2013-11-13T17:58:01-06:00 2012-12-31 ERNST & YOUNG US LLP 178 S RIO GRANDE STREET SUITE 400 SALT LAKE CITY UT 84101 990 2012-01-01 810231785 ST JAMES HEALTHCARE % SHARON OWENS STJA 4067232500 400 SOUTH CLARK STREET Suite BUTTE MT 597012328 Jay Doyle 2013-11-06 8013503300 2012 2016-02-25 16:41:14Z Chuck Wright 400 S Clark St Butte MT 597012328 85986808 false 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. 17 14 616 55 586562 318552 52922 27204 87217108 82980687 162496 212422 1980457 2729947 89412983 85950260 0 0 0 0 37662723 37718987 0 0 0 56556219 46530488 94218942 84249475 -4805959 1700785 73502332 76690189 27940071 29421880 45562261 47268309 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. false false 58558668 0 82983109 ALL EXPENSES FOR PROGRAM SERVICES ARE RELATED TO PROVIDING PATIENT HEALTHCARE & COMMUNITY SERVICES. THE NUMBER OF ADJUSTED PATIENT DAYS FOR THE YEAR WAS 22,041. SEE ALSO SUPPLEMENTAL INFORMATION IN SCHEDULE H, AND SCHEDULE O, PART III LINE 4A. 58558668 true true false true false false false false false false true false false false false false false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 123 0 true 616 true true true false false false false false false false false false X 17 14 false true false false true true true true true false false true true true true true true false false true true X SHARON OWENS 3038135280 2480 W 26TH AVE SUITE 200B Denver CO 80211 Kevin Luebke 1.0 0.0 X 0 0 0 Mark Zora 2.0 0.0 X X 0 0 0 Sister Margaret Hogan 1.0 0.0 X 0 0 0 Mike Johnson 1.0 0.0 X 0 0 0 Sister Mary Jo Quinn 1.0 0.0 X 0 0 0 Marilyn Cameron 1.0 0.0 X 0 0 0 Tammy Cox 1.0 0.0 X 0 0 0 Tim McHugh 1.0 0.0 X X 0 0 0 Andrea Stierle 1.0 0.0 X 0 0 0 Chuck Wright 40.0 0.0 X X 0 283246 58871 John Byrnes MD 0.5 0.0 X 0 142370 15348 James Doyle 40.0 0.0 X X 0 168027 38388 Rita Spear 1.0 0.0 X 0 0 0 Michael E Lewis 1.0 0.0 X 0 0 0 Marko Lucich 1.0 0.0 X 0 0 0 Therese McClafferty 1.0 0.0 X X 0 0 0 Bill McGladdery 1.0 0.0 X 0 0 0 John Beeson MD 1.0 0.0 X Sister Bernadette Helfert 1.0 0.0 X Jim Falvey 1.0 0.0 X Shannon Holland 40.0 0.0 X 0 163312 29837 Kevin Dennehy 40.0 0.0 X 0 140903 41153 Thomas Aufiero 40.0 0.0 X 375514 0 5995 Robert Zelman 40.0 0.0 X 328388 0 18368 David Silk 40.0 0.0 X 265508 0 35427 Mohan Nandalur 40.0 0.0 X 372952 0 25101 Michael Zehnpfennig 40.0 0.0 X 315873 0 7836 1658235 897858 276324 34 false true false MONTANA INTERVENTIONAL AND DIAGNOST 2969 AIRPORT RD STE 1C HELENA MT 59601 Radiology Diagnostic 1336820 Sound Inpatient Physicians 1123 PACIFIC AVE TACOMA WA 98402 Hospitalist Services 1036429 Medefis Inc 10826 Old Mill Rd Ste 101 OMAHA NE 68154 Staffing Services 424084 MONTANA ORTHOPEDICS 415 S CRYSTAL ST BUTTE MT 59701 Orthopedic Surgeons 520413 UNITED BLOOD SERVICES PO BOX 53022 PHOENIX AZ 85072 Blood Supplier 375501 20 27204 27204 PATIENT CARE 621400 79323979 79323979 CAFETERIA SALES 722210 390546 390546 RENAL DIALYSIS 621400 75925 75925 RMAP 621400 1033629 1033629 MEANINGFUL USE 621400 2043156 2043156 113452 113452 82980687 248970 248970 0 0 0 0 0 36548 -36548 -36548 -36548 0 0 0 PHARMACY INCOME 446110 2001755 95469 1906286 JOINT VENTURE - SUMMIT SURGERY CENTER 900099 442260 442260 SPORTS MEDICINE 900099 124377 124377 161555 2422 48833 110300 2729947 85950260 82983109 586562 2353385 0 0 0 0 1156049 350867 805182 0 28759882 26223583 2536299 2059655 1839122 220533 3594813 2881990 712823 2148588 1691218 457370 8150069 8150069 359921 359921 57241 57241 1141 1141 0 0 11973339 7633342 4339997 246510 60545 185965 90082 62578 27504 0 0 1004842 148780 856062 278022 75679 202343 0 15781 969 14812 0 0 4765257 17753 4747504 1147169 1147169 BAD DEBT EXPENSE 2004919 2004919 MEDICAL SUPPLIES 12942282 12927900 14382 OTHER SUPPLIES 1056438 874542 181896 TAXES 933566 716638 216928 1503909 1048243 455666 84249475 58558668 25690807 0 1886 3299 2248481 1332939 0 0 14162365 14279027 0 0 0 0 -94127 -1076230 2025102 2501351 1196464 1031040 111653814 64290749 49052134 47363065 2275218 7036345 299638 926662 815017 884363 0 0 1520154 2408328 73502332 76690189 13088056 16247156 0 0 0 0 0 0 0 0 0 0 14852015 13174724 0 0 0 0 27940071 29421880 X 45548559 47249344 13702 18965 0 0 45562261 47268309 73502332 76690189 X 1700785 5263 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 1141 false false 1141 Lobbying Expenses Lobbying expenses were derived as a percentage of dues paid to the Association of Montana Health Care Providers. 4146731 4146731 76663442 40041270 36622172 28137710 22551429 5586281 2705931 1698050 1007881 47363065 true true true X true X true true true false true true 1343 3696811 3696811 0.04490 6825 9031178 6687656 2343522 0.02850 8168 12727989 6687656 6040333 0.07340 22 2422 554669 138 554531 0.00670 7 86 124913 124913 0.00150 4 2009 329884 133700 196184 0.00240 3 16 16006 16006 0.00020 36 4533 1025472 133838 891634 0.01080 36 12701 13753461 6821494 6931967 0.08420 8 13039 100830 100830 0.00120 1 9 225851 225851 0.00270 9 13048 326681 326681 0.00390 false 721376 17186443 24092204 -6905761 X true true Summit Surgery Ctr Outpatient Surgery Center 0.50000 0.50000 1 1 St James Healthcare

400 SOUTH CLARK ST BUTTE MT 59701

www.StJamesHealthcare.org X X X SKILLED NURSING FAC PHYSICIAN CLINIC 1 ST JAMES HEALTHCARE 1 true true 200. true 400. true X X X X X true true X X X true false X X X X true X false false Part I, Line 6a ST JAMES HEALTHCARE PRODUCED A COMMUNITY BENEFIT REPORT IN 2012 AND IT WAS MADE AVAILABLE TO THE PUBLIC. IT WAS PUBLISHED AS AN INSERT IN THE LOCAL NEWSPAPER WITH A DISTRIBUTION OF 15,000. IT ALSO WAS PLACED IN ALL OUR WAITING AREAS AND IS ON OUR PUBLIC WEBSITE. PART I, LINE 7G SUBSIDIZED SERVICES AT ST. JAMES HEALTHCARE THAT WERE COUNTED AS COMMUNITY BENEFIT TOTALED $196,184. THIS AMOUNT INCLUDES PROVIDING ATHLETIC TRAINERS FOR THE HIGH SCHOOLS' ATHLETIC PROGRAMS. TRAINERS ARE PROVIDED TO 7 DIFFERENT SCHOOLS IN SOUTHWEST MONTANA, AND WITHOUT THIS SUPPORT, NONE OF THE SCHOOLS EXCEPT MONTANA TECH (THE COLLEGE IN BUTTE) WOULD BE ABLE TO PROVIDE THIS SERVICE TO THE STUDENT ATHLETES. THESE TRAINERS ATTEND ALL PRACTICES, GAMES AND TOURNAMENTS FOR EACH SCHOOL, AND ST. JAMES PAYS FROM 50 to 80% OF THEIR SALARIES TO PERFORM THIS SERVICE. IN ADDITION, ST. JAMES PROVIDES LOW COST ($5.00) SPORTS PHYSICALS FOR ALL THE ATHLETES. THE TOTAL AMOUNT FOR ATHLETIC SERVICES AND THE SPORTS PHYSICALS WAS $144,257. ST. JAMES HEALTHCARE ALSO PROVIDED A MOBILE PET VAN FOR PATIENTS THAT REQUIRE PET SCANS. SUCH EQUIPMENT IS NOT AVAILABLE IN THE AREA SO PATIENTS WOULD NEED TO TRAVEL TO ANOTHER FACILITY. THE VAN COMES TO ST. JAMES HEALTHCARE PERIODICALLY. SOMETIMES, THERE ARE NO PATIENTS BUT ST. JAMES STILL MUST PAY FOR THE VAN. WE CONSIDER ONLY THOSE PAYMENTS AS COMMUNITY BENEFIT DOLLARS. THE TOTAL IN 2012 WAS $29,150. Part I, Line 7, COLUMN (f) THE AMOUNT IN COLUMN (F) IS BASED ON THE NET COMMUNITY BENEFIT IN COLUMN (E) DIVIDED BY THE TOTAL OPERATING EXPENSES MINUS BAD DEBT EXPENSE ($84,249,475 MINUS $2,004,919 = $82,244,556). The denominator is $82,244,556. Part I, Line 7 IN PART I, LINE 7, ST JAMES HEALTHCARE PROVIDES THE AMOUNTS OF FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. THE AMOUNTS REPORTED ARE FROM WORKSHEETS 1 THROUGH 8. PART II We extend our care beyond our hospital's walls to improve the health of our community. Our community building activities demonstrate this commitment. Most of our community building activities are in the category of community support. These activities promote health in the community in a number of ways. We provide meals donations to the Mountain View Social Development Center so its clients have nutritious food each day. In addition, we provide soup to the local soup kitchen three times a week to help feed the homeless and those in need. Our employees are involved in a number of volunteer activities throughout the year that promote healthy living. These encompass everything from raising funds for the youth program at the local YMCA to helping distribute food at the local food bank. Also, for our casual dress Friday, employees can bring food donations for the Butte Food Bank. Service clubs throughout the community are focused on promoting healthy life styles for both children and adults, and St. James Healthcare's ("St James") staff actively participates in clubs such as the Kiwanis, the Chamber of Commerce, the Rotary, and the Exchange Club. In the area of community health improvement advocacy, we partner with public health agencies and serve on the boards and committees of these agencies that are focused on improving the health of the community. St. James is the lead agency in a city-wide diabetes network outreach program. Our full-time Diabetes Program Coordinator who is a registered nurse and Certified Diabetes Educator, has developed a community network of partners and members. The program serves both our adult and child population with individual as well as group sessions. Support groups, health fairs, and prevention programs for children and young adults are among the activities that members of our diabetes staff, dietary staff, nursing staff, and administrative staff work many hours to provide. No one has been denied service because of lack of funds. We also provide social workers for a bi-monthly Alzheimer's Caregiver Support Group at the Belmont Senior Citizen's Center. As a medically underserved area, Butte needs more physicians, and St. James actively recruits physicians to the area. When potential recruits make site visits to Butte, we host meetings with local government officials, local primary and secondary educational institutions, the Chamber of Commerce and other organizations to provide a positive and encompassing experience for the potential recruit. In a rural community physicians are an essential part of the community and we encourage them to make connections in this early phase by meeting many of its leaders. In 2012, we successfully recruited or assisted in the recruitment of ten physicians to our area. The recruits were a general surgeon, a vascular-thoracic surgeon, a pediatrician, a radiation oncologist, three emergency medicine physicians, an internal medicine physician, and two family medicine physicians. We also support our employees by encouraging them to volunteer with community organizations, including serving on community boards for organizations such as the local YMCA, Big Brothers and Sisters, Butte-Silver-Bow Public Health Department, City-County Home Health Service, 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 Butte-Silver Bow Chamber of Commerce, Butte Silver-Bow Local Development Corporation, Kiwanis, Exchange Club, 4-H, The Butte Education Foundation, Rotary, and athletic programs for children and young adults. In addition, St. James is looked to provide for health education in the community and to support and sponsor activities that promote health. The following are details on programs and other activities provided by St. James that promote and enhance the health of the overall communities it serves. * St. James works with 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, St. James pays a significant portion of the salaries and benefits (50% to 80% or more) for seven athletic trainers who are employed by St. James, but work in these schools with student athletes throughout the school year. St. James partners with 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 departments. * St. James co-sponsors with St James Healthcare Foundation a Ticker Tuner Fun Run for the community to promote health. *St. James and the Butte Community Diabetes Network hosted a spring through fall walking program, titled Walk N' Talk With A Doc. Each week a different member of our medical staff led a 1.5 mile walk on a community walking trail. The event gave people the opportunity to exercise while getting to know their physician outside the office. The format was an informal question and answer session during and after the walk. Over 300 residents and 15 physicians participated during the 10-week program. PART III, LINE 4 A COST TO CHARGE RATIO IS USED AS THE METHODOLOGY FOR DETERMINING THE AMOUNTS REPORTED AS COST OF BAD DEBT EXPENSE. FOR ALL SELF-PAY ACCOUNTS,A STANDARD 40% DISCOUNT IS FIRST APPLIED TO CHARGES AS A DEDUCTION OF REVENUE. BAD DEBT EXPENSE IS REFLECTED NET OF DISCOUNTS APPLIED AND PAYMENTS RECEIVED. THE ORGANIZATION DOES NOT INCLUDE IN BAD DEBT EXPENSE ANY AMOUNT THAT COULD REASONABLY BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITALS' CHARITY CARE POLICY. THE FOLLOWING ARE THE RELEVANT PORTIONS OF THE COMPANY'S FOOTNOTE TO THE FINANCIAL STATEMENTS RELATED TO BAD DEBT: INCLUDED IN NET RECEIVABLES IS THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES. THE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS AND TAKES INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. MANAGEMENT PERIODICALLY ASSESSES THE ADEQUACY OF THE ALLOWANCES FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY. THE RESULTS OF THESE ASSESSMENTS ARE USED TO MODIFY, AS NECESSARY, THE PROVISION FOR BAD DEBTS AND TO ESTABLISH APPROPRIATE ALLOWANCES FOR UNCOLLECTIBLE NET PATIENT ACCOUNTS RECEIVABLE. PART III, LINE 8 St. James Healthcare believes a significant portion of the shortfall from Medicare should be treated as community benefit. St. James provides the resources required to care for these patients and should receive some benefit for doing so. The costing methodology used is the cost to charge ratio because St. James believes this methodology most accurately reflects the actual cost of providing the services. 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. St. James Healthcare notifies patients of its financial assistance policy prior to admission, upon admission and upon discharge. In addition, we provide 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. In 2012, St. James provided a total of $3,696,811 in traditional charity care and $2,343,522 for the unpaid cost of Medicaid. Supplemental Information 2. NEEDS ASSESSMENT - ST. JAMES HAS REGULARLY PARTICIPATED IN NEEDS ASSESSMENT SURVEYS TO IDENTIFY THE ONGOING AND CHANGING NEEDS OF THE COMMUNITY. THE MOST RECENT SURVEY WAS FINALIZED IN EARLY 2011 WITH THE NEXT SURVEY SCHEDULED IN 2014. IN 2011, THE ASSESSMENT EXAMINED THE POPULATION OF SILVER BOW COUNTY WHICH IS SERVED BY ST. JAMES AND WAS DONE BY PARTNERING WITH THE LOCAL PUBLIC HEALTH DEPARTMENT AND LOCAL SOCIAL AGENCIES. WITH THE ASSISTANCE OF OUTSIDE CONSULTANTS, THE ASSESSMENT DETERMINED WHERE GAPS IN SERVICES EXIST. FROM THE "GAPS" DOCUMENT, WE CONDUCTED FOCUS GROUP MEETINGS WITH SOCIAL AGENCY PERSONNEL TO DEVELOP OBJECTIVES AND STRATEGIES FOR THE FOLLOWING CATEGORIES OF NEED: AGING POPULATION; ENVIRONMENTAL FACTORS; SOCIO-ECONOMIC ISSUES; SOCIAL AND BEHAVIORAL PROBLEMS; AND HEALTH OUTCOMES AND FACTORS. WITH OBJECTIVES AND STRATEGIES IN HAND, ST. JAMES HAS BEGUN TO DEVELOP ACTION PLANS (SHORT TERM AND LONG TERM) FOR EACH OF THE FIVE AREAS. According to the 2011 Needs Assessment, the leading causes of death are heart disease and cancer. The rates of diabetes and COPD are also high. To combat this we have expanded our heart and cancer services and recruited new physicians in both areas. We have a monthly cancer support group facilitated by our Spiritual Care Department. We have also expanded our diabetes program and outreach to include a 19-week diabetes prevention program for those individuals at risk of developing diabetes. These classes are free to those without insurance or who cannot afford to pay using the guidelines of our FAP or a suggested contribution based on income level. Also identified were the community's access to medical providers, specifically those in primary care, urology, endocrinology, cardiology, psychiatry, pediatric dentistry, and licensed counselors that accept Medicaid. As a hospital we have successfully recruited all of these specialties with the exception of endocrinology and psychiatry. We continue to work with the Western Montana Mental Health Clinic to increase the availability of psychiatrists in the area. In regards to endocrinology, we continue to refer patients out of the area to specialists in this discipline. In response to this need and to other specialties not covered in our locale, we partnered with 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 the health needs from the assessment, we examined ways we could 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 2012, we donated $1,500 each ($3,000 total) to the two elementary schools in our highest poverty census tracts. The principals at each public school were asked to use the money to provide eyeglasses, warm winter clothing, etc. to those children in their school who had the greatest need. Our CHNA is posted on our hospital's public website and is also available upon request from St. James. Butte-Silver Bow County has also posted it on its website and it is available upon request from the Butte-Silver Bow Health Department. 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. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - St. James Healthcare treats patients with respect and dignity regardless of their ability to pay. St. James Healthcare has a written financial assistance policy that explains eligibility criteria for financial assistance at various levels, including a 100% discount, and is based on federal poverty guidelines. We work with patients to help them understand their financial responsibility for care received, financial assistance available to them, and to establish payment programs in demonstration of our core value of respect. As part of our responsibility to educate, we inform our patients and their families of the availability of assistance, including government programs. We communicate this in a variety of ways to ensure that messages reach multiple audiences. Before, during and/or after admission, we encourage our self pay patients to visit with a financial counselor to discuss qualifications for financial assistance. The financial counselor works with the patient to complete a financial assistance form to determine the level of discount for which the patient may be eligible. We post financial assistance information in emergency and admissions areas, on billings invoices, in various areas around the hospital and clinic sites and on the hospital website. We provide written materials to patients that detail our financial assistance policy and how it is administered. We provide materials and education when patients are discharged, and include information in billing statements, including phone numbers and other methods to contact us with questions. We ensure that our financial counselors, admission employees, social workers and other employees understand our policies to be able to assist patients in the most appropriate way. We also have a partnership with Western Security Bank to provide payment plans and medical credit lines. This helps patients meet their financial obligations in a reasonable and dignified manner based on their ability to pay and allows them to continue to ensure the ongoing welfare of their families. This is done in accordance with our core value of respect. 4. COMMUNITY INFORMATION - The care site of St. James 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. St. James's primary service area is defined as Silver Bow County. Silver Bow County, located in southwestern Montana in a medically underserved area, is the eighth largest county in the state with a population of slightly more than 32,000. This geographic area also represents the patient origin of approximately 75% of St. James' inpatient discharges. The care site's secondary service area includes six other Montana counties - Beaverhead County, Deer Lodge County, Granite County, Jefferson County, Madison County and Powell County. St. James provides close to 75% of its inpatient care to patients living in the Butte community, with patients originating from the adjacent communities of Whitehall, Anaconda and Deer Lodge representing the next highest concentration of patients. St. James is the only acute care provider in its primary service area. Within the care site's secondary service area there are five Critical Access Hospitals providing care to patients in southeastern Montana. Those hospitals are Community Hospital of Anaconda (not-for-profit) in Anaconda, Barrett Memorial Hospital (government owned) in Dillon, Ruby Valley Hospital (government owned) in Sheridan, Granite County Medical Center (government owned) in Philipsburg and Deer Lodge Medical Center (not-for-profit) in Deer Lodge. Patients from the primary and secondary service areas 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 4.8% 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% with St. James Healthcare, the community's only hospital, as one of the largest single private employers. Additional Butte-Silver Bow statistics follow. *Median income for Silver Bow County households in 2012 was $40,039 compared to Montana median income of $45,344. * 37% of the local population is below 200% of the federal poverty level; 16.4% of the residents have an income below the poverty level *94.8% of Butt false true false false false false false true false Chuck Wright 0 262992 0 0 0 20254 0 42208 0 16663 0 342117 0 0 John Byrnes MD 0 109236 0 0 0 33134 0 12000 0 3348 0 157718 0 0 Thomas Aufiero 373179 0 0 0 2335 0 0 0 5995 0 381509 0 0 0 Robert Zelman 296457 0 30510 0 1421 0 12873 0 5495 0 346756 0 0 0 David Silk 264471 0 0 0 1037 0 20000 0 15427 0 300935 0 0 0 Mohan Nandalur 338230 0 33900 0 822 0 19491 0 5610 0 398053 0 0 0 Michael Zehnpfennig 315009 0 0 0 864 0 1876 0 5960 0 323709 0 0 0 James Doyle 0 164408 0 0 0 3619 0 22275 0 16113 0 206415 0 0 Shannon Holland 0 162401 0 0 0 911 0 28432 0 1405 0 193149 0 0 Kevin Dennehy 0 139062 0 0 0 1841 0 24773 0 16380 0 182056 0 0 FORM 990, SCHEDULE J, PART I, LINE 3 SEE FORM 990, SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, LINES 15A & B REGARDING THE PROCESS USED BY SCLHS TO DETERMINE EXECUTIVE COMPENSATION WHICH IS RELIED UPON BY THIS ORGANIZATION. FORM 990, SCHEDULE J, PART I, LINE 4b 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 IRS 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 THE 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 2012 WERE: NONE NOTED. FORM 990, SCHEDULE J, PART I, LINE 7 (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. FORM 990, SCHEDULE J, PART II THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. JAMES HEALTHCARE (ST. JAMES) IN BUTTE, MONTANA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. 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. 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. THE PATIENT COMPASSION FUND (FORMERLY THE PAL PROGRAM) WAS RE-DESIGNED TO PROVIDE FINANCIAL SUPPORT TO THOSE WHO NEEDED TO SEEK MEDICAL TREATMENT OUTSIDE OF BUTTE AND ALSO TO HELP PATIENTS WITH THE COST OF POST HOSPITAL MEDICATIONS AND EQUIPMENT IF THE PATIENTS WAS NOT FINANCIALLY ABLE TO AFFORD SUCH ITEMS. THE SECOND PART OF THIS PROGRAM IS THE COMMUNITY SHARE PROGRAM, ESTABLISHED BY ST JAMES HEALTHCARE EMPLOYEES TO HELP COMMUNITY NON-PROFIT AGENCIES WHO HAVE SPECIFIC NEEDS. EMPLOYEES CONTRIBUTE TO THE PROGRAM THROUGH PAYROLL DEDUCTIONS. LOCAL NON-PROFIT AGENCIES AND ORGANIZATIONS CAN THEN SUBMIT APPLY FOR MONETARY DONATIONS FOR A SPECIFIC PROGRAM OR PURPOSE. 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 PUBLIC SESSION THAT INCLUDED EDUCATION ABOUT HEART DISEASE AND STROKES AND FREE SCREENINGS FOR BODY MASS, GLUCOSE, BLOOD PRESSURE. OTHER COMMUNITY BENEFIT DONATIONS INCLUDING 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: -AMBULANCE TRANSPORT SERVICES FOR THE POOR OR UNINSURED -MENTAL HEALTH CRISIS RESPONSE LINE -PRESCRIPTION DRUG ASSISTANCE FOR THE POOR OR UNINSURED -PROVIDED MORE THAN 12,000 MEALS FOR INDIGENT PEOPLE -ATHLETIC PROGRAMS, INCLUDING PROVIDING ATHLETIC TRAINERS AND LOW-COST SPORTS PHYSICIALS ($5), TO ALL SOUTHWEST MONTANA SCHOOLS AND COLLEGES -FREE PUBLIC TALKS ON A VARIETY OF HEALTH ISSUES (PRESENTED BY MEDICAL STAFF) -PRECEPTOR TRAINING FOR STUDENTS MAJORING IN NURSING, PHYSICAL AND RESPIRATORY THERAPY, PHARMACY, SURGICAL SERVICES, LAB ETC. PART VI, SECTION A, LINE 3 DELEGATE CONTROL OVER MANAGEMENT DUTIES ALTHOUGH THESE SERVICES MAY NOT ALL RISE TO THE LEVEL OF MANAGEMENT CONTROL AS DEFINED IN THE 990 INSTRUCTION, WE HAVE IN THE SPIRIT OF FULL TRANSPARENCY PROVIDED THE FOLLOWING DISCLOSURE. AS A MEMBER OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, THIS PROVIDER MAY HAVE INDIVIDUAL AND/OR SYSTEM CONTRACT(S) THAT HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES IN SOME OR ALL OF THE FOLLOWING AREAS: DIETARY AND FOOD SERVICE HOUSEKEEPING SUPPLY CHAIN REVENUE CYCLE SECURITY PART VI, SEC A, LINE 6 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"). PART VI, SECTION A, LINE 7A & 7B ELECTION OF MEMBERS AND APPROVAL OF DECISIONS EXCLUSIVE POWERS OF THE CORPORATE MEMBER. 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 ENTITIY 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. Part VI, Sec A, Line 11B PRIOR TO SUBMISSION OF THE 990, IT WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND PERSONNEL AT THE SYSTEM OFFICE. 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. Part VI, Sec B, Line 12c CONFLICT OF INTEREST POLICY DUTY TO DISCLOSE. 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 THEREAFTER 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 -FORM 990 OF OTHER ORGANIZATIONS -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. Form 990, Part VII and Form 990, Schedule J, Part II THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. JAMES HEALTHCARE (ST. JAMES) IN BUTTE, MONTANA. 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 OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. Part XI Line 9 EQUITY TRANSFER $1,700,785 AND TEMPORARILY RESTRICTED NET ASSETS FOR GRANTS AND USES of $1,706,048 EQUALS THE CHANGE IN NETS ASSETS OF $5,263. Part IX, Line 11g These charges all relate to Professional fees and Purchased services for items such as Repairs and Maintenance $138,286, Maintenance Contracts $1,250,969, Outside Lab Fees $228,666, Blood Processing Fees $406,543, Consulting $1,406,644, Physician Fees $3,554,272, Other Purchased Services $4,966,899 and Misc $21,061. 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