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SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC (EIN 23-7379161)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201203209349304315
Schema version
2011v1.3
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T12:07:19-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1190 CARONDELET PLAZA SUITE 1300AddressLine1
CityCLAYTONCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237379161EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SISTERS OF CHARITY OF LEAVENWORTHBusinessNameLine1
Business Name Line2HEALTH SYSTEM INCBusinessNameLine2
FieldValueIRS element (for citing)
In Care Of Name% SHARON OWENS SCL HEALTH SYSInCareOfName
Name ControlSISTNameControl
Phone3038135190Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12420 WEST 26TH AVEAddressLine1
CityDENVERCity
StateCOState
ZIP Code80211ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLYDIA W JUMONVILLEName
TitleCHIEF FINANCE OFFICER & SVP FINANCETitle
Date Signed2012-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142901000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonLYDIA W JUMONVILLENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12420 WEST 26TH AVE STE 100-DAddressLine1
CityDENVERCity
StateCOState
ZIP Code80211ZIPCode
FieldValueIRS element (for citing)
Gross Receipts126461371GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.sclhealthsystem.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1972YearFormation
State Legal DomicileKSStateLegalDomicile
Activity Or Mission DescriptionWE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees342TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI-108419TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3100ContributionsGrantsPriorYear
Contributions Grants Current Year1082ContributionsGrantsCurrentYear
Program Service Revenue Prior Year72582296ProgramServiceRevenuePriorYear
Program Service Revenue CY103634794ProgramServiceRevenueCY
Investment Income Prior Year22559296InvestmentIncomePriorYear
Investment Income Current Year17743348InvestmentIncomeCurrentYear
Other Revenue Prior Year6098017OtherRevenuePriorYear
Other Revenue Current Year5082147OtherRevenueCurrentYear
Total Revenue Prior Year101242709TotalRevenuePriorYear
Total Revenue Current Year126461371TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year379320GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY278650GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year40263716SalariesEtcPriorYear
Salaries Etc Current Year54088418SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year131032929OtherExpensePriorYear
Other Expenses Current Year116581852OtherExpensesCurrentYear
Total Expenses Prior Year171675965TotalExpensesPriorYear
Total Expenses Current Year170948920TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-70433256RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-44487549RevenuesLessExpensesCY
Total Assets BOY1480585187TotalAssetsBOY
Total Assets EOY1431133067TotalAssetsEOY
Total Liabilities BOY1477109961TotalLiabilitiesBOY
Total Liabilities EOY1535000716TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3475226NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-103867649NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense65090114Expense
Revenue19120817Revenue
DescriptionFINANCE, AUDIT AND DEBT SERVICES - ADMINISTERS FINANCING PROGRAM AND REVIEWS THE CAPITAL FORMATION PROGRAM (FOR ELEVEN HOSPITALS AND FOUR CLINICS). IT ALSO OVERSEES THE AUDITS OF ITS RELATED AFFILIATES TO PROVIDE ASSURANCE REGARDING THE EFFECTIVENESS AND EFFICIENCY OF OPERATIONS AND THE RELIABILITY OF FINANCIAL REPORTING.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense10123329Expense
DescriptionHUMAN RESOURCES - ADMINISTERS PROGRAMS AND OTHER SERVICES TO THE ELEVEN HOSPITALS, FOUR CLINICS AND VARIOUS FOR-PROFIT ENTITIES WHICH ARE AFFILIATES OF SCLHS. PROGRAMS ADMINISTERED INCLUDE EMPLOYEE WELFARE BENEFIT PLANS, RETIREMENT PLANS, AND CERTAIN EXECUTIVE RECRUITING FUNCTIONS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense44477955Expense
Revenue755817Revenue
DescriptionINFORMATION SYSTEMS - COORDINATES THE CENTRALIZATION OF MANY OF THE INFORMATION SYSTEMS OF THE HEALTH SYSTEM. CURRENTLY, AN ENTERPRISE RESOURCE PLANNING (ERP) SYSTEM AND A RADIOLOGY INFORMATION SYSTEM (RIS) ARE INSTALLED AND BEING OPERATED. IN ADDITION, A CLINICAL AND PATIENT ADMINISTRATIVE SYSTEM IS BEING INSTALLED THROUGHOUT THE HEALTH SYSTEM.Description

Activity Other ActivityOther (4 entries)

ExpenseExpenseRevenueRevenueDescriptionDescriptionGrantsGrants
2382388782769649QUALITY, RISK MANAGEMENT, COMMUNICATIONS
4912331154819MEDICAL OFFICE BUILDING, DENVER, CO
148292DEPRECIATION
278650GRANTS RELATED TO SCLHS MISSION278650
FieldValueIRS element (for citing)
Total Of Other Program Service Exp24742062TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt278650TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev83924468TotalOfOtherProgramServiceRev
Total Program Service Expense144433460TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxtrueSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096277NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees342NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Name Of Foreign CountryUKNameOfForeignCountry
Name Of Foreign CountryCANameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSHARON OWENS SCL HEALTH SYSNamePerson
Telephone Number3038135190TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12420 W 26TH AVE STE 100-DAddressLine1
CityDENVERCity
StateCOState
ZIP Code80211ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
SISTER LYNN CASEY SCL
BOARD MEMBER3.0X
SISTER MAUREEN HALL SCL
VICE PRESIDENT3.0XX
TERRY HEATH
BOARD MEMBER3.0X
GORDON HOWIE
CHAIRPERSON3.0XX
SISTER EILEEN HURLEY SCL
BOARD MEMBER3.0X
DONNA J KING
BOARD MEMBER3.0X1124
KNUTE KNUDSON
BOARD MEMBER3.0X
MATTHEW LAMBERT III MD
VICE CHAIRPERSON3.0XX
MAUREEN MAHONEY
BOARD MEMBER3.0X
MARLON PRIEST MD
BOARD MEMBER3.0X417
DENNIS PURTELL
BOARD MEMBER3.0X
KENT RUSSELL
BOARD MEMBER3.0X
VINOY SAHNEY PhD
BOARD MEMBER3.0X
RONALD SPERLING
BOARD MEMBER3.0X
MICHAEL A SLUBOWSKI
PRESIDENT/CEO40.0XX1304791010969
LYDIA W JUMONVILLE
CHIEF FINANCE OFFICER/SVP FIN40.0X588823080777
EDWARD L BARKER
SECRETARY/SVP GENERAL COUNSEL40.0X618049087909
MARK A WILKINSON
TREASURER / VICE PRESIDENT40.0X177017026043
PAMELA G LOGAN
ASSISTANT SECRETARY40.0X11404619372
ROBERT W LADENBURGER
EVP CHIEF OPERATING OFFICER40.01086761084694X
MARY JO GREGORY
EVP CHIEF OPERATING OFFICER40.0161143101953275X
WILLIAM M ANDERSON
VP CHIEF HUMAN RESOURCES OFFIC40.055205009582X
ROBERT A BOYSEN
VP CHIEF INTEGRATION OFFICER40.0109812701044316X
BRENDA S CHILMAN
VP REVENUE SERVICES40.03807120428517513X
TODD A CONKLIN SR
VP CFO HOSPITAL OPERATIONS40.031699436345975682X
JILL W KENNELLY
VP CHIEF STRATEGY OFFICER40.0362088071371X
RICHARD T LOPES
SVP HEALTH NETWORKS40.0420106043091X
DAVID PECORARO
VP CHIEF INFORMATION OFFICER40.0428616058070X
DEBORAH WELLE-POWELL
VP PAYER CONTRACT-STRATEGY40.02568893610445642X
LOURDES J LAZATIN
CEO SAINT JOHN'S SANTA MONICA1115556040050X
JAMES T PAQUETTE
SYSTEM PROJECT LEADER40.07385270123111X
ELEANOR L RAMIREZ
COO SAINT JOHN'S SANTA MONICA648655032217X
CHERIE L GORBY
COO ST MARY'S GRAND JUNCTION5602630308477X
BAIN J FARRIS
CEO SAINT JOSEPH DENVER553036099532X
WILLIAM M MURRAY
FORMER SCLHS PRESIDENT / CEO1848716023674X
MARGARET J BREEN
FORMER SVP HUMAN RESOURCES3509680122X
FieldValueIRS element (for citing)
Total Reportable Comp From Org14791121TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs603848TotalReportableCompFrmRltdOrgs
Total Other Compensation4255489TotalOtherCompensation
Number Individuals GT100 K123NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Broadlane Inc
13727 NOEL RDDALLASTX75240PROF/ADMIN PERSONNEL5471772
Galloway Consulting
5330 CROSS ROADS MANORATLANTAGA30327Consulting2798394
Catholic Healthcare Audit Network
231 SOUTH BEMISTONST LOUISMO63105INT AUDIT SERVICES2097868
ERNST AND YOUNG LLP
PO BOX 660401DALLASTX75260AUDIT & TAX SERVICES1556928
MCKINSEY COMPANY INC
PO BOX 7247-7255PHILADELPHIAPA191707255CONSULTING1527625
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
All Other Contributions1082AllOtherContributions
Total Contributions1082TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
AFFILIATE MANAGEMENT FEES541900833702118334021130000
PROGRAM RENTAL INCOME53200011737661173766
INTEREST INCOME FROM NOTES RECEIVABLE9000991909081719090817
FieldValueIRS element (for citing)
Total Program Service Revenue103634794TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12060660TotalRevenueColumn
Unrelated Business Revenue-138419UnrelatedBusinessRevenue
Exclusion$12,199,079ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column789686TotalRevenueColumn
Exclusion$789,686ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4652258Securities
Other240744Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4652258Securities
Other240744Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4893002TotalRevenueColumn
Exclusion$4,893,002ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
VENDOR ADMINISTRATION REBATE9000994915839$4,915,839
DEBT GUARANTEE FEES900099143611143611
MISCELLANEOUS REVENUE9000992269722697
FieldValueIRS element (for citing)
Total Other Revenue5082147TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column126461371TotalRevenueColumn
Related Or Exempt Function Income103771102RelatedOrExemptFunctionIncome
Unrelated Business Revenue-108419UnrelatedBusinessRevenue
Exclusion$22,797,606ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total212300Total
Program Services212300ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total66350Total
Program Services66350ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total9963765Total
Program Services9963765ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total37428802Total
Program Services22824078ProgramServices
Management And General14604724ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3317685Total
Program Services353739ProgramServices
Management And General2963946ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1173905Total
Program Services627009ProgramServices
Management And General546896ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2204261Total
Program Services1664165ProgramServices
Management And General540096ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total881137Total
Management And General881137ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total3056280Total
Management And General3056280ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total75049Total
Program Services75049ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1543195Total
Management And General1543195ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10130465Total
Program Services9713090ProgramServices
Management And General417375ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2384355Total
Program Services2026702ProgramServices
Management And General357653ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8943732Total
Program Services7602172ProgramServices
Management And General1341560ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1594859Total
Program Services1355630ProgramServices
Management And General239229ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1329829Total
Program Services1329829ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total743698Total
Program Services743698ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total58121303Total
Program Services58121303ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total24206233Total
Program Services24206233ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total155795Total
Program Services132426ProgramServices
Management And General23369ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PROFESSIONAL SERVICES14433311443331
SYSTEM DUES12286801228680
RENTAL LESS DEPRECIATION739611739611
SCHOLARSHIP ADMIN EXPENSE43004300

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total170948920Total
Program Services144433460ProgramServices
Management And General26515460ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY988BOY
EOY128EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY22615441BOY
EOY38389891EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY60000BOY
EOY60000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2714583BOY
EOY5034475EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis214884730LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec123161968LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY77929574BOY
EOY91722762EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY481273610BOY
EOY539045966EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY340800910BOY
EOY260632603EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY511801418BOY
EOY475073655EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY43388663BOY
EOY21173587EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1480585187BOY
EOY1431133067EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY48238199BOY
EOY123251945EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY1395010059BOY
EOY1361576377EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY33861703BOY
EOY50172394EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1477109961BOY
EOY1535000716EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-32798405BOY
EOY-128252848EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY34273631BOY
EOY22385199EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2000000BOY
EOY2000000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3475226BOY
EOY-103867649EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1480585187BOY
EOY1431133067EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-44487549ReconcilationRevenueExpenses
Reconcilation Other Changes-62855326ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (15 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
PROVIDENCE MEDICAL CENTER INC
48078444603falsetruetrue$0
ST FRANCIS HEALTH CENTER INC
48054771903falsetruetrue$0
ST JAMES HEALTHCARE
81023178503falsetruetrue$0
SAINT JOHN HOSPITAL INC
48054376803falsetruetrue$0
SAINT JOHN'S HEALTH CENTER
95168408203falsetruetrue$0
SAINT JOSEPH HOSPITAL INC
84041713403falsetruetrue$0
EXEMPLA INC
84110360603falsetruetrue$0
ST MARY'S HOSPITAL AND MEDICAL CENTER INC
84042572003falsetruetrue$0
ST VINCENT HEALTHCARE
81023212403falsetruetrue$0
HOLY ROSARY HEALTHCARE
81023179203falsetruetrue$0
BETHANY COMMUNITY PLAZA INC
48120740703falsetruetrue$0
CARITAS CLINICS INC
48100991003falsetruetrue$0
MARIAN CLINIC INC
48104690503falsetruetrue$0
MARILLAC CLINIC INC
84108582203falsetruetrue$0
MOUNT ST VINCENT HOME INC
84040526003falsetruetrue$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs15TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteerstrueVolunteers
Paid Staff Or ManagementtruePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MemberstrueMailingsMembers
Mailings Members$25,529MailingsMembersAmount
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorstrueDirectContactLegislators
Direct Contact Legislators$41,059DirectContactLegislatorsAmount
Rallies DemonstrationstrueRalliesDemonstrations
Rallies Demonstrations$207,140RalliesDemonstrationsAmount
Other ActivitiesfalseOtherActivities
Total Lobbying Expenditures IIB273728TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3639978BeginningOfYearBalance
Investment Earnings Or Losses17492InvestmentEarningsOrLosses
Other Expenditures132918OtherExpenditures
End Of Year Balance3524552EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3502137BeginningOfYearBalance
Contributions60804Contributions
Investment Earnings Or Losses277272InvestmentEarningsOrLosses
Other Expenditures200235OtherExpenditures
End Of Year Balance3639978EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3435586BeginningOfYearBalance
Investment Earnings Or Losses261551InvestmentEarningsOrLosses
Other Expenditures195000OtherExpenditures
End Of Year Balance3502137EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4177114BeginningOfYearBalance
Investment Earnings Or Losses-620022InvestmentEarningsOrLosses
Other Expenditures121506OtherExpenditures
End Of Year Balance3435586EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.56740PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.43260TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis37026811OtherCostOrOtherBasis
Book Value37026811BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis23697877OtherCostOrOtherBasis
Depreciation23342511Depreciation
Book Value355366BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1922228OtherCostOrOtherBasis
Depreciation1651575Depreciation
Book Value270653BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis152237814OtherCostOrOtherBasis
Depreciation98167882Depreciation
Book Value54069932BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings91722762TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
REAL ESTATE102760918F
ABSOLUTE RETURN FUNDS79502693F
CORE HEDGE FUNDS38521851F
PRIVATE EQUITY17808620F
INSTITUTIONAL COMMINGLED FUNDS22038521F
FieldValueIRS element (for citing)
Total Of Book Value Securities260632603TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated (6 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
PROVIDENCE MEDICAL CENTER3948802F
ST. JOHN HOSPITAL, INC.1473298F
ST. JAMES HEALTHCARE17005666F
ST. MARY'S HOSPITAL & MEDICAL39670889F
SAINT JOHN'S HEALTH CENTER89000000F
EXEMPLA SYSTEM SERVICES323975000F
FieldValueIRS element (for citing)
Total Of Book Value Program Related475073655TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMP 457 PLAN LIAB$8,045,869
INTEREST RATE SWAP LIABILITY$27,697,364
FROZEN DB PLAN$9,864,739
OTHER ACCRUED LIABILITIES$4,564,422
FieldValueIRS element (for citing)
Total Of Amounts50172394TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, SCHEDULE D, PART V, LINE 4 (ENDOWMENT FUNDS):SCLHS HAS A PERMANENT ENDOWMENT IN THE AMOUNT OF $2,000,000. THE EARNINGS FROM THE PERMANENT ENDOWMENT ARE A TERM ENDOWMENT TO BE USED FOR EDUCATION PURPOSES AS DETERMINED BY SCLHS MANAGEMENT.
FORM 990, SCHEDULE D, PART X (ASC 740-10 FOOTNOTE DISCLOSURE)SCLHS DID NOT HAVE A DISCLOSURE OF ASC 740-10 - INCOME TAXES IN ITS DECEMBER 31, 2011 AUDITED FINANCIAL STATEMENTS AS IT WAS NOT MATERIAL.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (4 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America and the Caribbean00Program ServicesCAPTIVE INSURANCE PREM13444858
Central America and the Caribbean00Investments109874138
Europe (Including Iceland and Greenland)00Investments3035808
North America00Investments0
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent126354804SubtotalAmountSpent
Total Amount Spent126354804TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierSchedule F, Part I, Line 3Identifier
ExplanationSCLHS' expenditures (premiums paid) for its captive insurance premiums was $13,444,858 net of premium discounts.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CRISTO REY KANSAS CITY SCHOOL
211 W LINWOOD BLVDKANSAS CITYMO64111436033728501(c)(3)46833SCHOOL SUPPORT
UNIVERSITY OF ST MARY
4100 SOUTH 4TH STREETLEAVENWORTHKS66048480547846501(C)(3)29500FUNDRAISER SPONSOR AND SUPPORT
MOUNT ST VINCENT HOME
4159 LOWELL BLVDDENVERCO80211840405260501(c)(3)40000FUNDRAISER SPONSOR
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSECONDARY EDUCATION SCHOLARSHIPSTypeOfGrant
Number Of Recipients36NumberOfRecipients
Amount Of Cash Grant65350AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, SCHEDULE I, PART I, LINE 2 (MONITORING OF GRANTS)Identifier
ExplanationSCLHS' MISSION DEPARTMENT REQUIRES WRITTEN STATEMENTS THREE TIMES A YEAR REGARDiNG THE PROGRESS AND STATUS OF THE GRANT.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL A SLUBOWSKI
913849020000001909420001096901315760000
LYDIA W JUMONVILLE
4739510570000578720655290152480669600000
EDWARD L BARKER
4678600001501890715860163230705958000
MARK A WILKINSON
14375703199001270016466095770203060000
ROBERT W LADENBURGER
6076730144615033447307384501084901171455000
MARY JO GREGORY
6315550374000060587601942602010673035647060857460
WILLIAM M ANDERSON
27721200027483800095820561632000
ROBERT A BOYSEN
379214015356005653530102858601573002142443000
BRENDA S CHILMAN
37817171114025571254760074043594109054254656521330400
TODD A CONKLIN SR
306694686440196725103009809055893356712205401738509237104300
JILL W KENNELLY
346915000151730600500113210433459000
RICHARD T LOPES
304166000115940036475066160463197000
DAVID PECORARO
3303460812120170580474510106190486686000
DEBORAH WELLE-POWELL
252819809302801140700441001621361193023503628500
LOURDES J LAZATIN
50496105171660934290336520639801155606000
JAMES T PAQUETTE
41835100032017601078850152260861638000
ELEANOR L RAMIREZ
312198024226609419101960001261706808720540770
CHERIE L GORBY
27636104154502423570298052010425086874001459480
BAIN J FARRIS
42858001051220193340888430106890652568000
WILLIAM M MURRAY
42576400014229520191470452701872390000
MARGARET J BREEN
0000350968000122035109003510900

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSCHEDULE J SUPPLEMENTAL DISCLOSURESIdentifier
ExplanationSCHEDULE J, PART I, LINE 1a (TRAVEL FOR COMPANION) SCLHS AND ITS AFFILIATES HAVE ANNUAL RETREATS FOR THEIR BOARDS OF DIRECTORS. THE BOARD MEMBERS AND MANAGEMENT ARE ALLOWED TO BE REIMBURSED IF THEY BRING A SPOUSE OR GUEST TO THESE RETREATS. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2011 WERE: DONNA J KING MARLON PRIEST MD ---------------------------------------------------------------------- SCHEDULE J, PART I, LINE 1a (TAX INDEMNIFICATION AND GROSS-UP PAYMENTS) SCLHS ALLOWS FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION AND TEMPORARY HOUSING. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2011 WERE: MICHAEL A SLUBOWSKI LYDIA W JUMONVILLE MARY JO GREGORY WILLIAM M ANDERSON RICHARD T LOPES JAMES T PAQUETTE ---------------------------------------------------------------------- SCHEDULE J, PART I, LINE 1a (HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE) SCLHS ALLOWS FOR CERTAIN HOUSING PAYMENTS IN THE INSTANCES OF RELOCATION AND TEMPORARY HOUSING. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. THE INDIVIDUALS LISTED THAT WERE TAXED FOR 2011 WERE: LYDIA W JUMONVILLE JAMES T PAQUETTE ---------------------------------------------------------------------- SCHEDULE J, PART I, LINE 4a (SEVERANCE PAYMENTS) SCLHS PERIODICALLY INCURS SEVERANCE PAYMENTS RELATED TO FORMER EMPLOYEES. THE AMOUNTS PAID TO LISTED INDIVIDUALS FOR SEVERANCE IN 2011 WERE: MARY JO GREGORY-$221,398 ROBERT A BOYSEN-$67,714 CHERI L GORBY-$94,735 WILLIAM M MURRAY-$150,051 MARGARET J BREEN-$350,968 ---------------------------------------------------------------------- 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 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 2011 WERE: MICHAEL A SLUBOWSKI-$38,668 EDWARD L BARKER-$55,995 ROBERT W LADENBURGER-$116,293 WILLIAM M ANDERSON-$28,351 RICHARD T LOPES-$27,413 LOUREDS J LAZATIN-$29,494 JAMES T PAQUETTE-$105,270 ELEANOR L RAMIREZ-$42,023 IN ADDITION, VESTED AMOUNTS ARE PAYABLE UPON END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN, NOT PREVIOUSLY TAXED, FOR THIS TYPE OF PAYMENT IN 2011 WERE: MARY JO GREGORY-$365,301 ROBERT A BOYSEN-$470,893 CHERI L GORBY-$145,948 WILLIAM M MURRAY-$1,258,479 ---------------------------------------------------------------------- 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 SULLIVAN, COTTER AND ASSOCIATES, INC. (SULLIVAN COTTER), AS INDEPENDENT COMPENSATION ADVISORS. SULLIVAN COTTER IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY AT THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED BY SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS. THE SISTERS WHO SERVE AS OFFICERS AND / OR BOARD MEMBERS 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. ----------------------------------------------------------------------Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MONTANA FACILITY FINANCE AUTHORITY
81030240261204KBB62003-12-05392100002/2/1994 REFINANCE+BLDGS+EQUPfalsefalsefalse
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORTIY
52164382813033FQU72003-12-05497550002/2/1994 REFINANCEfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
840752932196474K582003-12-051030350002/2/1994&9/9/1992 REFIN+BLDGS+equifalsefalsefalse
MONTANA FACILITY FINANCE AUTHORITY
81030240261204KBC42006-03-0735000000CONSTRUCT/REMODEL HOSPITAL FACILITfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0039210000000270531007630591002003truefalsetruetrue
00497550550003462000055002003truefalsetruetrue
001030354330007144380022369995002003truefalsetruetrue
00350289970003252990034703698002006falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruetruefalsefalse0.000000.000740.00074true
falsetruetruetruefalsefalse0.000000.000000.00000true
falsetruetruetruefalsefalse0.000000.029370.02937true
falsetruetruetruefalsefalse0.000000.030930.03093true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
Merrill Lynch
truetruetrue20.falsefalsefalse0falsefalse
Merrill Lynch
truetruetrue20.falsefalsefalse0falsefalse
Merrill Lynch
truetruetrue20.falsefalsefalse0falsefalse
Deutsche Bank
truetruetrue25.falsefalsefalse0falsefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE KIdentifier
Return ReferencePART I, COLUMN (C), CUSIP #ReturnReference
ExplanationSCHEDULE K DISCLOSES THE COLORADO HEALTH FACILITIES AUTHORITY BONDS, ISSUED 12/05/2003, WITH AN ISSUE PRICE OF $103,035,000. THIS IS DISCLOSED AS ONE LINE ON SCHEDULE K DUE TO ONLY ONE FORM 8038 BEING ISSUED. THAT SAID, THERE ARE ACTUALLY TWO CUSIP NUMBERS, AS FOLLOWS: PER FORM 8038: CUSIP - 196474 K58 / K41 ACTUAL: CUSIP - 196474 K58 and CUSIP - 196474 K41Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
KANSAS DEVELOPMENT FINANCE AUTHORITY
48106658948542KHB82006-03-0760000000CONSTRUCT/REMODEL HOSPITAL FACfalsefalsefalse
KANSAS DEVELOPMENT FINANCE AUTHORITY
48106658948542KHA02006-03-0725000000CONSTRUCT/REMODEL HOSPITAL FACfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
84075293219648AST32010-05-206054601433/24/98&11/13/02&7/18/02 REFI+HOSPfalsefalsefalse
MONTANA FACILITY FINANCE AUTHORITY
81030240261204KHV62010-05-202175358683/24/98&5/25/00 REFI+HOSP FACfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
00600708460005576550059513191002006falsefalsetruetrue
00250207320002323560024788376002006falsefalsetruetrue
00605500535000683621500310645879002010truetruetruetrue
00217587116000252928100328248120690000002010truefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruetruefalsefalse0.000020.000000.00002true
falsetruetruetruefalsefalse0.007200.001300.00849true
falsetruetruetruefalsefalse0.000000.000330.00033true
falsetruetruetruefalsefalse0.026030.001350.02738true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
Deutsche Bank
truetruetrue25.falsefalsefalse0falsefalse
Deutsche Bank
truetruetrue25.falsefalsefalse0falsefalse
0
falsefalsefalsefalsefalsefalse0falsefalse
0
falsefalsefalsefalsefalsefalse0falsefalse

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
KANSAS DEVELOPMENT FINANCE AUTHORITY
48106658948542K5N52010-05-202026254013/24/98&5/25/00 REFI+HOSP FACfalsefalsefalse
COLORADO HEALTH FACILITIES AUTHORITY
8407529322011-06-1562620000REFI 7/18/02&2/4/09falsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
0020262540100024880060077008019002010truefalsetruetrue
0062620000000420000000002011truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruetruefalsefalse0.002690.000000.00269true
falsetruetruetruefalsefalse0.000000.000000.00000true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsefalsefalsefalsefalsefalse0falsefalse
0
falsetruefalsefalsefalsefalse0falsefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990 GENERAL EXPLANATIONS_1FORM 990 (DEFINITION) SCLHS = SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. ------------------------------------------------------------------------- FORM 990, PART VI (GOVERNANCE, MANAGEMENT, & DISCLOSURE) SECTION A. GOVERNING BODY AND MANAGEMENT 6., 7(A)., AND 7(B). SCLHS HAS MEMBERS WHO APPOINT THE BOARD OF DIRECTORS OF SCLHS. THROUGH SEPTEMBER 25, 2011, THE MEMBERS OF SCLHS WERE THE COMMUNITY DIRECTOR AND THOSE PERSONS WHO ARE MEMBERS OF THE COMMUNITY COUNCIL OF THE SISTERS OF CHARITY OF LEAVENWORTH RELIGIOUS COMMUNITY. ON SEPTEMBER 25, 2011, THE SISTERS TRANSFERRED SPONSORSHIP OF SCLHS TO A NEWLY-FORMED ENTITY, LEAVEN MINISTRIES, WHICH HAS BEEN APPROVED AND RECOGNIZED BY THE CATHOLIC CHURCH AS THE SPONSOR OF SCLHS. LEADERSHIP OF THE SISTERS OF CHARITY OF LEAVENWORTH RELIGIOUS COMMUNITY REMAIN INVOLVED IN LEAVEN MINISTRIES. THE MEMBERS OF LEAVEN MINISTRIES INCLUDE THREE SISTERS OF CHARITY OF LEAVENWORTH BOARD MEMBERS AND TWO LAY LEADERS. SECTION B. POLICIES 11(B). SCLHS' GOVERNING BODY, A BOARD OF DIRECTORS, REVIEWS THE FORM 990 BEFORE IT IS FILED WITH THE IRS. THIS PROCESS INVOLVES EACH BOARD MEMBER RECEIVING A DRAFT OF THE FORM 990 AND THE OPPORTUNITY TO REVIEW AND ASK QUESTIONS BEFORE IT IS FILED, THUS ENSURING THAT THE INFORMATION ACCURATELY REFLECTS SCLHS' MISSION, OPERATIONS, COMMUNITY BENEFITS, GOVERNANCE OVERSIGHT, ETC. 12(C). SCLHS REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR EACH OF ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS, AS WELL AS HAVING EACH OF THESE INDIVIDUALS COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED AND A REPORT PROVIDED TO SCLHS' PRESIDENT/CEO REGARDING EMPLOYEES AND OFFICERS, AND TO THE CHAIR OF THE BOARD AND CHAIR OF THE GOVERNANCE COMMITTEE REGARDING BOARD MEMBERS. IN THE EVENT OF A CONFLICT OF INTEREST WITH AN SCLHS BOARD MEMBER, THE CONFLICT SHALL PROMPTLY BE REPORTED TO THE SCLHS BOARD CHAIR WHO WILL PRESENT THE FACTS TO THE SCLHS GOVERNANCE COMMITTEE FOR EVALUATION AND PRESENTATION TO THE SCLHS BOARD OF DIRECTORS FOR ITS ACTION. 15(A) & 15(B). SCLHS' PROCESS FOR DETERMINING COMPENSATION FOR THE TOP MANAGEMENT, SENIOR LEADERSHIP, IS THE RESPONSIBILITY OF THE SCLHS COMPENSATION COMMITTEE. THIS COMMITTEE IS COMPOSED OF THREE OR MORE MEMBERS WHO ARE NOT CURRENT EMPLOYEES OF SCLHS, OR FORMER EMPLOYEES WITH NO ACTIVE INTEREST IN THE SCLHS' COMPENSATION PROGRAM, INCLUDING AT LEAST TWO MEMBERS OF THE SCLHS BOARD. SCLHS BELIEVES THAT THE INDEPENDENCE OF THESE MEMBERS IS VITAL TO THE INTEGRITY OF THE PROCESS. THE WORK OF THIS COMMITTEE INCLUDES BEING CONSTANTLY AWARE OF THE CURRENT COMPETITIVE MARKET FOR MANAGEMENT AND SENIOR LEADERS, AS WELL AS COMPILING AND MAINTAINING RECORDS OF COMPARABLE COMPENSATION AND BENEFITS DATA, INCLUDING SURVEYS AND OTHER ANALYSES, TO SUPPORT SCLHS' TOTAL COMPENSATION TO EACH INDIVIDUAL. MINUTES ARE KEPT CONTEMPORANEOUSLY FOR EACH MEETING OF THE COMMITTEE. LIKEWISE, THE COMMITTEE IS RESPONSIBLE FOR ENSURING THAT NO "EXCESS BENEFIT" IS CONFERRED ON AN INDIVIDUAL, OR THAT SUCH COMPENSATION DOES NOT CONSTITUTE PROHIBITED INUREMENT. THIS PROCESS IS COMPLETED FOR ALL SENIOR LEADERSHIP, AT THE AFFILIATE AND SYSTEM LEVEL, AND THE COMMITTEE'S RECOMMENDATION IS THEN SUBMITTED TO THE SCLHS BOARD FOR APPROVAL. THE CHARGE OF THIS COMMITTEE ADHERES TO SCLHS' CORE VALUE OF STEWARDSHIP, ENSURING THAT THE MINISTRY'S RESOURCES HELD IN TRUST ARE NOT WASTED OR MISUSED, AND ARE DEPLOYED TO EFFECTIVELY AND EFFICIENTLY ADVANCE THE MISSION. SECTION C. DISCLOSURE 19. SCLHS' GOVERNANCE MANUAL FOR BOARD MEMBERS IS AVAILABLE TO THE PUBLIC ON THE WEBSITE, WWW.GREATBOARDS.ORG. THE MANUAL SETS FORTH THE STANDARDS AND EXPECTATIONS OF EACH BOARD MEMBER INCLUDING THE FIDUCIARY DUTY OF LOYALTY WHICH REQUIRES THAT EACH MEMBER ABIDE BY SCLHS' CONFLICT OF INTEREST POLICY, DISCLOSE ANY ISSUES WHICH MAY PRESENT A CONFLICT, COMPLETE THE ANNUAL DISCLOSURE STATEMENT, REVIEW POLICIES AND PROCEDURES PERTAINING TO CONFLICTS OF INTEREST, AND PROVIDE OVERSIGHT OF SCLHS' RESPONSIBILITY PROGRAM. FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. ------------------------------------------------------------------------- FORM 990, PART XI (RECONCILIATION OF NET ASSETS) LINE 5: OTHER CHANGES IN NET ASSETS: UNREALIZED LOSS ON INVESTMENTS $(13,702,353) UNREALIZED LOSS ON SWAPS (14,172,902) FROZEN DEFINED BENEFIT RETIREMENT PLAN GAIN 6,520,813 EQUITY TRANSFERS FROM RELATED (3,572,913) FAS 158 LOSS ON DEFINED BENEFIT PLANS (33,548,100) SELF-INSURED LIABILITY REDUCTION (4,379,871) ----------- TOTAL $(62,855,326) =========== ------------------------------------------------------------------------- FORM 990, PART XII, LINE 2 (FINANCIAL STATEMENTS & REPORTING) SCLHS HAS AN INDEPENDENT AUDIT COMPLETED AND REPORTED UPON ANNUALLY ON ITS CONSOLIDATED ORGANIZATION. THERE IS NO SEPARATE AUDIT REPORT FOR SCLHS. IN ADDITION, SCLHS' BOARD HAS AN AUDIT COMMITTEE WHICH HAS OVERSIGHT OF THE EXTERNAL AUDIT PROCESS AND RESULTS AS WELL AS SELECTION OF THE INDEPENDENT AUDITORS. CURRENT INDEPENDENT AUDITORS ARE ERNST & YOUNG, LLP. -------------------------------------------------------------------------
FORM 990 GENERAL EXPLANATIONS_2FORM 926, STATEMENT PURSUANT TO TREASURY REG. SEC. 1.6038B-1(C): APPLICABLE TO ALL IRS FORMS 926 FILED WITH THIS RETURN. 1. TRANSFEROR NAME: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND U.S. TAXPAYER IDENTIFICATION NUMBER: 23-7379161. 2. TRANSFEREE: A. NAME: VARIOUS, SEE IRS FORMS 926, PART II, LINE 3; TAXPAYER IDENTIFICATION NUMBER: VARIOUS, SEE IRS FORMS 926, PART II, LINE 4; ADDRESS: VARIOUS, SEE IRS FORMS 926, PART II, LINE 5; COUNTRY OF INCORPORATION: VARIOUS, SEE IRS FORMS 926, PART II, LINE 6. B. GENERAL DESCRIPTION OF THE TRANSFER: VARIOUS, GENERALLY CASH, SEE IRS FORMS 926, PART III. 3. CONSIDERATION RECEIVED: SEE AMOUNT ON IRS FORMS 926, PART III. 4. PROPERTY TRANSFERRED, INCLUDING THE ESTIMATED FAIR MARKET VALUE AND ADJUSTED BASIS OF THE PROPERTY: A. ACTIVE BUSINESS PROPERTY: SEE AMOUNT ON IRS FORMS 926, PART III. B. STOCK OR SECURITIES: SEE AMOUNT ON IRS FORMS 926, PART III. I. ACTIVE TRADE OR BUSINESS STOCK. II. APPLICATION OF SPECIAL RULES. C. DEPRECIATED PROPERTY: SEE AMOUNT ON IRS FORMS 926, PART III. D. PROPERTY TO BE LEASED: N/A E. PROPERTY TO BE SOLD: N/A F. TRANSFERS TO FSCS: N/A G. TAINTED PROPERTY: N/A I. INVENTORY, ETC.: PROPERTY DESCRIBED IN SEC. 1.367(A)-5T(B); II. INSTALLMENT OBLIGATIONS, ETC.: PROPERTY DESCRIBED IN SEC. 1.367(A)-5T(C); III. FOREIGN CURRENCY, ETC: PROPERTY DESCRIBED IN SEC. 1.367(A)-5T(D); IV. INTANGIBLE PROPERTY: PROPERTY DESCRIBED IN SEC. 1.367(A)-5T(E); V. LEASED PROPERTY: PROPERTY DESCRIBED IN SEC. 1.367(A)-5T(F). H. FOREIGN LOSS BRANCH: N/A I. OTHER INTANGIBLES: SEE AMOUNT ON IRS FORMS 926, PART III. 5. TRANSFER OF FOREIGN BRANCH WITH PREVIOUSLY DEDUCTED LOSSES: N/A A. BRANCH OPERATION. B. BRANCH PROPERTY. C. PREVIOUSLY DEDUCTED LOSSES. D. CHARACTER OF GAIN IN ACCORDANCE WITH SEC. 1.367(A)-6T(C)(1). N/A ------------------------------------------------------------------------- FORM 926, STATEMENT PURSUANT TO TREASURY REGS. SEC. 1.351-3T(A) AND SEC. 1.351-3T(B): APPLICABLE TO ALL IRS FORMS 926 WHERE SCLHS IS A SIGNIFICANT TRANSFEROR. BY: SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. EIN: 23-7379161 YEAR ENDED DECEMBER 31, 2011. 1. NAME AND EIN (IF ANY) OF TRANSFEREE CORPORATION(S): SEE FORMS 926, PART II, LINES 3 AND 4. 2. DATE(S) OF THE TRANSFER(S) OF ASSETS: VARIOUS DATES. SEE FORMS 926, PART III. 3. IMMEDIATELY BEFORE THE EXCHANGE, THE PROPERTY TRANSFERRED BY THE TRANSFEROR IN EXCHANGE HAD AN: (A) AGGREGATE FAIR MARKET VALUE OF: SEE FORMS 926, PART III WHERE CASH VALUE EXCHANGED WAS REPORTED. (B) AGGREGATE BASIS OF: SINCE CASH WAS EXCHANGED, BASIS IS EQUAL TO FAIR MARKET VALUE ABOVE. 4. DATE AND CONTROL NUMBER OF ANY PRIVATE LETTER RULING(S) ISSUED BY THE INTERNAL REVENUE SERVICE IN CONNECTION WITH THE SECTION 351 EXCHANGE: NOT APPLICABLE. ------------------------------------------------------------------------- FORM 5471, STATEMENT PURSUANT TO TREASURY REG. SEC. 1.351-3T(B): APPLICABLE TO ALL IRS FORMS 5471 FILED WITH THIS RETURN. BY: VARIOUS, SEE ALL FORMS 5471 FILED WITH THIS RETURN. EIN: VARIOUS, SEE ALL FORMS 5471 FILED WITH THIS RETURN. YEAR ENDED DECEMBER 31, 2011. 1. NAME AND EIN (IF ANY) OF TRANSFEREE CORPORATION(S): SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.; 23-7379161. 2. DATE(S) OF THE TRANSFER(S) OF ASSETS: VARIOUS DATES. SEE FORMS 5471. 3. IMMEDIATELY BEFORE THE EXCHANGE, THE PROPERTY TRANSFERRED BY THE TRANSFEROR IN EXCHANGE HAD AN: (A) AGGREGATE FAIR MARKET VALUE OF: SEE FORMS 5471 WHERE CASH VALUE EXCHANGED WAS REPORTED. (B) AGGREGATE BASIS OF: SINCE CASH WAS EXCHANGED, BASIS IS EQUAL TO FAIR MARKET VALUE ABOVE. 4. DATE AND CONTROL NUMBER OF ANY PRIVATE LETTER RULING(S) ISSUED BY THE INTERNAL REVENUE SERVICE IN CONNECTION WITH THE SECTION 351 EXCHANGE: NOT APPLICABLE. ------------------------------------------------------------------------- FORM 5471, STATEMENT OF REASONABLE CAUSE PURSUANT TO TREASURY REG. SEC. 301.6679-1(A)(3): SCLHS, A SHAREHOLDER OF THE RIVERVIEW MULTI-SERIES FUND SPC, LTD., IS NOT IN POSSESSION OF CERTAIN INFORMATION REQUESTED BY THE IRS ON FORM 5471 AND IS UNABLE TO OBTAIN SUCH INFORMATION FROM RIVERVIEW MULTI-SERIES FUND SPC, LTD. SPECIFICALLY, SCLHS IS NOT IN POSSESSION OF THE FOLLOWING INFORMATION REQUESTED IN FORM 5471: SCHEDULE B: THE IDENTITY, HOLDINGS AND INCOME OF OTHER U.S. SHAREHOLDERS AND THEIR PRO RATA SHARE OF SUBPART F INCOME; THIS STATEMENT IS INTENDED TO SERVE AS A STATEMENT OF REASONABLE CAUSE IN ACCORDANCE WITH TREASURY REG. SEC. 301.6679-1(A)(3). ------------------------------------------------------------------------- FORM 5471, STATEMENT OF REASONABLE CAUSE PURSUANT TO TREASURY REG. SEC. 301.6679-1(A)(3) AND 1.6038-2(K)(3)(II): SCLHS, A SHAREHOLDER OF THE JP MORGAN HEDGE FUND SPC, LTD -ACCESS MAR09 SEGREGATED PORTFOLIO, IS NOT IN POSSESSION OF CERTAIN INFORMATION REQUESTED BY THE IRS ON FORM 5471 AND IS UNABLE TO OBTAIN SUCH INFORMATION FROM JP MORGAN HEDGE FUND SPC, LTD -ACCESS MAR09 SEGREGATED PORTFOLIO. SPECIFICALLY, SCLHS IS NOT IN POSSESSION OF THE FOLLOWING INFORMATION REQUESTED IN FORM 5471: SCHEDULE B: THE IDENTITY, HOLDINGS AND INCOME OF OTHER U.S. SHAREHOLDERS AND THEIR PRO RATA SHARE OF SUBPART F INCOME; SCHEDULE E: THE INCOME, WAR PROFITS, AND EXCESS PROFITS TAXES PAID OR ACCRUED BY THE CORPORATION; SCHEDULE G: THE OTHER INFORMATION REGARDING THE CORPORATION. NOTE ALL BOXES ARE MARKED NO BY DEFAULT OF SCLHS' TAX SOFTWARE. ANSWERS MAY NOT BE ACCURATE; SCHEDULE H: THE CURRENT EARNINGS AND PROFITS OF THE CORPORATION; SCHEDULE I: THE SUMMARY OF SHAREHOLDER'S INCOME FROM FOREIGN CORPORATION. SCHEDULE J: THE INFORMATION REGARDING THE ACCUMULATED EARNINGS AND PROFITS (E&P) OF THE CORPORATION; SCHEDULE M: THE INFORMATION REGARDING TRANSACTIONS BETWEEN CONTROLLED FOREIGN CORPORATIONS AND SHAREHOLDERS OR OTHER RELATED PARTIES; AND SCHEDULE O, PART II, SECTIONS B, E AND F: SOCIAL SECURITY NUMBERS OF U.S. DIRECTORS OF THE CORPORATION, INFORMATION REGARDING THE ORGANIZATION OR REORGANIZATION OF THE FOREIGN CORPORATION, AND THE ADDITIONAL INFORMATION. THIS STATEMENT IS INTENDED TO SERVE AS A STATEMENT OF REASONABLE CAUSE IN ACCORDANCE WITH TREASURY REG. SEC. 301.6679-1(A)(3) AND 1.6038-2(K)(3)(II). ------------------------------------------------------------------------- FORM 5471, STATEMENT OF REASONABLE CAUSE PURSUANT TO TREASURY REG. SEC. 301.6679-1(A)(3) AND 1.6038-2(K)(3)(II): SCLHS, A SHAREHOLDER OF THE JP MORGAN HEDGE FUND SPC, LTD -ACCESS JUN09 SEGREGATED PORTFOLIO, IS NOT IN POSSESSION OF CERTAIN INFORMATION REQUESTED BY THE IRS ON FORM 5471 AND IS UNABLE TO OBTAIN SUCH INFORMATION FROM JP MORGAN HEDGE FUND SPC, LTD -ACCESS JUN09 SEGREGATED PORTFOLIO. SPECIFICALLY, SCLHS IS NOT IN POSSESSION OF THE FOLLOWING INFORMATION REQUESTED IN FORM 5471: SCHEDULE B: THE IDENTITY, HOLDINGS AND INCOME OF OTHER U.S. SHAREHOLDERS AND THEIR PRO RATA SHARE OF SUBPART F INCOME; SCHEDULE E: THE INCOME, WAR PROFITS, AND EXCESS PROFITS TAXES PAID OR ACCRUED BY THE CORPORATION; SCHEDULE G: THE OTHER INFORMATION REGARDING THE CORPORATION. NOTE ALL BOXES ARE MARKED NO BY DEFAULT OF SCLHS' TAX SOFTWARE. ANSWERS MAY NOT BE ACCURATE; SCHEDULE H: THE CURRENT EARNINGS AND PROFITS OF THE CORPORATION; SCHEDULE I: THE SUMMARY OF SHAREHOLDER'S INCOME FROM FOREIGN CORPORATION. SCHEDULE J: THE INFORMATION REGARDING THE ACCUMULATED EARNINGS AND PROFITS (E&P) OF THE CORPORATION; SCHEDULE M: THE INFORMATION REGARDING TRANSACTIONS BETWEEN CONTROLLED FOREIGN CORPORATIONS AND SHAREHOLDERS OR OTHER RELATED PARTIES; AND SCHEDULE O, PART II, SECTIONS B, E AND F: SOCIAL SECURITY NUMBERS OF U.S. DIRECTORS OF THE CORPORATION, INFORMATION REGARDING THE ORGANIZATION OR REORGANIZATION OF THE FOREIGN CORPORATION, AND THE ADDITIONAL INFORMATION. THIS STATEMENT IS INTENDED TO SERVE AS A STATEMENT OF REASONABLE CAUSE IN ACCORDANCE WITH TREASURY REG. SEC. 301.6679-1(A)(3) AND 1.6038-2(K)(3)(II). ------------------------------------------------------------------------- FORM 5471, STATEMENT OF REASONABLE CAUSE PURSUANT TO TREASURY REG. SEC. 301.6679-1(A)(3) AND 1.6038-2(K)(3)(II): SCLHS, A 12.54% SHAREHOLDER WITH NO VOTING RIGHTS IN AUSTIN CAPITAL SAFE HARBOR OFFSHORE FUND, LTD., IS NOT IN POSSESSION OF CERTAIN INFORMATION REQUESTED BY THE IRS ON FORM 5471 AND IS UNABLE TO OBTAIN SUCH INFORMATION FROM AUSTIN CAPITAL SAFE HARBOR OFFSHORE FUND, LTD.. SPECIFICALLY, SCLHS IS NOT IN POSSESSION OF THE FOLLOWING INFORMATION REQUESTED IN FORM 5471: SCHEDULE H: THE CURRENT EARNINGS AND PROFITS OF THE CORPORATION; SCHEDULE I: THE SUMMARY OF SHAREHOLDER'S INCOME FROM FOREIGN CORPORATION. SCHEDULE J: THE INFORMATION REGARDING THE ACCUMULATED EARNINGS AND PROFITS (E&P) OF THE CORPORATION; AS SCLHS IS NOT IN POSSESSION OF THE CURRENT EARNINGS AND PROFITS OF THE CORPORATION. THIS STATEMENT IS INTENDED TO SERVE AS A STATEMENT OF REASONABLE CAUSE IN ACCORDANCE WITH TREASURY REG. SEC. 301.6679-1(A)(3) AND 1.6038-2(K)(3)(II). -------------------------------------------------------------------------
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:LOURDES J LAZATIN TITLE:CEO SAINT JOHN'S SANTA MONICA HOURS:40FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:ELEANOR L RAMIREZ TITLE:COO SAINT JOHN'S SANTA MONICA HOURS:40FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:CHERIE L GORBY TITLE:COO ST MARY'S GRAND JUNCTION HOURS:40FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:BAIN J FARRIS TITLE:CEO SAINT JOSEPH DENVER HOURS:40FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CARITAS CLINICS INC
818 NORTH 7TH STREETLEAVENWORTHKS66048481009910CLINIC SVCSKS501(c)(3)3SCLHStrue
MARIAN CLINIC INC
1001 SW GARFIELDTOPEKAKS66604481046905CLINIC SVCSKS501(c)(3)3SCLHStrue
MARILLAC CLINIC INC
2333 N 6TH STREETGRAND JUNCTIONCO81501841085822CLINIC SVCSCO501(c)(3)3SCLHStrue
PROVIDENCE MEDICAL CENTER
8929 PARALLEL PARKWAYKANSAS CITYKS66112480784446HEALTHCAREKS501(c)(3)3SCLHStrue
ST JOHN HOSPITAL INC
3500 SOUTH FOURTH STREETLEAVENWORTHKS66048480543768HEALTHCAREKS501(c)(3)3PMCtrue
BETHANY COMMUNITY PLAZA INC
15 NORTH 12TH STREETKANSAS CITYKS66102481207407HEALTHCAREKS501(c)(3)3PMCtrue
PROVIDENCEST JOHN FOUNDATION INC
8929 PARALLEL PARKWAYKANSAS CITYKS66112480925688SUPPORT 501C3KS501(c)(3)7PMCtrue
ST FRANCIS HEALTH CENTER INC
1700 SW 7TH STREETTOPEKAKS66606480547719HEALTHCAREKS501(c)(3)3SCLHStrue
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREETTOPEKAKS66606481092520SUPPORT 501C3KS501(c)(3)11A-TYPE ISFHCtrue
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREETGRAND JUNCTIONCO81502840425720HEALTHCARECO501(c)(3)3SCLHStrue
ST MARYS HOSPITAL FOUNDATION
2635 N 7TH STREETGRAND JUNCTIONCO81502237001007SUPPORT 501C3CO501(c)(3)11A-TYPE ISMHMCtrue
SAINT JOSEPH HOSPITAL FOUNDATION
1835 FRANKLIN STREETDENVERCO80218840735096SUPPORT 501C3CO501(c)(3)11A-TYPE ISJHtrue
HOLY ROSARY HEALTHCARE
2600 WILSONMILES CITYMT59301810231792HEALTHCAREMT501(c)(3)3SCLHStrue
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSONMILES CITYMT59301202270238SUPPORT 501C3MT501(c)(3)11A-TYPE IHRHCtrue
ST VINCENT HEALTHCARE
1233 NORTH 30THBILLINGSMT59101810232124HEALTHCAREMT501(c)(3)3SCLHStrue
ST VINCENT HEALTHCARE FOUNDATION
PO BOX 35200BILLINGSMT59107810468034SUPPORT 501C3MT501(c)(3)7SVHCtrue
NORTHWEST RESEARCH & EDUCATION INSTITUTE
315 NORTH 25TH STREETBILLINGSMT59101201343024COMM HLTH RESMT501(c)(3)9SVHCtrue
ST JAMES HEALTHCARE
400 SOUTH CLARK STREETBUTTEMT59701810231785HEALTHCAREMT501(c)(3)3SCLHStrue
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK STREETBUTTEMT59701651202190SUPPORT 501C3MT501(c)(3)11A-TYPE ISJHCtrue
SAINT JOHNS HEALTH CENTER
2121 SANTA MONICA BLVDSANTA MONICACA904042091951684082HEALTHCARECA501(c)(3)3SCLHStrue
JOHN WAYNE CANCER INSTITUTE
2000 SANTA MONICA BLVDSANTA MONICACA90404954291515CANCER R&DCA501(c)(3)4SJHHCtrue
SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN
2121 SANTA MONICA BLVDSANTA MONICACA904042091956100079SUPPORT 501C3CA501(c)(3)11A-TYPE ISJHHCtrue
EXEMPLA INC FKA LUTHERAN HOSPITAL
2420 W 26TH AVE SUITE 100DDENVERCO80211841103606HEALTHCARECO501(c)(3)3SCLHStrue
EXEMPLA LUTHERAN MEDICAL CENTER FNDTN
2480 W 26TH AVESUITE 360BDENVERCO80211208846152SUPPORT 501C3CO501(c)(3)7EXEMPLA INCtrue
EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN
200 EXEMPLA CIRCLELAFAYETTECO80026841649162SUPPORT 501C3CO501(c)(3)7EXEMPLA INCtrue
LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST
2480 W 26TH AVESUITE 360BDENVERCO80211742571584INSURANCECO501(c)(3)11A-TYPE IEXEMPLA INCtrue
SAINT JOSEPH HOSPITAL
1835 FRANKLIN STREETDENVERCO80218840417134HEALTHCARECO501(c)(3)3SCLHStrue
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARDDENVERCO80211840405260RES CARECO501(C)(3)11A-TYPE ISCLHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
PAVILION IMAGING LLC
750 WELLINGTONGRAND JUNCTIONCO81501030516198RADIOLOGYCONAN/A
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTONGRAND JUNCTIONCO81501841505075OP SURGERYCONAN/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCONAN/A
BILLINGS MRI CENTER LLC
1041 NORTH 29TH STREETBILLINGSMT59101810450943MRI-PET SCANMTNAN/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHRN PKW SUITE 150WHEATRIDGECO800336028020749532OP SURGERYCONAN/A
COLORADO SURGICAL VENTURES LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038915OP SURGERYCONAN/A
COLORADO SURGICAL HOSPITAL LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038977OP SURGERYCONAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
CARITAS INC AND SUBSIDIARIES
2480 W 26th Avenue STE 100DDenverCO80211480941069OTHER MEDICALKSnaC CORP19578604299751791.00000
LEAVEN INSURANCE COMPANY LTD
980370522Insurancena3631560666057971.0000023 Lime Tree Bay AveGeorge TownGrand CaymanCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (58 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
PROVIDENCE MEDICAL CENTER (PMC)
A245970FMV
ST JOHN HOSPITAL INC (SJL)
A67165FMV
ST JAMES HEALTHCARE (SJB)
A570005FMV
ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ)
A1759533FMV
ST JOHN'S HEALTH CTR (SJSM)
A2773717FMV
EXEMPLA INC FKA LUTHERAN HOSPITAL
A7933927FMV
ST JOSEPH HOSPITAL (SJD)
A2565576FMV
MOUNT SAINT VINCENT HOME (MSVH)
B80000FMV
PROVIDENCE MEDICAL CENTER (PMC)
E11714669FMV
ST JOHN HOSPITAL INC (SJL)
E966353FMV
ST JAMES HEALTHCARE (SJB)
E3196146FMV
ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ)
E4421805FMV
ST JOHN'S HEALTH CTR (SJSM)
E16000000FMV
EXEMPLA INC FKA LUTHERAN HOSPITAL
E7485000FMV
ST JOSEPH HOSPITAL (SJD)
D833835FMV
EXEMPLA INC FKA LUTHERAN HOSPITAL
D420000FMV
PROVIDENCE MEDICAL CENTER (PMC)
K7072296FMV
ST FRANCIS HEALTH CENTER INC (SFT)
K10604240FMV
HOLY ROSARY HEALTHCARE (HRH)
K1722881FMV
ST VINCENT HEATHCARE (SVB)
K25190634FMV
ST JAMES HEALTHCARE (SJB)
K3687331FMV
ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ)
K13689913FMV
ST JOHN'S HEALTH CTR (SJSM)
K629694FMV
PROVIDENCE MEDICAL CENTER (PMC)
O15877FMV
ST JAMES HEALTHCARE (SJB)
O15035FMV
ST VINCENT HEATHCARE (SVB)
O71320FMV
ST JOHN HOSPITAL INC (SJL)
k1444920FMV
LEAVEN INSURANCE COMPANY LTD
O13469858FMV
PROVIDENCE MEDICAL CENTER (PMC)
P128166922FMV
ST JOHN HOSPITAL INC (SJL)
P26148435FMV
ST FRANCIS HEALTH CENTER INC (SFT)
P200817601FMV
HOLY ROSARY HEALTHCARE (HRH)
P31427583FMV
ST VINCENT HEATHCARE (SVB)
P259952065FMV
ST JAMES HEALTHCARE (SJB)
P70944293FMV
ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ)
P264741167FMV
ST JOHN'S HEALTH CTR (SJSM)
P258739072FMV
EXEMPLA INC FKA LUTHERAN HOSPITAL
P89804546FMV
ST JOSEPH HOSPITAL (SJD)
P1702084FMV
LEAVEN INSURANCE COMPANY LTD
P5551982FMV
CARITAS INC & SUBSIDIARIES
P88108FMV
CARITAS CLINICS INC
P1238103FMV
MARIAN CLINIC INC
P1745289FMV
JOHN WAYNE CANCER INSTITUTE
P16690455FMV
MARILLAC CLINIC INC
P71000FMV
PROVIDENCE MEDICAL CENTER (PMC)
Q5669FMV
ST VINCENT HEALTHCARE (SVB)
Q7874FMV
EXEMPLA INC FKA LUTHERAN HOSPITAL
Q2944351FMV
PROVIDENCE MEDICAL CENTER (PMC)
r5107676FMV
ST FRANCIS HEALTH CENTER INC (SFT)
r5852027FMV
HOLY ROSARY HEALTHCARE (HRH)
r957023FMV
ST MARY'S HOSPITAL & MEDICAL CTR (SMGJ)
r7273387FMV
ST VINCENT HEALTHCARE (SVB)
r7613663FMV
ST JOHN'S HEALTH CTR (SJSM)
r6433335FMV
ST JAMES HEALTHCARE (SJB)
r2208246FMV
MARILLAC CLINIC INC
b79376fmv
ST VINCENT HEALTHCARE (SVB)
B50000FMV
ST JAMES HEALTHCARE (SJB)
D5802374FMV
EXEMPLA INC FKA LUTHERAN HOSPITAL
K4228304FMV