Montana
St. James hospital in Butte losing surgeons, union raises concerns about workers, patients – Daily Montanan
St. James Healthcare in Butte appears to have lost more than half of its surgeons in the last year, and the Montana Nurses Association is urging Intermountain Health — which runs the hospital following a 2022 merger — to prioritize retention of critical health care providers.
Roughly one year ago, the hospital counted nine or 10 surgeons, and it has just four after Intermountain failed to retain three in contract negotiations and two others retired, according to the Montana Nurses Association.
“This is a really big impact” for surgical services, said Robin Haux, labor program director for the Montana Nurses Association.
St. James counts 67 beds in southwest Montana and is the only acute care facility in the region, according to information from Intermountain Health. A story about the merger from NBC Montana said it served nearly 40,000 members of the community in 2022; Intermountain did not provide an updated figure.
In an email Friday, Intermountain Health did not dispute the union’s count of the more than 50% decrease in surgeons in the last year. In response to a question about plans and a timeline for filling positions in Butte, Intermountain emailed a statement with remarks from an interim president.
“We are excited to welcome several new providers across various specialties to St. James and Intermountain Health in the coming months,” said Pam Palagi, interim president of St. James Hospital, in a statement from an Intermountain media relations manager. “Those specialties include neurosurgery, orthopedic surgery, general surgery, endocrinology and walk-in care.”
Intermountain Health’s corporate offices are based in Utah. Its website says it works in seven states including Montana and at 33 hospitals and 385 clinics. It touts that it is “reimagining health care,” offers “pioneering research,” provides personal and affordable care, and is a partner with the Las Vegas Raiders.
The merger between Intermountain Health and SCL Health created the 11th largest nonprofit health care system in the U.S., according to NBC. At the time, the former president of St. James said patients would see a logo change as a result, but they could expect to see a high level of care continue.
“The great quality care that you are used to receiving will stay the same, and how you access and utilize our services will not change,” said then-President Jay Doyle in 2022 to NBC.
Friday, however, Haux and Montana Nurses Association labor representative Emily Peterson said patients already are seeing impacts from the departures of providers. The lost doctors who have not been replaced include a urologist and gastroenterologist.
Peterson said the hospital recently had to reschedule three weeks’ worth of procedures for patients after Intermountain lost one surgeon. She said it canceled two weeks of appointments after it lost another.
“That is one big concern for our nurses,” Peterson said. “They know these patients need help, and it was more upsetting to them that the patients that needed procedures weren’t getting them than it was for them to not get their hours.”
However, the union is seeing employees have hours cut or have to take eight to 12 hours of paid time off a week. And without needed providers and a full schedule, they worry about the potential for staff cuts in the future.
“It is causing a lot of concern with the nurses and the surgical techs,” Peterson said.
A petition launched Friday asks Intermountain, a nonprofit healthcare system that describes itself as the largest in the intermountain West, to address the crisis by prioritizing the retention of providers, strengthening their contracts, and keeping registered nurses and other staff in Butte.
The Montana Nurses Association has roughly 25 nurses in surgical services at St. James and 132 members at the hospital altogether. The Teamsters of the Montana AFL-CIO represent additional staff such as CNAs, or certified nursing assistants.
“This is really about protecting the ability to provide high quality care and really vital services and vital care to the community,” Haux said.
To fill one gap, a traveling doctor is slated to help temporarily, but at a high cost, Peterson said.
Dr. Nathaniel Readal, a urologist, said Friday he declined to sign a new contract with Intermountain because he believes some of the language in the agreement put him at risk legally.
Most surgical specialists are generally required to take seven to 10 days a month of being on call, but in Butte Readal said he took an average of 270 to 300 days a year. That means staying within 30 minutes of the hospital and being available to deal with an emergency; in other words, it means no skiing, fishing, beer or golf.
“I take more call because there’s nobody else to do it. We have a pretty large patient base,” Readal said.
But he said he interpreted some of the language in the contract to suggest he would have to be on call and available basically around the clock and every day for existing patients he had cared for in the past.
If such a patient came in with an acute issue and Readal was, say, skiing and unreachable, he said he could be at medical legal risk as the agreement was drafted. He didn’t quibble with compensation, he said, but he requested language in the contract that would protect him legally, and Intermountain did not provide it.
“That was the thing they were unwilling to change and why I would not sign the contract,” said Readal, who had signed previous contracts before the merger.
A story about Readal in the Montana Standard in 2018 said he completed his medical degree and residency at renowned Johns Hopkins Hospital in Baltimore and was working to make healthcare better and more accessible at St. James. In a way, the story said he represented the “future of Butte.”
The story said he and his wife were already a part of the community. Friday, however, Readal, said he is evaluating all his options for the future, in part because standard healthcare contracts make it difficult to remain in a community and care for patients if a provider doesn’t want to work for the medical group that staffs the hospital, or Intermountain in this case.
In the email from Intermountain, Palagi said the industry comes with some churn.
“Transitions in hospital leadership and physicians are common in the healthcare industry,” Palagi said. “At St. James, we prioritize continuity of care and employ robust recruitment strategies to ensure smooth transitions and maintain high standards of patient care.
“ … The bottom line is that St. James Hospital and Intermountain Health remain committed to ensuring the residents of Butte and southwest Montana have access to top-notch, patient-centered care right here in their home community.”
The Montana Nurses Association said the administration at St. James wants to protect frontline employees such as nurses, CNAs, and other staff. Haux said they know how hard it is to replace those positions.
“But we also know they will not be able to continue this without providers and without a full schedule,” she said.
Haux said the petition does not force action by Intermountain. However, the Montana Nurses Association and Teamsters of the Montana AFL-CIO may pursue other options that would put pressure on the healthcare system if leaders do not respond.
“I don’t think … that will sit well with the Butte community if they choose not to respond,” Haux said. “That’s a very tight, close-knit community.”
EL PASO, Texas (KFOX14/CBS4) — A proposed high-voltage transmission project in far East El Paso is raising concerns among residents in the Montana Vista area, as developers work to determine a potential route that could impact private property.
The project, known as Pecos West, is being developed by Grid United and would create a high-voltage direct current (HVDC) transmission line connecting El Paso to southeastern New Mexico.
According to the company, the goal is to link major parts of the U.S. electric grid, specifically the Western and Eastern interconnections, allowing electricity to move in both directions between regions. Developers say the project could strengthen energy reliability, expand access to power markets, and help prevent outages during extreme weather.
Grid United also describes Pecos West as a multi-billion-dollar infrastructure investment that could bring jobs, tax revenue, and long-term economic benefits to communities along the route.
However, for residents in Montana Vista, the immediate concern is not the long-term benefits, but what the project could mean for their land.
At a community meeting Saturday morning, several residents were able to voice their concern, telling KFOX14/CBS4 they feel they have not received enough information about the project’s path or timeline, especially as discussions about a preliminary route continue.
“We haven’t got anything from you,” said Armando Rodriguez, president of the Montana Vista Landowners. “Not one quote.”
Others echoed concerns about communication, calling on the company to directly notify homeowners who may be affected.
“You need to go to these houses, give people information, and say this could affect you,” one resident said.
Grid United says the project is still in the planning and development phase, and no final route has been approved.
The company says construction would only begin after securing regulatory approvals and negotiating land agreements with property owners.
Company representatives also emphasized that landowner participation is voluntary.
“Pecos does not have eminent domain,” said Alexis Marquez, community relations manager for the project. “If a landowner does not want it on their property, we would look at alternate routes.”
Developers say outreach will continue as planning progresses, but residents are asking for more direct communication now, especially those who believe they could be directly impacted.
The project is not expected to be completed anytime soon, with Grid United estimating that Pecos West could become operational in the mid-2030s if approved.
For now, the conversation in Montana Vista reflects a familiar tension seen in large infrastructure project, balancing long-term regional benefits with local concerns about transparency, property, and community impact.
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EL PASO, Texas (KTSM) — Following widespread neighborhood concerns first reported by KTSM 9 News on Friday, residents of the Montana Vista area came face-to-face with developers of the proposed “Pecos West” transmission line project on Saturday morning, May 9 during a community meeting held at the Montana Vista Community Center.
The multi-million dollar project, spearheaded by power grid developer Grid United, aims to build a massive transmission line connecting the El Paso area to southeastern New Mexico.
While developers tout the project as a crucial link to prevent grid bottlenecks, families living in the path of the proposed line continue to voice mounting frustration and distrust over how the land acquisition is being handled.
On Friday, Grid United released a statement to KTSM insisting their one-on-one land negotiations were conducted out of respect for private property rights. But at Saturday’s community gathering, residents and advocates made it clear they aren’t buying it.
“People are afraid. I’m not afraid. I’m angry,” said Armando Rodriguez, president of the Union of Montana Vista Landowners, who previously said that developers had been quietly approaching his neighbors for months with varying buyout offers.
Only about a dozen residents and advocates attended the weekend meeting, but they loudly questioned why the company spent the past year approaching landowners individually rather than addressing the community as a whole.
During the exchange, project officials admitted they have already acquired about 50 percent of the properties in the impacted area. Grid United later clarified to KTSM that the exact number fluctuates frequently, just like the proposed route.
Community organizers argued that the company’s isolated approach leaves residents vulnerable and misinformed.
“When a company like this turns up and says, ‘We’re going to buy your property.’ We must ensure that community members understand that they have the right to say no, or that they have the right to negotiate a higher value,” said Veronica Carbajal, an organizer with the Sembrando Esperanza Coalition.
Carbajal highlighted that the lack of widespread notification and a standardized compensation formula is creating deep unease.
“They’ve already bought properties, but they have not established notification to every resident that will be impacted, nor have they set up a formula for compensation,” Carbajal said. “So what we can see online through the title transfers is that there is a very wide distinction between how much people are being paid. We don’t want the community to be divided. We also want people to understand that this is voluntary. They do not have to sell if they don’t want to.”
A major point of contention at Saturday’s meeting was the threat of eminent domain. Grid United explained that, as a private company, they do not possess eminent domain authority, insisting that if a landowner refuses to sell, the company will simply find an alternative route.
“At Pecos West we’re very landowner-first approach,” said Alexis Marquez, Pecos West community relations manager. “So if a landowner does not want (the transmission line) on the property, then we would find alternative routes.”
But Rodriguez remains highly skeptical that the developers would simply walk away from targeted plots.
“A corporation as big as you, a multi-million dollar corporation, I find it hard to believe that you would invest money into something this big and just walk away if the family said, ‘No, I don’t want to sell it,’” Rodriguez told officials during the meeting. “The question is: Are you really serious about what you’re saying here? Or is this just another dog and pony show?”
Project leaders conceded they need to adjust their efforts in engaging and informing the community, promising more meetings to come. However, residents emphasized that trust is currently broken and will only be rebuilt with concrete action.
El Paso County Commissioner Jackie Butler, who helped organize the meeting, said the County has no power to halt the proposed project, but she said she has been communicating with project officials and is trying to connect them with community advocacy organizations.
“I learned very quickly that the County does not have any authority or permitting process to stop these kinds of projects. And so that’s when I started connecting Pecos West to community members so that they could get directly involved,” Butler said. “My questions to Pecos West have been, Why do you have to come through our community? And even if you have to build through our region, you should go around it.”
Moving forward, the residents in attendance made it clear they do not intend to sell their property. They are demanding Grid United bring all impacted neighbors to the table as a collective before any more land is purchased.
If the project continues to move forward, construction is not expected to begin until the mid-2030s.
The Montana Lottery offers multiple draw games for those aiming to win big.
Here’s a look at May 8, 2026, results for each game:
Winning Mega Millions numbers from May 8 drawing
37-47-49-51-58, Mega Ball: 16
Check Mega Millions payouts and previous drawings here.
Winning Big Sky Bonus numbers from May 8 drawing
09-14-18-20, Bonus: 16
Check Big Sky Bonus payouts and previous drawings here.
Winning Millionaire for Life numbers from May 8 drawing
14-16-21-43-51, Bonus: 03
Check Millionaire for Life payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
When are the Montana Lottery drawings held?
- Powerball: 8:59 p.m. MT on Monday, Wednesday, and Saturday.
- Mega Millions: 9 p.m. MT on Tuesday and Friday.
- Lucky For Life: 8:38 p.m. MT daily.
- Lotto America: 9 p.m. MT on Monday, Wednesday and Saturday.
- Big Sky Bonus: 7:30 p.m. MT daily.
- Powerball Double Play: 8:59 p.m. MT on Monday, Wednesday, and Saturday.
- Montana Cash: 8 p.m. MT on Wednesday and Saturday.
- Millionaire for Life: 9:15 p.m. MT daily.
Missed a draw? Peek at the past week’s winning numbers.
This results page was generated automatically using information from TinBu and a template written and reviewed by a Great Falls Tribune editor. You can send feedback using this form.
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