2025-11-04T11:11:23-06:00 2024-12-31 990 2024-01-01 810231792 HOLY ROSARY HEALTHCARE HOLY 4062332600 2600 WILSON STREET MILES CITY MT 59301 PAM PALAGI AVP, FINANCE MT MARKET 4062332600 2025-11-04 1 2024 2025-03-06 01:10:19Z KAREN COSTELLO 2600 WILSON STREET MILES CITY MT 59301 88086602 0 0928 X SEE SCHEDULE O X 1961 MT WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THEPEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR ANDVULNERABLE. 16 15 405 12 78905 0 409167 6239235 90723397 78633327 389337 2635914 262715 282802 91784616 87791278 32120 31868 0 0 29899581 30130899 0 0 0 47108141 48666036 77039842 78828803 14744774 8962475 102833838 112851594 7396238 8451520 95437600 104400074 X WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OFTHE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POORAND VULNERABLE. 0 0 66872706 31868 78916129 FOUNDED IN 1910, HOLY ROSARY HEALTHCARE IS EASTERN MONTANA'S HEALTHCARE DESTINATION. HOLY ROSARY OPERATES A COMPREHENSIVE ACUTE-CARE HOSPITAL, PHYSICIAN CLINICS, A RESIDENTIAL LIVING COMMUNITY, AND HOSPICE AND PALLIATIVE CARE SERVICES - PROVIDING A COMPLETE CONTINUUM OF CARE TO A 11-COUNTY REGION OF EASTERN MONTANA. IN AUGUST 1910, THE PRESENTATION SISTERS OF ABERDEEN, SOUTH DAKOTA, ASSUMED MANAGEMENT AND OPERATION OF THE COUNTY HOSPITAL IN MILES CITY AT THE REQUEST OF THE COMMUNITY, THE MILWAUKEE RAILROAD AND THE DOCTORS ASSOCIATED WITH THE RAILROAD. IN 1915, THE SISTERS PURCHASED THE HOSPITAL, COMMITTING TO A RELATIONSHIP WITH THE COMMUNITY THAT WOULD EXTEND FOR DECADES.IN 1995, HOLY ROSARY HEALTHCARE OPENED A NEW COST EFFECTIVE FACILITY ON A 58-ACRE CAMPUS IN MILES CITY THAT ALLOWED PHYSICIANS AND OTHER CARE FACILITIES TO LOCATE IN THE NEW HOSPITAL BUILDING. THE BUILDING OF THE NEW FACILITY AND MOVING INTO THE NEW FACILITY WAS A COMMUNITY-WIDE EFFORT, AND WAS ACCOMPLISHED THROUGH THE CONTRIBUTIONS OF THE STAFF, PHYSICIANS, BOARD MEMBERS, COMMUNITY MEMBERS AND VOLUNTEERS.IN KEEPING WITH THE NEW COVENANT PROCESS, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) ASSUMED SPONSORSHIP OF HOLY ROSARY HEALTHCARE IN 1997. TODAY, THE HOSPITAL, RESIDENTIAL LIVING COMMUNITY, AND CLINICS SERVE AS A CENTRALIZED SETTING FOR COMPREHENSIVE HEALTH CARE FOR THE PEOPLE ACROSS EASTERN MONTANA. 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 34 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN COLORADO, IDAHO, NEVADA, AND UTAH. AS PART OF INTERMOUNTAIN HEALTHCARE, HOLY ROSARY HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL.TODAY, HOLY ROSARY HEALTHCARE SERVES SEVERAL EASTERN MONTANA COUNTIES, WHICH COVER OVER 20,000 SQUARE MILES. MORE THAN HALF OF THE PEOPLE RECEIVING HEALTHCARE IN MILES CITY, WHICH HAS A POPULATION OF OVER 8,000, ARE FROM OUTSIDE CUSTER COUNTY. THEREFORE, HOLY ROSARY HEALTHCARE'S IMPACT ON THE HEALTHCARE DELIVERY SYSTEM REACHES FAR BEYOND CITY AND COUNTY LINES. AS PART OF THE MONTANA MARKET WITHIN THE PEAKS REGION OF INTERMOUNTAIN HEATLH CARE, INC., HOLY ROSARY IS AFFILIATED WITH ST. JAMES HEALTHCARE IN BUTTE AND SCL HEALTH - MONTANA (DOING BUSINESS AS ST. VINCENT HEALTHCARE) IN BILLINGS, GIVING IT ACCESS TO SOME OF THE STATE'S MOST ADVANCED MEDICAL TECHNOLOGY. HOLY ROSARY HAS A HISTORIC COMMITMENT TO SERVING THE POOR AND THOSE WITH LIMITED ACCESS TO HEALTHCARE. THE COMMITMENT IS TO THE WORTH AND DIGNITY OF THE WHOLE PERSON - SPIRITUAL, PSYCHOLOGICAL, AND MEDICAL.HOLY ROSARY IS CURRENTLY LICENSED BY THE STATE OF MONTANA AND IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTH CARE ORGANIZATIONS. HOLY ROSARY HAS 25 ACUTE CARE AND 90 EXTENDED CARE BEDS. HOLY ROSARY IS RECOGNIZED AS ONE OF THE BEST MATERNITY HOSPITALS IN THE COUNTRY BY US NEWS AND WORLD REPORT.HOLY ROSARY HEALTHCARE HAS A VARIETY OF PROGRAMS AND SERVICES TO SERVE THE COMMUNITY INCLUDING BUT NOT LIMITED TO:- CANCER CARE- EMERGENCY AND TRAUMA SERVICES- FAMILY HEALTH AND WELLNESS- PRIMARY CARE- HOSPICE AND PALLIATIVE CARE- LABOR AND DELIVERY, LEVEL II NEONATAL INTENSIVE CARE UNIT (NICU)- ORTHOPEDICS- RADIOLOGY, IMAGAING AND ANCILLARY SERVICES- RESIDENTIAL LIVING- SPORTS MEDICINE- SURGERY CENTER- THERAPY AND REHAB SERVICES- WALK-IN CARE 7 DAYS A WEEK- WOMEN'S HEALTH SERVICESDURING 2024, HOLY ROSARY HEALTHCARE HAD THE FOLLOWING RESULTS:ADMISSIONS 864 OUTPATIENT VISITS 38,443EMERGENCY ROOM VISITS 5,399BIRTHS - 173SURGERIES 357LAB TESTS 90,923 MISSION, VISION, AND VALUES:MISSION:WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.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. 66872706 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 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 405 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 0 X COLIN QUINCY 8014423491 36 SOUTH STATE STREET SUITE 1600 SALT LAKE CITY UT 84111 X BRYAN JOHNSON INTERIM PRESIDENT, MT MKT(PARTIAL) 2.00 56.00 X X 0 789764 295366 KAREN COSTELLO PRESIDENT HRH/PRESIDENT SJB(PARTIAL) 25.00 26.00 X 0 548419 177613 LEE BOYLES PRESIDENT MONTANA MARKET (PARTIAL) 4.00 50.00 X X 0 577655 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 4.00 47.00 X 0 544019 76736 JAY LITTLEFIELD MD CHIEF MEDICAL OFFICER (PARTIAL) 50.00 0.00 X 538601 0 24447 PAMELA PALAGI AVP, FINANCE MT MARKET 4.00 47.00 X 0 425906 127953 TERENCE MOLOUGHNEY ASSISTANT SECRETARY (PARTIAL) 1.00 56.00 X 0 454404 62322 CRAIG THOMPSON MD PHYSICIAN 50.00 0.00 X 455792 0 51387 ADAM SCHAFER VP NETWORK DEVELOPMENT REGION MT 4.00 46.00 X 0 324294 140610 KELLY ADAMS SECRETARY (PARTIAL) 1.00 57.00 X 0 294501 90592 STEVEN GRIFFIN MD PHYSICIAN 50.00 0.00 X 331238 0 52702 JEANNETTE MCINTYRE MD PHYSICIAN 50.00 0.00 X 348393 0 33229 BENJAMIN UHLICH VP CNO/COO/PRESIDENT(PARTIAL) 50.00 1.00 X 271552 0 94709 TRACY NEARY VP MISSION INTEGRATION REGION MT 4.00 46.00 X 0 247253 112333 ROBERT LOTSTEIN MD PHYSICIAN ED 50.00 0.00 X 328224 0 24975 PHILLIP CLEMENT MD PHYSICIAN ED 50.00 0.00 X 287959 0 32371 MICHAEL BUSH MD VP CHIEF MEDICAL OFFICER (PARTIAL) 50.00 0.00 X 158455 0 9227 AMY LEITCH ASSISTANT SECRETARY (PARTIAL) 1.00 52.00 X 0 53984 3130 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 2720214 5279366 1928478 59 1 1 0 0 6239235 6239235 PATIENT SVCS REVENUE 622110 78633327 78554422 78905 78633327 3749 3749 2911779 279614 2632165 2632165 2632165 9757 15710 -5953 -5953 CAFETERIA 722514 288755 288755 288755 87791278 78837224 78905 2635914 X 31868 31868 1692454 1649507 42947 22847794 21916178 931616 1054179 1054179 2897075 2732027 165048 1639397 1535909 103488 3604 3604 16243046 15830685 412361 45216 30386 14830 155821 142022 13799 3785175 3785175 1323017 1141472 181545 181164 173760 7404 73725 71095 2630 1377168 1367908 9260 5479866 5479866 97049 97049 MEDICAL SUPPLIES 7242824 7242824 0 SHARED SERVICES - OTHER 2590877 94464 2496413 SHARED SERVICES - RSC 2334105 0 2334105 MAINTENANCE 1818506 1746574 71932 5914873 4534933 1379940 78828803 66872706 11956097 0 9081 12244 7904484 8903855 151154 202182 1505685 1441083 269570 745145 98950053 13089464 76185499 85860589 16808365 15686496 102833838 112851594 7155469 8189434 225020 258104 15749 3982 7396238 8451520 X 95437600 104400074 95437600 104400074 102833838 112851594 8962475 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 3604 3604 0 PART II-B, LINE 1: HOLY ROSARY PAID MEMBERSHIP DUES TO THE MONTANA HOSPITAL ASSOCIATION OF WHICH $579 IS ATTRIBUTED TO LOBBYING. HOLY ROSARY PAID $3,025 TO BROWNING, KALECZYC, BERRY & HOVEN ATTRIBUTED TO LOBBYING. 7291089 48105 23023 6298159 1064058 5442883 2196281 24585 372660 7291089 1405807 4162284 -39362 85846 5442883 1131090 411111 33829 170223 1405807 1111525 245891 31671 257997 1131090 0.00000 0.26240 0.73761 0 1 1 3900000 3900000 65567235 6100523 59466712 9205235 1572459 7632776 19251532 5416482 13835050 1026051 1026051 85860589 THIRD PARTY SETTLEMENTS 7930603 OTHER RECEIVABLES 3928956 INTERCOMPANY RECEIVABLE 3774413 OTHER ASSETS 52524 15686496 FINANCING LEASE 3982 3982 PART V, LINE 4: HOLY ROSARY HEALTHCARE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT THE HOLY ROSARY HOSPITAL IN AREAS INCLUDING OTHER SERVICES & PROGRAMS. 1 1 X 1 X 250.000000000000 1 X 500.000000000000 1 1 1 0 1 1 2177434 0 2177434 0.02810 14012190 15989961 0 0.00000 346840 279985 66855 0.00090 16536464 16269946 2244289 0.02900 1099291 2835 1096456 0.01410 127188 0 127188 0.00160 16465589 13077626 3387963 0.04370 0 0 13136 0 13136 0.00020 17705204 13080461 4624743 0.05960 34241668 29350407 6869032 0.08860 0 0 18653 0 18653 0.00020 13991 0 13991 0.00020 0 0 0 0 0 0 0 0 0 0 0 0 32644 32644 0.00040 1 1320885 26862847 24256656 2606191 X 1 1 1 1 HOLY ROSARY HEALTHCARE 2600 WILSON STREET MILES CITY MT 59301 WEBSITE: SEE PART VI SUPP INFO 13512 X X X HOLY ROSARY HEALTHCARE 1 0 0 1 X X X X X X X X X 23 1 0 1 1 X HTTPS://INTERMOUNTAINHEALTHCARE.ORG/ABOUT/COMMUNITY-HEALTH/CHNA-REPORTS 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 HOLY ROSARY HEALTHCARE PART V, SECTION B, LINE 5: HOLY ROSARY HOSPITAL (REFERRED TO HEREAFTER AS HOLY ROSARY) CONDUCTED THE 2023 CHNA IN CONJUNCTION WITH ONE HEALTH (PUBLIC HEALTH DEPARTMENT) AND THE MONTANA OFFICE OF RURAL HEALTH. A STEERING COMMITTEE WITH REPRESENTATIVES FROM PUBLIC HEALTH, FAITH-BASED COMMUNITY ORGANIZATIONS, EDUCATION, SOCIAL SERVICES, GOVERNMENT, HEALTHCARE, AND BUSINESS PROVIDED INPUT THROUGHOUT THE CHNA PROCESS, INCLUDING DESIGN OF THE SURVEY INSTRUMENT, REVIEW OF THE RESULTS, AND PRIORITIZATION OF THE IDENTIFIED HEALTH NEEDS.THE CHNA STUDY AREA INCLUDED RESIDENTS IN CUSTER COUNTY AND SURROUNDING COMMUNITIES OF FORSYTH, TERRY, GLENDIVE, EKALAKA, PLEVNA, BAKER, BROADUS, JORDAN, AND VOLBORG.WITH THE ASSISTANCE OF MONTANA STATE UNIVERSITY HELPS LAB, A LIST OF 1,099 RESIDENTS WERE SURVEYED THROUGH THE MAIL. THE SAMPLE SELECTION WAS STRATIFIED TO ENSURE EACH AREA WOULD BE REPRESENTED IN PROPORTION TO THE OVERALL SERVED POPULATION AND THE PROPORTION OF PAST ADMISSIONS. THE RETURN RATE FOR SURVEYS WAS 14.47%. BASED ON SAMPLE SIZE, THE COLLABORATION IS 95% CONFIDENT THAT THE RESPONSES TO THE SURVEY QUESTIONS ARE REPRESENTATIVE OF THE SERVICE AREA POPULATION, PLUS OR MINUS 7.7%. IN ADDITION TO THE RANDOMIZED SURVEY, HOLY ROSARY AND ONE HEALTH PROMOTED AN ONLINE SURVEY WITH QUESTIONS THAT CORRESPONDED TO THE RANDOMIZED SURVEY. THIS SURVEY WAS OPEN TO THE PUBLIC VIA HOLY ROSARY'S FACEBOOK PAGE, ONE HEALTH'S FACEBOOK PAGE, AND THE MILES CITY AREA CHAMBER OF COMMERCE FACEBOOK PAGE FOR TWO WEEKS IN FEBRUARY 2023. THE ONLINE SURVEY HAD 81 SURVEY RESPONDENTS. IN ADDITION TO THE SURVEYS, THE MONTANA OFFICE OF RURAL HEALTH CONDUCTED TWO FOCUS GROUPS WITH COMMUNITY REPRESENTATIVES AND THREE KEY INFORMANT PHONE INTERVIEWS IN NOVEMBER 2022. A TOTAL OF 20 KEY STAKEHOLDERS WERE DESIGNATED TO REPRESENT THE COMMUNITY AND PROVIDE INPUT FOR THE FOCUS GROUPS AND KEY INFORMANT INTERVIEWS. HOLY ROSARY HEALTHCARE PART V, SECTION B, LINE 6B: HOLY ROSARY CONDUCTED THE 2023 COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH ONE HEALTH, CUSTER COUNTY'S PUBLIC HEALTH DEPARTMENT AND FEDERALLY QUALIFIED HEALTH CENTER. THE SURVEY WAS CONDUCTED WITH ASSISTANCE FROM THE MONTANA OFFICE OF RURAL HEALTH. REPRESENTATIVES FROM COMMUNITY HEALTH AND SOCIAL SERVICES ORGANIZATIONS, INCLUDING EASTERN MONTANA COMMUNITY MENTAL HEALTH CENTER, MILES COMMUNITY COLLEGE, MILES CITY SOUP KITCHEN, MONTANA DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES (DPHHS) CHILD FAMILY SERVICES DIVISION, AND BILLINGS CLINIC MILES CITY (NONPROFIT HEALTHCARE SYSTEM PROVIDER) SERVED ON THE CHNA STEERING COMMITTEE. HOLY ROSARY HEALTHCARE PART V, SECTION B, LINE 7D: THE CHNA IS PUBLICLY AVAILABLE AT THE WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/-/MEDIA/FILES/INTERMOUNTAIN-HEALTH/CHNA-REPORTS---PEAKS/HOLY-ROSARY-CHNA-2023.ASHX. HOLY ROSARY HEALTHCARE PART V, SECTION B, LINE 11: IN ALPHABETICAL ORDER, SEVEN AREAS OF NEED WERE IDENTIFIED IN THE 2023 CHNA THROUGH REVIEW OF THE SURVEY DATA, SECONDARY DATA, AND KEY INFORMANT RESPONSES:-ACCESS TO HEALTHCARE-ALCOHOL/SUBSTANCE USE-AWARENESS OF HEALTH SERVICES, RESOURCES, AND EDUCATION-CHRONIC DISEASE -DOMESTIC VIOLENCE/SEXUAL ASSAULT/INTIMATE PARTNER VIOLENCE-HOUSING AFFORDABILITY-MENTAL HEALTHHOLY ROSARY IDENTIFIED THREE SIGNIFICANT HEALTH NEEDS THAT WILL BE ADDRESSED IN THE IMPLEMENTATION STRATEGY: -ACCESS TO HEALTHCARE -BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE) -CHRONIC DISEASESIGNIFICANT NEEDS ADDRESSED:ACCESS TO HEALTHCARE: IN 2024, HOLY ROSARY ADDRESSED ACCESS TO HEALTHCARE SERVICES THROUGH THE FOLLOWING PROGRAMS:OFFERED TELEMEDICINE AND VIRTUAL HEALTH VISITS TO EXPAND ACCESS TO HEALTHCARE, INCLUDING SPECIALTY CARE. IN 2024, HOLY ROSARY PROVIDED 1,253 VIRTUAL HEALTH VISITS. CONDUCTED SPECIALTY OBSTETRICS AND GYNECOLOGY OUTREACH TO SURROUNDING COMMUNITIES, INCLUDING BAKER AND FORSYTH.PROVIDED SPECIALTY SERVICES THROUGH VISITING PROVIDERS FROM HOLY ROSARY'S SISTER HOSPITAL, INTERMOUNTAIN ST. VINCENT REGIONAL HOSPITAL, WHICH IMPROVED ACCESS TO CARDIOLOGY, NEPHROLOGY, NEUROLOGY, ONCOLOGY, PEDIATRIC CARDIOLOGY, SLEEP MEDICINE, AND UROLOGY. PROVIDE OUTPATIENT HOSPICE CARE SERVICES FOR RESIDENTS IN A 20-MILE RADIUS. OPENED A NEW CANCER CENTER IN 2024 OFFERING RADIATION ONCOLOGY THROUGH A NEW MEDICAL LINEAR ACCELERATOR, WHICH WAS PREVIOUSLY UNAVAILABLE IN CUSTER AND SURROUNDING COUNTIES IN EASTERN MONTANA. EXPANDED ROBOTIC SURGERY SERVICES TO RESIDENTS IN EASTERN MONTANA, WHICH WERE FIRST AVAILABLE IN 2023. RECRUITED PROVIDERS TO ADDRESS THE HEALTH PROFESSIONAL SHORTAGE. IN 2024, THREE NEW PROVIDERS WERE RECRUITED. SERVED AS A CLINICAL TRAINING SITE FOR HEALTHCARE STUDENTS, INCLUDING PHYSICIAN ASSISTANT, NURSE PRACTITIONER, PRACTITIONER, NURSING, CERTIFIED NURSING ASSISTANTS, PHYSICAL THERAPY, DIETARY, AND LABORATORY. ALSO PROVIDED 17 HIGH SCHOOL STUDENTS EXPOSURE TO HEALTHCARE CAREERS THROUGH THE MONTANA AREA HEALTH EDUCATION CENTER'S REACH CAMP HOSTED AT HOLY ROSARY. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE): IN 2024, HOLY ROSARY ADDRESSED BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE) THROUGH THE FOLLOWING PROGRAMS:PROVIDED INTEGRATED BEHAVIORAL HEALTH SERVICES THROUGH A COLLABORATION WITH EASTERN MONTANA MENTAL HEALTH CENTER THAT EMBEDDED A LICENSED CLINICAL SOCIAL WORKER WHO PROVIDED MENTAL HEALTH SERVICES TO HOLY ROSARY PATIENTS, INCLUDING FACILITATING A GROUP FOR VETERANS. THIS INCREASED ACCESS TO MENTAL HEALTH SERVICES AND REDUCED STIGMA BARRIERS. DISTRIBUTED 225 GUNLOCKS AT PUBLIC FACING DISTRIBUTION LOCATIONS WHICH INCLUDED EDUCATIONAL INFORMATION ON COMMUNITY RESOURCES AND PREVENTING SUICIDE BY REDUCING ACCESS TO LETHAL MEANS.PROMOTED MONTANA'S 211 SYSTEM, MT211, WHICH CONNECTS COMMUNITY MEMBERS TO COMMUNITY RESOURCES. IN 2024, THE MT211 WEBSITE HAD 214 VISITS FROM MILES CITY RESIDENTS AND TOP SEARCHES INCLUDED MENTAL HEALTH AND SUBSTANCE USE. CHRONIC DISEASE PREVENTION AND MANAGEMENT: IN 2024, HOLY ROSARY ADDRESSED CHRONIC DISEASE PREVENTION AND MANAGEMENT THROUGH THE FOLLOWING PROGRAMS:INCREASED THE NUMBER OF QUALIFYING PRIMARY CARE PATIENTS RECEIVING RECOMMENDED CANCER SCREENINGS. IN 2024, 73% RECEIVED BREAST CANCER SCREENINGS AND 72% RECEIVED COLORECTAL CANCER SCREENINGS. THESE SCREENING PERCENTAGES HAVE BEEN SUPPORTED BY OUTREACH AND EDUCATIONAL EVENTS. ADDITIONALLY, 102 INDIVIDUALS RECEIVED LOW-DOSE CT SCANS FOR LUNG CANCER SCREENING. FOCUSED EFFORTS ON DECREASING RESIDENTS WITH UNCONTROLLED DIABETES AND UNCONTROLLED BLOOD PRESSURE. IN 2024, 85% OF PRIMARY CARE PATIENTS HAD CONTROLLED DIABETES AND 66% HAD CONTROLLED BLOOD PRESSURE. OFFERED A DIABETES AND HEART DISEASE PREVENTION PROGRAM, HEALTHY LIFESTYLES, WHICH HELPS INDIVIDUALS LEARN HEALTHY EATING AND EXERCISE HABITS TO PREVENT CHRONIC DISEASE. IN 2024, 55% OF THE 29 COMMUNITY MEMBERS COMPLETING THIS PROGRAM LOST AT LEAST 5% OF THEIR BODY WEIGHT. MAINTAINED A 2.5 MILE WALKING PATH ENCOURAGING ACTIVE LIFESTYLES AMONG RESIDENTS AND PROVIDED ATHLETIC TRAINERS AT CUSTER COUNTY HIGH SCHOOL AND MILES COMMUNITY COLLEGE WHO PROVIDED CARE AT 3,755 STUDENT ENCOUNTERS. OFFERED OUTPATIENT MEDICAL NUTRITION THERAPY FOR RESIDENTS WITH DIABETES, HEART DISEASE, AND OBESITY. IN 2024, 595 RESIDENTS RECEIVED OUTPATIENT MEDICAL NUTRITION THERAPY, INCLUDING PATIENTS IN END-STAGE RENAL DISEASE. PROVIDED A CARDIAC REHABILITATION PROGRAM, INCLUDING EXERCISE COUNSELING AND TRAINING, HEART HEALTHY LIVING EDUCATION, AND SUPPORT FOR RESIDENTS WHO HAD A HEART ATTACK OR HAVE A HEART CONDITION. IN 2024, 64 INDIVIDUALS WERE REFERRED TO THE CARDIAC REHABILITATION PROGRAM AND 16 WERE REFERRED TO THE PULMONARY REHABILITATION PROGRAM. OFFERED OUTREACH SERVICES AND VIRTUAL HEALTH/TELEMEDICINE ENCOUNTERS TO REDUCE GEOGRAPHIC AND TRAVEL BARRIERS TO SPECIALTY CARE FOR PEOPLE WITH CHRONIC DISEASE. OTHER HEALTH NEEDS NOT PRIORITIZED: HOLY ROSARY 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, HOLY ROSARY RECOGNIZES THEY REMAIN IMPORTANT TO THE HEALTH OF THE COMMUNITY AND SUPPORTS THEM THROUGH CLINICAL OPERATIONS AND PROGRAMS, COMMUNITY BENEFIT REPORTABLE ACTIVITIES SUCH AS SUBSIDIZED HEALTH SERVICES, COMMUNITY OUTREACH, AND OTHER COLLABORATIVE EFFORTS.AWARENESS OF HEALTH SERVICES, RESOURCES, AND EDUCATION: HOLY ROSARY ADDRESSED THIS HEALTH NEED THROUGH OTHER PROGRAMS IN ITS IMPLEMENTATION STRATEGIES AIMED AT ACCESS TO HEALTHCARE, BEHAVIORAL HEALTH, AND CHRONIC DISEASE PREVENTION AND MANAGEMENT.HOUSING AFFORDABILITY: HOLY ROSARY HOSPITAL PROVIDED SUPPORT FOR MILES CITY ECONOMIC DEVELOPMENT AND WORKS WITH COMMUNITY COLLABORATORS TO ADDRESS HOUSING AFFORDABILITY. DOMESTIC VIOLENCE, SEXUAL ASSAULT, INTIMATE PARTNER VIOLENCE: THIS HEALTH NEED IS ADDRESSED BY COMMUNITY COLLABORATORS, INCLUDING THE PUBLIC HEALTH DEPARTMENT. HOLY ROSARY HEALTHCARE PART V, SECTION B, LINE 13B: CATASTROPHIC ASSISTANCE. HOLY ROSARY 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. HOLY ROSARY HEALTHCARE PART V, SECTION B, LINE 13H: EXTENUATING CIRCUMSTANCES. SINCE EACH PATIENT'S PERSONAL CIRCUMSTANCES VARY, HOLY ROSARY ALLOWS FOR EXTENUATING CIRCUMSTANCES NOT DIRECTLY ADDRESSED IN THE FINANCIAL ASSISTANCE POLICIES AND PROCEDURES TO BE CONSIDERED WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE. PART V, SCT B, LINES 15E, 16I, 16J & 20E: SPECIFIC INFORMATION REGARDING AN ELECTRONIC APPLICATION TO APPLY FOR THE FINANCIAL ASSISTANCE PROGRAM CAN BE FOUND ON HOLY ROSARY'S WEBSITE IN BOTH 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 AVAIABLE 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 22B: HOLY ROSARY 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). 11 1 - HOLY ROSARY PRIMARY CARE CLINIC 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 2 - HOLY ROSARY CLINIC - PEDIATRICS 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 3 - HOLY ROSARY HOSPITALISTS 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 4 - HOLY ROSARY ED 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 5 - HOLY ROSARY WOMEN'S HEALTH - CLINIC 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 6 - HOLY ROSARY GENERAL SURGERY CLINIC 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 7 - HOLY ROSARY - CANCER CENTERS OF MT 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 8 - BAKER CLINIC - OB-GYN 202 S 4TH ST BAKER MT 59313 OUTPATIENT PHYSICIAN CLINIC 9 - HOLY ROSARY - CANCER CENTERS OF MT 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 10 - FORSYTH CLINIC - WOMEN'S HEALTH OUTREACH 383 N 17TH AVE FORSYTH MT 59327 OUTPATIENT PHYSICIAN CLINIC 11 - HOLY ROSARY - PALLIATIVE CARE CLINIC 2600 WILSON ST MILES CITY MT 59301 OUTPATIENT PHYSICIAN CLINIC 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): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 1,320,885. PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES: HOLY ROSARY RECOGNIZES THE NEED TO ADDRESS UNDERLYING FACTORS WHICH INFLUENCE HEALTH IN OUR COMMUNITY SUCH AS EDUCATION, HOUSING, EARLY CHILDHOOD DEVELOPMENT AND ECONOMIC SECURITY. THEY COLLABORATE WITH COMMUNITY BASED ORGANIZATIONS TO ADDRESS THESE ISSUES.PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT. PART III, LINE 2: MANAGEMENT ESTIMATES THE PROVISION FOR ADJUSTMENTS FOR BAD DEBTS 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, HOLY ROSARY 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.HOLY ROSARY 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. HOLY ROSARY 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 ANINABILITY BY HOLY ROSARY 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 $1,231,377 AND $1,320,885 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 HOLY ROSARY UNINSURED AND UNDERINSURED PATIENTS ARE UNABLE TO PAY FOR THE SERVICES PROVIDED. ACCORDINGLY, HOLY ROSARY RECORDS ADJUSTMENTS TO PATIENT SERVICES REVENUES IN THE PERIOD SERVICES ARE RENDERED FOR AMOUNTS NOTEXPECTED 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 ONHISTORICAL WRITE-OFFS, ACCOUNTS RECEIVABLE AGING AND OTHER FACTORS. PART III, LINE 9B: HOLY ROSARY 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. HOLY ROSARY 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 HOLY ROSARY 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 HOLY ROSARY. 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-HOLY-ROSARY-HOSPITAL PART VI, LINE 2: HOLY ROSARY CONTINUOUSLY ASSESSES THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY. HOLY ROSARY'S LEADERSHIP SERVE ON VARIOUS COMMUNITY BOARDS TO UNDERSTAND THE SPECIFIC NEEDS OF THEIR COMMUNITY.IN ADDITION TO THE CHNA DATA FOCUSED ON CUSTER COUNTY, HOLY ROSARY REVIEWS SECONDARY DATA SUCH AS COUNTY HEALTH RANKINGS AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) TO DETERMINE HEALTH NEEDS FOR NEIGHBORING COUNTIES. OUTREACH AND RELATIONSHIPS WITH OTHER CRITICAL ACCESS HOSPITALS, HEALTH CENTERS, AND CLINICS IN BAKER, BROADUS, CIRCLE, FORSYTH, GLENDIVE, JORDAN, AND TERRY PROVIDE ADDITIONAL INFORMATION AND RESOURCES. THESE ADDITIONAL STEPS ENABLE HOLY ROSARY TO BETTER ASSESS THE HEALTH NEEDS OF THESE COMMUNITIES. PART VI, LINE 3: BY POLICY, HOLY ROSARY PROVIDES HEALTHCARE SERVICES TO INDIVIDUALS BASED ON MEDICAL NEED WITHOUT REGARD TO RACE, COLOR, RELIGION, SEX, SEXUAL ORIENTATION, GENDER IDENTITY, NATIONAL ORIGIN, PHYSICAL OR MENTAL DISABILITY, 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 HOLY ROSARY'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. PART VI, LINE 4: POPULATION AND GEOGRAPHY: LOCATED IN SOUTHEASTERN MONTANA, HOLY ROSARY IS A FEDERALLY DESIGNATED CRITICAL ACCESS HOSPITAL PROVIDING CARE TO RESIDENTS OF CUSTER COUNTY INCLUDING THE COMMUNITY OF MILES CITY, MONTANA. CUSTER COUNTY HAS A POPULATION OF 11,729 AND IS CLASSIFIED AS RURAL WITH 3.1 PEOPLE PER SQUARE MILE. HOSPITALS IN THE SERVICE AREA: THERE ARE NO OTHER ACUTE HOSPITALS IN CUSTER COUNTY.DEMOGRAPHICS: APPROXIMATELY 19.1% OF RESIDENTS ARE SENIORS (HIGHER THAN THE STATE OF MONTANA OVERALL). THE COUNTY IS 94.7% WHITE (HIGHER THAN THE STATE OF MONTANA OVERALL), FOLLOWED BY 2.3% REPORTING TWO OR MORE RACES, 1.4% NATIVE AMERICAN AND APPROXIMATELY 1.6% REPORTING BLACK OR ASIAN. RELATED TO ETHNICITY, 94.5% ARE NON-HISPANIC AND 5.5% ARE HISPANIC. 10.1% OF CUSTER COUNTY RESIDENTS ARE VETERANS AND 18.2% OF RESIDENTS ARE DISABLED. ECONOMICS: 11.5% OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL AND 10.8% OF CHILDREN ARE IN POVERTY. CUSTER COUNTY HAS A HIGHER NUMBER OF RESIDENTS WITHOUT A HIGH SCHOOL DEGREE (8.0%) THAN THE STATE OF MONTANA (6.4%). HEALTH STATUS: THE MAJORITY OF ADULTS IN HOLY ROSARY'S SERVICE AREA REPORT THEIR HEALTH AS EXCELLENT, VERY GOOD, OR GOOD. HOWEVER, 15.4% OF ADULTS RATED THEIR HEALTH AS FAIR OR POOR. UNINSURED RATE: 10.7% OF PEOPLE IN CUSTER COUNTY ARE UNINSURED, WHICH IS HIGHER THAN THE U.S AVERAGE OF 9.3%. PART VI, LINE 5: HOLY ROSARY ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT". HOLY ROSARY'S COMMUNITY BENEFIT WORK IS DRIVEN BY IDENTIFIED COMMUNITY HEALTH NEEDS AND BY WORKING WITH LOCAL ORGANIZATIONS AND THE BROADER COMMUNITY. A COMMUNITY BENEFIT REPORT TO THE COMMUNITY IS PUBLISHED ANNUALLY AND CAN BE FOUND AT: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/-/MEDIA/FILES/INTERMOUNTAIN-HEALTH/COMMUNITY-BENEFIT/CHNA-2023/HOLY-ROSARY_2023_COMMBENEFITREPORT.ASHXHOLY ROSARY HAS INTEGRATED COMMUNITY HEALTH 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 PARTICIPATE ANNUALLY IN COMMUNITY BENEFIT SERVICE EVENTS WITH NONPROFIT ORGANIZATIONS TO IMPROVE COMMUNITY HEALTH. HOLY ROSARY 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 IS OPEN TO MEMBERSHIP BY MEMBERS OF THE GOVERNING BOARD AND REPRESENTATIVES FROM THE COMMUNITY AND MONITORS IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND REPORTS BACK TO THE FULL BOARD. HOLY ROSARY OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. HOLY ROSARY ENGAGES IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND PARTICIPATES IN MEDICAID, MEDICARE, AND OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. THE HOLY ROSARY HOSPITAL FOUNDATION, AN AFFILIATED NONPROFIT FUNDRAISING ORGANIZATION, PROVIDES FUNDRAISING FOR FACILITIES AND PROGRAMS THAT REACH THE UNDERSERVED, LOW-INCOME, AND UNDERREPRESENTED POPULATIONS SERVED BY THE HOSPITAL. THE FOUNDATION IS GOVERNED AND OPERATED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN HOLY ROSARY HAS EXCESS REVENUE OVER OPERATING EXPENSES, THEY USE THOSE FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE THE HOSPITAL WILL BE ABLE TO CARE FOR FUTURE GENERATIONS. 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., ANONPROFIT CORPORATION EXEMPT UNDER IRC SECTION 501(C)(3). AFFILIATESWITHIN THE IH NETWORK INCLUDE NONPROFIT CORPORATIONS EXEMPT UNDER IRCSECTIONS 501(C)(3) AND 501(C)(4), TAXABLE CORPORATIONS, PARTNERSHIPS WITHPHYSICIANS, STRATEGIC INVESTMENTS, AND JOINT VENTURES.HEADQUARTERED IN SALT LAKE CITY, UTAH, IH CONSISTS OF A TEAM OF MORE THAN68,000 CAREGIVERS WHO SERVE THE HEALTHCARE NEEDS OF PEOPLE ACROSS THEINTERMOUNTAIN WEST, INCLUDING UTAH, IDAHO, NEVADA, COLORADO, MONTANA, ANDWYOMING. IH PROVIDES SERVICES TO AND PROMOTES THE HEALTH OFTHESE COMMUNITIES THROUGH 33 HOSPITALS, HUNDREDS OF CLINICS, A MEDICALGROUP, AFFILIATE NETWORKS, HOMECARE, TELEHEALTH, INSURANCE PLANS, MEDICALAIR TRANSPORT, AND OTHER SERVICES. IH IS WIDELY RECOGNIZED AS A LEADER INTRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TOCONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS.IH IS WORKING TO IMPROVE HEALTH AND WELL-BEING BY IMPROVING MENTALWELL-BEING, PREVENTING AVOIDABLE DISEASE, IMPROVING AIR QUALITY,ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND OTHER COMMUNITY HEALTHINITIATIVES. THROUGH MULTIPLE CHARITABLE FOUNDATIONS, IH ALSO DEVELOPSFINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTINGOTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, ANDMENTAL WELL-BEING SERVICES FOR LOW-INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS. 1 HOLY ROSARY HEALTHCARE FOUNDATION INC 2600 WILSON STREET MILES CITY MT 59301 202270238 501(C)(3) 28668 0 SUPPORT MISSION 1 PART I, LINE 2: THE ORGANIZATION KEEPS RECORDS TO SUPPORT THE AMOUNTS PROVIDED OR REASON FOR SUCH SUPPORT. FUNDING DECISIONS ARE DETERMINED ON AN INDIVIDUAL BASIS, CONSIDERING THE USE OF THE FUNDS AND HOW THE USE RELATES TO THE ORGANIZATION'S MISSION. 1 1 0 0 0 0 0 0 0 BRYAN JOHNSON INTERIM PRESIDENT, MT MKT(PARTIAL) 0 554316 0 175097 0 60351 0 265522 0 29844 0 1085130 0 228386 KAREN COSTELLO PRESIDENT HRH/PRESIDENT SJB(PARTIAL) 0 321416 0 130305 0 96698 0 156484 0 21129 0 726032 0 136356 LEE BOYLES PRESIDENT MONTANA MARKET (PARTIAL) 0 419440 0 128583 0 29632 0 119788 0 22951 0 720394 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 0 421081 0 76047 0 46891 0 54375 0 22361 0 620755 0 120955 JAY LITTLEFIELD MD CHIEF MEDICAL OFFICER (PARTIAL) 472033 0 41284 0 25284 0 20700 0 3747 0 563048 0 0 0 PAMELA PALAGI AVP, FINANCE MT MARKET 0 321851 0 70829 0 33226 0 116762 0 11191 0 553859 0 102068 TERENCE MOLOUGHNEY ASSISTANT SECRETARY (PARTIAL) 0 171180 0 69994 0 213230 0 48033 0 14289 0 516726 0 57779 CRAIG THOMPSON MD PHYSICIAN 434532 0 15154 0 6106 0 18785 0 32602 0 507179 0 0 0 ADAM SCHAFER VP NETWORK DEVELOPMENT REGION MT 0 262278 0 60202 0 1814 0 107059 0 33551 0 464904 0 60202 KELLY ADAMS SECRETARY (PARTIAL) 0 238931 0 24559 0 31011 0 56058 0 34534 0 385093 0 24559 STEVEN GRIFFIN MD PHYSICIAN 279103 0 28588 0 23547 0 16380 0 36322 0 383940 0 0 0 JEANNETTE MCINTYRE MD PHYSICIAN 284048 0 48920 0 15425 0 16040 0 17189 0 381622 0 0 0 BENJAMIN UHLICH VP CNO/COO/PRESIDENT(PARTIAL) 225230 0 44994 0 1328 0 93755 0 954 0 366261 0 44994 0 TRACY NEARY VP MISSION INTEGRATION REGION MT 0 185501 0 43689 0 18063 0 77027 0 35306 0 359586 0 60512 ROBERT LOTSTEIN MD PHYSICIAN ED 299346 0 25000 0 3878 0 6571 0 18404 0 353199 0 0 0 PHILLIP CLEMENT MD PHYSICIAN ED 274549 0 504 0 12906 0 5636 0 26735 0 320330 0 0 0 MICHAEL BUSH MD VP CHIEF MEDICAL OFFICER (PARTIAL) 36983 0 73116 0 48356 0 6647 0 2580 0 167682 0 73116 0 PART I, LINE 3 COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR 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. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE PARTICIPANTS' W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2024 WERE: SEAN FADDEN - $24,423, BRYAN JOHNSON - $56,888, KAREN COSTELLO - $47,827, JENNIFER DAVENPORT - $44,908, PAM PALAGI - $31,239, MICHAEL BUSH - $47,155, TRACY NEARY - $16,823, AND 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. FORM 990, LINE J WEBSITE: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH-HOLY- ROSARY-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 PAM PALAGI / TRACY NEARY / LEE BOYLES- BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN SCL HEALTH - MONTANA, A RELATED TAX-EXEMPT ORGANIZATION). KAREN COSTELLO / JENNIFER DAVENPORT - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN ST. JAMES HEALTHCARE, A RELATED TAX-EXEMPT ORGANIZATION). TERENCE MOLOUGHNEY / KELLY ADAMS / SEAN FADDEN / AMY LEITCH / ADAM SCHAFER - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION). FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF HOLARY ROSARY HEALTHCARE. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF HOLY ROSARY HEALTHCARE, HAS THE POWER TO APPOINT TRUSTEES OF THE HOLY ROSARY HEALTHCARE BOARD OF TRUSTEES, SUBJECT TO THE RATIFICATION BY THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS WHILE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF HOLY ROSARY HEALTHCARE, 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; - 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 PROCESS USED TO REVIEW THE FORM 990 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 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 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 HOLY ROSARY HEALTHCARE 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 VII, SECTION B, LINE 2 INDEPENDENT CONTRACTORS 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 IX, LINE 11G CONTRACT MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 12,900,348. MANAGEMENT AND GENERAL EXPENSES 336,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,236,379. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,634,150. MANAGEMENT AND GENERAL EXPENSES 68,615. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,702,765. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 296,187. MANAGEMENT AND GENERAL EXPENSES 7,715. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 303,902. 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