2015-11-09T16:43:19-06:00 2014-12-31 990 2014-01-01 810231785 ST JAMES HEALTHCARE STJA 4067232500 400 SOUTH CLARK STREET BUTTE MT 59701 TRAVIS SCHEVING VP FINANCIAL SERVICES 4067232500 2015-10-29 2014 2016-04-25 22:37:26Z CHARLES WRIGHT 400 SOUTH CLARK STREET BUTTE MT 59701 124660240 0 0928 X WWW.STJAMESHEALTHCARE.ORG X 1976 MT WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 16 15 710 37 603571 468299 1626117 3134519 116242224 119502823 113955 243464 2090381 1383304 120072677 124264110 81303 225046 0 0 45665858 47202958 0 0 0 69304961 63560847 115052122 110988851 5020555 13275259 82221435 76508129 29932571 11075457 52288864 65432672 X WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 94462672 225046 119886216 ST. JAMES HEALTHCARE HAS PLAYED AN IMPORTANT ROLE IN THE HISTORY OF BUTTE. FOUNDED IN 1881 BY THE SISTERS OF CHARITY OF LEAVENWORTH, ST. JAMES HAS BEEN KNOWN FOR GENERATIONS FOR ITS MISSION OF COMPASSIONATE CARE AND SERVICE TO THE POOR. FOR MORE THAN 130 YEARS, ST. JAMES HAS PROVIDED CARE FOR THE SICK AND SERVED THE POOR AND THE VULNERABLE. ST. JAMES HEALTHCARE IS ONE OF MONTANA'S LARGEST COMPREHENSIVE HOSPITALS, SERVING THE HEALTH CARE NEEDS OF PEOPLE IN A SEVEN-COUNTY REGION.MISSIONWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISIONINSPIRED BY OUR FAITH, WE WILL BE DISTINGUISHED AS THE PREMIER PERSON-CENTERED HEALTH SYSTEM AND TRUSTED PARTNER. WE WILL SHARE ACCOUNTABILITY WITH CLINICIANS AND OTHER STAKEHOLDERS TO COORDINATE CARE ACROSS ALL SETTINGS AND IMPROVE ACCESS, QUALITY, HEALTH OUTCOMES, AND AFFORDABILITY. WE WILL GROW AS COMMUNITY-BASED HEALTH NETWORKS TO SERVE MORE PEOPLE IN PARTNERSHIPS WITH OTHERS WHO SHARE OUR VISION AND VALUES.VALUES CARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON. EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS. GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS. INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE. SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES. STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.ST. JAMES HEALTHCARE OFFERS A WIDE RANGE OF SERVICES ACROSS MANY DEPARTMENTS:CANCER TREATMENT, DIABETES EDUCATION, EMERGENCY/LEVEL III TRAUMA CENTER, HEART HEALTH, INTENSIVE CARE UNIT, IMAGING SERVICES, JOINT SURGERY & REPLACEMENT CENTER, LAB SERVICES, OCCUPATIONAL THERAPY, PAIN CENTER, PHYSICAL THERAPY, AND SPORTS MEDICINE.ST. JAMES HEALTHCARE STATISTICAL DATA FOR 2014 INCLUDED THE FOLLOWING RESULTS:TOTAL ADMISSIONS - 3,674TOTAL OUTPATIENT, CLINIC, AND HOME HEALTH VISITS - 86,801TOTAL VISITS - 17,913BIRTHS - 456TOTAL SURGERIES - 2,286 94462672 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 107 0 1 710 1 1 1 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 1 1 X KYLE ENGMAN 3038135543 500 ELDORADO BLVD SUITE 4200 BROOMFIELD CO 80021 ANDREA STIERLE DIRECTOR 1.00 0.00 X 0 0 0 BERNARD MCCARTHY DIRECTOR 1.00 0.00 X 0 0 0 BILL MCGLADDERY DIRECTOR 1.00 0.00 X 0 0 0 CHARLES WRIGHT PRESIDENT & CEO 50.00 0.00 X X 0 568962 187808 KEVIN LUEBKE DIRECTOR 1.00 0.00 X 0 0 0 MARILYN CAMERON DIRECTOR 1.00 0.00 X 0 0 0 MARK ZORA CHAIR 2.00 0.00 X X 0 0 0 MARKO LUCICH DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL LEWIS DIRECTOR 1.00 0.00 X 0 0 0 RITA SPEAR DIRECTOR 1.00 0.00 X 0 0 0 SISTER MARGARET HOGAN DIRECTOR 1.00 0.00 X 0 0 0 SISTER MARY JO QUINN DIRECTOR 1.00 0.00 X 0 0 0 TAMMY COX DIRECTOR 1.00 0.00 X 0 0 0 THERESE MCCLAFFERTY SECRETARY-TREASURER 2.00 0.00 X X 0 0 0 TIM MCHUGH VICE CHAIR 2.00 0.00 X X 0 0 0 TOM PETERSON DIRECTOR 1.00 0.00 X 0 0 0 JAMES DOYLE VP & CFO 50.00 0.00 X 0 194911 54164 DENNIS SALISBURY VP & CMO 50.00 0.00 X 276915 0 63541 JEREMY BLANCHARD CHIEF PHYSICIAN EXECUTIVE 50.00 0.00 X 0 257626 39918 KEVIN DENNEHY VP STRATEGY-BUS DEVELOP-SJB 50.00 0.00 X 0 185297 51953 SHANNON HOLLAND VP PATIENT CARE SERVICES - SJB 50.00 0.00 X 0 316621 34872 MARC NASH PHYSICIAN RADIATION ONCOLOGIST 50.00 0.00 X 567614 0 38573 JAMES HUEFTLE PHYSICIAN 50.00 0.00 X 473687 0 42572 MOHAN NANDALUR PHYSICIAN - CARDIOLOGIST 50.00 0.00 X 479023 0 18708 DANAE HANSEN ANESTHESIOLOGIST 50.00 0.00 X 402033 0 34057 ALLEN NICHOLS PHYSICIAN - CARDIOLOGIST 50.00 0.00 X 410523 0 6893 2609795 1523417 573059 61 0 1 0 INPATIENT SERVICES PC 1515 WYNKOOP STREET STE 360 DENVER CO 80202 MEDICAL SERVICES 1403320 MONTANA INTERVENTIONAL & DIAG 2969 AIRPORT RD STE 1C HELENA MT 59601 RADIOLOGY 1138814 MEDEFIS INC 10826 OLD MILL RD STE 101 OMAHA NE 68154 CONTRACT LABOR 715933 MONTANA ORTHOPEDICS 435 SOUTH CRYSTAL STE 400 BUTTE MT 59701 MEDICAL SERVICES 558525 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 CONTRACT LABOR 455476 14 2553142 581377 3134519 PATIENT CARE 622110 119502823 119480811 22012 119502823 73246 73246 785556 389216 396340 396340 396340 177132 0 6914 177132 -6914 170218 170218 SUMMIT SURGERY CTR 621400 526803 526803 CAFETERIA REVENUE 722310 460161 405405 54756 986964 124264110 119886216 603571 639804 225046 225046 2232588 669776 1562812 35475552 34248359 1227193 2107876 1979833 128043 4856866 4754145 102721 2530076 2370554 159522 8178 8178 7913 7913 378 378 7158453 6434256 724197 212937 212937 107741 104879 2862 1564607 1557300 7307 336306 225577 110729 84238 76187 8051 510669 510669 4827096 4827096 1181216 1181216 MEDICAL SUPPLIES 19773126 19761956 11170 SYSTEM ALLOCATION 11887756 896627 10991129 BAD DEBT EXPENSE 7222930 7222930 SERVICE CONTRACTS 6753446 5539812 1213634 1923857 1663517 260340 110988851 94462672 16526179 0 4522 350 6438859 684853 18642215 18789411 3113362 3206902 1570547 1696640 118800268 71547171 47349808 47253097 2057665 2268530 327655 153407 2716802 2454939 82221435 76508129 16322142 10217141 13610429 858316 29932571 11075457 X 52269019 65357808 19845 74864 52288864 65432672 82221435 76508129 X 13275259 -89413 -42038 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 378 378 0 PART II-B, LINE 1: LOBBYING EXPENSES WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE ASSOCIATION OF MONTANA HEALTH CARE PROVIDERS. 4146731 4146731 76052783 44237368 31815415 2204481 1882039 322442 33061538 25427764 7633774 3334735 3334735 47253097 INTERCOMPANY PAYABLE 858316 858316 1 1 X 1 X 1 X 1 1 1 0 1 1 5685226 5685226 0.05480 12642564 8189393 4453171 0.04290 18327790 8189393 10138397 0.09770 654872 67022 587850 0.00570 191602 191602 0.00180 438637 155189 283448 0.00270 69639 69639 0.00070 19839 19839 0.00020 1374589 222211 1152378 0.01110 19702379 8411604 11290775 0.10880 72299 72299 0.00070 361124 361124 0.00350 433423 433423 0.00420 1 7222930 0 31452132 38094795 -6642663 X 1 1 1 SUMMIT SURGERY CENTER OUTPATIENT SURGERY CENTER 0.50000 0.50000 2 MONTANA PHYSICIAN HOSPITAL ORGANIZATION PHYSICIAN HOSPITAL ORGANIZATION 0.50000 0.50000 1 1 ST JAMES HEALTHCARE 400 SOUTH CLARK ST BUTTE MT 59701 WWW.STJAMESHEALTHCARE.ORG 13287 X X X SKILLED NURSING & PHYSICIAN CLINIC ST JAMES HEALTHCARE 1 0 0 1 X X X X X X X X X 14 1 0 1 1 X STJAMESHEALTHCARE.ORG/ABOUT-US X 1 15 1 STJAMESHEALTHCARE.ORG/ABOUT-US 0 0 1 X 200.000000000000 400.000000000000 X X X 1 1 X X X X 1 X X X X X X X X 1 0 X X X X 1 X 0 0 ST. JAMES HEALTHCARE PART V, SECTION B, LINE 5: THE ASSESSMENT CONDUCTED FOR ST. JAMES HEALTHCARE (SJH) WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) ON BEHALF OF SJH, IN COOPERATION WITH THE BUTTE-SILVER BOW PUBLIC HEALTH DEPARTMENT AND SOUTHWEST MONTANA COMMUNITY HEALTH CENTER. PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) SUCH AS THIS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY. TO SOLICIT INPUT FROM KEY INFORMANTS, INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY WERE SURVEYED AND MANY ALSO PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) TEAM. A LIST OF RECOMMENDED PARTICIPANTS WAS PROVIDED BY SJH AND THE LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PUBLIC HEALTH, PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS THE COMMUNITY OVERALL. ST. JAMES HEALTHCARE PART V, SECTION B, LINE 11: IN OCTOBER 2014, APPROXIMATELY 40 REPRESENTATIVES OF VARIOUS COMMUNITY ORGANIZATIONS MET TO EVALUATE, DISCUSS AND PRIORITIZE HEALTH ISSUES FOR THE ST. JAMES HEALTHCARE (SJH) COMMUNITY, BASED ON FINDINGS OF THE CHNA. REPRESENTATIVES OF SJH, BUTTE-SILVER BOW HEALTH DEPARTMENT AND SOUTHWEST MONTANA COMMUNITY HEALTH CENTER PROVIDED GUIDANCE TO THE GROUP, DESCRIBING EXISTING ACTIVITIES, INITIATIVES, RESOURCES, ETC., RELATING TO AREAS OR OPPORTUNITY. IN ORDER TO ASSIGN PRIORITY TO THE IDENTIFIED HEALTH NEEDS PARTICIPANTS WERE ASKED TO EVALUATE EACH HEALTH ISSUE ALONG TWO CRITERIA: SCOPE & SEVERITY AND ABILITY TO IMPACT. THIS PROCESS YIELDED THE FOLLOWING PRIORITIZED LIST OF COMMUNITY HEALTH NEEDS: 1) MENTAL HEALTH 2) NUTRITION, PHYSICAL ACTIVITY & WEIGHT 3) SUBSTANCE ABUSE 4) INJURY & VIOLENCE 5) DIABETES 6) ACCESS TO HEALTHCARE SERVICES 7) HEART DISEASE & STROKE 8) DISABILITY & CONDITIONS OF AGING 9) TOBACCO USE 10) CANCER BASED ON THIS LIST THE HOSPITAL FACILITY SELECTED THE FOLLOWING TOP NEEDS TO BE ADDRESSED IN THE HOSPITAL IMPLEMENTATION PLAN: 1) MENTAL HEALTH 2) NUTRITION, PHYSICAL ACTIVITY & WEIGHT 3) SUBSTANCE ABUSE: TOBACCO USETO ADDRESS THESE NEEDS, THE HOSPITAL IS USING BOTH INTERNAL AND EXTERNAL COMMUNITY RESOURCES INCLUDING THE MONTANA QUIT LINE, ST. PETE'S BEHAVIORAL HEALTH, WESTERN MONTANA MENTAL HEALTH CENTER, SOUTHWEST MONTANA MENTAL HEALTH SERVICES, SOUTHWEST MONTANA COMMUNITY HEALTH CENTER, LOCAL PEDIATRICIANS AND FAMILY PHYSICIANS, HEAD START, AND FIT KIDS PROGRAM.EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT TO SJH. BECAUSE NUMEROUS PARTNERS THROUGHOUT THE COMMUNITY ARE ADDRESSING THESE NEEDS THROUGH INNOVATIVE PROGRAMS AND INITIATIVES, THE SJH IMPLEMENTATION PLAN FOCUSES ON PRIORITIES IN ORDER TO ALLOCATE APPROPRIATE TIME AND RESOURCES TO SUCCESSFUL TACTICS AND ACTIONS. 11 SUMMIT SURGERY CENTER LLC 434 S CLARK STREET BUTTE MT 59701 OUTPATIENT SURGERY CENTER ST JAMES HEART CENTER 435 S CRYTAL ST STE 210 BUTTE MT 59701 CARIDAC CLINIC ST JAMES RADIATION ONCOLOGY 400 S CLARK ST BUTTE MT 59701 ONCOLOGY CLINIC ST JAMES PAIN CLINIC 400 S CLARK ST BUTTE MT 59701 PAIN CLINIC ROCKY MOUNTAIN CLINIC 435 S CRYSTAL ST STE 300 BUTTE MT 59701 HEALTH CLINIC ST JAMES CARDIAC INTERPRETATIONS 400 S CLARK ST BUTTE MT 59701 CARIDAC CLINIC ST JAMES EMERGENCY PHYSICIANS 400 S CLARK ST BUTTE MT 59701 EMERGENCY CLINIC ST JAMES SUMMIT LAB 435 SOUTH CRYSTAL S STE 200 BUTTE MT 59701 LABORATORY ST JAMES SURGICAL ASSOCIATES 435 S CRYSTAL ST STE 210 BUTTE MT 59701 SURGICAL CLINIC ST JAMES OBGYN 435 S CRYSTAL ST STE 210 BUTTE MT 59701 OB/GYN CLINIC ST JAMES UROLOGY 305 W PORPHYRY STE 100 BUTTE MT 59701 UROLOGY CLINIC PART I, LINE 6A: THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDILE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 7,222,930. 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, SJH ADMINISTRATION AND EMPLOYEES PARTICIPATED IN THE FOLLOWING COMMUNITY MEETINGS AND ACTIVITIES: PROVIDED MEALS FOR THE HOMELESS, PROVIDED FOOD TO THE COMMUNITY FOOD BANK, A HIGH SCHOOL MENTORING PROGRAM, PARTICIPATION ON THE BUTTE SIVER-BOW HEALTH DEPARTMENT BOARD, THE COMMUNITY HEALTH CENTER BOARD, CHAMBER OF COMMERCE, BIG BROTHER BIG SISTER, MONTESSORI SCHOOL BOARD, AND RECRUITMENT OF SPECIALITY PROVIDERS TO FILL GAPS IN THE HEALTH CARE NEEDS OF THE COMMUNITY. PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIALMANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMASTATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES(GAAP) FOR THE REPORTING OF BAD DEBT. PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE ORGANIZATIONS FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE MODIFICATIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCES DUE FROM PATIENTS AFTER INSURANCE. PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO. PART III, LINE 9B: AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVES INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED. PART VI, LINE 2: ST. JAMES HEALTHCARE (SJH) USES THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES. THE CHNA WAS A SYSTEMATIC, DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS, BEHAVIORS AND NEEDS OF RESIDENTS IN THE SERVICE AREA OF SJH. SUBSEQUENTLY, THIS INFORMATION WAS USED TO INFORM DECISIONS AND GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS.THE CHNA HAD THREE BASIC GOALS: 1) TO IMPROVE RESIDENTS' HEALTH STATUS, INCREASE THEIR LIFE SPANS, AND ELEVATE THEIR OVERALL QUALITY OF LIFE. 2) TO REDUCE THE HEALTH DISPARITIES AMONG RESIDENTS. 3) TO INCREASE ACCESSIBILITY TO PREVENTIVE SERVICES FOR ALL COMMUNITY RESIDENTS. THE ASSESSMENT WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) ON BEHALF OF SJH, IN PARTNERSHIP WITH THE BUTTE-SILVER BOW PUBLIC HEALTH DEPARTMENT AND SOUTHWEST MONTANA COMMUNITY HEALTH CENTER. PRC IS A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM WITH EXTENSIVE EXPERIENCE CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS SUCH AS THIS IN HUNDREDS OF COMMUNITIES ACROSS THE UNITED STATES SINCE 1994.THE CHNA INCORPORATED DATA FROM BOTH QUANTITATIVE AND QUALITATIVE SOURCES. QUANTITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH AND PUBLIC HEALTH DATA SOURCES (CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), HEALTHY PEOPLE 2020), WHICH ALLOWS FOR COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS. QUALITATIVE DATA INPUT INCLUDES PRIMARY RESEARCH GATHERED THROUGH AN ONLINE KEY INFORMANT SURVEY. PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILBLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS. PART VI, LINE 4: ST. JAMES HEALTHCARE (SJH) SERVES THE COMMUNITIES OF BUTTE, MONTANA, AND THE SOUTHWESTERN REGION OF MONTANA. ST. JAMES IS LOCATED IN BUTTE AND IS THE SOLE ACUTE CARE PROVIDER IN BOTH THE CITY OF BUTTE AS WELL AS SILVER BOW COUNTY WHICH ENCOMPASSES BUTTE. ST. JAMES PROVIDES OVER THREE-QUARTERS OF THE INPATIENT CARE DELIVERED TO PATIENTS WITHIN SILVER BOW COUNTY. SJH'S PRIMARY SERVICE AREA IS DEFINED AS SILVER BOW COUNTY WHICH IS LOCATED IN SOUTHWESTERN MONTANA IN A MEDICALLY UNDERSERVED AREA. IT IS THE EIGHTH LARGEST COUNTY IN THE STATE. THIS GEOGRAPHIC AREA ALSO REPRESENTS THE PATIENT ORIGIN OF APPROXIMATELY 75% OF SJH INPATIENT DISCHARGES.ST. JAMES IS THE ONLY ACUTE CARE PROVIDER IN ITS PRIMARY SERVICE AREA. PATIENTS FROM THE PRIMARY SERVICE AREA REQUIRING SPECIALIZED TERTIARY/QUATERNARY CARE WILL TYPICALLY TRAVEL TO MISSOULA, A 120-MILE TRIP, BILLINGS, A 225-MILE TRIP, AS WELL AS OTHER MAJOR METROPOLITAN AREAS OUT OF STATE. MOUNTAINOUS PASSES BETWEEN BUTTE AND THESE LARGER CITIES CAUSE ISOLATION ESPECIALLY DURING THE WINTER IN OUR MEDICALLY UNDERSERVED REGION. WE ARE A DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) AND A MEDICALLY UNDERSERVED AREAS/POPULATIONS (MUA/P) BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). BUTTE-SLIVER BOW (BUTTE), THE COUNTY SEAT, IS THE STATE'S FIFTH LARGEST CITY, BUT THE POPULATION HAS DECREASED BY 5.0% SINCE 2000. STATE GOVERNMENT, WHICH INCLUDES HIGHER EDUCATION INSTITUTIONS, IS THE LARGEST EMPLOYER IN SILVER BOW COUNTY WITH 22.3% OF THE TOTAL EMPLOYMENT. HEALTH CARE IS THE TOP PRIVATE SECTOR EMPLOYER AT 13% - SJH IS THE COMMUNITY'S ONLY HOSPITAL. THE COMMUNITY SERVED BY ST. JAMES HEALTHCARE (SJH) AND FOR PURPOSES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) STUDY AREA & SURVEY IS DEFINED AS EACH OF THE RESIDENTIAL ZIP CODES COMPRISING THE SERVICE AREA, INCLUDING 59701, 59702, 59703, 59727, 59743, 59748, AND 59750. THIS COMMUNITY DEFINITION, DETERMINED BASED ON THE ZIP CODES OF RESIDENCE OF RECENT PATIENTS OF SJH, INCLUDES THE CITY OF BUTTE AND TOWN OF WALKERVILLE. THE AREAS SURROUNDING BUTTE ARE PRIMARILY RURAL, AS DEFINED BY THE US CENSUS BUREAU. PART VI, LINE 5: AT ST. JAMES HEALTHCARE (SJH), WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS IN ORDER TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN 2014, SJH PROVIDED COMMUNITY BENEFITS TOTALING $11,724,198, INCLUDING TRADITIONAL CHARITY CARE AND THE UNPAID COST OF MEDICAID. THIS IS SIGNIFICANTLY MORE THAN IN 2013 WITH INCREASED SUPPORT GIVEN TO COMMUNITY BUILDING, HEALTH PROFESSIONS EDUCATION (MENTORING OF PROFESSIONAL STUDENTS IN OUR HOSPITAL), AND COMMUNITY HEALTH PROGRAMS. OUR COMMUNITY BUILDING ACTIVITIES DEMONSTRATE THIS COMMITMENT. IN 2014, MOST OF OUR ACTIVITIES IN PROMOTING COMMUNITY HEALTH ARE IN THE CATEGORYOF COMMUNITY SUPPORT. THESE ACTIVITIES TOUCH THE COMMUNITY IN A NUMBER OF WAYS. WE FREQUENTLY PROVIDE FOOD AND FREE MEALS TO AGENCIES SUCH AS THE BUTTE RESCUE MISSION, HIGHLAND VIEW ASSISTED LIVING CENTER, AND THE BUTTE FOOD BANK THAT SUPPORT THE POOR AND INDIGENT. THIS IS TO ENSURE THAT OUR POOR POPULATION HAS ACCESS TO NUTRITIOUS FOOD THAT ENABLES THEM TO MAINTAIN BETTER HEALTH.OUR EMPLOYEES LEND THEIR EXPERTISE TO MANY ORGANIZATIONS AND COMMUNITY EVENTS ENCOURAGING AND EDUCATING THE PROMOTION OF COMMUNITY HEALTH. OUR EMPLOYEES VOLUNTEER IN MANY CAPACITIES AND LEVELS ENCOMPASSING EVERYTHING FROM PARTICIPATING IN COMMUNITY FLU SHOT CLINICS AND BLOOD DRIVES, TO FUNDRAISING FOR THE YOUTH PROGRAM AT THE YMCA. SERVICE CLUBS THROUGHOUT THE COMMUNITY ARE FOCUSED ON PROMOTING HEALTHY LIFE STYLES FOR BOTH CHILDREN AND ADULTS, AND THE ST. JAMES STAFF ACTIVELY PARTICIPATES IN CLUBS SUCH AS KIWANIS, BUTTE CHAMBER OF COMMERCE, E CAREGIVER SUPPORT GROUP, ROTARY, AND EXCHANGE CLUB.IN THE AREA OF COMMUNITY HEALTH IMPROVEMENT ADVOCACY, WE PARTNER WITH THE PUBLIC HEALTH DEPARTMENT AND SERVE ON THE BOARDS AND COMMITTEES OF AGENCIES THAT ARE FOCUSED ON IMPROVING THE HEALTH OF THE COMMUNITY. WE UNDERSTAND THE VALUE OF NETWORKING AND PARTICIPATING IN COMMUNITY ACTIVITIES AND ORGANIZATIONS IN ORDER TO BEST SERVE THE COMMUNITY. OUR PARTNERS INCLUDE THE BUTTE SILVER-BOW GOVERNMENT AND THE NORTH AMERICAN INDIAN ALLIANCE. WE LEAD EFFORTS SUCH AS DIABETES MANAGEMENT AND PREVENTION WITH OUR DIABETES OUTREACH PROGRAM. AS A HEALTH PROFESSIONAL SHORTAGE AREA WITH A SCORE OF 18 ON A SCALE OF 0 TO 25 (25 BEING HIGHEST NEED) SJH ACTIVELY RECRUITS PHYSICIANS TO THE AREA TO FULFILL THE NEED FOR ADDITIONAL PHYSICIANS. OUR COMMUNITY BOARD OF DIRECTORS INCLUDES MEDICAL AND BUSINESS PROFESSIONALS AND ALL PROVIDE HOURS OF SERVICE IN SUPPORT OF OUR HOSPITAL. THEY RESIDE IN BUTTE AND WERE SELECTED BECAUSE THEY ARE RESPECTED LEADERS WITHIN THE COMMUNITY. THE BOARD POSITIONS ARE UNPAID. THE BOARD MEMBERS ARE INVOLVED IN OUR COMMUNITY NEEDS ASSESSMENT PROCESS, BUILDING PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH TO ENSURE THAT PEOPLE KNOW ABOUT SERVICES AVAILABLE TO THEM THROUGH OUR HOSPITAL. MEDICAL PRIVILEGES ARE EXTENDED TO QUALIFIED PHYSICIANS IN THE COMMUNITY STRENGTHENING THE NETWORK AMONG COMMUNITY HEALTH CARE PROFESSIONALS. WHEN SJH 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. SJH ALSO CONTRIBUTES TO THE ECONOMY AS A PURCHASER OF GOODS AND SERVICES, AND IS A MAJOR PRIVATE EMPLOYER IN THE COMMUNITY. WE ENCOURAGE OUR EMPLOYEES TO VOLUNTEER WITH COMMUNITY ORGANIZATIONS, INCLUDING SERVING ON COMMUNITY BOARDS SUCH AS THE LOCAL YMCA, BIG BROTHERS AND SISTERS, BUTTE-SILVER-BOW HEALTH DEPARTMENT, HOME HEALTH, MCDONALD FAMILY PLACE, BUTTE EMERGENCY FOOD BANK, THE BUTTE RESCUE MISSION, SAFE SPACE, AND THE BREAST AND CERVICAL CANCER COALITION. WE ARE GOOD CITIZENS AND PARTNER WITH OTHER ORGANIZATIONS AND AGENCIES TO SUPPORT A THRIVING COMMUNITY. WE SUPPORT OR ARE MEMBERS OF THE BUTTE-SILVER BOW CHAMBER OF COMMERCE, BUTTE-SILVER BOW LOCAL DEVELOPMENT CORPORATION, KIWANIS, EXCHANGE CLUB, 4-H, BUTTE EDUCATION FOUNDATION, ROTARY, AND ATHLETIC PROGRAMS FOR CHILDREN AND YOUNG ADULTS. WE ALSO PARTNER WITH COMMUNITY AGENCIES INVOLVED IN SAFETY AND DISASTER PREPAREDNESS. IN ADDITION, SJH PROVIDES HEALTH EDUCATION TO THE COMMUNITY AT A NUMBER OF EVENTS AND LOCATIONS THROUGHOUT THE YEAR RANGING FROM WOUND CARE TO LIVING WILLS.FOLLOWING ARE DETAILS ON PROGRAMS AND OTHER ACTIVITIES PROVIDED BY SJH THAT PROMOTE AND ENHANCE THE HEALTH OF THE OVERALL COMMUNITIES IT SERVES. ATHLETIC ACTIVITIESWE WORK WITH THE PUBLIC AND PRIVATE HIGH SCHOOLS THROUGHOUT SOUTHWEST MONTANA AND THE PUBLIC COLLEGE IN BUTTE TO PROVIDE ATHLETIC SERVICES THAT OTHERWISE WOULD NOT BE AVAILABLE TO AREA STUDENTS. SJH PAYS A SIGNIFICANT PORTION OF THE SALARIES AND BENEFITS (50% TO 80% OR MORE) FOR SEVEN ATHLETIC TRAINERS WHO ARE EMPLOYED BY SJH BUT WORK IN THE SCHOOLS WITH STUDENT ATHLETES THROUGHOUT THE SCHOOL YEAR. SJH PARTNERS WITH OTHER PHYSICIANS AND CLINICS TO PROVIDE VERY LOW-COST ($5) PHYSICALS FOR STUDENTS WISHING TO PARTICIPATE IN ATHLETIC ACTIVITIES. THESE DOLLARS ARE THEN DONATED BACK TO EACH PARTICIPATING SCHOOL'S ATHLETIC DEPARTMENT. SJH CO-SPONSORS WITH THE ST JAMES HEALTHCARE FOUNDATION A TICKER TUNER FUN RUN FOR THE COMMUNITY TO PROMOTE HEART HEALTH. SJH AND THE BUTTE COMMUNITY DIABETES NETWORK HOST A SUMMER WALKING PROGRAM, CALLED WALK N'TALK WITH A DOC. PART VI, LINE 6: ST. JAMES HEALTHCARE IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITY, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, FOUR SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER AND MORE THAN 190 AMBULATORY SERVICE CENTERS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES 15,000 FULL-TIME ASSOCIATES AND MORE THAN 500 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEMWIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.ST. JAMES HEALTHCARE PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION AND REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANC, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, AND MISSION INTEGRATION. 1 BUTTE EMERGENCY FOOD BANK 1019 E 2ND STREET BUTTE MT 59701 810469563 501(C)(3) 7500 COMMUNITY SUPPORT ST JAMES HEALTHCARE FOUNDATION 400 SOUTH CLARK ST BUTTE ME 59701 651202190 501(C)(3) 147198 48273 FMV AUCTION ITEMS SUPPORT FOR MISSION 2 PART I, LINE 2: PROCESS FOR MONITORING GRANTS AND AWARDS THE ORGANIZATION KEEPS RECORDS TO SUPPORT THE AMOUNTS PROVIDED OR REASON FOR SUCH SUPPORT. 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. X 0 1 0 1 0 0 0 0 0 1 0 CHARLES WRIGHT PRESIDENT & CEO 0 286491 0 45646 0 236825 0 163198 0 24610 0 756770 0 221715 JAMES DOYLE VP & CFO 0 171700 0 19609 0 3602 0 30952 0 23212 0 249075 0 0 DENNIS SALISBURY VP & CMO 247859 0 27004 0 2052 0 43902 0 19639 0 340456 0 0 0 JEREMY BLANCHARD CHIEF PHYSICIAN EXECUTIVE 0 215835 0 0 0 41791 0 23250 0 16668 0 297544 0 0 KEVIN DENNEHY VP STRATEGY-BUS DEVELOP-SJB 0 165190 0 17371 0 2736 0 29149 0 22804 0 237250 0 0 SHANNON HOLLAND VP PATIENT CARE SERVICES - SJB 0 191119 0 20146 0 105356 0 33408 0 1464 0 351493 0 104415 MARC NASH PHYSICIAN RADIATION ONCOLOGIST 513262 0 52500 0 1852 0 15413 0 23160 0 606187 0 0 0 JAMES HUEFTLE PHYSICIAN 302573 0 144414 0 26700 0 17278 0 25294 0 516259 0 0 0 MOHAN NANDALUR PHYSICIAN - CARDIOLOGIST 479023 0 0 0 0 0 18708 0 0 0 497731 0 0 0 DANAE HANSEN ANESTHESIOLOGIST 393504 0 0 0 8529 0 10433 0 23624 0 436090 0 0 0 ALLEN NICHOLS PHYSICIAN - CARDIOLOGIST 410523 0 0 0 0 0 6893 0 0 0 417416 0 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS ALLOW FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION AND TEMPORARY HOUSING. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2014 WERE: JEREMY BLANCHARD. PART I, LINE 1B THE ORGANIZATION AND RELATED ORGANIZATIONS DO NOT HAVE A FORMAL WRITTEN POLICY FOR TAX INDEMNIFICATION AND GROSS-UP PAYMENTS. HOWEVER, BEFORE ANY TAX INDEMNIFICATION AND GROSS-UP PAYMENTS ARE MADE; PROPER APPROVAL FROM THE EMPLOYEE'S MANAGER IS REQUIRED. IN ADDITION, APPROVAL IS ALSO REQUIRED FROM HUMAN RESOURCES. PART I, LINE 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: CHARLES WRIGHT - $104,301, SHANNON HOLLAND - $48,408. 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: NONE. PART I, LINE 7 THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF 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. ADDITIONAL OFFICER AND BOARD DISCLOSURES THE 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. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. JAMES HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF ST. JAMES HEALTHCARE, APPOINTS MEMBERS OF ST. JAMES HEALTHCARE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS 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 11 THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING 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 15B 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 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 XI, LINE 9: ADJUSTMENT TO JOINT VENTURE INCOME -42,038. 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