2013-11-13T18:14:47-06:00 2012-12-31 ERNST & YOUNG US LLP 178 SOUTH RIO GRANDE ST SUITE 400 SALT LAKE CITY UT 84101 990 2012-01-01 202270238 HOLY ROSARY HEALTHCARE FOUNDATION INC % SHARON OWENS VP HOLY 4062373318 2600 WILSON STREET Suite MILES CITY MT 59301 Jackie Muri 2013-11-10 8013503300 2012 2016-02-24 21:20:13Z PATTY BEESON BOARD CHAIR 2600 WILSON STREET MILES CITY MT 59301 788401 false 0928 X WWW.HRH-MT.ORG X 2003 MT WE 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. 14 12 0 97 0 247057 522272 0 0 19322 48113 73271 84563 339650 654948 182019 352915 0 0 0 0 0 0 0 29903 87653 211922 440568 127728 214380 1230321 1443728 58216 6056 1172105 1437672 X WE 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. false false 101105 101105 HEALTHY LIFESTYLES IS A PROGRAM TARGETING PEOPLE AT RISK FOR CARDIOVASCULAR DISEASE AND DIABETES PREVENTION. HRH FOUNDATION FUNDING IS USED TO OPERATE THE PROGRAM TO PROVIDE (1) ONE TO ONE LIFESTYLE COACHING TO EACH PARTICIPANT, (2) TO OFFER EXERCISE PROGRAMS, AND (3) TO PROVIDE EDUCATIONAL SESSIONS OVER A 10-MONTH PERIOD. OVER 600 EASTERN MONTANA RESIDENTS HAVE BENEFITTED FROM THIS PROGRAM BY ADOPTING LONG-TERM LIFESTYLE AND HEALTHY LIVING HABITS. 50 50 WOMEN'S CANCER SERVICES IS A PROJECT TO ENHANCE LOCAL ACCESS TO HIGH-QUALITY CANCER SERVICES IN EASTERN MONTANA. THIS INCLUDED PURCHASING DIGITAL MAMMOGRAPHY TECHNOLOGY AND INVESTING IN ADDITIONAL TELEHEALTH EQUIPMENT TO ALLOW MORE PATIENTS TO STAY IN THE REGION FOR THEIR CANCER CARE AND FOLLOW-UP WITH ONCOLOGY SPECIALISTS. 1308 1308 HOSPICE IS A PROGRAM PROVIDING END-OF-LIFE CARE AND RELATED SERVICES TO PEOPLE AND FAMILIES. HRH FOUNDATION FUNDING IS USED TO OPERATE THE PROGRAM AND COVER OPERATING COSTS BEYOND THE FUNDS RECEIVED FROM PAYORS FOR CARE DELIVERED. 14031 14031 CAMPUS DEVELOPMENT 4000 4000 NIMS DISASTER PREPAREDNESS 8245 8245 CHILDRENS HEALTHCARE 5686 5686 EXTENDED CARE 3029 3029 HOM SCHOLARSHIP 372 372 SAFESITTER PROGRAM 5000 5000 MISSION FUND 201243 201243 MEDICAID CASE WAIVER 8846 8846 MISC 250452 250452 352915 true true false false false false false false false true false true false false false false false true false false false false false false true false false true false true false false false false false false false false true false false false false true true true false false true 0 0 true 0 false false false false false true true false false false false false X 14 12 false false false false true true true true true false false true true true true true true false false false X SHARON OWENS VP 3038135280 2480 W 26TH AVE SUITE 200 Denver CO 80211 Sharon Oftedal 1.0 0.0 X 0 0 0 Patty Beeson 1.0 0.0 X X JANELLE NOTBOHM 1.0 0.0 X X KATHY SPARR 1.0 0.0 X 45669 4701 JIM CARR 1.0 0.0 X NICOLE JONES 1.0 0.0 X KELLY KLEM 1.0 0.0 X GWEN WACKER 1.0 0.0 X Jeff Harding 1.0 0.0 X X David Nelson 1.0 0.0 X TJ Stevenson 1.0 0.0 X Paul Lewis 1.0 38.0 X X 202899 40725 ROB OSWALD 1.0 0.0 X MARVIN STARCK 1.0 0.0 X Jackie Muri 40.0 0.0 X 110168 19699 Calvin Carey 1.0 38.0 X 168656 15367 0 527392 80492 0 false true false 0 27660 31239 374358 89015 87653 522272 0 34342 34342 0 0 0 0 0 62326 48555 13771 13771 115912 27660 43068 72844 0 53549 41830 11719 11719 0 654948 46061 349886 349886 3029 3029 0 0 0 0 0 0 0 0 0 0 0 0 0 0 164 164 550 550 4292 4292 0 0 275 275 25534 25534 0 0 0 0 0 0 DUES & MEMBERSHIPS 425 425 IN-KIND EXPENSES 56413 56413 440568 352915 87653 0 136012 259658 0 0 0 0 0 0 0 0 0 0 0 0 25545 22061 0 0 0 396930 1021522 644135 140487 0 0 0 0 27699 0 1230321 1443728 58216 6056 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 58216 6056 X 248993 337254 785520 962826 137592 137592 1172105 1437672 1230321 1443728 X 214380 51187 X false true X true false X X X X false false false HOLY ROSARY HEALTHCARE 810231792 03 true 32740 1 32740 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 157436 2655 13771 2500 529 170833 152032 8504 2500 600 157436 170256 -15721 2500 3 152032 126507 46785 3000 36 170256 152571 -23564 2500 126507 0.87680 0.12320 SCLHS POOLED INVESTMENT FUND 140487 F 140487 SCH D, PART V INTENDED USES FOR ENDOWMENT FUNDS THE INTENDED USE FOR THE KENNETH HOM TRUST ENDOWMENT FUND IS TO PROVIDE NURSING SCHOLARSHIPS. EACH YEAR A SCHOLARSHIP IS AWARDED TO AN INDIVIDUAL WITH EASTERN MONTANA TIES WHO IS PURSUING HIS OR HER NURSING EDUCATION. IN 2011, ONE SCHOLARSHIP WAS AWARDED. TREASURER GALA 134169 18192 115977 4000 275 18660 4000 11154 TRAP SHOOT 9403 9468 -65 2686 100 235 602 0 143572 27660 115912 6686 375 18895 4000 11756 41712 74200 true HOLY ROSARY HEALTHCARE INC 2600 WILSON STREET MILES CITY MT 59301 810231792 501(C)(3) 32740 HEALTHY LIFE FORM 990, SCHEDULE I, PART I, LINE 2 Description of Organization's Procedures for Monitoring the Use of Grants WHEN A REQUEST FOR FUNDS IS RECEIVED AND HAS BEEN APPROVED, THE FUNDS ARE EITHERYAUTHORIZED FOR USE OR DISBURSED TO THE REQUESTING ORGANIZATION. TO ENSURE PROPER USE OF THE FUNDS, THE REQUESTING ORGANIZATION IS REQUIRED TO DOCUMENT THE USE OF THE GRANT MONIES BY PROVIDING THE FOUNDATION WITH ACTUAL INVOICES/RECEIPTS. true true false false false false false true false Paul Lewis 170291 20700 11908 24317 16408 243624 Calvin Carey 136047 32609 7000 8367 184023 FORM 990, SCHEDULE J, PART I, LINE 4A THE AMOUNTS PAID FOR SEVERANCE IN 2011 WERE: RONALD W. WEBB-$40,000 FORM 990, SCHEDULE J, PART I, LINE 4B PAYMENTS FROM 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 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 2011 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 HOLY ROSARY HEALTHCARE FOUNDATION (FOUNDATION) IN MILES CITY, MONTANA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. PAUL W. LEWIS IS PRESIDENT & CHIEF EXECUTIVE OFFICER AT HOLY ROSARY HEALTHCARE. HE ALSO SERVES AS A MEMBER OF THE FOUNDATION'S BOARD. THE COMPENSATION REFLECTED IS THAT OF HIS POSITION AS A HOLY ROSARY HEALTHCARE EXECUTIVE AND NOT AS A MEMBER OF THE FOUNDATION'S BOARD. RONALD W. WEBB WAS PRESIDENT & CHIEF EXECUTIVE OFFICER AT HOLY ROSARY HEALTHCARE. HE ALSO SERVED AS A MEMBER OF THE FOUNDATION'S BOARD. THE COMPENSATION REFLECTED IS THAT OF HIS POSITION AS A HOLY ROSARY HEALTHCARE EXECUTIVE AND NOT AS A MEMBER OF THE FOUNDATION'S BOARD. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. X o X In-Kind Donations 0 56413 FMV X Office Supplies 0 4292 FMV X Advertising 0 550 FMV X OCCUPANCY 0 275 FMV X TRAVEL 0 25534 FMV X FEES FOR SERVICES OTHER 0 164 FMV X MEMBERSHIP DUES 0 425 FMV false false false DISCLOSURES FORM 990 PART VI, SEC A, LINES 6 AND 7 CLASS OF MEMBER, NATURE OF RIGHTS, ELECTION OF BOARD MEMBERS, DECISIONS SUBJECT TO APPROVAL THE MEMBERS OF THE HOLY ROSARY HEALTHCARE FOUNDATION, INC. INCLUDE HOLY ROSARY HEALTHCARE, INC. (HRH), A MONTANA NOT-FOR-PROFIT CORPORATION, AND THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC (SCLHS), A KANSAS NOT-FOR-PROFIT CORPORATION AND THE PARENT ORGANIZATION OF THE HRH FOUNDATION. EACH MEMBER OF THE HRH FOUNDATION CORPORATION IS QUALIFIED TO VOTE ON ANY ISSUE THAT MAY PROPERLY COME BEFORE ANY HRH FOUNDATION MEETING. AN AFFIRMATIVE VOTE OF TWO-THIRDS OF THE TOTAL MEMBERS IS REQUIRED TO APPROVE ANY ACTION CONCERNING THE FOLLOWING: (1) CHANGE IN THE PURPOSE OR PHILOSOPHY OF THE CORPORATION; (2) BORROWING MONEY FOR CAPITAL NEEDS OF THE CORPORATION OR THE ISSUANCE OF NOTES, BONDS OR OTHER EVIDENCE OF INDEBTEDNESS; (3) APPROVAL OF TRUSTEES, OR INCREASE OR DECREASE IN THE NUMBER OF TRUSTEES; (4) THE AMENDMENT, ADDITION, OR REVOCATION OF THE ARTICLES OF INCORPORATION OR THE BYLAWS OF THE CORPORATION. THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM OWNS AND RETAINS THE TITLE TO THE HRH FOUNDATION LAND AND FIXED ASSETS USED BY THE FOUNDATION. AS A RESULT, CERTAIN POWERS ARE RESERVED BY SCLHS AS TO WHICH THE BOARD OF TRUSTEES OF THE FOUNDATION SHALL PROVIDE ADVICE AND COUNSEL: (1) THE SALE, CONVEYANCE, ASSIGNMENT, TRANSFER, ALIENATION, PLEDGE, ENCUMBRANCE OR LEASE OF THE REAL PROPERTY OR ANY INTEREST THERE IN OF THE HRH FOUNDATION; (2) THE PURCHASE OR ACQUISITION OF ADDITIONAL REAL PROPERTY OR ANY INTEREST THERE IN FOR USE OF THE HRH FOUNDATION; (3) THE MERGER, CONSOLIDATION OR OTHER RESTRUCTURING OF THE HRH FOUNDATION WITH ANY LEGAL ENTITY. FORM 990 PART VI, SEC B, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 BEFORE THE 990 TAX RETURN IS FILED WITH THE IRS, IT IS REVIEWED BY FINANCE DEPT PERSONNEL OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (SCLHS) AND BY AN INDEPENDENT ACCOUNTING FIRM. ALSO, THE HRH FOUNDATION BOARD WILL REVIEW THE FORM 990 BEFORE THE RETURN IS FILED WITH THE IRS. FORM 990 PART VI, SEC B, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST ALL HOLY ROSARY FOUNDATION EXECUTIVES, DIRECTORS, AND MANAGERS, BOARD MEMBERS AND BOARD COMMITTEE MEMBERS, MEDICAL EXECUTIVE COMMITTEE (MEC) MEMBERS AND OTHER PHYSICIANS IN DECISION MAKING ROLES OR SERVING ON HRH FOUNDATION EXECUTIVE COMMITTEES, COMPLETE A NEW CONFLICT OF INTEREST (COI) DISCLOSURE FORM ANNUALLY. A COPY OF THE POLICY IS DISTRIBUTED ALONG WITH THE COI FORMS. IN THE EVENT OF A CHANGE OF CIRCUMSTANCE, EACH INDIVIDUAL WHO HAS ALREADY SIGNED A COI IS EXPECTED TO NOTIFY THE ORGANIZATION OF THE CHANGE AND UPDATE THE CONFLICT OF INTEREST INFORMATION. THE STATEMENTS ARE REVIEWED AND COI ISSUES ARE ADDRESSED BY THE ORGANIZATION RESPONSIBILITY OFFICER (ORO) AND LEADERSHIP AT THE APPROPRIATE LEVEL: BOARD BY BOARD CHAIR PHYSICIANS BY THE MEC PRESIDENT HRH FOUNDATION DIRECTORS AND MANAGERS BY THE HRH FOUNDATION ADMINISTRATION HRH FOUNDATION EXECUTIVES BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM THE SIGNED COI FORMS ARE MAINTAINED AT THE HRH FOUNDATION ADMINISTRATION. THE CONFLICT OF INTEREST DISCLOSURE STATEMENTS FOR HRH FOUNDATION EXECUTIVES ARE MAINTAINED AT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AT THE BEGINNING OF BOARD AND BOARD COMMITTEE MEETINGS, THE QUESTION OF COI IS ASKED OF THOSE IN ATTENDANCE. WHEN AN ACTUAL CONFLICT IS IDENTIFIED, THE INDIVIDUAL ASKS TO BE EXCUSED FROM PARTICIPATING IN THE DISCUSSION AND DECISION-MAKING. FORM 990 PART VI, SEC C, LINE 19 DESCRIBE HOW ORGANIZATION DOCUMENTS ARE DISCLOSED TO THE PUBLIC. THE CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE AT FOUNDATION ADMINISTRATION UPON REQUEST. THE SISTERS OF CHARITY CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON THE SISTERS OF CHARITY OF LEAVENWORTH WEBSITE WWW.SCLHEALTHSYSTEM.ORG. SISTERS OF CHARITY LEAVENWORTH HLTH SYST 2420 WEST 26TH AVE STE 100-D DENVER CO 80211 237379161 SUPPORT MMBRS KS 501(c)(3) 11B-TYPE II NA false CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH KS 66048 481009910 CLINIC SVCS KS 501(c)(3) 3 SCLHS true MARIAN CLINIC INC 1001 SW GARFIELD TOPEKA KS 66604 481046905 CLINIC SVCS KS 501(c)(3) 3 SCLHS true MARILLAC CLINIC INC 2333 N 6TH STREET GRAND JUNCTION CO 81501 841085822 CLINIC SVCS CO 501(c)(3) 3 SCLHS true PROVIDENCE MEDICAL CENTER 8929 PARALLEL PARKWAY KANSAS CITY KS 66112 480784446 HEALTHCARE KS 501(c)(3) 3 SCLHS true ST JOHN HOSPITAL INC 3500 SOUTH FOURTH STREET LEAVENWORTH KS 66048 480543768 HEALTHCARE KS 501(c)(3) 3 PMC true BETHANY COMMUNITY PLAZA INC 15 NORTH 12TH STREET KANSAS CITY KS 66102 481207407 HEALTHCARE KS 501(c)(3) 3 PMC true PROVIDENCEST JOHN FOUNDATION INC 8929 PARALLEL PARKWAY KANSAS CITY KS 66112 480925688 SUPPORT 501C3 KS 501(c)(3) 7 PMC true ST FRANCIS HEALTH CENTER INC 1700 SW 7TH STREET TOPEKA KS 66606 480547719 HEALTHCARE KS 501(c)(3) 3 SCLHS true ST FRANCIS HEALTH CENTER FOUNDATION 1700 SW 7TH STREET TOPEKA KS 66606 481092520 SUPPORT 501C3 KS 501(c)(3) 11A-TYPE I SFHC true ST MARYS HOSPITAL & MEDICAL CENTER INC 2635 N 7TH STREET GRAND JUNCTION CO 81502 840425720 HEALTHCARE CO 501(c)(3) 3 SCLHS true ST MARYS HOSPITAL DEVELOPMENT FOUNDATION 2635 N 7TH STREET GRAND JUNCTION CO 81502 237001007 SUPPORT 501C3 CO 501(c)(3) 11A-TYPE I SMHMC true SAINT JOSEPH HOSPITAL FOUNDATION 1835 FRANKLIN STREET DENVER CO 80218 840735096 SUPPORT 501C3 CO 501(c)(3) 11A-TYPE I SJH true HOLY ROSARY HEALTHCARE 2600 WILSON MILES CITY MT 59301 810231792 HEALTHCARE MT 501(c)(3) 3 SCLHS true ST VINCENT HEALTHCARE 1233 NORTH 30TH BILLINGS MT 59101 810232124 HEALTHCARE MT 501(c)(3) 3 SCLHS true ST VINCENT HEALTHCARE FOUNDATION PO BOX 35200 BILLINGS MT 59107 810468034 SUPPORT 501C3 MT 501(c)(3) 7 SVHC true NORTHWEST RESEARCH & EDUCATION INSTITUTE 315 NORTH 25TH STREET BILLINGS MT 59101 201343024 COMM HLTH RES MT 501(c)(3) 9 SVHC true ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE MT 59701 810231785 HEALTHCARE MT 501(c)(3) 3 SCLHS true ST JAMES HEALTHCARE FOUNDATION 400 SOUTH CLARK STREET BUTTE MT 59701 651202190 SUPPORT 501C3 MT 501(c)(3) 11A-TYPE I SJHC true SAINT JOHNS HEALTH CENTER 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 951684082 HEALTHCARE CA 501(c)(3) 3 SCLHS true JOHN WAYNE CANCER INSTITUTE 2000 SANTA MONICA BLVD SANTA MONICA CA 90404 954291515 CANCER R&D CA 501(c)(3) 4 SJHC true SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 956100079 SUPPORT 501C3 CA 501(c)(3) 11A-TYPE I SJHC true EXEMPLA INC FKA LUTHERAN HOSPITAL 2420 W 26TH AVE SUITE 100D DENVER CO 80211 841103606 HEALTHCARE CO 501(c)(3) 3 SCLHS true EXEMPLA LUTHERAN MEDICAL CENTER FNDTN 2480 W 26TH AVESUITE 360B DENVER CO 80211 208846152 SUPPORT 501C3 CO 501(c)(3) 7 EXEMPLA INC true EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 841649162 SUPPORT 501C3 CO 501(c)(3) 7 EXEMPLA INC true LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST 2480 W 26TH AVESUITE 360B DENVER CO 80211 742571584 INSURANCE CO 501(c)(3) 11A-TYPE I EXEMPLA INC true SAINT JOSEPH HOSPITAL 1835 FRANKLIN STREET DENVER CO 80218 840417134 HEALTHCARE CO 501(c)(3) 3 SCLHS true MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER CO 80211 840405260 RES CARE CO 501(c)(3) 11A-TYPE I SCLHS true PAVILION IMAGING LLC 750 WELLINGTON GRAND JUNCTION CO 81501 030516198 RADIOLOGY CO NA N/A GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON GRAND JUNCTION CO 81501 841505075 OP SURGERY CO NA N/A 0 SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE CO 81401 202856331 OP CANCER CO NA N/A 0 BILLINGS MRI CENTER LLC 1041 NORTH 29TH STREET BILLINGS MT 59101 810450943 MRI-PET SCAN MT NA N/A 0 LUTHERAN CAMPUS ASC LLC 3455 LUTHRN PKW SUITE 150 WHEATRIDGE CO 800336028 020749532 OP SURGERY CO NA N/A 0 COLORADO SURGICAL VENTURES LLC 30 S WACKER DR SUITE 2302 CHICAGO IL 60605 208038915 OP SURGERY CO NA N/A 0 COLORADO SURGICAL HOSPITAL LLC 30 S WACKER DR SUITE 2302 CHICAGO IL 60605 208038977 OP SURGERY CO NA N/A 0 CARITAS INC AND SUBSIDIARIES 9801 RENNER BOULEVARD SUITE 100 LENEXA KS 66219 480941069 OTHER MEDICAL KS C CORP LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVE PO BOX 1051 GEORGETOWN GRAND CAYMAN CJ KY1-1102 980370522 INSURANCE CJ false true true false false false false false false false false false false false false false false false HOLY ROSARY HEALTHCARE INC B 32740 FMV