TY 2016 Form 990 Schedule O

efile Public Visual Render ObjectId: 201733109349302323 - Submission: 2017-11-06 TIN: 81-0232124

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2016

Open to Public
Inspection

Name of the organization

ST VINCENT HEALTHCARE

Employer identification number

81-0232124

Return Reference	Explanation
990, PART I, LINE J	WEBSITE: WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/
FORM 990, PART VI, SECTION A, LINE 6	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. VINCENT HEALTHCARE.
FORM 990, PART VI, SECTION A, LINE 7A	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF ST. VINCENT HEALTHCARE, APPROVES MEMBERS OF ST. VINCENT HEALTHCARE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	ST. VINCENT HEALTHCARE AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCLHS' PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS SUGGESTIVE OF A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS AND MANAGERS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN.
FORM 990, PART VI, SECTION B, LINE 15	THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	EQUITY TRANSFER - FUND NEGATIVE CASH BALANCES IN PHYSICIAN CLINICS -62,500,000. EQUITY TRANSFER - INTEREST EXPENSE IN EXCESS OF INTEREST INCOME -23,537,068.
FORM 990, PART XI:	ST. VINCENT HEALTHCARE 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 ST. VINCENT HEALTHCARE COMMUNITY AND SUPPORTS THE MISSION OF ST. VINCENT HEALTHCARE. ALTHOUGH SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS NOT OWNED DIRECTLY BY ST. VINCENT HEALTHCARE, ST. VINCENT HEALTHCARE IS REQUIRED TO FUND ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP - BILLINGS, LLC THROUGH EQUITY TRANSFERS TO SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IN 2016, LOSSES RELATED TO THE PHYSICIAN PRACTICES WERE $24,544,727.
SCHEDULE H, SECTION B, LINE 11 (CONTINUED)	ST. VINCENT HEALTHCARE PROVIDED LEADERSHIP FOR THE CARE TRANSITIONS COALITION. ST. VINCENT HEALTHCARE STAFF CO-FACILITATED A COMMUNITY COLLABORATIVE, IN CONJUNCTION WITH A SPECIAL INNOVATIONS PROJECT LEAD BY MOUNTAIN PACIFIC QUALITY HEALTH, TO ADDRESS COMMUNITY-LEVEL PATIENTS WITH HIGH UTILIZATION OF EMERGENCY DEPARTMENTS AND HIGH READMISSION RATES. ST. VINCENT HEALTHCARE ALSO COLLABORATED WITH BILLINGS CLINIC, RIVERSTONE HEALTH, AND BLUE CROSS BLUE SHIELD OF MONTANA TO DEVELOP A HEALTH INFORMATION EXCHANGE WHICH WOULD INCLUDE DATA FOR THE COMMUNITY SUPER UTLIZER COLLABORATIVE. AS A MEMBER OF THE HEALTHY BY DESIGN COALITION, ST. VINCENT HEALTHCARE PARTNERED WITH UNITED WAY OF YELLOWSTONE COUNTY TO POPULATE A COMMUNITY RESOURCE DATABASE, MONTANA 211. THIS ELECTRONIC DATABASE PROVIDES RESIDENTS OF YELLOWSTONE COUNTY WITH A USER-FRIENDLY SEARCHABLE DATABASE FOR BASIC NEEDS AND HEALTH RESOURCES. MENTAL HEALTH & MENTAL DISORDERS, SUBSTANCE ABUSE (INCLUDING TOBACCO): ST. VINCENT HEALTHCARE CONTINUES TO SUPPORT ITS NON-PROFIT LLC PARTNERSHIP, THE COMMUNITY CRISIS CENTER, WITH FINANCIAL AND IN-KIND SUPPORT. THE COMMUNITY CRISIS CENTER PROVIDES ASSESSMENTS, CASE MANAGEMENT, GROUPS, ADDICTIONS COUNSELING, REFERRALS, AND STABILIZATION SERVICES TO PEOPLE 24 HOURS PER DAY 365 DAYS PER YEAR. THESE SERVICES ARE PROVIDED FOR PERSONS IN CRISIS WHO NEED ACCESS TO INTEGRATED MENTAL HEALTH, CHEMICAL DEPENDENCY AND SOCIAL SERVICES, REGARDLESS OF ABILITY TO PAY FOR THESE SERVICES. THIS INCLUDES A 24 HOUR STABILIZATION AREA FOR THOSE MOST AT RISK THAT DO NOT NEED HOSPITALIZATION. THE COMMUNITY CRISIS CENTER ALSO PROVIDES CRISIS INTERVENTION TEAM TRAINING FOR LAW ENFORCEMENT. IN 2016, OVER 10,000 CLIENT VISITS WERE MADE TO THE COMMUNITY CRISIS CENTER. ST. VINCENT HEALTHCARE HAS BEEN WORKING TO INTEGRATE BEHAVIORAL HEALTH SERVICES INTO EXISTING PRIMARY CARE PHYSICIAN PRACTICES. IN ADDITION, ST. VINCENT HEALTHCARE IS A MEMBER OF THE COMMUNITY COLLABORATIVE FOCUSED ON DEVELOPING A SYSTEMS APPROACH TO ADDRESS TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES (ACES) IN OUR COMMUNITY. THESE EFFORTS INCLUDE TRAINING 2,254 INDIVIDUALS INCLUDING MEDICAL PROVIDERS, SOCIAL SERVICE PROVIDERS, FAITH COMMUNITY, AND EDUCATORS OF THE EFFECTS OF TRAUMA AND ASSESSING ORGANIZATIONAL TRAUMA-RESPONSIVENESS FOR 9 ORGANIZATIONS. ST. VINCENT HEALTHCARE HAS ALSO TRAINED PERSONNEL TO PROVIDE MINDFULNESS CLASSES AS A COMMUNITY RESOURCE FOR TRAUMA RESPONSE. ST. VINCENT HEALTHCARE HAS PROVIDED FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY ORGANIZATIONS AND COLLABORATIONS ADDRESSING SUICIDE AND MENTAL HEALTH INCLUDING THE SUICIDE PREVENTION TASK FORCE, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), AND AMERICAN FOUNDATION FOR SUICIDE PREVENTION. ST. VINCENT HEALTHCARE PROVIDES TOBACCO CESSATION CLASSES FOR THE COMMUNITY. THE 7-WEEK EVIDENCE-BASED AMERICAN LUNG ASSOCIATION FREEDOM FROM SMOKING CLASS WAS OFFERED TEN TIMES DURING 2016 FOR TOBACCO USERS. ADVOCACY EFFORTS INCLUDED PROMOTING AND ENCOURAGING POLICY OPPORTUNITIES RELATED TO SMOKE FREE/TOBACCO FREE FACILITIES, CAMPUSES, WORKSITES, OR PUBLIC SPACES SUCH AS PARKS. ST. VINCENT HEALTHCARE PARTICIPATES IN THE COMMUNITY INNOVATIONS INITIATIVE. SPECIFICALLY ADDRESSING ISSUES OF CHRONIC PUBLIC INTOXICATION. THE MOTIVATED ADDITIONAL ALTERNATIVE PROGRAM (MAAP) PROVIDES THIS AT RISK-POPULATION WITH 12 HOURS OF INTENSIVE OUTPATIENT COUNSELING PER WEEK FOR 4 MONTHS. IN ADDITION, ST. VINCENT HEALTHCARE PARTICIPATES IN THE YELLOWSTONE COUNTY PRESCRIPTION PAIN TASK FORCE. ST. VINCENT HEALTHCARE PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ORGANIZATIONS WHICH ADDRESS OTHER IDENTIFIED HEALTH NEEDS INCLUDING THE AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, ALZHEIMER'S ASSOCIATION, AMERICAN HEART ASSOCIATION, MARCH OF DIMES, MS SOCIETY, PARKINSONS ASSOCIATION AND YELLOWSTONE AIDS PROJECT. ST. VINCENT HEALTHCARE PROVIDES INJURY PREVENTION, INCLUDING A DISTRACTED DRIVING PRESENTATION TO REGIONAL SCHOOLS. UNDERLYING SOCIAL DETERMINANTS OF HEALTH, SUCH AS EDUCATION, ARE ADDRESSED THROUGH COLLABORATION WITH BILLINGS EDUCATIONAL FOUNDATION'S PARTNERS IN EDUCATION PROGRAM WITH STAFF TUTORING STUDENTS AT A TITLE ONE SCHOOL AND SUPPORT OF UNITED WAY BEST BEGINNINGS COALITION AND UNITED WAY'S GRADUATION MATTERS INITIATIVE. EXISTING HEALTHCARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY ARE AVAILABLE TO RESPOND TO HEALTH NEEDS OF THE COMMUNITY NOT BEING ADDRESSED BY ST. VINCENT HEALTHCARE. ST. VINCENT HEALTHCARE CONTINUES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE THESE HEALTH NEEDS ARE ADDRESSED.

Return Reference

Explanation

990, PART I, LINE J

WEBSITE: WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/

FORM 990, PART VI, SECTION A, LINE 6

SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF ST. VINCENT HEALTHCARE.

FORM 990, PART VI, SECTION A, LINE 7A

SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF ST. VINCENT HEALTHCARE, APPROVES MEMBERS OF ST. VINCENT HEALTHCARE BOARD OF DIRECTORS.

FORM 990, PART VI, SECTION A, LINE 7B

SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS.

FORM 990, PART VI, SECTION B, LINE 11B

THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE.

FORM 990, PART VI, SECTION B, LINE 12C

ST. VINCENT HEALTHCARE AND THE PARENT ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCLHS' PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS SUGGESTIVE OF A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS AND MANAGERS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR EXECUTIVE INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT COMMITTEE, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN.

FORM 990, PART VI, SECTION B, LINE 15

THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.

FORM 990, PART VI, SECTION C, LINE 19

THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.

FORM 990, PART XI, LINE 9:

EQUITY TRANSFER - FUND NEGATIVE CASH BALANCES IN PHYSICIAN CLINICS -62,500,000. EQUITY TRANSFER - INTEREST EXPENSE IN EXCESS OF INTEREST INCOME -23,537,068.

FORM 990, PART XI:

ST. VINCENT HEALTHCARE 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 ST. VINCENT HEALTHCARE COMMUNITY AND SUPPORTS THE MISSION OF ST. VINCENT HEALTHCARE. ALTHOUGH SCL HEALTH MEDICAL GROUP - BILLINGS, LLC IS NOT OWNED DIRECTLY BY ST. VINCENT HEALTHCARE, ST. VINCENT HEALTHCARE IS REQUIRED TO FUND ALL OPERATING LOSSES OF SCL HEALTH MEDICAL GROUP - BILLINGS, LLC THROUGH EQUITY TRANSFERS TO SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IN 2016, LOSSES RELATED TO THE PHYSICIAN PRACTICES WERE $24,544,727.

SCHEDULE H, SECTION B, LINE 11 (CONTINUED)

ST. VINCENT HEALTHCARE PROVIDED LEADERSHIP FOR THE CARE TRANSITIONS COALITION. ST. VINCENT HEALTHCARE STAFF CO-FACILITATED A COMMUNITY COLLABORATIVE, IN CONJUNCTION WITH A SPECIAL INNOVATIONS PROJECT LEAD BY MOUNTAIN PACIFIC QUALITY HEALTH, TO ADDRESS COMMUNITY-LEVEL PATIENTS WITH HIGH UTILIZATION OF EMERGENCY DEPARTMENTS AND HIGH READMISSION RATES. ST. VINCENT HEALTHCARE ALSO COLLABORATED WITH BILLINGS CLINIC, RIVERSTONE HEALTH, AND BLUE CROSS BLUE SHIELD OF MONTANA TO DEVELOP A HEALTH INFORMATION EXCHANGE WHICH WOULD INCLUDE DATA FOR THE COMMUNITY SUPER UTLIZER COLLABORATIVE. AS A MEMBER OF THE HEALTHY BY DESIGN COALITION, ST. VINCENT HEALTHCARE PARTNERED WITH UNITED WAY OF YELLOWSTONE COUNTY TO POPULATE A COMMUNITY RESOURCE DATABASE, MONTANA 211. THIS ELECTRONIC DATABASE PROVIDES RESIDENTS OF YELLOWSTONE COUNTY WITH A USER-FRIENDLY SEARCHABLE DATABASE FOR BASIC NEEDS AND HEALTH RESOURCES. MENTAL HEALTH & MENTAL DISORDERS, SUBSTANCE ABUSE (INCLUDING TOBACCO): ST. VINCENT HEALTHCARE CONTINUES TO SUPPORT ITS NON-PROFIT LLC PARTNERSHIP, THE COMMUNITY CRISIS CENTER, WITH FINANCIAL AND IN-KIND SUPPORT. THE COMMUNITY CRISIS CENTER PROVIDES ASSESSMENTS, CASE MANAGEMENT, GROUPS, ADDICTIONS COUNSELING, REFERRALS, AND STABILIZATION SERVICES TO PEOPLE 24 HOURS PER DAY 365 DAYS PER YEAR. THESE SERVICES ARE PROVIDED FOR PERSONS IN CRISIS WHO NEED ACCESS TO INTEGRATED MENTAL HEALTH, CHEMICAL DEPENDENCY AND SOCIAL SERVICES, REGARDLESS OF ABILITY TO PAY FOR THESE SERVICES. THIS INCLUDES A 24 HOUR STABILIZATION AREA FOR THOSE MOST AT RISK THAT DO NOT NEED HOSPITALIZATION. THE COMMUNITY CRISIS CENTER ALSO PROVIDES CRISIS INTERVENTION TEAM TRAINING FOR LAW ENFORCEMENT. IN 2016, OVER 10,000 CLIENT VISITS WERE MADE TO THE COMMUNITY CRISIS CENTER. ST. VINCENT HEALTHCARE HAS BEEN WORKING TO INTEGRATE BEHAVIORAL HEALTH SERVICES INTO EXISTING PRIMARY CARE PHYSICIAN PRACTICES. IN ADDITION, ST. VINCENT HEALTHCARE IS A MEMBER OF THE COMMUNITY COLLABORATIVE FOCUSED ON DEVELOPING A SYSTEMS APPROACH TO ADDRESS TRAUMA AND ADVERSE CHILDHOOD EXPERIENCES (ACES) IN OUR COMMUNITY. THESE EFFORTS INCLUDE TRAINING 2,254 INDIVIDUALS INCLUDING MEDICAL PROVIDERS, SOCIAL SERVICE PROVIDERS, FAITH COMMUNITY, AND EDUCATORS OF THE EFFECTS OF TRAUMA AND ASSESSING ORGANIZATIONAL TRAUMA-RESPONSIVENESS FOR 9 ORGANIZATIONS. ST. VINCENT HEALTHCARE HAS ALSO TRAINED PERSONNEL TO PROVIDE MINDFULNESS CLASSES AS A COMMUNITY RESOURCE FOR TRAUMA RESPONSE. ST. VINCENT HEALTHCARE HAS PROVIDED FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY ORGANIZATIONS AND COLLABORATIONS ADDRESSING SUICIDE AND MENTAL HEALTH INCLUDING THE SUICIDE PREVENTION TASK FORCE, NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI), AND AMERICAN FOUNDATION FOR SUICIDE PREVENTION. ST. VINCENT HEALTHCARE PROVIDES TOBACCO CESSATION CLASSES FOR THE COMMUNITY. THE 7-WEEK EVIDENCE-BASED AMERICAN LUNG ASSOCIATION FREEDOM FROM SMOKING CLASS WAS OFFERED TEN TIMES DURING 2016 FOR TOBACCO USERS. ADVOCACY EFFORTS INCLUDED PROMOTING AND ENCOURAGING POLICY OPPORTUNITIES RELATED TO SMOKE FREE/TOBACCO FREE FACILITIES, CAMPUSES, WORKSITES, OR PUBLIC SPACES SUCH AS PARKS. ST. VINCENT HEALTHCARE PARTICIPATES IN THE COMMUNITY INNOVATIONS INITIATIVE. SPECIFICALLY ADDRESSING ISSUES OF CHRONIC PUBLIC INTOXICATION. THE MOTIVATED ADDITIONAL ALTERNATIVE PROGRAM (MAAP) PROVIDES THIS AT RISK-POPULATION WITH 12 HOURS OF INTENSIVE OUTPATIENT COUNSELING PER WEEK FOR 4 MONTHS. IN ADDITION, ST. VINCENT HEALTHCARE PARTICIPATES IN THE YELLOWSTONE COUNTY PRESCRIPTION PAIN TASK FORCE. ST. VINCENT HEALTHCARE PROVIDES FINANCIAL AND IN-KIND SUPPORT FOR ORGANIZATIONS WHICH ADDRESS OTHER IDENTIFIED HEALTH NEEDS INCLUDING THE AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, ALZHEIMER'S ASSOCIATION, AMERICAN HEART ASSOCIATION, MARCH OF DIMES, MS SOCIETY, PARKINSONS ASSOCIATION AND YELLOWSTONE AIDS PROJECT. ST. VINCENT HEALTHCARE PROVIDES INJURY PREVENTION, INCLUDING A DISTRACTED DRIVING PRESENTATION TO REGIONAL SCHOOLS. UNDERLYING SOCIAL DETERMINANTS OF HEALTH, SUCH AS EDUCATION, ARE ADDRESSED THROUGH COLLABORATION WITH BILLINGS EDUCATIONAL FOUNDATION'S PARTNERS IN EDUCATION PROGRAM WITH STAFF TUTORING STUDENTS AT A TITLE ONE SCHOOL AND SUPPORT OF UNITED WAY BEST BEGINNINGS COALITION AND UNITED WAY'S GRADUATION MATTERS INITIATIVE. EXISTING HEALTHCARE FACILITIES AND RESOURCES WITHIN THE COMMUNITY ARE AVAILABLE TO RESPOND TO HEALTH NEEDS OF THE COMMUNITY NOT BEING ADDRESSED BY ST. VINCENT HEALTHCARE. ST. VINCENT HEALTHCARE CONTINUES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE THESE HEALTH NEEDS ARE ADDRESSED.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2016

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