SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC
Employer identification number

23-7379161
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) SCL HEALTH MEDICAL GROUP - MONTANA LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
47-1888400 		PHYSICIAN SERVICES MT 0 0 SCLHS
 
(2) SCL HEALTH MEDICAL GROUP - BILLINGS LLC
1233 NORTH 30TH STREET
BILLINGS,MT59101
46-4056262 		PHYSICIAN SERVICES MT 68,649,911 14,121,720 SCL HEALTH MEDICAL GROUP - MONTANA LLC
 
(3) SCL HEALTH MEDICAL GROUP - BUTTE LLC
400 SOUTH CLARK STREET
BUTTE,MT59701
27-3193107 		PHYSICIAN SERVICES MT 10,654,764 1,395,109 SCL HEALTH MEDICAL GROUP - MONTANA LLC
 
(4) SCL HEALTH PARTNERS LLC
8300 WEST 38TH AVENUE
WHEAT RIDGE,CO80033
02-0749530 		HEALTHCARE SERVICES CO 21,770,777 16,818,260 SCLHS
 
(5) CANCER CENTERS OF COLORADO LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
82-3157615 		OP CANCER CENTER CO 523,543 792,526 SCL HEALTH PARTNERS LLC
 
(6) GS CAMPUS ASC LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
82-1536566 		SURGERY CENTER CO 0 0 SCL HEALTH PARTNERS LLC
 
(7) SCL HEALTH - EMERUS LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
80-0958129 		HOSPITAL SERVICES CO 0 0 SCL HEALTH PARTNERS LLC
 
(8) SCL HEALTH AURORA LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
47-2156361 		EMERGENCY CARE SERVICES CO 0 0 SCL HEALTH - EMERUS LLC
 
(9) SCL HEALTH NORTHGLENN LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
47-2188745 		HOSPITAL SERVICES CO 0 0 SCL HEALTH - EMERUS LLC
 
(10) SCL HEALTH SOUTHWEST LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
47-2175436 		HOSPITAL SERVICES CO 0 0 SCL HEALTH - EMERUS LLC
 
(11) SCL HEALTH WESTMINSTER LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
46-5180833 		HOSPITAL SERVICES CO 0 0 SCL HEALTH - EMERUS LLC
 
(12) SCL HOME HEALTH SOLUTIONS LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
46-2418729 		HOME HEALTH SERVICES DE 0 0 SCL HEALTH PARTNERS LLC
 
(13) SCL FRONT RANGE HOME HEALTH LLC
3980 QUEBEC STREET SUITE 100
DENVER,CO80207
84-1195134 		HOME HEALTH SERVICES CO 6,153,172 835,069 SCL HOME HEALTH SOLUTIONS LLC
 
(14) SJ EAST CAMPUS ASC LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
82-1485491 		SURGERY CENTER CO 117,155 425,793 SCL HEALTH PARTNERS LLC
 
(15) 1227 LOWER LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
81-0811084 		REAL ESTATE INVESTMENT CO 0 0 SCLHS
 
(16) 1227 UPPER LLC
500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
81-0906413 		REAL ESTATE INVESTMENT CO 0 0 SCLHS
 
Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)SCL HEALTH FOUNDATION
500 ELDORADO BLVD SUITE 4300

BROOMFIELD,CO80021
82-3290526 		SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SCLHS
 
Yes
 
(2)INTEGRITY HEALTH
500 ELDORADO BLVD SUITE 4300

BROOMFIELD,CO80021
47-4520350 		SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12C, III-FI SCLHS
 
Yes
 
(3)BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
1600 PRAIRIE CENTER PARKWAY

BRIGHTON,CO80601
84-0482695 		HOSPITAL SERVICES CO 501(C)(3) LINE 3 INTEGRITY HEALTH
 
Yes
 
(4)PLATTE VALLEY MEDICAL CENTER FOUNDATION
1600 PRAIRIE CENTER PARKWAY

BRIGHTON,CO80601
74-2255936 		SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12A, I BRIGHTON COMMUNITY HOSPITAL ASSOCIATION
 
Yes
 
(5)MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARD

DENVER,CO80211
84-0405260 		RESIDENT CARE CO 501(C)(3) LINE 10 SCLHS
 
Yes
 
(6)NJH-SJH INC
500 ELDORADO BLVD SUITE 4300

DENVER,CO80211
47-1194849 		MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES CO 501(C)(3) LINE 12A, I SCLHS
 
Yes
 
(7)SAINT JOSEPH HOSPITAL INC
1375 EAST 19TH AVENUE

DENVER,CO80218
84-0417134 		HOSPITAL SERVICES CO 501(C)(3) LINE 3 SCLHS
 
Yes
 
(8)SAINT JOSEPH HOSPITAL FOUNDATION
1375 EAST 19TH AVENUE

DENVER,CO80218
84-0735096 		SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SAINT JOSEPH HOSPITAL INC
 
Yes
 
(9)SCL HEALTH - FRONT RANGE INC
500 ELDORADO BLVD SUITE 4300

BROOMFIELD,CO80021
84-1103606 		HOSPITAL SERVICES CO 501(C)(3) LINE 3 SCLHS
 
Yes
 
(10)GOOD SAMARITAN MEDICAL CENTER FOUNDATION
200 EXEMPLA CIRCLE

LAFAYETTE,CO80026
84-1649162 		SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SCL HEALTH-FRONT RANGE INC
 
Yes
 
(11)LUTHERAN MEDICAL CENTER FOUNDATION
8300 WEST 38TH AVENUE

WHEAT RIDGE,CO80033
20-8846152 		SUPPORT RELATED TAX EXEMPT ORGANIZATIONS CO 501(C)(3) LINE 7 SCL HEALTH-FRONT RANGE INC
 
Yes
 
(12)ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 NORTH 7TH STREET

GRAND JUNCTION,CO81501
84-0425720 		HOSPITAL SERVICES CO 501(C)(3) LINE 3 SCLHS
 
Yes
 
(13)ST MARYS HOSPITAL FOUNDATION
2635 NORTH 7TH STREET

GRAND JUNCTION,CO81501
23-7001007 		SUPPORTING ORGANIZATION CO 501(C)(3) LINE 12A, I ST MARYS HOSPITAL & MEDICAL CENTER INC
 
Yes
 
(14)CARITAS CLINICS INC
818 NORTH 7TH STREET

LEAVENWORTH,KS66048
48-1009910 		CLINIC SERVICES KS 501(C)(3) LINE 3 SCLHS
 
Yes
 
(15)MARIAN CLINIC INC
3164 EAST 6TH AVENUE

TOPEKA,KS66607
48-1046905 		CLINIC SERVICES KS 501(C)(3) LINE 3 SCLHS
 
Yes
 
(16)ST FRANCIS HEALTH CENTER INC
500 ELDORADO BLVD SUITE 4300

BROOMFIELD,CO80021
48-0547719 		HOSPITAL SERVICES KS 501(C)(3) LINE 3 SCLHS
 
Yes
 
(17)ST FRANCIS HEALTH CENTER FOUNDATION
500 ELDORADO BLVD SUITE 4300

BROOMFIELD,CO80021
48-1092520 		SUPPORTING ORGANIZATION KS 501(C)(3) LINE 12A, I ST FRANCIS HEALTH CENTER INC
 
Yes
 
(18)HOLY ROSARY HEALTHCARE
2600 WILSON STREET

MILES CITY,MT59301
81-0231792 		HOSPITAL SERVICES MT 501(C)(3) LINE 3 SCLHS
 
Yes
 
(19)HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSON STREET

MILES CITY,MT59301
20-2270238 		SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12A, I HOLY ROSARY HEALTHCARE
 
Yes
 
(20)ST JAMES HEALTHCARE
400 SOUTH CLARK STREET

BUTTE,MT59701
81-0231785 		HOSPITAL SERVICES MT 501(C)(3) LINE 3 SCLHS
 
Yes
 
(21)ST JAMES HEALTHCARE FOUNDATION INC
400 SOUTH CLARK STREET

BUTTE,MT59701
65-1202190 		SUPPORTING ORGANIZATION MT 501(C)(3) LINE 12A, I ST JAMES HEALTHCARE
 
Yes
 
(22)ST VINCENT HEALTHCARE
1233 NORTH 30TH STREET

BILLINGS,MT59101
81-0232124 		HOSPITAL SERVICES MT 501(C)(3) LINE 3 SCLHS
 
Yes
 
(23)ST VINCENT HEALTHCARE FOUNDATION INC
1106 NORTH 30TH STREET

BILLINGS,MT59101
81-0468034 		SUPPORT RELATED TAX EXEMPT ORGANIZATIONS MT 501(C)(3) LINE 7 ST VINCENT HEALTHCARE
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Page 2
Schedule R (Form 990) 2018
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) LUTHERAN CAMPUS ASC LLC

3455 LUTHERAN PKWY STE 150
WHEATRIDGE,CO80033
02-0749532 		OP SURGERY CO SCL HEALTH PARTNERS LLC
  		RELATED 871,494 942,677   No     No 54.890 %
(2) SCLH-GI ENDOSCOPY HOLDINGS LLC

382 S ARTHUR AVENUE
LOUISVILLE,CO80027
81-2979243 		OP ENDOSCOPY CO SCL HEALTH PARTNERS LLC
  		RELATED 1,457,075 1,261,341   No     No 51.000 %
(3) SCLTDI JV LLC

1431 PERRONE WAY
FRANKLIN,TN37069
47-2294770 		RADIOLOGY DE SCL HEALTH PARTNERS LLC
  		RELATED -2,736,364 16,994,451   No   Yes   51.000 %
(4) ATHLETIC MEDICINE & PERFORMANCE LLC

1144 NORTH 28TH STREET
BILLINGS,MT59101
27-2270640 		PHYSICAL THERAPY MT N/A
                  
(5) GRAND VALLEY SURGICAL CENTER LLC

710 WELLINGTON AVENUE SUITE 21
GRAND JUNCTION,CO81501
84-1505075 		OP SURGERY CO N/A
                  
(6) HEALTHCARE MANAGEMENT LLC

PO BOX 1929
GRAND JUNCTION,CO81502
84-1238904 		MANAGEMENT SERVICES CO N/A
                  
(7) PAVILION IMAGING LLC

750 WELLINGTON AVENUE
GRAND JUNCTION,CO81501
03-0516198 		RADIOLOGY CO N/A
                  
(8) SAN JUAN CANCER CENTER LLC

600 SOUTH 5TH STREET
MONTROSE,CO81401
20-2856331 		OP CANCER CO N/A
                  
(9) SMHMMH AIR MEDICAL TRANSPORT LLC

500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
47-3525381 		MEDICAL AIR TRANSPORT CO N/A
                  
(10) EKG INTERPRETATION SERVICE

3464 S WILLOW STREET SUITE 111
DENVER,CO80231
84-0927945 		EKG INTERPRETATION CO N/A
                  
(11) ST JOSEPH EKG READER PANEL

3464 S WILLOW STREET SUITE 174
DENVER,CO80231
84-1269895 		EKG READING CO N/A
                  
(12) MED-MAP LLC

PO BOX 1295
BILLINGS,MT59103
81-0491356 		RENTAL REAL ESTATE MT N/A
                  
(13) YELLOWSTONE SURGERY CENTER LLC

1144 NORTH 28TH STREET
BILLINGS,MT59101
72-1519467 		OP SURGERY MT N/A
                  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) CARITAS INC AND SUBSIDIARIES

500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
48-0941069 		HEALTHCARE KS SCLHS
  		C 6,935,603 15,034,992 100.000 % Yes  
(2) ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC

500 ELDORADO BLVD SUITE 4300
BROOMFIELD,CO80021
46-2874128 		HEALTHCARE KS ST FRANCIS HEALTH CENTER INC
  		C 2,419,581   100.000 % Yes  
(3) LEAVEN INSURANCE COMPANY LTD

23 LIME TREE BAY AVENUE WEST BAY R
GRAND CAYMAN   KY1-1102
CJ
98-0370522 		INSURANCE CJ SCLHS
  		C 17,454,861 64,746,366 100.000 % Yes  








Schedule R (Form 990) 2018
Page 3
Schedule R (Form 990) 2018
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
Yes
 
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) ST MARY'S HOSPITAL & MEDICAL CENTER INC

 A 300,328 FMV
(2) ST JAMES HEALTHCARE

 A 48,042 FMV
(3) SCL HEALTH-FRONT RANGE INC

 A 9,247,856 FMV
(4) SAINT JOSEPH HOSPITAL INC

 A 11,417,701 FMV
(5) CARITAS CLINICS INC

 B 236,377 FMV
(6) MARIAN CLINIC INC

 B 157,013 FMV
(7) MOUNT ST VINCENT HOME INC

 B 549,453 FMV
(8) ST VINCENT HEALTHCARE

 B 3,000,157 FMV
(9) SCL HEALTH FOUNDATION

 B 109,000 FMV
(10) ST VINCENT HEALTHCARE FOUNDATION

 C 1,560,076 FMV
(11) SAINT JOSEPH HOSPITAL INC

 D 3,600,132 FMV
(12) SCL HEALTH-FRONT RANGE INC

 D 11,890,000 FMV
(13) ST JAMES HEALTHCARE

 D 4,318,392 FMV
(14) ST MARY'S HOSPITAL & MEDICAL CENTER INC

 D 5,911,556 FMV
(15) CARITAS INC AND SUBSIDIARIES

 F 5,461,000 FMV
(16) LEAVEN INSURANCE COMPANY LTD

 F 4,800,000 FMV
(17) MED-MAP LLC

 K 1,469,011 FMV
(18) ST VINCENT HEALTHCARE

 L 57,092,013 FMV
(19) HOLY ROSARY HEALTHCARE

 L 8,838,277 FMV
(20) ST JAMES HEALTHCARE

 L 16,698,609 FMV
(21) ST MARY'S HOSPITAL & MEDICAL CENTER INC

 L 61,112,156 FMV
(22) SAINT JOSEPH HOSPITAL INC

 L 76,306,072 FMV
(23) SCL HEALTH-FRONT RANGE INC

 L 114,220,609 FMV
(24) BRIGHTON COMMUNITY HOSPITAL ASSOCIATION

 L 11,076,492 FMV
(25) ST JAMES HEALTHCARE FOUNDATION INC

 L 90,820 FMV
(26) ST VINCENT HEALTHCARE FOUNDATION INC

 L 722,962 FMV
(27) ST MARYS HOSPITAL FOUNDATION

 L 280,852 FMV
(28) SAINT JOSEPH HOSPITAL FOUNDATION

 L 252,222 FMV
(29) LUTHERAN MEDICAL CENTER FOUNDATION

 L 178,822 FMV
(30) GOOD SAMARITAN MEDICAL CENTER FOUNDATION

 L 245,027 FMV
Schedule R (Form 990) 2018
Page 4
Schedule R (Form 990) 2018
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Page 5
Schedule R (Form 990) 2018
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2018

Additional Data


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