TY 2010 Form 990

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)	(C) Position (check all that apply)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Gary Staudinger Past Chairperson	2.0	X			0	0	0
(2) Joanne Cortese Chairperson	2.0	X			0	0	0
(3) Sister Bernadette Helfert Director	2.0	X			0	0	0
(4) Mike Johnson Vice Chairperson	1.0	X			0	0	0
(5) Sister Rita McGinnis Director	1.0	X			0	0	0
(6) Jim Falvey Director	1.0	X			0	0	0
(7) Loren Hines Director	1.0	X			0	0	0
(8) Tim McHugh Director	1.0	X			0	0	0
(9) Andrea Stierle Director	1.0	X			0	0	0
(10) John Beeson MD Director	1.0	X			0	0	0
(11) David A Repola MD Secretary-Treasurer	1.0	X			0	0	0
(12) Michael Gallagher MD Director	1.0	X			0	0	0
(13) Marcia Johnson Director	1.0	X			0	0	0
(14) Dan Steele Director	1.0	X			0	0	0
(15) Chuck Wright President & CEO	40.0		X		0	273,800	54,085
(16) John Stevenson Radiation Oncologist	40.0			X	450,008	0	0
(17) Shawn Smith Physician	40.0			X	208,034	0	0

(A) Name and business address	(B) Description of services	(C) Compensation
ARAMARK CORPORATION PO BOX 100401 PASADENA,CA911890401	JANITORIAL ENGINEER	3,411,125
Synthes USA PO Box 8538-662 PHILADELPHIA,PA19171	Supplies	2,056,436
Northwest Emergency Physicians PO BOX 634850 CINCINNATI,OH452634850	ER Doctors	1,956,539
Owens Minor Inc PO Box 841420 DALLAS,TX75284	supplies	1,499,451
Stryker-Orthopaedics Division PO Box 93213 CHICAGO,IL60673	supplies	1,291,975
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization 5

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21	0
2	Grants and other assistance to individuals in the U.S. See Part IV, line 22	0
3	Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16	0
4	Benefits paid to or for members	0
5	Compensation of current officers, directors, trustees, and key employees ....	533,541		533,541
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	0
7	Other salaries and wages	33,217,775	25,176,235	8,041,540
8	Pension plan contributions (include section 401(k) and section 403(b) employer contributions) ....	1,973,730	1,531,075	442,655
9	Other employee benefits .......	4,236,659	3,195,942	1,040,717
10	Payroll taxes ...........	2,155,932	1,616,949	538,983
11	Fees for services (non-employees):
a	Management ......	1,194,401		1,194,401
b	Legal .........	2,797,867		2,797,867
c	Accounting ...........	36,633		36,633
d	Lobbying ...........	0
e	Professional fundraising. See Part IV, line 17..	0
f	Investment management fees ......	0
g	Other ..........	11,376,359	8,216,112	3,160,247
12	Advertising and promotion ....	147,951	8,206	139,745
13	Office expenses .......	13,655,046	13,416,826	238,220
14	Information technology ......	1,617,941		1,617,941
15	Royalties ..	0
16	Occupancy ...........	39,899	30,224	9,675
17	Travel ............	242,031	86,373	155,658
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......	0
19	Conferences, conventions, and meetings ....	54,513	22,732	31,781
20	Interest ...........	0
21	Payments to affiliates .......	1,443,293		1,443,293
22	Depreciation, depletion, and amortization .....	6,450,050		6,450,050
23	Insurance ..............	640,450		640,450
24	Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a	BAD DEBT EXPENSE	8,184,480	8,184,480
b	TAXES	851,715	790,184	61,531
c	UTILITIES	846,151	1,139	845,012
d	RECRUITING	150,187	24,111	126,076
e	EQUIPMENT LEASE	159,259	144,229	15,030
f	All other expenses	1,238,682	937,577	301,105
25	Total functional expenses. Add lines 1 through 24f	93,244,545	63,382,394	29,862,151	0
26	Joint costs. Check here if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation

Part X Balance Sheet
	1	Cashnon-interest-bearing ..........	2,246	1	2,086
2	Savings and temporary cash investments .......	3,913,748	2	1,717,592
3	Pledges and grants receivable, net .........		3
4	Accounts receivable, net .........	12,816,439	4	11,542,958
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........		5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........		6
7	Notes and loans receivable, net .............	109,470	7	-42,701
8	Inventories for sale or use ..............	2,400,841	8	2,025,118
9	Prepaid expenses and deferred charges ............	484,252	9	853,067
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	105,367,577
b	Less: accumulated depreciation. .....	10b	58,470,685	51,835,048	10c	46,896,892
11	Investments—publicly traded securities ..........	9,542,252	11	8,505,506
12	Investments—other securities. See Part IV, line 11 ......		12
13	Investments—program-related. See Part IV, line 11 ..	7,289,261	13	2,429,715
14	Intangible assets .........	283,786	14	60,872
15	Other assets. See Part IV, line 11 ...........	2,406,838	15	259,370
16	Total assets. Add lines 1 through 15 (must equal line 34)...	91,084,181	16	74,250,475
	17	Accounts payable and accrued expenses .	17,670,569	17	10,202,019
18	Grants payable ..........		18
19	Deferred revenue ..........		19
20	Tax-exempt bond liabilities ..........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	12,504,471	23	11,470,865
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities. Complete Part X of Schedule D.....		25
26	Total liabilities. Add lines 17 through 25.....	30,175,040	26	21,672,884
		Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....	60,869,673	27	52,562,765
28	Temporarily restricted net assets .....	39,468	28	14,826
29	Permanently restricted net assets .....		29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances .....	60,909,141	33	52,577,591
34	Total liabilities and net assets/fund balances .....	91,084,181	34	74,250,475

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.

Attach to Form 990 or Form 990-EZ. right arrow

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

ST JAMES HEALTHCARE

Employer identification number

81-0231785

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches. section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in

section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. Seesection 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11e through 11h.

Type I

Type II

Type III - Functionally integrated

Type III - Other

By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).

If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box ..................................................

Since August 17, 2006, has the organization accepted any gift or contribution from any of the
following persons?

(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)

Yes

and (iii) below, the governing body of the the supported organization? ................

11g(i)

(ii) a family member of a person described in (i) above? ......................

11g(ii)

(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................

11g(iii)

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization in col. (i) listed in your governing document?		(v) Did you notify the organization in col. (i) of your support?		(vi) Is the organization in col. (i) organized in the U.S.?		(vii) Amount of support?
(i) Name of supported organization	(ii) EIN	Yes	No	Yes	No	Yes	No	(vii) Amount of support?


Total

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2010

Page 2

Part II

Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3..
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public Support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11	Total support (Add lines 7 through 10).

Gross receipts from related activities, etc. (See instructions.) ..................

First Five Years If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.......................................... right arrow

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f)) .........

Public Support Percentage for 2009 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2010. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ...................... right arrow

33 1/3% support test—2009. If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2010. If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization .................................................. right arrow

10%-facts-and-circumstances test—2009. If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly
supported organization .............................................. right arrow

Private Foundation If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions ................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 3

Part III

Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year(or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public Support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2006	(b) 2007	(c) 2008	(d) 2009	(e) 2010	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
13	Total support (Add lines 9, 10c, 11 and 12.).

Section C. Computation of Public Support Percentage

Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f)) .........

Public support percentage from 2009 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f)) ......

Investment income percentage from 2009 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .......... right arrow

33 1/3% support tests—2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private Foundation If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions ..... right arrow

Schedule A (Form 990 or 990-EZ) 2010

Page 4

Part IV

Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Explanation

Schedule A (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

OMB No. 1545-0047

2010

Name of organization

ST JAMES HEALTHCARE

Employer identification number

81-0231785

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ, that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990, or 990-EZ, that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year. ......................... Arrow Bullet

Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

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

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization ST JAMES HEALTHCARE
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part I
Part I	Contributors (see Instructions)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
RESTRICTED	RESTRICTED RESTRICTED RESTRICTED RESTRICTED, RESTRICTED RESTRICTED	$RESTRICTED	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Aggregate contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Name of organization ST JAMES HEALTHCARE
Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page 1 of 1 of Part II
Part II	Noncash Property (see Instructions)
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Page 1 of 1 of Part III

Name of organization
ST JAMES HEALTHCARE

Employer identification number

81-0231785

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b)
Purpose of gift

(d)
Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below.
SchCMd Bullet

Attach to Form 990 or Form 990-EZ. SchCMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public
Inspection

If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ST JAMES HEALTHCARE

Employer identification number

81-0231785

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c) except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities .................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2010

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check if the filing organization belongs to an affiliated group.
B Check if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated Group Totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2007	(b) 2008	(c) 2009	(d) 2010	(e) Total

2a	Lobbying non-taxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots non-taxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2010

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Yes

1,193

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? If "Yes," describe in Part IV ..........................

Total. lines 1c through 1i ...................................

1,193

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.

Dues, assessments and similar amounts from members .....................

Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ...........................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.

Identifier	Return Reference	Explanation

Schedule C (Form 990 or 990EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet

Attach to Form 990. SchDMd Bullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ST JAMES HEALTHCARE

Employer identification number

81-0231785

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .......
2	Aggregate contributions to (during year) ...
3	Aggregate grants from (during year) ...
4	Aggregate value at end of year .......

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or pleasure) Preservation of an historically importantly land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06 ........	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................

Yes No

In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:

(i)

Revenues included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:

Revenues included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 52283D

Schedule D (Form 990) 2010

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIV and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21? .....................

Yes No

If “Yes,” explain the arrangement in Part XIV.

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current Year	(b)Prior Year	(c)Two Years Back	(d)Three Years Back	(e)Four Years Back
1a	Beginning of year balance ....
b	Contributions ........
c	Investment earnings or losses ...
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the year end balance held as:

Board designated or quasi-endowment: SchDMd Bullet

Permanent endowment: SchDMd Bullet

Term endowment: SchDMd Bullet

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIV the intended uses of the organization's endowment funds.

Part VI

InvestmentsLand, Buildings, and Equipment. See Form 990, Part X, line 10.

Description of investment		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	4,146,731		4,146,731
b	Buildings ................	69,263,026	34,592,422	34,670,604
c	Leasehold improvements ............	10,334	2,584	7,750
d	Equipment ................	29,966,026	22,339,798	7,626,228
e	Other .................	1,981,460	1,535,881	445,579
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........				46,896,892

Schedule D (Form 990) 2010

Page 3

Part VII

InvestmentsOther Securities. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)

Part VIII

InvestmentsProgram Related. See Form 990, Part X, line 13.

(a) Description of investment type		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. See Form 990, Part X, line 15.

(a) Description				(b) Book value









Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. See Form 990, Part X, line 25.

1.(a) Description of Liability		(b) Amount
Federal Income Taxes









Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).

Schedule D (Form 990) 2010

Page 4

Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1	Total revenue (Form 990, Part VIII, column (A), line 12) ....................	1
2	Total expenses (Form 990, Part IX, column (A), line 25) .....................	2
3	Excess or (deficit) for the year. Subtract line 2 from line 1 .............	3
4	Net unrealized gains (losses) on investments ..........................	4
5	Donated services and use of facilities .............................	5
6	Investment expenses ...................................	6
7	Prior period adjustments ..................................	7
8	Other (Describe in Part XIV) .................................	8
9	Total adjustments (net). Add lines 4 - 8 .............................	9
10	Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 .........	10

Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains on investments ..........	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIV): ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ......		5

Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1	Total expenses and losses per audited financial statements .............		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIV): ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIV): ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ......		5

Part XIV

Supplemental Information

Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.

Identifier	Return Reference	Explanation

Schedule D (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ST JAMES HEALTHCARE

Employer identification number

81-0231785

Part I

Charity Care and Certain Other Community Benefits at Cost

Yes

Does the organization have a charity care policy? If "No," skip to question 6a...........

Yes

If "Yes," is it a written policy? .......................

Yes

If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.

Applied uniformly to all hospitals Applied uniformly to most hospitals Generally tailored to individual hospitals

Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.

Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low

income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other

Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If

"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....

Yes

200% 250% 300% 350% 400% Other

If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.

Does the organization's policy provide free or discounted care to the "medically indigent"? ......

Yes

Does the organization budget amounts for free or discounted care provided under its charity care policy? ...

Yes

If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........

Yes

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............

Does the organization prepare an annual community benefit report?.............

Yes

If "Yes," does the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Charity Care and Certain Other Community Benefits at Cost

	(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 Charity care at cost (from Worksheets 1 and 2) ..		1,515	3,409,521		3,409,521	4.000 %
b Unreimbursed Medicaid (from Worksheet 3, column a) .		7,317	9,621,181	7,539,210	2,081,971	2.440 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....
dTotal Charity Care and Means-Tested Government Programs .....		8,832	13,030,702	7,539,210	5,491,492	6.440 %
Other Benefits e Community health improvement services and community benefit operations (from (Worksheet 4) ....	25	3,706	293,853	2,090	291,763	0.340 %
f Health professions education (from Worksheet 5) ..	5	130	55,266		55,266	0.060 %
g Subsidized health services (from Worksheet 6) ..	5	20,016	601,284	3,575	597,709	0.700 %
h Research (from Worksheet 7)
i Cash and in-kind contributions to community groups (from Worksheet 8) ..	3	1,910	27,362		27,362	0.030 %
jTotal Other Benefits ...	38	25,762	977,765	5,665	972,100	1.130 %
kTotal. Add lines 7d and 7j. ..	38	34,594	14,008,467	7,544,875	6,463,592	7.570 %

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010

Schedule H (Form 990) 2010

Page 2

Part II

Community Building Activities Complete this table if the organization conducted any community building activities.

		(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
3	Community support	9	20,948	94,493		94,493	0.100 %
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	2	1,500	230,457	25,553	204,904	0.220 %
8	Workforce development
9	Other	1	64,100	19,262		19,262	0.020 %
10	Total	12	86,548	344,212	25,553	318,659	0.340 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense (at cost).....

8,174,480

Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..

Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

9,876,141

Enter Medicare allowable costs of care relating to payments on line 5.....

20,832,243

Subtract line 6 from line 5. This is the surplus or (shortfall)........

-10,956,102

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Does the organization have a written debt collection policy? ...............

Yes

If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......

Yes

Part IV

Management Companies and Joint Ventures

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1Medical Arts Partner	Medical Offices	50.000 %	50.000 %
2Summit Surgery Ctr	Outpatient Surgery Center	50.000 %	50.000 %
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2010

Page 3

Part VFacility Information

Section A. Hospital Facilities (list in order of size, measured by total revenue per facility, from largest to smallest) How many hospital facilities did the organization operate during the tax year?1 Name and address		Other (Describe)
1	ST JAMES HEALTHCARE 400 SOUTH CLARK ST BUTTE,MT59701	X	X	X	SKILLED NURSING FAC PHYSICIAN CLINIC

Schedule H (Form 990) 2010

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)

Name of Hospital Facility:ST JAMES HEALTHCARE

Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

				Yes	No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1	During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. .....................		1
	If “Yes,” indicate what the Needs Assessment describes (check all that apply):
	a	A definition of the community served by the hospital facility
	b	Demographics of the community
	c	Existing health care facilities and resources within the community that are available to respond to the health needs of the community
	d	How data was obtained
	e	The health needs of the community
	f	Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
	g	The process for identifying and prioritizing community health needs and services to meet those needs
	h	The process for consulting with persons representing the community’s interests
	i	Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
	j	Other (describe in Part VI)
2	Indicate the tax year the hospital facility last conducted a Needs Assessment: 20
3	In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted.		3
4	Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................		4
5	Did the hospital facility make its Needs Assessment widely available to the public? ...........		5
	If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
	a	Hospital facility’s website
	b	Available upon request from the hospital facility
	c	Other (describe in Part VI)
6	If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
	a	Adoption of an implementation strategy to address the health needs of the hospital facility’s community
	b	Execution of the implementation strategy
	c	Development of a community benefit plan for the facility
	d	Participation in community-wide community benefit plan
	e	Inclusion of a community benefit section in operational plans
	f	Adoption of a budget for provision of services that address the needs identified in the CHNA
	g	Prioritization of health needs in the community
	h	Prioritization of services that the hospital facility will undertake to meet health needs in its community
	i	Other (describe in Part VI)
7	Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs.		7
Financial Assistance Policy
	Did the hospital facility have in place during the tax year a written financial assistance policy that:
8	Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care?		8
9	Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?..		9
	If “Yes,” indicate the FPG family income limit for eligibility for free care: %

Schedule H (Form 990) 2010

Page 5

Part VFacility Information (continued)

				Yes	No
10	Used FPG to determine eligibility for providing discounted care to low income individuals?.........		10
	If “Yes,” indicate the FPG family income limit for eligibility for discounted care: %
11	Explained the basis for calculating amounts charged to patients?.................		11
	If “Yes,” indicate the factors used in determining such amounts (check all that apply):
	a	Income level
	b	Asset level
	c	Medical indigency
	d	Insurance status
	e	Uninsured discount
	f	Medicaid/Medicare
	g	State regulation
	h	Other (describe in Part VI)
12	Explained the method for applying for financial assistance?...................		12
13	Included measures to publicize the policy within the community served by the hospital facility?.......		13
	If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
	a	The policy was posted at all times on the hospital facility’s web site
	b	The policy was attached to all billing invoices
	c	The policy was posted in the hospital facility’s emergency rooms or waiting rooms
	d	The policy was posted in the hospital facility’s admissions offices
	e	The policy was provided, in writing, to patients upon admission to the hospital facility
	f	The policy was available upon request
	g	Other (describe in Part VI)
Billing and Collections
14	Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........		14
15	Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments or arrests
	e	Other (describe in Part VI)
16	Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?...................................		16
	If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
	a	Reporting to credit agency
	b	Lawsuits
	c	Liens on residences
	d	Body attachments
	e	Other (describe in Part VI)
17	Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
	a	Notified patients of the financial assistance policy upon admission
	b	Notified patients of the financial assistance policy prior to discharge
	c	Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
	d	Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
	e	Other (describe in Part VI)

Schedule H (Form 990) 2010

Page 6

Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
				Yes	No
18	Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires 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?..........		18
	If “No,” indicate the reasons why (check all that apply):
	a	The hospital facility did not provide care for any emergency medical conditions
	b	The hospital facility did not have a policy relating to emergency medical care
	c	The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
	d	Other (describe in Part VI)
Charges for Medical Care
19	Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
	a	The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
	b	The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
	c	The hospital facility used the Medicare rate for those services
	d	Other (describe in Part VI)
20	Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and 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?.........		20
	If “Yes,” explain in Part VI.
21	Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?...................................		21
	If “Yes,” explain in Part VI.

Schedule H (Form 990) 2010

Page 7

Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, measured by total revenue per facility, from largest to smallest) How many non-hospital facilities did the organization operate during the tax year?
Name and address		Type of Facility (Describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2010

Page 8

Part VI

Supplemental Information

Complete this part to provide the following information.

1	Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2	Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments 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.

Identifier	ReturnReference	Explanation
Part I, Line 3c		ELIGIBILTY IS BASED ON THE FEDERAL POVERTY GUIDELINES
Part I, Line 6a		ST JAMES HEALTHCARE PRODUCED A COMMUNITY BENEFIT REPORT IN 2010 AND IT WAS MADE AVAILABLE TO THE PUBLIC. IT WAS PUBLISHED AS AN INSERT IN THE LOCAL NEWSPAPER WITH A DISTRIBUTION OF 15,000. IT ALSO WAS PLACED IN ALL OUR WAITING AREAS AND IS ON OUR PUBLIC WEBSITE.
PART I, LINE 7G		SUBSIDIZED SERVICES AT ST. JAMES HEALTHCARE THAT WERE COUNTED AS COMMUNITY BENEFIT TOTALED $597,709. THIS AMOUNT INCLUDES PROVIDING ATHLETIC TRAINERS FOR THE HIGH SCHOOLS' ATHLETIC PROGRAMS. TRAINERS ARE PROVIDED TO 7 DIFFERENT SCHOOLS IN SOUTHWEST MONTANA, AND WITHOUT THIS SUPPORT, NONE OF THE SCHOOLS EXCEPT MONTANA TECH (THE COLLEGE IN BUTTE) WOULD BE ABLE TO PROVIDE THIS SERVICE TO THE STUDENT ATHLETES. THESE TRAINERS ATTEND ALL PRACTICES, GAMES AND TOURNAMENTS FOR EACH SCHOOL, AND ST. JAMES PAYS FOR 80% OF THEIR SALARIES TO PERFORM THIS SERVICE. IN ADDITION, ST. JAMES PROVIDES LOW COST ($5.00) SPORTS PHYSICALS FOR ALL THE ATHLETES. THE TOTAL AMOUNT FOR ATHLETIC SERVICES AND THE SPORTS PHYSICALS WAS $146,563. ST. JAMES HEALTHCARE SUBSIDIZED ITS TRANSITIONAL CARE UNIT AND COUNTED $331,715 IN COMMUNITY BENEFIT DOLLARS FOR THIS SERVICE. THE TRANSITIONAL CARE UNIT PROVIDED A BENEFIT TO PHYSICIANS AND PATIENTS WHEN HOME CARE WAS APPROPRIATE BUT ASSISTANCE AT HOME WAS NOT AVAILABLE. THIS CARE WAS PERFORMED AT A LOSS TO THE HOSPITAL AND AS A BENEFIT TO THE COMMUNITY, THE PATIENTS AND THIER FAMILIES. IN MID-2010, LOCAL NURSING HOMES ACQUIRED THE STAFF NECESSARY TO TAKE OVER THIS FUNCTION. IN COLLABORATION WITH THESE NURSING HOMES, ST. JAMES HEALTHCARE CLOSED ITS TRANSITIONAL CARE UNIT IN AUGUST 2010, AND THESE PATIENTS NOW RECEIVE EXTENDED CARE IN THE NURSING HOMES. ST. JAMES HEALTHCARE ALSO PROVIDED A MOBILE PET VAN FOR PATIENTS THAT REQUIRE PET SCANS. SUCH EQUIPMENT IS NOT AVAILABLE IN THE AREA SO PATIENTS WOULD NEED TO TRAVEL TO ANOTHER FACILITY. THE VAN COMES TO ST. JAMES HEALTHCARE EVERY OTHER WEEK. SOMETIMES, THERE ARE NO PATIENTS BUT ST. JAMES STILL MUST PAY FOR THE VAN. WE CONSIDER ONLY THOSE PAYMENTS AS COMMUNITY BENEFIT DOLLARS. THE TOTAL IN 2010 WAS $63,438. ST. JAMES ALSO PAID $55,993 FOR AMBULANCE TRANSPORT SERVICES FOR THE POOR.
Part I, Line 7, COLUMN (f)		THE AMOUNT IN COLUMN (F) IS BASED ON THE NET COMMUNITY BENEFIT IN COLUMN (E) DIVIDED BY THE TOTAL OPERATING EXPENSES MINUS BAD DEBT EXPENSE ($93,244,545 MINUS $8,184,480 = $85,060,065). The denominator is $85,060,065.
Part I, Line 7		IN PART I, LINE 7, ST JAMES HEALTHCARE PROVIDES THE AMOUNTS OF FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. THE AMOUNTS REPORTED ARE FROM WORKSHEET 1 THROUGH 8.
PART II		WE EXTEND OUR CARE BEYOND OUR HOSPITAL'S WALLS TO IMPROVE THE HEALTH OF OUR COMMUNITY. IN 2010, OUR COMMUNITY BUILDING ACTIVITIES TOTALED $318,659 AND INCLUDED PROGRAMS SUCH AS DIABETES OUTREACH, FOOD FOR THE HOMELESS, PHYSICIAN RECRUITING, COMMUNITY SUPPORT GROUPS AND OTHER COMMUNITY VOLUNTEER ACTIVITIES AND WORK ON THE COMMUNTIY NEEDS ASSESSMENT. THE DIABETES OUTREACH PROGRAM IS PRIMARILY FUNDED THROUGH FEDERAL AND STATE GRANTS, BUT THE PROGRAM HAS GROWN SIGNIFICANTLY OVER THE PAST TWO YEARS AND REQUIRES HOSPITAL STAFF TIME THAT IS NOT PAID FOR BY THE GRANTS. THE GOAL OF THE PROGRAM IS TO REACH OVER 1,500 INDIVIDUALS, BOTH ADULTS AND CHILDREN, OVER THE THREE YEAR GRANT PERIOD. WEEKLY CLASSES TO EDUCATE PEOPLE ON DIABETES ARE HELD AS ARE MONTHLY STAFF GROUP MEETINGS, ONE FOR ADULTS AND ONE FOR CHILDREN AND THEIR FAMILIES. SEVERAL HEALTH-FOCUSED CLASSES AT THE LOCAL YMCA WERE IMPLEMENTED IN 2010, AND AN ANNUAL CONFERENCE FOR HEALTH CARE WORKERS THROUGHOUT MONTANA IS ALSO HELD IN CONJUNCTION WITH A PUBLIC DIABETES AWARENESS EXPO. PHYSICIAN RECRUITING IS A CRITICAL ACTIVITY TO ENSURE THE RESIDENTS OF THE COMMUNITY, WHICH IS IN A MEDICALLY UNDERSERVED AREA, HAVE ACCESS TO THE MEDICAL TREATMENT NEEDED. IN 2010, ST JAMES HELATHCARE RECRUITED THREE NEW PHYSICIANS INTO THE COMMUNITY. HOWEVER, BASED ON THE OUTCOME OF THE COMMUNITY NEEDS ASSESSMENT, BUTTE IS STILL LACKING MORE THAT 18 PHYSICIANS IN A NUMBER OF SPECIALTIES. CONDUCTING A COMMUNITY NEEDS OF ASSESSMENT IS AN IMPORTANT COMMUNITY BUILDING ACTIVITY. THIS PROCESS BROUGHT TOGETHER MORE THAN 30 SOCIAL SERVICE AGENCIES AND HEALTH PROVIDERS AND MORE THAN 100 PEOPLE. UPON COMPLETION OF THE ASSESSMENT, TEAMS WERE FORMED TO DEVELOP ACTION PLANS FOR SOME OF THE HIGHEST PRIORITY FINDINGS IN THE ASSESSMENT. THIS WORK WILL CONTINUE OVER THE NEXT THREE YEARS.
PART III, LINE 4		A cost to charge ratio is used to determine the amount reported in Part III, lines 2 and 3. Discounts and payments applied to accounts reduce bad debt expense. No method is used to determine the amount that reasonably could be attributable to patients who would likely qualify for financial assistance if sufficient information had been available to make a determination of their eligibility. No portion of bad debt is included as community benefit. The organization's financial statements do not contain a footnote that describes bad debt expense. Within the financial statement of the Sisters of Charity of Leavenworth Health System, bad debt expense is included within operating expenses, at the value of uncollected and estimated uncollectible charges after contractual allowances and self-pay discounts are applied.
PART III, LINE 8		St. James Healthcare believes a significant portion of the shortfall from Medicare should be treated as community benefit. In St. James' case in 2010 that shortfall was more than $4.6 million. St. James provided the resources required to care for these patients and should receive some benefit for doing so. The costing methodology used is the Cost to Charge ratio because St. James believes this methodology most accurately reflects the actual cost of providing the services.
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. We maintain a balance that enables us to continue to provide charity care to those who need it most, and to ensure that we manage our resources so that we can continue to be here when people need us most. St. James Healthcare notifies patients of its financial assistance policy prior to admission, upon admission and upon discharge. In addition, we provide communication regarding 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. In 2010, St. James provided a total of $3,409,521 in traditional charity care and $2,081,971 for the unpaid cost of Medicaid. 2. NEEDS ASSESSMENT - As part of our core value of response to need, we take steps to determine where there is the most need to provide the greatest good. St. James Healthcare has regularly participated in needs assessment surveys to identify the ongoing and changing needs of the community. The most recent survey was conducted in 2010 and finalized in early 2011. This assessment examined the population of Silver Bow County which is served by St. James Healthcare and was done by partnering with the local public health department and all the local social agencies. With the assistance of outside consultants, the assessment also determined where gaps in services exist. From the "gaps" document, we conducted focus group meetings with social agency personnel to develop objectives and strategies for the following categories of need: Aging Population; Environmental Factors; Socio-Economic; Social and Behavior; and Health Outcomes and Factors. With objectives and strategies in hand, groups have begun to develop action plans (short term and long term) for each of the five areas. Groups will meet quarterly throughout 2011 and into 2012 to report progress. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE - St. James Healthcare treats patients with respect and dignity regardless of their ability to pay. St. James Healthcare has a written financial assistance policy that explains eligibility criteria for financial assistance at various levels, including a 100% discount, and is based on federal poverty guidelines. We work with patients to help them understand their financial responsibility for care received, financial assistance available to them, and to establish payment programs in demonstration of our core value of respect. As part of our responsibility to educate, we inform our patients and their families of the availability of assistance, including government programs. We communicate this in a variety of ways to ensure that messages reach multiple audiences. Before, during and/or after admission, we encourage our self pay patients to visit with a financial counselor to discuss qualifications for financial assistance. The financial counselor works with the patient to complete a financial assistance form to determine the level of discount for which the patient may be eligible. We post financial assistance information in emergency and admissions areas, on billings invoices, in various areas around the hospital and clinic sites and on the hospital website. We provide written materials to patients that detail our financial assistance policy and how it is administered. We provide materials and education when patients are discharged, and include information in billing statements, including phone numbers and other methods to contact us with questions. We ensure that our financial counselors, admission employees, social workers and other employees understand our policies to be able to assist patients in the most appropriate way. We also have a partnership with Western Security Bank to provide payment plans and medical credit lines. This helps patients meet their financial obligations in a reasonable and dignified manner based on their ability to pay and allows them to continue to ensure the ongoing welfare of their families. This is done in accordance with our core value of respect. 4. COMMUNITY INFORMATION - Silver Bow County, located in Southwestern Montana in a Medically Underserved Area, is the eighth largest county in the state with a population of slightly more than 32,000. Butte-Silver Bow (Butte), the county seat, is the state's fourth largest city, but the population has decreased by 4.8% since 2000. State government, which includes higher education institutions, is the largest employer in Silver Bow County with 22.3% of the total employment. Health care is the top private sector employer at 13% with St. James Healthcare, the community's only hospital, as the largest single private employer. Additional Butte-Silver Bow statistics follow. Median income for Silver Bow County households in 2010 was $37,346 compared to national median income of $52,175. 37% of the local population is at 200% of the federal poverty level; 15.8% of the residents have an income below the poverty level. 93.7% of Butte's population is Caucasian; 2.9% is American Indian; 2.7% is Hispanic; 1.4% is Asian and Pacific; and 0.6% fall into other categories. Approximately 17% of Butte's population are over 65. This compares to the national average 13% over 65. Butte-Silver Bow has more females than males. Of the Butte-Silver Bow residents, ages 25 and over, 85.2% have a high school education or higher, 21.7% have a bachelor's degree or greater, and 6.9% have a graduate or professional degree. *14 % of the population is uninsured and 13% are covered by Medicaid. From a health perspective, Butte-Silver Bow's leading causes of death are heart disease and cancer. Rates of diabetes and COPD are high. 5. PROMOTION OF COMMUNITY HEALTH - We extend our care beyond our hospital's walls to improve the health of our community. Our community building activities demonstrate this commitment. Most of our community building activities are in the category of community support. These activities promote health in the community in a number of ways. We provide monthly food donations to the local food bank to ensure that it has a sufficient supply of food so its clients have nutritious food each month which in turn promotes better health. Each day, we provide a significant number of free meals to the community to ensure that our poor population has access to nutritious food that helps them maintain better health. Our employees are involved in a number of volunteer activities throughout the year that promote healthy living. These encompass everything from raising funds for the youth program at the local YMCA to helping distribute food at the Food Bank. Service clubs throughout the community are focused on promoting healthy life styles for both children and adults, and St. James staff actively participate in clubs such as the Kiwanis, the Chamber of Commerce, and the Breast and Cervical Cancer Group. In the area of community health improvement advocacy, we partner with public health agencies and serve on the boards and committees of these agencies that are focused on improving the health of the community. St. James is the lead agency in a community-wide diabetes network outreach. Members of our dietary staff, nursing staff, and administrative staff work many hours to provide education and support to both our adult and child diabetic population. We also provide social workers for a bi-monthly Alzheimer Caregiver Support Group. St. James and the Butte-Silver Bow Public Health Department are the lead agencies for conducting a Community Needs Assessment and driving action plans to improve the overall health of the community. As a medically underserved area, Butte needs more physicians, and St. James actively recruits physicians to the area. When potential recruits make site visits to Butte, we host meetings with local government officials, the local school district, the college, the Chamber of Commerce and other organizations to provide a positive and encompassing experience for the potential recruit. In 2010, we successfully recruited one Emergency Department physician, a pediatrician, and a family medicine physician to the community. St. James Healthcare is an important part of our community and serves in many ways, from delivering core health care, to preventive care, to support of other civic groups. In 2010, we provided community benefit totaling $6,782,251, including traditional charity care and the unpaid cost of Medicaid. Our Community Board of Directors represents medical and business professionals and all provide hours of service in support of our hospital. They are involved in our community needs assessment process, building programs and services, and community out

Schedule H (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet

Attach to Form 990. SchJMediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ST JAMES HEALTHCARE

Employer identification number

81-0231785

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....

Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ...............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........

Participate in, or receive payment from, an equity-based compensation arrangement? ........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990

Cat. No. 50053T

Schedule J (Form 990) 2010

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.

(A) Name		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation reported in prior Form 990 or Form 990-EZ
(A) Name		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
(1) Chuck Wright	(i) (ii)	0 258,050	0 0	0 15,750	0 42,572	0 11,513	0 327,885	0 0
(2) John Stevenson	(i) (ii)	450,008 0	0 0	0 0	0 0	0 0	450,008 0	0 0
(3) Shawn Smith	(i) (ii)	208,034 0	0 0	0 0	0 0	0 0	208,034 0	0 0
(4) Adam Childers	(i) (ii)	154,987 0	0 0	0 0	0 0	0 0	154,987 0	0 0
(5) James Doyle	(i) (ii)	0 157,677	0 0	0 5,168	0 25,131	0 13,084	0 201,060	0 0

Schedule J (Form 990) 2010

Page 3

Part III

Supplemental Information

Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.

Identifier	Return Reference	Explanation
FORM 990, SCHEDULE J, PART I, LINE 3		PROCESS FOR DETERMINING COMPENSATION SCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS AND STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS.
FORM 990, SCHEDULE J, PART I, LINE 4B		OTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR IRS IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2010 WERE: NONE NOTED.
FORM 990, SCHEDULE J, PART II		THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND THREE CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. JAMES HEALTHCARE (ST. JAMES) IN BUTTE, MONTANA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. BAIN J. FARRIS IS PRESIDENT & CHIEF EXECUTIVE OFFICER OF EXEMPLA SAINT JOSEPH HOSPITAL (ESJD) IN DENVER, COLORADO WHICH IS AN SCLHS AFFILIATE. AS A FORMER OFFICER OF ST. JAMES, THIS DISCLOSURE IS REQUIRED FOR 990 REPORTING PURPOSES ONLY. THE COMPENSATION REFLECTED IS THAT OF MR. FARRIS' POSITION AS AN ESJD EXECUTIVE AND IS NOT RELATED TO ST. JAMES. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE.

Schedule J (Form 990) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

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

Attach to Form 990 or 990-EZ.

OMB No. 1545-0047

2010

Open to Public
Inspection

Name of the organization

ST JAMES HEALTHCARE

Employer identification number

81-0231785

Identifier	Return Reference	Explanation
PART III, LINE 4A	PROGRAM SERVICE ACCOMPLISHMENTS	St. James Healthcare Community Benefit Report 2010 Community Diabetes Network St. James Healthcare's primary market area has an extremely high rate of diabetes among both its young and older population. Consequently, the need for diabetes education for providers and the general public was apparent. In June 2008, the St. James Foundation received a grant to develop a Community Diabetes Network to provide a continuum of care for diabetic patients in Southwest Montana. Through this grant, St. James hired a Diabetes Program Coordinator who is responsible for developing a community needs assessment, establishing both youth and adult diabetes support groups, and growing the Community Diabetes Network to ensure that a consistent diabetes education and prevention program is developed. The Butte Community Diabetes Network was formed and is currently made up of a collaborative partnership between St. James Healthcare, the Butte Family YMCA, the North American Indian Alliance, Butte Community Health Center and two local physicians. St. James Healthcare Ticker Tuner Fun Run For the past three years, St James Healthcare has co-sponsored a Ticker Tuner Fun Run for the community. In 2010, over 100 runners and walkers participated in a 10 kilometer or 5 Kilometer race or a one mile walk. Proceeds from the event were used to help purchase new equipment for the St James Healthcare Cardiac Rehabilitation Department, which is extensively used by those in the community who have undergone cardiac treatment and require follow-on rehabilitation services. The Participate for Life (PAL) Program was established to offer financial assistance to individuals in our community who need to travel out of town to be with a loved one needing specialized medical treatment not offered in Butte as well as to help with expenses for patients who need to travel to Butte from outlying towns for treatment who could not afford to do so. The PAL Program helps families with some type of financial assistance, such as gas cards, hotel expenses, bus vouchers, air plane tickets. 2010 Freedom Fest- St. James Healthcare and the Foundation joined again on July 3, 2010, to bring food and entertainment to Chester Steele Park before the annual fireworks display. This annual event is a great opportunity for friends and family to gather and enjoy the summer evening. This celebration gives us an opportunity to educate our community on the PAL program, and vendor fees help support the program. Community Share Program - The Community Share Program was established by St James Healthcare employees to help community non-profit agencies who have specific needs. Employees contribute to the program through payroll deductions. Local non-profit agencies and organizations can then submit requests for grants. Wear Red for Heart Health was to educate about heart disease and strokes. Free Screenings for Body Mass, Glucose, Blood Pressure were conducted. Cholestrol testing was done for a nominal fee and if participants were wearing red they received a $5.00 discount. Other Community Benefit Donations Including the provision of health care for the poor and uninsured (charity care) and the unpaid cost of Medicaid, St. James Healthcare also supported, through monetary or in-kind donations, a number of other community-enhancing activities. Some of the other activities included: -Ambulance transport services for the poor or uninsured -Mental health crisis response line -Prescription drug assistance for the poor or uninsured -Meals for more than 6,000 indigent people -Athletic programs, including providing athletic trainers and low-cost sports physicials ($5), to all Southwest Montana schools and colleges -Free public talks on a variety of health issues (presented by medical staff) -Preceptor training for students majoring in nursing, physical and respiratory therapy, pharmacy etc.
Part VI, Section A, Line 2	MEMBERSHIP	T. DOUTHITT AND M. DOUTHITT ARE HUSBAND AND WIFE. PART VI, SECTION A, LINE 3, DELEGATE CONTROL OVER MANAGEMENT DUTIES ALTHOUGH THESE SERVICES MAY NOT ALL RISE TO THE LEVEL OF MANAGEMENT CONTROL AS DEFINED IN THE 990 INSTRUCTION, WE HAVE IN THE SPIRIT OF FULL TRANSPARENCY PROVIDED THE FOLLOWING DISCLOSURE. AS A MEMBER OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, THIS PROVIDER MAY HAVE INDIVIDUAL AND/OR SYSTEM CONTRACT(S) THAT HAS DELEGATED CONTROL OVER MANAGEMENT DUTIES IN SOME OR ALL OF THE FOLLOWING AREAS: DIETARY AND FOOD SERVICE HOUSEKEEPING SUPPLY CHAIN REVENUE CYCLE SECURITY
PART VI, SEC A, LINE 6		THE SOLE MEMBER OF ST. JAMES HEATHCARE IS THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., A KANSAS NOT-FOR-PROFIT CORPORATION (THE "CORPORATE MEMBER"). PART VI, SECTION A, LINE 7A&B ELECTION OF MEMBERS AND APPROVAL OF DECISIONS EXCLUSIVE POWERS OF THE CORPORATE MEMBER. THE FOLLOWING POWERS ARE RESERVED TO THE CORPORATE MEMBER OF THIS CORPORATION AND NO ATTEMPTED EXERCISE OF ANY SUCH POWERS BY ANYONE OTHER THAN THE CORPORATE MEMBER SHALL BE VALID OR OF ANY FORCE OR EFFECT WHATSOEVER: (A)TO CHANGE THE MISSION AND PHILOSOPHY OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (B)TO ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION AND THE ARTICLES AND BYWAS OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (C)TO APPOINT, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (D)TO ENSURE THE PRESENCE OF THE SISTERS OF CHARITY OF LEAVENWORTH ON THE BOARD OF DIRECTORS OF THIS CORPORATION, TO APPOINT MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH TO THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, WHICH APPOINTEES SHALL BE OTHERWISE QUALIFIED UNDER SECTION 2 OF ARTICLE IV OF THESE BYLAWS; (E)TO REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, ANY MEMBER OF THE BOARD OF DIRECTORS OF THIS CORPORATION AND OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (F)TO APPOINT OR REMOVE, WITH OR WITHOUT CAUSE, THE CHIEF ADMINISTRATIVE OFFICER OF THIS CORPORATION AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, AFTER CONSULTATION WITH THE RESPECTIVE CORPORATE BOARD, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER AND THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE SCLHS MONTANA REGION; (G)TO IMPLEMENT CORPORATE GOALS, POLICIES AND PROCEDURES FOR THIS CORPORATION AND ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (H)TO APPROVE FOR THIS CORPORATION, OR FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, THE ACQUISITION OF ASSETS, THE INCURRENCE OF INDEBTEDNESS OR THE LEASE, SALE, TRANSFER, ASSUMPTION, OR ENCUMBERING OF THE ASSETS PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE CORPORATE MEMBER; (I)TO APPROVE THE MERGER, DISSOLUTION OR CORPORATE RESTRUCTURING OF THIS CORPORATION OR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (J)TO APPROVE THE ANNUAL STRATEGIC PLANS AND OPERATING AND CAPITAL BUDGETS AND DEVIATIONS THERETO FOR THIS CORPORATION AND FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; (K)TO APPOINT THE AUDITORS OF THIS CORPORATION AND FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; AND (L) TO (I) TRANSFER ASSETS, OR TO REQUIRE THE CORPORATION TO TRANSFER ASSETS, TO THE CORPORATE MEMBER OR AN ENTITIY CONTROLLED BY, CONTROLLING OR UNDER COMMON CONTROL WITH THE CORPORATE MEMBER, WHETHER WITHIN OR WITHOUT THE STATE OF DOMICILE OF THE CORPORATION, TO THE EXTENT DEEMED NECESSARY BY THE CORPORATE MEMBER TO ACCOMPLISH THE CHARITABLE GOALS AND OBJECTIVES OF THE CORPORATE MEMBER; AND (II) (NOTWITHSTANDING THE PROVISIONS OF SUBSECTION 2(h)), AUTHORIZE THE EXPENDITURE, HYPOTHECATION OR LOAN OF ASSETS OF THE CORPORATION TO ANOTHER CHARITABLE ENTITIY CONTROLLED, CONTROLLING OR UNDER COMMON CONTROL WITH THE CORPORATE MEMBER TO CARRY OUT THE CHARITABLE PURPOSES OF THE SCLHS SYSTEM AND TO FURTHER SECURE THE MEMBER'S MASTER TRUST INDENTURE OR SIMILAR FINANCING INSTRUMENT OR PROCESS. THE EXCLUSIVE POWERS UNDER THIS SUBSECTION 2(L) ARE IN RECOGNITION OF THE BENEFITS ACCRUING TO THE CORPORATION FROM THE CORPORATE MEMBER, AND IN ADDITION TO ANY OTHER RIGHTS RESERVED TO THE CORPORATE MEMBER UNDER APPLICABLE LAW OR THE ARTICLES OF INCORPORTION OR BYLAWS OF THE CORPORATION. IN COMPLYING WITH THE EXERCISE OF THE CORPORATE MEMBER'S EXCLUSIVE POWERS UNDER THIS SUBSECTION, THE CORPORATION SHALL NOT BE REQUIRED TO VIOLATE ITS STATEMENT OF PURPOSES AS SET FORTH HEREIN, THE TERMS OF ANY RESTRICTED GIFTS TO THE CORPORATION, THE COVENANTS OF ITS DEBT INSTRUMENTS, OR THE LAW OF ANY JURISDICTION.
Part VI, Sec A, Line 11B		PRIOR TO SUBMISSION OF THE 990, IT WAS REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM AND PERSONNEL AT THE SYSTEM OFFICE. St. James Healthcare management provided copies for review of the 990 form to the Board of Director's Finance Committee. The review process included formal acceptance and approval for completeness of the form before filing. This review and approval was then reported to the full Board of Directors for general Board acceptance.
Part VI, Sec B, Line 12c	CONFLICT OF INTEREST POLICY	Duty to Disclose. In order to avoid a conflict of interest, each SJH employee, hospital representative or interested person is obliged to identify any possible conflicts on interest to their Director or Vice President, or to the Organizational Responsibility Officer (ORO). Potential conflicts of interest do not automatically disqualify prospective vendors from consideration. Willful failure to identify possible conflicts of interest may jeopardize employment status or relationship with SJH of the responsible individual. Annual Statements A. Each member of the Board of Directors, senior management team, contract SJH management representatives, any physicians who are in a decision-making/influencing role and compensated by SJH, and any other employee or member of the medical staff who fits the definition of an interested person: are required upon appointment or hire and at least annually thereafter to sign a copy of the Statement Pertaining to Conflict of Interest and Disclosure of Certain Interests Policy. B. The Organizational Responsibility Program (ORP) Committee will review COI statements, and investigate all disclosures of possible conflicts of interest. C. The ORP Committee will prepare a report for the SJH Chief Executive Officer and the SJH Audit Committee. D. The SJH Audit Committee is responsible for final review and investigation of potential conflicts of interest and presentation of its findings to the SJH Board of Directors on an annual basis.
Part VI, Sec C, Line 19	GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC	St James Healthcare Administration maintains governing documents, conflict of interest policy, and financial statements. Upon request documents subject to disclosure are made available to the general public.
Form 990, Part VII and Form 990, Schedule J, Part II		The Sisters of Charity of Leavenworth Health System, Inc. (SCLHS) consists of eleven hospitals and four clinics (Affiliates) in four states including St. James Healthcare (St. James) in Butte, Montana. SCLHS and its Affiliates adhere to governance excellence standards including transparency and accountability. In keeping with SCLHS' Core Value of Stewardship, no board member serving on SCLHS or Affiliate boards is compensated for that service.
Part XI Line 5		EQUITY TRANSFER $574,940 AND NET TEMPORARILY RESTRICTED NET ASSETS $24,641 EQUALS THE CHANGE IN NETS ASSETS OF $599,581.
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Gary Staudinger TITLE:Past Chairperson HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Joanne Cortese TITLE:Chairperson HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Sister Bernadette Helfert TITLE:Director HOURS:2
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Mike Johnson TITLE:Vice Chairperson HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Sister Rita McGinnis TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Jim Falvey TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Loren Hines TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Tim McHugh TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Andrea Stierle TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:David A Repola MD TITLE:Secretary-Treasurer HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Michael Gallagher MD TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Marcia Johnson TITLE:Director HOURS:1
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:Dan Steele TITLE:Director HOURS:1

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2010

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBullet

Attach to Form 990. MediumBullet

See separate instructions.

OMB No. 1545-0047

2010

Open to Public Inspection

Name of the organization

ST JAMES HEALTHCARE

Employer identification number

81-0231785

Part I

Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)

(a) Name, address, and EIN of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled organization
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) SISTERS OF CHARITY LEAVENWORTH HLTH SYST 9801 RENNER BLVD STE 100 LENEXA,KS66219 23-7379161	SUPPORT MMBRS	KS	501(C)(3)	11B-TYPE II	NA
(2) CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH,KS66048 48-1009910	CLINIC SVCS	KS	501(C)(3)	3	NA
(3) MARIAN CLINIC INC 1001 SW GARFIELD TOPEKA,KS66604 48-1046905	CLINIC SVCS	KS	501(C)(3)	3	NA
(4) MARILLAC CLINIC INC 2333 N 6TH STREET GRAND JUNCTION,CO81501 84-1085822	CLINIC SVCS	CO	501(C)(3)	3	NA
(5) PROVIDENCE MEDICAL CENTER 8929 PARALLEL PARKWAY KANSAS CITY,KS66112 48-0784446	HEALTHCARE	KS	501(C)(3)	3	NA
(6) ST JOHN HOSPITAL INC 3500 SOUTH FOURTH STREET LEAVENWORTH,KS66048 48-0543768	HEALTHCARE	KS	501(C)(3)	3	NA
(7) BETHANY COMMUNITY PLAZA INC 15 NORTH 12TH STREET KANSAS CITY,KS66102 48-1207407	HEALTHCARE	KS	501(C)(3)	3	NA
(8) PROVIDENCEST JOHN FOUNDATION INC 8929 PARALLEL PARKWAY KANSAS CITY,KS661121689 48-0925688	SUPPORT 501C3	KS	501(C)(3)	7	NA
(9) ST FRANCIS HEALTH CENTER INC 1700 SW 7TH STREET TOPEKA,KS66606 48-0547719	HEALTHCARE	KS	501(C)(3)	3	NA
(10) ST FRANCIS HEALTH CENTER FOUNDATION 1700 SW 7TH STREET TOPEKA,KS66606 48-1092520	SUPPORT 501C3	KS	501(C)(3)	11A-TYPE I	NA
(11) ST MARYS HOSPITAL & MEDICAL CENTER INC 2635 N 7TH STREET GRAND JUNCTION,CO81502 84-0425720	HEALTHCARE	CO	501(C)(3)	3	NA
(12) ST MARYS HOSPITAL FOUNDATION 2635 N 7TH STREET GRAND JUNCTION,CO81502 23-7001007	SUPPORT 501C3	CO	501(C)(3)	11A-TYPE I	NA
(13) SAINT JOSEPH HOSPITAL FOUNDATION 1835 FRANKLIN STREET DENVER,CO80218 84-0735096	SUPPORT 501C3	CO	501(C)(3)	11A-TYPE I	NA
(14) HOLY ROSARY HEALTHCARE 2600 WILSON MILES CITY,MT59301 81-0231792	HEALTHCARE	MT	501(C)(3)	3	NA
(15) HOLY ROSARY HEALTHCARE FOUNDATION INC 2600 WILSON MILES CITY,MT59301 20-2270238	SUPPORT 501C3	MT	501(C)(3)	11A-TYPE I	NA
(16) ST VINCENT HEALTHCARE 1233 NORTH 30TH BILLINGS,MT59101 81-0232124	HEALTHCARE	MT	501(C)(3)	3	NA
(17) ST VINCENT HEALTHCARE FOUNDATION PO BOX 35200 BILLINGS,MT591075200 81-0468034	SUPPORT 501C3	MT	501(C)(3)	7	NA
(18) NORTHWEST RESEARCH & EDUCATION INSTITUTE 315 NORTH 25TH STREET BILLINGS,MT59101 20-1343024	COMM HLTH RES	MT	501(C)(3)	9	NA
(19) ST JAMES HEALTHCARE FOUNDATION 400 SOUTH CLARK STREET BUTTE,MT59701 65-1202190	SUPPORT 501C3	MT	501(C)(3)	11A-TYPE I	NA
(20) SAINT JOHN'S HEALTH CENTER 1328 22ND STREET SANTA MONICA,CA90404 95-1684082	HEALTHCARE	CA	501(C)(3)	3	NA
(21) JOHN WAYNE CANCER INSTITUTE 2000 SANTA MONICA BLVD SANTA MONICA,CA90404 95-4291515	CANCER R&D	CA	501(C)(3)	4	NA
(22) SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN 1328 22ND STREET SANTA MONICA,CA904042091 95-6100079	SUPPORT 501C3	CA	501(C)(3)	11A-TYPE I	NA
(23) EXEMPLA INC FKA LUTHERAN HOSPITAL 2420 W 26TH AVE SUITE 100D DENVER,CO80211 84-1103606	HEALTHCARE	CO	501(C)(3)	3	NA
(24) EXEMPLA LUTHERAN MEDICAL CENTER FNDTN 2480 W 26TH AVESUITE 360B DENVER,CO80211 20-8846152	SUPPORT 501C3	CO	501(C)(3)	7	NA
(25) EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN 200 EXEMPLA CIRCLE LAFAYETTE,CO80026 84-1649162	SUPPORT 501C3	CO	501(C)(3)	7	NA
(26) LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST 2480 W 26TH AVESUITE 360B DENVER,CO80211 74-2571584	INSURANCE	CO	501(C)(3)	11A-TYPE I	NA
(27) MEDPARK INC 2480 W 26TH AVESUITE 360B DENVER,CO80211 84-1490379	PARKING	CO	501(C)(3)	7	NA
(28) SAINT JOSEPH HOSPITAL 1835 FRANKLIN STREET DENVER,CO80218 84-0417134	HEALTHCARE	CO	501(C)(3)	3	NA

For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2010

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) PAVILION IMAGING LLC 750 WELLINGTON GRAND JUNCTION,CO81501 03-0516198	RADIOLOGY	CO	NA	N/A
(2) GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON GRAND JUNCTION,CO81501 84-1505075	OP SURGERY	CO	NA	N/A
(3) SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE,CO81401 20-2856331	OP CANCER	CO	NA	N/A
(4) BILLINGS MRI CENTER LLC 1041 NORTH 29TH STREET BILLINGS,MT59101 81-0450943	MRI-PET SCAN	MT	NA	N/A
(5) LUTHERAN CAMPUS ASC LLC 3455 LUTHRN PKW SUITE 150 WHEATRIDGE,CO800336028 02-0749532	OP SURGERY	CO	NA	N/A
(6) COLORADO SURGICAL VENTURES LLC 30 S WACKER DR SUITE 2302 CHICAGO,IL60605 20-8038915	OP SURGERY	CO	NA	N/A
(7) COLORADO SURGICAL HOSPITAL LLC 30 S WACKER DR SUITE 2302 CHICAGO,IL60605 20-8038977	OP SURGERY	CO	NA	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)
(1) CARITAS INC AND SUBSIDIARIES 9801 RENNER BOULEVARD SUITE 100 LENEXA,KS66219 48-0941069	OTHER MEDICAL	KS	N/A	C CORP
(2) LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVE PO BOX 1051 GEORGETOWN,GRAND CAYMANKY1-1102 CJ 98-0370522	INSURANCE	CJ	N/A

Schedule R (Form 990) 2010

Page 3

Part V

Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)

Note. Complete line 1 if any entity is listed in Parts II, III or IV.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .

l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .

m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of other organization	(b) Transaction type(a-r)	(c) Amount involved
(1) ST JAMES HEALTHCARE FOUNDATION INC	N	107,473
(1)
(2)
(3)
(4)
(5)
(6)

Schedule R (Form 990) 2010

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Are all partners section 501(c)(3) organizations?		(e) Share of end-of-year assets	(f) Disproprtionate allocations?		(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	(h) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(e) Share of end-of-year assets	Yes	No	(g) Code VUBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2010

Page 5

Part VII

Supplemental Information

Complete this part to provide additional information for responses to questions on Schedule R (see instructions).

Identifier	Return Reference	Explanation

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: We will, in the spirit of the Sisters of Charity, reveal God's healing love by improving the health of the individuals and communities we serve, especially those who are poor or vulnerable.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ....	3	14
4	Number of independent voting members of the governing body (Part VI, line 1b) ....	4	11
5	Total number of individuals employed in calendar year 2010 (Part V, line 2a) ...	5	646
6	Total number of volunteers (estimate if necessary) ....	6	75
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ..	7a	365,461
b	Net unrelated business taxable income from Form 990-T, line 34 ..	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	10,575	54,840
9	Program service revenue (Part VIII, line 2g) .........	74,781,344	87,576,656
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	1,876,520	529,698
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,237,193	-2,648,618
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	77,905,632	85,512,576
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4) ....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	38,500,667	42,117,637
16a	Professional fundraising fees (Part IX, column (A), line 11e)....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f)....	41,715,008	51,126,908
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	80,215,675	93,244,545
19	Revenue less expenses. Subtract line 18 from line 12......	-2,310,043	-7,731,969
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16)............	91,084,181	74,250,475
21	Total liabilities (Part X, line 26)............	30,175,040	21,672,884
22	Net assets or fund balances. Subtract line 21 from line 20 .....	60,909,141	52,577,591

Sign Here

	Signature of officer	Date

	Type or print name and title.

Paid Preparer's Use Only	Preparer's signature	Date	Check if self- employed	Preparer’s taxpayer identification number (see instructions)
	Firm’s name (or yours if self-employed), address, and ZIP + 4			EIN
				Phone no.


4a	(Code: ) (Expenses $ 63,382,394 including grants of $ ) (Revenue $ 82,844,656 )
	ALL EXPENSES FOR PROGRAM SERVICES ARE RELATED TO PROVIDING PATIENT HEALTHCARE & COMMUNITY SERVICES. THE NUMBER OF ADJUSTED PATIENT DAYS FOR THE YEAR WAS 28,268. SEE ALSO SUPPLEMENTAL INFORMATION SCHEDULE O, PART III LINE 4A.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services. (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses$ 63,382,394

(A) Name and Title	(B) Average hours per week (describe hours for related organizations in Schedule O)		(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) Adam Childers Physician	40.0	X	154,987	0	0
(19) Michael Douthitt Director of Pharmacy	40.0	X	135,846	0	0
(20) Tonya Douthitt Carequest Project Coordinator	40.0	X	135,085	0	0

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	1,083,960	273,800	54,085

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512, 513, or 514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		54,840
e	Government grants (contributions)1e

f	All other contributions, gifts, grants, and similar amounts not included above1f
g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			54,840
			Business Code
2a	PATIENT CARE		621,400	86,897,600	86,897,600
b	CAFETERIA SALES		722,210	507,730	507,730
c	RENAL DIALYSIS		621,400	78,408	78,408
d	NUTRITION COUNSELING		621,300	42,504	42,504
e	BILLINGS ONCOLOGY		621,500	44,199	44,199
f	All other program service revenue .			6,215	6,215	0	0
g	Total. Add lines 2a–2f........			87,576,656
3	Investment income (including dividends, interest
	and other similar amounts).....			127,948			127,948
4	Income from investment of tax-exempt bond proceeds..			0
5	Royalties............			0
		(i) Real	(ii) Personal
6a	Gross Rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss).......
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	147,090	254,660
b	Less: cost or other basis and sales expenses
c	Gain or (loss)	147,090	254,660
d	Net gain or (loss)..........			401,750			401,750
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..			0
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...			0
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..			0
Miscellaneous Revenue			Business Code
11a	PHARMACY INCOME		900,099	1,441,569			1,441,569
b	JOINT VENTURE - SUMMIT SURGERY CENTER		900,099	365,461		365,461
c	JOINT VENTURE - SOUTHWEST MONTANA RADIOLOGY		621,400	17,164			17,164
d	All other revenue ....			-4,472,812	-4,732,000		259,188
e	Total. Add lines 11a–11d ......			-2,648,618
12	Total revenue. See Instructions....			85,512,576	82,844,656	365,461	2,247,619


				(A) Beginning of year		(B) End of year
1	Cashnon-interest-bearing ..........			2,246	1	2,086
2	Savings and temporary cash investments .......			3,913,748	2	1,717,592
3	Pledges and grants receivable, net .........				3
4	Accounts receivable, net .........			12,816,439	4	11,542,958
5	Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
	Schedule L ..........				5
6	Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
	Schedule L ..........				6
7	Notes and loans receivable, net .............			109,470	7	-42,701
8	Inventories for sale or use ..............			2,400,841	8	2,025,118
9	Prepaid expenses and deferred charges ............			484,252	9	853,067
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	105,367,577
b	Less: accumulated depreciation. .....	10b	58,470,685	51,835,048	10c	46,896,892
11	Investments—publicly traded securities ..........			9,542,252	11	8,505,506
12	Investments—other securities. See Part IV, line 11 ......				12
13	Investments—program-related. See Part IV, line 11 ..			7,289,261	13	2,429,715
14	Intangible assets .........			283,786	14	60,872
15	Other assets. See Part IV, line 11 ...........			2,406,838	15	259,370
16	Total assets. Add lines 1 through 15 (must equal line 34)...			91,084,181	16	74,250,475
17	Accounts payable and accrued expenses .			17,670,569	17	10,202,019
18	Grants payable ..........				18
19	Deferred revenue ..........				19
20	Tax-exempt bond liabilities ..........				20
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			12,504,471	23	11,470,865
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities. Complete Part X of Schedule D.....				25
26	Total liabilities. Add lines 17 through 25.....			30,175,040	26	21,672,884
	Organizations that follow SFAS 117, check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets .....			60,869,673	27	52,562,765
28	Temporarily restricted net assets .....			39,468	28	14,826
29	Permanently restricted net assets .....				29
	Organizations that do not follow SFAS 117, check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances .....			60,909,141	33	52,577,591
34	Total liabilities and net assets/fund balances .....			91,084,181	34	74,250,475