ST JAMES HEALTHCARE: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: ST JAMES HEALTHCARE (EIN 81-0231785)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-10
IRS object ID: 201443149349302939
Schema version: 2013v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-10T22:34:02-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	190 CARONDELET PLAZA	AddressLine1
City	CLAYTON	City
State	MO	State
ZIP Code	63105	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	810231785	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST JAMES HEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% SHARON OWENS	InCareOfNm
Business Name Control	STJA	BusinessNameControlTxt
Phone	4067232500	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 SOUTH CLARK STREET	AddressLine1
Address Line2	Suite	AddressLine2
City	BUTTE	City
State	MT	State
ZIP Code	597012328	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	James Doyle	PersonNm
Person Title	VP/CFO	PersonTitleTxt
Signature	2014-11-06	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER L RICHTER	PreparerPersonNm
PTIN	P00366526	PTIN

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	CHUCK WRIGHT CEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 SOUTH CLARK STREET	AddressLine1
City	BUTTE	City
State	MT	State
ZIP Code	597012328	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$120,072,677	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.StJamesHealthcare.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1976	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	701	TotalEmployeeCnt
Total Volunteers	55	TotalVolunteersCnt
Total Gross UBI	$417,082	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$293,733	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$27,204	PYContributionsGrantsAmt
CY Contributions Grants	$1,626,117	CYContributionsGrantsAmt
PY Program Service Revenue	$82,980,687	PYProgramServiceRevenueAmt
CY Program Service Revenue	$116,242,224	CYProgramServiceRevenueAmt
PY Investment Income	$212,422	PYInvestmentIncomeAmt
CY Investment Income	$113,955	CYInvestmentIncomeAmt
PY Other Revenue	$2,729,947	PYOtherRevenueAmt
CY Other Revenue	$2,090,381	CYOtherRevenueAmt
PY Total Revenue	$85,950,260	PYTotalRevenueAmt
CY Total Revenue	$120,072,677	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$81,303	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$37,718,987	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$45,665,858	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$46,530,488	PYOtherExpensesAmt
CY Other Expenses	$69,304,961	CYOtherExpensesAmt
PY Total Expenses	$84,249,475	PYTotalExpensesAmt
CY Total Expenses	$115,052,122	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,700,785	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,020,555	CYRevenuesLessExpensesAmt
Total Assets BOY	$76,690,189	TotalAssetsBOYAmt
Total Assets EOY	$78,879,534	TotalAssetsEOYAmt
Total Liabilities BOY	$29,421,880	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$26,590,670	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$47,268,309	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$52,288,864	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$84,306,675	ExpenseAmt
Grant	$81,303	GrantAmt
Revenue	$116,251,614	RevenueAmt
Desc	ALL EXPENSES FOR PROGRAM SERVICES ARE RELATED TO PROVIDING PATIENT HEALTHCARE AND COMMUNITY SERVICES. SEE SUPPLEMENTAL INFORMATION IN SCH. H AND SCH. O, PART III, LINE 4A.	Desc
Total Program Service Expenses	$84,306,675	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	128	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	701	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	SHARON OWENS	PersonNm
Phone	3038135190	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2480 W 26TH AVE STE 200B	AddressLine1
City	DENVER	City
State	CO	State
ZIP Code	80211	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Marilyn Cameron
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Tammy Cox
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Sister Margaret Hogan
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Mike Johnson
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Michael E Lewis
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Marko Lucich
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Kevin Luebke
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Therese McClafferty
Secretary-Treasurer	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Bill McGladdery
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Tim McHugh
Vice Chairperson	1.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
Sister Mary Jo Quinn
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Rita Spear
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Andrea Stierle
DIRECTOR	1.0	0.0	Yes (X)	$0	$0	$0
Charles Wright
President & CEO	40.0	0.0	Yes (X)	$0	$311,241	$127,466	Yes (X)
Mark Zora
Chairperson	2.0	0.0	Yes (X)	$0	$0	$0	Yes (X)
James Doyle
VP & CFO	40.0	0.0		$0	$294,970	$27,406	Yes (X)
Dennis Salisbury
VP & CMO	1.0	0.0		$0	$264,568	$63,019		Yes (X)
Kevin Dennehy
VP Strategy-Bus Develop-SJB	40.0	0.0		$0	$259,673	$32,328		Yes (X)
Shannon Holland
VP Patient Care Services - SJB	40.0	0.0		$0	$191,832	$32,678		Yes (X)
John Cochran
PHYSICIAN	1.0	0.0		$499,487	$0	$36,810			Yes (X)
Michael Zehnpfennig
PHYSICIAN	1.0	0.0		$484,624	$0	$27,886			Yes (X)
James Hueftle
PHYSICIAN	1.0	0.0		$483,365	$0	$41,438			Yes (X)
Thomas Aufiero
PHYSICIAN	40.0	0.0		$376,298	$0	$28,433			Yes (X)
Mohan Nandalur
PHYSICIAN	40.0	0.0		$349,171	$0	$26,471			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,192,945	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,322,284	TotReportableCompRltdOrgAmt
Total Other Compensation	$443,935	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	49	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Montana Interventional and Diagnost
2969 AIRPORT RD	Helena	MT	59601	Radiology	$1,354,579
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	753972633	Contract labor	$787,183
INPATIENT SERVICES PC
1515 WYNKOOP STREET	DENVER	CO	80202	Hospitalist services	$738,570
MONTANA ORTHOPEDICS
435 S Crystal Ste 400	Butte	MT	57901	Physician/medical di	$580,714
United Blood services
PO BOX 53022	PHOENIX	AZ	85072	Blood, Plasma, Plate	$520,769

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	15	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$154,750	RelatedOrganizationsAmt
Government Grants	$1,471,367	GovernmentGrantsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$1,626,117	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PATIENT CARE	621400	$112,830,651	$112,830,651	$0	$0
PHARMACY INCOME	446110	$2,113,312	$2,097,387	$15,925	$0
RMAP	621400	$715,950	$715,950	$0	$0
CAFETERIA SALES	722514	$405,575	$405,575	$0	$0
SPORTS MEDICINE	900099	$132,760	$0	$0	$132,760

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$43,976	TotalRevenueColumnAmt
Related Or Exempt Func Income	$43,976	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$116,242,224	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$98,085	TotalRevenueColumnAmt
Exclusion	$98,085	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$15,870	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$15,870	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,870	TotalRevenueColumnAmt
Exclusion	$15,870	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
JV-SUMMIT SURG CTR	900099	$1,957,027	$0	$349,350	$1,607,677
All other revenue	900099	$133,354	$9,390	$51,807	$72,157

Field	Value	IRS element (for citing)
Other Revenue Total	$2,090,381	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$120,072,677	TotalRevenueColumnAmt
Related Or Exempt Func Income	$116,102,929	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$417,082	UnrelatedBusinessRevenueAmt
Exclusion	$1,926,549	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$81,303	TotalAmt
Program Services	$81,303	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,605,180	TotalAmt
Program Services	$487,172	ProgramServicesAmt
Management And General	$1,118,008	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$35,514,065	TotalAmt
Program Services	$31,695,169	ProgramServicesAmt
Management And General	$3,818,896	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,409,452	TotalAmt
Program Services	$79,513	ProgramServicesAmt
Management And General	$2,329,939	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,727,878	TotalAmt
Program Services	$3,388,687	ProgramServicesAmt
Management And General	$339,191	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,409,283	TotalAmt
Program Services	$2,074,660	ProgramServicesAmt
Management And General	$334,623	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$9,473,125	TotalAmt
Program Services	$394,172	ProgramServicesAmt
Management And General	$9,078,953	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,348,809	TotalAmt
Program Services	$2,646	ProgramServicesAmt
Management And General	$2,346,163	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$17,858	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$17,858	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$432	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$432	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,484,137	TotalAmt
Program Services	$8,099,980	ProgramServicesAmt
Management And General	$3,384,157	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$224,063	TotalAmt
Program Services	$65,213	ProgramServicesAmt
Management And General	$158,850	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$207,988	TotalAmt
Program Services	$171,286	ProgramServicesAmt
Management And General	$36,702	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,054,031	TotalAmt
Program Services	$155,134	ProgramServicesAmt
Management And General	$898,897	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$297,017	TotalAmt
Program Services	$88,528	ProgramServicesAmt
Management And General	$208,489	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$51,503	TotalAmt
Program Services	$30,112	ProgramServicesAmt
Management And General	$21,391	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,781,658	TotalAmt
Program Services	$245,247	ProgramServicesAmt
Management And General	$4,536,411	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,266,977	TotalAmt
Program Services	$18	ProgramServicesAmt
Management And General	$1,266,959	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$18,864,601	$18,864,601	$0	$0
NON-MEDICAL SUPPLIES	$1,146,636	$960,283	$186,353	$0
BAD DEBTS	$16,338,231	$16,338,231	$0	$0
PROVIDER TAXES	$712,361	$712,361

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,035,534	TotalAmt
Program Services	$372,359	ProgramServicesAmt
Management And General	$663,175	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$115,052,122	TotalAmt
Program Services	$84,306,675	ProgramServicesAmt
Management And General	$30,745,447	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,299	BOYAmt
EOY	$4,522	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,332,939	BOYAmt
EOY	$6,438,859	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,279,027	BOYAmt
EOY	$18,642,215	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	-$1,076,230	BOYAmt
EOY	-$2,977,817	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,501,351	BOYAmt
EOY	$3,113,362	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,031,040	BOYAmt
EOY	$1,570,547	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$115,379,192	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$68,029,384	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$47,363,065	BOYAmt
EOY	$47,349,808	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$7,036,345	BOYAmt
EOY	$2,057,665	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$926,662	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$884,363	BOYAmt
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,408,328	BOYAmt
EOY	$2,680,373	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$76,690,189	BOYAmt
EOY	$78,879,534	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,247,156	BOYAmt
EOY	$16,322,142	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$13,174,724	BOYAmt
EOY	$10,268,528	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,421,880	BOYAmt
EOY	$26,590,670	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$47,249,344	BOYAmt
EOY	$52,269,019	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,965	BOYAmt
EOY	$19,845	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$47,268,309	BOYAmt
EOY	$52,288,864	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$76,690,189	BOYAmt
EOY	$78,879,534	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$5,020,555	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Media Advertisements	$0	MediaAdvertisementsAmt
Mailings Members	false	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Publications Or Broadcast	$0	PublicationsOrBroadcastAmt
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Grants Other Organizations	$0	GrantsOtherOrganizationsAmt
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Rallies Demonstrations	$0	RalliesDemonstrationsAmt
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1,312	OtherActivitiesAmt
Total Lobbying Expenditures	$1,312	TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	LOBBYING EXPENSE	FormAndLineReferenceDesc
Explanation	Lobbying expenses were derived as a percentage of dues paid to the Association of Montana Health Care Providers.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,146,731	OtherCostOrOtherBasisAmt
Book Value	$4,146,731	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$77,881,890	OtherCostOrOtherBasisAmt
Depreciation	$43,477,288	DepreciationAmt
Book Value	$34,404,602	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,118,944	OtherCostOrOtherBasisAmt
Depreciation	$24,552,096	DepreciationAmt
Book Value	$7,566,848	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,231,627	OtherCostOrOtherBasisAmt
Book Value	$1,231,627	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$47,349,808	TotalBookValueLandBuildingsAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,027,323	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,027,323	NetCommunityBenefitExpnsAmt
Total Expense	0.03070	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,802,581	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,099,403	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,703,178	NetCommunityBenefitExpnsAmt
Total Expense	0.03750	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,829,904	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,099,403	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,730,501	NetCommunityBenefitExpnsAmt
Total Expense	0.06820	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$367,274	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$367,274	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$97,464	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$97,464	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$369,772	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$125,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$244,739	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,460	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$116,460	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,465	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$18,465	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$969,435	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$125,033	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$844,402	NetCommunityBenefitExpnsAmt
Total Expense	0.00860	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,799,339	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,224,436	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,574,903	NetCommunityBenefitExpnsAmt
Total Expense	0.07680	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$111,773	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$111,773	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$155,634	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$155,634	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$267,407	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$267,407	NetCommunityBenefitExpnsAmt
Total Expense	0.00270	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,787,866	BadDebtExpenseAmt
Reimbursed By Medicare	$31,927,688	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$43,472,615	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,544,927	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	SUMMIT SURGERY CENTE	BusinessNameLine1

Field	Value	IRS element (for citing)
Primary Activities	OUTPATIENT SURGERY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St James Healthcare	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	400 SOUTH CLARK ST	AddressLine1
City	BUTTE	City
State	MT	State
ZIP Code	59701	ZIPCode

Field	Value	IRS element (for citing)
Website Address	www.StJamesHealthcare.org	WebsiteAddressTxt
State License	13287	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	SKILLED NURSING FAC PHYSICIAN CLINIC	OtherDesc
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST JAMES HEALTHCARE	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	11	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.stjameshealthcare.org	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp

Field	Value	IRS element (for citing)
Form And Line Reference	PART V, SECTION B, LINE 3	FormAndLineReferenceDesc
Explanation	COMMUNITY INPUT ST. JAMES HEALTHCARE HAS REGULARLY PARTICIPATED IN NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. FOR ITS MOST RECENT SURVEY, ST. JAMES PARTNERED WITH THE BUTTE SILVER BOW COUNTY HEALTH DEPARTMENT AND THE LOCAL DEPARTMENT OF SOCIAL SERVICES TO ASSESS THE HEALTH STATUS OF THE BUTTE COMMUNITY. THE SURVEY WAS FINALIZED IN EARLY 2011 WITH THE NEXT SURVEY SCHEDULED IN 2014. THE ASSESSMENT EXAMINED THE POPULATION OF SILVER BOW COUNTY WHICH IS SERVED BY ST. JAMES, THE LOCAL PUBLIC HEALTH DEPARTMENT AND LOCAL SOCIAL AGENCIES. WITH THE ASSISTANCE OF OUTSIDE CONSULTANTS, THE ASSESSMENT DETERMINED WHERE GAPS IN SERVICES EXIST. BASED ON THESE GAPS, THE HOSPITAL CONDUCTED FOCUS GROUP MEETINGS WITH OVER 30 COMMUNITY PARTNERS INCLUDING: ADULT PROTECTIVE SERVICES, LAW ENFORCEMENT, THE LOCAL COMMUNITY HEALTH CENTER, DEPARTMENT OF FAMILY SERVICES, HEAD START, HUMAN RESOURCES COUNCIL, PUBLIC HOUSING AUTHORITY, SENIOR VOLUNTEER PROGRAM, HOSPICE, UNTED WAY, AND WESTERN MONTANA MENTAL HEALTH. PART V, SECTION B, LINE 4 HOSPITAL FACILITIES INCLUDED IN THE CHNA N/A PART V, SECTION B, LINE 7 SELECTION OF ADDRESSED NEEDS ACCORDING TO THE 2011 NEEDS ASSESSMENT, THE TOP NEEDS AND LEADING CAUSES OF DEATH IN BUTTE ARE 1. HEART DISEASE 2. CANCER 3. DIABETES 4. CHRONIC OBSTRUCTIVE PULMONARY DISEASE. AS A SMALL RURAL COMMUNITY, NOT ALL NEEDS CAN BE ADDRESSED BY ST. JAMES HEALTHCARE. THOSE NOT SPECIFICALLY ADDRESSED BY ST. JAMES WERE DUE TO THE LACK OF EXPERTISE AND RESOURCES IN PEOPLE AND FUNDING TO ADDRESS. FOR EXAMPLE, ST. JAMES MAXIMIZED ITS PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS TO ADDRESS NEEDS SUCH AS ORAL HEALTH IN PARTNERSHIP WITH THE LOCAL COMMUNITY HEALTH CENTER WHO PROVIDE LOW-COST DENTAL SERVICES, AND MENTAL HEALTH AND BEHAVIORAL HEALTH SERVICES FOR ALL AGES WITH THE LOCAL COMMUNITY HEALTH CENTER, WESTERN MENTAL HEALTH CENTER, ACADIA INC., AND AWARE INC - ALL OF WHOM PROVIDE DIFFERING ACCESS TO MENTAL HEALTH SERVICES. COMING TOGETHER AS ONE COMMUNITY, MEMBERS COLLABORATIVELY DEVELOPED OBJECTIVES AND STRATEGIES FOR THE FOLLOWING CATEGORIES OF NEED: AN AGING POPULATION; ENVIRONMENTAL FACTORS SUCH AS POOR LIVING CONDITIONS; SOCIO-ECONOMIC ISSUES SUCH AS POVERTY AND LOW EDUCATIONAL ATTAINMENT; AND SOCIAL AND BEHAVIORAL PROBLEMS, SUCH AS MENTAL HEALTH, SUICIDE OR DOMESTIC VIOLENCE. RATES OF DIABETES AND COPD ARE ALSO HIGH. WITH OBJECTIVES AND STRATEGIES IN HAND, ST. JAMES DEVELOPED ACTION PLANS (SHORT TERM AND LONG TERM) FOR EACH OF THE AREAS.	ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 6	FormAndLineReferenceDesc
Explanation	Community Benefit Report - Related Organization COMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY SCL HEALTH SYSTEM. PART I, LINE 7: THE COST TO CHARGE RATIO USED TO REPORT AMOUNTS IN FORM 990, SCHEDULE H, PART I, LINE 7 WERE DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. 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 ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $16,338,231. PART II: 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. ST. JAMES HEALTHCARE ADMINISTRATIVE LEADERSHIP AND ITS EMPLOYEES PERFORMED CIVIC ACTIVITIES IN WHICH THE HEALTH OF THE COMMUNITY WAS ADVOCATED AS A PRIORITY BY THE HOSPITAL. IN 2013, ST. JAMES PROVIDED FINANCIAL AND STAFF RESOURCES TO SUPPORT A PROGRAM THAT SERVES MEALS TO THE HOMELESS, MEALS TO MOUNTAIN VIEW SOCIAL DEVELOPMENT CENTER, DONATIONS TO THE LOCAL FOOD BANK, COMMUNITY INVOLVEMENT IN FUNDRAISERS, CIVIC LEADERSHIP TO THE BOARD OF HEALTH AND PHYSICIAN RECRUITMENT TO THIS MEDICALLY UNDERSERVED AREA. 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 THE ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, 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 BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT COST. THE COST TO CHARGE RATIO USED TO CALCULATE BAD DEBT AT COST WAS DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON THE ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, 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 FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBE THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITION IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL COLLECTION EXPERIENCE BY PAYOR CATEGORY AND OTHER FACTORS. THE RESULTS OF THESE REVIEWS ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS INCLUDES A RESERVE FOR BOTH UNINSURED PATIENTS AND BALANCE AFTER INSURANCE ACCOUNTS RECEIVABLE. 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. 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. WE MAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TO THOSE WHO NEED IT MOST, AND TO ENSURE THAT WE MANAGE OUR RESOURCES SO THAT WE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION, DISCHARGE AND IN COMMUNICATION REGARDING 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 NEEDS ASSESSMENT ACCORDING TO THE 2011 NEEDS ASSESSMENT, THE LEADING CAUSES OF DEATH ARE HEART DISEASE AND CANCER AND RATES OF DIABETES AND COPD ARE HIGH. TO COMBAT THIS WE HAVE EXPANDED OUR CARDIOVASCULAR AND CANCER SERVICES TO THE COMMUNITY AND RECRUITED NEW PHYSICIANS IN BOTH AREAS. WE HOST MONTHLY CANCER SUPPORT GROUPS AT OUR NEW CANCER CENTER. WE HAVE ALSO EXPANDED OUR DIABETES PROGRAM AND OUTREACH TO INCLUDE A COMMUNITY-BASED DIABETES PREVENTION PROGRAM FOR THOSE INDIVIDUALS AT RISK OF DEVELOPING DIABETES. CLASSES ARE FREE TO THOSE WITHOUT INSURANCE OR WHO CANNOT AFFORD TO PAY USING OUR FINANCIAL AID POLICY. ALSO IDENTIFIED WERE THE COMMUNITY'S ACCESS TO MEDICAL PROVIDERS, SPECIFICALLY THOSE IN PRIMARY CARE, UROLOGY, ENDOCRINOLOGY, CARDIOLOGY, PSYCHIATRY, PEDIATRIC DENTISTRY, AND LICENSED MENTAL HEALTH COUNSELORS THAT ACCEPT MEDICAID. WE SUCCESSFULLY RECRUITED ALL OF THESE SPECIALTIES WITH THE EXCEPTION OF ENDOCRINOLOGY AND PSYCHIATRY AND CONTINUE TO WORK WITH THE WESTERN MONTANA MENTAL HEALTH CLINIC TO INCREASE THE AVAILABILITY OF PSYCHIATRISTS IN THE AREA. IN RESPONSE TO SPECIALIST CARE NOT COVERED IN OUR LOCALE, WE PARTNER WITH THE ST. JAMES HEALTHCARE FOUNDATION'S PATIENT COMPASSION PROGRAM TO PROVIDE MORE ASSISTANCE TO THOSE INDIVIDUALS WHO CANNOT FINANCIALLY AFFORD TO TRAVEL ELSEWHERE FOR THEIR SERVICES. IN ADDITION TO ADDRESSING HEALTH NEEDS IN THE ASSESSMENT, WE STRIVE TO CONTINUALLY IMPACT ONE OF THE MOST SERIOUS SOCIO-ECONOMIC FINDINGS - THE FACT THAT MORE THAN 22 PERCENT OF OUR COMMUNITY'S SCHOOL AGE CHILDREN LIVE BELOW THE FEDERAL POVERTY LEVEL. IN 2013, WE PROVIDED FINANCIAL AID TO THE TWO ELEMENTARY SCHOOLS IN OUR HIGHEST POVERTY CENSUS TRACTS SO STUDENTS COULD ACCESS EYEGLASSES, WARM WINTER CLOTHING, ETC. WE HAVE PARTNERED WITH THE BUTTE COMMUNITY COUNCIL, A RESOURCE AND REFERRAL AGENCY COMMITTED TO PROVIDING ASSISTANCE TO FAMILIES FOR SERVICES FOR THEIR CHILDREN. THIS INCLUDES SUPPORTING EARLY CHILDHOOD PROFESSIONALS THROUGH EDUCATION AND SERVICES, PROMOTING HIGH QUALITY AFFORDABLE CHILD CARE, AND ADVOCACY ON BEHALF OF CHILDREN. IT IS ALSO A USDA CHILD AND ADULT CARE FOOD PROGRAM SPONSOR. WE ALSO SUPPORT THE AWARE INC. EARLY HEAD START PROGRAM THROUGH VOLUNTEER EFFORTS FROM OUR STAFF AND FUNDS FROM THE ST JAMES HEALTHCARE FOUNDATION. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MONTANA TECH FOUNDATION	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 WEST PARK STREET	AddressLine1
City	BUTTE	City
State	MT	State
ZIP Code	59701	ZIPCode

Field	Value	IRS element (for citing)
Recipient EIN	810250363	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$60,000	CashGrantAmt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2	FormAndLineReferenceDesc
Explanation	PROCESS 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

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Charles Wright
President & CEO	$0	$270,396	$0	$23,714	$0	$17,131	$0	$102,792	$0	$24,674	$0	$438,707	$0	$0
James Doyle
VP & CFO	$0	$168,010	$0	$12,750	$0	$114,210	$0	$5,220	$0	$22,186	$0	$322,376	$0	$110,560
Dennis Salisbury
VP & CMO	$0	$233,993	$0	$21,060	$0	$9,515	$0	$41,457	$0	$21,562	$0	$327,587	$0	$0
Kevin Dennehy
VP Strategy-Bus Develop-SJB	$0	$150,867	$0	$10,664	$0	$98,142	$0	$11,097	$0	$21,231	$0	$292,001	$0	$95,582
Shannon Holland
VP Patient Care Services - SJB	$0	$178,779	$0	$12,190	$0	$863	$0	$31,354	$0	$1,324	$0	$224,510	$0	$0
John Cochran
PHYSICIAN	$489,150	$0	$0	$0	$10,337	$0	$9,423	$0	$27,387	$0	$536,297	$0	$0	$0
Michael Zehnpfennig
PHYSICIAN	$338,221	$0	$50,000	$0	$96,403	$0	$20,400	$0	$7,486	$0	$512,510	$0	$0	$0
James Hueftle
PHYSICIAN	$309,752	$0	$122,337	$0	$51,276	$0	$19,657	$0	$21,781	$0	$524,803	$0	$0	$0
Thomas Aufiero
PHYSICIAN	$373,600	$0	$0	$0	$2,698	$0	$20,250	$0	$8,183	$0	$404,731	$0	$0	$0
Mohan Nandalur
PHYSICIAN	$348,509	$0	$0	$0	$662	$0	$20,400	$0	$6,071	$0	$375,642	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 4b	PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS 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. ON ADVICE OF COUNSEL, SCLHS 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. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2013 WERE: James Doyle $36,612 Kevin Dennehy $31,445 IN ADDITION, VESTED AMOUNTS ARE PAYABLE UPON 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 TAXALBE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE PLAN IN 2013 WERE: NONE
SCHEDULE J, PART I, LINE 7	OTHER NON-FIXED PAYMENTS SCLHS HAS MANAGEMENT INCENTIVE PLANS WHICH ARE BASED ON A COMBINATION OF MEASURES. MANAGEMENT AND SENIOR LEADERSHIP ARE ELIGIBLE FOR THE INCENTIVE COMPENSATION. PERFORMANCE CATEGORIES ARE MADE UP OF A COMBINATION OF CLINICAL QUALITY MEASURES AND OPERATING INCOME. THE OPERATING INCOME CATEGORY IS GENERALLY RELATED TO THE NET EARNINGS OF THE CARE SITE IN WHICH THE INDIVIDUAL WORKS, OR IN THE CASE OF SCLHS SENIOR MANAGEMENT, THE NET EARNINGS OF SCLHS.
SCHEDULE J	ADDITIONAL OFFICER AND BOARD DISCLOSURES THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS' 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. SCHLS' 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 OF THIS HEALTH SYSTEM ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). AS MEMBERS OF THIS ORDER, THEY 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 O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4A	PROGRAM SERVICE ACCOMPLISHMENTS ST. JAMES HEALTHCARE'S PRIMARY MARKET AREA HAS AN EXTREMELY HIGH RATE OF DIABETES AMONG BOTH ITS YOUNG AND OLDER POPULATION. THROUGH A THREE-YEAR GRANT, ST. JAMES DEVELOPED A STRONG COMMUNITY DIABETES PROGRAM THAT PROVIDES A CONTINUUM OF CARE FOR DIABETIC PATIENTS IN SOUTHWEST MONTANA. WHEN THAT FUNDING ENDED, ST. JAMES DECIDED TO CONTINUE THE PROGRAM BECAUSE IT IS SO IMPORTANT FOR THE COMMUNITY. IN 2012, THROUGH ANOTHER GRANT, ST. JAMES BEGAN PROVIDING A 16-WEEK PROGRAM FOR PEOPLE AT RISK OF DEVELOPING DIABETES. THE PROGRAM EDUCATES PARTICIPANTS ABOUT LIFE STYLE CHANGES THEY CAN MAKE TO ENSURE THEY DO NOT GET DIABETES. IN 2012, ST. JAMES BEGAN OFFERING FREE VASCULAR SCREENINGS WHICH INCLUDED AN ULTRASOUND EXAM. THE PURPOSE WAS TO IDENTIFY THOSE PEOPLE AT RISK FOR VASCULAR DISEASES. THIS TYPE OF SCREENING IS TYPICALLY NOT DONE UNLESS A SPECIFIC PROBLEM WARRANTS FURTHER TESTING. THESE SCREENINGS WERE OFFERED IN APRIL AND AGAIN IN NOVEMBER. IN FEBRUARY TO CELEBRATE NATIONAL HEART HEALTH AWARENESS, WE OFFERED A FREE HEALTH FAIR SESSION THAT INCLUDED EDUCATION ABOUT HEART DISEASE AND STROKES AND FREE SCREENINGS FOR BODY MASS, GLUCOSE, BLOOD PRESSURE. ADDITIONALLY CHOLESTOROL SCREENINGS WERE PERFORMED AT A SIGNIFICANTLY REDUCED COST. IN ADDITION TO THE PROVISION OF HEALTH CARE FOR THE POOR AND UNINSURED (CHARITY CARE) AND THE UNPAID COST OF MEDICAID, ST. JAMES HEALTHCARE ALSO SUPPORTED, THROUGH MONETARY OR IN-KIND DONATIONS, A NUMBER OF OTHER COMMUNITY-ENHANCING ACTIVITIES. SOME OF THE OTHER ACTIVITIES INCLUDED TRANSPORTATION SERVICES BOTH AMBULANCE TRANSPORT AND TAXI OR BUS SERVICES FOR THE POOR OR UNINSURED; A MENTAL HEALTH CRISIS RESPONSE LINE; PRESCRIPTION DRUG ASSISTANCE FOR THE POOR OR UNINSURED; AND MORE THAN 12,000 MEALS FOR INDIGENT PEOPLE. ST. JAMES ALSO PROVIDES ATHLETIC TRAINERS TO ALL OF THE 6 SOUTHWEST MONTANA HIGH SCHOOLS AND A LOCAL COLLEGE. EACH SCHOOL PAYS A SMALL FEE FOR THE SERVICES AND ST. JAMES PICKS UP THE REMAINING COST. ST. JAMES ALSO PROVIDES $5 SPORTS PHYSICIALS FOR THE TWO LOCAL HIGH SCHOOLS AND THE COLLEGE. THROUGHOUT THE YEAR, ST. JAMES HOSTS PUBLIC TALKS ON A VARIETY OF HEALTH ISSUES AND ALSO PROVIDES PRECEPTOR TRAINING FOR STUDENTS MAJORING IN NURSING, PHYSICAL AND RESPIRATORY THERAPY, PHARMACY, SURGICAL SERVICES, LAB ETC.
Form 990, Part VI, Line 6	Members or stockholders THE SOLE MEMBER OF ST. JAMES HEATHCARE IS THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., A KANSAS NOT-FOR-PROFIT CORPORATION (THE "CORPORATE MEMBER").
Form 990, Part VI, Line 7a	Power to elect or appoint members THE FOLLOWING POWERS ARE RESERVED TO THE CORPORATE MEMBER OF THIS CORPORATION AND NO ATTEMPTED EXERCISE OF ANY SUCH POWERS BY ANYONE OTHER THAN THE CORPORATE MEMBER SHALL BE VALID OR OF ANY FORCE OR EFFECT WHATSOEVER: (A)TO CHANGE THE MISSION AND PHILOSOPHY OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (B)TO ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION AND THE ARTICLES AND BYLAWS OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (C)TO APPOINT, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (D)TO ENSURE THE PRESENCE OF THE SISTERS OF CHARITY OF LEAVENWORTH ON THE BOARD OF DIRECTORS OF THIS CORPORATION, TO APPOINT MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH TO THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, WHICH APPOINTEES SHALL BE OTHERWISE QUALIFIED UNDER SECTION 2 OF ARTICLE IV OF THESE BYLAWS; (E)TO REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, ANY MEMBER OF THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (F)TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF ADMINISTRATIVE OFFICER OF THIS CORPORATION AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE SCLHS MONTANA REGION; (G)TO IMPLEMENT CORPORATE GOALS, POLICIES AND PROCEDURES FOR THIS CORPORATION AND ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (H)TO APPROVE FOR THIS CORPORATION, OR FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE, TRANSFER, ASSUMPTION, OR ENCUMBERING OF THE ASSETS PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; (I)TO APPROVE THE MERGER, DISSOLUTION OR CORPORATE RESTRUCTURING OF THIS CORPORATION OR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (J)TO APPROVE THE ANNUAL STRATEGIC PLANS AND OPERATING AND CAPITAL BUDGETS AND DEVIATIONS THERETO FOR THIS CORPORATION AND FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (K)TO APPOINT THE AUDITORS OF THIS CORPORATION AND FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; AND (L) TO (I) TRANSFER ASSETS, OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, TO THE CORPORATE MEMBER OR AN ENTITIY CONTROLLED BY, CONTROLLING OR UNDER COMMON CONTROL WITH THE CORPORATE MEMBER, WHETHER WITHIN OR WITHOUT THE STATE OF DOMICILE OF THE CORPORATION, TO THE EXTENT DEEMED NECESSARY BY THE CORPORATE MEMBER TO ACCOMPLISH THE CHARITABLE GOALS AND OBJECTIVES OF THE CORPORATE MEMBER; AND (II) (NOTWITHSTANDING THE PROVISIONS OF SUBSECTION 2(H)), AUTHORIZE THE EXPENDITURE, HYPOTHECATION OR LOAN OF ASSETS OF THE CORPORATION TO ANOTHER CHARITABLE ENTITY CONTROLLED, CONTROLLING OR UNDER COMMON CONTROL WITH THE CORPORATE MEMBER TO CARRY OUT THE CHARITABLE PURPOSES OF THE SCLHS SYSTEM AND TO FURTHER SECURE THE MEMBER'S MASTER TRUST INDENTURE OR SIMILAR FINANCING INSTRUMENT OR PROCESS. THE EXCLUSIVE POWERS UNDER THIS SUBSECTION 2(L) ARE IN RECOGNITION OF THE BENEFITS ACCRUING TO THE CORPORATION FROM THE CORPORATE MEMBER, AND IN ADDITION TO ANY OTHER RIGHTS RESERVED TO THE CORPORATE MEMBER UNDER APPLICABLE LAW OR THE ARTICLES OF INCORPORTION OR BYLAWS OF THE CORPORATION. IN COMPLYING WITH THE EXERCISE OF THE CORPORATE MEMBER'S EXCLUSIVE POWERS UNDER THIS SUBSECTION, THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS STATEMENT OF PURPOSES AS SET FORTH HEREIN, THE TERMS OF ANY RESTRICTED GIFTS TO THE CORPORATION, THE COVENANTS OF ITS DEBT INSTRUMENTS, OR THE LAW OF ANY JURISDICTION.
Form 990, Part VI, Line 11b	Review of the Form 990 THE FORM 990 IS REVIEWED BY AN OUTSIDE ACCOUNTING FIRM. St. James Healthcare management provided copies for review of the 990 form to the Board of Director's Finance Committee. The review process included formal acceptance and approval for completeness of the form before filing. This review and approval was then reported to the full Board of Directors for general Board acceptance.
Form 990, Part VI, Line 12c	Monitoring and enforcement of compliance with conflict of interest policy IN ORDER TO AVOID A CONFLICT OF INTEREST, EACH SJH EMPLOYEE, HOSPITAL REPRESENTATIVE OR INTERESTED PERSON IS OBLIGED TO IDENTIFY ANY POSSIBLE CONFLICTS OF INTEREST TO THEIR DIRECTOR OR VICE PRESIDENT, OR TO THE ORGANIZATIONAL RESPONSIBILITY OFFICER (ORO). POTENTIAL CONFLICTS OF INTEREST DO NOT AUTOMATICALLY DISQUALIFY PROSPECTIVE VENDORS FROM CONSIDERATION. WILLFUL FAILURE TO IDENTIFY POSSIBLE CONFLICTS OF INTEREST MAY JEOPARDIZE EMPLOYMENT STATUS OR RELATIONSHIP WITH SJH OF THE RESPONSIBLE INDIVIDUAL. ANNUAL STATEMENTS A. EACH MEMBER OF THE BOARD OF DIRECTORS, SENIOR MANAGEMENT TEAM, CONTRACT SJH MANAGEMENT REPRESENTATIVES, ANY PHYSICIANS WHO ARE IN A DECISION-MAKING/INFLUENCING ROLE AND COMPENSATED BY SJH, AND ANY OTHER EMPLOYEE OR MEMBER OF THE MEDICAL STAFF WHO FITS THE DEFINITION OF AN INTERESTED PERSON: ARE REQUIRED UPON APPOINTMENT OR HIRE AND AT LEAST ANNUALLY THERE AFTER TO SIGN A COPY OF THE STATEMENT PERTAINING TO CONFLICT OF INTEREST AND DISCLOSURE OF CERTAIN INTERESTS POLICY. B. THE ORGANIZATIONAL RESPONSIBILITY PROGRAM (ORP) COMMITTEE WILL REVIEW COI STATEMENTS, AND INVESTIGATE ALL DISCLOSURES OF POSSIBLE CONFLICTS OF INTEREST. C. THE ORP COMMITTEE WILL PREPARE A REPORT FOR THE SJH CHIEF EXECUTIVE OFFICER AND THE SJH AUDIT COMMITTEE. D. THE SJH AUDIT COMMITTEE IS RESPONSIBLE FOR FINAL REVIEW AND INVESTIGATION OF POTENTIAL CONFLICTS OF INTEREST AND PRESENTATION OF ITS FINDINGS TO THE SJH BOARD OF DIRECTORS ON AN ANNUAL BASIS. FORM 990, PART VI, LINES 15A & B SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS AND STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE 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 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 IN SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS.
Part VI, Sec C, Line 19	GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC ST JAMES HEALTHCARE ADMINISTRATION MAINTAINS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS. UPON REQUEST DOCUMENTS SUBJECT TO DISCLOSURE ARE MADE AVAILABLE TO THE GENERAL PUBLIC.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
MEDICAL ARTS PARTNERSHIP LLC
400 S CLARK ST	BUTTE	MT	59701	202691618	RENTAL RE	MT	$0	$0	SJHC
ST JAMES PHYSICIAN BILLING LLC
400 S CLARK ST	BUTTE	MT	59701	273193107	PHYS SVCS	MT	$0	$0	SJHC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (27 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
SISTERS OF CHARITY OF LEAVENWORTH HEALTH
2420 W 26TH AVE SUITE 100D	DENVER	CO	80211	237379161	SUPPORT MMBRS	KS	501(C)(3)	11B-TYPE II	NA	false
CARITAS CLINICS INC
818 NORTH 7TH STREET	LEAVENWORTH	KS	66048	481009910	CLINIC SVCS	KS	501(C)(3)	3	SCLHS	Yes (true)
MARIAN CLINIC INC
1001 SW GARFIELD	TOPEKA	KS	66604	481046905	CLINIC SVCS	KS	501(C)(3)	3	SCLHS	Yes (true)
MARILLAC CLINIC INC
2333 N 6TH STREET	GRAND JUNCTION	CO	81501	841085822	CLINIC SVCS	CO	501(C)(3)	3	SCLHS	Yes (true)
PROVIDENCE MEDICAL CENTER INC
8929 PARALLEL PARKWAY	KANSAS CITY	KS	66112	480784446	HEALTHCARE	KS	501(C)(3)	3	SCLHS	Yes (true)
ST JOHN HOSPITAL INC
3500 SOUTH FOURTH STREET	LEAVENWORTH	KS	66048	480543768	HEALTHCARE	KS	501(C)(3)	3	PMC	Yes (true)
PROVIDENCEST JOHN FOUNDATION INC
8929 PARALLEL PARKWAY	KANSAS CITY	KS	661121689	480925688	SUPPORT 501C3	KS	501(C)(3)	7	PMC	Yes (true)
ST FRANCIS HEALTH CENTER INC
1700 SW 7TH STREET	TOPEKA	KS	66606	480547719	HEALTHCARE	KS	501(C)(3)	3	SCLHS	Yes (true)
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREET	TOPEKA	KS	66606	481092520	SUPPORT 501C3	KS	501(C)(3)	11A-TYPE I	SFHC	Yes (true)
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREET	GRAND JUNCTION	CO	81502	840425720	HEALTHCARE	CO	501(C)(3)	3	SCLHS	Yes (true)
ST MARYS HOSPITAL DEVELOPMENT FOUNDATION
2635 N 7TH STREET	GRAND JUNCTION	CO	81502	237001007	SUPPORT 501C3	CO	501(C)(3)	11A-TYPE I	SMHMC	Yes (true)
HOLY ROSARY HEALTHCARE
2600 WILSON	MILES CITY	MT	59301	810231792	HEALTHCARE	MT	501(C)(3)	3	SCLHS	Yes (true)
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON	MILES CITY	MT	59301	202270238	SUPPORT 501C3	MT	501(C)(3)	11A-TYPE I	HRHC	Yes (true)
ST VINCENT HEALTHCARE
1233 NORTH 30TH	BILLINGS	MT	59101	810232124	HEALTHCARE	MT	501(C)(3)	3	SCLHS	Yes (true)
ST VINCENT HEALTHCARE FOUNDATION
PO BOX 35200	BILLINGS	MT	591075200	810468034	SUPPORT 501C3	MT	501(C)(3)	7	SVHC	Yes (true)
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK STREET	BUTTE	MT	59701	651202190	SUPPORT 501C3	MT	501(C)(3)	11A-TYPE I	SJHC	Yes (true)
SAINT JOHN'S HEALTH CENTER
2121 SANTA MONICA BLVD	SANTA MONICA	CA	904042091	951684082	HEALTHCARE	CA	501(C)(3)	3	SCLHS	Yes (true)
JOHN WAYNE CANCER INSTITUTE
2000 SANTA MONICA BLVD	SANTA MONICA	CA	90404	954291515	CANCER R&D	CA	501(C)(3)	4	SJHC	Yes (true)
SAINT JOHN'S HOSPITAL & HLTH CENTER FND
2121 SANTA MONICA BLVD	SANTA MONICA	CA	904042091	956100079	SUPPORT 501C3	CA	501(C)(3)	7	SJHC	Yes (true)
SCL HEALTH-FRONT RANGE INC
2420 W 26TH AVE SUITE 100D	DENVER	CO	80211	841103606	HEALTHCARE	CO	501(C)(3)	3	SCLHS	Yes (true)
EXEMPLA LUTHERAN MEDICAL CENTER FNDTN
2480 W 26TH AVESUITE 360B	DENVER	CO	80211	208846152	SUPPORT 501C3	CO	501(C)(3)	7	SCLHEALTH-FR	Yes (true)
EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN
200 EXEMPLA CIRCLE	LAFAYETTE	CO	80026	841649162	SUPPORT 501C3	CO	501(C)(3)	7	SCLHEALTH-FR	Yes (true)
LUTH MED CNTR PRO&GEN LIAB SELF-INS TRS
2480 W 26TH AVESUITE 360B	DENVER	CO	80211	742571584	INSURANCE	CO	501(C)(3)	11A-TYPE I	SCLHEALTH-FR	Yes (true)
SAINT JOSEPH HOSPITAL
1835 FRANKLIN STREET	DENVER	CO	80218	840417134	HEALTHCARE	CO	501(C)(3)	3	SCLHS	Yes (true)
SAINT JOSEPH HOSPITAL FOUNDATION
1835 FRANKLIN STREET	DENVER	CO	80218	840735096	SUPPORT 501C3	CO	501(C)(3)	11A-TYPE I	SJH	Yes (true)
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARD	DENVER	CO	80211	840405260	RESIDENT CARE	CO	501(C)(3)	11A-TYPE I	SCLHS	Yes (true)
BETHANY COMMUNITY PLAZA INC
15 NORTH 12TH STREET	KANSAS CITY	KS	66102	481207407	INACTIVE	KS	501(C)(3)	3	PMC	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeTypeTxt
PAVILION IMAGING LLC
750 WELLINGTON	GRAND JUNCTION	CO	81501	030516198	RADIOLOGY	CO	NA	N/A
HEALTHCARE MANAGEMENT LLC
PO BOX 2907	GRAND JUNCTION	CO	81502	841238904	MGMT SVCS	CO	NA	N/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREET	MONTROSE	CO	81401	202856331	OP CANCER	CO	NA	N/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHERAN PKWY STE 150	WHEATRIDGE	CO	800336028	020749532	OP SURGERY	CO	NA	N/A
DENVER WEST ENDOSCOPY CENTER LLC
382 S ARTHUR AVENUE	LOUISVILLE	CO	80027	460788218	OP ENDOSCOPY	CO	NA	N/A
COLORADO SURGICAL VENTURES LLC
250 S WACKER DR SUITE 500	CHICAGO	IL	60606	208038915	OP SURGERY	CO	NA	N/A
COLORADO SURGICAL HOSPITAL LLC
250 S WACKER DR SUITE 500	CHICAGO	IL	60606	208038977	OP SURGERY	CO	NA	N/A
MED-MAP LLC
PO BOX 1295	BILLINGS	MT	59103	810491356	RENTAL REAL ESTAT	MT	NA	N/A
YELLOWSTONE SURGERY CENTER LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	721519467	OP SURGERY	MT	NA	N/A
ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREET	BILLINGS	MT	59101	272270640	PHYS THERAPY	MT	NA	N/A
TWENTIETH STREET GENERAL PARTNERSHIP
201 SOUTH LAKE AVENUE STE 507	PASADENA	CA	91101	953974903	RENTAL REAL EST	CA	NA	N/A
SAINT JOHN'S MEDICAL PLAZA A CA Ltd Pa
201 SOUTH LAKE AVENUE STE 507	PASADENA	CA	91101	953983096	RENTAL REAL EST	CA	NA	N/A
ALL CARE HOME HEALTH SOLUTIONS LLC
10170 E MISSISSIPPI AVENUE	DENVER	CO	80247	462418729	HOME CARE	DE	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	Province Or StateForeignAddress/ProvinceOrState	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CARITAS INC AND SUBSIDIARIES
2420 W 26TH AVE SUITE 100D	DENVER	CO	80211	480941069	HEALTHCARE	KS	NA	C Corp	Yes (true)
LEAVEN INSURANCE COMPANY LTD
				980370522	INSURANCE		NA	C Corp	Yes (true)	23 LIME TREE BAY AVENUE WEST BAY R	GRAND CAYMAN	GRAND CAYMAN	CA	KY1-1102	CJ

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

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ST JAMES HEALTHCARE FOUNDATION
c	$154,750	FMV
ST JAMES HEALTHCARE FOUNDATION
o	$105,209	FMV