TY 2018 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) SISTER LYNN CASEY SCL...................................................................... MEMBER	1.00 ................. 0.00	X		0	0
(2) PAMELA FEDERBUSCH...................................................................... MEMBER	1.00 ................. 0.00	X		6,500	0
(3) SISTER MAUREEN HALL SCL...................................................................... MEMBER	1.00 ................. 0.00	X		0	0
(4) C GORDON HOWIE...................................................................... MEMBER	1.00 ................. 0.00	X		9,500	0
(5) STEVEN HUEBNER...................................................................... VICE CHAIR	2.00 ................. 0.00	X	X	9,000	0
(6) PAUL HUGHES-CROMWICK...................................................................... MEMBER	1.00 ................. 0.00	X		0	0
(7) LYDIA JUMONVILLE...................................................................... SYSTEM PRESIDENT & CEO / TREASURER	50.00 ................. 0.00	X	X	1,995,079	385,181
(8) SCOTT KELLER...................................................................... MEMBER	1.00 ................. 0.00	X		0	0
(9) DONNA KING...................................................................... MEMBER	1.00 ................. 0.00	X		9,221	0
(10) KNUTE KNUDSON...................................................................... PAST CHAIR	2.00 ................. 0.00	X	X	9,000	0
(11) KATHRYN PAUL...................................................................... CHAIR	2.00 ................. 0.00	X	X	10,000	0
(12) SISTER CONSTANCE PHELPS SCL...................................................................... MEMBER	1.00 ................. 0.00	X		0	0
(13) VINOD SAHNEY PHD...................................................................... MEMBER	1.00 ................. 0.00	X		6,000	0
(14) MICHAEL SALEM MD...................................................................... MEMBER	1.00 ................. 0.00	X		0	0
(15) J PAUL SOLVERSON...................................................................... MEMBER	1.00 ................. 0.00	X		0	0
(16) ROBERT E WILSON...................................................................... MEMBER	1.00 ................. 0.00	X		7,000	0
(17) ALAN YORDY...................................................................... MEMBER	1.00 ................. 0.00	X		5,500	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) ROSLAND MCLEOD........................................................................ SECRETARY / SVP CHIEF LEGAL OFFICER	50.00 .......................0.00	X			1,148,199	177,948
(19) LYNN SMITH........................................................................ ASST SECRETARY / BOARD GOV PROG MGR	50.00 .......................0.00	X			116,445	19,320
(20) MICHAEL TAYLOR........................................................................ VICE PRESIDENT / CHIEF OPER OFF-HOSP OPS	50.00 .......................0.00	X			1,573,286	156,970
(21) JANIE WADE........................................................................ EXEC VP FINANCE & CFO 2/26-12/31	50.00 .......................0.00	X			852,889	13,525
(22) LOUIS CAPPONI........................................................................ INTERIM CHIEF INFORMATION OFFICER	50.00 .......................0.00		X		432,939	55,470
(23) STEVEN CHYUNG........................................................................ SVP SUPPLY CHAIN & REAL ESTATE	50.00 .......................0.00		X		806,199	97,731
(24) SHAWN DUFFORD MD........................................................................ SVP CHIEF MEDICAL OFFICER SYS	50.00 .......................0.00		X		1,036,866	113,068
(25) TAJQUAH HUDSON........................................................................ EVP-CHIEF STRAT-BUS DEV OFCR	50.00 .......................0.00		X		1,042,993	152,119
(26) KERRY KOHNEN........................................................................ SVP PAYER & POP HEALTH STRAT 1/1-6/8	50.00 .......................0.00		X		1,015,413	71,789
(27) MEGAN MAHNCKE........................................................................ SVP AND CHIEF COMM-MKTG OFCR 10/5-12/31	50.00 .......................0.00		X		351,193	64,397
(28) DAVID PECORARO........................................................................ SVP-CHIEF INFORMATION OFCR 1/1-6/1	50.00 .......................0.00		X		832,054	22,294
(29) DAVID PRINGLE........................................................................ SVP MISSION INTEGRATION	50.00 .......................0.00		X		665,962	41,258
(30) TAMARA SAUNAITIS........................................................................ SVP-CHIEF HUMAN RESOURCES OFCR	50.00 .......................0.00		X		778,161	90,309
(31) KAREN SCREMIN........................................................................ VP FINANCE OPERATIONS	50.00 .......................0.00		X		489,314	72,624
(32) TROY SPRING........................................................................ VP REVENUE CYCLE	50.00 .......................0.00		X		377,499	75,814
(33) GERALDINE TOWNDROW........................................................................ SVP CHIEF NURSING OFFICER SYS	50.00 .......................0.00		X		671,703	27,330
(34) JAMES VALIN MD........................................................................ EXEC VICE PRESIDENT & CHIEF CLINICAL OFFICER	50.00 .......................0.00		X		1,081,299	124,793
(35) MARK WILKINSON........................................................................ VP TREASURER	50.00 .......................0.00		X		387,685	59,525
(36) CHRISTINE WOOLSEY........................................................................ SVP & CHIEF COMM-MKTG OFCR 1/1-10/5	50.00 .......................0.00		X		670,727	101,291
(37) JOHN WICKLUND........................................................................ PRESIDENT-CEO LMC	0.00 .......................50.00			X	1,654,360	44,493
(38) ROBERT TERRY MD........................................................................ PSO PHYSICIAN	50.00 .......................0.00			X	1,281,112	45,577
(39) BUUP KIM MD........................................................................ PSO PHYSICIAN CLINIC	50.00 .......................0.00			X	917,489	40,900
(40) ANASTASIOS SALIARIS MD........................................................................ PSO PHYSICIAN	50.00 .......................0.00			X	799,639	55,968
(41) WILLIAM ANDERSON MD........................................................................ MEDICAL DIRECTOR	50.00 .......................0.00			X	784,261	47,215

(A) Name and business address	(B) Description of services	(C) Compensation
AYA HEALTHCARE INC 5935 CORNERSTONE CT WEST STE 300 SAN DIEGO,CA92121	CONTRACT LABOR	6,894,251
DENTONS US LLP 233 S WACKER DRIVE STE 5900 CHICAGO,IL60606	LEGAL SERVICES	4,887,397
SAUNDERS EXPRESS LLC 6950 SOUTH JORDAN ROAD CENTENNIAL,CO80112	CONSTRUCTION SERVICES	4,196,904
CHG COMPANIES INC PO BOX 972651 DALLAS,TX75397	CONTRACT LABOR	3,589,620
G & G ORGANIZATION LTD 7670 WOODWAY STE 250 HOUSTON,TX77063	COLLECTION SERVICES	2,486,437
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 102

- 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.
right arrow

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

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 12, check only one box.)

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

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

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 agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

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. See section 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 in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................11

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

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) ST FRANCIS HEALTH CENTER INC	480547719	3		No	0	0
(B) ST JAMES HEALTHCARE	810231785	3		No	0	0
(C) SAINT JOSEPH HOSPITAL INC	840417134	3		No	0	0
(D) SCL HEALTH - FRONT RANGE INC	841103606	3		No	0	0
(E) ST MARY'S HOSPITAL AND MEDICAL CENTER INC	840425720	3		No	31,832	0
(F) ST VINCENT HEALTHCARE	810232124	3		No	3,000,157	0
(G) HOLY ROSARY HEALTHCARE	810231792	3		No	0	0
(H) CARITAS CLINICS INC	481009910	3		No	236,377	0
(I) MARIAN CLINIC INC	481046905	3		No	157,013	0
(J) MOUNT ST VINCENT HOME	840405260	10		No	549,453	0
(K) BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	840482695	3		No	0	0
Total 11					3,974,832	0

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

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
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 section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. 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—2017. If the organization did not check a 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—2018. 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 VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. 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 VI 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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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 VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

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

Section C. Computation of Public Support Percentage

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. 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—2017. 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) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Yes

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Yes

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

Yes

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Yes

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Yes

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2018 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
SCHEDULE A, PART IV, SECTION A, LINE 1	THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IS THE PARENT OF EACH OF ITS SUPPORTED ORGANIZATIONS AND CONTROLS THEM AS PART OF AN INTEGRATED HEALTH SYSTEM. EACH SUPPORTED ORGANIZATION IS CONTROLLED BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. A CLOSE AND HISTORIC ORGANIZATIONAL RELATIONSHIP ENSURES THAT SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AND ITS SUPPORTED ORGANIZATIONS SHARE A SUBSTANTIAL IDENTITY OF INTERESTS.
SCHEDULE A, PART IV, SECTION A, LINE 6	SUPPORT WAS PROVIDED TO MEDICAL AND OTHER CHARITABLE ORGANIZATIONS NOT CONSIDERED SUPPORTED ORGANIZATIONS. HOWEVER, THESE INSTITUTIONS ARE SUPPORTING MEDICAL AND OTHER ACTIVITIES BENEFITING THE COMMUNITIES SERVED BY SUPPORTED ORGANIZATIONS. AMOUNTS GRANTED ARE INSIGNIFICANT TO THE OVERALL OPERATIONS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.
SCHEDULE A, PART IV, SECTION E, LINE 3A	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS. SCLHS APPROVES MEMBERS OF THE SUPPORTED ORGANIZATIONS' BOARD OF DIRECTORS.
SCHEDULE A, PART IV, SECTION E, LINE 3B	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) HAS CERTAIN RESERVE POWERS TO APPROVE CHANGES TO THE ARTICLES OF INCORPORATION AND THE BYLAWS INCLUDING THE APPOINTMENT OR REMOVAL OF BOARD MEMBERS AND THE PRESIDENT/CEO. SCLHS ALSO HAS CERTAIN RESERVE POWERS OVER ANY CHANGE IN OWNERSHIP OF THE CORPORATION, CHANGE IN MISSION, ACQUISITION OF ASSETS, DISPOSAL OF ASSETS, LEASING OF ASSETS, INCURRENCE OF DEBT, MERGER OR DISSOLUTION, APPROVAL OF STRATEGIC PLANS AND BUDGETS, APPOINTMENT OF AUDITORS AND OVERSIGHT AND APPROVAL OF COMPENSATION AND BENEFITS FOR DIRECTORS, OFFICERS, KEY EMPLOYEES AND PHYSICIANS.

Schedule A (Form 990 or 990-EZ) 2018

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.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

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, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) 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), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions 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 an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled 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. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC

Part I	Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC		Employer identification number 23-7379161

Part II	Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM INC			Employer identification number 23-7379161
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $ Use duplicate copies of Part III if additional space is needed.

(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) (2018)

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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

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

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

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 in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

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 function 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-.
1
2
3
4
5
6

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

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2018

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 SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) Total

2a	Lobbying nontaxable amount

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

c	Total lobbying expenditures

d	Grassroots nontaxable amount

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

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2018

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)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(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? .......................

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

Other activities? ...................................................................................................................

Yes

146,044

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

146,044

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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

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

Section 162(e) nondeductible 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

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	LOBBYING EXPENSES OF $63,207 WERE DERIVED AS A PERCENTAGE OF DUES PAID TO THE AMERICAN HOSPITAL ASSOCIATION. ADDITIONAL LOBBYING EXPENSES OF $82,837 WERE DERIVED FROM FEES FOR ADVOCACY SERVICES RELATED TO COLORADO LEGISLATIVE ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2018

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," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

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

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of 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 can 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" on 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 education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 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 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, 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 section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, 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" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), 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)

Revenue included on 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 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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

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

Cat. No. 52283D

Schedule D (Form 990) 2018

Page 2

Part III

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

Using the organization’s acquisition, 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 XIII.

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" on 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


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
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, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds. Complete if the organization answered "Yes" on 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 ....	2,000,000	2,000,000	2,000,000	3,813,121	3,663,849
b	Contributions ...
c	Net investment earnings, gains, and losses				25,463	149,272
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...				1,838,584
f	Administrative expenses ....
g	End of year balance ......	2,000,000	2,000,000	2,000,000	2,000,000	3,813,121

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Temporarily restricted endowment SchDMd Bullet

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

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

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

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	49,285,932		49,285,932
b	Buildings ....	25,831,114	10,959,510	14,871,604
c	Leasehold improvements	15,989,130	10,881,775	5,107,355
d	Equipment ....	399,556,677	258,713,442	140,843,235
e	Other .....	17,433,958		17,433,958
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				227,542,084

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........
(3) Other (A) ABSOLUTE RETURN INVESTMENTS	348,489	F
(B) EXECUTIVE DB PLAN INVESTMENTS	21,422,736	F
(C) HEDGE FUNDS	102,837,749	F
(D) JOINT VENTURE - NORTHERN ROCKIES HEALTHCARE ALLIANCE, LLC	5,530	F
(E) JOINT VENTURE - DENVER WEST ENDOSCOPY CTR, LLC	732,258	F
(F) JOINT VENTURE - E + PET IMAGING X, LP	152,856	F
(G) JOINT VENTURE - LUTHERAN CAMPUS ASC, LLC	1,319,344	F
(H) JOINT VENTURE - ASC	1,800,771	F
(I) JOINT VENTURE - SCLH-GI ENDOS CTR HLDGS, LLC	354,586	F
(J) JOINT VENTURE - TOUCHSTONE IMAGING	8,175,858	F
(K) JOINT VENTURE - REHAB HOSPITAL OF MT	88,342	F
(L) OPPORTUNISTIC INVESTMENTS	50,270,302	F
(M) REAL RETURN INVESTMENTS	270,022,622	F
(N) SWEEP ACCOUNTS	8,846,013	F
(O) VHA STOCK INVESTMENT	646,857	F
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	467,024,313

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)NOTES REC - SCL HEALTH - FRONT RANGE, INC.	251,390,000	C
(2)NOTES REC - ST. JOSEPH HOSPITAL, INC.	186,637,829	C
(3)NOTES REC - ST. MARY'S HOSPITAL & MEDICAL CENTER, INC.	3,055,003	C
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	441,082,832

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
INTERCOMPANY PAYABLE	1,127,249,262
DEFERRED COMPENSATION PLAN PAYABLE	32,441,212
INTEREST RATE SWAP PAYABLE	13,638,747
BROKER PAYABLE	15,173,557
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,188,502,778
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2018

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	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 XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 XIII.) ............	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 XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART V, LINE 4:	SCLHS HAS A PERMANENT ENDOWMENT IN THE AMOUNT OF $2,000,000. THE EARNINGS FROM THE PERMANENT ENDOWMENT ARE TO BE USED FOR EDUCATIONAL PURPOSES AS DETERMINED BY SCLHS MANAGEMENT.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(e) If activity listed in (d) is a program service, describe specific type of service(s) in region	(f) Total expenditures for and investments in region
	CENTRAL AMERICA/CARIBBEAN	0	0	PROGRAM SERVICES	CAPTIVE INSURANCE PREMIUM	15,942,177
	EUROPE/CARIBBEAN	0	0	INVESTMENTS, PROGRAM-RELATED		4,502,267















3a	Sub-total .....	0	0			20,444,444
b	Total from continuation sheets to Part I ...					0
c	Totals (add lines 3a and 3b)	0	0			20,444,444

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
SCHEDULE F, PART I, LINE 3	INVESTMENTS REPORTED IN SCHEDULE F ARE ACCOUNTED FOR ON THE ACCRUAL BASIS OF ACCOUNTING. SCLHS' EXPENDITURES (PREMIUMS PAID) FOR ITS CAPTIVE INSURANCE PREMIUMS WERE $15,942,177 NET OF PREMIUM DISCOUNTS.

Schedule F (Form 990) 2018

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" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

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

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

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

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 50000.0000000000 %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did 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.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	701,291	0	701,291	0.110 %
b	Medicaid (from Worksheet 3, column a) . . . . .	24,409,419	9,588,956	14,820,463	2.250 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	25,110,710	9,588,956	15,521,754	2.360 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .	17,383	0	17,383	0 %
g	Subsidized health services (from Worksheet 6) . . . .	4,750,514	2,666,168	2,084,346	0.320 %
h	Research (from Worksheet 7) .	2,637,609	2,522,671	114,938	0.020 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .
j	Total. Other Benefits . .	7,405,506	5,188,839	2,216,667	0.340 %
k	Total. Add lines 7d and 7j .	32,516,216	14,777,795	17,738,421	2.700 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

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

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

4,084,805

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

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

17,404,118

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

41,106,435

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

-23,702,317

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

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 DENVER WEST ENDOSCOPY CENTER LLC	OUTPATIENT ENDOSCOPY SERVICES	51.000 %	0 %	49.000 %
22 LUTHERAN CAMPUS ASC LLC	OUTPATIENT SURGERY	54.890 %	0 %	45.110 %
33 SCLH-GI ENDOSCOPY CENTER HOLDINGS LLC	ENDOSCOPY SERVICES	51.000 %	0 %	49.000 %
44 NORTHGLENN ENDOSCOPY CENTER LLC	ENDOSCOPY SERVICES	51.000 %	0 %	49.000 %
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?3Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	SCL HEALTH WESTMINSTER LLC 6500 WEST 104TH AVENUE SUITE 100 WESTMINSTER,CO80020 WWW.SCLHEALTHCOMMUNITY.ORG/LOCATIONS/ 01A413	X	X	X
2	SCL HEALTH SOUTHWEST LLC 8515 W COAL MINE AVENUE LITTLETON,CO80123 WWW.SCLHEALTHCOMMUNITY.ORG/LOCATIONS/ 01U326	X	X	X
3	SCL HEALTH NORTHGLENN LLC 11900 GRANT ST NORTHGLENN,CO80233 WWW.SCLHEALTHCOMMUNITY.ORG/LOCATIONS/ 01J620	X	X	X

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	SCL HEALTH WESTMINSTER LLC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 17

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url): SEE PART V, SECTION C

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SCL HEALTH WESTMINSTER LLC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	SCL HEALTH WESTMINSTER LLC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SCL HEALTH WESTMINSTER LLC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	SCL HEALTH SOUTHWEST LLC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url): SEE PART V, SECTION C

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SCL HEALTH SOUTHWEST LLC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	SCL HEALTH SOUTHWEST LLC
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SCL HEALTH SOUTHWEST LLC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

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

	SCL HEALTH NORTHGLENN LLC
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Yes

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url):

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Indicate the tax year the hospital facility last adopted an implementation strategy: 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

If "Yes" (list url):

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SCL HEALTH NORTHGLENN LLC
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 500.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V, SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V, SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V, SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	SCL HEALTH NORTHGLENN LLC
Name of hospital facility or letter of facility reporting group

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	SCL HEALTH NORTHGLENN LLC
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a prospective Medicare or Medicaid method

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
SCL HEALTH NORTHGLENN, LLC	PART V, SECTION B, LINE 2: SCL HEALTH NORTHGLENN, LLC WAS PLACED INTO SERVICE IN JANUARY 2017.
SCL HEALTH WESTMINSTER, LLC	PART V, SECTION B, LINE 5: THE WESTMINSTER COMMUNITY HOSPITAL CHNA WAS CONDUCTED DURING 2017 BEGINNING IN FEBRUARY WITH THE COLLECTION AND ANALYSIS OF QUANTITATIVE DATA REPRESENTING THE FOLLOWING CATEGORIES - DEMOGRAPHIC INFORMATION, CHRONIC DISEASE, BEHAVIOR AND ENVIRONMENTAL HEALTH DRIVERS AND OUTCOME INDICATORS, AS WELL AS COVERAGE, QUALITY, AND ACCESS DATA. THESE INDICATORS WERE SELECTED BECAUSE THEY MOST ACCURATELY DESCRIBE THE COMMUNITY IN TERMS OF ITS DISPARITIES, POPULATION, AND DISTINCT HEALTH NEEDS. A BROAD GROUP OF SOURCES WERE REVIEWED TO ENSURE POPULATION REPRESENTATION. THESE INCLUDED THE MOST RECENT US CENSUS, COUNTY HEALTH RANKINGS, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE CDC, THE NATIONAL VITAL STATISTICS SYSTEM AND THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. IN THE QUALITATIVE ASSESSMENT PROCESS WE SELECTED TO ENGAGE COMMUNITY VOICE THROUGH A COMBINATION OF INDIVIDUAL INTERVIEWS WITH KEY STAKEHOLDERS, COMMUNITY BASED ORGANIZATIONS AND COMMUNITY REPRESENTATIVES REPRESENTING THE MEDICALLY UNDERSERVED, AS WELL AS INTERNAL DEPARTMENTS TO THE SCL HEALTH SYSTEM. A COMMUNITY SURVEY INTERVIEW WAS CONDUCTED OVER A 6 WEEK PERIOD BEGINNING IN SEPTEMBER IN WHICH KEY INFORMANTS COULD SHARE INPUT ON HEALTH DISPARITIES, SERVICE GAPS, AND CURRENT COMMUNITY HEALTH IMPROVEMENT EFFORTS. KEY INFORMANT ORGANIZATIONS PARTICIPATING WITH WESTMINSTER COMMUNITY HOSPITAL INCLUDED: BROOMFIELD PUBLIC HEALTH AND ENVIRONMENT, JEFFERSON COUNTY PUBLIC HEALTH, CLINICA FAMILY SERVICES, GOOD SAMARITAN MEDICAL CENTER, ADAMS 12 PUBLIC SCHOOLS, MENTAL HEALTH PARTNERS, COMMUNITY REACH, KAISER PERMANENTE, MEALS ON WHEELS, GROWING HOME FOOD BANK, AND CATHOLIC CHARITIES. INFORMATION GATHERED FROM STAKEHOLDER INTERVIEWS WAS COMBINED AND CATEGORIZED BASED ON PREVALENCE. PARTNERS ACTIVELY PARTICIPATED IN THE QUALITATIVE FEEDBACK PROCESS AND WERE ENGAGED AS A GROUP IN THE ASSESSMENT PRIORITIZATION STEPS TO DETERMINE FINAL RANKING OF SELECTED CHNA PRIORITIES.
SCL HEALTH SOUTHWEST, LLC	PART V, SECTION B, LINE 5: THE SOUTHWEST COMMUNITY HOSPITAL CHNA WAS CONDUCTED DURING 2017 BEGINNING WITH THE COLLECTION AND ANALYSIS OF QUANTITATIVE DATA REPRESENTING THE FOLLOWING CATEGORIES - DEMOGRAPHIC INFORMATION, CHRONIC DISEASE, BEHAVIOR AND ENVIRONMENTAL HEALTH DRIVERS AND OUTCOME INDICATORS, AS WELL AS COVERAGE, QUALITY, AND ACCESS DATA. THESE INDICATORS WERE SELECTED BECAUSE THEY MOST ACCURATELY DESCRIBE THE COMMUNITY IN TERMS OF ITS DISPARITIES, POPULATION, AND DISTINCT HEALTH NEEDS. A BROAD GROUP OF SOURCES WERE REVIEWED TO ENSURE POPULATION REPRESENTATION. THESE INCLUDED THE MOST RECENT US CENSUS, COUNTY HEALTH RANKINGS, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE CDC, THE NATIONAL VITAL STATISTICS SYSTEM AND THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT. IN THE QUALITATIVE ASSESSMENT PROCESS WE SELECTED TO ENGAGE THE COMMUNITY VOICE THROUGH A COMBINATION OF INDIVIDUAL INTERVIEWS WITH KEY STAKEHOLDERS, COMMUNITY BASED ORGANIZATIONS AND COMMUNITY REPRESENTATIVES REPRESENTING THE MEDICALLY UNDERSERVED, AS WELL AS INTERNAL DEPARTMENTS TO THE SCL HEALTH SYSTEM. A COMMUNITY SURVEY INTERVIEW WAS CONDUCTED OVER A 6 WEEK PERIOD IN WHICH KEY INFORMANTS COULD SHARE INPUT ON HEALTH DISPARITIES, SERVICE GAPS, AND CURRENT COMMUNITY HEALTH IMPROVEMENT EFFORTS. KEY INFORMANT ORGANIZATIONS PARTICIPATING WITH SOUTHWEST COMMUNITY HOSPITAL INCLUDED: JEFFERSON MENTAL HEALTH, JEFFERSON COUNTY PUBLIC HEALTH, LUTHERAN MEDICAL CENTER, JEFFERSON COUNTY PUBLIC SCHOOLS, SENIOR RESOURCE CENTER, METRO COMMUNITY PROVIDER NETWORK, JEFFERSON HEALTH ALLIANCE AND CATHOLIC CHARITIES. INFORMATION GATHERED FROM STAKEHOLDER INTERVIEWS WAS COMBINED AND CATEGORIZED BASED ON PREVALENCE. PARTNERS ACTIVELY PARTICIPATED IN THE QUALITATIVE FEEDBACK PROCESS AND WERE ENGAGED AS A GROUP IN THE ASSESSMENT PRIORITIZATION STEPS TO DETERMINE FINAL RANKING OF SELECTED CHNA PRIORITIES - ACCESS TO HEALTHCARE, MENTAL HEALTH/SUICIDE PREVENTION, AND CHRONIC DISEASE MANAGEMENT.
SCL HEALTH WESTMINSTER, LLC	PART V, SECTION B, LINE 6A: GOOD SAMARITAN MEDICAL CENTER
SCL HEALTH SOUTHWEST, LLC	PART V, SECTION B, LINE 6A: LUTHERAN MEDICAL CENTER
SCL HEALTH WESTMINSTER, LLC	PART V, SECTION B, LINE 6B: ORGANIZATIONS THAT PARTICIPATED WITH WESTMINSTER COMMUNITY HOSPITAL INCLUDED: BROOMFIELD PUBLIC HEALTH AND ENVIRONMENT, JEFFERSON COUNTY PUBLIC HEALTH, CLINICA FAMILY SERVICES, GOOD SAMARITAN MEDICAL CENTER, ADAMS 12 PUBLIC SCHOOLS, MENTAL HEALTH PARTNERS, COMMUNITY REACH, KAISER PERMANENTE, MEALS ON WHEELS, GROWING HOME FOOD BANK, AND CATHOLIC CHARITIES.SCL HEALTH WESTMINSTER, LLC:PART V, SECTION B, LINE 7A, 7B HOSPITAL WEBSITE & OTHER WEBSITE:THE HOSPITAL CLOSED IN MARCH OF 2018 AND THE WEBSITES WERE REMOVED.SCL HEALTH WESTMINSTER, LLC:PART V, SECTION B, LINE 10, IMPLEMENTATION STRATEGY:THE HOSPITAL CLOSED IN MARCH OF 2018, THEREFORE NO IMPLEMENTATION STRATEGY WAS PREPARED OR REQUIRED.
SCL HEALTH SOUTHWEST, LLC	PART V, SECTION B, LINE 6B: ORGANIZATIONS THAT PARTICIPATED WITH SOUTHWEST COMMUNITY HOSPITAL INCLUDED: JEFFERSON MENTAL HEALTH, JEFFERSON COUNTY PUBLIC HEALTH, LUTHERAN MEDICAL CENTER, JEFFERSON COUNTY PUBLIC SCHOOLS, SENIOR RESOURCE CENTER, METRO COMMUNITY PROVIDER NETWORK, JEFFERSON HEALTH ALLIANCE AND CATHOLIC CHARITIES.SCL HEALTH SOUTHWEST, LLC:PART V, SECTION B, LINE 7A, 7B HOSPITAL WEBSITE & OTHER WEBSITE:THE HOSPITAL CLOSED IN OCTOBER OF 2018 AND THE WEBSITES WERE REMOVED.
SCL HEALTH WESTMINSTER, LLC	PART V, SECTION B, LINE 11: THE 2017 COMMUNITY HEALTH NEEDS ASSESSMENT FOR WESTMINSTER COMMUNITY HOSPITAL REPRESENTS A SYSTEMATIC APPROACH TO IDENTIFY TOP HEALTHCARE PRIORITIES FOR 2018-2020 THAT WILL GUIDE EFFORTS TO IMPROVE COMMUNITY HEALTH AND WELLNESS FOR THE WESTMINSTER SERVICE AREA THAT INCLUDES JEFFERSON, ADAMS AND BROOMFIELD COUNTIES. THE CHNA IS A RIGOROUS PROCESS TO COLLECT HEALTH DATA AND INPUT FROM THE GENERAL COMMUNITY, KEY INFORMANTS, AND SECONDARY DATA ANALYSIS TO IDENTIFY THE LEADING HEALTH ISSUES. DATA INDICATORS WILL ASSIST IN DIRECTING RESOURCES TOWARD LEADING COMMUNITY HEALTH PRIORITIES WHICH ARE THEN FORMALIZED IN A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). CHNA METHODOLOGY AND PROCESS TO DEFINE OUR COMMUNITY FOR THE CHNA AND TO ANALYZE DEMOGRAPHIC AND HEALTH INDICATOR DATA, WE USED THE STARK LAW SERVICE AREAS, DEFINED AS THE LOWEST NUMBER OF CONTIGUOUS ZIP CODES THAT ACCOUNT FOR 75% OF A HOSPITAL'S INPATIENT ADMISSIONS. WE USED THE MAIN COUNTIES WITHIN THE STARK-LAW SERVICE AREA TO ANALYZE OUR HEALTH DRIVER AND HEALTH OUTCOME DATA, AS HEALTH OUTCOME DATA WAS GENERALLY NOT AVAILABLE AT THE ZIP CODE LEVEL. QUALITATIVE AND QUANTITATIVE DATA COLLECTION: FOR THE QUANTITATIVE DATA ANALYSIS, WE RELIED ON A NUMBER OF INDICATORS TO COMPILE THE BROADEST REPRESENTATION OF AVAILABLE COMMUNITY HEALTH DATA. THESE INCLUDED THE MOST RECENT COMPLETED SURVEY RESULTS FROM THE US CENSUS, THE COUNTY HEALTH RANKINGS, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE CDC, THE NATIONAL VITAL STATISTICS SYSTEM, AND THE COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT, AMONG OTHERS. SPECIFIC HEALTH INDICATOR DATA WERE SELECTED, INCLUDING COMMUNITY DEMOGRAPHIC INFORMATION, BEHAVIOR AND ENVIRONMENTAL HEALTH DRIVERS AND OUTCOMES INDICATORS, AS WELL AS COVERAGE, QUALITY, AND ACCESS DATA. THESE INDICATORS WERE SELECTED BECAUSE THEY MOST ACCURATELY DESCRIBE THE COMMUNITY IN TERMS OF ITS DEMOGRAPHICS, DISPARITIES, POPULATION, AND DISTINCT HEALTH NEEDS. IN THE QUALITATIVE ASSESSMENT PROCESS WE SELECTED TO ENGAGE COMMUNITY VOICE THROUGH A COMBINATION OF INDIVIDUAL INTERVIEWS WITH KEY STAKEHOLDERS, COMMUNITY BASED ORGANIZATIONS AND COMMUNITY REPRESENTATIVES. AS EACH OF THE SCL HEALTH COMMUNITY HOSPITALS HAVE SERVICE AREA INTERSECTIONS WITH OUR ACUTE CARE FACILITIES, WE WERE EXTREMELY COGNIZANT OF COMMUNITY OVER SAMPLING AND SURVEY FATIGUE FROM THE RECENT CHNA PROCESS AT OUR LARGER FACILITIES. FOR THE WESTMINSTER COMMUNITY HOSPITAL, THE NEAREST ACUTE FACILITY IS GOOD SAMARITAN MEDICAL CENTER LOCATED IN LAFAYETTE, COLORADO. THEREFORE THIS METHOD OF INDIVIDUAL SURVEY WAS MORE EFFECTIVE IN HEARING INPUT ON UNMET NEEDS, HEALTHCARE SERVICE GAPS, AND BARRIERS TO HEALTH IMPROVEMENT, AS WELL AS IDENTIFYING AREAS THAT COULD BE IMPACTED SPECIFICALLY BY HEALTHCARE'S PARTICIPATION. FOLLOWING A REVIEW OF THE QUANTITATIVE HEALTH DATA RESULTS WITH KEY COMMUNITY INFORMANTS, SURVEYED PARTICIPANTS RANKED THE FOLLOWING 10 HEALTH PRIORITIES AS SIGNIFICANT: 1. ACCESS TO HEALTH CARE 2. MENTAL HEALTH 3. SUBSTANCE ABUSE INCLUDING SMOKING 4. UNINTENTIONAL INJURY (MOTOR VEHICLE) 5. HEART DISEASE 6. MATERNAL, FETAL AND INFANT HEALTH 7. EXERCISE, NUTRITION AND WEIGHT 8. OLDER ADULTS AND AGING 9. RESPIRATORY DISEASES 10. DIABETES A SUBCOMMITTEE REPRESENTING HOSPITAL STAFF AND COMMUNITY STAKEHOLDERS INCLUDING REPRESENTATIVES FROM LOCAL PUBLIC HEALTH DEPARTMENTS PRIORITIZED THE TOP THREE HEALTH NEEDS USING A VOTING SYSTEM WHICH INCORPORATED EVALUATION CRITERIA - SCOPE AND SEVERITY OF THE HEALTH ISSUE, EXISTING COMMUNITY EFFORTS AND CAPACITY OF THE HOSPITAL TO IMPACT. THE HEALTH AREAS RECEIVING THE HIGHEST SCORE RANKING WERE SELECTED FOR WESTMINSTER COMMUNITY HOSPITAL CHNA PRIORITIES: A. ACCESS TO HEALTH CARE B. SUBSTANCE ABUSE INCLUDING SMOKING C. EXERCISE, NUTRITION AND WEIGHT SOME EARLY COMMUNITY HEALTH IMPROVEMENT EFFORTS IN ADVANCE OF THE CHIP APPROVAL INCLUDE:ACCESS TO HEALTH CAREEXPANDED ACCESS TO HEALTH SERVICES BY LEVERAGING TECHNOLOGY: WESTMINSTER COMMUNITY HOSPITAL AND GOOD SAMARITAN MEDICAL CENTER (GSMC) PROMOTE "DOCTOR ON DEMAND" FOR PATIENTS AND VISITORS TO ACCESS HEALTH CARE VIA THEIR ONLINE PLATFORM. PAMPHLETS ARE READILY AVAILABLE IN EMERGENCY DEPARTMENTS AND THROUGH COMMUNITY PARTNERS. A VIRTUAL HEALTH LIBRARY IS AVAILABLE ON THE SCL HEALTH WEBSITES WHICH PROVIDE ONLINE ACCESS TO TRUSTED HEALTH INFORMATION AND RESOURCES.EXPANDED ACCESS TO HEALTH SERVICES THROUGH COMMUNITY AWARENESS: WESTMINSTER COMMUNITY HOSPITAL SUPPORTS PROGRAM OFFERINGS AT GSMC FOR THE FOLLOWING PROGRAMS TO INCREASE COMMUNITY AWARENESS OF RESOURCES AND HEALTH INFORMATION: TRAUMA SERVICES THROUGH EDUCATION, INJURY PREVENTION AND OUTREACH TO THE COMMUNITY; HEART HEALTH EDUCATION AND CHEST PAIN; STROKE PROGRAMS AND SERVICES; BIRTHING AND FAMILY EDUCATION.PROVIDED 18 MENTAL HEALTH FIRST AID (MHFA) TRAININGS TO THE COMMUNITY IN 2017. 301 INDIVIDUALS WERE TRAINED THROUGH THIS PROGRAM IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS MENTAL HEALTH PARTNERS, COMMUNITY REACH CENTER AND JEFFERSON CENTER FOR MENTAL HEALTH. MENTAL HEALTH FIRST AID (MHFA) IS A POPULATION HEALTH, EVIDENCE BASED TRAINING THAT FOCUSES "UPSTREAM" TO TEACH MEMBERS OF THE PUBLIC HOW TO RESPOND IN A MENTAL HEALTH EMERGENCY, HOW TO OFFER SUPPORT TO SOMEONE WHO APPEARS TO BE IN EMOTIONAL DISTRESS AND HOW TO RECOGNIZE SIGNS AND SYMPTOMS OF A VARIETY OF DIAGNOSABLE MENTAL DISORDERS SUCH AS DEPRESSION, ANXIETY, SUBSTANCE USE, TRAUMA, PSYCHOSIS, AND DELIBERATE SELF-INJURY. MENTAL HEALTH FIRST AID TRAINING IS A GROUNDBREAKING PROGRAM OF THE NATIONAL COUNCIL FOR BEHAVIORAL HEALTH. MORE THAN 1 MILLION PEOPLE ACROSS THE UNITED STATES HAVE BEEN TRAINED IN THE PROGRAM THUS FAR. IT IS AN IMPORTANT COMMUNITY INITIATIVE TO INCREASE MENTAL HEALTH AWARENESS AND STIGMA REDUCTION.SUBSTANCE ABUSE INCLUDING SMOKINGPLANNED ACTIVITIES THAT WILL BE EXPLORED WITHIN THE CHIP DEVELOPMENT INCLUDE SCREENING, EDUCATION AND REFERRAL TO APPROPRIATE COMMUNITY BASED RESOURCES. DEVELOPMENT OF AN ALCOHOL ANONYMOUS SUPPORT GROUP AND PRESCRIPTION DRUG TAKE-BACK EVENTS.EXERCISE, NUTRITION AND WEIGHTWESTMINSTER COMMUNITY HOSPTIAL WILL COLLABORATE WITH GSMC, BROOMFIELD PUBLIC HEALTH, AND VARIOUS FAMILY MEDICINE PRACTICES TO OFFER THE 'FITKIDS 360' PROGRAM TO THE COMMUNITY IN ITS SERVICE AREA. FITKIDS 360 IS A HEALTHY LIFESTYLE PROGRAM INTERVENTION FOR KIDS AND THEIR FAMILIES. THE PROGRAM GOAL EMPHASIZES OBESITY PREVENTION USING NUTRITION, PHYSICAL ACTIVITY AND SOCIAL/BEHAVIORAL TOOLS TAUGHT OVER 7 WEEKS IN COMMUNITY SETTINGS. HEALTH PRIORITIES NOT ADDRESSEDTHE REMAINDER OF NEEDS IDENTIFIED IN THE CHNA ARE IMPORTANT, BUT DUE TO LIMITED RESOURCES AT THE HOSPITAL LEVEL, AND THE AVAILABILITY OF COMMUNITY ORGANIZATIONS WHO ARE ALREADY ADDRESSING THESE NEEDS, WESTMINSTER COMMUNITY HOSPITAL WILL FOCUS PRIMARILY ON ITS SELECTED PRIORITIES. WE WILL CONTINUE TO COLLABORATE WITH COMMUNITY ORGANIZATIONS TO ENSURE OTHER NEEDS AND HEALTH INDICATORS ARE SUPPORTED. SOME OF THE ORGANIZATIONS ACTIVELY ADDRESSING OTHER HEALTH PRIORITIES INCLUDE: BOULDER COUNTY PUBLIC HEALTH, BROOMFIELD PUBLIC HEALTH DEPARTMENT, CATHOLIC CHARITIES, UNITED WAY, AMERICAN CANCER SOCIETY, MENTAL HEALTH PARTNERS, WOMEN'S HEALTH, AND OTHERS.SCL HEALTH WESTMINSTER, LLC:PART V, SECTION B, LINE 16A, 16B, 16C:THE HOSPITAL CLOSED IN MARCH OF 2018 AND THE WEBSITE WAS REMOVED.
SCL HEALTH SOUTHWEST, LLC	PART V, SECTION B, LINE 11: SOUTHWEST COMMUNITY HOSPITAL WAS CLOSED ON OCTOBER 1, 2018 IN ADVANCE OF DEVELOPING AN IMPLEMENTATION STRATEGY.SCL HEALTH SOUTHWEST, LLC:PART V, SECTION B, LINE 16A, 16B, 16C:THE HOSPITAL CLOSED IN OCTOBER OF 2018 AND THE WEBSITE WAS REMOVED.SCL HEALTH NORTHGLENN, LLC:PART V, SECTION B, LINE 16A, 16B, 16C:THE HOSPITAL CLOSED IN OCTOBER OF 2018 AND THE WEBSITE WAS REMOVED.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?94
Name and address		Type of Facility (describe)
1	1 - CANCER CENTERS OF COLORADO LLC 500 ELDORADO BLVD STE 4300 BROOMFIELD,CO80021	CANCER CENTER
2	2 - LUTHERAN CAMPUS ASC LLC 3455 LUTHERAN PKWY STE 150 WHEATRIDGE,CO80033	OUTPATIENT SURGERY
3	3 - SCL HEALTH AURORA LLC 23770 E SMOKY HILL ROAD AURORA,CO80016	MEDICAL SERVICES
4	4 - DENVER WEST ENDOSCOPY CENTER LLC 382 S ARTHUR AVENUE LOUISVILLE,CO80027	OUTPATIENT ENDOSCOPY SERVICES
5	5 - NORTHGLENN ENDOSCOPY CENTER LLC 11900 GRANT STREET NORTHGLENN,CO80233	OUTPATIENT ENDOSCOPY SERVICES
6	6 - TOUCHSTONE MEDICAL IMAGING - AURORA 3055 SOUTH PARKER RD BLDG A STE 103 AURORA,CO80014	RADIOLOGY SERVICES
7	7 - TOUCHSTONE MEDICAL IMAGING - CASTLE ROCK 3911 AMBROSIA ST CASTLE ROCK,CO80109	RADIOLOGY SERVICES
8	8 - TOUCHSTONE MEDICAL IMAGING - DRY CREEK 125 INVERNESS DR EAST STE 140 ENGLEWOOD,CO80112	RADIOLOGY SERVICES
9	9 - TOUCHSTONE MEDICAL IMAGING - HIGHLINE 26 WEST DRY CREEK CIR STE 160 LITTLETON,CO80120	RADIOLOGY SERVICES
10	10 - TOUCHSTONE MEDICAL IMAGING - LAFAYETTE 390 EMPIRE ROAD STE 102 LAFAYETTE,CO80026	RADIOLOGY SERVICES
11	11 - TOUCHSTONE MEDICAL IMAGING - LAKEWOOD 14062 DENVER WEST PKWY BLDG 52 STE 180 LAKEWOOD,CO80401	RADIOLOGY SERVICES
12	12 - TOUCHSTONE MEDICAL IMAGING - SUPERIOR 3 SUPERIOR WAY SUITE 150 SUPERIOR,CO80027	RADIOLOGY SERVICES
13	13 - TOUCHSTONE MEDICAL IMAGING - THORNTON 12021 PENNSYLVANIA ST STE 106 THORNTON,CO80241	RADIOLOGY SERVICES
14	14 - TOUCHSTONE MEDICAL IMAGING - UPTOWN 1007 E COLFAX AVE DENVER,CO80218	RADIOLOGY SERVICES
15	15 - TOUCHSTONE MEDICAL IMAGING - WHEAT RIDGE 7615 WEST 38TH AVENUE STE B115 WHEAT RIDGE,CO80033	RADIOLOGY SERVICES
16	16 - TOUCHSTONE MEDICAL IMAGING - BILLINGS 1739 SPRING CREEK LANE BILLINGS,MT59106	RADIOLOGY SERVICES
17	17 - SCL FRONT RANGE HOME HEALTH LLC 3980 QUEBEC STREET SUITE 100 DENVER,CO80207	HOME HEALTH
18	18 - SJ EAST CAMPUS ASC LLC 500 ELDORADO BLVD STE 4300 BROOMFIELD,CO80021	SURGERY CENTER
19	19 - SVP INTERNAL MEDICINE 2900 12TH AVE N STE 310W BILLINGS,MT591017588	OUTPATIENT PHYSICIAN CLINIC
20	20 - ST VINCENT HEALTHCARE - MONTANA HEART 2900 12TH AVE N STE 204E BILLINGS,MT59101	OUTPATIENT PHYSICIAN CLINIC
21	21 - ST JAMES ROCKY MOUNTAIN CLINIC 435 S CRYSTAL ST STE 300 BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
22	22 - SVHC HEART AND VASCULAR CENTER 2900 12TH AVE N STE 400E BILLINGS,MT591017504	OUTPATIENT PHYSICIAN CLINIC
23	23 - SVP BROADWATER FAMILY MEDICINE 2019 BROADWATER AVE BILLINGS,MT591024810	OUTPATIENT PHYSICIAN CLINIC
24	24 - SVP LAUREL FAMILY MEDICINE 1035 1ST AVE LAUREL,MT590442119	OUTPATIENT PHYSICIAN CLINIC
25	25 - SVP HEIGHTS FAMILY MEDICINE 32 WICKS LN BILLINGS,MT591053810	OUTPATIENT PHYSICIAN CLINIC
26	26 - ST JAMES EMERGENCY PHYSICIANS 400 S CLARK ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
27	27 - ST VINCENT HEALTHCARE-GASTROENTEROLOGY 1144 N BROADWAY STE C BILLINGS,MT591010110	OUTPATIENT PHYSICIAN CLINIC
28	28 - SVP NORTH SHILOH FAMILY MEDICINE 2223 MISSION WAY BILLINGS,MT591020160	OUTPATIENT PHYSICIAN CLINIC
29	29 - SVP WEST GRAND FAMILY MEDICINE 2750 GRAND AVE BILLINGS,MT591022629	OUTPATIENT PHYSICIAN CLINIC
30	30 - ST VINCENT HEALTHCARE BROADWATER WALK IN 2019 BROADWATER AVE BILLINGS,MT591024810	OUTPATIENT PHYSICIAN CLINIC
31	31 - SVP WALK-IN CLINIC NORTH 27TH 1027 N 27TH STREET BILLINGS,MT591010701	OUTPATIENT PHYSICIAN CLINIC
32	32 - ST VINCENT PHYSICIANS MIDWIFERY & WOMEN 2900 12TH AVE N STE 245W BILLINGS,MT591017506	OUTPATIENT PHYSICIAN CLINIC
33	33 - SVP PAIN CENTER 2900 12TH AVE N STE 335W BILLINGS,MT591017506	OUTPATIENT PHYSICIAN CLINIC
34	34 - ST VINCENT SLEEP AND RESPIRATORY CENTER 2900 12TH AVE N STE 500 E BILLINGS,MT591010127	OUTPATIENT PHYSICIAN CLINIC
35	35 - ST VINCENT DERMATOLOGY 2900 12TH AVE N STE 265W BILLINGS,MT591017513	OUTPATIENT PHYSICIAN CLINIC
36	36 - SVP INTERNAL MEDICINE AND DIABETES 2900 12TH AVE N STE 160W BILLINGS,MT591017588	OUTPATIENT PHYSICIAN CLINIC
37	37 - ST VINCENT NEPHROLOGY 2900 12TH AVE STE 160W BILLINGS,MT591017508	OUTPATIENT PHYSICIAN CLINIC
38	38 - SVP HARDIN FAMILY MEDICINE 16 N MILES STE 101 HARDIN,MT590342356	OUTPATIENT PHYSICIAN CLINIC
39	39 - SVP MOUNTAINVIEW CLINIC 10 ROBINSON LN PO BOX 70 RED LODGE,MT590680070	OUTPATIENT PHYSICIAN CLINIC
40	40 - ST VINCENT LONG TERM CAREGERIATRICS 2223 MISSION WAY BILLINGS,MT59102	OUTPATIENT PHYSICIAN CLINIC
41	41 - ST JAMES MEDICAL GROUP - UROLOGY 305 W PORPHYRY STE 100 BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
42	42 - ST JAMES MEDICAL GROUP LAB 435 S CRYSTAL ST STE 210 BUTTE,MT597011506	OUTPATIENT PHYSICIAN CLINIC
43	43 - ST VINCENT PHYSIATRY 2900 12TH AVE N STE 500E BILLINGS,MT591010136	OUTPATIENT PHYSICIAN CLINIC
44	44 - ST JAMES NEUROLOGY 435 S CRYSTAL ST STE 300 BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
45	45 - ST JAMES OBSTETRICS AND GYNECOLOGY 305 W PORPHYRY STE 200 BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
46	46 - SLOAN'S LAKE HEMONC 1601 LOWELL BLVD STE 150 DENVER,CO802041545	OUTPATIENT PHYSICIAN CLINIC
47	47 - ST VINCENT MATERNAL FETAL MEDICINE 2900 12TH AVE N STE 130W BILLINGS,MT591017504	OUTPATIENT PHYSICIAN CLINIC
48	48 - ST JAMES MEDICAL GROUP - HEART CENTER 435 S CRYSTAL ST STE 220 BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
49	49 - ST VINCENT HEALTHCARE BEHAVIORAL HEALTH 2900 12TH AVE N STE 280W BILLINGS,MT591017516	OUTPATIENT PHYSICIAN CLINIC
50	50 - SVHC CODY CLINIC 720 LINDSAY LN STE A CODY,WY824144103	OUTPATIENT PHYSICIAN CLINIC
51	51 - SVP WEIGHT MANAGEMENT 2900 12TH AVE N STE 160W BILLINGS,MT591017588	OUTPATIENT PHYSICIAN CLINIC
52	52 - ST JAMES CANCER CENTER 400 S CLARK ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
53	53 - ST VINCENT HEALTHCARE - OCCUPATIONAL ME 2019 BROADWATER AVE BILLINGS,MT591024810	OUTPATIENT PHYSICIAN CLINIC
54	54 - ST VINCENT HEALTHCARE FORTIN PED GI 1232 N 30TH STE 200 BILLINGS,MT591010128	OUTPATIENT PHYSICIAN CLINIC
55	55 - ST VINCENT HEALTHCARE FORTIN PED CARDIOL 1232 N 30TH STE 300 BILLINGS,MT59101	OUTPATIENT PHYSICIAN CLINIC
56	56 - ST VINCENT HEALTHCARE FORTIN PED SPECIAL 1232 N 30TH STE 200 BILLINGS,MT591010128	OUTPATIENT PHYSICIAN CLINIC
57	57 - ST JAMES THERAPY- WHITEHALL 309 EAST LEGION WHITEHALL,MT59759	OUTPATIENT PHYSICIAN CLINIC
58	58 - SVP ABSAROKEE FAMILY MEDICINE 55 N MONTANA PO BOX 425 ABSAROKEE,MT590010425	OUTPATIENT PHYSICIAN CLINIC
59	59 - NEURO MILES CITY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
60	60 - ST JAMES CARDIAC INTERPRETATIONS 400 S CLARK ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
61	61 - ST JAMES MEDICAL GROUP - SURGICAL ASSOC 400 W PORPHYRY ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
62	62 - ST JAMES THERAPY- BOULDER 214 S MAIN BOULDER,MT59632	OUTPATIENT PHYSICIAN CLINIC
63	63 - NEURO FRANCES MAHON GLASGOW 621 3RD ST S GLASGOW,MT59230	OUTPATIENT PHYSICIAN CLINIC
64	64 - ST JAMES MEDICAL GROUP CARDIOVASCULAR AN 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
65	65 - ST JAMES BEHAVIORAL HEALTH 400 S CLARK ST BUTTE,MT597012328	OUTPATIENT PHYSICIAN CLINIC
66	66 - NEURO BOZEMAN 650 FERGUSON STE 1 BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
67	67 - ST VINCENT HEALTHCARE NEPHROLOGY CODY 720 LINDSAY LN STE A CODY,WY824144103	OUTPATIENT PHYSICIAN CLINIC
68	68 - NEUROSURGERY MILES CITY 2600 WILSON MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
69	69 - NEURO SIDNEY 216 14TH AVE SW SIDNEY,MT59270	OUTPATIENT PHYSICIAN CLINIC
70	70 - ST VINCENT HEALTHCARE NEPHROLOGY MILES C 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
71	71 - NEUROSURGERY SIDNEY 216 14TH AVE SW SIDNEY,MT59270	OUTPATIENT PHYSICIAN CLINIC
72	72 - ST VINCENT MATERNAL FETAL MEDICINE GREAT 1700 11TH ST W WILLISTON,ND58801	OUTPATIENT PHYSICIAN CLINIC
73	73 - PEDIATRIC GI BOZEMAN 650 SOUTH FERGUSON STE 1 BOZEMAN,MT59718	OUTPATIENT PHYSICIAN CLINIC
74	74 - ST VINCENT MATERNAL FETAL MEDICINE SHERI SHERIDAN MEMORIAL HOSPITAL WOMENS CLINI SHERIDAN,WY82801	OUTPATIENT PHYSICIAN CLINIC
75	75 - NEURO LEWISTOWN 310 WENDELL STE 5 LEWISTOWN,MT59457	OUTPATIENT PHYSICIAN CLINIC
76	76 - PEDIATRIC CARDIOLOGY CODY 720 LINDSAY LANE STE A CODY,WY82414	OUTPATIENT PHYSICIAN CLINIC
77	77 - PEDIATRIC CARDIOLOGY MILES CITY 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
78	78 - ST VINCENT HEALTHCARE NEPHROLOGY LEWISTO 310 WENDELL AVE STE 5 LEWISTOWN,MT59457	OUTPATIENT PHYSICIAN CLINIC
79	79 - WESTERN MONTANA MENTAL HEALTH 106 W BROADWAY ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
80	80 - PEDIATRIC CARDIOLOGY BUTTE 435 S CRYSTAL ST STE 300 BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
81	81 - CODY HEART AND VASCULAR 720 LINDSAY LANE STE A CODY,WY824144103	OUTPATIENT PHYSICIAN CLINIC
82	82 - PEDIATRIC CARDIOLOGY BOZEMAN 650 S FERGUSON ST STE 1 BOZEMAN,MT59718	OUTPATIENT PHYSICIAN CLINIC
83	83 - NEUROSURGERY CODY 720 LINDSAY LN CODY,WY82414	OUTPATIENT PHYSICIAN CLINIC
84	84 - ST VINCENT MATERNAL FETAL MEDICINE BUTTE ST JAMES HEALTHCARE 400 S CLARK ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
85	85 - ST VINCENT HEALTHCARE NEPHROLOGY WORLAND 1106 BIG HORN AVE WORLAND,WY824012803	OUTPATIENT PHYSICIAN CLINIC
86	86 - NEUROSURGERY BOZEMAN 650 FERGUSON STE 1 BOZEMAN,MT59715	OUTPATIENT PHYSICIAN CLINIC
87	87 - PEDIATRIC SPECIALTY BOZEMAN 650 SOUTH FERGUSON STE 1 BOZEMAN,MT59718	OUTPATIENT PHYSICIAN CLINIC
88	88 - SVP LOCKWOOD 1932 EAST HIGHWAY 87 EAST BILLINGS,MT591016699	OUTPATIENT PHYSICIAN CLINIC
89	89 - SVHC SLEEP AND RESPIRATORY CENTER CODY 720 LINDSAY LN STE A CODY,WY82414	OUTPATIENT PHYSICIAN CLINIC
90	90 - MILES CITY HEART AND VASCULAR 2600 WILSON ST MILES CITY,MT59301	OUTPATIENT PHYSICIAN CLINIC
91	91 - SVHC MONTANA HEART LAUREL 1035 1ST AVE LAUREL,MT590442120	OUTPATIENT PHYSICIAN CLINIC
92	92 - NEUROSURGERY WILLISTON 1213 15TH AVENUE WEST WILLISTON,ND58801	OUTPATIENT PHYSICIAN CLINIC
93	93 - NEURO BUTTE 435 S CRYSTAL ST BUTTE,MT59701	OUTPATIENT PHYSICIAN CLINIC
94	94 - SVHC MONTANA HEART RED LODGE 10 ROBINSON LANE RED LODGE,MT590689010	OUTPATIENT PHYSICIAN CLINIC

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 6A:	THIS ORGANIZATION IS PART OF SCL HEALTH SYSTEM WHICH PREPARES AN ANNUAL COMMUNITY BENEFIT REPORT ON A CONSOLIDATED BASIS. THE REPORT IS PREPARED BY THE PARENT COMPANY, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC.
PART I, LINE 7:	THE AMOUNTS REPORTED ON FORM 990, SCHEDULE H, PART I, LINE 7A, 7B AND 7C WERE DETERMINED USING THE COST TO CHARGE RATIO DERIVED FROM WORKSHEET 2, IN THE SCHEDULE H, FORM 990 INSTRUCTIONS. FORM 990, SCHEDULE H, PART I, LINES 7E, 7F, 7G, 7H AND 7I ARE REPORTED AT COST AS REPORTED IN THE ORGANIZATION'S FINANCIAL STATEMENTS.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 4,084,805.
PART II, COMMUNITY BUILDING ACTIVITIES:	N/APART III, LINE 1:THE ORGANIZATION REPORTS BAD DEBT IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) STATEMENT NO. 15 TO THE EXTENT THAT HFMA STATEMENT NO. 15 FOLLOWS THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) FOR THE REPORTING OF BAD DEBT.
PART III, LINE 2:	THE BAD DEBT EXPENSE REPORTED ON PART III, LINE 2 IS AT CHARGES AS RECORDED IN THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.
PART III, LINE 4:	THE ALLOWANCE FOR BAD DEBT IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING THE BUSINESS AND GENERAL ECONOMIC CONDITIONS IN ITS SERVICE AREA, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS.THE BAD DEBT ALLOWANCE IS CALCULATED AS A PERCENTAGE OF PATIENT RECEIVABLES AFTER DEDUCTIONS FOR ESTIMATED PROVISIONS FOR CONTRACTUAL ADJUSTMENTS (DISCOUNTS) ON SERVICES PROVIDED TO ENROLLEES OF MEDICARE, MEDICAID, THIRD-PARTY PAYOR PROGRAMS, CHARITY CARE, UNINSURED DISCOUNTS, AND OTHER ADMINISTRATIVE ADJUSTMENTS.THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN AND PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.CERTAIN PATIENT ACCOUNTS ARE WRITTEN OFF TO BAD DEBT BECAUSE THE ORGANIZATION DOES NOT HAVE SUFFICIENT INFORMATION TO DETERMINE IF THE PATIENT WOULD QUALIFY FOR FREE CARE OR FINANCIAL AID. THEREFORE, IT IS POSSIBLE THAT SOME BAD DEBT IS ACTUALLY CHARITY CARE. HOWEVER, IF A PATIENT ACCOUNT IS WRITTEN OFF TO BAD DEBT AND THE COLLECTION AGENCY LATER DETERMINES THAT THE PATIENT WOULD HAVE QUALIFIED FOR FREE CARE OR FINANCIAL AID, THEN THE BAD DEBT EXPENSE IS RECLASSIFIED TO CHARITY CARE. THE FOLLOWING IS THE TEXT OF THE FOOTNOTE IN THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE BAD DEBT ALLOWANCE AND BAD DEBT EXPENSE: IN MAY 2014, THE FASB ISSUED ASU 2014-09, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), AND HAS SUBSEQUENTLY ISSUED SUPPLEMENTAL AND/OR CLARIFYING ASUS (COLLECTIVELY, ACCOUNTING STANDARDS CODIFICATION (ASC) 606). ASC 606 OUTLINES A FIVE-STEP FRAMEWORK THAT INTENDS TO CLARIFY THE PRINCIPLES FOR RECOGNIZING REVENUE AND ELIMINATE INDUSTRY-SPECIFIC GUIDANCE. IN ADDITION, ASC 606 REVISES CURRENT DISCLOSURE REQUIREMENTS IN AN EFFORT TO HELP FINANCIAL STATEMENT USERS BETTER UNDERSTAND THE NATURE, AMOUNT, TIMING, AND UNCERTAINTY OF REVENUE THAT IS RECOGNIZED. SCL HEALTH ADOPTED ASC 606 EFFECTIVE JANUARY 1, 2018 USING THE MODIFIED RETROSPECTIVE APPROACH. AS A RESULT OF ADOPTION, AMOUNTS PREVIOUSLY CLASSIFIED AS PROVISION FOR BAD DEBTS IN THE CONSOLIDATED STATEMENT OF OPERATIONS ARE NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS AND THEREFORE INCLUDED AS A REDUCTION OF NET PATIENT SERVICE REVENUE IN 2018. FOR PERIODS PRIOR TO THE ADOPTION OF ASC 606, THE PROVISION FOR BAD DEBTS HAS BEEN PRESENTED CONSISTENT WITH PREVIOUS REVENUE RECOGNITION STANDARDS THAT REQUIRED IT TO BE PRESENTED SEPARATELY AS A COMPONENT OF NET PATIENT SERVICE REVENUE.
PART III, LINE 8:	THE ORGANIZATION BELIEVES THAT AT LEAST SOME PORTION OF THE COSTS WE INCUR IN EXCESS OF PAYMENTS RECEIVED FROM THE FEDERAL GOVERNMENT FOR PROVIDING MEDICAL SERVICES TO MEDICARE ENROLLEES AND BENEFICIARIES UNDER THE FEDERAL MEDICARE PROGRAM (SHORTFALL OR MEDICARE SHORTFALL) CONSTITUTES A COMMUNITY BENEFIT. PROVIDING THESE SERVICES CLEARLY LESSENS THE BURDENS OF THE GOVERNMENT BY ALLEVIATING THE FEDERAL GOVERNMENT FROM HAVING TO DIRECTLY PROVIDE THESE MEDICAL SERVICES. AS DEMONSTRATED AND CALCULATED ON FORM 990, SCHEDULE H, PART III, LINES 5, 6 AND 7, OUR MEDICARE "ALLOWABLE COSTS" CLEARLY EXCEED THE PAYMENTS WE RECEIVE FOR PROVIDING THESE MEDICAL SERVICES UNDER THE MEDICARE PROGRAM. BY ABSORBING THE MEDICARE SHORTFALL COSTS WE ARE PROVIDING A COMMUNITY BENEFIT AS WELL AS EASING THE BURDEN OF THE FEDERAL GOVERNMENT HAVING TO COVER THESE COSTS.TO ARRIVE AT THE FORM 990, SCHEDULE H, PART III, LINE 6 AMOUNT, WE USED ACTUAL MEDICARE CHARGES FROM INTERNAL RECORDS AND APPLIED AN ESTIMATED COST TO CHARGE RATIO TO DETERMINE THE MEDICARE ALLOWABLE COSTS. THE ESTIMATED MEDICARE COST TO CHARGE RATIO IS THE PRIOR PERIOD MEDICARE COST REPORT COST TO CHARGE RATIO.
PART III, LINE 9B:	AN INTEGRAL COMPONENT OF OUR MISSION IS TO BE GOOD FINANCIAL STEWARDS. THIS REQUIRES US TO DETERMINE WHICH PATIENTS ARE IN NEED OF CHARITY CARE AND WHICH ARE ABLE TO CONTRIBUTE SOME PAYMENT FOR CARE RECEIVED. WEMAINTAIN A BALANCE THAT ENABLES US TO CONTINUE TO PROVIDE CHARITY CARE TOTHOSE WHO NEED IT MOST AND ENSURE THAT WE MANAGE OUR RESOURCES SOWE CAN CONTINUE TO BE HERE WHEN PEOPLE NEED US MOST. THE ORGANIZATION NOTIFIES PATIENTS OF FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND DISCHARGE. IN ADDITION, THE PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. PATIENTS ARE CONTACTED MULTIPLE TIMES ABOUT UNPAID BALANCES PRIOR TO INITIATING ANY COLLECTION ACTION. IF A PATIENT IS DETERMINED TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION PROCESS, THE ACCOUNT IS RECLASSIFIED AS FINANCIAL ASSISTANCE AND DEBT COLLECTION EFFORTS ARE CEASED.
PART VI, LINE 2:	SCL HEALTH WESTMINSTER, LLC:THE COMMUNITY HEALTH NEEDS ASSESSMENT IS THE PRIMARY TOOL USED TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. DUE TO THE CLOSING OF THE FACILITIES IN 2018, THERE WERE NO OTHER COMMUNITY NEEDS ASSESSMENTS CONDUCTED.SCL HEALTH SOUTHWEST, LLC:THE COMMUNITY HEALTH NEEDS ASSESSMENT IS THE PRIMARY TOOL USED TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. DUE TO THE CLOSING OF THE FACILITIES IN 2018, THERE WERE NO OTHER COMMUNITY NEEDS ASSESSMENTS CONDUCTED.SCL HEALTH NORTHGLENN, LLC:THE COMMUNITY HEALTH NEEDS ASSESSMENT IS THE PRIMARY TOOL USED TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES. DUE TO THE CLOSING OF THE FACILITIES IN 2018, THERE WERE NO OTHER COMMUNITY NEEDS ASSESSMENTS CONDUCTED.
PART VI, LINE 3:	THE ORGANIZATION NOTIFIES PATIENTS ABOUT THE FINANCIAL ASSISTANCE POLICY UPON ADMISSION AND PRIOR TO DISCHARGE. NOTICES ABOUT THE FINANCIAL ASSISTANCE POLICY ARE DISPLAYED THROUGHOUT THE HOSPITAL. IN ADDITION, PATIENTS RECEIVE INFORMATION ABOUT THE FINANCIAL ASSISTANCE POLICY WITH THEIR PATIENT BILLS. THE FINANCIAL ASSISTANCE POLICY AND APPLICATION ARE POSTED ON THE HOSPITAL'S WEBSITE. THE POLICY AND APPLICATION ARE ALSO AVAILABLE UPON REQUEST. THE ORGANIZATION HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES PATIENTS OPPORTUNITIES TO APPLY FOR FREE OR DISCOUNTED CARE AND/OR TO BE ENROLLED IN A GOVERNMENT SPONSORED MEDICAL CARE PROGRAM. THE PROCESS INCLUDES IDENTIFYING PATIENTS WITH A FINANCIAL CONCERN, PROVIDING FINANCIAL COUNSELING AND ASSISTANCE IN APPLYING FOR THE ORGANIZATION'S CHARITY CARE AND OTHER FINANCIAL ASSISTANCE PROGRAMS.
PART VI, LINE 4:	SCL HEALTH WESTMINSTER, LLC:WESTMINSTER COMMUNITY HOSPITAL IS LOCATED IN THE CITY OF WESTMINSTER, COLORADO. WESTMINSTER IS LOCATED IN JEFFERSON COUNTY, BUT INCLUDES A UNIQUE SERVICE AREA OF THREE INTERSECTING COUNTIES (ADAMS, BROOMFIELD AND JEFFERSON). WITH THE POSITIONING OF THE COMMUNITY HOSPITAL, ALONG A MAJOR TRANSPORTATION CORRIDOR, THE PRIMARY SERVICE AREA IS DEFINED BY A GEOGRAPHIC RADIUS OF 50 MILES FOR HEALTH DATA REVIEW. DATA SHARED BELOW REPRESENTS A COMBINATION OF COUNTY AND SERVICE MARKET DATA AS OF 2016 GATHERED FROM US CENSUS BUREAU, COUNTY RANKINGS AND PUBLIC HEALTH SOURCES.DEMOGRAPHICS OF THE COMMUNITY (U.S. CENSUS BUREAU 2016): JEFFERSON COUNTY'S POPULATION AS OF 2016 WAS 571,837; ADAM'S COUNTY 498,187; AND BROOMFIELD 66,529. PRIMARY SERVICE AREA POPULATION FOR SCL COMUNITY HOSPITAL IS 302,901 WHICH REPRESENTS APPROXIMATELY 115,911 HOUSEHOLDS. GENDER: THE POPULATION OF MALES AND FEMALES IS NEARLY EQUAL - 49.6% (MALE) AND 50.4% (FEMALE)AGE: SERVICE AREA SHOWS A DOMINANCE OF PERSONS BETWEEN THE AGES OF 18 AND 64 (53.4%) WITH A MEDIAN AGE OF 36.1 RACIAL AND ETHNIC DIVERSITY: THE POPULATION IN JEFFERSON AND BROOMFIELD COUNTIES IS PREDOMINANTLY WHITE, WITH HISPANIC ORIGIN FOLLOWING. PRIMARY SERVICE AREA PERCENTAGES SHOW 78.4% (WHITE) AND 15.1% (HISPANIC). OTHER RACES (ASIAN, BLACKS/AFRICAN AMERICAN AND AMERICAN INDIAN/ALASKA NATIVES) HAVE RELATIVELY SMALL PERCENTAGES. EDUCATION: WITHIN SERVICE AREA, 40,207 HOLD HIGH SCHOOL DIPLOMAS AND 43,464 HOLD BACHELOR'S DEGREES. 23,183 REPRESENT A GRADUATE DEGREE OR HIGHER. ADAMS COUNTY HAS ONE OF THE LOWEST EDUCATION LEVELS IN THE STATE WITH ONLY 81% HAVING A HIGH SCHOOL EDUCATION AND 20% WITH A BACHELOR DEGREE OR HIGHER. BY COMPARISON, JEFFERSON COUNTY HAD THE HIGHEST HIGH SCHOOL COMPLETION RATE AT 84.5% AND THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WHO HAVE COMPLETED HIGH SCHOOL AT 94.0%. JEFFERSON ALSO HAD THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WITH A BACHELOR'S DEGREE OR HIGHER AT 41.6%. LANGUAGE: FOR JEFFERSON COUNTY ONLY 10.5% OF PERSONS AGE 5 YEARS AND OVER SPEAK A LANGUAGE OTHER THAN ENGLISH IN THE HOME; THE PORTION OF HOUSEHOLDS THAT ONLY SPOKE ENGLISH WAS HIGHEST IN JEFFERSON COUNTY AT 89%; BROOMFIELD COUNTY HAD AN ESTIMATED PERCENTAGE OF 13.3% OF HOUSEHOLDS WHO SPEAK A LANGUAGE OTHER THAN ENGLISH WITH SPANISH HAVING THE HIGHEST PERCENTAGE AT 5.9%, FOLLOWED BY ASIAN AND PACIFIC ISLAND LANGUAGES AT 3.6%, AND OTHER INDO-EUROPEAN LANGUAGES AT 3.5%.ECONOMICS: THE MEDIAN HOUSEHOLD INCOME IS $62,890 FOR SERVICE AREA, COMPARED TO $61,303 FOR THE STATE. HOWEVER ADAMS COUNTY HAS ONE OF THE HIGHEST POVERTY RATES IN THE STATE AT 13.3% AND BROOMFIELD IS ONE OF THE LOWEST LEVELS IN THE STATE AT 4.9%.OVERALL HEALTH RANK: THIS MEASURE RANKS THE OVERALL HEALTH OF COUNTY CITIZENS FOR ALL COUNTIES IN COLORADO. THE RANKINGS ARE BASED ON A MODEL OF POPULATION HEALTH THAT EMPHASIZES THE MANY FACTORS THAT, IF IMPROVED, CAN HELP TO MAKE COMMUNITIES HEALTHIER PLACES TO LIVE, LEARN, WORK AND PLAY. FACTORS INCLUDED IN THE RANKING ARE HEALTH OUTCOMES, HEALTH FACTORS, POLICIES/PROGRAMS AND SOCIAL DETERMINANTS OF HEALTH. JEFFERSON RANKS 14TH; BROOMFIELD RANKS 2ND AND ADAMS RANKS 37TH. ACCESS TO CARE: ACCESS TO PRIMARY CARE PHYSICIANS, DENTISTS, DIABETIC MONITORING AND MAMMOGRAPHY IS BETTER FOR PERSONS RESIDING IN BROOMFIELD COUNTY THAN IN JEFFERSON COUNTY, EXCEPT FOR MENTAL HEALTH PROVIDERS. BROOMFIELD HAS BETTER ACCESS TO MENTAL HEALTH PROVIDERS AT 1,008:1 AS COMPARED TO 1262:1 AT THE STATE LEVEL.SCL HEALTH SOUTHWEST, LLC:SOUTHWEST COMMUNITY HOSPITAL IS LOCATED IN THE CITY OF LITTLETON, COLORADO. LITTLETON IS LOCATED IN JEFFERSON COUNTY, BUT INCLUDES A SERVICE AREA THAT INTERSECTS WITH DOUGLASS COUNTY. WITH THE POSITIONING OF THE COMMUNITY HOSPITAL, ALONG A MAJOR TRANSPORTATION CORRIDOR, THE PRIMARY SERVICE AREA IS DEFINED BY A GEOGRAPHIC RADIUS OF 50 MILES FOR HEALTH DATA REVIEW. DATA SHARED BELOW REPRESENTS A COMBINATION OF AVAILABLE PUBLIC HEALTH DATA AS OF 2010-2016 GATHERED AS A CHNA PRECURSOR. COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS FROM OUR NEAREST SCL HEALTH ACUTE CARE FACILITY (LUTHERAN MEDICAL CENTER) LOCATED IN THE LAKEWOOD/WHEAT RIDGE AREA WAS REVIEWED AS DATA SUPPORT AS WELL.DEMOGRAPHICS OF THE COMMUNITY (U.S. CENSUS BUREAU 2016): JEFFERSON COUNTY'S POPULATION AS OF 2010 WAS 534,543. 2016 ESTIMATED GROWTH SHOWS A 7% CHANGE BETWEEN 2010 AND 2016 FOR A TOTAL OF 571,837 COMPARED TO A 10% GROWTH CHANGE FOR THE STATE.GENDER: THE POPULATION OF MALES AND FEMALES IS NEARLY EQUAL - 49.7% (MALE) AND 50.3% (FEMALE)AGE: SERVICE AREA SHOWS A DOMINANCE OF PERSONS BETWEEN THE AGES OF 18 AND 64 (64.3%) WITH A MEDIAN AGE OF 36.1. JEFFERSON COUNTY ALSO SHOWS A STRIKING REPRESENTATION OF ADULTS WHO ARE AGE 65 AND OLDER (15.1%) COMPARED TO (13%) FOR THE STATE.RACIAL AND ETHNIC DIVERSITY: THE POPULATION IN JEFFERSON COUNTY IS PREDOMINANTLY WHITE, WITH HISPANIC ORIGIN FOLLOWING. PRIMARY SERVICE AREA PERCENTAGES SHOW 78.5% (WHITE) AND 15.1% (HISPANIC). OTHER RACES (ASIAN, BLACKS/AFRICAN AMERICAN AND AMERICAN INDIAN/ALASKA NATIVES) HAVE RELATIVELY SMALL PERCENTAGES. EDUCATION: WITHIN THE SERVICE AREA, JEFFERSON HAD THE HIGHEST HIGH SCHOOL COMPLETION RATE AT 84.5% AND THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WHO HAVE COMPLETED HIGH SCHOOL AT 94.0%. JEFFERSON ALSO HAD THE HIGHEST PORTION OF THE POPULATION AGE 25 AND OLDER WITH A BACHELOR'S DEGREE OR HIGHER AT 41.6%. LANGUAGE: FOR JEFFERSON COUNTY 89.6% OF HOUSEHOLDS SPEAK "ONLY" ENGLISH. APPROXIMATELY 10 % OF HOUSEHOLDS SPEAK A LANGUAGE OTHER THAN ENGLISH (E.G. SPANISH, ASIAN & PACIFIC ISLANDER, OR OTHER INDO EUROPEAN LANGUAGES)ECONOMICS: THE MEDIAN HOUSEHOLD INCOME IS $70,164 FOR SERVICE AREA, COMPARED TO $60,629 FOR THE STATE. PERCENT OF PERSONS IN POVERTY IS 7.9% COMPARED TO 11.5% FOR THE STATE. OVERALL HEALTH RANK: THIS MEASURE RANKS THE OVERALL HEALTH OF COUNTY CITIZENS FOR ALL COUNTIES IN COLORADO. THE RANKINGS ARE BASED ON A MODEL OF POPULATION HEALTH THAT EMPHASIZES THE MANY FACTORS THAT, IF IMPROVED, CAN HELP TO MAKE COMMUNITIES HEALTHIER PLACES TO LIVE, LEARN, WORK AND PLAY. FACTORS INCLUDED IN THE RANKING ARE HEALTH OUTCOMES, HEALTH FACTORS, POLICIES/PROGRAMS AND SOCIAL DETERMINANTS OF HEALTH. JEFFERSON COUNTY RANKS 14TH OUT OF 60.SCL HEALTH NORTHGLENN, LLC:NORTHGLENN COMMUNITY HOSPITAL IS LOCATED IN THE CITY OF NORTHGLENN COLORADO. NORTHGLENN IS LOCATED IN ADAMS COUNTY. THE PRIMARY SERVICE AREA IS DEFINED BY A GEOGRAPHIC RADIUS OF 50 MILES FOR HEALTH DATA REVIEW. DATA SHARED BELOW REPRESENTS A COMBINATION OF COUNTY AND SERVICE MARKET DATA AS OF 2016 GATHERED FROM US CENSUS BUREAU, COUNTY RANKINGS AND PUBLIC HEALTH SOURCES.DEMOGRAPHICS OF THE COMMUNITY (U.S. CENSUS BUREAU 2016): ADAMS COUNTY'S POPULATION AS OF 2016 WAS 498,187.GENDER: THE POPULATION OF MALES AND FEMALES IS NEARLY EQUAL - 49.7% (FEMALE) AND 50.3% (MALE) AGE: SERVICE AREA SHOWS A DOMINANCE OF PERSONS BETWEEN THE AGES OF 18 AND 64 (62.7%) AND A HIGH PERCENTAGE OF PERSONS BELOW THE AGE OF 18 AT 27.5%. RACIAL AND ETHNIC DIVERSITY: THE POPULATION IN ADAMS COUNTY IS PREDOMINANTLY WHITE AT 50.8%, WITH HISPANIC ORIGIN FOLLOWING AT 39.6%. EDUCATION: ADAMS COUNTY HAS ONE OF THE LOWEST EDUCATION LEVELS IN THE STATE WITH ONLY 81% HAVING A HIGH SCHOOL EDUCATION AND 20% WITH A BACHELOR DEGREE OR HIGHER. LANGUAGE: THE PERCENT OF HOUSEHOLDS THAT WERE ESTIMATED TO BE LINGUISTICALLY ISOLATED (LIMITATION COMMUNICATING IN ENGLISH) WAS HIGHEST IN ADAMS COUNTY AT 5.7%. THE AGGREGATE VALUE WAS 2.5% LOWER COMPARED TO THE STATE VALUE. HOUSEHOLDS THAT SPOKE A LANGUAGE OTHER THAN ENGLISH HAD A HIGH COMPARATIVE PERCENTAGE AT 28.5% IN ADAMS COUNTY; THE COMPARATIVE AGGREGATE VALUE WAS 2.6% HIGHER WHEN COMPARED TO THE STATE VALUE. ADAMS COUNTY HAD THE LARGEST PORTION OF HOUSEHOLDS WHO SPOKE SPANISH OR SPANISH CREOLE AT 23.1%.ECONOMICS: THE MEDIAN HOUSEHOLD INCOME IS $58,946 FOR ADAMS COUNTY, COMPARED TO $61,303 FOR THE STATE. HOWEVER ADAMS COUNTY HAS ONE OF THE HIGHEST POVERTY RATES IN THE STATE AT 12.8%. PER CAPITA INCOME WAS LOWEST IN ADAMS COUNTY AT $25,039. UNEMPLOYMENT RATE WAS ALSO SLIGHTLY HIGHER IN ADAMS COUNTY AT 2.3%. OVERALL HEALTH RANK: THIS MEASURE RANKS THE OVERALL HEALTH OF COUNTY CITIZENS FOR ALL COUNTIES IN COLORADO. THE RANKINGS ARE BASED ON A MODEL OF POPULATION HEALTH THAT EMPHASIZES THE MANY FACTORS THAT, IF IMPROVED, CAN HELP TO MAKE COMMUNITIES HEALTHIER PLACES TO LIVE, LEARN, WORK AND PLAY. FACTORS INCLUDED IN THE RANKING ARE HEALTH OUTCOMES, HEALTH FACTORS, POLICIES/PROGRAMS AND SOCIAL DETERMINANTS OF HEALTH. ADAMS COUNTY RANKS 37TH.
PART VI, LINE 5:	SCL HEALTH WESTMINSTER, LLC:COMMUNITY SUPPORT ACTIVITY EXAMPLES INCLUDE COMMUNITY HEALTH AND SAFETY CLINICS, CANCER SCREENINGS, CHRONIC DISEASE MANAGEMENT, AND HEALTH LITERACY SEMINARS. IN ADDITION, A FOCUS ON PREVENTIVE INTERVENTIONS WITH OUTREACH TO UNDERSERVED COMMUNITIES ARE ESSENTIAL TO ADDRESSING AREAS SUCH AS ANNUAL YOUTH PHYSICALS, BICYCLE SAFETY, SENIOR FALLS PREVENTION, AND ASSISTING COMMUNITY MEMBERS IN CONNECTING TO OTHER COMMUNITY HEALTH SUPPORT RESOURCES (E.G. TRANSPORTATION, HOME HEALTH, HOUSING, AND OTHER SOCIAL SERVICES). SCL HEALTH SOUTHWEST, LLC:COMMUNITY SUPPORT ACTIVITY EXAMPLES INCLUDE COMMUNITY HEALTH AND SAFETY CLINICS, CANCER SCREENINGS, CHRONIC DISEASE MANAGEMENT, AND HEALTH LITERACY SEMINARS. IN ADDITION, A FOCUS ON PREVENTIVE INTERVENTIONS WITH OUTREACH TO UNDERSERVED COMMUNITIES ARE ESSENTIAL TO ADDRESSING AREAS SUCH AS ANNUAL YOUTH PHYSICALS, BICYCLE SAFETY, SENIOR FALLS PREVENTION, AND ASSISTING COMMUNITY MEMBERS IN CONNECTING TO OTHER COMMUNITY HEALTH SUPPORT RESOURCES (E.G. TRANSPORTATION, HOME HEALTH, HOUSING, AND OTHER SOCIAL SERVICES). SCL HEALTH NORTHGLENN, LLC: COMMUNITY SUPPORT ACTIVITY EXAMPLES INCLUDE COMMUNITY HEALTH AND SAFETY CLINICS, CANCER SCREENINGS, CHRONIC DISEASE MANAGEMENT, AND HEALTH LITERACY SEMINARS. IN ADDITION, A FOCUS ON PREVENTIVE INTERVENTIONS WITH OUTREACH TO UNDERSERVED COMMUNITIES ARE ESSENTIAL TO ADDRESSING AREAS SUCH AS ANNUAL YOUTH PHYSICALS, BICYCLE SAFETY, SENIOR FALLS PREVENTION, AND ASSISTING COMMUNITY MEMBERS IN CONNECTING TO OTHER COMMUNITY HEALTH SUPPORT RESOURCES (E.G. TRANSPORTATION, HOME HEALTH, HOUSING, AND OTHER SOCIAL SERVICES).
PART VI, LINE 6:	SCL HEALTH COMMUNITY HOSPITALS ARE A CONTROLLED ENTITY OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). SCLHS AND ITS AFFILIATED ENTITIES HAVE A COMMON CALLING AND MISSION: "WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE." WE STRIVE TO PROVIDE HIGH-QUALITY, COMPASSIONATE AND AFFORDABLE HEALTHCARE IN EACH OF OUR HOSPITAL SITES AND THEIR RESPECTIVE COMMUNITIES, AS WELL AS IN A VARIETY OF OUTPATIENT SETTINGS AND IN THE HOME. SCLHS IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 100 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 16,000 FULL-TIME ASSOCIATES AND MORE THAN 600 EMPLOYED PROVIDERS.AS OUR HEALTH SYSTEM GROWS, WE'RE LEVERAGING THAT GROWTH TO ACHIEVE BENEFITS OF SCALE - IDENTIFYING COST AND OTHER ADVANTAGES THAT WE GAIN DUE TO OUR SIZE. WE'RE ALSO WORKING TO STREAMLINE AND UNIFY OUR SYSTEM-WIDE PROCESSES TO ELIMINATE COSTLY DUPLICATION OF EFFORT. WE ACTIVELY ENCOURAGE OUR PEOPLE TO PURSUE CREATIVE IDEAS THAT IMPROVE EFFICIENCY, SERVICE AND THE OVERALL CARE EXPERIENCE. WHEN OUR ASSOCIATES OR LEADERSHIP TEAMS IDENTIFY BEST PRACTICES IN ANY AREA OF CARE, WE RAPIDLY REPLICATE THOSE ACROSS ALL CARE SITES.THE ORGANIZATION PROMOTES THE HEALTH OF THE COMMUNITY BY DELIVERING DIRECT HIGH QUALITY HEALTHCARE SERVICES THAT ARE RESPONSIVE TO THE NEEDS OF ITS PATIENTS AND THEIR FAMILIES. THIS INCLUDES COORDINATING COMMUNITY BENEFIT PROCESSES, PROVIDING GUIDANCE WITH COMMUNITY NEEDS ASSESSMENTS, AND ESTABLISHING CONSISTENT FINANCIAL ASSISTANCE AND CHARITY CARE POLICIES AND PROCEDURES. ADDITIONALLY, SCLHS BENEFITS AFFILIATES THROUGH QUALITY IMPROVEMENT AND PERFORMANCE EXCELLENCE INITIATIVES; SYSTEM-WIDE INFORMATION TECHNOLOGY IMPLEMENTATION AND INFRASTRUCTURE; STRATEGIC AND OPERATIONS DIRECTION AND OVERSIGHT; SUPPLY CHAIN MANAGEMENT AND PURCHASING; FINANCE ADMINISTRATION, REVENUE CYCLE SUPPORT, BENEFITS ADMINISTRATION, RISK MANAGEMENT; DISASTER PLANNING AND CRISIS ASSISTANCE, CENTRAL CASH MANAGEMENT AND INVESTMENT, INTERNAL AUDIT, LEGAL SERVICES, TAX SERVICES AND MISSION INTEGRATION.

Schedule H (Form 990) 2018

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number
23-7379161

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) MOUNT SAINT VINCENT HOME 4159 LOWELL BOULEVARD DENVER,CO80211	84-0405260	501(C)(3)	549,453	SUPPORT MISSION
(2) MARIAN CLINIC 1001 SW GARFIELD AVE TOPEKA,KS66604	48-1046905	501(C)(3)	157,013	SUPPORT MISSION
(3) CARITAS CLINICS 818 NORTH 7TH STREET LEAVENWORTH,KS66048	48-1009910	501(C)(3)	236,377	SUPPORT MISSION
(4) ST VINCENT HEALTHCARE 1233 NORTH 30TH STREET BILLINGS,MT59101	81-0232124	501(C)(3)	3,000,157	SUPPORT MISSION
(5) SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFLIELD,CO80021	82-3290526	501(C)(3)	109,000	SUPPORT MISSION
(6) ST MARY'S HOSPITAL & MEDICAL CENTER INC 2635 N 7TH STREET GRAND JUNCTION,CO81501	84-0425720	501(C)(3)	31,832	SUPPORT MISSION
(7) COLORADO HEALTH INSTITUTE 303 E 17TH AVE SUITE 930 DENVER,CO80203	74-3082235	501(C)(3)	30,000	SUPPORT MISSION
(8) DENVER METRO CHAMBER OF COMMERCE 1445 MARKET ST DENVER,CO80202	84-0186760	501(C)(3)	29,500	SUPPORT MISSION

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

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

Cat. No. 50055P

Schedule I (Form 990) 2018

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) SECONDARY EDUCATION SCHOLARSHIP	9	14,791
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	SCLHS' MISSION DEPARTMENT REQUIRES WRITTEN STATEMENTS THREE TIMES A YEAR REGARDING THE PROGRESS AND STATUS OF THE GRANT.

Schedule I (Form 990) 2018

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" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on 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 or provision of all of the expenses described above? If "No," complete Part III to explain .........

Yes

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

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

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 on 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? .............

Yes

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

Yes

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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on 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," on line 5a or 5b, describe in Part III.

For persons listed on 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," on line 6a or 6b, describe in Part III.

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

Yes

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

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

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

Cat. No. 50053T

Schedule J (Form 990) 2018

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(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 in column (B) reported as deferred on prior Form 990
(A) Name and Title		(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)
1LYDIA JUMONVILLE SYSTEM PRESIDENT & CEO / TREASURER	(i) (ii)	1,019,409 ------------- 0	739,010 ------------- 0	236,660 ------------- 0	365,397 ------------- 0	19,784 ------------- 0	2,380,260 ------------- 0	218,055 ------------- 0
2ROSLAND MCLEOD SECRETARY / SVP CHIEF LEGAL OFFICER	(i) (ii)	495,374 ------------- 0	454,541 ------------- 0	198,284 ------------- 0	150,132 ------------- 0	27,816 ------------- 0	1,326,147 ------------- 0	177,312 ------------- 0
3MICHAEL TAYLOR VICE PRESIDENT / CHIEF OPER OFF-HOSP	(i) (ii)	745,975 ------------- 0	669,039 ------------- 0	158,272 ------------- 0	132,734 ------------- 0	24,236 ------------- 0	1,730,256 ------------- 0	129,032 ------------- 0
4JANIE WADE EXEC VP FINANCE & CFO 2/26-12/31	(i) (ii)	792,350 ------------- 0	0 ------------- 0	60,539 ------------- 0	0 ------------- 0	13,525 ------------- 0	866,414 ------------- 0	0 ------------- 0
5LOUIS CAPPONI INTERIM CHIEF INFORMATION OFFICER	(i) (ii)	398,454 ------------- 0	0 ------------- 0	34,485 ------------- 0	44,501 ------------- 0	10,969 ------------- 0	488,409 ------------- 0	0 ------------- 0
6STEVEN CHYUNG SVP SUPPLY CHAIN & REAL ESTATE	(i) (ii)	383,247 ------------- 0	353,976 ------------- 0	68,976 ------------- 0	70,121 ------------- 0	27,610 ------------- 0	903,930 ------------- 0	52,028 ------------- 0
7SHAWN DUFFORD MD SVP CHIEF MEDICAL OFFICER SYS	(i) (ii)	501,249 ------------- 0	453,989 ------------- 0	81,628 ------------- 0	92,109 ------------- 0	20,959 ------------- 0	1,149,934 ------------- 0	66,505 ------------- 0
8TAJQUAH HUDSON EVP-CHIEF STRAT-BUS DEV OFCR	(i) (ii)	491,680 ------------- 0	420,538 ------------- 0	130,775 ------------- 0	143,750 ------------- 0	8,369 ------------- 0	1,195,112 ------------- 0	112,540 ------------- 0
9KERRY KOHNEN SVP PAYER & POP HEALTH STRAT 1/1-6/8	(i) (ii)	219,693 ------------- 0	394,663 ------------- 0	401,057 ------------- 0	71,423 ------------- 0	366 ------------- 0	1,087,202 ------------- 0	156,129 ------------- 0
10MEGAN MAHNCKE SVP AND CHIEF COMM-MKTG OFCR 10/5-12	(i) (ii)	260,480 ------------- 0	66,366 ------------- 0	24,347 ------------- 0	40,011 ------------- 0	24,386 ------------- 0	415,590 ------------- 0	23,401 ------------- 0
11DAVID PECORARO SVP-CHIEF INFORMATION OFCR 1/1-6/1	(i) (ii)	201,928 ------------- 0	397,477 ------------- 0	232,649 ------------- 0	14,049 ------------- 0	8,245 ------------- 0	854,348 ------------- 0	0 ------------- 0
12DAVID PRINGLE SVP MISSION INTEGRATION	(i) (ii)	290,514 ------------- 0	286,730 ------------- 0	88,718 ------------- 0	17,050 ------------- 0	24,208 ------------- 0	707,220 ------------- 0	0 ------------- 0
13TAMARA SAUNAITIS SVP-CHIEF HUMAN RESOURCES OFCR	(i) (ii)	371,510 ------------- 0	326,361 ------------- 0	80,290 ------------- 0	61,300 ------------- 0	29,009 ------------- 0	868,470 ------------- 0	58,168 ------------- 0
14KAREN SCREMIN VP FINANCE OPERATIONS	(i) (ii)	364,530 ------------- 0	98,002 ------------- 0	26,782 ------------- 0	64,050 ------------- 0	8,574 ------------- 0	561,938 ------------- 0	24,303 ------------- 0
15TROY SPRING VP REVENUE CYCLE	(i) (ii)	291,760 ------------- 0	81,201 ------------- 0	4,538 ------------- 0	49,000 ------------- 0	26,814 ------------- 0	453,313 ------------- 0	0 ------------- 0
16GERALDINE TOWNDROW SVP CHIEF NURSING OFFICER SYS	(i) (ii)	323,592 ------------- 0	291,509 ------------- 0	56,602 ------------- 0	17,461 ------------- 0	9,869 ------------- 0	699,033 ------------- 0	0 ------------- 0
17JAMES VALIN MD EXEC VICE PRESIDENT & CHIEF CLINICAL	(i) (ii)	576,984 ------------- 0	489,551 ------------- 0	14,764 ------------- 0	97,178 ------------- 0	27,615 ------------- 0	1,206,092 ------------- 0	0 ------------- 0
18MARK WILKINSON VP TREASURER	(i) (ii)	280,225 ------------- 0	76,222 ------------- 0	31,238 ------------- 0	48,039 ------------- 0	11,486 ------------- 0	447,210 ------------- 0	28,901 ------------- 0
19CHRISTINE WOOLSEY SVP & CHIEF COMM-MKTG OFCR 1/1-10/5	(i) (ii)	279,544 ------------- 0	305,729 ------------- 0	85,454 ------------- 0	87,358 ------------- 0	13,933 ------------- 0	772,018 ------------- 0	65,598 ------------- 0
20JOHN WICKLUND PRESIDENT-CEO LMC	(i) (ii)	471,307 ------------- 0	195,651 ------------- 0	987,402 ------------- 0	19,800 ------------- 0	24,693 ------------- 0	1,698,853 ------------- 0	663,945 ------------- 0
21ROBERT TERRY MD PSO PHYSICIAN	(i) (ii)	514,438 ------------- 0	753,277 ------------- 0	13,397 ------------- 0	19,552 ------------- 0	26,025 ------------- 0	1,326,689 ------------- 0	0 ------------- 0
22BUUP KIM MD PSO PHYSICIAN CLINIC	(i) (ii)	888,342 ------------- 0	14,000 ------------- 0	15,147 ------------- 0	21,250 ------------- 0	19,650 ------------- 0	958,389 ------------- 0	0 ------------- 0
23ANASTASIOS SALIARIS MD PSO PHYSICIAN	(i) (ii)	768,665 ------------- 0	27,710 ------------- 0	3,264 ------------- 0	22,523 ------------- 0	33,445 ------------- 0	855,607 ------------- 0	0 ------------- 0
24WILLIAM ANDERSON MD MEDICAL DIRECTOR	(i) (ii)	741,236 ------------- 0	37,500 ------------- 0	5,525 ------------- 0	19,800 ------------- 0	27,415 ------------- 0	831,476 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 1A	TRAVEL FOR COMPANIONS THE ORGANIZATION ALLOWS FOR REIMBURSEMENT OF TRAVEL EXPENSES FOR COMPANIONS OF BOARD MEMBERS. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION TO THE BOARD MEMBERS. IN 2018, THE FOLLOWING BOARD MEMBERS RECEIVED REIMBURSEMENT FOR COMPANION TRAVEL: DONNA KING - $721.
PART I, LINE 3	COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
PART I, LINES 4A-B	SCHEDULE J, PART I, LINE 4A SEVERANCE PAYMENTS THE ORGANIZATION AND RELATED ORGANIZATIONS PERIODICALLY INCUR SEVERANCE PAYMENTS TO FORMER EMPLOYEES. THE INDIVIDUALS AND THE AMOUNTS PAID FOR SEVERANCE IN 2018 WERE: KERRY KOHNEN - $235,090. SCHEDULE J, PART I, LINE 4B PAYMENTS FROM NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN THE ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY 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. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 2014, THE ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. THE ORGANIZATION HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THE AMOUNTS ARE VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE VESTED IN THE CURRENT YEAR, ARE CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. FOR SOME OF THE PARTICIPANTS, AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE FEDERAL AND STATE GOVERNMENTS AS WITHHOLDING ON THE TAXABLE BENEFIT. NO CASH PAYMENT IS MADE DIRECTLY TO THE PARTICIPANT AND THE REMAINING BENEFIT AMOUNT STAYS IN THE RETIREMENT PLAN. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2018 WERE: ROSLAND MCLEOD - $18,776. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2018. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2018 WERE: LYDIA JUMONVILLE - $218,055, ROSLAND MCLEOD - $127,904, MICHAEL TAYLOR - $129,032, STEVEN CHYUNG - $52,028, SHAWN DUFFORD - $66,505, TAJQUAH HUDSON - $112,540, KERRY KOHNEN - $156,129, MEGAN MAHNCKE - $23,401, DAVID PECORARO - $412,262, DAVID PRINGLE - $35,538, TAMARA SAUNAITIS - $58,168, KAREN SCREMIN - $24,303, GERALDINE TOWNDROW - $36,588, MARK WILKINSON - $28,901, CHRISTINE WOOLSEY - $133,692, JOHN WICKLUND - $952,915. IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E.
PART I, LINE 7	OTHER NON-FIXED PAYMENTS THE AT RISK COMPENSATION PLAN WAS ESTABLISHED TO ENABLE THE HEALTH CARE SYSTEM AND ITS CARE SITES TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION, VISION, STRATEGIC PRIORITIES AND KEY INITIATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND IS FUNDED EACH YEAR BY MEETING THRESHOLD LEVELS OF OPERATING INCOME. TARGET AWARD AMOUNTS ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR SPECIFIC ROLE AT THE HEALTH CARE SYSTEM. ACTUAL AWARDS ARE PAID OUT BASED ON ATTAINMENT OF BOARD APPROVED GOALS, INCLUDING OPERATING INCOME, STEWARDSHIP, PATIENT AND EMPLOYEE SAFETY, PATIENT EXPERIENCE AND COMMUNITY BENEFIT/MISSION TARGETS. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON.
ADDITIONAL OFFICER AND BOARD DISCLOSURES	THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) AND RELATED TAX EXEMPT ORGANIZATIONS CONSISTS OF EIGHT HOSPITALS, NINE FOUNDATIONS, TWO SAFETY-NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 100 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 16,000 FULL-TIME ASSOCIATES AND MORE THAN 600 EMPLOYED PROVIDERS. SCL HEALTH AND RELATED TAX EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. IN KEEPING WITH SCL HEALTH'S CORE VALUE OF STEWARDSHIP, SCL HEALTH'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES.

Schedule J (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number
23-7379161

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648AST3	05-20-2010	605,460,143	3/24/98,11/13/02,7/18/02 REFI+HOSP FA		X		X		X
B	MONTANA FACILITY FINANCE AUTHORITY	81-0302402	61204KHV6	05-20-2010	217,535,868	3/24/98 & 5/25/00 REFI+HOSP FAC		X		X		X
C	KANSAS DEVELOPMENT FINANCE AUTHORITY	48-1066589	48542K5N5	05-20-2010	202,625,401	3/24/98 & 5/25/00 REFI+HOSP FAC	X			X		X
D	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	NONEAVAIL	06-15-2011	62,620,000	7/18/02 & 2/4/09 REFI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648AN84	11-12-2013	302,719,375	CONSTRUCT HOSPITAL FACILITY		X		X		X
	KANSAS DEVELOPMENT FINANCE AUTHORITY	48-1066589	48542K5N5	04-01-2013	32,775,000	REISSUANCE OF KANSAS 2010	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A5S0	05-12-2016	221,970,000	CONSTRUCT HOSPITAL FACILITY		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	104,365,000		47,155,000		30,645,000		7,315,000
2 Amount of bonds legally defeased ..............			7,805,000		135,375,000
3 Total proceeds of issue ..................	605,500,535		217,665,906		202,625,401		62,620,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	6,836,215		2,529,281		2,488,006		420,000
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	310,650,923		94,781,550		77,008,019
11 Other spent proceeds .............	288,013,397		120,355,075		123,129,376		62,200,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2010		2010		2010		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....	X			X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....			1.300 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........			0.100 %
6 Total of lines 4 and 5 .............			1.400 %
7 Does the bond issue meet the private security or payment test? ...		X		X	X			X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X	X			X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..					64.520 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............					X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART IV, LINE 2C	REBATE COMPLETION DATES: A - COLORADO HEALTH FACILITIES AUTHORITY 2010 - 5/20/18 B - MONTANA FACILITY FINANCE AUTHORITY 2010 - 5/20/18 C - KANSAS DEVELOPMENT FINANCE AUTHORITY 2010 - 5/20/18 D - COLORADO HEALTH FACILITIES AUTHORITY 2011 - 6/15/18 A - COLORADO HEALTH FACILITIES AUTHORITY 2013 - 5/20/18 B - KANSAS DEVELOPMENT FINANCE AUTHORITY 2013 - 11/12/18
PART I COLUMN (E) & PART II LINE 3	ANY DIFFERENCE BETWEEN ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS.
PART III, LINE 8B	PROVIDENCE MEDICAL CENTER (KANSAS CITY, KS) AND SAINT JOHN HOSPITAL (LEAVENWORTH, KS) WERE SOLD APRIL 2013 AND REMEDIAL ACTIONS (REISSUANCE AND REDEMPTION) WERE TAKEN WITH RESPECT TO THE OUTSTANDING BONDS.

Schedule K (Form 990) 2018

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number
23-7379161

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648AST3	05-20-2010	605,460,143	3/24/98,11/13/02,7/18/02 REFI+HOSP FA		X		X		X
B	MONTANA FACILITY FINANCE AUTHORITY	81-0302402	61204KHV6	05-20-2010	217,535,868	3/24/98 & 5/25/00 REFI+HOSP FAC		X		X		X
C	KANSAS DEVELOPMENT FINANCE AUTHORITY	48-1066589	48542K5N5	05-20-2010	202,625,401	3/24/98 & 5/25/00 REFI+HOSP FAC	X			X		X
D	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	NONEAVAIL	06-15-2011	62,620,000	7/18/02 & 2/4/09 REFI		X		X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648AN84	11-12-2013	302,719,375	CONSTRUCT HOSPITAL FACILITY		X		X		X
	KANSAS DEVELOPMENT FINANCE AUTHORITY	48-1066589	48542K5N5	04-01-2013	32,775,000	REISSUANCE OF KANSAS 2010	X			X		X
	COLORADO HEALTH FACILITIES AUTHORITY	84-0752932	19648A5S0	05-12-2016	221,970,000	CONSTRUCT HOSPITAL FACILITY		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	104,365,000		47,155,000		30,645,000		7,315,000
2 Amount of bonds legally defeased ..............			7,805,000		135,375,000
3 Total proceeds of issue ..................	605,500,535		217,665,906		202,625,401		62,620,000
4 Gross proceeds in reserve funds .............
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	6,836,215		2,529,281		2,488,006		420,000
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	310,650,923		94,781,550		77,008,019
11 Other spent proceeds .............	288,013,397		120,355,075		123,129,376		62,200,000
12 Other unspent proceeds .............
13 Year of substantial completion .............	2010		2010		2010		2011
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X		X		X
15 Were the bonds issued as part of an advance refunding issue? .....	X			X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X		X		X		X

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

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X		X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....			1.300 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........			0.100 %
6 Total of lines 4 and 5 .............			1.400 %
7 Does the bond issue meet the private security or payment test? ...		X		X	X			X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X	X			X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..					64.520 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............					X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X		X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
PART IV, LINE 2C	REBATE COMPLETION DATES: A - COLORADO HEALTH FACILITIES AUTHORITY 2010 - 5/20/18 B - MONTANA FACILITY FINANCE AUTHORITY 2010 - 5/20/18 C - KANSAS DEVELOPMENT FINANCE AUTHORITY 2010 - 5/20/18 D - COLORADO HEALTH FACILITIES AUTHORITY 2011 - 6/15/18 A - COLORADO HEALTH FACILITIES AUTHORITY 2013 - 5/20/18 B - KANSAS DEVELOPMENT FINANCE AUTHORITY 2013 - 11/12/18
PART I COLUMN (E) & PART II LINE 3	ANY DIFFERENCE BETWEEN ISSUE PRICE REPORTED ON PART I, COLUMN (E) AND TOTAL PROCEEDS REPORTED ON PART II, LINE 3 IS DUE TO INVESTMENT EARNINGS.
PART III, LINE 8B	PROVIDENCE MEDICAL CENTER (KANSAS CITY, KS) AND SAINT JOHN HOSPITAL (LEAVENWORTH, KS) WERE SOLD APRIL 2013 AND REMEDIAL ACTIONS (REISSUANCE AND REDEMPTION) WERE TAKEN WITH RESPECT TO THE OUTSTANDING BONDS.

Schedule K (Form 990) 2018

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 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 6	THE MEMBERS OF SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) SHALL BE THE MEMBERS OF LEAVEN MINISTRIES. THE MEMBERS OF LEAVEN MINISTRIES SHALL SERVE AS MEMBERS OF SCLHS DURING THEIR TERMS OF OFFICE AS MEMBERS OF LEAVEN MINISTRIES.
FORM 990, PART VI, SECTION A, LINE 7A	THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE CHAIR OF LEAVEN MINISTRIES, OR HIS/HER DESIGNEE, SHALL BE EX-OFFICIO MEMBERS OF THE BOARD WITH FULL VOTING RIGHTS. THE CHAIR OF LEAVEN MINISTRIES SHALL APPOINT AN ADDITIONAL MEMBER OF THE CORPORATION TO SERVE ON THE BOARD OF DIRECTORS OF THE CORPORATION. THE BOARD OF DIRECTORS SHALL ENSURE THE PRESENCE OF REPRESENTATIVES NOMINATED BY THE PARTICIPATING ENTITIES ON THIS BOARD AND ON THE BOARD OF ANY CORPORATION OF WHICH THIS CORPORATION IS A CONTROLLING MEMBER. EXCEPT FOR EX-OFFICIO MEMBERS OF THE BOARD OF DIRECTORS, THE MEMBERS SHALL APPOINT DIRECTORS AT THE ANNUAL MEETING OF THE MEMBERS. A SLATE OF NAMES PROPOSED BY A NOMINATING COMMITTEE OF THE BOARD OF DIRECTORS FOR APPOINTMENT AS DIRECTORS SHALL BE SUBMITTED TO THE MEMBERS BY THE CHAIRPERSON OF THE BOARD, PROVIDED, HOWEVER, THAT THE MEMBERS MAY APPOINT INDIVIDUALS AS DIRECTORS WHO HAVE NOT BEEN NOMINATED BY THE NOMINATING COMMITTEE.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBERS OF THE CORPORATION SHALL BE THE MEMBERS OF LEAVEN MINISTRIES. THE MEMBERS OF LEAVEN MINISTRIES SHALL SERVE AS MEMBERS OF THE CORPORATION DURING THEIR TERM OF OFFICE AS MEMBERS OF LEAVEN MINISTRIES. IN ADDITION TO ALL MATTERS REQUIRED BY LAW OR BY THE ARTICLES OF INCORPORATION OR OTHER PROVISIONS OF THESE BYLAWS WHICH ARE REQUIRED TO BE PERFORMED BY THE MEMBERS, THE MEMBERS SHALL HAVE THE SOLE PREROGATIVE TO ACT UPON ANY OF THE FOLLOWING MATTERS AND, IF ANY ACTION WITH RESPECT TO ANY OF THE FOLLOWING IS INITIATED BY A BODY OTHER THAN THE MEMBERS, IT SHALL NOT BECOME EFFECTIVE UNTIL APPROVED BY AN AFFIRMATIVE VOTE OF THE MEMBERS: TO ESTABLISH/APPROVE THE MISSION/PHILOSOPHY OF THIS CORPORATION AND ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; TO ADOPT, AMEND OR REPEAL THE ARTICLES OF INCORPORATION OR BYLAWS OF THIS CORPORATION AND THE ARTICLES AND BYLAWS OF ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER; TO FIX THE NUMBER OF DIRECTORS OF THIS CORPORATION AND APPOINT THE CORPORATION'S BOARD OF DIRECTORS, AFTER RECEIVING RECOMMENDATIONS FROM THE BOARD, PROVIDED THAT THE MEMBERS' APPOINTMENT AUTHORITY SHALL NOT BE LIMITED TO THE NOMINATIONS RECEIVED; TO REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD OF DIRECTORS, ANY MEMBER OF THE BOARD OF THIS CORPORATION; TO APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, AFTER CONSULTATION WITH THE BOARD OF DIRECTORS, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THIS CORPORATION; TO APPROVE FOR THIS CORPORATION, OR FOR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER, THE INCURRENCE OF INDEBTEDNESS OR THE SALE, TRANSFER, ASSIGNMENT, OR ENCUMBERING OF THE ASSETS, PURSUANT TO POLICIES ESTABLISHED FROM TIME TO TIME BY THE MEMBERS OF THIS CORPORATION; TO APPROVE THE MERGER, DISSOLUTION OR CORPORATE RESTRUCTURING OF THIS CORPORATION OR ANY CORPORATION OF WHICH THIS CORPORATION IS THE CONTROLLING MEMBER.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT. THE FORM 990 IS REVIEWED BY SENIOR MANAGEMENT. A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. ANY QUESTIONS ARE ADDRESSED TO THE TAX DIRECTOR OF SCLHS PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 WAS ALSO REVIEWED BY AN OUTSIDE ACCOUNTING FIRM.
FORM 990, PART VI, SECTION B, LINE 12C	MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, STAFF, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS TO DISCLOSE ANY POTENTIAL CONFLICT ISSUES. THESE STATEMENTS ARE CAREFULLY REVIEWED BY THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT AND APPROPRIATE LEADERSHIP. A REPORT IS PROVIDED TO SCL HEALTH'S PRESIDENT/CEO AND THE BOARD OF DIRECTORS. THE BUSINESS AND AFFAIRS OF SCL HEALTH WILL AT ALL TIMES BE CONDUCTED IN A MANNER THAT IS SOLELY IN THE BEST INTERESTS OF SCL HEALTH AND NOT BE INFLUENCED BY CONFLICTING INTERESTS OF PERSONS RESPONSIBLE FOR ADMINISTERING THOSE AFFAIRS. THE EXISTENCE OF ANY CONFLICTS OF INTEREST WILL BE DISCLOSED AND THE PROCEDURES SET FORTH HEREIN WILL BE FOLLOWED. CERTAIN TRANSACTIONS DETERMINED TO CONSTITUTE A CONFLICT OF INTEREST ARE PROHIBITED. ANY PERSON IN A POSITION TO EXERCISE SUBSTANTIAL INFLUENCE OVER SCL HEALTH IS CONSIDERED AN INTERESTED PERSON. THIS TERM INCLUDES, BUT IS NOT LIMITED TO THE FOLLOWING: - BOARD MEMBERS, BOARD COMMITTEE MEMBERS, OFFICERS AND DIRECTORS; - SENIOR LEADERS AND EXECUTIVES (CEO, PRESIDENT, SVP, VP, EXECUTIVE DIRECTORS); - EMPLOYED PHYSICIANS AND PHYSICIANS IN MEDICAL STAFF LEADERSHIP ROLES (E.G., DEPARTMENT CHAIRS, MEMBERS OF MEDICAL STAFF COMMITTEES); - MEDICAL DIRECTORS OF CLINICAL PROGRAMS THAT ASSESS, REVIEW, RECOMMEND OR REQUEST PURCHASE OF ANY SPECIFIC PHARMACEUTICAL PRODUCTS, MEDICAL DEVICES, SUPPLIES AND/OR EQUIPMENT; - DEPARTMENT DIRECTORS; AND - OTHER SELECT INDIVIDUALS IDENTIFIED BY LEADERSHIP WHICH MAY INCLUDE, BUT IS NOT LIMITED TO, SUPPLY CHAIN AND FINANCE. UPON BECOMING AN INTERESTED PERSON AND ON AN ANNUAL BASIS, INTERESTED PERSONS ARE REQUIRED TO DISCLOSE ANY RELATIONSHIPS THAT CONSTITUTE OR MIGHT LEAD TO A CONFLICT OF INTEREST BY COMPLETING THE CURRENT CONFLICT OF INTEREST AND GIFT DISCLOSURE STATEMENT ("STATEMENT") AS APPROVED BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER. THE CHIEF INTEGRITY AND COMPLIANCE OFFICER WILL OVERSEE THE REVIEW OF THE STATEMENTS AND THE RESOLUTION OF ANY IDENTIFIED CONFLICTS OF INTEREST AND ALERT THE SCL HEALTH CEO AND/OR THE CHAIR OF THE SCL HEALTH BOARD OF DIRECTORS TO ANY ITEMS OF CONCERN. WHEN AN INTERESTED PERSON BECOMES AWARE OF A CONFLICT OF INTEREST WHICH HAS NOT BEEN DISCLOSED ON A STATEMENT, HE OR SHE SHALL CONTACT THE LOCAL COMPLIANCE AND PRIVACY OFFICER OR THE CHIEF INTEGRITY AND COMPLIANCE OFFICER, OBTAIN A STATEMENT FORM, COMPLETE AND RETURN IT TO THE SCL HEALTH INTEGRITY AND COMPLIANCE DEPARTMENT. WHENEVER AN INTERESTED PERSON BECOMES AWARE THAT AN ARRANGEMENT WITH RESPECT TO WHICH HE OR SHE HAS A CONFLICT OF INTEREST IS BEING CONSIDERED, THE INTERESTED PERSON MUST DISCLOSE ALL MATERIAL FACTS CONCERNING THE EXISTENCE AND NATURE OF THE CONFLICT OF INTEREST TO HIS OR HER SUPERVISOR (IF AN EMPLOYEE OTHER THAN THE ORGANIZATIONS SCL HEALTH CEO) OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR (IF THE SCL HEALTH CEO OR A BOARD OR COMMITTEE MEMBER), EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. WITH REGARD TO EMPLOYEES OTHER THAN THE SCL HEALTH CEO, THE INTERESTED PERSON'S SUPERVISOR WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. WITH REGARD TO THE SCL HEALTH CEO AND BOARD OR COMMITTEE MEMBERS, THE REMAINING MEMBERS OF THE BOARD OR COMMITTEE WILL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. PERSON(S) RESPONSIBLE FOR THE DETERMINATION SHOULD OBTAIN FURTHER GUIDANCE FROM THE SCL HEALTH INTEGRITY AND COMPLIANCE OR LEGAL DEPARTMENTS. UPON MAKING HIS OR HER DISCLOSURE, THE INTERESTED PERSON WILL LEAVE THE MEETING OR OTHERWISE REMOVE HIM OR HERSELF FROM THE DELIBERATIONS OR OTHER DECISION-MAKING PROCESS UNTIL SUCH TIME AS A DETERMINATION IS REACHED. IF A DETERMINATION HAS BEEN MADE THAT NO CONFLICT OF INTEREST EXISTS, THE INTERESTED PERSON MAY BE PRESENT AND PARTICIPATE IN THE DELIBERATION REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, IF AN INTERESTED PERSON HAS BEEN DETERMINED TO HAVE A CONFLICT OF INTEREST, HE OR SHE MAY NOT PARTICIPATE IN THE DELIBERATION OR DECISION REGARDING THE TRANSACTION OR ARRANGEMENT; BE PRESENT DURING THE DELIBERATION OR DECISION-MAKING; OR BE ALLOWED TO MAKE A PRESENTATION PRIOR TO THE DELIBERATION AND DECISION-MAKING ACTIVITIES. WHEN AN INTERESTED PERSON HAS A CONFLICT OF INTEREST, THE DECISION-MAKER/DECISION-MAKING BODY CONSIDERING THE TRANSACTION OR ARRANGEMENT WILL TAKE REASONABLE MEASURES, PRIOR TO APPROVING OR ENTERING INTO THE TRANSACTION OR ARRANGEMENT, TO ENSURE THAT THE PROPOSAL IS IN SCL HEALTH'S BEST INTERESTS. THE PROPOSED TRANSACTION OR ARRANGEMENT MAY PROCEED IF THE DECISION-MAKER/DECISION-MAKING BODY, AFTER HAVING BEEN FULLY INFORMED OF THE MATERIAL FACTS ESTABLISHING THE CONFLICT OF INTEREST, DETERMINES THAT THE TRANSACTION OR ARRANGEMENT IS IN SCL HEALTH'S BEST INTERESTS AND IS FAIR AND REASONABLE. A MAJORITY VOTE OF THE DISINTERESTED DECISION-MAKERS IS REQUIRED WHEN A DETERMINATION IS MADE BY A BOARD, COMMITTEE OR OTHER DECISION-MAKING BODY. MANAGEMENT OF POTENTIAL CONFLICTS IS DONE BY THE CHIEF INTEGRITY AND COMPLIANCE OFFICER AND/OR CARE SITE COMPLIANCE AND PRIVACY OFFICERS AND REPORTED ANNUALLY TO THE CARE SITE LEADERSHIP COMMITTEES AND/OR SYSTEM INTEGRITY AND COMPLIANCE COMMITTEE, THE AUDIT, ORGANIZATIONAL INTEGRITY AND COMPLIANCE COMMITTEE OF THE SCL HEALTH BOARD OF DIRECTORS. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE SCL HEALTH TAX DIRECTOR FOR COMPLIANCE WITH THE FORM 990 TAX RETURN.
FORM 990, PART VI, SECTION B, LINE 15	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) PROCESS FOR DETERMINING COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE SCL HEALTH BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO SCL HEALTH'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY SCL HEALTH AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY SCL HEALTH'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, SCL HEALTH USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN SELF INSURED LIABILITY 3,604,026. EQUITY TRANSFER - FUND PHYSICIAN CLINIC LOSSES - INCLUDING PRIOR PERIOD LOSSES -3,462,875. EQUITY TRANSFER - COMMUNITY CLINIC EMERGENCY CENTERS TRANSFER OF OPERATIONS 724,011. EQUITY TRANSFER - SJD AMBULATORY SURGERY 1,543,044. FAS 157 CREDIT RISK ADJUSTMENT -576,127. FAS 158 UNRECOGNIZED EXPENSE FOR THE FROZEN DB PLAN -6,169,128. IN-KIND CONTRIBUTION FROM A RELATED ORGANIZATION -420.

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

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

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" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

SISTERS OF CHARITY OF LEAVENWORTH HEALTH
SYSTEM INC

Employer identification number

23-7379161

Part I

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

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) SCL HEALTH MEDICAL GROUP - MONTANA LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-1888400	PHYSICIAN SERVICES	MT	0	0	SCLHS
(2) SCL HEALTH MEDICAL GROUP - BILLINGS LLC 1233 NORTH 30TH STREET BILLINGS,MT59101 46-4056262	PHYSICIAN SERVICES	MT	68,649,911	14,121,720	SCL HEALTH MEDICAL GROUP - MONTANA LLC
(3) SCL HEALTH MEDICAL GROUP - BUTTE LLC 400 SOUTH CLARK STREET BUTTE,MT59701 27-3193107	PHYSICIAN SERVICES	MT	10,654,764	1,395,109	SCL HEALTH MEDICAL GROUP - MONTANA LLC
(4) SCL HEALTH PARTNERS LLC 8300 WEST 38TH AVENUE WHEAT RIDGE,CO80033 02-0749530	HEALTHCARE SERVICES	CO	21,770,777	16,818,260	SCLHS
(5) CANCER CENTERS OF COLORADO LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-3157615	OP CANCER CENTER	CO	523,543	792,526	SCL HEALTH PARTNERS LLC
(6) GS CAMPUS ASC LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-1536566	SURGERY CENTER	CO	0	0	SCL HEALTH PARTNERS LLC
(7) SCL HEALTH - EMERUS LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 80-0958129	HOSPITAL SERVICES	CO	0	0	SCL HEALTH PARTNERS LLC
(8) SCL HEALTH AURORA LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-2156361	EMERGENCY CARE SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(9) SCL HEALTH NORTHGLENN LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-2188745	HOSPITAL SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(10) SCL HEALTH SOUTHWEST LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-2175436	HOSPITAL SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(11) SCL HEALTH WESTMINSTER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-5180833	HOSPITAL SERVICES	CO	0	0	SCL HEALTH - EMERUS LLC
(12) SCL HOME HEALTH SOLUTIONS LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-2418729	HOME HEALTH SERVICES	DE	0	0	SCL HEALTH PARTNERS LLC
(13) SCL FRONT RANGE HOME HEALTH LLC 3980 QUEBEC STREET SUITE 100 DENVER,CO80207 84-1195134	HOME HEALTH SERVICES	CO	6,153,172	835,069	SCL HOME HEALTH SOLUTIONS LLC
(14) SJ EAST CAMPUS ASC LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-1485491	SURGERY CENTER	CO	117,155	425,793	SCL HEALTH PARTNERS LLC
(15) 1227 LOWER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 81-0811084	REAL ESTATE INVESTMENT	CO	0	0	SCLHS
(16) 1227 UPPER LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 81-0906413	REAL ESTATE INVESTMENT	CO	0	0	SCLHS

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(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)SCL HEALTH FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 82-3290526	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCLHS	Yes
(2)INTEGRITY HEALTH 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-4520350	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12C, III-FI	SCLHS	Yes
(3)BRIGHTON COMMUNITY HOSPITAL ASSOCIATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON,CO80601 84-0482695	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	INTEGRITY HEALTH	Yes
(4)PLATTE VALLEY MEDICAL CENTER FOUNDATION 1600 PRAIRIE CENTER PARKWAY BRIGHTON,CO80601 74-2255936	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	Yes
(5)MOUNT ST VINCENT HOME INC 4159 LOWELL BOULEVARD DENVER,CO80211 84-0405260	RESIDENT CARE	CO	501(C)(3)	LINE 10	SCLHS	Yes
(6)NJH-SJH INC 500 ELDORADO BLVD SUITE 4300 DENVER,CO80211 47-1194849	MANAGEMENT OF RELATED TAX EXEMPT HOSPITALS AND HEALTHCARE SERVICES	CO	501(C)(3)	LINE 12A, I	SCLHS	Yes
(7)SAINT JOSEPH HOSPITAL INC 1375 EAST 19TH AVENUE DENVER,CO80218 84-0417134	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SCLHS	Yes
(8)SAINT JOSEPH HOSPITAL FOUNDATION 1375 EAST 19TH AVENUE DENVER,CO80218 84-0735096	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SAINT JOSEPH HOSPITAL INC	Yes
(9)SCL HEALTH - FRONT RANGE INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 84-1103606	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SCLHS	Yes
(10)GOOD SAMARITAN MEDICAL CENTER FOUNDATION 200 EXEMPLA CIRCLE LAFAYETTE,CO80026 84-1649162	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCL HEALTH-FRONT RANGE INC	Yes
(11)LUTHERAN MEDICAL CENTER FOUNDATION 8300 WEST 38TH AVENUE WHEAT RIDGE,CO80033 20-8846152	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	CO	501(C)(3)	LINE 7	SCL HEALTH-FRONT RANGE INC	Yes
(12)ST MARYS HOSPITAL & MEDICAL CENTER INC 2635 NORTH 7TH STREET GRAND JUNCTION,CO81501 84-0425720	HOSPITAL SERVICES	CO	501(C)(3)	LINE 3	SCLHS	Yes
(13)ST MARYS HOSPITAL FOUNDATION 2635 NORTH 7TH STREET GRAND JUNCTION,CO81501 23-7001007	SUPPORTING ORGANIZATION	CO	501(C)(3)	LINE 12A, I	ST MARYS HOSPITAL & MEDICAL CENTER INC	Yes
(14)CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH,KS66048 48-1009910	CLINIC SERVICES	KS	501(C)(3)	LINE 3	SCLHS	Yes
(15)MARIAN CLINIC INC 3164 EAST 6TH AVENUE TOPEKA,KS66607 48-1046905	CLINIC SERVICES	KS	501(C)(3)	LINE 3	SCLHS	Yes
(16)ST FRANCIS HEALTH CENTER INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 48-0547719	HOSPITAL SERVICES	KS	501(C)(3)	LINE 3	SCLHS	Yes
(17)ST FRANCIS HEALTH CENTER FOUNDATION 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 48-1092520	SUPPORTING ORGANIZATION	KS	501(C)(3)	LINE 12A, I	ST FRANCIS HEALTH CENTER INC	Yes
(18)HOLY ROSARY HEALTHCARE 2600 WILSON STREET MILES CITY,MT59301 81-0231792	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SCLHS	Yes
(19)HOLY ROSARY HEALTHCARE FOUNDATION INC 2600 WILSON STREET MILES CITY,MT59301 20-2270238	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I	HOLY ROSARY HEALTHCARE	Yes
(20)ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE,MT59701 81-0231785	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SCLHS	Yes
(21)ST JAMES HEALTHCARE FOUNDATION INC 400 SOUTH CLARK STREET BUTTE,MT59701 65-1202190	SUPPORTING ORGANIZATION	MT	501(C)(3)	LINE 12A, I	ST JAMES HEALTHCARE	Yes
(22)ST VINCENT HEALTHCARE 1233 NORTH 30TH STREET BILLINGS,MT59101 81-0232124	HOSPITAL SERVICES	MT	501(C)(3)	LINE 3	SCLHS	Yes
(23)ST VINCENT HEALTHCARE FOUNDATION INC 1106 NORTH 30TH STREET BILLINGS,MT59101 81-0468034	SUPPORT RELATED TAX EXEMPT ORGANIZATIONS	MT	501(C)(3)	LINE 7	ST VINCENT HEALTHCARE	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2018

Page 2

Part III

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(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 V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) LUTHERAN CAMPUS ASC LLC 3455 LUTHERAN PKWY STE 150 WHEATRIDGE,CO80033 02-0749532	OP SURGERY	CO	SCL HEALTH PARTNERS LLC	RELATED	871,494	942,677		No			No	54.890 %
(2) SCLH-GI ENDOSCOPY HOLDINGS LLC 382 S ARTHUR AVENUE LOUISVILLE,CO80027 81-2979243	OP ENDOSCOPY	CO	SCL HEALTH PARTNERS LLC	RELATED	1,457,075	1,261,341		No			No	51.000 %
(3) SCLTDI JV LLC 1431 PERRONE WAY FRANKLIN,TN37069 47-2294770	RADIOLOGY	DE	SCL HEALTH PARTNERS LLC	RELATED	-2,736,364	16,994,451		No		Yes		51.000 %
(4) ATHLETIC MEDICINE & PERFORMANCE LLC 1144 NORTH 28TH STREET BILLINGS,MT59101 27-2270640	PHYSICAL THERAPY	MT	N/A
(5) GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON AVENUE SUITE 21 GRAND JUNCTION,CO81501 84-1505075	OP SURGERY	CO	N/A
(6) HEALTHCARE MANAGEMENT LLC PO BOX 1929 GRAND JUNCTION,CO81502 84-1238904	MANAGEMENT SERVICES	CO	N/A
(7) PAVILION IMAGING LLC 750 WELLINGTON AVENUE GRAND JUNCTION,CO81501 03-0516198	RADIOLOGY	CO	N/A
(8) SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE,CO81401 20-2856331	OP CANCER	CO	N/A
(9) SMHMMH AIR MEDICAL TRANSPORT LLC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 47-3525381	MEDICAL AIR TRANSPORT	CO	N/A
(10) EKG INTERPRETATION SERVICE 3464 S WILLOW STREET SUITE 111 DENVER,CO80231 84-0927945	EKG INTERPRETATION	CO	N/A
(11) ST JOSEPH EKG READER PANEL 3464 S WILLOW STREET SUITE 174 DENVER,CO80231 84-1269895	EKG READING	CO	N/A
(12) MED-MAP LLC PO BOX 1295 BILLINGS,MT59103 81-0491356	RENTAL REAL ESTATE	MT	N/A
(13) YELLOWSTONE SURGERY CENTER LLC 1144 NORTH 28TH STREET BILLINGS,MT59101 72-1519467	OP SURGERY	MT	N/A

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) CARITAS INC AND SUBSIDIARIES 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 48-0941069	HEALTHCARE	KS	SCLHS	C	6,935,603	15,034,992	100.000 %	Yes
(2) ST FRANCIS ACCOUNTABLE HEALTH NETWORK INC 500 ELDORADO BLVD SUITE 4300 BROOMFIELD,CO80021 46-2874128	HEALTHCARE	KS	ST FRANCIS HEALTH CENTER INC	C	2,419,581		100.000 %	Yes
(3) LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVENUE WEST BAY R GRAND CAYMAN KY1-1102 CJ 98-0370522	INSURANCE	CJ	SCLHS	C	17,454,861	64,746,366	100.000 %	Yes

Schedule R (Form 990) 2018

Page 3

Part V

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

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

Yes

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

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

Yes

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

Yes

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

Yes

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

Yes

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

f Dividends from related organization(s) ............................

Yes

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

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

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

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related 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 related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ST MARY'S HOSPITAL & MEDICAL CENTER INC	A	300,328	FMV
(2) ST JAMES HEALTHCARE	A	48,042	FMV
(3) SCL HEALTH-FRONT RANGE INC	A	9,247,856	FMV
(4) SAINT JOSEPH HOSPITAL INC	A	11,417,701	FMV
(5) CARITAS CLINICS INC	B	236,377	FMV
(6) MARIAN CLINIC INC	B	157,013	FMV
(7) MOUNT ST VINCENT HOME INC	B	549,453	FMV
(8) ST VINCENT HEALTHCARE	B	3,000,157	FMV
(9) SCL HEALTH FOUNDATION	B	109,000	FMV
(10) ST VINCENT HEALTHCARE FOUNDATION	C	1,560,076	FMV
(11) SAINT JOSEPH HOSPITAL INC	D	3,600,132	FMV
(12) SCL HEALTH-FRONT RANGE INC	D	11,890,000	FMV
(13) ST JAMES HEALTHCARE	D	4,318,392	FMV
(14) ST MARY'S HOSPITAL & MEDICAL CENTER INC	D	5,911,556	FMV
(15) CARITAS INC AND SUBSIDIARIES	F	5,461,000	FMV
(16) LEAVEN INSURANCE COMPANY LTD	F	4,800,000	FMV
(17) MED-MAP LLC	K	1,469,011	FMV
(18) ST VINCENT HEALTHCARE	L	57,092,013	FMV
(19) HOLY ROSARY HEALTHCARE	L	8,838,277	FMV
(20) ST JAMES HEALTHCARE	L	16,698,609	FMV
(21) ST MARY'S HOSPITAL & MEDICAL CENTER INC	L	61,112,156	FMV
(22) SAINT JOSEPH HOSPITAL INC	L	76,306,072	FMV
(23) SCL HEALTH-FRONT RANGE INC	L	114,220,609	FMV
(24) BRIGHTON COMMUNITY HOSPITAL ASSOCIATION	L	11,076,492	FMV
(25) ST JAMES HEALTHCARE FOUNDATION INC	L	90,820	FMV
(26) ST VINCENT HEALTHCARE FOUNDATION INC	L	722,962	FMV
(27) ST MARYS HOSPITAL FOUNDATION	L	280,852	FMV
(28) SAINT JOSEPH HOSPITAL FOUNDATION	L	252,222	FMV
(29) LUTHERAN MEDICAL CENTER FOUNDATION	L	178,822	FMV
(30) GOOD SAMARITAN MEDICAL CENTER FOUNDATION	L	245,027	FMV

Schedule R (Form 990) 2018

Page 4

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

Schedule R (Form 990) 2018

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	16
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	3,968
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	522,222
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) .........	1,497,354	1,619,870
9	Program service revenue (Part VIII, line 2g) .........	473,301,777	530,827,844
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	94,255,833	157,264,500
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	9,732,543	8,268,755
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	578,787,507	697,980,969
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	18,926,310	4,192,744
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)	276,265,141	305,257,367
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–24e)....	325,058,910	352,050,880
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	620,250,361	661,500,991
19	Revenue less expenses. Subtract line 18 from line 12.......	-41,462,854	36,479,978
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,650,842,450	2,603,987,815
21	Total liabilities (Part X, line 26).............	2,424,054,848	2,554,485,949
22	Net assets or fund balances. Subtract line 21 from line 20.....	226,787,602	49,501,866

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 640,457,154 including grants of $ 4,192,744 ) (Revenue $ 539,046,570 )
	SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) IS A FAITH-BASED, NONPROFIT HEALTHCARE ORGANIZATION THAT OPERATES EIGHT HOSPITALS, TWO SAFETY NET CLINICS, ONE CHILDREN'S MENTAL HEALTH CENTER, HOME HEALTH AND MORE THAN 100 PHYSICIAN CLINICS IN THREE STATES - COLORADO, KANSAS AND MONTANA. THE HEALTH SYSTEM INCLUDES MORE THAN 16,000 FULL-TIME ASSOCIATES AND MORE THAN 600 EMPLOYED PROVIDERS.BASED IN DENVER, THE HEALTH NETWORK IS DEDICATED TO IMPROVING THE HEALTH OF THE COMMUNITIES AND INDIVIDUALS IT SERVES, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE. IN 2018, SCL HEALTH SYSTEM CONTRIBUTED $242 MILLION IN COMMUNITY BENEFIT, INCLUDING SERVICES FOR THE POOR, HEALTH SCREENINGS, EDUCATIONAL PROGRAMS, COMMUNITY DONATIONS AND RESEARCH.SCL HEALTH WAS FOUNDED BY THE SISTERS OF CHARITY OF LEAVENWORTH (SCL), WHO TRACE THEIR ORIGIN AS A RELIGIOUS COMMUNITY TO THE 1600S IN FRANCE, WHERE VINCENT DE PAUL AND LOUISE DE MARILLAC ESTABLISHED THE DAUGHTERS OF CHARITY. THESE WOMEN WERE DEDICATED TO SERVING THE SICK AND POOR THROUGH AN ACTIVE MINISTRY.IN 1857, A SMALL CONGREGATION OF SISTERS FROM NASHVILLE, TENN., LED BY MOTHER XAVIER ROSS, VENTURED TO THE EDGE OF AN EXPANDING FRONTIER IN THE THEN-INDIAN TERRITORY OF KANSAS. THEY OPENED THE FIRST PRIVATE HOSPITAL IN THE STATE IN 1864, WITH THE FIRST TRAINED NURSE IN THE STATE AND SURELY THE FIRST WOMAN IN THE WESTERN TERRITORY TO RUN A HOSPITAL. IN 1873, THE SISTERS FOUNDED WHAT IS NOW SAINT JOSEPH HOSPITAL IN DENVER, THE OLDEST PRIVATE TEACHING HOSPITAL IN COLORADO, AND ONE OF THE FIVE COLORADO HOSPITALS OF SCL HEALTH.SCL HEALTH WAS FORMED IN 1972 TO STRENGTHEN AND UNIFY THE HEALTHCARE FACILITIES SPONSORED BY SCL. IN 2011, THE SISTERS TRANSFERRED SPONSORSHIP OF SCL HEALTH TO LEAVEN MINISTRIES. OUR ORGANIZATION'S RICH HERITAGE AND ENDURING LEGACY SERVE AS THE FOUNDATION FOR OUR HEALTH MINISTRY TODAY, AND OUR MISSION, VISION AND VALUES SERVE AS THE FRAMEWORK FOR OUR SUCCESS.SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE PARENT CORPORATION OF A LARGE HOSPITAL AND HEALTHCARE SYSTEM. SCLHS IS THE MANAGEMENT COMPANY PROVIDING CENTRALIZED SERVICES FOR ALL SCL HEALTH SUBSIDIARIES.SCLHS PERFORMS NUMEROUS COORDINATED AND CENTRALIZED SERVICES FOR THE ENTITIES & CARE SITES THAT COMPRISE ITS SYSTEM, SUCH AS ADMINISTERING FINANCING & CAPITAL FORMATION PROGRAMS, ETHICAL & RELIGIOUS DIRECTION, FINANCIAL REPORTING, TAX SERVICES, HUMAN RESOURCES FUNCTIONS INCLUDING EXECUTIVE RECRUITING & ADMINISTERING & MAINTAINING WELFARE, BENEFIT & RETIREMENT PLANS, INFORMATION TECHNOLOGY SERVICES INCLUDING ELECTRONIC MEDICAL RECORD SYSTEMS, BUSINESS MANAGEMENT SYSTEMS, EQUIPMENT & CONNECTIVITY, INTERNAL AUDIT FUNCTIONS, LEGAL SERVICES, PHYSICIAN NETWORK DEVELOPMENT, PROCUREMENT & SUPPLY CHAIN MANAGEMENT, INCLUDING MEDICAL DEVICES, SUPPLIES & EQUIPMENT, PROFESSIONAL LIABILITY INSURANCE THROUGH A CAPTIVE PROVIDER INCLUDING GROUP EXCESS COVERAGE AND REINSURANCE AND LITIGATION MANAGEMENT, PUBLIC RELATIONS, COMMUNICATIONS & LEGISLATIVE AFFAIRS, REAL ESTATE MANAGEMENT SERVICES, INCLUDING LEASING & CONSTRUCTION, PURCHASE & SALE, REGULATORY COMPLIANCE SERVICES, REVENUE CYCLE MANAGEMENT SERVICES INCLUDING BILLING & COLLECTIONS, RISK MANAGEMENT SERVICES INCLUDING SELF-INSURANCE, GROUP EXCESS COVERAGE & REINSURANCE, LITIGATION MANAGEMENT, INSPECTION & CONTROLS.THE CENTRALIZATION OF MANAGEMENT SERVICES PROVIDES FOR HIGH QUALITY, COST EFFECTIVE AND COMPASSIONATE HEALTH CARE MANAGEMENT AND MEDICAL SERVICES FOR THE COMMUNITIES WE SERVE. THEREFORE, THESE MANAGEMENT SERVICES RELATE DIRECTLY TO THE EXEMPT PURPOSE OF OWNING AND MANAGING PUBLIC HOSPITALS AND A HEALTHCARE SYSTEM. OUR MISSION, VISION AND VALUES ARE LISTED BELOW. MISSIONWE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.VISIONINSPIRED BY OUR FAITH, WE WILL PARTNER WITH OUR PATIENTS AND COMMUNITIES TO EXCEED THEIR EXPECTATIONS FOR HEALTH.VALUESCARING SPIRIT - WE HONOR THE SACRED DIGNITY OF EACH PERSON.EXCELLENCE - WE SET AND SURPASS HIGH STANDARDS.GOOD HUMOR - WE CREATE JOYFUL AND WELCOMING ENVIRONMENTS.INTEGRITY - WE DO THE RIGHT THING WITH OPENNESS AND PRIDE.SAFETY - WE DELIVER CARE THAT SEEKS TO ELIMINATE ALL HARM FOR PATIENTS AND ASSOCIATES. STEWARDSHIP - WE ARE ACCOUNTABLE FOR THE RESOURCES ENTRUSTED TO US.

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 expenses640,457,154

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	21,834,487	0	2,156,909

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,584,901
e	Government grants (contributions)		1e	34,469

f	All other contributions, gifts, grants, and similar amounts not included above		1f	500

g	Noncash contributions included in lines 1a - 1f:$ 10,000
h Total. Add lines 1a-1f.......		1,619,870

		Business Code
2a	MANAGEMENT SERVICES	561000	365,002,879	364,912,879	90,000
b	PATIENT SERVICE REVENUE	621110	147,792,296	146,801,610	990,686
c	PROGRAM RELATED INVESTMENTS	622110	21,041,657	21,041,657
d	MEDICAL RESEARCH	541700	2,465,316	2,465,316
e	JOINT VENTURES-MEDICAL SERVICES	621400	1,810,163	1,810,163
f	All other program service revenue.		-7,284,467	-7,284,467
g	Total. Add lines 2a–2f ....		530,827,844

3 Investment income (including dividends, interest, and othersimilar amounts) ......			44,560,635		-558,464	45,119,099
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		50,029
b	Less: rental expenses		0
c	Rental income or (loss)		50,029
d	Net rental income or (loss)......			50,029			50,029
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory		112,782,119
b	Less: cost or other basis and sales expenses	78,254	0
c	Gain or (loss)	-78,254	112,782,119
d	Net gain or (loss).....			112,703,865			112,703,865
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..
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..
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..
Business Code			Miscellaneous Revenue
11a	VENDOR ADMINISTRATION REBATE		900099	8,218,726	8,218,726
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			8,218,726
12	Total revenue. See Instructions......			697,980,969	537,965,884	522,222	157,872,993

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	4,177,953	4,177,953
2	Grants and other assistance to domestic individuals. See Part IV, line 22	14,791	14,791
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	18,248,661	11,945,584	6,303,077
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	232,827,528	232,827,528
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	13,303,898	13,303,898
9	Other employee benefits .......	23,938,183	23,938,183
10	Payroll taxes ...........	16,939,097	16,939,097
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	7,966,850		7,966,850
c	Accounting ...........	1,081,153		1,081,153
d	Lobbying ...........	146,044		146,044
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	5,546,713		5,546,713
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	29,714,081	29,714,081
12	Advertising and promotion ....	5,981,641	5,981,641
13	Office expenses .......	43,793,674	43,793,674
14	Information technology ......	3,050,202	3,050,202
15	Royalties ..
16	Occupancy ...........	11,432,383	11,432,383
17	Travel ............	4,932,265	4,932,265
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	2,384,711	2,384,711
20	Interest ...........	98,525,349	98,525,349
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	37,706,091	37,706,091
23	Insurance ...	1,412,984	1,412,984
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	MAINTENANCE CONTRACTS	39,840,617	39,840,617
b	MEDICAL SUPPLIES	38,270,175	38,270,175
c	DUES AND SUBSCRIPTIONS	3,799,852	3,799,852
d	BANK FEES	3,291,190	3,291,190
e	All other expenses	13,174,905	13,174,905
25	Total functional expenses. Add lines 1 through 24e	661,500,991	640,457,154	21,043,837	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			110,275,171	2	175,041,651
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			9,716,424	4	10,280,492
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
					6
7	Notes and loans receivable, net ....			397,645	7	1,380,000
8	Inventories for sale or use ........			2,949,579	8	1,811,880
9	Prepaid expenses and deferred charges ......			24,578,482	9	28,192,654
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	508,096,811
b	Less: accumulated depreciation	10b	280,554,727	217,970,589	10c	227,542,084
11	Investments—publicly traded securities .			1,350,155,215	11	1,250,468,928
12	Investments—other securities. See Part IV, line 11 .....			466,085,433	12	467,024,313
13	Investments—program-related. See Part IV, line 11 ..			466,802,912	13	441,082,832
14	Intangible assets ...............			134,838	14	1,898
15	Other assets. See Part IV, line 11 ...........			1,776,162	15	1,161,083
16	Total assets. Add lines 1 through 15 (must equal line 34)...			2,650,842,450	16	2,603,987,815

17	Accounts payable and accrued expenses .....	121,367,292	17	119,106,380
18	Grants payable ...		18
19	Deferred revenue .........	497,892	19	338,431
20	Tax-exempt bond liabilities .........	1,272,071,187	20	1,246,538,360
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other 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 ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,030,118,477	25	1,188,502,778
26	Total liabilities. Add lines 17 through 25..	2,424,054,848	26	2,554,485,949

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	214,444,632	27	33,851,550
28	Temporarily restricted net assets ...........	10,342,970	28	13,650,316
29	Permanently restricted net assets	2,000,000	29	2,000,000
	Organizations that do not follow SFAS 117 (ASC 958), 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 ...........	226,787,602	33	49,501,866
34	Total liabilities and net assets/fund balances ........	2,650,842,450	34	2,603,987,815

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No