T: f: t: f: St. Patrick Hospital

Montana cancer Center at Providence St. Patrick Hospital 500 West Broadway M issoula, MT 59802 t: 406.728.2539

f: 406.329.5630

Radiation Oncology

t: 406.329.56SS f: 406.329.5675



Nuclear Materials Licensing Branch U.S. Nuclear Regulatory Commission, Region IV 1600 E. Lamar Boulevard Arlington TX 76011-4511

al,. PROV IDENCE

St. Patrick Hospital

Montana Cancer Center

SUBJECT: License Amendment Number 50

To Whom It May Concern:

We are requesting to amend our Radioactive Materials License Number 25-16773-02 in two aspects;

entity name change and authorized user removal. This will be listed as amendment number 50.

Currently our license is listed under the entity Saint Patrick Hospital and Health Sciences Center; this needs to be updated to:

Providence Health & Services - Montana dba St. Patrick Hospital

Secondly: We need to amend our Radioactive Materials License Number 25-16773-02 to remove Wayne L. Davis, M.D. and Mark Sanz, M.D. from the authorized user list Section: 12 (B).

Please don't hesitate to contact me if there are any questions or if clarification of this request is needed.

Sincerely, Patrick Martin

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Radiation Safety Officer Phone: 406-327-1696

PUBLIC

CJ Immediate Rell??

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SECRETARY OF STATE

STATE OF MONTANA LINDA McCULLOCH

PRIORITY

Montana State Capitol PO Box. 202801

Helena, MT 59620-2801 (406)444-3665



ROGER JANSSON SENIOR AITORNEY PROVIDENCE HEALTH & SERVICES 1801 LIND AVENUE SW #9016 RENTONWA 98057-9016

April 15.2011 Dear Mr. Jansson:

RE: OLD NAME: ST. PATRICK HOSPITAL AND HEALTI-I SCIENCES CENTER

NEW NAME: PROVIDENCE HEALTH & SERVICES - MONTANA Filing Date: April 14, 2011 Filing Number: D070897 - 1201346

I've approved the filing of the documents for the above named entity. The document number and filing date have been recorde~ on the original document. Tirls letter serves as your certificate of filing and should be maintained in your files for future reference.

Thank you for giving this office the opportunity to serve you. If you have any questions in this regard, or need additional assistance, please do not hesitate to contact the Business Services Bureau professionals at (406) 444-3665.

Sincerely,

~rYl~

Llnda McCulloch Secretary of State

To Increase producthity in processing your documents we uk that you please not affix your

payments to your submitted documents.

You can correspond with our office viD fllCSlmile. Our fax number is (406) 444-3976. You can now fax In Your search, copy, and ce1tificatc requests.

------?--?- .

STATE OF. MONTANA

ARTICLES of AMENDMENT for

NONPROFlT CORPORATION

35;H2SMCA

MA1L1

PHONE; FAX: WEBSITE:

LINDA McCVUOCH Secretary of State

P.O. Box 202801

Helena, MT 59620-2801

(406) 444?3665 (406) 444-3976

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STATE OF MONTANA

F I L E D,p....pr,:v

APR 1 4 2011 . 1

SECRElARY OF STATd

moo Allns F11:

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24 Hour Priority Fllln1 Add 20.DO

01 Hour Expedite Filing Add 100.00

1. TheturrentnameofthlsCorporatlonls: St. Patrick Hospital and Health Sciences Center

z. The following amendment was adopted In the manner provided for by the Montena Nonprofit

corporation Act, Tlllsi 35. c.ha pter 2, MCA:

Providence Health & Services - Montana

(Please attach additional sheets of paper If necessary.)

3. The date this amendment was adopted Is (cannot be a future date): _A_p_r_i_l_4_,_2_0_1_1_ _ _ _ _ _ __

!M11/t1,r/re.r1 4. Please chec:k the appropriate box and provide additional Information where requnted, (check onlv one box)

The number of votes cast for the amendment was sufficient for approval.

CJ Th!s amendment was adopted by a sufficient vote of the Board of Dlrettors or ln:z

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S6-oom11tlc__NonproQ\._Corpc1111on..Art1cies_of_Amendment.doc

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..

AMENDED AND RESTATED ARTICLES OF INCORPORATION OF

ST. PATRICK HOSPITAL AND HEAL111 SCIENCES CENTER

We, the undersigned, natural persons of the age of eighteen (18) years or more, acting as incorporators of a corporation under the Montana Nonprofit Corporation Act, adopt the following Amended and Restated Articles for such Corporation:

FIRST:

The name of the corporation is ST. PATRICK HOSPITAL AND

HEALTH SCIENCES CENTER.

SECOND: The period of duration is perpetual.

TIIIRD: The Corporation is a religious corporation with members and is organized exclusively for charitable, educational, religious or scientific purposes within the meaning of Section 501(c)(3) ofthe Internal Revenue Code and the purpose or purposes for which the corporation is organized are: To provide medical care and related services in accordance with the philosophy and objectives ofProvidence Health & Services and guided by the tradition and charism of the Sisters of Providence and consistent with the Roman Catholic moral tradition, as articulated in documents such as the Ethical and Religious Directives for Catholic Health Care Services,

FOURTII: No part ofthe net earnings ofthe Corporation shall inure to the

benefit of any member, director, officer of the Corporation or any private individual

(except that reasonable compensation may be paid for services rendered to or for the

Corporation), and no member, director, officer of the Corporation or any private

individual shall be entitled to share in the distribution of any of the corporate assets upon

dissolution of the Corporation. No substantial part ofthe activities shall be the carrying

on of propaganda, or otherwise attempting to influence legislation, and the Corporation

shall not participate in, or intervene in (including the publication or distribution of

statements) any political campaign on behalf of any candidate for public office.

-- Notwithstanding any other provision of these Articles, the Corporation shall not ~onduct~

or carry on any activities no permitted to be conducted or carried on by (a) an ??? ?~

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organization exempt under Section 501 (c){3) of the Internal Revenue Code ofl 9j6 and ?J

its Regulations as the now exist or as they may hereafter be amended or (b) a corporatiop,

contributions to which are deductible under Section 170(c)(2) of the Internal Re~nue h:i

Code of 1986 as it now exists or may hereafter be amended. The income ofthe ~. ;;,r.

Corporation for each taxable year is to be distributed at such time and in such mafiner a~ ?..

not to subject the Corporation to tax under Section 4942 of the Internal Revenue Code cil ~~

1986 (or the corresponding provision ofany future United States Internal Revenue Lawr,

The Corporation is prohibited from (a) engaging in any act of self-dealing as defined as

Section in Section 494l(d); (b) retaining any excess business holding as defined in

Section 4943(c); (c) making any investments in such manner as to subject the

AMENDED ARTICLES ST. PATRICK HOSPITAL AND HEALTH SCIENCES CENTER Effi:c:tivc: December JI, 2009

1

Corporation to tax under Section 4945(d); a.!l said Section references being to the Internal Revenue Code of 1986 (or the corresponding provision of any future United States Internal Revenue Law).

FIFTH:

The sole Member ofthe Corporation is Providence Health &

Services C'Providence"), a Washington nonprofit corporation.

SIXTH:

Upon dissolution of the Corporation, the Board of Directors shall,

after paying or making provision for the payment of all of the liabilities of the

Corporation, dispose of all of the assets of the Corporation to Providence, its sole

corporate Member, or to its designee, provided that such recipient entity is organized and

operated exclusively for charitable, educational, religious or scientific purposes, and

qualifies as an exempt organization under Section 50l(c)(3) of the Internal Revenue Code

("Code")(or the corresponding provision of any future United States Internal Revenue

Law). If, at the time of dissolution, Providence is not in existence, is not an exempt

organization under the Code, or makes no such designation, the Board of Directors shall

dispose of all the corporate assets to Providence Ministries or its designee, provided that

such recipient entity is still in existence and organized and operated exclusively for

charitable, educational, religious or scientific purposes, and qualifies as an exempt

organization under the Code If, at the time of dissolution, Providence Ministries is not

in existence, is not an exempt organization under the Code, or makes no such

designation, the Board of Directors shall dispose of all the corporate assets to any other

organization(s) selected by the Sisters of Providence, General Administration, Montreai,

provided that each such recipient entity is organized and operated exclusively for

charitable, educational, religious or scientific purposes and qualifies as an exempt

organization under the Code.

SEVENTH: No director of d1e corporation shall be personally Hable to the corporation for monetary damages for breach of fiduciary duty as a Director, except for liability (a) for any breach of the Director's duty of loyalty to the corporation, (b) for acts or omissions which involve willful misconduct, recklessness or a knowing violation of law, or (c) for any transaction from which the Director derived any improper personal benefit.

EIGHTH: The address of the registered office of the Corporation is SOOWest

Broadway, P.O. Box 4587, Missoula, Montana 59806-4587, and the name of its,.. ..)

registered agent of such address is Jeff Fee.

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NINTH:

These Amended and Restated Articles oflncorpora{ion /

correctly set forth the provisions ofthe Articles of Incorporation of this Corporation, as.-,:;,

amended and these Amended and Restated Articles oflncorporation supersede thii ~:;::

original Articles of Incorporation and all amendments thereto.

~ ..

AMENDED ARTICLES ST. PATRICK HOSPITAL AND HEALTH SCIENCES CENTER Eff'ecllvc December 31, 2009

2

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