SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2019
Open to Public Inspection
Name of the organization
ST VINCENT HEALTHCARE
 
Employer identification number

81-0232124
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    3,785,966   3,785,966 0.890 %
b Medicaid (from Worksheet 3, column a) . . . . .     65,591,473 77,218,802 0 0 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     1,141,845 1,829,830 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     70,519,284 79,048,632 3,785,966 0.890 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     1,085,701   1,085,701 0.260 %
f Health professions education (from Worksheet 5) . . .     244,101   244,101 0.060 %
g Subsidized health services (from Worksheet 6) . . . .     28,261,287 19,562,183 8,699,104 2.060 %
h Research (from Worksheet 7) .     24,964   24,964 0.010 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     10,314,538   10,314,538 2.440 %
j Total. Other Benefits . .     39,930,591 19,562,183 20,368,408 4.830 %
k Total. Add lines 7d and 7j .     110,449,875 98,610,815 24,154,374 5.720 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development     34,619   34,619 0.010 %
3 Community support     92,605   92,605 0.020 %
4 Environmental improvements            
5 Leadership development and
training for community members		     4,648   4,648 0 %
6 Coalition building     110   110 0 %
7 Community health improvement advocacy            
8 Workforce development            
9 Other     647,180   647,180 0.150 %
10 Total     779,162   779,162 0.180 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
2,978,694
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
138,134,216
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
165,254,695
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-27,120,479
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
11 ATHLETIC MEDICINE & PERFORMANCE LLC
  		PHYSICAL THERAPY 33.330 %   47.410 %
22 ROCKY MOUNTAIN HEALTH NETWORK INC
  		PHO - ADMINISTRATIVE SERVICES 50.000 %   50.000 %
33 ROCKY MOUNTAIN ACCOUNTABLE HEALTH NETWORK INC
  		ACCOUNTABLE CARE ORGANIZATION 50.000 %   50.000 %
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2019
Schedule H (Form 990) 2019
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ST VINCENT HEALTHCARE
1233 NORTH 30TH STREET
BILLINGS,MT59101
SEE PART VI SUPP INFO
13258 		X X   X     X      
Schedule H (Form 990) 2019
Page 4
Schedule H (Form 990) 2019
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ST VINCENT HEALTHCARE
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 17
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): SEE PART V, SECTION C
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2019
Page 5
Schedule H (Form 990) 2019
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ST VINCENT HEALTHCARE
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2019
Page 6
Schedule H (Form 990) 2019
Page 6
Part VFacility Information (continued)

Billing and Collections
ST VINCENT HEALTHCARE
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2019
Page 7
Schedule H (Form 990) 2019
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ST VINCENT HEALTHCARE
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2019
Page 8
Schedule H (Form 990) 2019
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 5: THE 2017 CHNA WAS CONDUCTED BY ST. VINCENT HEALTHCARE IN PARTNERSHIP WITH BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT, AND THE CITY-COUNTY HEALTH DEPARTMENT, RIVERSTONE HEALTH. THE CHNA ADVISORY GROUP CONSISTED OF 71 INDIVIDUALS REPRESENTING 58 ORGANIZATIONS ACROSS THE COMMUNITY. THE ADVISORY GROUP PROVIDED INPUT THROUGHOUT THE CHNA/CHIP PROCESS AND APPROVED MAJOR ACTIVITIES SUCH AS THE QUESTIONNAIRE, STAKEHOLDERS INVOLVED IN THE KEY INFORMANT SURVEY AND AGENDA ITEMS AND INVITEES FOR THE PRIORITIZATION PROCESS. THE CHNA INCORPORATED: 1) PRIMARY QUANTITATIVE DATA (A 404 HOUSEHOLD TELEPHONE COMMUNITY HEALTH SURVEY), 2) SECONDARY QUANTITATIVE DATA (EXISTING PUBLIC HEALTH DATA) AND 3) PRIMARY QUALITATIVE DATA (KEY INFORMANT SURVEYS). THE SAMPLE DRAWN FOR THE 404 HOUSEHOLD TELEPHONE SURVEY IS REPRESENTATIVE OF THE ADULT YELLOWSTONE COUNTY POPULATION IN TERMS OF DEMOGRAPHIC AND SOCIOECONOMIC CHARACTERISTICS, AS WELL AS GEOGRAPHIC LOCATION. THE 2017 CHNA WAS A FOLLOW-UP TO SIMILAR SURVEYS CONDUCTED IN 2006, 2011, AND 2014 WHICH ALLOWED FOR TRENDING OVER TIME.TO SOLICIT INPUT FOR KEY INFORMANTS, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED. 194 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY INCLUDING REPRESENTATIVES OF COMMUNITY BASED ORGANIZATIONS, EDUCATION, GOVERNMENT, BUSINESS, HEALTHCARE AND PUBLIC HEALTH. THROUGHOUT THE PROCESS, INPUT WAS GATHERED FROM INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME, MINORITY POPULATIONS, OR OTHER MEDICALLY UNDERSERVED POPULATIONS. MINORITY/MEDICALLY UNDERSERVED POPULATIONS REPRESENTED BY KEY INFORMANTS INCLUDED: AFRICAN-AMERICANS, AGRICULTURAL WORKERS, AMERICAN INDIANS, ASIANS, CHILDREN, COLLEGE STUDENTS, THOSE WITH CO-OCCURRING DISORDERS, CRIMINAL OFFENDERS, THOSE WITH DISABILITIES, THE ELDERLY, ENGLISH AS A SECOND LANGUAGE, HISPANICS, HOMELESS INDIVIDUALS, HUTTERITES, IMMIGRANTS, LGBT, LOW INCOME, THE MENTALLY ILL, MULTI-RACIAL INDIVIDUALS, PREGNANT TEENS, RUNAWAYS, RURAL RESIDENTS, SAMOANS, SINGLE PARENTS, SUBSTANCE ABUSERS, UNINSURED/UNDERINSURED RESIDENTS, VETERANS, VICTIMS OF VIOLENCE, WOMEN, AND INDIVIDUALS WITH CHRONIC DISEASE SUCH AS CANCER, DIABETES, HIGH BLOOD PRESSURE, AND HIV/AIDS.
ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 6A: THE 2017 CHNA WAS CONDUCTED IN PARTNERSHIP WITH BILLINGS CLINIC, A HOSPITAL LOCATED IN BILLINGS, MT.
ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED WITH THE CITY-COUNTY HEALTH DEPARTMENT, RIVERSTONE HEALTH. IN ADDITION, 71 REPRESENTATIVES FROM BUSINESS, COMMUNITY, EDUCATION, FAITH-BASED ORGANIZATIONS, AND GOVERNMENT WERE INVOLVED IN THE CHNA PROCESS AS MEMBERS OF THE CHNA ADVISORY GROUP WHICH PROVIDED OVERSIGHT TO THE CHNA PROCESS.ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/ ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 7B: HTTP://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORG/WP-CONTENT/UPLOADS/2016-17-PRC-CHNA-REPORT-FINAL-YELLOWSTONE-COUNTY-MT.PDF
ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 7D: A PRESS CONFERENCE WAS HELD ON FEBRUARY 6, 2017, TO PUBLICIZE THE CHNA. PRINTED COPIES OF THE CHNA REPORT WERE DISTRIBUTED TO LOCAL NON-PROFIT ORGANIZATIONS. THE CHNA IS ALSO AVAILABLE ELECTRONICALLY ON THE HEALTHY BY DESIGN COALITION WEBSITE: HTTP://WWW.HEALTHYBYDESIGNYELLOWSTONE.ORGST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 10A:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/
ST. VINCENT HEALTHCARE PART V, SECTION B, LINE 11: THE 2017 CHNA IDENTIFIED 13 AREAS OF OPPORTUNITY AFTER CONSIDERATION OF VARIOUS CRITERIA, INCLUDING: STANDING IN COMPARISON WITH BENCHMARK DATA (PARTICULARLY NATIONAL DATA); IDENTIFIED TRENDS; THE PREPONDERANCE OF SIGNIFICANT FINDINGS WITHIN TOPIC AREAS; THE MAGNITUDE OF THE ISSUE IN TERMS OF NUMBER OF PERSONS AFFECTED; AND THE POTENTIAL HEALTH IMPACT OF A GIVEN ISSUE. IN ALPHABETICAL ORDER, THEY ARE:1. ACCESS TO HEALTHCARE SERVICES2. CANCER3. DEMENTIA, INCLUDING ALZHEIMER'S DISEASE4. DIABETES5. HEART DISEASE AND STROKE6. INFANT HEALTH AND FAMILY PLANNING7. INJURY AND VIOLENCE8. MENTAL HEALTH9. NUTRITION, PHYSICAL ACTIVITY AND WEIGHT10. POTENTIALLY DISABLING CONDITIONS11. RESPIRATORY DISEASES12. SUBSTANCE ABUSE13. TOBACCO USEA GROUP OF COMMUNITY STAKEHOLDERS, REPRESENTING A CROSS-SECTION OF COMMUNITY-BASED AGENCIES AND ORGANIZATIONS, WAS CONVENED TO EVALUATE, DISCUSS, AND PRIORITIZE HEALTH ISSUES FOR THE COMMUNITY. PARTICIPANTS EVALUATED EACH OF THE 13 IDENTIFIED AREAS OF OPPORTUNITY ALONG TWO CRITERIA: SCOPE AND SEVERITY, AND ABILITY TO IMPACT. THIS PROCESS YIELDED A PRIORITIZED LIST OF COMMUNITY NEEDS WITH THE TOP THREE IDENTIFIED NEEDS AS: 1. NUTRITION, PHYSICAL ACTIVITY & WEIGHT2. MENTAL HEALTH3. SUBSTANCE ABUSE ST. VINCENT HEALTHCARE IS ADDRESSING THESE IDENTIFIED HEALTH NEEDS THROUGH BOTH COLLABORATIVE COMMUNITY EFFORTS AND SPECIFIC HOSPITAL EFFORTS.NUTRITION, PHYSICAL ACTIVITY & WEIGHT: 34.4% OF YELLOWSTONE COUNTY ADULTS ARE OBESE, HIGHER THAN MONTANA FINDINGS AND SIMILAR TO RATES IN THE U.S. (CHNA, 2017). AS A SPONSORING ENTITY AND MEMBER OF THE HEALTHY BY DESIGN COALITION, ST. VINCENT HEALTHCARE IS COLLABORATING TO INCREASE THE PROPORTION OF RESIDENTS WHO ARE AT A HEALTHY WEIGHT IN YELLOWSTONE COUNTY THROUGH POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE EFFORTS INCLUDING STRATEGIES FOR HEALTHY FOOD RETAIL AND PROCUREMENT, IMPROVING ACCESS TO PLACES FOR PHYSICAL ACTIVITY, COMMUNITY-SCALE URBAN DESIGN AND LAND USE POLICIES, AND PROVIDING SPACE FOR ORGANIZED ACTIVITIES THAT ENCOURAGE SOCIAL PARTICIPATION AND INCLUSION. THE HEALTHY BY DESIGN COALITION'S GARDENERS' MARKET, LOCATED IN A FEDERALLY IDENTIFIED FOOD DESERT WITHIN A LOW-INCOME NEIGHBORHOOD, SERVED 216 RESIDENTS EACH WEEK FROM JUNE TO OCTOBER, ACCEPTING SNAP AND WIC BENEFITS TO INCREASE ACCESS TO AFFORDABLE FRUITS AND VEGETABLES. THE COALITION DISTRIBUTED MAPS OF WALKING ROUTES AT TWO LOCAL PARKS. THESE MAPS WERE DISTRIBUTED AT OUR PRIMARY CARE CLINICS AND IN THE COMMUNITY.ST. VINCENT HEALTHCARE CONTINUES TO OFFER THE EVIDENCE-BASED DIABETES AND HEART DISEASE PREVENTION PROGRAM. LOCATED AT THE BILLINGS FAMILY YMCA, THIS PROGRAM IS OFFERED TWICE PER YEAR. IN 2019, 122 INDIVIDUALS PARTICIPATED IN THE PROGRAM WHICH FOCUSES ON NUTRITION EDUCATION AND PHYSICAL ACTIVITY, SUPPORTING HEALTHY LIFESTYLE CHANGES FOR ADULTS WHO ARE AT RISK FOR DEVELOPING TYPE 2 DIABETES. 28.8% OF CHILDREN AGES 5-17 ARE OVERWEIGHT OR OBESE (CHNA, 2017). ST. VINCENT HEALTHCARE COLLABORATES WITH AND PROVIDES SUPPORT TO KIDS IN MOTION, AN ACTIVE TRANSPORTATION PROGRAM FACILITATED BY SCHOOL DISTRICT #2, EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS, THE CITY OF BILLINGS, AND OTHER COMMUNITY PARTNERS THAT COMBINES VOLUNTEER-COORDINATED EVENTS SUCH AS BICYCLE TUNE-UP CLINICS, WITH IN-CLASS EDUCATION TO EMPOWER YOUTH WITH THE SKILLS AND CONFIDENCE NEEDED TO WALK AND RIDE THEIR BICYCLE EVERY DAY. IN 2019, 169 STUDENT BICYCLES WERE INSPECTED AND, IF NEEDED, REPAIRED AT 7 SCHOOLS. IN-CLASS EDUCATION WAS PROVIDED TO OVER 400 4TH AND 5TH GRADE STUDENTS AT SEVEN SCHOOLS. ST. VINCENT HEALTHCARE MANAGES THE KOHL'S CARES FOR KIDS GRANT PARTNERSHIP WITH PRIORITY TITLE ONE SCHOOLS, PROVIDING PHYSICAL ACTIVITY AND NUTRITION EDUCATION AND OUTREACH. IN 2019, 1,522 STUDENTS IN FIVE TITLE ONE SCHOOLS WERE SERVED BY PROGRAM THROUGH RUNNING PROGRAMS, HIP HOP PROGRAMS, AND SHOE DISTRIBUTION. IN ADDITION, SVH PROVIDED IN-KIND SUPPORT TO THE BILLINGS SCHOOL DISTRICT #2 SCHOOL HEALTH ADVISORY COMMITTEE AND BILLINGS ACTION FOR HEALTHY KIDS. ST. VINCENT HEALTHCARE PROVIDED FINANCIAL SUPPORT AND LEADERSHIP FOR LOCAL NON-PROFITS FOCUSED ON OBESITY PREVENTION, NUTRITION AND PHYSICAL ACTIVITY PROMOTION. THESE ORGANIZATIONS INCLUDED TRAILNET, A LOCAL TRAIL ADVOCACY ORGANIZATION; BIG SKY STATE GAMES, A LOCAL ORGANIZATION WHICH PROVIDES COMMUNITY PHYSICAL ACTIVITY OPPORTUNITIES; SPECIAL OLYMPICS, FOCUSED ON PHYSICAL ACTIVITY FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITY; AND EAGLE MOUNT, FOCUSED ON PHYSICAL ACTIVITY FOR INDIVIDUALS WITH PHYSICAL DISABILITIES. WE ADVOCATE FOR ACCESS TO HEALTHY FOODS FOR LOW-INCOME INDIVIDUALS AND FAMILIES, INCLUDING SERVING AS A DISTRIBUTION SITE FOR BOUNTIFUL BASKETS AND PROVIDING FOOD DONATIONS TO COMMUNITY-BASED ORGANIZATIONS SERVING VULNERABLE POPULATIONS INCLUDING MEALS FOR INDIVIDUALS WITH AIDS.BEHAVIORAL HEALTH:13.4% OF ADULTS IN YELLOWSTONE COUNTY REPORT THEIR OVERALL MENTAL HEALTH AS FAIR OR POOR WHICH HAS SIGNIFICANTLY INCREASED SINCE 2005 AND 25.3% OF ADULTS HAVE BEEN DIAGNOSED WITH A DEPRESSIVE DISORDER WHICH IS HIGHER THAN RATES IN MONTANA AND THE U.S. (CHNA 2017). ST. VINCENT HEALTHCARE HAS PROVIDED FINANCIAL SUPPORT TO ORGANIZATIONS FOCUSED ON IMPROVING ACCESS TO MENTAL HEALTH RESOURCES IN OUR COMMUNITY AND HAVE INTEGRATED BEHAVIORAL HEALTH INTO OUR PRIMARY CARE CLINICS. EMBEDDED MENTAL HEALTH SPECIALISTS PROVIDE INCREASED ACCESS TO MENTAL HEALTH TREATMENTS AND REDUCE BARRIERS RELATED TO STIGMA. IN ONE YEAR, 54,852 INDIVIDUALS WERE SCREENED FOR MENTAL HEALTH OR SUBSTANCE ABUSE. 679 OF THOSE INDIVIDUALS WERE IDENTIFIED AS NEEDING BEHAVIORAL HEALTH SUPPORTS AND WERE PROVIDED WITH A WARM HANDOFF TO A BEHAVIORAL HEALTH SPECIALIST. AN ADDITIONAL 55 INDIVIDUALS WERE REFERRED FOR A HIGHER LEVEL OF BEHAVIORAL HEALTH CARE. WE CONTINUE TO PROVIDE FINANCIAL SUPPORT TO THE COMMUNITY CRISIS CENTER AND OUR CHIEF MEDICAL OFFICER SERVES ON THE BOARD OF DIRECTORS. 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 2019, OVER 11,000 CLIENT VISITS WERE MADE TO THE COMMUNITY CRISIS CENTER. ST. VINCENT HEALTHCARE ALSO PROVIDED FINANCIAL SUPPORT TO A STUDENT RUN MENTAL HEALTH CLINIC AT WALLA WALLA UNIVERSITY-BILLINGS. SINCE ITS INCEPTION, THIS CLINIC PROVIDED NO-COST MENTAL HEALTH SERVICES TO OVER 320 INDIVIDUALS WITHOUT INSURANCE COVERAGE WHILE AT THE SAME TIME PROVIDING CLINICAL HOURS NEEDED FOR STUDENTS TO COMPLETE THEIR MSW DEGREES, INCREASING ACCESS TO MENTAL HEALTH SERVICES. TO ADDRESS MENTAL HEALTH NEEDS OF VETERANS, WE'VE PROVIDED FINANCIAL AND LEADERSHIP SUPPORT TO HORSES SPIRITS HEALING, INC., A NON-PROFIT PROVIDING EQUINE THERAPY TO 267 VETERANS MANY OF WHOM HAD PTSD OR OTHER MENTAL HEALTH NEEDS. WE CONTINUE TO PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY ORGANIZATIONS AND COLLABORATIONS ADDRESSING SUICIDE AND MENTAL HEALTH INCLUDING THE YELLOWSTONE VALLEY SUICIDE PREVENTION COALITION, AMERICAN FOUNDATION FOR SUICIDE PREVENTION. THROUGH THIS PARTNERSHIP, 190 COMMUNITY MEMBERS WERE TRAINED IN QPR THROUGH 8 TRAININGS AND AN ADDITIONAL 85 WERE TRAINED IN TRAUMA INFORMED CARE. 45.5% OF ADULTS IN YELLOWSTONE COUNTY REPORT THEIR LIVES HAVE BEEN NEGATIVELY AFFECTED BY SUBSTANCE USE, HIGHER THAN THE NATIONAL AVERAGE (CHNA, 2017). ST. VINCENT HEALTHCARE IS ADDRESSING PRENATAL SUBSTANCE USE THROUGH MIDWIFERY CLINICS WHICH INCLUDE CARE COORDINATORS TO FOCUS ON SOCIAL NEEDS. ST. VINCENT HEALTHCARE IS AN ACTIVE MEMBER OF THE SUBSTANCE ABUSE CONNECT COALITION, FOCUSED ON DECREASING METH USE IN OUR COMMUNITY, WITH STAFF SERVING ON THE EXECUTIVE COMMITTEE AND PREVENTION TASK GROUPS. WE PROVIDED FINANCIAL AND IN-KIND SUPPORT FOR THE COMMUNITY INNOVATIONS INITIATIVE WHICH ADDRESSES ISSUES OF CHRONIC, PUBLIC INTOXICATION. ST. VINCENT HEALTHCARE ALSO PARTICIPATED IN COLLABORATIVES TO ADDRESS OPIOID USE.ACCESS TO HEALTHCARE SERVICES: 42% OF ADULTS REPORT SOME TYPE OF DIFFICULTY OR DELAY IN OBTAINING HEALTHCARE SERVICES IN THE PAST YEAR (CHNA, 2017). YELLOWSTONE COUNTY IS SURROUNDED BY HEALTHCARE PROVIDER SHORTAGE AREAS BASED ON GEOGRAPHIES AND LOW-INCOME (MONTANA PRIMARY CARE NEEDS ASSESSMENT, 2016). CONTINUED IN SCHED H PART V SUPPLEMENTAL INFORMATION
PART V, SECTION B, LINE 11 CONTINUED TO ENHANCE ACCESS TO HEALTHCARE SERVICES, ESPECIALLY FOR RESIDENTS IN RURAL AND TRIBAL COMMUNITIES, ST. VINCENT HEALTHCARE PROVIDES OUTREACH SERVICES SUCH AS MOBILE MAMMOGRAPHY, VISITING CLINICS, PEDIATRIC OUTREACH, AND VIRTUAL HEALTH SERVICES. MOBILE MAMMOGRAPHY SCREENINGS WERE PROVIDED TO 3,224 WOMEN AT 60 LOCATIONS, INCLUDING OUTREACH TO AMERICAN INDIAN WOMEN ON THE CROW AND NORTHERN CHEYENNE RESERVATIONS AND THE MONTANA STATE WOMEN'S PRISON. MIDWIFERY CLINICS PROVIDED ADDITIONAL OUTREACH TO WOMEN IN THE NORTHERN CHEYENNE COMMUNITY, INCREASING ACCESS TO EARLY PRENATAL CARE. TO INCREASE WORKFORCE CAPACITY TO PROVIDE HEALTHCARE SERVICES, ST. VINCENT HEALTHCARE PROVIDES CLINICAL ROTATIONS FOR NURSING, DIETITIAN, PHYSICAL THERAPY, AND PHARMACY STUDENTS. ST. VINCENT HEALTHCARE OFFERS THE ONLY ACCREDITED CLINICAL PASTORAL EDUCATION (CPE) PROGRAM IN THE STATE. IN 2019, APPROXIMATELY 109 NURSING STUDENTS, 18 PHYSICAL THERAPY STUDENTS, 2 DIETETIC INTERNS AND 8 CPE STUDENTS COMPLETED CLINICAL ROTATIONS. TO TRAIN FUTURE PHYSICIANS, ST. VINCENT HEALTHCARE PROVIDED LEADERSHIP AND FINANCIAL SUPPORT TO THE MONTANA FAMILY PRACTICE RESIDENCY PROGRAM. IN ADDITION, ST. VINCENT HEALTHCARE OFFERS A MEDICATION ASSISTANCE PROGRAM AND PROVIDED FINANCIAL SUPPORT FOR THE MEDICATION ASSISTANCE PROGRAM AT RIVERSTONE HEALTH, THE CITY-COUNTY HEALTH DEPARTMENT. THE MEDICATION ASSISTANCE PROGRAM (MAP) PROVIDES ASSISTANCE TO LOW INCOME, UNINSURED INDIVIDUALS TO OBTAIN FREE OR DISCOUNTED PRESCRIPTION MEDICATIONS DIRECTLY FROM PHARMACEUTICAL COMPANIES. IN 2019, RIVERSTONE MAP HELPED 1,034 PATIENTS TO OBTAIN 1,498 MEDICATIONS THEY OTHERWISE MAY HAVE GONE WITHOUT.OTHER SIGNIFICANT NEEDS NOT PRIORITIZED: ST. VINCENT HEALTHCARE CONTINUES TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE THESE HEALTH NEEDS ARE ADDRESSED.CANCER: ST. VINCENT HEALTHCARE PROVIDES A MOBILE MAMMOGRAPHY COACH, FINANCIAL AND IN-KIND SUPPORT FOR THE AMERICAN CANCER SOCIETY, FINANCIAL SUPPORT OF THE LIVESTRONG PHYSICAL ACTIVITY PROGRAM AT THE BILLINGS YMCA; LUNG CANCER SCREENINGS, HEAD AND NECK CANCER SCREENINGS, AND CANCER NAVIGATORS FOR PATIENTS.DEMENTIAS, INCLUDING ALZHEIMER'S DISEASE: ST. VINCENT HEALTHCARE PROVIDES FINANCIAL AND IN-KIND SUPPORT, INCLUDING OFFICE SPACE FOR THE ALZHEIMER'S SOCIETY AND IS A MEMBER OF DEMENTIA-FRIENDLY BILLINGS COALITION.DIABETES: ST. VINCENT HEALTHCARE MANAGES THE DIABETES PREVENTION PROGRAM AT THE BILLINGS YMCA. BLOOD GLUCOSE SCREENINGS WERE CONDUCTED AT LOCAL EVENTS INCLUDING THE MATE SHOW AND MONTANA-STATE UNIVERSITY POWWOW. FINANCIAL AND IN-KIND SUPPORT WAS PROVIDED TO THE AMERICAN DIABETES ASSOCIATION.HEART DISEASE AND STROKE: ST. VINCENT HEALTHCARE OFFERS A STROKE CAMP AND MONTHLY SUPPORT GROUP FOR AREA RESIDENTS. FINANCIAL AND IN-KIND SUPPORT WAS OFFERED FOR COMMUNITY CPR TRAINING AT CPR SATURDAY. CARDIAC REHABILITATION PROGRAMS ARE PROVIDED. FINANCIAL AND IN-KIND SUPPORT WAS PROVIDED TO THE AMERICAN HEART ASSOCIATION.INJURY AND VIOLENCE: ST. VINCENT HEALTHCARE PROVIDED FINANCIAL SUPPORT FOR THE YWCA INCLUDING VIOLENCE AWARENESS CAMPAIGNS AND A CRISIS PHONE LINE WHICH RECEIVED 3,113 CALLS IN 2019. OTHER INJURY PREVENTION EFFORTS INCLUDED A DISTRACTED DRIVING PRESENTATION TO REGIONAL SCHOOLS, INJURY PREVENTION EDUCATION AT PEDIATRIC FOCUSED EVENTS, AND A SENIOR FOCUSED FALLS PREVENTION PROGRAM, STEPPING ON.POTENTIAL DISABLING CONDITIONS: NOT ADDRESSED IN 2018 DUE TO RESOURCE LIMITATIONS.RESPIRATORY DISEASE AND TOBACCO USE: ST. VINCENT HEALTHCARE PROVIDES TOBACCO CESSATION CLASSES FOR THE COMMUNITY. THE 7-WEEK EVIDENCE-BASED AMERICAN LUNG ASSOCIATION FREEDOM FROM SMOKING CLASS WAS OFFERED ONCE IN 2019. LOW-DOSE CT SCANS WERE PROVIDED TO 300 CURRENT AND FORMER HEAVY SMOKERS TO SCREEN FOR LUNG CANCER AND TOBACCO CESSATION INFORMATION WAS PROVIDED IN CONJUNCTION WITH THESE SCREENINGS. ST. VINCENT HEALTHCARE:PART V, SECTION B, LINE 16A, 16B, 16C: WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2019
Page 9
Schedule H (Form 990) 2019
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?26
Name and address Type of Facility (describe)
1 1 - ST VINCENT MULTIPLE SCLEROSIS CENTER
1041 N 29TH ST
BILLINGS,MT59101 		OUTPATIENT PHYSICIAN CLINIC
2 2 - ST VINCENT EMERGENCY MEDICINE
1233 N 30TH ST
BILLINGS,MT59101 		OUTPATIENT PHYSICIAN CLINIC
3 3 - ST VINCENT HEALTHCARE - NEUROSCIENCES
1041 N 29TH ST
BILLINGS,MT59101 		OUTPATIENT PHYSICIAN CLINIC
4 4 - ST VINCENT HEALTHCARE - NEUROSCIENCES
1041 N 29TH ST
BILLINGS,MT59101 		OUTPATIENT PHYSICIAN CLINIC
5 5 - ST VINCENT UROLOGY
2900 12TH AVE N STE 160W
BILLINGS,MT59101 		OUTPATIENT PHYSICIAN CLINIC
6 6 - ST VINCENT ORTHO MONTANA
2900 12TH AVE N STE 140W
BILLINGS,MT59101 		OUTPATIENT PHYSICIAN CLINIC
7 7 - ST VINCENT RHEUMATOLOGY
2900 12TH AVE N STE 503E
BILLINGS,MT59101 		OUTPATIENT PHYSICIAN CLINIC
8 8 - FRONTIER CANCER CENTER
1315 GOLDEN VALLEY CIR
BILLINGS,MT59102 		OUTPATIENT PHYSICIAN CLINIC
9 9 - ST VINCENT NEONATOLOGY
1233 N 30TH ST
BILLINGS,MT59101 		OUTPATIENT PHYSICIAN CLINIC
10 10 - FRONTIER CANCER CENTER
1315 GOLDEN VALLEY CIR
BILLINGS,MT59102 		OUTPATIENT PHYSICIAN CLINIC
11 11 - ST VINCENT PALLIATIVE CARE
1233 N 30TH ST
BILLINGS,MT59101 		OUTPATIENT PHYSICIAN CLINIC
12 12 - ST VINCENT HOSPITALIST NEUROLOGIST
1233 N 30TH ST
BILLINGS,MT59101 		OUTPATIENT PHYSICIAN CLINIC
13 13 - SCL HEALTH MEDICAL GROUP-BILLINGS-RED LO
810 N BROADWAY
REDLODGE,MT59086 		OUTPATIENT PHYSICIAN CLINIC
14 14 - ST VINCENT UROLOGY MILES CITY
2600 WILSON ST
MILES CITY,MT59301 		OUTPATIENT PHYSICIAN CLINIC
15 15 - ST VINCENT HOSPITALISTS
1233 N 30TH ST
BILLINGS,MT59101 		OUTPATIENT PHYSICIAN CLINIC
16 16 - FRONTIER CANCER CENTER
2600 WILSON STREET
MILES CITY,MT59301 		OUTPATIENT PHYSICIAN CLINIC
17 17 - ST VINCENT UROLOGY GLENDIVE
202 PROSPECT
GLENDIVE,MT59330 		OUTPATIENT PHYSICIAN CLINIC
18 18 - ST VINCENT HOSPITALISTS
1233 N 30TH ST
BILLINGS,MT59107 		OUTPATIENT PHYSICIAN CLINIC
19 19 - FRONTIER CANCER CENTER
1315 GOLDEN VALLEY CIR
BILLINGS,MT59102 		OUTPATIENT PHYSICIAN CLINIC
20 20 - ST VINCENT UROLOGY WORLAND
1106 BIGHORN AVE
WORLAND,WY82401 		OUTPATIENT PHYSICIAN CLINIC
21 21 - ST VINCENT UROLOGY CODY
720 LINDSAY LN STE A
CODY,WY82414 		OUTPATIENT PHYSICIAN CLINIC
22 22 - SCL HEALTH MEDICAL GROUP - BILLINGS - HE
408 WENDELL AVE STE 7
LEWISTOWN,MT59457 		OUTPATIENT PHYSICIAN CLINIC
23 23 - ST VINCENT UROLOGY SIDNEY
216 14TH AVE SW
SIDNEY,MT59270 		OUTPATIENT PHYSICIAN CLINIC
24 24 - ST VINCENT UROLOGY LEWISTOWN
408 WENDELL AVE STE 7
LEWISTOWN,MT59457 		OUTPATIENT PHYSICIAN CLINIC
25 25 - SCL HEALTH MEDICAL GROUP - BILLINGS - HE
2600 WILSON ST
MILES CITY,MT59301 		PHYSICAL THERAPY
26 26 - ATHLETIC MEDICINE & PERFORMANCE LLC
1144 NORTH 28TH STREET
BILLINGS,MT59101 		PHYSICAL THERAPY
Schedule H (Form 990) 2019
Page 10
Schedule H (Form 990) 2019
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 6A: THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, 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 AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.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 ON SCHEDULE H, PART I, LINE 7 COLUMN (F) IS $2,978,694.
PART II, COMMUNITY BUILDING ACTIVITIES: ST. VINCENT HEALTHCARE RECOGNIZES THE NEED TO ADDRESS UNDERLYING FACTORS WHICH INFLUENCE HEALTH IN OUR COMMUNITY SUCH AS EDUCATION, HOUSING, EARLY CHILDHOOD DEVELOPMENT AND ECONOMIC SECURITY. WE SPONSOR THE FOSTER GRANDPARENT PROGRAM WITH 45 LOW-INCOME SENIORS MENTORING STUDENTS IN NEED AT SCHOOLS AND HEADSTART CENTERS RESULTING IN IMPROVED ACADEMIC SCORES. WE PROVIDED FINANCIAL SUPPORT TO CLDI TO DEVELOP EMPLOYMENT AND LEADERSHIP DEVELOPMENT FOR AT-RISK YOUTH AND WOMEN IN CRISIS; ST. VINCENT DE PAUL FOR SOBER LIVING SCHOLARSHIPS; AND NATIVE AMERICAN DEVELOPMENT CORPORATION FOR AN URBAN INDIAN SELF-SUFFICIENCY PILOT. SCHEDULE H, PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE TO HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF BAD DEBT.
PART III, LINE 2: THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.
PART III, LINE 4: THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE:NET PATIENT SERVICE REVENUE GENERALLY RELATES TO CONTRACTS WITH PATIENTS IN WHICH THE PERFORMANCE OBLIGATIONS ARE TO PROVIDE HEALTH CARE SERVICES TO PATIENTS OVER A PERIOD OF TIME. REVENUE IS ESTIMATED FOR PATIENTS WHO HAVE NOT BEEN DISCHARGED AS OF THE REPORTING PERIOD BASED ON ACTUAL CHARGES INCURRED TO DATE IN RELATION TO TOTAL EXPECTED CHARGES. SCL HEALTH BELIEVES THIS METHOD PROVIDES A FAITHFUL DEPICTION OF THE TRANSFER OF SERVICES OVER THE TERM OF THE PERFORMANCE OBLIGATION BASED ON THE INPUTS NEEDED TO SATISFY THE OBLIGATION. THE CONTRACTUAL RELATIONSHIP WITH PATIENTS ALSO TYPICALLY INVOLVES A THIRD-PARTY PAYER (MEDICARE, MEDICAID, MANAGED CARE PLANS, AND COMMERCIAL INSURANCE COMPANIES), AND THE TRANSACTION PRICES FOR THE SERVICES PROVIDED ARE DEPENDENT UPON THE TERMS PROVIDED BY OR NEGOTIATED WITH THE THIRD-PARTY PAYERS. THE PAYMENT ARRANGEMENTS WITH THIRD-PARTY PAYERS FOR THE SERVICES PROVIDED TO THE RELATED PATIENTS TYPICALLY SPECIFY PAYMENT OR REIMBURSEMENT TO SCL HEALTH AT OTHER-THAN-STANDARD CHARGES.BECAUSE ALL OF ITS PERFORMANCE OBLIGATIONS RELATE TO CONTRACTS WITH A DURATION OF LESS THAN ONE YEAR, SCL HEALTH HAS ELECTED TO APPLY THE OPTION EXEMPTION, AND THEREFORE, IS NOT REQUIRED TO DISCLOSE THE AGGREGATE AMOUNT OF THE TRANSACTION PRICE ALLOCATED TO PERFORMANCE OBLIGATIONS THAT ARE UNSATISFIED OR PARTIALLY SATISFIED AT THE END OF THE REPORTING PERIOD. THE UNSATISFIED OR PARTIALLY SATISFIED PERFORMANCE OBLIGATIONS REFERRED TO ABOVE ARE PRIMARILY RELATED TO INPATIENT SERVICES AT THE END OF THE REPORTING PERIOD. THE PERFORMANCE OBLIGATIONS FOR THESE CONTRACTS ARE GENERALLY COMPLETED WHEN PATIENTS ARE DISCHARGED, WHICH GENERALLY OCCURS WITHIN DAYS OR WEEKS OF THE END OF THE REPORTING PERIOD.NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED AMOUNTS FROM PATIENTS, THIRD-PARTY PAYERS, AND OTHERS FOR SERVICES RENDERED AND INCLUDES ESTIMATES OF IMPLICIT PRICE CONCESSIONS AND RETROACTIVE REVENUE ADJUSTMENTS DUE TO AUDITS, REVIEWS, AND INVESTIGATIONS. IMPLICIT PRICE CONCESSIONS RELATE PRIMARILY TO UNINSURED PATIENTS AND PATIENTS WITH CO-PAYS, CO-INSURANCE AND DEDUCTIBLES AND ARE ESTIMATED BASED ON HISTORICAL COLLECTION DATA. RETROACTIVE ADJUSTMENTS ARE CONSIDERED IN THE RECOGNITION OF REVENUE ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED, AND SUCH AMOUNTS ARE ADJUSTED IN FUTURE PERIODS AS ADJUSTMENTS BECOME KNOWN OR AS YEARS ARE NO LONGER SUBJECT TO SUCH AUDITS, REVIEWS, OR INVESTIGATIONS.
PART III, LINE 8: THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO.
PART III, LINE 9B: AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.
PART V, SECTION A WEBSITE: WWW.SCLHEALTH.ORG/LOCATIONS/ST-VINCENT-HEALTHCARE/
PART VI, LINE 2: IN ADDITION TO THE CHNA, ST. VINCENT HEALTHCARE USES SECONDARY DATA SUCH AS COUNTY HEALTH RANKINGS AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) TO DETERMINE HEALTH NEEDS FOR COUNTIES BEYOND OUR PRIMARY SERVICE AREA. WE ALSO UTILIZE OTHER LOCAL NEEDS ASSESSMENTS AND REPORTS FROM UNITED WAY.ST. VINCENT HEALTHCARE LEADERS SERVE ON VARIOUS COMMUNITY BOARDS TO UNDERSTAND SPECIFIC NEEDS. OUTREACH AND RELATIONSHIPS WITH OTHER HOSPITALS AND CLINICS ALSO ENABLES ST. VINCENT TO BETTER ASSESS HEALTH CARE NEEDS OF OUR RURAL MONTANA COMMUNITIES.
PART VI, LINE 3: THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4: POPULATION AND GEOGRAPHY: ST. VINCENT HEALTHCARE'S PRIMARY SERVICE AREA INCLUDES YELLOWSTONE COUNTY. YELLOWSTONE COUNTY ENCOMPASSES 2,633 SQUARE MILES AND INCLUDES A POPULATION OF 151,965 RESIDENTS. BETWEEN THE 2000 AND 2010 US CENSUSES, THE POPULATION OF YELLOWSTONE COUNTY INCREASED BY 14.4%, A GREATER PROPORTIONAL INCREASE THAN SEEN ACROSS BOTH MONTANA AND THE NATION OVERALL. YELLOWSTONE COUNTY IS PREDOMINATELY URBAN WITH 83.3% OF THE POPULATION LIVING IN AREAS DESIGNATED AS URBAN AND IS SURROUNDED BY RURAL AND FRONTIER COUNTIES.RACE AND ETHNICITY: THE MAJORITY OF YELLOWSTONE COUNTY RESIDENTS ARE WHITE (90.6%), 4.3% ARE NATIVE AMERICAN, AND 0.7% ARE BLACK. A TOTAL OF 5% OF YELLOWSTONE COUNTY RESIDENTS ARE HISPANIC OR LATINO. YELLOWSTONE COUNTY HAS A SMALL PERCENTAGE OF LINGUISTICALLY ISOLATED RESIDENTS AT 0.6%.POVERTY: THE LATEST CENSUS ESTIMATE SHOWS 12.5% OF THE YELLOWSTONE COUNTY POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL. IN ALL, 31.2% OF YELLOWSTONE COUNTY RESIDENTS (AN ESTIMATED 46,236 INDIVIDUALS) LIVE BELOW 200% OF THE FEDERAL POVERTY LEVEL. ADDITIONALLY, 40.5% OF YELLOWSTONE COUNTY CHILDREN LIVE BELOW THE 200% POVERTY THRESHOLD. ECONOMICS: THE UNEMPLOYMENT RATE IN YELLOWSTONE COUNTY IN 2015 WAS 3.3% (US DEPARTMENT OF LABOR), MORE FAVORABLE THAN THE STATEWIDE AND NATIONAL UNEMPLOYMENT RATES. AMONG THE ADULT POPULATION, AN ESTIMATED 7.6% OF RESIDENTS DO NOT HAVE A HIGH SCHOOL EDUCATION, IDENTICAL TO MONTANA RATES AND MORE FAVORABLE THAN NATIONAL RATES. SIMILAR TO NATIONAL RATES, NEARLY A THIRD OF ADULTS REPORTED HOUSING INSECURITY (2017 CHNA). ADDITIONALLY, 14.4% OF ADULTS REPORTED FOOD INSECURITY, ALSO SIMILAR TO RATES FOUND NATIONALLY (2017 CHNA). HEALTH STATUS: JUST OVER ONE-HALF (50.5%) OF YELLOWSTONE COUNTY ADULTS RATE THEIR OVERALL HEALTH AS "EXCELLENT OR "VERY GOOD" WHILE 15.4% OF ADULTS RATED THEIR HEALTH AS "FAIR OR "POOR" (2017 CHNA), SIMILAR TO STATEWIDE AND NATIONAL FINDINGS. A TOTAL OF 29.6% OF YELLOWSTONE COUNTY ADULTS ARE LIMITED IN SOME WAY DUE A PHYSICAL, MENTAL, OR EMOTIONAL PROBLEM, LESS FAVORABLE THAN STATE AND NATIONAL PREVALENCE RATES. IN 2017, COUNTY HEALTH RANKINGS & ROADMAPS PROGRAM RANKED YELLOWSTONE COUNTY 19 OF 47 COUNTIES IN MONTANA.
PART VI, LINE 5: ST. VINCENT HEALTHCARE ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT". ST. VINCENT HEALTHCARE'S COMMUNITY BENEFIT WORK IS DRIVEN BY IDENTIFIED COMMUNITY HEALTH NEEDS AND DIRECTED IN COLLABORATION WITH OTHER HEALTHCARE ORGANIZATIONS AND THE BROADER COMMUNITY. COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION AND STAFF AND BOARD EDUCATION IS CONDUCTED. ST. VINCENT HEALTHCARE HAS DEDICATED STAFF COMMITTED TO COMMUNITY BENEFIT EFFORTS. HOSPITAL LEADERS, MANAGERS, AND SUPERVISORS ARE REQUIRED TO PARTICIPATE ANNUALLY IN COMMUNITY BENEFIT SERVICE EVENTS WITH NON-PROFIT ORGANIZATIONS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. IN 2017, OUR LEADERS PERFORMED OVER 2,700 HOURS OF SERVICE IN THE COMMUNITY, BENEFITING MORE THAN 78 ORGANIZATIONS. ST. VINCENT HEALTHCARE'S BOARD OF DIRECTORS IS A VOLUNTEER GOVERNING BODY WHICH INCLUDES INDEPENDENT PERSONS THAT REPRESENT THE COMMUNITY. WITHIN THE BOARD OF DIRECTORS, THERE IS A SPECIFIC COMMUNITY BENEFIT BOARD LEVEL COMMITTEE. THIS COMMITTEE IS DEEPLY INVOLVED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS AND PROVIDES DIRECTION TO DEVELOPMENT OF THE ORGANIZATION'S IMPROVEMENT PLAN IN RESPONSE TO RESULTS OF COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL'S COMMUNITY BENEFIT BOARD COMMITTEE MONITORS IMPLEMENTATION OF COMMUNITY BENEFIT PROGRAMS AND PROVIDES REPORTS BACK TO THE FULL HOSPITAL BOARD. ST. VINCENT HEALTHCARE OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY AND HAS AN OPEN MEDICAL STAFF WITH PRIVILEGES AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE AREA. ST. VINCENT HEALTHCARE ENGAGES IN MEDICAL AND SCIENTIFIC RESEARCH PROGRAMS; ENGAGES IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND PARTICIPATES IN MEDICAID, MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. ST. VINCENT HEALTHCARE EMPLOYS THE STAFF OF THE ST. VINCENT HEALTHCARE FOUNDATION, A NON-PROFIT ORGANIZATION THAT PROVIDES FUNDRAISING FOR BOTH ST. VINCENT HEALTHCARE PROGRAMS AND FOR COMMUNITY BENEFIT PROGRAMS THAT REACH BOTH THE POOR AND BROADER COMMUNITY. OPERATIONS OF THE ST. VINCENT HEALTHCARE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN ST. VINCENT HEALTHCARE HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, PROVIDE MEDICAL TRAINING EDUCATION AND RESEARCH, AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE WILL BE ABLE TO CARE FOR FUTURE GENERATIONS. ST. VINCENT CO-LEADS COMMUNITY HEALTH IMPROVEMENT EFFORTS AS PART OF THE ALLIANCE, A COLLABORATIVE WITH BILLINGS CLINIC AND RIVERSTONE HEALTH, AND COMMITS TIME AND FINANCIAL RESOURCES TO FULFILLING GOALS OUTLINED IN THE COLLABORATIVE COMMUNITY HEALTH IMPROVEMENT PLAN FOR YELLOWSTONE COUNTY. IN 2019, WE PROVIDED $1,506,201 IN MISSION FUND GRANT AWARDS TO BIG HORN HOSPITAL ASSOCIATION, BILLINGS CHAMBER OF COMMERCE, CLDI, COMMUNITY CRISIS CENTER, EDUCATION FOUNDATION FOR BILLINGS PUBLIC SCHOOLS, HORSES SPIRITS HEALING, MONTANA COMMUNITY FOUNDATION, NATIVE AMERICAN DEVELOPMENT CORPORATION, NO KID HUNGRY MONTANA, RIVERSTONE HEALTH, ROCKY MOUNTAIN COLLEGE, ST. VINCENT DE PAUL, WALLA WALLA UNIVERSITY BILLINGS MENTAL HEALTH CLINIC, AND YWCA BILLINGS. ST. VINCENT HEALTHCARE VALUES THESE COMMUNITY PARTNERSHIPS AND COLLABORATIONS AS AN INTEGRAL PART OF OUR COMMUNITY HEALTH IMPROVEMENT EFFORTS.
PART VI, LINE 6: THE ORGANIZATION IS A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND 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." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITIES, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 200 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 15,900 EMPLOYEES AND MORE THAN 800 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION.
Schedule H (Form 990) 2019
Additional Data


Software ID:  
Software Version: