SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
HOLY ROSARY HEALTHCARE
 
Employer identification number

81-0231792
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
Yes
 
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
 
No
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) . . . 		    1,327,048 0 1,327,048 1.990 %
b Medicaid (from Worksheet 3, column a) . . . . .     11,310,373 10,669,719 640,654 0.960 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     268,709 214,894 53,815 0.080 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     12,906,130 10,884,613 2,021,517 3.030 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     421,225 1,860 419,365 0.630 %
f Health professions education (from Worksheet 5) . . .     146,040 0 146,040 0.220 %
g Subsidized health services (from Worksheet 6) . . . .     11,818,000 6,270,186 5,547,814 8.320 %
h Research (from Worksheet 7) .     0 0    
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     25,866 0 25,866 0.040 %
j Total. Other Benefits . .     12,411,131 6,272,046 6,139,085 9.210 %
k Total. Add lines 7d and 7j .     25,317,261 17,156,659 8,160,602 12.240 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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     915 0 915 0 %
2 Economic development     732 0 732 0 %
3 Community support     40,141 0 40,141 0.060 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total     41,788   41,788 0.060 %
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
1,033,524
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
20,363,527
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
22,980,333
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-2,616,806
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 %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2022
Schedule H (Form 990) 2022
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 and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 HOLY ROSARY HEALTHCARE
2600 WILSON STREET
MILES CITY,MT59301
WEBSITE: SEE PART VI SUPP INFO
13512 		X X         X      
Schedule H (Form 990) 2022
Page 4
Schedule H (Form 990) 2022
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)
HOLY ROSARY 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 20
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   No
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 20
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) 2022
Page 5
Schedule H (Form 990) 2022
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
HOLY ROSARY 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) 2022
Page 6
Schedule H (Form 990) 2022
Page 6
Part VFacility Information (continued)

Billing and Collections
HOLY ROSARY 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) 2022
Page 7
Schedule H (Form 990) 2022
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
HOLY ROSARY 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) 2022
Page 8
Schedule H (Form 990) 2022
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
HOLY ROSARY HEALTHCARE PART V, SECTION B, LINE 5: HOLY ROSARY HEALTHCARE CONDUCTED THE 2020 CHNA IN CONJUNCTION WITH THE MONTANA OFFICE OF RURAL HEALTH. A STEERING COMMITTEE WITH REPRESENTATIVES OF PUBLIC HEALTH, FAITH COMMUNITY, EDUCATION, SOCIAL SERVICES, GOVERNMENT, HEALTHCARE AND BUSINESS PROVIDED INPUT THROUGHOUT THE CHNA PROCESS INCLUDING DESIGN OF THE SURVEY INSTRUMENT AND REVIEW OF THE RESULTS AND PRIORITIZATION OF THE IDENTIFIED HEALTH NEEDS.THE CHNA STUDY AREA INCLUDED RESIDENTS IN CUSTER COUNTY AND SURROUNDING COMMUNITIES OF BAKER, TERRY, FALLON, PLEVNA, VOLBERG, ISMAY, KINSEY, AND POWDERVILLE. SURVEYS WERE SENT TO A RANDOM LIST OF 798 RESIDENTS THROUGH THE ASSISTANCE OF MONTANA STATE UNIVERSITY HELPS LAB. RESIDENCE WAS STRATIFIED IN THE INITIAL SAMPLE SELECTION SO THAT EACH AREA WOULD BE REPRESENTED IN PROPORTION TO THE OVERALL SERVED POPULATION AND THE PROPORTION OF PAST ADMISSIONS. COMMUNITY STAKEHOLDERS WERE INVOLVED THROUGHOUT THE CHNA PROCESS AS MEMBERS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE. ELEVEN COMMUNITY STAKEHOLDERS TOOK PART IN KEY INFORMANT TELEPHONE SURVEYS TO PROVIDE ADDITIONAL PERSPECTIVE ON COMMUNITY NEEDS.
HOLY ROSARY HEALTHCARE PART V, SECTION B, LINE 6B: HOLY ROSARY HEALTHCARE CONDUCTED THE 2020 COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH THE MONTANA OFFICE OF RURAL HEALTH IN PARTNERSHIP WITH REPRESENTATIVES FROM CUSTER COUNTY PUBLIC HEALTH, EASTERN MONTANA COMMUNITY MENTAL HEALTH CENTER, MILES COMMUNITY COLLEGE, MILES CITY CHAMBER OF COMMERCE, MILES CITY SOUP KITCHEN, AND FIRST BAPTIST CHURCH.HOLY ROSARY HEALTHCARE:PART V, SECTION B, LINE 7A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/HOLY-ROSARY-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/HOLY ROSARY HEALTHCARE:PART V, SECTION B, LINE 10A: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/HOLY-ROSARY-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/COMMUNITY-HEALTH-IMPROVEMENT-PLAN/
HOLY ROSARY HEALTHCARE PART V, SECTION B, LINE 11: FIVE AREAS OF NEED WERE IDENTIFIED IN THE 2020 CHNA THROUGH REVIEW OF THE SURVEY DATA, SECONDARY DATA, AND KEY INFORMANT RESPONSES:- ACCESS TO HEALTHCARE- BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE)- CHRONIC DISEASE (ASTHMA, CANCER, DIABETES, HEART DISEASE AND STROKE)- HEALTH LIFESTYLES (NUTRITION, PHYSICAL ACTIVITY, OBESITY PREVENTION)- SENIOR ISSUES/AGINGMEMBERS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT STEERING COMMITTEE WERE PRESENTED WITH DATA FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT AND WERE ASKED TO PRIORITIZE THE TOP NEEDS. THESE COMMUNITY MEMBERS RANKED "MENTAL HEALTH/SUICIDE" AS THEIR TOP CHOICE, "HEALTH/WELLNESS/PHYSICAL ACTIVITY AND "AWARENESS/KNOWLEDGE OF LOCAL SERVICES" TIED FOR SECOND, AND "ALCOHOL/SUBSTANCE USE AND "CHRONIC DISEASE" TIED FOR THIRD. FOLLOWING THE COMMUNITY'S PRIOIRITIZATION, HOLY ROSARY HEALTHCARE'S COMMUNITY BENEFIT COMMITTEE OF THE MONTANA REGION BOARD OF DIRECTORS AND HOLY ROSARY HEALTHCARE'S LEADERSHIP TEAM REVIEWED THE DATA AND PRIORITIZED BASED ON THE FOLLOWING CRITERIA: ABILITY TO IMPACT, SCOPE AND SEVERITY OF THE ISSUE, COMMUNITY PRIORITIZATION OF ISSUES, POTENTIAL COMMUNITY PARTNERS, AND ALIGNMENT WITH CURRENT EFFORTS AND STRATEGIES. FROM THIS PROCESS, TWO PRIORITY NEEDS WERE IDENTIFIED:- BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE)- CHRONIC DISEASE PREVENTION AND MANAGEMENTBEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE):FAIR OR POOR MENTAL HEALTH WAS REPORTED BY 9.4% OF ADULTS AND 14% REPORTED CHRONIC DEPRESSION IN THE 2020 CHNA. SUICIDE DEATH RATES PER 100,000 POPULATION WERE HIGHER FOR CUSTER COUNTY (32.1) THAN THE STATE OF MONTANA OVERALL (22.5) AND THE NATIONAL RATE (13.9). A QUARTER OF ADULTS REPORTED THEIR LIVES WERE SOMEWHAT OR GREATLY AFFECTED BY SUBSTANCE ABUSE. 30% OF ADULTS IN CUSTER COUNTY REPORTED EXCESSIVE DRINKING. KEY INFORMANTS RANKED ALCOHOL/SUBSTANCE ABUSE AS A TOP HEALTH CONCERN. HOLY ROSARY HEALTHCARE IS WORKING TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES THROUGH PROVIDING INTEGRATED BEHAVIORAL HEALTH SERVICES WITHIN PRIMARY CARE CLINICS. IN 2022, 187 INDIVIDUALS RECEIVED THESE INTEGRATED BEHAVIORAL HEALTH SERVICES. IN ADDITION, 87% OF OBSTETRIC PATIENTS WERE SCREENED FOR MENTAL HEALTH NEEDS AND SUBSTANCE USE DURING PRENATAL VISITS AND PROVIDED WITH SUPPORT AND RESOURCES. IN ADDITION, PEER SUPPORT AND BEHAVIORAL HEALTH SERVICES WERE OFFERED TO PATIENTS IN THE EMERGENCY DEPARTMENT OR IN THE HOSPITAL WITH MENTAL HEALTH OR SUBSTANCE USE NEEDS.COMMUNITY MEMBERS ARE EDUCATED ON RISK FACTORS FOR SUICIDE THROUGH QPR GATEKEEPER TRAININGS. HOLY ROSARY HEALTHCARE PROMOTED TWO TRAINING OPPORTUNITIES TO COMMUNITY MEMBERS IN 2022. IN ADDITION, HOLY ROSARY HEALTHCARE IS WORKING TO CONNECT COMMUNITY MEMBERS TO THE RESOURCES THEY NEED THROUGH PROMOTION OF MONTANA211. IN 2022 THERE WERE 60 VISITS FROM MILES CITY RESIDENTS TO THE MONTANA211 WEBSITE. TOP SEARCHES INCLUDED HOUSING AND SHELTER, CHILDREN AND FAMILIES, AND MENTAL HEALTH. CHRONIC DISEASE PREVENTION AND MANAGEMENT:CUSTER COUNTY HAS HIGHER DIABETES HOSPITALIZATION RATES, ALL SITES CANCER RATES, ACUTE MYOCARDIAL INFARCTION HOSPITALIZATION RATES, STROKE HOSPITALIZATION RATES, PHYSICAL INACTIVITY RATES, AND OVERWEIGHT/OBESITY RATES THAN THE STATE OF MONTANA OVERALL. 43% OF SURVEY RESPONDENTS REPORTED HIGH BLOOD PRESSURE AND 20% OF RESPONDENTS REPORTED A DIABETES DIAGNOSIS. CANCER AND OVERWEIGHT/OBESITY WERE TOP HEALTH CONCERNS FOR SURVEY RESPONDENTS. HOLY ROSARY HEALTHCARE IS WORKING TO INCREASE THE NUMBER OF QUALIFYING PRIMARY CARE PATIENTS RECEIVING RECOMMENDED CANCER SCREENINGS. IN 2022, 92% RECEIVED CERVICAL CANCER SCREENINGS, 89% RECEIVED BREAST CANCER SCREENINGS, AND 94% RECEIVED COLORECTAL CANCER SCREENINGS. THESE SCREENING PERCENTAGES HAVE BEEN SUPPORTED BY OUTREACH AND EDUCATIONAL EVENTS. ADDITIONALLY, 55 INDIVIDUALS RECEIVED LOW-DOSE CT SCANS FOR LUNG CANCER SCREENING. ADDITIONAL EFFORTS ARE FOCUSED ON DECREASING THE NUMBER OF RESIDENTS WITH UNCONTROLLED DIABETES AND UNCONTROLLED BLOOD PRESSURE. IN 2022, 75% OF PRIMARY CARE PATIENTS HAD CONTROLLED DIABETES. BLOOD PRESSURE WAS CONTROLLED FOR 76% OF PATIENTS. HOLY ROSARY HEALTHCARE OFFERS A DIABETES AND HEART DISEASE PREVENTION PROGRAM, HEALTHY LIFESTYLES, WHICH HELPS INDIVIDUALS LEARN HEALTHY EATING AND EXERCISE HABITS TO PREVENT CHRONIC DISEASE. IN 2022, 83% OF THE COMMUNITY MEMBERS COMPLETING THIS PROGRAM LOST AT LEAST 5% OF THEIR BODY WEIGHT. A 2.5 MILE WALKING PATH IS MAINTAINED BY HOLY ROSARY HEALTHCARE TO ENCOURAGE ACTIVE LIFESTYLES. HOLY ROSARY HEALTHCARE PROVIDED ATHLETIC TRAINERS TO SUPPORT CUSTER COUNTY HIGH SCHOOL AND MILES COMMUNITY COLLEGE. HOLY ROSARY HEALTHCARE OFFERS OUTPATIENT MEDICAL NUTRITION THERAPY FOR RESIDENTS WITH DIABETES, HEART DISEASE AND OBESITY. IN 2022, 348 RESIDENTS RECEIVED OUTPATIENT MEDICAL NUTRITION THERAPY. NUTRITION SERVICES WERE ALSO PROVIDED TO END STAGE RENAL PATIENTS IN THE COMMUNITY. THE CARDIAC REHABILITATION PROGRAM PROVIDES EXERCISE COUNSELING AND TRAINING, EDUCATION FOR HEART HEALTHY LIVING, AND SUPPORT FOR INDIVIDUALS WHO HAVE EXPERIENCED A HEART ATTACK OR HAVE A HEART CONDITION. IN 2022, 67 INDIVIDUALS WERE REFERRED TO THE CARDIAC REHABILITATION PROGRAM AND 24 WERE REFERRED TO THE PULMONARY REHABILITATION PROGRAM. HOLY ROSARY HEALTHCARE REDUCES GEOGRAPHIC BARRIERS TO CARE FOR CHRONIC DISEASE THROUGH OUTREACH SERVICES AND VIRTUAL HEALTH/TELEMEDICINE ENCOUNTERS. VISITING SPECIALISTS PROVIDE CARE WITHOUT THE NEED TO TRAVEL. CARDIOLOGY OUTREACH WAS CONDUCTED TWICE PER MONTH. ADDITIONALLY, HOLY ROSARY HEALTHCARE HAS SUPPORTED THE CUSTER COUNTY TRANSIT PROGRAM TO DECREASE TRANSPORTATION BARRIERS. OTHER SIGNIFICANT NEEDS NOT PRIORITIZED: EACH OF THE HEALTH NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT AND HOLY ROSARY HEALTHCARE ALONG WITH NUMEROUS PARTNERS THROUGHOUT THE COMMUNITY ARE ADDRESSING THESE NEEDS THROUGH VARIOUS INNOVATIVE PROGRAMS AND INITIATIVES.ACCESS TO HEALTHCARE: ACCESS TO HEALTHCARE IS ADDRESSED THROUGHOUT THE COMMUNITY HEALTH IMPROVEMENT PLAN INCLUDING TELEMEDICINE AND VIRTUAL HEALTH OPPORTUNITIES, ESPECIALLY FOR SPECIALTY CARE. TO DECREASE ACCESS BARRIERS RELATED TO TRANSPORTATION, HOLY ROSARY HEALTHCARE PROVIDED FINANCIAL SUPPORT FOR THE CUSTER COUNTY TRANSIT PROGRAM WHICH PROVIDED RIDES FOR COMMUNITY MEMBERS.AS A HEALTH PROFESSIONAL SHORTAGE AREA, HOLY ROSARY HEALTHCARE HAS BEEN FOCUSED ON RECRUITING FOR PROVIDERS. IN 2022, 4 PROVIDERS WERE RECRUITED IN 3 SPECIALTIES. IN ADDITION, HOLY ROSARY HEALTHCARE INCREASES ACCESS TO HEALTHCARE THROUGH SERVING AS A CLINICAL TRAINING SITE FOR HEALTHCARE STUDENTS INCLUDING 28 NURSING STUDENTS, 6 CNA STUDENTS, 2 PHYSICAL THERAPY STUDENTS, 2 LABORATORY STUDENTS, AND 1 PHARMACY STUDENT. HEALTHY LIFESTYLES: HEALTHY LIFESTYLES ARE ADDRESSED BY STRATEGIES FOR CHRONIC DISEASE PREVENTION AND MANAGEMENT LISTED IN DETAIL ABOVE.SENIOR ISSUES/AGING: HOLY ROSARY HEALTHCARE OPERATES A SKILLED NURSING FACILITY AND PROVIDES OUTPATIENT PALLIATIVE CARE AND HOSPICE SERVICES IN A 20 MILE RADIUS OF MILES CITY. HOLY ROSARY HEALTHCARE SUPPORTS THE CUSTER TRANSIT PROGRAM WHICH FURNISHED RIDES FOR MILES CITY RESIDENTS OVER AGE 60. HOLY ROSARY HEALTHCAREPART V, SECTION B, LINE 16A, 16B, 16C: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/HOLY-ROSARY-HEALTHCARE/PATIENTS-VISITORS/BILLING-PRICING/FINANCIAL-ASSISTANCE/
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2022
Page 9
Schedule H (Form 990) 2022
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?10
Name and address Type of Facility (describe)
1 1 - HOLY ROSARY PRIMARY CARE
2600 WILSON ST
MILES CITY,MT59301 		OUTPATIENT PHYSICIAN CLINIC
2 2 - HOLY ROSARY ED
2600 WILSON ST
MILES CITY,MT59301 		OUTPATIENT PHYSICIAN CLINIC
3 3 - HOLY ROSARY HOSPITALISTS
2600 WILSON ST
MILES CITY,MT59301 		OUTPATIENT PHYSICIAN CLINIC
4 4 - HOLY ROSARY WOMEN'S HEALTH
2600 WILSON ST
MILES CITY,MT59301 		OUTPATIENT PHYSICIAN CLINIC
5 5 - HOLY ROSARY PEDIATRICS
2600 WILSON ST
MILES CITY,MT59301 		OUTPATIENT PHYSICIAN CLINIC
6 6 - HOLY ROSARY GENERAL SURGERY
2600 WILSON ST
MILES CITY,MT59301 		OUTPATIENT PHYSICIAN CLINIC
7 7 - HOLY ROSARY PALLIATIVE CARE
2600 WILSON ST
MILES CITY,MT59301 		OUTPATIENT PHYSICIAN CLINIC
8 8 - HOLY ROSARY WOMEN'S HEALTH-BAKER
202 S 4TH ST
BAKER,MT59313 		OUTPATIENT PHYSICIAN CLINIC
9 9 - HOLY ROSARY WOMEN'S HEALTH-FORSYTH
383 N 17TH AVE
FORSYTH,MT59327 		OUTPATIENT PHYSICIAN CLINIC
10 10 - HOLY ROSARY WOMEN'S HEALTH-EKALAKA
215 SANDY ST
EKALAKA,MT59324 		OUTPATIENT PHYSICIAN CLINIC
Schedule H (Form 990) 2022
Page 10
Schedule H (Form 990) 2022
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 INTERMOUNTAIN HEALTH SYSTEM WHICH PREPARES AN ANNUAL REPORT TO THE COMMUNITY ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, INTERMOUNTAIN HEALTH CARE, INC.
PART I, LINE 7: THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST 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 IN THIS COLUMN IS $ 1,033,524.
PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING: HOLY ROSARY HEALTHCARE PROVIDES SUPPORT FOR MILES CITY ECONOMIC DEVELOPMENT. IN-KIND SUPPORT IS PROVIDED TO ORGANIZATIONS SERVING THE MOST VULNERABLE RESIDENTS OF THE COMMUNITY, INCLUDING THE SALVATION ARMY AND THE MILES CITY SOUP KITCHEN, AND TO SUPPORT THE EFFORTS OF THE MONTANA NONPROFIT ASSOCIATION TO STRENGTHEN THE STATE'S NONPROFIT SECTOR.PART III, LINE 1THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR REPORTING BAD DEBT.
PART III, LINE 2: 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 PATIENT SERVICE REVENUE FOOTNOTE WHICH DESCRIBES BAD DEBT EXPENSE AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ON PAGES 13 AND 14 OF THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS.
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/HOLY-ROSARY-HEALTHCARE/
PART VI, LINE 2: HOLY ROSARY HEALTHCARE CONTINUOUSLY ASSESSES THE NEEDS OF THE COMMUNITY THROUGH CLOSE WORKING RELATIONSHIPS AND PARTNERSHIPS WITH SERVICE AGENCIES IN THE COMMUNITY. HOLY ROSARY HEALTHCARE'S LEADERSHIP SERVES ON VARIOUS COMMUNITY BOARDS TO UNDERSTAND THE SPECIFIC NEEDS OF THEIR COMMUNITY.IN ADDITION TO THE CHNA DATA FOCUSED ON CUSTER COUNTY, HOLY ROSARY HEALTHCARE REVIEWS SECONDARY DATA SUCH AS COUNTY HEALTH RANKINGS AND THE BEHAVIOR RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) TO DETERMINE HEALTH NEEDS FOR NEIGHBORING COUNTIES. OUTREACH AND RELATIONSHIPS WITH OTHER CRITICAL ACCESS HOSPITALS, HEALTH CENTERS, AND CLINICS IN BAKER, BROADUS, CIRCLE, FORSYTH, GLENDIVE, JORDAN, AND TERRY. THESE ADDITIONAL STEPS ENABLE HOLY ROSARY HEALTHCARE TO BETTER ASSESS THE HEALTH NEEDS OF THESE 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 AND THROUGH THE PATIENT PORTAL, MYCHART. 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: LOCATED IN SOUTHEASTERN MONTANA, HOLY ROSARY HEALTHCARE IS A FEDERALLY DESIGNATED CRITICAL ACCESS HOSPITAL PROVIDING CARE TO RESIDENTS OF CUSTER COUNTY INCLUDING THE COMMUNITY OF MILES CITY, MONTANA. CUSTER COUNTY HAS A POPULATION OF 11,699 AND IS CLASSIFIED AS RURAL WITH 3.1 PEOPLE PER SQUARE MILE. DEMOGRAPHICS: APPROXIMATELY 18.3% OF RESIDENTS ARE SENIORS (HIGHER THAN THE STATE OF MONTANA OVERALL). THE COUNTY IS 95.2% WHITE (HIGHER THAN THE STATE OF MONTANA OVERALL), FOLLOWED BY 2% NATIVE AMERICAN AND APPROXIMATELY 3.7% REPORTING BLACK, ASIAN, OR HISPANIC ANCESTRY. 10.5% OF CUSTER COUNTY RESIDENTS ARE VETERANS. ECONOMICS: 9.8% OF RESIDENTS ARE BELOW THE FEDERAL POVERTY LEVEL AND 462 CHILDREN ARE ENROLLED IN THE FREE/REDUCED LUNCH PROGRAM. CUSTER COUNTY HAS A HIGHER NUMBER OF RESIDENTS WITHOUT A HIGH SCHOOL DEGREE (9.71%) THAN THE STATE OF MONTANA (7.56%). HEALTH STATUS: THE MAJORITY OF ADULTS IN HOLY ROSARY HEALTHCARE'S SERVICE AREA REPORT THEIR HEALTH AS EXCELLENT, VERY GOOD, OR GOOD. HOWEVER, 10% OF ADULTS RATED THEIR HEALTH AS FAIR OR POOR. IN 2020, COUNTY HEALTH RANKINGS AND ROADMAPS PROGRAM RANKED CUSTER COUNTY 11 OF 48 COUNTIES FOR HEALTH OUTCOMES AND 13 OF 48 COUNTIES FOR HEALTH FACTORS.
PART VI, LINE 5: HOLY ROSARY HEALTHCARE ADHERES TO COMMUNITY BENEFIT GUIDELINES OUTLINED IN THE CATHOLIC HEALTH ASSOCIATION'S PUBLICATION, "A GUIDE TO PLANNING AND REPORTING COMMUNITY BENEFIT". HOLY ROSARY HEALTHCARE'S COMMUNITY BENEFIT WORK IS DRIVEN BY IDENTIFIED COMMUNITY HEALTH NEEDS AND BY WORKING WITH LOCAL ORGANIZATIONS AND THE BROADER COMMUNITY. A COMMUNITY BENEFIT REPORT TO THE COMMUNITY IS PUBLISHED ANNUALLY AND CAN BE FOUND AT: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/HOLY-ROSARY-HEALTHCARE/ABOUT/COMMUNITY-BENEFIT/REPORTS-TO-THE-COMMUNITY/ COMMUNITY BENEFIT STRATEGIES ARE INTEGRATED IN THE ORGANIZATIONAL STRATEGIC PLAN. PROGRAMS ARE LOCATED THROUGHOUT THE ORGANIZATION AND STAFF AND BOARD EDUCATION IS CONDUCTED. 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 2022, OUR LEADERS PERFORMED OVER 344 HOURS OF SERVICE IN THE COMMUNITY, BENEFITING MORE THAN 22 ORGANIZATIONS FOCUSED ON FOOD ACCESS, ECONOMIC DEVELOPMENT, EDUCATION, YOUTH DEVELOPMENT, AND VIOLENCE PREVENTION. SCL HEALTH MONTANA REGION'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 LOCAL COMMUNITY BENEFIT BOARD COMMITTEE. THIS COMMITTEE IS 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 REGIONAL BOARD. HOLY ROSARY HEALTHCARE OPERATES AN EMERGENCY ROOM THAT IS OPEN TO ALL PERSONS REGARDLESS OF ABILITY TO PAY. HOLY ROSARY HEALTHCARE ENGAGES IN THE TRAINING AND EDUCATION OF HEALTHCARE PROFESSIONALS AND PARTICIPATES IN MEDICAID, MEDICARE AND OTHER GOVERNMENT SPONSORED HEALTH PROGRAMS. HOLY ROSARY HEALTHCARE EMPLOYS THE STAFF OF THE HOLY ROSARY HEALTHCARE FOUNDATION, A NON-PROFIT ORGANIZATION THAT PROVIDES FUNDRAISING FOR HOLY ROSARY HEALTHCARE FACILITIES AND PROGRAMS THAT REACH BOTH THE POOR AND THE BROADER COMMUNITY. OPERATIONS OF THE HOLY ROSARY HEALTHCARE FOUNDATION ARE GOVERNED BY A SEPARATE FOUNDATION BOARD WITH VOLUNTARY MEMBERSHIPS FROM THE LOCAL COMMUNITY. WHEN HOLY ROSARY HEALTHCARE HAS EXCESS REVENUE OVER OPERATING EXPENSES, WE USE THOSE FUNDS TO OBTAIN CURRENT HEALTHCARE TECHNOLOGIES AND EQUIPMENT, IMPROVE PATIENT CARE, AND PROVIDE MEDICAL TRAINING EDUCATION AND TO EXPAND ACCESS TO POINTS OF CARE. THESE INVESTMENTS ENSURE WE WILL BE ABLE TO CARE FOR FUTURE GENERATIONS.
PART VI, LINE 6: THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH ("IH"), AN INTEGRATED HEALTH SYSTEM WHOSE VISION IS TO "BE A MODEL HEALTH SYSTEM BY PROVIDING EXTRAORDINARY CARE AND SUPERIOR SERVICES AT AN AFFORDABLE COST." IH STRIVES TO FULFILL THAT MISSION THROUGH ACCOMPLISHING ITS STATED MISSION OF "HELPING PEOPLE LIVE THE HEALTHIEST LIVES POSSIBLE." IH IS MANAGED BY A PARENT ORGANIZATION, INTERMOUNTAIN HEALTH CARE, INC., A NONPROFIT CORPORATION EXEMPT UNDER INTERNAL REVENUE CODE 501(C)(3). AFFILIATES WITHIN THE IH NETWORK INCLUDE NONPROFIT CORPORATIONS EXEMPT UNDER IRS 501(C)(3) AND 501(C)(4), TAXABLE CORPORATIONS, PARTNERSHIPS WITH PHYSICIANS, STRATEGIC INVESTMENTS, AND JOINT VENTURES.HEADQUARTERED IN SALT LAKE CITY, UTAH, IH CONSISTS OF A TEAM OF NEARLY 60,000 CAREGIVERS WHO SERVE THE HEALTHCARE NEEDS OF PEOPLE ACROSS THE INTERMOUNTAIN WEST, INCLUDING UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. IH PROVIDES SERVICES TO AND PROMOTES THE HEALTH OF THESE COMMUNITIES THROUGH 33 HOSPITALS, HUNDREDS OF CLINICS, A MEDICAL GROUP, AFFILIATE NETWORKS, HOMECARE, TELEHEALTH, INSURANCE PLANS, MEDICAL AIR TRANSPORT, AND OTHER SERVICES. IH IS WIDELY RECOGNIZED AS A LEADER IN TRANSFORMING HEALTHCARE BY USING EVIDENCE-BASED BEST PRACTICES TO CONSISTENTLY DELIVER HIGH-QUALITY OUTCOMES AT SUSTAINABLE COSTS.IH IS WORKING TO IMPROVE THE HEALTH AND WELL-BEING BY IMPROVING MENTAL WELL-BEING, PREVENTING AVOIDABLE DISEASE, IMPROVING AIR QUALITY, ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND OTHER COMMUNITY HEALTH INITIATIVES.THROUGH MULTIPLE CHARITABLE FOUNDATIONS, IH ALSO DEVELOPS FINANCIAL AND CHARITABLE SUPPORT FOR ITS PATIENTS WHILE ALSO SUPPORTING OTHER NONPROFIT ORGANIZATIONS THAT PROVIDE DIRECT MEDICAL, DENTAL, AND MENTAL SERVICES FOR LOW-INCOME, UNINSURED, OR MEDICALLY UNDERSERVED POPULATIONS.
Schedule H (Form 990) 2022
Additional Data


Software ID:  
Software Version: