOKERS, THOSE REFERRED AND THOSE WHO HAVE COMPLETED THE QUIT LINE INTERVENTION.ESTABLISHMENT OF AN INTERNAL TOBACCO TEAM-SM HAS ASSEMBLED A TEAM OVERSEEING TOBACCO CESSATION MADE UP OF SENIOR LEADERSHIP, HEALTHCARE PROFESSIONALS AND OTHER ADMINISTRATORS. THEY MEET MONTHLY AND WORK WITH OTHER SCL HEALTH HOSPITALS.THE REMAINDER OF NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT TO SM BUT DUE TO LIMITED EXPERTISE AT THE HOSPITAL LEVEL, AND THE AVAILABILITY OF COMMUNITY ORGANIZATIONS WHO ARE ALREADY ADDRESSING NEEDS, SM CONTINUES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE ALL NEEDS AND HEALTH INDICATORS ARE BEING ADDRESSED.
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Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
ST MARY'S BARIATRIC CLINIC
2686 PATTERSON ROADGRAND JUNCTIONCO815068219BARIATRIC SERVICES
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTON AVEGRAND JUNCTIONCO81501OUTPATIENT SURGERY
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401OUTPATIENT CANCER TREATMENT
PAVILION IMAGING LLC
750 WELLINGTONGRAND JUNCTIONCO81501RADIOLOGY SERVICES
ST MARY'S CARDIOVASCULAR & THORACIC
2643 PATTERSON ROAD SUITE 403GRAND JUNCTIONCO81501CARDIOVASCULAR & THORACIC TREATMENT
ST MARY'S CENTER FOR BRAIN & SPINE
750 WELLINGTON AVE SUITE 3AGRAND JUNCTIONCO80501BRAIN & SPINE SURGERY
ST MARY'S ENDOCRINOLOGY CLINIC
2643 PATTERSON ROAD SUITE 403GRAND JUNCTIONCO81501ENDOCRINOLOGY SERVICES
ST MARY'S FAMILY MEDICINE CENTER
2698 PATTERSON ROADGRAND JUNCTIONCO81501FAMILY MEDICINE CENTER
ST MARY'S HOSPITALIST PROGRAM
2635 N 7TH STREET SUITE 4205GRAND JUNCTIONCO81501HOSPITALIST PROGRAM
ST MARY'S HYPERBARIC MEDICINE CLINIC
2635 N 7TH STREETGRAND JUNCTIONCO81501HYPERBARIC MEDICINE SERVICES
ST MARY'S INFECTIOUS DISEASE
2643 PATTERSON RD SUITE 401GRAND JUNCTIONCO81501INFECTIONS DISEASE CLINIC
ST MARY'S LUNG AND SLEEP CENTER
1050 WELLINGTON AVEGRAND JUNCTIONCO81501LUNG AND SLEEP SERVICES
ST MARY'S MATERNAL-FETAL MEDICINE
2643 PATTERSON ROAD SUITE 406GRAND JUNCTIONCO81501MATERNAL-FETAL MEDICAL SERVICES
ST MARY'S NEONATOLOGY
2635 N 7TH STREETGRAND JUNCTIONCO81501NEONATAL SERVICES
ST MARY'S NEPHROLOGY CLINIC
710 WELLINGTON AVE 20GRAND JUNCTIONCO81501NEPHROLOGY SERVICES
ST MARY'S NEUROLOGY CLINIC
750 WELLINGTON AVENUE SUITE 3CGRAND JUNCTIONCO81501NEUROLOGY CLINC
ST MARY'S OCCUPATIONAL MEDICINE
2686 PATTERSON ROADGRAND JUNCTIONCO81501OCCUPATIONAL MEDICAL SERVICES
ST MARY'S PEDIATRIC SPECIALTY CLINIC
2643 PATTERSON ROAD SUITE 603GRAND JUNCTIONCO81501PEDIATRIC SPECIALTIES
ST MARY'S PHYSICAL MEDICINE AND REHAB
2686 PATTERSON ROADGRAND JUNCTIONCO81501PHYSICAL MEDICINE AND REHABILIATION SERVICES
ST MARY'S REGIONAL CANCER-ONCOLOGY
750 WELLINGTON AVEGRAND JUNCTIONCO80501ONCOLOGY CLINIC
ST MARY'S REGIONAL CANCER-RADIATION
750 WELLINGTON AVEGRAND JUNCTIONCO80501RADIATION ONCOLOGY SERVICES
ST MARY'S WOUND CLINIC
2635 N 7TH STREETGRAND JUNCTIONCO81501WOUND CARE CLINIC

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 7CWERE 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 THEORGANIZATION'S FINANCIAL STATEMENTS
PART I, LN 7 COL(F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990,PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $15,294,527.
PART II, COMMUNITY BUILDING ACTIVITIES:COMMUNITY BUILDING ACTIVITIES, THOSE THAT ENHANCE EXISTING EFFORTS OR FILL GAPS OF COMMUNITY NEED, INCLUDE PROGRAMS THAT SUPPORT THOSE IN THE COMMUNITY WHO ARE LIVING AT OR BELOW POVERTY. ADMINISTRATIVE LEADERSHIP AND ITS EMPLOYEES PERFORMED CIVIC ACTIVITIES IN WHICH THE SOCIAL AND PHYSICAL HEALTH OF THE COMMUNITY WAS ADVOCATED AS A PRIORITY BY THE HOSPITAL. IN 2014, SMH ADMINISTRATION AND EMPLOYEES PARTICIPATED IN THE FOLLOWING COMMUNITY MEETINGS AND ACTIVITIES: AMERICAN CANCER SOCIETY RACE FOR THE CURE, LIVESTRONG, MARILLAC CLINIC BOARD MEMBERSHIP, BOARD OF HEALTH MEMBER, SUPPORT OF PROGRAMS TO AID THE AGEING POPULATION, INCLUDING A FOSTER GRANDPARENT PROGRAM AND A SENIOR COMPANION PROGRAM. PART III, LINE 1: THE 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 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 PATIENTSOPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN AGOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDESIDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIALCOUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CAREAND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THEORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT ISPOSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF APATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATERDETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE ORFINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE.THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE ORGANIZATIONS FINANCIALSTATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE:THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'SASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THEBUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS INHEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THEYEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLEACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY ANDOTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKEMODIFICATIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCEFOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTSAND BALANCES DUE FROM PATIENTS AFTER INSURANCE.
PART III, LINE 4: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.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:IDENTIFICATION OF HEALTH PRIORITIES IS A DYNAMIC AND CYCLICAL PROCESS WHICH REQUIRES OF PERIODIC REEVALUATION. THE IMPLEMENTATION OF PRIORITY AREA STRATEGIES AND THEIR OUTCOMES WILL BE TRACKED AND REPORTED ANNUALLY. EMERGING HEALTH NEEDS MAY NECESSITATE THE REALIGNMENT OF RESOURCES. ADAPTABILITY WILL BE AMONG THE CHIEF VIRTUES OF ANY PLAN OR STRATEGY DEDICATED TO IMPROVING HEALTH AND QUALITY OF LIFE IN MESA COUNTY.
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 ASSITANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICYY AND APLLICATION 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. MARY'S IS A LEADING PROVIDER OF COMMUNITY BENEFIT FOR RESIDENTS OF WESTERN COLORADO AND EASTERN UTAH. THE HOSPITAL IS LOCATED IN GRAND JUNCTION, CO THE LARGEST CITY BETWEEN SALT LAKE CITY, UTAH AND DENVER, COLORADO; THEREFORE, IT SERVES AS A REGIONAL HUB FOR SERVICES AND MEDICAL TECHNOLOGIES. MESA COUNTY LIES ON THE WESTERN BORDER OF COLORADO AND COVERS 3,309 SQUARE MILES. ACCORDING TO THE COLORADO STATE DEMOGRAPHY OFFICE THE ESTIMATED 2014 POPULATION OF MESA COUNTY IS 148,255 (US CENSUS BUREAU 2014 ESTIMATE). MESA COUNTY HAS EXPERIENCED STEADY POPULATION GROWTH RATES AND IS EXPECTING THIS TREND TO CONTINUE. HISTORICALLY, THE AREA HAS GROWN AT 2%, ANNUALLY, AND IS PROJECTED TO CONTINUE TO GROW AT 2.3%, ANNUALLY, THROUGH 2018. THESE PROJECTIONS WERE PROVIDED PRIOR TO AND DURING THE ECONOMIC DOWNTURN. HOW THE RECESSIONARY INFLUENCES WILL AFFECT POPULATION GROWTH AND MOVEMENT WILL BE AN INDICATOR WE WILL INVESTIGATE EACH YEAR AS THE PROJECTIONS ARE MADE AVAILABLE. THE 'BABY-BOOMER' COHORT IS PROJECTED TO BE ONE OF THE FASTEST GROWING POPULATION SEGMENTS AND HISTORICALLY HAS BEEN PROVIDED THE MONIKER FOR BEING THE MOST SIGNIFICANT MARKET FORCE DRIVING DEMAND GROWTH AND CHANGES IN HOW CONSUMERS ENGAGE THE HEALTH CARE DELIVERY SYSTEM. ST. MARY'S WILL CONTINUE STRIVING TO PROVIDE HIGH QUALITY CARE OFFERING A FAVORABLE CONSUMER VALUE PROPOSITION TO MATCH THE COMMUNITY'S RISING EXPECTATIONS. IN CORRELATION WITH ST. MARY'S TREMENDOUS GROWTH IN BIRTHS, TODAY'S GENERATION Z (0-14) NOW REPRESENTS A SUBSTANTIALLY LARGE AND FAST GROWING AGE COHORT.FOR ADDITIONAL COMMUNITY STATISTICAL INFORMATION INCLUDING UNINSURANCE RATES (18% IN 2014), SPECIAL HEALTH RELATED ISSUES, COMMUNITY RISK FACTORS AND OTHER HEALTH RELATED INDICATORS PLEASE REFER TO THE MOST RECENT COMMUNITY HEALTH ASSESSMENT SURVEY AT HTTP://HEALTH.MESACOUNTY.US/PROMOTION OFCOMMUNITY HEALTH.
PART VI, LINE 5:WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. SENIOR PROGRAMS - SENIOR COMPANION, FOSTER GRANDPARENT AND GRAY GOURMET. THESE FEDERAL PROGRAMS ARE FINANCIALLY SUPPORTED BY ST. MARY'S. ORIGINALLY SPONSORED BY MESA COUNTY, ST. MARY'S ASSUMED SPONSORSHIP AND SUPPORT OF THESE PROGRAMS DURING THE ECONOMIC DOWNTURN OF THE 1980'S WHEN THE COUNTY SUFFERED SEVERE BUDGET CONSTRAINTS FROM THE LOSS OF ENERGY-RELATED REVENUES. ST. MARY'S HAS CONTINUED TO SPONSOR AND SUPPORT THESE PROGRAMS BECAUSE OF THE UNIQUE SERVICES THEY PROVIDE TO THE SENIORS IN NEED IN MESA COUNTY. ST. MARY'S SENIOR COMPANION PROGRAM HELPS OLDER ADULTS REMAIN HEALTHY, INDEPENDENT, AND IN THEIR OWN HOMES. THE NEED FOR THIS PROGRAM GROWS OUT OF THE PROBLEMS FACED BY SENIORS WHEN THEY OR THEIR PARTNER DEVELOPS MOBILITY ISSUES AND NEED HELP WITH EVERYDAY TASKS. VOLUNTEER COMPANIONS SERVED NEARLY 30,000 HOURS HELPING 350 SENIORS WITH DAILY ACTIVITIES, SUCH AS GROCERY SHOPPING, BILL PAYING, AND TRANSPORTATION TO MEDICAL APPOINTMENTS. WITHOUT HELP OF SENIOR COMPANIONS, MANY OLDER ADULTS WOULD BE FORCED TO LEAVE THEIR HOMES FOR ASSISTED LIVING FACILITIES OR NURSING HOMES. MANY WOULD NEED TO RELY ON PUBLIC SUPPORT SUCH AS MEDICAID TO PAY FOR THESE SERVICES. BY PROVIDING LOW-COST, PERSONAL INTERACTION WITH AT-RISK SENIORS, THE PROGRAM HELPS ENSURE SENIORS ARE ABLE TO GET GROCERY SHOPPING, MEDICAL APPOINTMENT AND ERRANDS COMPLETED. THE PROGRAM BENEFITS MORE THAN ST. MARY'S BECAUSE THE GOAL OF THE PROGRAM IS TO KEEPSENIORS LIVING INDEPENDENTLY OUTSIDE OF ASSISTED LIVING AND TO REDUCE THE RISK OF ILLNESS OR ACCIDENT THAT WOULD REQUIRE A HOSPITAL STAY. IN ADDITION TO MAJOR SUPPORT PROVIDED BY ST. MARY'S, THE COMMUNITY PROVIDES ADDITIONAL FINANCIAL SUPPORT THROUGH CONTRIBUTIONS TO ENHANCE THE SERVICES PROVIDED.ST. MARY'S FOSTER GRANDPARENT PROGRAM PROVIDES TWO TYPES OF SUPPORT IN THE COMMUNITY: 1) ASSISTANCE FOR AT-RISK YOUTH, AND 2) A SOURCE OF INCOME FOR LOW-INCOME SENIORS. QUALIFIED SENIOR VOLUNTEERS RECEIVE A TAX-FREE HOURLY STIPEND. PROVIDING NEARLY 60,000 HOURS OF INVALUABLE TUTORING, MENTORING AND ONE-ON-ONE EDUCATIONAL SUPPORT FOR 1,500+ AT-RISK CHILDREN, THE PROGRAM WORKS IN COLLABORATION WITH A BROAD RANGE OF COMMUNITY AGENCIES INCLUDING: MESA COUNTY SCHOOL DISTRICT; DELTA COUNTY SCHOOL DISTRICT; ROCKY MOUNTAIN HEAD START, MIGRANT HEAD START, KIDS OF THE KINGDOM, CHILD QUEST, LIL'MAVERICKS, AND COLLBRAN JOB CORPS, JUST TO NAME A FEW. WITHOUT THE PROGRAM, MORE YOUTH WOULD LIKELY DROP OUT OF SCHOOL AND REQUIRE PUBLICLY SUPPORTED INTERVENTION, AND SENIORS WOULD RELY MORE HEAVILY ON PUBLICLY AND PRIVATELY SUPPORTED FINANCIAL ASSISTANCE PROGRAMS. THE PRIMARY BENEFICIARIES OF THIS PROGRAM ARE THE PARTICIPATING SENIORS AND STUDENTS AND COMMUNITY AND GOVERNMENT-SUPPORT PROGRAMS, AS THE BENEFITS ACHIEVED ARE OUTSIDE THE REALM OF ST. MARY'S HOSPITAL'S SERVICES. IN ADDITION TO MAJOR SUPPORT PROVIDED BY ST. MARY'S, THE COMMUNITY PROVIDES ADDITIONAL FINANCIAL SUPPORT THROUGH CONTRIBUTIONS TO ENHANCE THE SERVICES PROVIDED.GRAY GOURMET IS A NUTRITIONAL MEAL PROGRAM FOR SENIORS SPONSORED BY ST. MARY'S HOSPITAL. WITH NINE COMMUNITY DINING SITES, HOME-DELIVERED MEALS THROUGH 18 DELIVERY ROUTES, AND OTHER NUTRITION-RELATED SERVICES, GRAY GOURMET IS DEDICATED TO THE GOOD HEALTH OF MESA COUNTY SENIORS. MEALS ARE PREPARED FRESH DAILY. SENIORS CURRENTLY RECEIVE HOT, NUTRIENT-DENSE MEALS IN FRIENDLY COMPANY AT NINE MEAL SITES. HOMEBOUND SENIORS 60 YEARS OF AGE AND OLDER CAN ARRANGE FOR HOME-DELIVERY SERVICE. FOR WEEKENDS, FROZEN MEALS ARE AVAILABLE FOR THOSE ENROLLED IN THE HOME DELIVERY SERVICE. IN 2013, NEARLY 110,000 MEALS WERE SERVED. GRAY GOURMET'S REGISTERED DIETITIAN ASSURES MEALS MEET RECOMMENDED DIETARY STANDARDS. PERSONALIZED DIETARY COUNSELING IS OFFERED TO ALL PARTICIPANTS, AND NUTRITION EDUCATION IS AVAILABLE TO GROUPS. BOTH ARE FREE TO PARTICIPANTS. WITHOUT THE NUTRITIONAL SUPPORT PROVIDED BY GRAY GOURMET, MORE SENIORS WOULD BE PLACED IN ASSISTED LIVING FACILITIES, RELYING ON PUBLIC SUPPORT SUCH AS MEDICAID TO PAY FOR THESE SERVICES. THIS PROGRAM HELPS SENIORS TO CONTINUE TO LIVE INDEPENDENTLY AND REDUCES THE RISK OF A HOSPITAL STAY BECAUSE OF POOR NUTRITION.OUR 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. WHEN ST. MARY'S HOSPITAL & MEDICAL CENTER 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. WE ALSO 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 UNITED WAY CAMPAIGNS AND FOOD AND CLOTHING DRIVES. WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY. ST. MARY'S HOSPITAL OR ITS REPRESENTATIVES ARE MEMBERS OF THE CHAMBERS OF COMMERCE, ROTARY CLUB, AND CLUB 20. WE PROVIDE FINANCIAL SUPPORT FOR THE AMERICAN RED CROSS, MARCH OF DIMES, AMERICAN CANCER SOCIETY, GRAND JUNCTION ECONOMIC PARTNERSHIP AND THE DOWNTOWN DEVELOPMENT AUTHORITY, CATHOLIC OUTREACH, GRAND JUNCITON COMMUNITY HOMELESS SHELTER, HOSPICE AND PALLIATIVE CARE OF WESTERN COLORADO, HILLTOP COMMUNITY RESOURCES, MESA STATE COLLEGE, AND COLORADO REGIONAL WEST MENTAL HEALTH. WE PROVIDE FOCUSED SUPPORT FOR MARILLAC CLINIC, THE COMMUNITY'S HEALTH CLINIC FOR THE UNINSURED. WE WORK CLOSELY TOGETHER TO PROVIDE INTEGRATED CARE FOR THOSE WHO COME TO EITHER FACILITY FOR THEIR HEALTH NEEDS. MARILLAC CLINIC PROVIDES QUALITY PRIMARY HEALTH CARE SERVICES FOR UNINSURED, LOW-INCOME PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE CLINIC IS COMMITTED TO PROVIDING ACCESS TO COMPASSIONATE AND TRUSTWORTHY CARE FOR THE UNINSURED POOR. SERVICES THE CLINIC PROVIDES INCLUDE PRIMARY CARE, ONGOING MANAGEMENT OF CHRONIC DISEASES, MEDICATION, OPTICAL, AND DENTAL ASSISTANCE. IN ADDITION TO FINANCIAL SUPPORT, ST. MARY'S HOSPITAL ASSISTS THE CLINIC IN MANY OTHER WAYS INCLUDING STRATEGY AND OPERATIONS GUIDANCE, DONATING SUPPLIES, AND PROVIDING IT AND FINANCIAL SYSTEMS MANAGEMENT.
PART VI, LINE 6:ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., 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 ANDFOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE ANDCOMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WESTRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE INEACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITIES, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME.SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATESEIGHT HOSPITALS, FOUR SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTHCENTER AND MORE THAN 190 AMBULATORY SERVICE CENTERS IN THREE STATES -COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES 15,000 FULL-TIMEASSOCIATES AND MORE THAN 500 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVEBENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUETO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEMWIDEPROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGEOUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE ANDTHE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMSIDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSEACROSS ALL CARE SITES.ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., 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, AND MISSION INTEGRATION.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
ST MARY'S HOSPITAL FOUNDATION
2635 NORTH 7TH STREETGRAND JUNCTIONCO81502840425720501(C)(3)$1,406,882OPERATIONAL SUPPORT
AMERICAN CANCER SOCIETY
2754 COMPAS DRIVEGRAND JUNCTIONCO81506841316555501(C)(3)$10,000RELAY FOR LIFE OF GRAND JUNCTION SPONSOR
MARCH OF DIMES COLORADO
634 MAIN STREETGRAND JUNCTIONCO81501131846366501(C)(3)$10,000MARCH FOR BABIES SPONSORSHIP
MARILLAC CLINIC
2333 N 6TH STREETGRAND JUNCTIONCO81501841085822501(C)(3)SUPPORT FOR OPERATIONS$200,000COSTSUPPLIES, SERVICES
HOMEWARD BOUND
2853 NORTH AVENUEGRAND JUNCTIONCO81501260052916501(C)(3)$12,000DONOR IN HONOR OF PHYSICIANS' DAY
HOPEWEST
3090 B NORTH 12TH STREETFRUITACO80506841316555501(C)(3)$12,000BLACK TIE & BOOTS RECEPTION AND FASHION SHOW
MESA COUNTY
PO BOX 20000GRAND JUNCTIONCO81502846037667$6,000GRAND VALLEY HEALTH FAIR SPONSORSHIP
MIND SPRINGS HEALTH INC
858 GRAND AVENUEGRAND JUNCTIONCO81501840625890501(C)(3)$194,141OPERATIONAL SUPPORT FOR WEST SPRINGS HOSPITAL & MIND SPRINGS HEALTH DETOX
COLORADO DISCOVER ABILITY
PO BOX 1924GRAND JUNCTIONCO81502841569050501(C)(3)$5,040CAMP FREEDOM, CHIEFS' DINNER, WINE AMONG THE VINES SPONSORSHIPS.
GRAND VALLEY CATHOLIC OUTREACH
2465 S DOWNINGDENVERCO80210200064007501(C)(3)$9,500ANNUAL EMPTY BOWLS SPONSORSHIP AND CHRISTMAS DONATION
HILLTOP COMMUNITY RESOURCE
1311 HERMOSAGRAND JUNCTIONCO81501742321009501(C)(3)$51,000B4 BABIES AND BEYOND
WESTERN SLOPE CENTER FOR CHILDREN
259 GRAND AVENUEGRAND JUNCTIONCO81501841128554501(C)(3)$8,500SUPPORT HIRING OF SANE COORDINATOR, SPIN CITY ROCK & ROLL SPONSORSHIP
COUNSELING & EDUCATION CENTER
2708 PATTERSON ROADGRAND JUNCTIONCO81506742232416501(C)(3)$10,500OPERATIONAL SUPPORT
QUALITY HEALTH NETWORK
2764 COMPAS DRIVEGRAND JUNCTIONCO81506201632384501(C)(3)$300,000OPERATIONAL SUPPORT
SUICIDE PREVENTION FUND
PO BOX 4367GRAND JUNCTIONCO81502203972058501(C)(3)$10,000OPERATIONAL SUPPORT
HOLY FAMILY CATHOLIC SCHOOL
786 26 1/2 ROADGRAND JUNCTIONCO81506860297730501(C)(3)$15,000OPERATIONAL SUPPORT
PROJECT CURE
10377 E GEDDES AVENUECENTENNIALCO80112841568566501(C)(3)OPERATIONAL SUPPORT$184,235COSTSURGERY INVENTORY
GRAND JUNCTION COMMUNITY HOMELESS SHELTER
2853 NORTH AVENUEGRAND JUNCTIONCO81502981621600501(C)(3)OPERATIONAL SUPPORT$15,024COSTLINEN SERVICES FOR SHELTER
FieldValueIRS element (for citing)
Total501c3 Org17Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeTRANSPORTATION FOR INDIGENTSGrantTypeTxt
Recipient2200RecipientCnt
Cash Grant$72,944CashGrantAmt
Non Cash AssistanceTRANSPORTATION FOR INDIGENTSNonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPROCESS FOR MONITORING GRANTS AND AWARDS THE ORGANIZATION KEEPS RECORDS TO SUPPORT THE AMOUNTS PROVIDED OR REASON FOR SUCH SUPPORT. SUPPORT IS NOT CONSIDERED GRANTS, BUT RATHER MISCELLANEOUS DONATIONS AND SPONSORSHIPS. ELIGIBILITY FOR FUNDING IS DETERMINED ON AN INDIVIDUAL BASIS, CONSIDERING THE USE OF THE FUNDS AND HOW THE USE RELATES TO THE ORGANIZATION'S MISSION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss0WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTINE WOOLSEY
SVP SCLHS$0$281,511$0$72,051$0$11,949$0$72,495$0$15,602$0$453,608$0$0
DAVID JAMES MD
DIRECTOR$348,226$0$0$0$4,407$0$16,120$0$23,514$0$392,267$0$0$0
MICHAEL MCBRIDE
PRESIDENT/CEO$0$431,104$0$90,269$0$15,564$0$144,177$0$20,159$0$701,273$0$0
TERRI CHINN
VP-CHIEF FINANCIAL OFCR-SMGJ$0$245,081$0$0$0$2,698$0$37,162$0$11,926$0$296,867$0$0
BRIAN DAVIDSON MD
VP MEDICAL AFFAIRS - SMGJ$0$131,763$0$0$0$116,736$0$16,666$0$8,151$0$273,316$0$0
CHRISTOPHER STEEN MD
VP MEDICAL GROUP$0$197,253$0$15,422$0$1,573$0$34,304$0$19,650$0$268,202$0$0
DANIEL PRINSTER
VP BUSINESS DEVELOPMENT - SMGJ$0$209,103$0$31,689$0$4,070$0$36,303$0$24,885$0$306,050$0$0
DORA PETERSON
VP PATIENT SERVICES - SMGJ$0$234,357$0$35,766$0$8,928$0$36,045$0$12,277$0$327,373$0$0
GEORGE SCOTT MD
CHIEF MEDICAL INFO OFFICER$238,469$0$24,132$0$1,678$0$16,659$0$16,896$0$297,834$0$0$0
JOHN BEESON MD
VP & CMO - THRU 7/19/2014$0$0$0$0$0$184,631$0$0$0$10,495$0$195,126$0$0
JUDITH WHITE HOUSE
VP HUMAN RESOURCES - SMGJ$0$207,211$0$31,792$0$3,489$0$32,252$0$13,208$0$287,952$0$0
REZA KALEEL
EXEC VP COO SMGJ$0$292,763$0$44,652$0$1,220$0$47,664$0$14,552$0$400,851$0$0
BRIAN WITWER MD
NEURO SURGEON$944,225$0$0$0$3,354$0$18,720$0$18,581$0$984,880$0$0$0
JAMES NARROD MD
CARDIOVASCULAR SURGEON$703,435$0$0$0$7,991$0$18,720$0$25,660$0$755,806$0$0$0
EDWARD MAURIN MD
NEURO SURGEON$584,348$0$25,000$0$3,357$0$0$0$14,637$0$627,342$0$0$0
SARA PEREIRS MD
CARDIOVASCULAR SURGEON$573,875$0$0$0$2,528$0$15,353$0$25,778$0$617,534$0$0$0
DOUGLAS ROCK MD
DOCTOR - RADIATION ONCOLOGY$511,656$0$66,042$0$2,947$0$16,120$0$20,344$0$617,109$0$0$0
FOREST BINDER
FORMER CFO$0$283,218$0$44,384$0$10,661$0$47,719$0$20,226$0$406,208$0$0
ROBERT LADENBURGER
FORMER CEO$0$407,405$0$189,409$0$966,843$0$17,033$0$12,676$0$1,593,366$0$0
THAD RITTER
FORMER OFFICER$120,752$0$11,544$0$2,535$0$3,784$0$17,675$0$156,290$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION AND TEMPORARY HOUSING. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE IDIVIDUALS LISTED THAT WERE TAXED FOR 2014 WERE: BRIAN DAVIDSON PART I, LINE 1B: TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - WRITTEN POLICY THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES.
PART I, LINES 4A-BSCHEDULE J, PART I, LINE 4A; THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE AMOUNTS PAID TO LISTED INDIVIDUALS FOR SEVERANCE IN 2014 WERE: ROBERT LADENBURGER - $603,601, JOHN BEESON - $178,143. SCHEDULE J, PART I, LINE 4B; PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) FOR EXECUTIVES 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. PRIOR TO 2014, THE RELATED ORGANIZATION'S NQDC 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. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. IN 2014, THE RELATED ORGANIZATION'S NQDC PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 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. THE RELATED ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW 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. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2014 WERE: NONE. FOR CONTRIBUTIONS MADE IN 2014, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2014. 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. IN ADDITION, FOR AMOUNTS CONTRIBUTED 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. THE AMOUNTS WITHDRAWN FROM THE PLAN IN 2014 WERE: ROBERT LADENBURGER - $1,702,647.
PART I, LINE 7OTHER NON-FIXED PAYMENTS THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF OPERATING INCOME AND OTHER PLAN PERFORMANCE STANDARDS. AWARDS ARE BASED ON HOW WELL THE HEALTH CARE SYSTEM OR THE CARE SITE PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED BY THE CARE SITE CEO OR THE HEALTH CARE SYSTEM SERVICES SENIOR EXECUTIVE LEADERSHIP TEAM FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLANS ARE BASED ON A COMBINATION OF PERFORMANCE MEASURES. PERFORMANCE MEASURES INCLUDE PATIENT EXPERIENCE, PATIENT SAFETY, EMPLOYEE SAFETY, COMMUNITY BENEFIT AND OPERATING INCOME. 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.
SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURESTHE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF NINE HOSPITALS, TEN FOUNDATIONS AND FOUR CLINICS IN FOUR 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 IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY AT THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED BY SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH SYSTEM. HOWEVER, PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WESTERN THERAPUTICSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionDIRECTOR OWNS MORE THAN 5%RelationshipDescriptionTxt
Transaction$81,900TransactionAmt
TransactionSEE PART VTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationMIKE MURRAY, M.D. IS A PART OWNER IN WESTERN THERAPEUTICS. WESTERN THERAPEUTICS PROVIDES LITHOTRIPSY SERVICES TO ST. MARY'S HOSPITAL & MEDICAL CENTER. ALL TRANSACTIONS WITH WESTERN THERAPEUTICS ARE NEGOTIATED AT ARMS LENGTH.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A-4DST. MARY'S HOSPITAL & MEDICAL CENTER, INC., (SMMC) IN GRAND JUNCTION, CO., IS THE LARGEST MEDICAL CENTER BETWEEN DENVER AND SALT LAKE CITY AND IS COMMITTED TO PUTTING PEOPLE FIRST. SERVING THE HEALTHCARE NEEDS OF WESTERN COLORADO AND EASTERN UTAH FOR NEARLY 120 YEARS, SMMC IS A FAITH-BASED, NONPROFIT PROVIDER AND IS PART OF SCL HEALTH. FOUNDED IN 1896 BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., SMMC HAS A RICH HISTORY OF SERVING THE MANY NEEDS OF ITS COMMUNITY, FROM ADVANCED MEDICAL CARE TO CHARITABLE GIVING. AS SMMC CELEBRATED ITS 100TH ANNIVERSARY IN 1996, ITS LEADERS RECOMMITTED TO THE RENOWNED STATEMENT OF SISTER XAVIER ROSS, FOUNDER OF THE SISTERS OF CHARITY OF LEAVENWORTH. IN ALL ST. MARY'S ACTIONS, WE WILL: "... LOOK FORWARD TO THE GOOD THAT IS YET TO BE." THROUGHOUT OUR HISTORY, THE GENEROSITY OF WESTERN COLORADANS HAS ENABLED ST. MARY'S TO GROW TO MEET HEALTHCARE NEEDS. CONTRIBUTIONS OF LAND, FUNDS, TIME, AND TALENT ALLOWED US TO KEEP PACE WITH AN EXPANDING POPULATION AND MEDICAL ADVANCES. ST. MARY'S HOSPITAL AND MEDICAL CENTER, INC. (ST. MARY'S) IS A FULL-SERVICE HOSPITAL PROVIDING QUALITY HEALTHCARE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS THE LARGEST HEALTHCARE FACILITY IN A 250-MILE RADIUS, ST. MARY'S PROVIDES MANY ADVANCED HEALTHCARE SERVICES NOT OFFERED BY ANY OTHER FACILITIES IN WESTERN COLORADO AND EASTERN UTAH, INCLUDING COMPREHENSIVE CARDIAC SERVICES, OPEN HEART SURGERY, COMPREHENSIVE CANCER CARE, A NEWBORN INTENSIVE CARE, AND LEVEL II TRAUMA SERVICES. ST. MARY'S IS LICENSED FOR 346 BEDS. ST. MARY'S OPERATES THE ONLY LEVEL II TRAUMA CENTER BETWEEN DENVER, CO AND SALT LAKE CITY, UT. WITH A 24-7 EMERGENCY DEPARTMENT STAFFED WITH EXPERIENCED EMERGENCY MEDICINE, TRAINED PHYSICIANS AND NURSES, TRAUMA AND NEUROSURGEONS ALWAYS AVAILABLE, AND AIR MEDICAL TRANSPORT SERVICES. ST. MARY'S CARES FOR SERIOUSLY ILL AND INJURED PATIENTS. THE TRANSPORT HELICOPTER ALSO ASSISTS IN RESCUE OR EVACUATION EFFORTS. MOST OF ST. MARY'S OUTPATIENT HEALTHCARE SERVICES ARE DELIVERED IN CLINIC FACILITIES CONVENIENTLY LOCATED NEAR BUT SEPARATE FROM THE MAIN HOSPITAL CAMPUS. WITH THEIR OWN ENTRANCES AND PARKING LOTS, THESE FACILITIES KEEP PATIENTS OUT OF THE TRAFFIC AND ACTIVITY FLOW OF THE HOSPITAL BUT CLOSE TO THE MAJOR CONCENTRATION OF MEDICAL SERVICES AND PHYSICIAN OFFICES IN THE COUNTY. ST. MARY'S ADVANCED MEDICINE PAVILION HOUSES OUT-PATIENT MEDICAL AND RADIOLOGY CANCER CARE, IMAGING, BLOOD DONATION, AND LABORATORY SERVICES. ST. MARY'S LIFE CENTER CONTAINS REHABILITATION, WELLNESS, AND WEIGHT LOSS/MANAGEMENT SERVICES. A THIRD FREE-STANDING FACILITY HOUSES ST. MARY'S FAMILY MEDICINE RESIDENCY PROGRAM, WHICH TRAINS PHYSICIANS TO CARE FOR FAMILIES IN SMALL TOWNS AND RURAL AREAS; ST. MARY'S FAMILY MEDICINE CENTER, A MEDICAL CLINIC SPECIALIZING IN PRE-NATAL, OBSTETRICAL, PEDIATRIC, FAMILY, AND GERIATRIC CARE; AND ST. MARY'S WOUND CLINIC. RELEVANT STATISTICS FOR 2014: ADMISSIONS - 12,599 OUTPATIENT VISITS - 286,236 BIRTHS - 2101 SURGERIES - 7806 LAB TESTS - 840,381
FORM 990, PART VI, SECTION A, LINE 4THE ARTICLES OF INCORPORATION WERE AMENDED TO DELINEATE THE POWERS RESERVED FOR THE SOLE MEMBER SISTERS OF CHARITY OF LEAVNEWORTH HEALTH SYSTEMS, INC.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OR STOCKHOLDERS; SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. MARY'S HOSPITAL & MEDICAL CENTER, INC.
FORM 990, PART VI, SECTION A, LINE 7APOWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF, ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., APPOINTS MEMBERS OF ST. MARY'S HOSPITAL & MEDICAL CENTER, INC., BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE BYLAWS REGARDING APPOINTMENT OF BOARD MEMBERS. SCLHS ALSO HAS EXTENSIVE RESERVE POWERS OVER ANY CHANGE IN MISSION, CHANGES TO THE ARTICLES OF INCORPORATION OR BYLAWS, ACQUISITION OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, AND APPOINTMENT OF AUDITORS.
FORM 990, PART VI, SECTION B, LINE 11THE 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 12CMONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY; THE ORGANIZATION'S EXECUTIVES, DIRECTORS, MANAGERS, BOARD MEMBERS, BOARD COMMITTEE MEMBERS, MEDICAL EXECUTIVE COMMITTEE (MEC) MEMBERS AND OTHER PHYSICIANS IN DECISION MAKING ROLES OR SERVING ON COMMITTEES, COMPLETE A NEW CONFLICT OF INTEREST (COI) DISCLOSURE FORM EACH YEAR. A COPY OF THE POLICY IS DISTRIBUTED ALONG WITH THE COI FORMS. IN THE EVENT OF A CHANGE OF CIRCUMSTANCE, EACH INDIVIDUAL WHO HAS ALREADY SIGNED A COI IS EXPECTED TO NOTIFY THE ORGANIZATION OF THE CHANGE AND UPDATE THE CONFLICT OF INTEREST INFORMATION. THE STATEMENTS ARE REVIEWED AND COI ISSUES ARE ADDRESSED BY THE ORGANIZATION'S RESPONSIBILITY OFFICE (ORO) AND LEADERSHIP AT THE APPROPRIATE LEVEL: BOARD MEMBERS - BY BOARD CHAIR PHYSICIANS - BY THE MEC PRESIDENT EXECUTIVES - BY THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. DIRECTORS AND MANAGERS - BY ADMINISTRATION THE SIGNED COI FORMS ARE MAINTAINED IN ADMINISTRATION AND IN COMPLIANCE. THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS FOR THE EXECUTIVES ARE MAINTAINED AT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AT THE BEGINNING OF BOARD AND BOARD COMMITTEE MEETINGS, THE QUESTION OF COI IS ASKED OF THOSE IN ATTENDANCE. WHEN AN ACTUAL CONFLICT IS IDENTIFIED, THE INDIVIDUAL IS EXCUSED FROM PARTICIPATING IN THE DISCUSSIONS AND DECISION-MAKING.
FORM 990, PART VI, SECTION B, LINE 15BFORM 990, PART VI, SECTION B (POLICIES) LINES 15(A) & 15(B) THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION, THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) SCLHS' PROCESS FOR DETERMINING COMPENSATION FOR THE TOP MANAGEMENT AND SENIOR LEADERSHIP IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE. THIS COMMITTEE IS COMPOSED OF THREE OR MORE MEMBERS WHO ARE NOT CURRENT EMPLOYEES OF SCLHS, OR FORMER EMPLOYEES WITH NO ACTIVE INTEREST IN THE SCLHS' COMPENSATION PROGRAM, INCLUDING AT LEAST TWO MEMBERS OF THE SCLHS BOARD. SCLHS BELIEVES THAT THE INDEPENDENCE OF THESE MEMBERS IS VITAL TO THE INTEGRITY OF THE PROCESS. THE WORK OF THIS COMMITTEE INCLUDES BEING CONSTANTLY AWARE OF THE CURRENT COMPETITIVE MARKET FOR MANAGEMENT AND SENIOR LEADERS, AS WELL AS COMPILING AND MAINTAINING RECORDS OF COMPARABLE COMPENSATION AND BENEFITS DATA, INCLUDING SURVEYS AND OTHER ANALYSES, TO SUPPORT SCLHS' TOTAL COMPENSATION TO EACH INDIVIDUAL. AS PART OF THE REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF TOP MANAGEMENT AND SENIOR LEADERSHIP. 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 EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH THE MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. MINUTES ARE KEPT CONTEMPORANEOUSLY FOR EACH MEETING OF THE COMMITTEE. LIKEWISE, THE COMMITTEE IS RESPONSIBLE FOR ENSURING THAT NO "EXCESS BENEFIT" IS CONFERRED ON AN INDIVIDUAL, OR THAT SUCH COMPENSATION DOES NOT CONSTITUTE PROHIBITED INUREMENT. THIS PROCESS IS COMPLETED FOR ALL SENIOR LEADERSHIP, AT THE AFFILIATE AND SYSTEM LEVEL, AND THE COMMITTEE'S RECOMMENDATION IS THEN SUBMITTED TO THE SCLHS BOARD FOR APPROVAL. THE CHARGE OF THIS COMMITTEE ADHERES TO SCLHS' CORE VALUE OF STEWARDSHIP, ENSURING THAT THE MINISTRY'S RESOURCES HELD IN TRUST ARE NOT WASTED OR MISUSED, AND ARE DEPLOYED TO EFFECTIVELY AND EFFICIENTLY ADVANCE THE MISSION.
FORM 990, PART VI, SECTION C, LINE 19PART VI, LINE 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST. FORM 990, PART X, BEGINNING BALANCE SHEET. DUE TO AN ERROR IN REPORTING OF THE ENDING BALANCE SHEET FOR 2013, WE HAVE CORRECTED THE BEGINNING BALANCE SHEET TO PROPERLY REPORT THE BEGINNING BALANCE SHEET AND TO HAVE COMPARABLE BALANCE SHEETS FOR THE BEGINNING AND ENDING BALANCE SHEETS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SCL HEALTH MEDICAL GROUP-GRAND JUNCTION LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12635 NORTH 7TH STREETAddressLine1Txt
CityGRAND JUNCTIONCityNm
State AbbreviationCOStateAbbreviationCd
ZIP81502ZIPCd
FieldValueIRS element (for citing)
EIN463778277EIN
Primary ActivitiesPHYSICAL SERVICESPrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S HOSPITAL & MEDICAL CENTER INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC
2420 W 26TH AVE SUITE 100DDENVERCO80211237379161MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICESKS501(C)(3)LINE 11B, IIN/A0
CARITAS CLINICS INC
818 NORTH 7TH STREETLEAVENWORTHKS66048481009910CLINIC SERVICESKS501(C)(3)LINE 30SCLHS
MARIAN CLINIC INC
1001 SW GARFIELDTOPEKAKS66604481046905CLINIC SERVICESKS501(C)(3)LINE 30SCLHS
MARILLAC CLINIC INC
2333 N 6TH STREETGRAND JUNCTIONCO81501841085822CLINIC SERVICESCO501(C)(3)LINE 30SCLHS
PROVIDENCEST JOHN FOUNDATION INC
8929 PARALLEL PARKWAYKANSAS CITYKS66112480925688SUPPORT RELATED TAX EXEMPT ORGANIZATIONSKS501(C)(3)LINE 70PROVIDENCE MEDICAL CENTER INC
ST FRANCIS HEALTH CENTER INC
1700 SW 7TH STREETTOPEKAKS66606480547719HOSPITAL SERVICESKS501(C)(3)LINE 30SCLHS
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREETTOPEKAKS66606481092520SUPPORTING ORGANIZATIONKS501(C)(3)LINE 11A, I0ST FRANCIS HEALTH CENTER INC
ST MARYS HOSPITAL FOUNDATION
2635 N 7TH STREETGRAND JUNCTIONCO81502237001007SUPPORTING ORGANIZATIONCO501(C)(3)LINE 11A, IYes (1)ST MARYS HOSPITAL & MEDICAL CENTER INC
HOLY ROSARY HEALTHCARE
2600 WILSON STREETMILES CITYMT59301810231792HOSPITAL SERVICESMT501(C)(3)LINE 30SCLHS
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON STREETMILES CITYMT59301202270238SUPPORTING ORGANIZATIONMT501(C)(3)LINE 11A, I0HOLY ROSARY HEALTHCARE
ST VINCENT HEALTHCARE
1233 NORTH 30TH STREETBILLINGSMT59101810232124HOSPITAL SERVICESMT501(C)(3)LINE 30SCLHS
ST VINCENT HEALTHCARE FOUNDATION
1106 NORTH 30TH STREETBILLINGSMT59101810468034SUPPORT RELATED TAX EXEMPT ORGANIZATIONSMT501(C)(3)LINE 70ST VINCENT HEALTHCARE
ST JAMES HEALTHCARE
400 SOUTH CLARK STREETBUTTEMT59701810231785HOSPITAL SERVICESMT501(C)(3)LINE 30SCLHS
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK STREETBUTTEMT59701651202190SUPPORTING ORGANIZATIONMT501(C)(3)LINE 11A, I0ST JAMES HEALTHCARE
SAINT JOHN'S HEALTH CENTER
2121 SANTA MONICA BLVDSANTA MONICACA90404951684082HOSPITAL SERVICESCA501(C)(3)LINE 30SCLHS
JOHN WAYNE CANCER INSTITUTE
2000 SANTA MONICA BLVDSANTA MONICACA90404954291515CANCER R&DCA501(C)(3)LINE 40SAINT JOHN'S HEALTH CENTER
SAINT JOHN'S HOSPITAL & HEALTH CENTER FOUNDATION
2121 SANTA MONICA BLVDSANTA MONICACA90404956100079SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCA501(C)(3)LINE 70SAINT JOHN'S HEALTH CENTER
SCL HEALTH-FRONT RANGE INC
2420 W 26TH AVE SUITE 100DDENVERCO80211841103606HOSPITAL SERVICESCO501(C)(3)LINE 30SCLHS
LUTHERAN MEDICAL CENTER FOUNDATION
2480 W 26TH AVESUITE 360BDENVERCO80211208846152SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCO501(C)(3)LINE 70SCL HEALTH-FRONT RANGE INC
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
200 EXEMPLA CIRCLELAFAYETTECO80026841649162SUPPORT RELATED TAX EXEMPT ORGANIZATIONSCO501(C)(3)LINE 70SCL HEALTH-FRONT RANGE INC
LUTHERAN MED CTR PROF & GEN LIAB SELF-INS TRST
2480 W 26TH AVESUITE 360BDENVERCO80211742571584INSURANCECO501(C)(3)LINE 11A, I0SCL HEALTH-FRONT RANGE INC
SAINT JOSEPH HOSPITAL INC
1375 E 19TH AVENUEDENVERCO80218840417134HOSPITAL SERVICESCO501(C)(3)LINE 30SCLHS
SAINT JOSEPH HOSPITAL FOUNDATION
1375 E 19TH AVENUEDENVERCO80218840735096SUPPORTING ORGANIZATIONCO501(C)(3)LINE 11A, I0SCLHS
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARDDENVERCO80211840405260RESIDENT CARECO501(C)(3)LINE 11A, I0SCLHS
NJH-SJH INC
2420 W 26TH AVE SUITE 100DDENVERCO80211471194849MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICESCO501(C)(3)LINE 11A, I0SCLHS

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
PAVILION IMAGING LLC
750 WELLINGTONGRAND JUNCTIONCO81501030516198RADIOLOGYCOST MARY'S HOSPITAL & MEDICAL CENTER INCRELATED$7,293,263$3,219,118000.75000
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTONGRAND JUNCTIONCO81501841505075OP SURGERYCOST MARY'S HOSPITAL & MEDICAL CENTER INCRELATED$264,311$490,9990Yes (1)0.27000
HEALTHCARE MANAGEMENT LLC
PO BOX 2907GRAND JUNCTIONCO81502841238904MANAGEMENT SERVICESCOST MARY'S HOSPITAL & MEDICAL CENTER INCRELATED$271,652$1,990,8390Yes (1)0.15430
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCOST MARY'S HOSPITAL & MEDICAL CENTER INCRELATED$716,645$1,421,4800Yes (1)0.33330
LUTHERAN CAMPUS ASC LLC
3455 LUTHERAN PKWY STE 150WHEATRIDGECO80033020749532OP SURGERYCON/A
DENVER WEST ENDOSCOPY CENTER LLC
382 S ARTHUR AVENUELOUISVILLECO80027460788218OP ENDOSCOPYCON/A
CODY MEDICAL ARTS COMPLEX LLC
720 LINDSAY LANECODYWY82414331031839RENTAL REAL ESTATEWYN/A
MED-MAP LLC
PO BOX 1295BILLINGSMT59103810491356RENTAL REAL ESTATEMTN/A
YELLOWSTONE SURGERY CENTER LLC
1144 NORTH 28TH STREETBILLINGSMT59101721519467OP SURGERYMTN/A
ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREETBILLINGSMT59101272270640PHYSICAL THERAPYMTN/A
TWENTIETH STREET GENERAL PARTNERSHIP
201 SOUTH LAKE AVENUE STE 507PASADENACA91101953974903RENTAL REAL ESTATECAN/A
SAINT JOHN'S MEDICAL PLAZA
201 SOUTH LAKE AVENUE STE 507PASADENACA91101953983096RENTAL REAL ESTATECAN/A
SCL HOME HEALTH SOLUTIONS LLC
10170 E MISSISSIPPI AVENUEDENVERCO80247462418729HOME CAREDEN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CARITAS INC AND SUBSIDIARIES
2420 W 26TH AVE SUITE 100DDENVERCO80211480941069HEALTHCAREKSN/AC0
LEAVEN INSURANCE COMPANY LTD
980370522INSURANCEN/AC023 LIME TREE BAY AVENUE WEST BAY RGRAND CAYMANCJKY1-1102CJ
ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC
2420 W 26TH AVE SUITE 100DDENVERCO80211462874128HEALTHCAREKSN/AC0
PROVIDENCE MEDICAL CENTER INC
8929 PARALLEL PARKWAYKANSAS CITYKS66112480784446HOSPITAL SERVICESKSN/AC0
ST JOHN HOSPITAL INC
3500 SOUTH FOURTH STREETLEAVENWORTHKS66048480543768HOSPITAL SERVICESKSN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PAVILION IMAGING LLC
A$3,630,346FMV
PAVILION IMAGING LLC
L$1,779,654FMV
PAVILION IMAGING LLC
O$2,739,718FMV
PAVILION IMAGING LLC
Q$854,602FMV
PAVILION IMAGING LLC
S$10,985,644FMV
ST MARY'S HOSPITAL FOUNDATION
B$1,406,882FMV
ST MARY'S HOSPITAL FOUNDATION
C$1,103,024FMV
GRAND VALLEY SURGICAL CENTER LLC
J$554,389FMV
GRAND VALLEY SURGICAL CENTER LLC
L$111,243FMV
GRAND VALLEY SURGICAL CENTER LLC
R$636,216FMV
SAN JUAN CANCER CENTER LLC
O$680,348FMV
SAN JUAN CANCER CENTER LLC
Q$914,836FMV
SAN JUAN CANCER CENTER LLC
S$729,036FMV
SAN JUAN CANCER CENTER LLC
L$72,000FMV