2025-11-04T15:23:37-06:00 2024-12-31 990 2024-01-01 810232124 SCL HEALTH - MONTANA SCLH 4062377000 1233 NORTH 30TH STREET BILLINGS MT 59101 PAM PALAGI AVP FINANCE, MT MARKET 4062377000 2025-11-04 0 2024 2025-03-06 01:10:19Z ST VINCENT HEALTHCARE LEE BOYLES 1233 NORTH 30TH STREET BILLINGS MT 59101 620120481 0 0928 X SEE SCHEDULE O X 1972 MT WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 16 15 2481 111 3843793 0 10589744 1573022 546375682 593636629 22506712 22056815 1683409 1676432 581155547 618942898 19863201 18190571 0 0 160606852 158744964 0 0 0 393481404 443592990 573951457 620528525 7204090 -1585627 1007922426 1000928013 53579649 48170563 954342777 952757450 X WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. 0 0 541381017 18190571 595051295 MOTHER XAVIER ROSS LED THE SISTERS OF CHARITY INTO THE INDIAN TERRITORY OF KANSAS IN 1858. IN 1869, THE SISTERS EXTENDED THEIR CHARITABLE WORKS INTO MONTANA TERRITORY AT THE REQUEST OF FATHER PIERRE JEAN DESMET. SAINT VINCENT HOSPITAL IN BILLINGS WAS FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH IN 1898. THE HOSPITAL OFFICIALLY OPENED ON FEBRUARY 1, 1899. THE CITY AND REGION GREW QUICKLY AND THE DEMAND FOR HEALTHCARE INCREASED DRAMATICALLY. BY 1915, THE SISTERS AND AREA MEDICAL PERSONNEL HAD CARED FOR MORE THAN 20,000 PATIENTS.DURING THE NEXT THIRTY YEARS, RAPID MEDICAL ADVANCEMENTS AND THE AREA'S GROWING POPULATION KEPT THE HOSPITAL IN A CONSTANT STATE OF CHANGE AND GROWTH, BUT TRUE TO ITS MISSION, COMPASSION AND CHARITY REMAINED AT THE FOREFRONT OF THE HOSPITAL'S ENDEAVORS. DURING THE GREAT DEPRESSION OF THE 1930S, THE SISTERS AT SAINT VINCENT HOSPITAL HELPED FEED THE HUNGRY. WITH THE ADVENT OF WORLD WAR II, VOLUNTEER SERVICES BECAME ESSENTIAL TO THE OPERATION OF THE HOSPITAL.ADAPTING TO THE CHANGES IN HEALTHCARE MEANT A NEW NAME FOR SAINT VINCENT HOSPITAL. IN NOVEMBER 2000, WE BECAME ST. VINCENT HEALTHCARE. FROM ITS MODEST BEGINNINGS OVER 100 YEARS AGO, ST. VINCENT HEALTHCARE HAS GROWN INTO ONE OF MONTANA'S LARGEST COMPREHENSIVE HOSPITALS, SERVING THE HEALTHCARE NEEDS OF OVER 400,000 PEOPLE IN A FOUR-STATE AREA. RENOWNED FOR A MISSION OF COMPASSIONATE CARE AND SERVICE TO THE POOR, THE ST. VINCENT HEALTHCARE TEAM IS CONTINUALLY RECOGNIZED AS A TECHNOLOGICAL LEADER IN THE HEALTHCARE INDUSTRY. THE NAME WAS AGAIN CHANGED IN 2021 TO SCL HEALTH - MONTANA. SCL HEALTH - MONTANA IS PART OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM.SCL HEALTH - MONTANA IS RELATED TO SCL HEALTH MEDICAL GROUP -BILLINGS, LLC, A SINGLE MEMBER LIMITED LIABILITY COMPANY OWNED BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS A GROUP OF PHYSICIAN CLINICS THAT PROVIDE PROFESSIONAL SERVICES TO THE SCL HEALTH - MONTANA COMMUNITY AND SUPPORTS THE MISSION OF SCL HEALTH - MONTANA.ALTHOUGH SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS NOT OWNED DIRECTLY BY SCL HEALTH - MONTANA, SCL HEALTH - MONTANA IS REQUIRED TO FUND ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP - BILLINGS, LLC. IN 2024, THE HOSPITAL PROVIDED $41,531,867 IN SUPPORT OF THE LOSSES OF THE PHYSICIAN CLINICS.ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFILIATED, CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, AND WYOMING. THE ORGANIZATION EMPLOYS MORE THAN 68,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA.AS PART OF INTERMOUNTAIN HEALTH (INTEGRATED HEALTH SYSTEM), SCL HEALTH - MONTANA HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL. SCL HEALTH MONTANA HAS CONSISTENTLY BEEN RATED BY PRESS GANEY IN THE TOP 95TH PERCENTILE FOR PATIENT EXPERIENCE.SCL HEALTH - MONTANA HAS A VARIETY OF PROGRAMS AND SERVICES TO SERVE THE COMMUNITY INCLUDING BUT NOT LIMITED TO:- CANCER CARE- CARDIOTHORACIC AND VASCULAR MEDICINE- EMERGENCY AND TRAUMA SERVICES (LEVEL II TRAUMA CENTER)- FAMILY MEDICINE- LABOR AND DELIVERY (LEVEL III NEONATAL INTENSIVE CARE UNIT)- ORTHOPEDICS- PALLIATIVE CARE- PEDIATRIC INTENSIVE CARE UNIT- RADIOLOGY, IMAGING AND ANCILLARY SERVICES- SPORTS MEDICINE- SURGERY CENTER- THERAPY AND REHAB SERVICES- WALK-IN CARE 7 DAYS A WEEK- WOMEN'S HEALTHDURING 2024, THE FOLLOWING STATISTICAL DATA WAS GATHERED:ADMISSIONS 12,433OUTPATIENT VISTS 238,904EMERGENCY DEPARTMENT VISITS 39,233BIRTHS 1,759SURGERIES 8,594LABORATORY TESTS 1,376,935MISSION, VISION & VALUESMISSION:WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THEPEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISION:BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST.VALUES:WE ARE LEADERS IN CLINICAL EXCELLENCE, DELIVERING SAFE, BEST-IN-QUALITY CARE.WE BELIEVE IN WHAT WE DO, LIVING OUR MISSION EVERY DAY. WE SERVE WITH EMPATHY, CARING FOR EACH CAREGIVER, PATIENT, AND MEMBER WITH COMPASSION AND RESPECT.WE ARE PARTNERS IN HEALTH, COLLABORATING TO KEEP PEOPLE WELL.WE DO THE RIGHT THING, LEARNING AND ACTING WITH PURPOSE.WE ARE BETTER TOGETHER, BUILDING COMMUNITY THROUGH TEAMWORK AND BELONGING. 541381017 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 2481 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 15 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 0 X COLIN QUINCY 8014423491 36 SOUTH STATE STREET SALT LAKE CITY UT 84111 YEVGENIY AREFIEV FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 1354371 60498 BRYAN JOHNSON INTERIM PRESIDENT, MT REGION (PARTIAL) 22.00 36.00 X X 0 789764 295366 LEE BOYLES MT MKT PRESIDENT/SVB PRESIDENT (PARTIAL) 37.00 17.00 X X 577655 0 142739 SEAN FADDEN TREASURER 1.00 56.00 X 0 531506 182934 JAMES RITCHEY FORMER KEY EMPLOYEE 0.00 50.00 X 0 487661 193103 JENNIFER DAVENPORT MD ACMO MT REGION, INTERIM CMO SVB 37.00 14.00 X 544019 0 76736 TONI GREEN-CHEATWOOD MD INTERIM CMO (PARTIAL) 8.00 42.00 X 0 511233 105658 DANIEL LEWIS FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 537120 54086 SHELDON NELSON FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 535747 54786 JAMES RICHARDS FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 544913 42605 FRANK LAMM FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 500208 56110 TRENT MIHALICK FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 502058 52484 PAMELA PALAGI AVP, FINANCE MT MARKET 37.00 14.00 X 425906 0 127953 RICHARD LAMMERS FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 484995 54236 TERENCE MOLOUGHNEY ASSISTANT SECRETARY (PARTIAL) 1.00 56.00 X 0 454404 62322 RONALD SNYDER FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 450551 57184 EDEN JONES FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 464776 35373 ADAM SCHAFER VP NETWORK DEVELOPMENT REGION MT 37.00 13.00 X 324294 0 140610 GERALDINE MOURNIAN PHYSICIAN 50.00 0.00 X 389478 0 46920 MARJORIE TEVLIN FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 369175 57477 EDWIN RODRIGUEZ FORMER HIGHEST COMPENSATED 0.00 50.00 X 0 376218 45755 DUSTIN STRANDELL SR DIR SVC LINES (PARTIAL),COO (PARTIAL) 50.00 0.00 X 303934 0 87626 KELLY ADAMS SECRETARY (PARTIAL) 1.00 57.00 X 0 294501 90592 TRACY NEARY VP MISSION INTEGRATION REGION MT 37.00 13.00 X 247253 0 112333 HEATHER BRENDEN SR DIR HR BUSINESS PARTNER SVB 50.00 0.00 X 234631 0 65267 JOELLEN MAURER DIRECTOR PHARMACY SVB 50.00 0.00 X 239238 0 55216 TYLER WILTGEN EXECUTIVE DIRECTOR OF PHILANTHROPY SVB 0.00 50.00 X 204165 0 85022 CAROL BEAM PRESIDENT CEO RMHN SVB 0.00 50.00 X 221123 0 25220 MELISSA FILTER VP CHIEF NURSING OFFICER SVB (PARTIAL) 50.00 0.00 X 151517 0 20819 MICHAEL BUSH FORMER KEY EMPLOYEE 0.00 50.00 X 0 158455 9227 CHRISTOPHER EDWARDS CHAIR 1.00 2.00 X X 0 0 0 KAREN FAGG TRUSTEE 1.00 5.00 X 0 0 0 DANETTE GLEASON TRUSTEE 1.00 2.00 X 0 0 0 SISTER EILEEN HURLEY TRUSTEE 1.00 2.00 X 0 0 0 SISTER JUDITH JACKSON TRUSTEE 1.00 2.00 X 0 0 0 BEN JAGODZINSKI MD TRUSTEE (PARTIAL) 1.00 2.00 X 0 0 0 MJ JANSSEN TRUSTEE 1.00 2.00 X 0 0 0 BERNARD MCCARTHY TRUSTEE 1.00 2.00 X 0 0 0 CHARLES NOTBOHM VICE CHAIR 1.00 2.00 X X 0 0 0 COLLEEN O'LEARY SECRETARY 1.00 2.00 X X 0 0 0 NGUYEN-VU PHAM TRUSTEE 1.00 5.00 X 0 0 0 BECKY RENO TRUSTEE 1.00 2.00 X 0 0 0 MAJEL RUSSELL TRUSTEE 1.00 2.00 X 0 0 0 CINDY SORICH TRUSTEE 1.00 2.00 X 0 0 0 MISTY STEADMAN TRUSTEE 1.00 2.00 X 0 0 0 3863213 9347656 2496257 313 1 1 0 0 1573022 1573022 PATIENT SERVICES 620000 593636629 590060289 3576340 593636629 22713629 22713629 44097 49784 -5687 -5687 -5687 470985 1127799 -656814 -656814 -656814 CAFETERIA SALES 720000 1668709 1401256 267453 LAUNDRY SERVICE - JV 810000 12458 12458 PARKING LOT FEES 530000 722 722 230 230 1682119 618942898 591474955 3843793 22051128 X 18190571 18190571 2982155 2962189 19966 122796111 121958237 837874 5788557 5788557 17793833 17789247 4586 9384308 9329192 55116 52386 52386 112068107 112068107 197228 197228 1895329 1821760 73569 30218703 858928 29359775 12867349 12564168 303181 638493 604762 33731 99194 93914 5280 3078257 3078257 30947416 30947416 730606 730606 MEDICAL SUPPLIES 133452529 133452529 SHARED SERVICES 37607851 37607851 ADJ FOR UNPAID SERVICES 12392042 12392042 PROVIDER FEE 10959411 10959411 56388089 45593896 10794193 620528525 541381017 79147508 0 6758 5969 71896153 76664645 10964718 11180921 2133327 3030591 345543567 60907400 291317546 284636167 7197845 10247280 624406079 615162440 1007922426 1000928013 36255384 32704069 232844 830385 17091421 14636109 53579649 48170563 X 954342777 952757450 954342777 952757450 1007922426 1000928013 -1585627 300 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 52386 52386 0 PART II-B, LINE 1, LOBBYING ACTIVITIES: SCL HEALTH - MONTANA PAID MEMBERSHIP DUES TO THE MONTANA HOSPITAL ASSOCIATION OF WHICH $1,513 IS ATTRIBUTED TO LOBBYNG. ADDITIONAL LOBBYING EXPENSES OF $50,873 WERE DERIVED FROM FEES FOR ADVOCACY SERVICES RELATED TO MONTANA LEGISLATIVE ACTIVITIES. 48868690 9564731 2547326 2652189 58328558 47261047 4087102 3279059 5758518 48868690 56646748 4202307 -6202412 7385596 47261047 54363477 1844356 3880208 3441293 56646748 48881586 4723259 4256990 3498358 54363477 0.24140 0.32552 0.43308 0 1 1 38838214 38838214 558870 172051748 28696908 143913710 2549591 618675 1930916 86779798 31580894 55198904 44765346 10923 44754423 284636167 INTERCOMPANY RECEIVABLE 550157703 RIGHT OF USE ASSETS 14255835 OTHER ACCT RECEIVABLE 10597593 3RD PARTY SETTLEMENTS 39378636 DEFERRED TAXES 607719 RENT RECEIVABLES 164954 615162440 OPERATING LEASE 14629142 FINANCING LEASE 6967 14636109 PART V, LINE 4: ST. VINCENT HEALTHCARE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT ST. VINCENT HEALTHCARE IN AREAS INCLUDING ASSOCIATE EDUCATION, CARDIOVASCULAR, CHARITY CARE, COMMUNITY HEALTH & WELLNESS, GREATEST NEED, MOM/BABY & PEDIATRICS, NEUROSCIENCES, ONCOLOGY, SPIRITUAL CARE, WOMEN'S SERVICES, AND OTHER SERVICES AND PROGRAMS. THERE ARE ALSO BOARD-DESIGNATED ENDOWMENTS WHICH THE BOARD HAS THE RIGHT TO EXPEND AT ANY TIME. 1 1 X 1 X 250.000000000000 1 X 500.000000000000 1 1 1 0 1 1 9182593 0 9182593 0.01510 84612916 86932813 0 0.00000 949496 1179569 0 0.00000 94745005 88112382 9182593 0.01510 1721802 0 1721802 0.00280 4693489 2572711 2120778 0.00350 83932380 62941859 20990521 0.03450 0 0 17448134 0 17448134 0.02870 107795805 65514570 42281235 0.06950 202540810 153626952 51463828 0.08460 0 0 0 0 70260 0 70260 0.00010 0 0 5000 0 5000 0.00000 0 0 0 0 0 0 0 0 75260 75260 0.00010 1 12392042 170115657 233970360 -63854703 X 1 1 1 ATHLETIC MEDICINE & PERFORMANCE LLC PHYSICAL THERAPY 0.33330 0.49580 2 ROCKY MOUNTAIN HEALTH NETWORK INC PHO - ADMINISTRATIVE SERVICES 0.50000 0.50000 1 1 ST VINCENT HEALTHCARE 1233 NORTH 30TH STREET BILLINGS MT 59101 SEE PART VI SUPP INFO 13258 X X X X ST VINCENT HEALTHCARE 1 0 0 1 X X X X X X X X X 23 1 1 1 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X X 1 23 1 SEE PART V, SECTION C 0 1 X 250.000000000000 500.000000000000 X X X X 1 1 X X X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X 1 X 0 X X X X X 1 X 0 0 ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 5: SCL HEALTH - MONTANA (REFERRED TO AS ST. VINCENT HEREAFTER) CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2023. THE CHNA WAS IN COLLABORATION WITH BILLINGS CLINIC, A NONPROFIT HOSPITAL LOCATED IN BILLINGS, MONTANA; RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT AND OPERATOR OF A FEDERALLY QUALIFIED HEALTH CENTER; AND THE REHABILITATION HOSPITAL OF MONTANA. ADDITIONALLY, PRC, A NATIONALLY RECOGNIZED HEALTHCARE CONSULTING FIRM, WAS UTILIZED TO CONDUCT THE CHNA AND A STEERING COMMITTEE PROVIDED GUIDANCE CONSISTING OF REPRESENTATIVES FROM PUBLIC HEALTH, FAITH-BASED ORGANIZATIONS, GOVERNMENT ENTITIES, SOCIAL SERVICE AGENCIES, AND PRIVATE BUSINESS. THE CHNA INCORPORATED INPUT FROM PRIMARY QUANTITATIVE SOURCES, INCLUDING TELEPHONE SURVEYS OF 400 HOUSEHOLDS AND ADDITIONAL ONLINE SURVEYS, AND ONLINE KEY INFORMANT SURVEYS; AS WELL AS SECONDARY QUANTITATIVE DATA, INCLUDING PUBLIC HEALTH DATA. THE SAMPLE FOR THE 400 HOUSEHOLD TELEPHONE SURVEY IS REPRESENTATIVE OF THE YELLOWSTONE COUNTY POPULATION IN TERMS OF DEMOGRAPHIC, SOCIOECONOMIC CHARACTERISTICS, AND GEOGRAPHIC LOCATION. IN ADDITION, COMMUNITY COLLABORATORS CONDUCTED AN ONLINE SURVEY AND IN-PERSON SURVEYS TO OVERSAMPLE KEY DEMOGRAPHIC POPULATIONS, WHICH YIELDED AN ADDITIONAL 294 RESPONSES. BASED ON THE SAMPLE SIZE OF 694 RESPONDENTS, THE COLLABORATIVE IS 95% CONFIDENT THAT THE RESPONSES TO THE SURVEY QUESTIONS ARE REPRESENTATIVE OF THE SERVICE AREA POPULATION, PLUS OR MINUS 3.7%. THE 2023 CHNA WAS A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED IN 2020, 2017, 2014, 2011, AND 2006 DEMONSTRATING TRENDING OVER TIME.AN ONLINE SURVEY SOLICITED INPUT FROM KEY INFORMANTS, AND A TOTAL OF 86 COMMUNITY STAKEHOLDERS TOOK PART, INCLUDING REPRESENTATIVES OF COMMUNITY-BASED ORGANIZATIONS, EDUCATION, GOVERNMENT, BUSINESS, HEALTHCARE, AND PUBLIC HEALTH. THROUGHOUT THE PROCESS, REPRESENTATIVES FROM ORGANIZATIONS THAT SERVE LOW-INCOME, MINORITY, OR OTHER MEDICALLY UNDERSERVED POPULATIONS PROVIDED INPUT. ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 6A: ST. VINCENT CONDUCTED THE 2023 CHNA IN COLLABORATION WITH BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT, AND THE REHABILITATION HOSPITAL OF MONTANA, A SPECIALTY HOSPITAL ALSO LOCATED IN BILLINGS. ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 6B: ST. VINCENT CONDUCTED THE 2023 CHNA WITH RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT. IN ADDITION, 93 REPRESENTATIVES FROM BUSINESS, COMMUNITY, EDUCATION, FAITH-BASED ORGANIZATIONS, SOCIAL SERVICE AGENCIES, AND GOVERNMENT ENTITIES ENGAGED IN THE CHNA PROCESS AS MEMBERS OF THE CHNA ADVISORY GROUP, WHICH PROVIDED GUIDANCE IN THE CHNA PROCESS. ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7A: HOSPITAL WEBSITE.HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH-ST-VINCENT-REGIONAL-HOSPITALST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7B: HOSPITAL WEBSITE.HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/CHNA-REPORTS ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 7D: A PRESS CONFERENCE WAS HELD ON JANUARY 1, 2023, TO REPORT THE CHNA RESULTS AND PROVIDE A SUMMARY OF KEY FINDINGS. THE CHNA IS ALSO AVAILABLE ON THE ST. VINCENT AND HEALTHY BY DESIGN COALITION WEBSITES: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/CHNA-REPORTSHTTPS://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG/YELLOWSTONE-COUNTY-DATA/CHNA/ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 10A:HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/CHNA-REPORTS ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 11: THE 2023 CHNA IDENTIFIED 11 AREAS OF OPPORTUNITY AND WERE EVALUATED AND PRIORITIZED BY APPLYING THE FOLLOWING CRITERIA: RANKING IN COMPARISON TO NATIONAL AND STATE LEVEL BENCHMARK DATA; IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; MAGNITUDE IN TERMS OF NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. IN ALPHABETICAL ORDER, AREAS OF OPPORTUNITY IDENTIFIED IN THE 2023 CHNA:1. ACCESS TO HEALTHCARE SERVICES2. CANCER3. DIABETES4. HEART DISEASE AND STROKE5. INJURY AND VIOLENCE6. MENTAL HEALTH7. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT8. POTENTIALLY DISABLING CONDITIONS9. RESPIRATORY DISEASES 10. SEXUAL HEALTH11. SUBSTANCE ABUSETHROUGH AN EVIDENCE-BASED PRIORITIZATION PROCESS, ST. VINCENT IDENTIFIED FOUR SIGNIFICANT HEALTH NEEDS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY:1. ACCESS TO HEALTHCARE SERVICES2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE) 3. INJURY AND VIOLENCE4. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHTSIGNIFICANT HEALTH NEEDS ADDRESSED:ACCESS TO HEALTHCARE SERVICES: IN 2024, ST. VINCENT ADDRESSED ACCESS TO HEALTHCARE SERVICES THROUGH THE FOLLOWING PROGRAMS:OPENED PRIMARY CARE AND WALK-IN CLINICS IN LOCKWOOD AND WEST BILLINGS, MONTANA, AND EXPANDED VIRTUAL HEALTH SERVICES TO ENHANCE ACCESS TO HEALTHCARE SERVICES, ESPECIALLY FOR RESIDENTS IN RURAL AND TRIBAL COMMUNITIES. ST. VINCENT PROVIDED AN AVERAGE OF 1,093 VIRTUAL HEALTH VISITS EACH MONTH IN 2024. PROVIDED OUTREACH SERVICES THROUGH MOBILE MAMMOGRAPHY, WHICH SCREENED 3,721 WOMEN, INCLUDING 520 SCREENINGS AT INDIAN HEALTH SERVICE SITES ON THE CROW AND NORTHERN CHEYENNE RESERVATIONS.OFFERED 16 AREAS OF SPECIALTY CARE CLINICAL HOURS (I.E., PEDIATRIC) AT HOSPITALS IN 15 OUTLYING COMMUNITIES. PROVIDED STUDENT CLINICAL ROTATIONS TO INCREASE WORKFORCE CAPACITY FOR HEALTHCARE SERVICES, INCLUDING PHYSICIAN, PHYSICIAN ASSISTANT, NURSING, DIETITIANS, PHYSICAL AND OCCUPATIONAL THERAPY, LABORATORY, PARAMEDIC, PHARMACY AND PASTORAL EDUCATION (CPE), THE ONLY ACCREDITED CLINICAL PROGRAM IN THE STATE. OFFERED A MEDICATION ASSISTANCE PROGRAM PROVIDING TO LOW-INCOME, UNINSURED INDIVIDUALS TO OBTAIN FREE OR DISCOUNTED PRESCRIPTION MEDICATIONS DIRECTLY FROM PHARMACEUTICAL COMPANIES. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE): IN 2024, ST. VINCENT ADDRESSED BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE) THROUGH THE FOLLOWING PROGRAMS:EMBEDDED MENTAL HEALTH SPECIALISTS INTO PRIMARY CARE CLINICS TO PROVIDE AN INTEGRATED BEHAVIORAL HEALTH MODEL THAT INCREASES ACCESS TO MENTAL HEALTH SERVICES AND REDUCES BARRIERS RELATED TO STIGMA. IN 2024, ST. VINCENT BEHAVIORAL HEALTH SPECIALISTS COMPLETED 5,112 IN-PERSON, TELEPHONE, AND VIRTUAL VISITS. DISTRIBUTED 270 GUNLOCKS WITH SUICIDE PREVENTION RESOURCES AT 10 COMMUNITY EVENTS TO RAISE AWARENESS OF LOCAL RESOURCES AND SUICIDE PREVENTION THROUGH LETHAL MEANS REDUCTION. COLLABORATED WITH THE COUNTY PREVENTION SPECIALIST TO PROVIDE PARENTS IN THE COMMUNITY WITH INTERMOUNTAIN CHILDREN'S HEALTH WELL-BEING RESOURCES.CONTINUED SUPPORT OF THE COMMUNITY CRISIS CENTER, WHICH PROVIDES ACCESS TO INTEGRATED MENTAL HEALTH SERVICES, ASSESSMENTS, CASE MANAGEMENT, PEER SUPPORT GROUPS, SUBSTANCE USE DISORDER COUNSELING, REFERRALS TO COMMUNITY SERVICES, CRISIS INTERVENTION, 24/7 COMMUNITY STABILIZATION RESPONSE FOR AT-RISK INDIVIDUALS IN MENTAL DISTRESS, AND CRISIS TRAINING FOR LAW ENFORCEMENT. IN 2024, THE CENTER HAD 10,048 RESOLVED CLIENT VISITS AND SERVED 1,751 UNIQUE INDIVIDUALS, WITH BOTH MENTAL HEALTH AND SUBSTANCE USE DISORDER. CONTINUED SUPPORT OF COMMUNITY COLLABORATIONS ADDRESSING SUICIDE AND MENTAL HEALTH, INCLUDING THE SUBSTANCE ABUSE CONNECT COALITION AND THE YELLOWSTONE VALLEY SUICIDE PREVENTION COALITION, WHICH TRAINED 243 COMMUNITY MEMBERS IN SUICIDE PREVENTION. PARTICIPATED ON THE HEALTHY BY DESIGN COALITION, WHICH ADOPTED A COLLECTIVE COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS BEHAVIORAL HEALTH CONCERNS THROUGH THE CREATION OF HEALTHY NEIGHBORHOODS, HEALTHY CONNECTIONS TO DECREASE SOCIAL ISOLATION, AND HEALTHY INVESTMENTS TO IMPROVE THE QUALITY OF LIFE AND LIVABILITY OF THE COMMUNITY. INJURY AND VIOLENCE: IN 2024, ST. VINCENT ADDRESSED INJURY AND VIOLENCE THROUGH THE FOLLOWING PROGRAMS:PROVIDED PROGRAMMING TO REDUCE INJURY, INCLUDING: FALL PREVENTION CLASSES (STEPPING ON, STAYING ACTIVE AND INDEPENDENT FOR LIFE) FOR 565 SENIOR ADULTS; SIX DISTRACTED DRIVING PROGRAMS; 11 STOP THE BLEED TRAININGS FOR 933 COMMUNITY MEMBERS; AND EDUCATIONAL PRESENTATIONS ON WINTER SAFETY, HELMET SAFETY, WATER SAFETY, AND SAFE GUN STORAGE SAFETY.COLLABORATED WITH VITALANT TO HOLD BLOOD DRIVES, WHICH RESULTED IN 252 DONATIONS. PROVIDED TRAUMA OUTREACH AND TRAINING TO RURAL PROVIDERS AND SUPPORTED COMMUNITY ORGANIZATIONS AND COALITIONS ADDRESSING VIOLENCE. NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT: IN 2024, ST. VINCENT ADDRESSED NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT THROUGH THE FOLLOWING PROGRAMS:OFFERED EVIDENCE-BASED DIABETES AND HEART DISEASE PREVENTION PROGRAMS TWICE A YEAR AT THE BILLINGS FAMILY YMCA FOCUSED ON NUTRITION EDUCATION, PHYSICAL ACTIVITY, AND HEALTHY LIFESTYLE CHANGES. THE PROGRAMS ENROLLED 111 INDIVIDUALS AT RISK FOR DEVELOPING TYPE 2 DIABETES OR HEART DISEASE AND PARTICIPANTS WHO COMPLETED THE YEAR-LONG PROGRAM HAD A TOTAL WEIGHT LOSS OF 298 POUNDS. COLLABORATED WITH THE CITY OF BILLINGS AND SCHOOL DISTRICT 2 AS A PRESENTING SPONSOR FOR KIDS IN MOTION, WHICH PROVIDED BICYCLE TUNE-UP CLINICS AT LOCAL SCHOOLS TO EMPOWER STUDENTS TO RIDE BICYCLES TO SCHOOL. IN 2024, THE PROGRAM INSPECTED A TOTAL OF 190 STUDENT BICYCLES AT NINE SCHOOLS AND PROVIDED REPAIRS.PROVIDED LOGISTIC SUPPORT AND FIRST AID FOR 735 ATHLETES AT THE MONTANA SPECIAL OLYMPICS SUMMER GAMES. ADVOCATED AS A SPONSORING ENTITY AND MEMBER OF THE HEALTHY BY DESIGN COALITION TO INCREASE THE PROPORTION OF YELLOWSTONE COUNTY RESIDENTS AT A HEALTHY WEIGHT THROUGH POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE. THE COALITION'S EFFORTS INCLUDED A GARDENERS' MARKET HOSTED IN A FEDERALLY IDENTIFIED FOOD DESERT WITHIN A LOW-INCOME NEIGHBORHOOD. THE GARDENERS' MARKET ACCEPTED SNAP, WIC, AND SENIOR FARMERS MARKET NUTRITION PROGRAM PAYMENTS, WHICH INCREASED ACCESS TO FRESH AND AFFORDABLE PRODUCE. MARKET ATTENDEES REPORTED AN 84% INCREASE IN THEIR CONSUMPTION OF FRUITS AND VEGETABLES. PROVIDED INDIVIDUAL INTERVENTIONS FOR HEALTHY WEIGHT THROUGH THE WEIGHT MANAGEMENT CLINIC. BARIATRIC PATIENTS REDUCED THEIR BMI AT ONE YEAR POST-OPERATION FROM 44.5 TO 33.1. THE PEDIATRIC SPECIALTY CLINIC OFFERED PEDIATRIC WEIGHT MANAGEMENT SERVICES. OTHER HEALTH NEEDS NOT PRIORITIZED: ST. VINCENT IS NOT ADDRESSING ALL THE HEALTH NEEDS IDENTIFIED DURING THE CHNA PROCESS IN ITS IMPLEMENTATION STRATEGY. THE FOLLOWING HEALTH NEEDS WERE NOT PRIORITIZED DUE TO RESOURCE CONSTRAINTS, ABILITY AND EXPERTISE, EXISTING EFFORTS BY OTHER ORGANIZATIONS, OR LACK OF EFFECTIVE SOLUTIONS. HOWEVER, ST. VINCENT RECOGNIZES THEY REMAIN IMPORTANT TO THE HEALTH OF THE COMMUNITY AND ADDRESSES THESE NEEDS THROUGH CLINICAL OPERATIONS AND PROGRAMS, COMMUNITY BENEFIT REPORTABLE ACTIVITIES, SUCH AS SUBSIDIZED HEALTH SERVICES, COMMUNITY OUTREACH, AND OTHER COLLABORATIVE EFFORTS.CANCER: IN 2024, ST. VINCENT SCREENED 638 PATIENTS FOR LUNG CANCER USING LOW-DOSE CT SCANS. THE MOBILE MAMMOGRAPHY COACH PROVIDED MAMMOGRAMS TO 3,721 WOMEN AT 60 LOCATIONS, INCLUDING 520 SCREENINGS AT INDIAN HEALTH SERVICE SITES. CANCER PREVENTION WAS ALSO ADDRESSED THROUGH OUR NUTRITION, PHYSICAL ACTIVITY AND HEALTHY WEIGHT STRATEGIES.DIABETES: ST. VINCENT OFFERED TWO SESSIONS OF PREVENTIVE PROGRAMS FOR DIABETES AND HEART DISEASE AT THE BILLINGS FAMILY YMCA IN CORRELATION WITH OUR HEALTHY WEIGHT STATUS PRIORITY. ADDITIONALLY, ST. VINCENT PROVIDED FREE DIABETES SCREENINGS AT EVENTS (I.E., THE AGRICULTURAL MATE SHOW) TARGETED AT FOCUS POPULATIONS. DIABETES NEEDS ARE ALSO ADDRESSED THROUGH THE OTHER NUTRITION, PHYSICAL ACTIVITY, AND HEALTHY WEIGHT STRATEGIES.HEART DISEASE AND STROKE: ST. VINCENT OFFERED A BROAD ARRAY OF SERVICES, INCLUDING CARDIOLOGY, INTERVENTIONAL CARDIOLOGY, ADVANCED THROMBECTOMY-CAPABLE STROKE CENTER CERTIFICATION, AND CARDIAC REHABILITATION. THE HEALTHY WEIGHT STATUS PRIORITY ALSO ADDRESSED THE PREVENTION OF HEART DISEASE. POTENTIAL DISABLING CONDITIONS: ST. VINCENT IS A MEMBER OF THE DEMENTIA FRIENDLY BILLINGS COALITION AND PARTICIPATED IN THE AGE FRIENDLY BILLINGS INITIATIVE. RESPIRATORY DISEASE: ST. VINCENT OFFERED LOW-DOSE CT SCANS TO CURRENT AND FORMER HEAVY SMOKERS TO SCREEN FOR LUNG CANCER AND PROVIDED TOBACCO CESSATION INFORMATION IN CONJUNCTION WITH SCREENINGS AND PULMONARY REHABILITATION SERVICES. SEXUAL HEALTH: ST. VINCENT OFFERED MATERNAL FETAL MEDICINE AND MIDWIFERY CARE.CONTINUED BELOW. ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 13B: CATASTROPHIC ASSISTANCE. ST. VINCENT ATTEMPTS TO LIMIT A PATIENT'S FINANCIAL RESPONSIBILITY WHEN ALL OUTSTANDING MEDICAL DEBT, INCLUDING DEBT OWED TO OTHER PROVIDERS, EXCEEDS 25% OF THE PATIENT'S GROSS HOUSEHOLD ANNUAL INCOME.EXTENUATING CIRCUMSTANCES. SINCE EACH PATIENT'S PERSONAL CIRCUMSTANCES VARY, ST. VINCENT ALLOWS FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES AND PROCEDURES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 16A, 16B, 16C: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE/COLORADO-MONTANA-WYOMING ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 15E: PART V, LINES 15E, 16I, 16J & 20E SPECIFIC INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM ALONG WITH APPLICATIONS TO APPLY FOR FINANCIAL ASSISTANCE CAN BE FOUND ON THE INTERMOUNTAIN HEALTH WEBSITE (HTTPS://INTERMOUNTAINHEALTHCARE.ORG/FOR-PATIENTS/FINANCIAL-ASSISTANCE) IN ENGLISH, SPANISH, ARABIC, CHINESE, FRENCH, KOREAN, RUSSIAN AND VIETNAMESE. DETAILS INCLUDE AN EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, A TOLL-FREE, NUMBER AND A LINK TO THE APPLICATION. BROCHURES IN ENGLISH AND SPANISH ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF HOSPITALS AND CLINICS. OTHER LANGUAGES ARE AVAILABLE UPON REQUEST. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES AND HOW TO APPLY.ELIGIBILITY COUNSELORS AND PATIENT FINANCIAL ADVOCATES ARE AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING OR AFTER THE TIME OF SERVICE. SIGNS ARE POSTED AT PUBLIC REGISTRATION AREAS, IN PRIVATE REGISTRATION ROOMS AND IN PATIENT CARE AREAS IN BOTH ENGLISH AND SPANISH.PART V, SECTION B, LINE 22BDURING THE TAX YEAR, THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE: ST. VINCENT DETERMINED THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO A FINANCIAL ASSISTANCE ELIGIBLE PATIENT BY CALCULATING THE AMOUNT GENERALLY BILLED USING THE LOOK-BACK METHOD DESCRIBED IN TREASURY REGULATION SECTION 1.501(R)-5(B)(3). PART V, SECTION B, LINE 11 CONTINUED IN ADDITION TO IDENTIFIED NEEDS, ST. VINCENT RECOGNIZED THE EMERGING NEED TO ADDRESS UNDERLYING FACTORS THAT INFLUENCE COMMUNITY HEALTH, INCLUDING EDUCATION, HOUSING, EARLY CHILDHOOD DEVELOPMENT, AND ECONOMIC SECURITY. ST. VINCENT SPONSORED THE FOSTER GRANDPARENT PROGRAM, WHICH ALLOWED LOW-INCOME SENIORS TO MENTOR AT-RISK STUDENTS AT SCHOOLS AND HEAD START CENTERS IN THREE COUNTIES AND ONE RESERVATION. THE PROGRAM VOLUNTEERS PROVIDED 20,969 HOURS OF SERVICE RESULTING IN IMPROVED ACADEMIC SCORES FOR THE 261 CHILDREN MENTORED BY THE 32 SENIOR VOLUNTEERS. IN ADDITION, ST. VINCENT PARTICIPATED WITH THE CONTINUUM OF CARE COALITION TO ADDRESS HOUSING FOR INDIVIDUALS AND FAMILIES EXPERIENCING HOMELESSNESS. 17 1 - ST VINCENT REGIONAL HOSPITAL MS CTR 1041 N 29TH ST BILLINGS MT 59101 HOSPITAL BASED/PBB 2 - ST VINCENT REGIONAL HOSPITAL NEURO 1041 N 29TH ST BILLINGS MT 59101 HOSPITAL BASED/PBB 3 - ST VINCENT NEUROSURGERY 1041 N 29TH ST BILLINGS MT 59101 HOSPITAL BASED/PBB 4 - ST VINCENT - ORTHO TRAUMA 2900 12TH AVE N BILLINGS MT 59101 PRO-FEE ONLY 5 - ST VINCENT RHEUMATOLOGY 2900 12TH AVE N BILLINGS MT 59101 HOSPITAL BASED/PBB 6 - ST VINCENT - CANCER CENTERS OF MT 1315 GOLDEN VALLEY CIRCLE BILLINGS MT 59102 HOSPITAL BASED/PBB 7 - ST VINCENT - CANCER CENTERS OF MT 1315 GOLDEN VALLEY CIRCLE BILLINGS MT 59102 HOSPITAL BASED/PBB 8 - RED LODGE CLINIC - PHYSICAL THERAPY 810 N BROADWAY REDLODGE MT 59086 FREE-STANDING 9 - ST VINCENT NEUROLOGY HOSPITALISTS 1233 N 30TH ST BILLINGS MT 59101 PRO-FEE ONLY 10 - ST VINCENT - CANCER CENTERS OF MT 1315 GOLDEN VALLEY CIRCLE BILLINGS MT 59102 PRO-FEE ONLY 11 - CANCER CENTERS OF MONTANA 2600 WILSON STREET MILES CITY MT 59301 SATELLITE 12 - INTERNAL MEDICINE & DIABETES 2900 12TH AVE N BILLINGS MT 59101 HOSPITAL BASED/PBB 13 - ST VINCENT DERMATOLOGY 2900 12TH AVE N BILLINGS MT 59101 HOSPITAL BASED/PBB 14 - ST VINCENT HEALTHCARE - WALK-IN 1233 N 30TH ST BILLINGS MT 59101 HOSPITAL BASED/PBB 15 - ST VINCENT HEALTHCARE - WEIGHT MGMT 2900 12TH AVE N BILLINGS MT 59101 HOSPITAL BASED/PBB 16 - ST VINCENT LAUREL MEDICAL CENTER 1035 1ST AVE LAUREL MT 59044 HOSPITAL BASED/PBB 17 - WEST GRAND FAMILY MEDICINE 2750 GRAND AVE BILLINGS MT 59102 HOSPITAL BASED/PBB PART I, LINE 3C: MAXIMUM FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS AT OR BELOW 250% OF THE FEDERAL POVERTY GUIDELINES ("FPG"). APPLICANTS EQUAL TO OR BELOW THIS THRESHOLD RECEIVE A 100% WAIVER OF PATIENT FINANCIAL OBLIGATION.A SLIDING SCALE IS USED FOR PATIENTS BETWEEN 250% AND 500% OF FPG.TO DETERMINE ELIGIBILITY FOR PROVIDING FREE OR DISCOUNTED CARE, A VARIETY OF FACTORS IS USED, INCLUDING INCOME, MEDICAL INDIGENCE, INSURANCE STATUS, SOCIAL-ECONOMIC, GEOGRPAHICAL LOCATION, AND MEDICAID ELIGIBILITY.TOTAL CHARGES ARE LIMITED IN RELATION TO THE GROSS HOUSEHOLD INCOME. CHARGES ARE DISCOUNTED TO NOT EXCEED 25% OF GROSS ANNUAL HOUSEHOLD INCOME.SINCE EACH PATIENT'S CIRCUMSTANCES VARY, ALLOWANCE IS MADE FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART I, LINE 6A: THIS ORGANIZATION IS PART OF THE INTERMOUNTAIN HEALTH CARE, INC. SYSTEM, WHICH PREPARES AN ANNUAL REPORT TO THE COMMUNITY ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, INTERMOUNTAIN HEALTH CARE, INC. PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST.PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE: THE ADJUSTMENTS FOR UNPAID SERVICES INCLUDED ON FORM 990, PART IX, LINE 25, BUT EXCLUDED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN, IS $12,392,042. PART II, COMMUNITY BUILDING ACTIVITIES: ST. VINCENT RECOGNIZES THE NEED TO ADDRESS UNDERLYING FACTORS WHICH INFLUENCE HEALTH IN OUR COMMUNITY SUCH AS EDUCATION, HOUSING, EARLY CHILDHOOD DEVELOPMENT AND ECONOMIC SECURITY. WE SPONSOR THE FOSTER GRANDPARENT PROGRAM WITH LOW INCOME SENIORS MENTORING STUDENTS IN NEED AT SCHOOLS, AFTER SCHOOL PROGRAMS AND EARLY CHILDHOOD CENTERS IN THREE COUNTIES AND ON ONE RESERVATION, RESULTING IN IMPROVED ACADEMIC SCORES. IN 2024, FOSTER GRANDPARENT VOLUNTEERS PROVIDED 22,631 HOURS MENTORING AT-RISK YOUTH. ST. VINCENT PROVIDES FINANCIAL AND IN-KIND SUPPORT TO ORGANIZATIONS ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND COMMUNITY LEADERSHIP. PART III, LINE 2: MANAGEMENT ESTIMATES THE PROVISION FOR ADJUSTMENTS FOR UNPAID SERVICES BY ASSESSING THE COLLECTIBILITY, TIMING AND AMOUNT OF PATIENT SERVICES REVENUES BY CONSIDERING HISTORICAL COLLECTION RATES FOR EACH MAJOR PAYER SOURCE, GENERAL ECONOMIC TRENDS, AND OTHER INDICATORS. PART III, LINE 3: WHEN A PATIENT OR RESPONSIBLE PARTY IS UNINSURED OR UNDERINSURED AND EXPRESSES EITHER CONCERN ABOUT THEIR ABILITY TO PAY OR INTEREST IN APPLYING FOR FINANCIAL ASSISTANCE, ST. VINCENT STAFF ARE EDUCATED TO GIVE THE PATIENT AN APPLICATION FOR FINANCIAL ASSISTANCE AND INSTRUCTIONS FOR COMPLETING AND RETURNING THE APPLICATION. IN SITUATIONS WHERE THE PATIENT FAILS TO RETURN THE APPLICATION AND THE ACCOUNT PROGRESSES THROUGH THE COLLECTION CYCLE, THE ACCOUNT MAY BE WRITTEN OFF AS AN ADJUSTMENT FOR UNPAID SERVICES.ST. VINCENT UTILIZES DATA SOURCES TO IDENTIFY NONRESPONDING PATIENTS THAT MAY QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS BELONGING TO QUALIFIED PATIENTS ARE ADJUSTED TO CHARITY CARE RATHER THAN ADJUSTMENTS FOR UNPAID SERVICES AT THE END OF THE INTERNAL COLLECTIONS CYCLE. ST. VINCENT ALSO ANALYZES THIS DATA TO ESTIMATE THE NUMBER OF PATIENTS THAT COULD POTENTIALLY QUALIFY FOR FINANCIAL ASSISTANCE IF ADDITIONAL INFORMATION WERE AVAILABLE OR PROVIDED BY THE PATIENT.THE CHARITY CARE AMOUNTS INCLUDED IN THE FINANCIAL STATEMENTS ARE SEPARATE AND DISTINCT FROM ADJUSTMENTS FOR UNPAID SERVICES, WHICH GENERALLY REPRESENTS PATIENT SERVICES REVENUES THAT ARE NOT COLLECTIBLE DUE TO EITHER AN UNWILLINGNESS TO PAY BY THOSE RESPONSIBLE FOR PAYMENT OR AN INABILITY BY ST. VINCENT TO OBTAIN DOCUMENTATION FROM THOSE RESPONSIBLE FOR PAYMENT THAT WOULD SUBSTANTIATE THE PATIENT'S QUALIFICATION FOR CHARITY CONSIDERATION. ADJUSTMENTS FOR UNPAID SERVICES ARE REFLECTED AS REDUCTIONS TO PATIENT SERVICES REVENUES IN THE CONSOLIDATED STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS AND WERE $9,223,430 AND $12,392,042 FOR THE YEARS ENDED DECEMBER 31, 2023, AND 2024, RESPECTIVELY .PATIENTS CAN APPLY FOR FINANCIAL ASSISTANCE AT ANY POINT OF THE REGISTRATION, BILLING, OR COLLECTION PROCESSES. PART III, LINE 4: BASED ON HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF ST. VINCENT UNINSURED AND UNDERINSURED PATIENTS ARE UNABLE TO PAY FOR THE SERVICES PROVIDED. ACCORDINGLY, ST. VINCENT RECORDS ADJUSTMENTS TO PATIENT SERVICES REVENUES IN THE PERIOD SERVICES ARE RENDERED FOR AMOUNTS NOT EXPECTED TO BE PAID.MANAGEMENT ESTIMATES THE ADJUSTMENTS RECORDED FOR THESE UNPAID SERVICES BY ASSESSING THE COLLECTIBILITY, TIMING AND AMOUNT OF PATIENT SERVICES REVENUES BY CONSIDERING HISTORICAL COLLECTION RATES FOR EACH MAJOR PAYER SOURCE, GENERAL ECONOMIC TRENDS AND OTHER INDICATORS. MANAGEMENT ALSO ASSESSES THE ADEQUACY OF THE ADJUSTMENTS FOR UNPAID SERVICES BASED ON HISTORICAL WRITE-OFFS, ACCOUNTS RECEIVABLE AGING AND OTHER FACTORS. PART III, LINE 8: MANAGEMENT BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS THE ORGANIZATION INCURS IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO.MEDICARE SHORTFALLS SHOULD BE TREATED AND REPORTED ON SCHEDULE H AS A COMMUNITY BENEFIT FOR THE FOLLOWING REASONS:(1) ABSENT THE MEDICARE PROGRAM, IT IS LIKELY MANY OF THE INDIVIDUALS WOULD QUALIFY FOR CHARITY CARE OR OTHER NEEDS-BASED GOVERNMENT PROGRAMS;(2) BY ACCEPTING PAYMENT BELOW COST TO TREAT THESE INDIVIDUALS, BURDENS BORNE BY GOVERNMENTS ARE RELIEVED;(3) A SIGNIFICANT POSSIBILITY EXISTS THAT CONTINUED REDUCTIONS TO MEDICARE PAYMENTS MAY ACTUALLY CREATE DIFFICULTIES IN ACCESS FOR THESE INDIVIDUALS; AND(4) THE AMOUNT SPENT TO COVER THE REPORTED MEDICARE SHORTFALL IS MONEY NOT AVAILABLE TO COVER CHARITY CARE AND OTHER COMMUNITY BENEFIT NEEDS. PART III, LINE 9B: ST. VINCENT RECOGNIZES ITS RESPONSIBILITY TO MANAGE THE COST OF HEALTHCARE BY ASKING THOSE WHO CAN PAY TO DO SO AND IS COMMITTED TO ASSISTING PATIENTS BY PROVIDING VARIOUS OPTIONS FOR RESOLVING THEIR FINANCIAL OBLIGATION, INCLUDING DISCOUNTS FOR THE UNINSURED, PAYMENT PLANS, AND REDUCED OR WAIVED RESPONSIBILITY THROUGH FINANCIAL ASSISTANCE. ST. VINCENT ALSO ASSISTS PATIENTS WHO ARE POTENTIALLY ELIGIBLE FOR GOVERNMENT ASSISTANCE PROGRAMS TO APPLY FOR SUCH ASSISTANCE. DELINQUENT ACCOUNTS MAY BE REFERRED TO EXTERNAL COLLECTION AGENCIES ONLY AFTER REASONABLE ATTEMPTS ARE MADE TO CONTACT THE RESPONSIBLE PARTY AND NO ARRANGEMENT HAS BEEN MADE TO PAY THE ACCOUNT BALANCE. SUCH AGENCIES ARE EXPECTED TO TREAT PATIENTS WITH THE SAME RESPECT AND DIGNITY THAT ST. VINCENT AFFORDS ALL ITS PATIENTS. FOR EXAMPLE, CONTACTS BY THE AGENCIES WILL INCLUDE FINANCIAL ASSISTANCE OPTIONS FOR PATIENTS UNABLE TO PAY. AGENCIES ARE RESTRICTED FROM PURSUING LEGAL PROCEEDINGS TO COLLECT DEBTS IN LIMITED CIRCUMSTANCES AND MAY ONLY DO SO UPON APPROVAL BY ST. VINCENT. STRONGER MEASURES, SUCH AS THE COURTS, ARE NOT USED UNLESS THERE IS EVIDENCE OF FRAUD OR A CLEAR ABILITY TO PAY ACCOMPANIED BY A REFUSAL TO PAY. PART V, SECTION A WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH-ST-VINCENT-REGIONAL-HOSPITAL PART VI, LINE 2: ST. VINCENT LEADERS SERVED ON VARIOUS COMMUNITY BOARDS TO UNDERSTAND SPECIFIC NEEDS. ST. VINCENT ALSO UTILIZES OUTREACH AND RELATIONSHIPS WITH OTHER HOSPITALS AND CLINICS TO BETTER ASSESS THE HEALTHCARE NEEDS OF OUR RURAL MONTANA COMMUNITIES. IN ADDITION TO THE CHNA, ST. VINCENT USES SECONDARY DATA SUCH AS COUNTY HEALTH RANKINGS AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) TO DETERMINE HEALTH NEEDS FOR COUNTIES BEYOND OUR PRIMARY SERVICE AREA. ST. VINCENT ALSO UTILIZES OTHER LOCAL NEEDS ASSESSMENTS AND REPORTS FROM COMMUNITY ORGANIZATIONS SUCH AS UNITED WAY OF YELLOWSTONE COUNTY AND THE HUMAN RESOURCE DEVELOPMENT COUNCIL (HRDC). PART VI, LINE 3: BY POLICY, ST. VINCENT PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS BASED ON MEDICAL NEED WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, NATIONAL ORIGIN, DISABILITY, PROTECTED VETERAN STATUS, OR ABILITY TO PAY. AN UNINSURED OR UNDERINSURED LOW-INCOME PERSON WILL RECEIVE THOSE SERVICES GENERALLY AVAILABLE FOR NO CHARGE OR A REDUCED CHARGE BASED UPON SUCH PERSON'S ABILITY TO PAY. SPECIFIC INFORMATION ON HOW TO APPLY FOR THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON ST. VINCENT'S WEBSITE IN ENGLISH, SPANISH, ARABIC, CHINESE, FRENCH, KOREAN, RUSSIAN, AND VIETNAMESE AND CAN BE SUBMITTED ELECTRONICALLY, BY MAIL, OR IN PERSON. DETAILS INCLUDE A PLAIN LANGUAGE EXPLANATION OF THE PROGRAM, FREQUENTLY ASKED QUESTIONS, A TOLL-FREE NUMBER, AND A LINK TO THE APPLICATION. BROCHURES, IN ENGLISH, SPANISH, ARABIC, CHINESE, FRENCH, KOREAN, RUSSIAN AND VIETNAMESE , ARE ALSO AVAILABLE THROUGHOUT THE PUBLIC RECEPTION AND REGISTRATION AREAS OF HOSPITALS AND CLINICS. THE BROCHURES DESCRIBE THE AVAILABILITY OF FINANCIAL ASSISTANCE, WHO QUALIFIES AND HOW TO APPLY. ELIGIBILITY COUNSELORS AND PATIENT FINANCIAL ADVOCATES ARE AVAILABLE TO ASSIST PATIENTS IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION BEFORE, DURING AND AFTER THE TIME OF SERVICE. THE AVAILABILITY OF FINANCIAL ASSISTANCE CAN BE FOUND IN REGISTRATION AREAS AND PATIENT CARE AREAS IN ENGLISH AND SPANISH. EVERY BILLING STATEMENT STATES THE FOLLOWING: "YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE. TO APPLY VISIT WWW.INTERMOUNTAINHEALTH.ORG/FINANCIALASSISTANCE OR CALL US AT 866.665.2636. THIS STATEMENT IS PROVIDED ON THE FRONT OF EACH STATEMENT IN CONSPICUOUS FONT. PART VI, LINE 4: POPULATION AND GEOGRAPHY: ST. VINCENT'S PRIMARY SERVICE AREA INCLUDES YELLOWSTONE COUNTY, ENCOMPASSING 2,633 SQUARE MILES AND A POPULATION OF 160,390 RESIDENTS. BETWEEN THE 2000 AND 2020 US CENSUSES, THE COUNTY POPULATION INCREASED 11.3%, A GREATER PROPORTIONAL INCREASE THAN IN MONTANA AND THE NATION. YELLOWSTONE COUNTY IS PREDOMINANTLY URBAN, WITH 83.3% OF THE POPULATION LIVING IN AREAS DESIGNATED AS URBAN WITH SURROUNDING RURAL AND FRONTIER COUNTIES. HOSPITALS IN THE SERVICE AREA: THERE ARE TWO ACUTE CARE HOSPITALS IN YELLOWSTONE COUNTY: SCL HEALTH - MONTANA D/B/A ST. VINCENT REGIONAL HOSPITAL AND BILLINGS CLINIC, A NONPROFIT HOSPITAL. THERE IS ALSO AN ACUTE REHABILITATION HOSPITAL, THE REHABILITATION HOSPITAL OF MONTANA, LOCATED IN BILLINGS. AGE: IN YELLOWSTONE COUNTY, 23.4% OF THE POPULATION ARE AGE 0-17, 59.6% ARE AGE 18 TO 64, AND 17.0% ARE AGE 65 AND OLDER. RACE AND ETHNICITY: THE MAJORITY OF YELLOWSTONE COUNTY RESIDENTS, 89.2%, ARE WHITE, AND 4.0% ARE NATIVE AMERICAN, 2.8% ARE ANOTHER RACE, AND 4.1% ARE MULTIPLE RACES. A TOTAL OF 5.9% OF YELLOWSTONE COUNTY RESIDENTS ARE HISPANIC OR LATINO, WHICH IS HIGHER THAN THE STATE OF MONTANA. POVERTY AND ECONOMICS: THE LATEST CENSUS ESTIMATE SHOWS 9.6% OF THE YELLOWSTONE COUNTY POPULATION IS LIVING BELOW THE FEDERAL POVERTY LEVEL, INCLUDING 4,176 CHILDREN. IN YELLOWSTONE COUNTY, 5.2% OF ADULTS OVER AGE 25 DO NOT HAVE A HIGH SCHOOL EDUCATION. THE UNEMPLOYMENT RATE IS 2.5% AND DECREASED SINCE 2020. OTHER ECONOMIC INDICATORS INCLUDE THAT 26.1% OF COUNTY RESIDENTS ARE WORRIED OR STRESSED ABOUT HAVING ENOUGH MONEY TO PAY THEIR RENT OR MORTGAGE AND 30.8% OF PERSONS OF COLOR REPORT HAVING LIVED WITH A FRIEND OR RELATIVE BECAUSE OF AN EMERGENCY. APPROXIMATELY 31,000 RESIDENTS HAVE LOW FOOD ACCESS, AND 21.3% OF ADULTS FIND IT DIFFICULT TO ACCESS AFFORDABLE FRESH FRUITS AND VEGETABLES. HEALTH STATUS: MOST YELLOWSTONE COUNTY RESIDENTS RATED THEIR OVERALL HEALTH FAVORABLY, WITH 84.7% RATING IT AS EXCELLENT, VERY GOOD, OR GOOD. HOWEVER, 15.3% OF ADULTS BELIEVED THEIR HEALTH WAS FAIR OR POOR. LOW-INCOME ADULTS, PERSONS OF COLOR, AND ADULTS 65 AND OLDER HAD HIGHER RATES OF IDENTIFYING THEIR HEALTH AS FAIR OR POOR. UNINSURED RATE: 9.6% OF PEOPLE IN YELLOWSTONE COUNTY ARE UNINSURED, WHICH IS HIGHER THAN THE U.S AVERAGE OF 9.3%. PART VI, LINE 5: ST. VINCENT ADHERED TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT." ST. VINCENT'S COMMUNITY BENEFIT WORK WAS DRIVEN BY IDENTIFIED COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS AND THE BROADER COMMUNITY. A COMMUNITY BENEFIT REPORT TO THE COMMUNITY IS PUBLISHED ANNUALLY AND FOUND AT: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/-/MEDIA/FILES/INTERMOUNTAIN-HEALTH/COMMUNITY-BENEFIT/CHNA-2023/ST-VINCENT2023COMMBENEFITREPORT.ASHX ST. VINCENT INTEGRATED COMMUNITY BENEFIT STRATEGIES IN THE ORGANIZATIONAL STRATEGIC PLAN, INCLUDING PROGRAMS AND EDUCATION OFFERED BY VARIOUS ORGANIZATIONAL STAFF AND HAS DEDICATED STAFF COMMITTED TO COMMUNITY BENEFIT EFFORTS. HOSPITAL LEADERS, MANAGERS, AND SUPERVISORS PARTICIPATED ANNUALLY IN COMMUNITY BENEFIT SERVICE EVENTS WITH NONPROFIT ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH. ST. VINCENT IS GOVERNED BY A VOLUNTEER BOARD OF DIRECTORS, WHICH INCLUDES INDEPENDENT PERSONS THAT REPRESENT THE COMMUNITY. THE HOSPITAL ALSO HAS A SPECIFIC COMMUNITY BENEFIT COMMITTEE INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND DEVELOPMENT OF THE IMPLEMENTATION STRATEGY. THIS COMMUNITY BENEFIT COMMITTEE INCLUDES MEMBERS OF THE GOVERNING BOARD AND REPRESENTATIVES FROM THE COMMUNITY AND MONITORS IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND REPORTS BACK TO THE FULL BOARD. ST. VINCENT OPERATED AN EMERGENCY ROOM OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. ST. VINCENT ENGAGED IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS, TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS, AND PARTICIPATED IN MEDICAID, MEDICARE, AND OTHER GOVERNMENT-SPONSORED HEALTH PROGRAMS. ST. VINCENT EMPLOYS THE STAFF OF THE NONPROFIT ST. VINCENT HEALTHCARE FOUNDATION, WHICH PROVIDES FUNDRAISING FOR FACILITIES AND PROGRAMS THAT REACH THE UNDERREPRESENTED, UNDERSERVED, LOW-INCOME, AND UNDERREPRESENTED. THE FOUNDATION IS GOVERNED AND OPERATED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN ST. VINCENT HAS EXCESS REVENUE OVER OPERATING EXPENSES, IT USES FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE THEY WILL BE ABLE TO CARE FOR FUTURE GENERATIONS.ST. VINCENT CO-LEADS COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE ALLIANCE, A COLLABORATION WITH BILLINGS CLINIC AND RIVERSTONE HEALTH, AND COMMITS TIME AND FINANCIAL RESOURCES TO FULFILL GOALS OUTLINED IN THE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY. PART VI, LINE 6: THE FILING ORGANIZATION IS PART OF INTERMOUNTAIN HEALTH ("IH"), AN INTEGRATED HEALTH SYSTEM WHOSE VISION IS TO "BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICE AT AN AFFORDABLE COST." IH STRIVES TO FULFILL THAT MISSION THROUGH ACCOMPLISHING ITS STATED MISSION OF "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE."IH IS MANAGED BY A PARENT ORGANIZATION, INTERMOUNTAIN HEALTH CARE, INC., A NONPROFIT CORPORATION EXEMPT UNDER IRC SECTION 501(C)(3). AFFILIATES WITHIN THE IH NETWORK INCLUDE NONPROFIT CORPORATIONS EXEMPT UNDER IRC SECTIONS 501(C)(3) AND 501(C)(4), TAXABLE CORPORATIONS, PARTNERSHIPS WITH PHYSICIANS, STRATEGIC INVESTMENTS, AND JOINT VENTURES.HEADQUARTERED IN SALT LAKE CITY, UTAH, IH CONSISTS OF A TEAM OF MORE THAN 68,000 CAREGIVERS WHO SERVE THE HEALTHCARE NEEDS OF PEOPLE ACROSS THE INTERMOUNTAIN WEST, INCLUDING UTAH, IDAHO, NEVADA, COLORADO, MONTANA, AND WYOMING. IH PROVIDES SERVICES TO AND PROMOTES THE HEALTH OF THESE COMMUNITIES THROUGH 33 HOSPITALS, HUNDREDS OF CLINICS, A MEDICAL GROUP, AFFILIATE NETWORKS, HOMECARE, TELEHEALTH, INSURANCE PLANS, MEDICAL AIR TRANSPORT, AND OTHER SERVICES. IH IS WIDELY RECOGNIZED AS A LEADER IN TRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TO CONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS.IH IS WORKING TO IMPROVE HEALTH AND WELL-BEING BY IMPROVING MENTAL WELL-BEING, PREVENTING AVOIDABLE DISEASE, IMPROVING AIR QUALITY, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND OTHER COMMUNITY HEALTH INITIATIVES. THROUGH MULTIPLE CHARITABLE FOUNDATIONS, IH ALSO DEVELOPS FINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTING OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL WELL-BEING SERVICES FOR LOW-INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS. 1 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD CO 80021 237379161 501(C)(3) 16013372 0 SUPPORT MONTANA CLINICS ST VINCENT HEALTHCARE FOUNDATION 1106 NORTH 30TH STREET BILLINGS MT 59101 810468034 501(C)(3) 1774234 0 SUPPORT OPERATIONS COMMUNITY CRISIS CENTER 704 N 30TH STREET BILLINGS MT 59101 203231164 501(C)(3) 82000 0 PROGRAM SUPPORT HELP CENTER INC 421 EAST PEACH STREET BOZEMAN MT 59715 810309373 501(C)(3) 25000 0 PROGRAM SUPPORT MONTANA STATE UNIVERSITY FOUNDATION INC PO BOX 172750 BOZEMAN MT 59717 816001649 501(C)(3) 24500 0 PROGRAM SUPPORT EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS 415 N 30TH STREET BILLINGS MT 59101 810452904 501(C)(3) 22500 0 SPONSORSHIPS MONTANA AMATEUR SPORTS INC DBA BIG SKY STATE GAMES 401 N 31ST ST 620 BILLINGS MT 59101 810431595 501(C)(3) 22500 0 SUPPORT COMMUNITY HEALTH MONTANA CHAMBER OF COMMERCE PO BOX 1730 HELENA MT 59624 810171290 501(C)(6) 21000 0 PROGRAM SUPPORT BILLINGS CATHOLIC SCHOOLS FOUNDATION 215 N 31ST STREET BILLINGS MT 59101 383819006 501(C)(3) 20500 0 PROGRAM SUPPORT BILLINGS CHAMBER OF COMMERCE 815 S 27TH ST BILLINGS MT 59101 810111570 501(C)(6) 17950 0 PROGRAM SUPPORT LEADERSHIP MONTANA INC PO BOX 5155 BOZEMAN MT 59717 208571151 501(C)(3) 10000 0 PROGRAM SUPPORT LOCKWOOD SCHOOL DISTRICT 26 1932 US HWY 87 E LOCKWOOD MT 59101 816001105 GOVERNMENT 10000 0 PROGRAM SUPPORT NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVENUE NEW YORK NY 10017 135661935 501(C)(3) 10000 0 PROGRAM SUPPORT THE SCRIPPS HOWARD FOUNDATION PO BOX 5380 CINCINNATI OH 45201 316025114 501(C)(3) 10000 0 PROGRAM SUPPORT ST JOHN'S FOUNDATION 3940 RIMROCK ROAD BILLINGS MT 59102 810459472 501(C)(3) 10000 0 PROGRAM SUPPORT GALLATIN VALLEY YOUNG MENS CHRISTIAN ASSOCIATION INC 3673 LOVE LANE BOZEMAN MT 59718 810542574 501(C)(3) 7500 0 PROGRAM SUPPORT BILLINGS SYMPHONY SOCIETY 2820 2ND AVE NORTH BILLINGS MT 59101 237083873 501(C)(3) 7000 0 PROGRAM SUPPORT MONTANA COMMUNITY FOUNDATION INC PO BOX 1145 HELENA MT 59624 810450150 501(C)(3) 6000 0 PROGRAM SUPPORT MONTANA MEDICAL ASSOCIATION 2021 11TH AVE STE 1 HELENA MT 59601 810215638 501(C)(6) 5500 0 SPONSORSHIPS 16 3 PART I, LINE 2: MISSION FUND POLICIES SCL HEALTH - MONTANA PROVIDES A LIMITED NUMBER OF GRANTS TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN OUR COMMUNITY. GUIDED BY HOSPITAL POLICY, MISSION FUND AWARD PROJECTS MUST: (1) DEMONSTRATE A COMMITTMENT TO THE SCL HEALTH - MONTANA MISSION, VISION, AND VALUES; (2) MEET CRITERIA FOR INCLUSION IN THE COMMUNITY BENEFIT REPORT; AND (3) DOCUMENT MEASURABLE OUTCOMES THAT DEMONSTRATE THE SUCCESS OF THE PROJECT. PREFERENCE WILL BE GIVEN WHEN THE PROJECT CAN: (1) ADDRESS CREATIVELY THE UNMET NEEDS OF THE ECONOMICALLY DISADVANTAGED; (2) FORM COLLABORATIVE PARTNERSHIPS THAT IMPROVE THE HEALTH OF THE COMMUNITY; (3) AID A SIGNIFICANT POPULATION OF THE POOR, UNDERSERVED AND/OR UNINSURED; (4) REFLECT SCL HEALTH - MONTANA'S ANNUAL AND STRATEGIC GOALS; AND (5) DEMONSTRATE THE POSSIBILITY FOR SUSTAINABILITY BEYOND THE GRANT PERIOD. APPLICATIONS ARE REVIEWED ON AN ANNUAL BASIS BY COMMITTEE. GRANTEES ARE REQUIRED TO PROVIDE A 6-MONTH AND 1-YEAR REPORT TO SCL HEALTH - MONTANA AND PROVIDE FOR AN ON-SITE VISIT OF THE PROGRAM. AS NOTED IN THE MISSION FUND APPLICATION, IF FUNDS ARE USED OUTSIDE OF PROJECT GUIDELINES THE GRANTEE MAY BE ASKED TO REIMBURSE SCL HEALTH - MONTANA FOR FUNDS ALREADY DISTRIBUTED FOR THE PROJECT. X 0 1 1 1 0 0 0 0 0 0 0 YEVGENIY AREFIEV FORMER HIGHEST COMPENSATED 0 571822 0 758056 0 24493 0 20700 0 39798 0 1414869 0 0 BRYAN JOHNSON INTERIM PRESIDENT, MT REGION (PARTIA 0 554316 0 175097 0 60351 0 265522 0 29844 0 1085130 0 228386 LEE BOYLES MT MKT PRESIDENT/SVB PRESIDENT (PART 419440 0 128583 0 29632 0 119788 0 22951 0 720394 0 0 0 SEAN FADDEN TREASURER 0 399078 0 106655 0 25773 0 163417 0 19517 0 714440 0 130898 JAMES RITCHEY FORMER KEY EMPLOYEE 0 356696 0 101431 0 29534 0 158909 0 34194 0 680764 0 128396 JENNIFER DAVENPORT MD ACMO MT REGION, INTERIM CMO SVB 421081 0 76047 0 46891 0 54375 0 22361 0 620755 0 120955 0 TONI GREEN-CHEATWOOD MD INTERIM CMO (PARTIAL) 0 419647 0 89513 0 2073 0 74252 0 31406 0 616891 0 89513 DANIEL LEWIS FORMER HIGHEST COMPENSATED 0 395381 0 135686 0 6053 0 20700 0 33386 0 591206 0 0 SHELDON NELSON FORMER HIGHEST COMPENSATED 0 313902 0 216692 0 5153 0 20700 0 34086 0 590533 0 0 JAMES RICHARDS FORMER HIGHEST COMPENSATED 0 519668 0 10243 0 15002 0 17580 0 25025 0 587518 0 0 FRANK LAMM FORMER HIGHEST COMPENSATED 0 491795 0 504 0 7909 0 19997 0 36113 0 556318 0 0 TRENT MIHALICK FORMER HIGHEST COMPENSATED 0 493645 0 504 0 7909 0 18458 0 34026 0 554542 0 0 PAMELA PALAGI AVP, FINANCE MT MARKET 321851 0 70829 0 33226 0 116762 0 11191 0 553859 0 102068 0 RICHARD LAMMERS FORMER HIGHEST COMPENSATED 0 372616 0 110967 0 1412 0 19842 0 34394 0 539231 0 0 TERENCE MOLOUGHNEY ASSISTANT SECRETARY (PARTIAL) 0 171180 0 69994 0 213230 0 48033 0 14289 0 516726 0 57779 RONALD SNYDER FORMER HIGHEST COMPENSATED 0 423212 0 20504 0 6835 0 20700 0 36484 0 507735 0 0 EDEN JONES FORMER HIGHEST COMPENSATED 0 427318 0 20504 0 16954 0 20700 0 14673 0 500149 0 0 ADAM SCHAFER VP NETWORK DEVELOPMENT REGION MT 262278 0 60202 0 1814 0 107059 0 33551 0 464904 0 60202 0 GERALDINE MOURNIAN PHYSICIAN 378039 0 9334 0 2105 0 19422 0 27498 0 436398 0 0 0 MARJORIE TEVLIN FORMER HIGHEST COMPENSATED 0 346886 0 15504 0 6785 0 16027 0 41450 0 426652 0 0 EDWIN RODRIGUEZ FORMER HIGHEST COMPENSATED 0 303590 0 52331 0 20297 0 12023 0 33732 0 421973 0 0 DUSTIN STRANDELL SR DIR SVC LINES (PARTIAL),COO (PART 228325 0 47832 0 27777 0 61192 0 26434 0 391560 0 22832 0 KELLY ADAMS SECRETARY (PARTIAL) 0 238931 0 24559 0 31011 0 56058 0 34534 0 385093 0 24559 TRACY NEARY VP MISSION INTEGRATION REGION MT 185501 0 43689 0 18063 0 77027 0 35306 0 359586 0 60512 0 HEATHER BRENDEN SR DIR HR BUSINESS PARTNER SVB 209720 0 23816 0 1095 0 48542 0 16725 0 299898 0 23816 0 JOELLEN MAURER DIRECTOR PHARMACY SVB 213803 0 23885 0 1550 0 42236 0 12980 0 294454 0 23885 0 TYLER WILTGEN EXECUTIVE DIRECTOR OF PHILANTHROPY S 181942 0 21670 0 553 0 46343 0 38679 0 289187 0 21670 0 CAROL BEAM PRESIDENT CEO RMHN SVB 195239 0 22040 0 3844 0 13130 0 12090 0 246343 0 22040 0 MELISSA FILTER VP CHIEF NURSING OFFICER SVB (PARTIA 94072 0 55887 0 1558 0 9226 0 11593 0 172336 0 55887 0 MICHAEL BUSH FORMER KEY EMPLOYEE 0 36983 0 73116 0 48356 0 6647 0 2580 0 167682 0 73116 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS THE FILING ORGANIZATION ALLOWS FOR CERTAIN TAX INDEMNIFICATION AND GROSS-UP PAYMENTS IN THE INSTANCES OF RELOCATION. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION AND REPORTED ON A FORM W-2 OR 1099. THE INDIVIDUALS THAT RECEIVED TAX GROSS-UP PAYMENTS IN 2024 WERE: LEE BOYLES - $7,914. PART I, LINE 3 THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH, AN INTEGRATED HEALTH SYSTEM THAT IS NATIONALLY RECOGNIZED FOR PROVIDING QUALITY MEDICAL CARE THAT RANKS AMONG THE HIGHEST IN THE NATION WITH CHARGES THAT ARE AMONG THE LOWEST IN THE NATION. INTERMOUNTAIN HEALTH'S POLICY IS TO COMPENSATE ITS EMPLOYEES, INCLUDING SENIOR MANAGEMENT, AT MARKET COMPETITIVE RATES. THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SISTERS OF CHARITY OF LEAVENWORTH HEALTHY SYSYTEM, INC. AND ALL OF ITS AFFILIATES. THE COMPENSATION COMMITTEE OF THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. (PARENT ORGANIZATION) RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO BECOME A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID, AS REQUIRED IN THE REPORTING SCHEDULE INSTRUCTIONS. PART I, LINES 4A-B PART I, LINE 4A SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO DEPARTING EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2024 WERE: TERENCE MOLOUGHNEY - $212,179. PART I, LINE 4B PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES A NONQUALIFIED DEFERRED COMPENSATION PLAN (NQDC) KNOWN AS THE SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NONPROFIT HEALTH SYSTEMS. THIS PLAN ENABLES THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR OF PARTICIPATION. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COSTS AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLAN STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS A ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2024. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. WHEN THE AMOUNTS BECOME TAXABLE THEY ARE INCLUDED ON THE PARTICIPANTS' W-2 THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2024 WERE: BRYAN JOHNSON - $56,888; PAMELA PALAGI - $31,239; TRACY NEARY - $16,823; SEAN FADDEN - $24,243; JENNIFER DAVENPORT - $44,908; MICHAEL BUSH - $47,155; JAMES RITCHEY - $26,965. ADDITIONAL OFFICER AND BOARD DISCLOSURES THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES. CHRISTOPHER EDWARDS BUSINESS 588206 SEE PART V 0 SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: CHRISTOPHER EDWARDS (BOARD MEMBER) OWNS GREATER THAN 35% OF EDWARDS JET CENTER, WHOM SCL HEALTH - MONTANA DOES BUSINESS WITH. FORM 990, LINE J WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH- ST-VINCENT-REGIONAL-HOSPITAL FORM 990, PART V, LINE 1A EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART VI, SECTION A, LINE 2 TERENCE MOLOUGHNEY / KELLY ADAMS / SEAN FADDEN / AMY LEITCH / ADAM SCHAFER - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN SISTERS OF CHARITY OF LEAVENWORTH HEALTH FORM 990, PART VI, SECTION A, LINE 6 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF SCL HEALTH - MONTANA. FORM 990, PART VI, SECTION A, LINE 7A SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF SCL HEALTH - MONTANA, HAS THE POWER TO APPOINT TRUSTEES OF THE SCL HEALTH - MONTANA BOARD OF TRUSTEES, SUBJECT TO THE RATIFICATION BY THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION A, LINE 7B WHILE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMEBER OF SCL HEALTH - MONTANA, RESERVED POWERS ARE PRIMARILY HELD BY INTERMOUNTAIN HEALTH CARE, INC. (INTERMOUNTAIN), WHO AS A RESULT OF AFFILIATION, IS A MEMBER OF SCLHS. SCLHS HAS THE POWER TO APPOINT TRUSTEES TO THE BOARD OF TRUSTEES, WHICH ARE SUBJECT TO RATIFICATION BY INTERMOUNTAIN. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE: - ESTABLISH THE MISSION, VISION, AND VALUES FOR THE CORPORATION; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR THE CORPORATION; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF THE CORPORATION; - FIX THE NUMBER OF TRUSTEES OF THE BOARD AND APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE CORPORATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. THE OTHER MEMBER OF SCLHS IS LEAVEN MINISTRIES, WHO WAS GRANTED THE FOLLOWING RESERVED POWERS: - TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BY ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF INTERMOUNTAIN HEALTH CARE, INC.SET FORTH IN THE MERGER AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE RESERVED POWERS GRANTED TO LEAVEN MINISTRIES AND THOSE OF INTERMOUNTAIN, THE LEAVEN RESERVED POWERS WILL CONTROL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE ("COMPENSATION COMMITTEE"), A SUBSET OF INTERMOUNTAIN HEALTH CARE, INC.'S GOVERNING BODY (A RELATED NONPROFIT ORGANIZATION), IS RESPONSIBLE FOR THE PROCESS OF ANNUALLY DETERMINING THE TOTAL COMPENSATION PACKAGES (INCLUDING CASH AND NONCASH BENEFITS) FOR THE FOLLOWING OFFICERS: - PRESIDENT / CHIEF EXECUTIVE OFFICER - EXECUTIVE VICE PRESIDENTS - SENIOR VICE PRESIDENTS THE COMPENSATION COMMITTEE ANNUALLY RETAINS AN INDEPENDENT, EXTERNAL CONSULTING FIRM TO PROVIDE AN ANALYSIS OF COMPARABLE MARKET DATA. THE CONSULTANTS REVIEW THE VARIOUS TYPES OF DIRECT COMPENSATION, INCLUDING BASE SALARY, TOTAL CASH, AND ANNUAL AND LONG-TERM INCENTIVES. INFORMATION FROM A SELECTED GROUP OF COMPARABLE NONPROFIT ORGANIZATIONS IS USED TO SUPPLEMENT PUBLISHED SURVEY DATA. THE CONSULTANTS ALSO CONDUCT AN IN-DEPTH ANALYSIS OF THE ASSOCIATED BENEFITS AND PERQUISITES. INFORMATION PROVIDED BY THE EXTERNAL CONSULTANTS IS REVIEWED BY THE COMPENSATION COMMITTEE ALONG WITH THE PERFORMANCE DATA FOR EACH OFFICER LISTED ABOVE. DECISIONS BY THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THE COMPENSATION COMMITTEE PRESENTS THE COLLECTED INFORMATION AND THE ASSOCIATED COMPENSATION DECISIONS TO THE ENTIRE BOARD OF TRUSTEES. THE PHILOSOPHY IS TO PAY COMPENSATION AT MARKET COMPETITIVE RATES. THE DETERMINATION OF EXECUTIVE COMPENSATION IS ALSO DESIGNED TO MEET THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" STANDARD AS OUTLINED IN THE TREASURY REGULATIONS. FORM 990, PART VI, SECTION C, LINE 19 SCL HEALTH - MONTANA DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. A COPY OF THE CONSOLIDATED FINANCIAL STATEMENTS THAT INCLUDES THE FILING ORGANIZATION IS ATTACHED TO THIS RETURN. THE CONSOLIDATED FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE (HTTPS://EMMA.MSRB.ORG/P21914280-P21463550-P21912552.PDF), A SERVICE PROVIDED BY THE MUNICIPAL SECURITIES RULEMAKING BOARD. FORM 990, PART IX, LINE 11G PROFESSIONAL MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 44,407,084. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,407,084. PHYSICIAN MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 61,657,327. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,657,327. OUTSIDE LABORATORY FEES: PROGRAM SERVICE EXPENSES 5,895,754. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,895,754. PROFESSIONAL CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 107,942. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 107,942. 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