2023-10-31T11:34:37-05:00 2022-12-31 990 2022-01-01 840405260 MOUNT ST VINCENT HOME INC MOUN 3034587220 4159 LOWELL BOULEVARD DENVER CO 80211 JENESSA WILLIAMS EXECUTIVE DIRECTOR 3033181773 2023-10-23 JENESSA WILLIAMS 999009999 0 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JENESSA WILLIAMS 4159 LOWELL BOULEVARD DENVER CO 80211 6218140 0 0928 X SEE SCHEDULE O X 1994 CO AS PART OF INTERMOUNTAIN HEALTH, MOUNT SAINT VINCENT PARTNERS WITH CHILDREN AND FAMILIES TO HEAL BEYOND TRAUMA INTO A HEALTHY AND HOPEFUL FUTURE. 8 7 118 900 0 0 3474219 2846633 3006678 2967281 997097 44523 19587 -25044 7497581 5833393 0 0 0 0 5709939 5777261 0 0 320150 1944145 1623815 7654084 7401076 -156503 -1567683 38169315 39043050 2456577 3724732 35712738 35318318 X AS PART OF INTERMOUNTAIN HEALTH, MOUNT SAINT VINCENT PARTNERS WITH CHILDREN AND FAMILIES TO HEAL BEYOND TRAUMA INTO A HEALTHY AND HOPEFUL FUTURE. 0 0 4666706 1781509 SEE SCHEDULE "O" 1828159 1185772 SEE SCHEDULE "O" 6494865 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 X 0 0 118 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 8 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JOSEPH SHEHATA 3034587220 4159 LOWELL BOULEVARD DENVER CO 80211 X TAMARA SAUNAITIS DIRECTOR 1/1-7/31/22 1.00 50.00 X 116 940376 89684 SHERRY BENEDETTI FORMER OFFICER 0.00 50.00 X 0 218279 50273 KATIE TIERNAN JOHNSON DIRECTOR 1.00 52.00 X 65 205111 32288 JENESSA WILLIAMS EXEC DIR MSVH 2/28 - 12/31/22 50.00 0.00 X 145560 0 18402 JOSEPH SHEHATA DIRECTOR FINANCE 50.00 0.00 X 124409 0 22982 DARAH MEYER DIR MSVH 50.00 0.00 X 119047 0 13561 JULIE ALCORN DIR MSVH 50.00 0.00 X 105469 0 23420 PENNY CORDILLO-WALLER DIR OPS MSVH 50.00 0.00 X 105348 0 19786 JOSHUA VOIGT EXEC DIR MSVH 1/1 - 2/28/22 50.00 0.00 X 95007 0 761 KIM DURAND SECRETARY 3.00 0.00 X X 116 0 0 WAYNE GUERRA MD VICE CHAIR 3.00 0.00 X X 116 0 0 SISTER EILEEN HAYNES DIRECTOR 1/1-8/31/22 1.00 0.00 X 116 0 0 TONY COOK DIRECTOR 1.00 0.00 X 65 0 0 BRYAN HASSLER CHAIR 3.00 0.00 X X 65 0 0 JOSEPH HOLUB TREASURER 1/1-4/27, DIRECTOR 4/27-12/31/22 3.00 0.00 X X 65 0 0 CHERI JAHN DIRECTOR 1.00 0.00 X 65 0 0 JILL POLITO DIRECTOR 1.00 0.00 X 65 0 0 695694 1363766 271157 5 1 1 0 0 466 529299 555404 615281 1146183 102541 2846633 RESIDENTIAL/SCHOOL/DAY 623200 1781509 1781509 FOSTER CARE, IN-HOME, 623200 1185772 1185772 2967281 267797 267797 24474 0 24474 24474 24474 223274 -223274 -223274 -223274 111955 529299 161473 -49518 -49518 5833393 2967281 0 19479 407976 364982 29403 13591 4503843 4029098 324676 150069 68094 60388 5170 2536 427659 379263 32468 15928 369689 327853 28067 13769 16844 8085 8422 337 880 880 54504 54504 15131 7263 7565 303 19215 9223 9608 384 38604 24779 2718 11107 53730 34488 3783 15459 174796 112198 12307 50291 27190 17453 1914 7823 4569 2933 322 1314 451142 427722 14345 9075 33092 19486 12227 1379 FOSTER FAMILY STIPENDS 381521 350944 24351 6226 REPAIRS & MAINTENANCE 84131 77388 5370 1373 PROGRAM FOOD 68405 62923 4366 1116 HOUSEKEEPING 56326 51812 3595 919 143735 126584 17151 7401076 6494865 586061 320150 167284 71495 313698 535151 74197 104134 22964846 340973 19720009 22623873 17894127 15708397 38169315 39043050 469531 571358 1987046 3153374 2456577 3724732 X 35356081 35236165 356657 82153 35712738 35318318 38169315 39043050 X -1567683 -2180020 4735 3348548 X 0 1 X 1 1 1 X 2458686 3167544 3103281 3474219 2846633 15050363 5177576 5090311 4257622 3006678 2967281 20499468 38816 116006 39950 34022 111955 340749 7675078 8373861 7400853 6514919 5925869 35890580 0 0 0 35890580 272612 274480 234088 235489 292271 1308940 272612 274480 234088 235489 292271 1308940 7947690 8648341 7634941 6750408 6218140 37199520 0.96480 0.96680 0.03520 0.03320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 880 880 0 PART II-B, LINE 1: THE LOBBYING EXPENDITURES REPRESENT PORTIONS OF VARIOUS MEMBERSHIP DUES THAT ARE DESIGNATED AS LOBBYING EXPENSE BY THOSE ORGANIZATIONS IN WHICH MOUNT ST. VINCENT HOME, INC. IS A MEMBER. 356657 685447 -10914 949037 82153 384308 904514 7585 939750 356657 418297 868405 10362 912756 384308 605448 486120 4956 678227 418297 605448 605448 0.00000 0.97400 0.02600 0 0 15344015 15344015 7443908 279147 7164761 176923 61826 115097 22623873 RELATED PARTY PAYABLES 3153374 3153374 3985787 -2180020 220841 166077 -1793102 5778889 54504 54504 5833393 7726344 216106 163666 379772 7346572 54504 54504 7401076 PART V, LINE 4: THE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT MOUNT ST. VINCENT. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASS BAD DEBT EXPENSE - ($3,159) RECLASS FUNDRAISING EXPENSES - ($161,473) OTHER DIFFERENCES - ($1,445) PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS BAD DEBT EXPENSE - ($3,159) RECLASS FUNDRAISING EXPENSES - ($161,473) OTHER DIFFERENCES - ($966) SILVER BELL BALL 522455 445559 76896 1946 8595 37569 4000 72008 GOLF TOURNAMENT 118799 83740 35059 4325 19100 10425 1409 2096 641254 529299 111955 6271 27695 47994 5409 74104 161473 -49518 X X X X X X 1 1 0 0 0 0 0 1 0 TAMARA SAUNAITIS DIRECTOR 1/1-7/31/22 0 284696 116 420855 0 234825 0 75296 0 14388 116 1030060 0 227610 SHERRY BENEDETTI FORMER OFFICER 0 192778 0 22341 0 3160 0 27585 0 22688 0 268552 0 0 KATIE TIERNAN JOHNSON DIRECTOR 0 169210 65 35444 0 457 0 21209 0 11079 65 237399 0 0 JENESSA WILLIAMS EXEC DIR MSVH 2/28 - 12/31/22 144618 0 700 0 242 0 17258 0 1144 0 163962 0 0 0 PART I, LINE 3 THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY MOUNT ST. VINCENT HOME, INC. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. 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 INTERMOUNTAIN HEALTH CARE, INC.'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 INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE INC.'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, INTERMOUNTAIN HEALTH CARE, INC. 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 2022 WERE: JOSHUA VOIGHT -$52,704. SCHEDULE J, PART I, LINE 4B: PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED 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 RELATED 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. 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. IN 2019, THE RELATED ORGANIZATION CONSOLIDATED FOUR NON QUALIFED DEFERRED COMPENSATION PLANS INTO ONE PLAN. AS PART OF THIS EFFORT, ALL VESTED BALANCES FROM THE SERP PLANS PRIOR TO 2014 WERE PAID TO THE PARTICIPANTS IN 2020. THERE ARE NO REMAINING PARTICIPANTS IN THE LEGACY PLANS. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED 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 2022. 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 2022 WERE: TAMARA SAUNAITIS - $227,610 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 (ARC) PLAN WAS ESTABLISHED TO ENABLE SCL HEALTH TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION AND STRATEGIC IMPERATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND AWARD OPPORTUNITIES ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR MANAGEMENT LEVEL AT SCL HEALTH. ACTUAL AWARDS WILL BE PAID OUT BASED ON ATTAINMENT OF SELECTED SCL HEALTH BOARD-APPROVED GOALS, INCLUDING EBIDA (EARNINGS BEFORE INTEREST, DEPRECIATION AND AMORTIZATION), STEWARDSHIP, QUALITY, PATIENT AND ASSOCIATE SAFETY, AND PATIENT EXPERIENCE AND FULFILLMENT OF OUR MISSION. 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. SCHEDULE J ADDITIONAL OFFICER AND BOARD DISCLOSURES ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) MERGED, CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH AND IDAHO. INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'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 - ADDITIONAL OFFICER AND BOARD DISCLOSURES ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFLIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA. INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'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. X 75 FMV AT DATE OF GIFT X 59950 FMV AT DATE OF GIFT X 2 9316 FMV AT DATE OF GIFT X 24 5078 FMV AT DATE OF GIFT X AMAZON WISH LIST ITEMS 6 16188 FMV AT DATE OF GIFT X AUCTION ITEMS 35 7139 FMV AT DATE OF GIFT X SUPPLIES 7 4235 FMV AT DATE OF GIFT X TICKETS 1 560 FMV AT DATE OF GIFT 0 1 0 FORM 990, PART I, LINE J MOUNT ST. VINCENT HOME, INC. WEBSITE ADDRESS: HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/MOUNT-SAINT-VINCENT/ FORM 990, PART III, LINE 4A ON APRIL 1, 2022, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. AFFLIATED WITH INTERMOUNTAIN HEALTH CARE, INC., CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH, IDAHO AND NEVADA. RESIDENTIAL TREATMENT THE RESIDENTIAL TREATMENT PROGRAM SERVES CHILDREN AGES 5 TO 12. MOST CHILDREN REFERRED TO THE ORGANIZATION HAVE EXPERIENCED TRAUMA, PHYSICAL OR SEXUAL ABUSE, SEVERE NEGLECT, OR ARE DIAGNOSED WITH A MENTAL ILLNESS. MOUNT ST. VINCENT IS A 24/7 FACILITY. CHILDREN ARE REFERRED TO THE ORGANIZATION BY COUNTY AGENCIES, JUVENILE COURTS, SCHOOL DISTRICTS, BEHAVIORAL HEALTH ORGANIZATIONS, AND CONCERNED FAMILY MEMBERS. EACH CHILD RECEIVES REGULAR THERAPEUTIC SERVICES, ATTENDS THE ON CAMPUS SCHOOL, IS REGULARLY ASSESSED BY A PSYCHIATRIST AND IS PROVIDED WITH MEALS, SNACKS AND CLOTHING. CHILDREN PARTICIPATE IN CREATIVE ARTS THERAPIES, ANIMAL-ASSISTED THERAPIES AND SPORTS ACTIVITIES. AFTER SCHOOL, WEEKENDS AND HOLIDAYS CHILDREN ARE PROVIDED WITH A WIDE SPECTRUM OF PLAY OPPORTUNITIES WHICH ARE FUN, THERAPEUTIC AND ENRICHING. MASTERS/LICENSED LEVEL THERAPIST, SPECIAL EDUCATION TEACHERS AND MENTAL HEALTH WORKERS PROVIDE THE CORE TREATMENT AND EDUCATION IN THE ON CAMPUS SCHOOL AND LIVING UNITS. THE PROGRAM DEMONSTRATES COMMITMENT TO PROVIDING INTENSIVE TREATMENT SERVICES TO CHILDREN AND THEIR FAMILIES WHO HAVE MULTI-DETERMINED NEEDS. THE AGENCY ENVISIONS A FUTURE IN WHICH FAMILIES AND CHILDREN USE THEIR SUPPORT SYSTEMS TO REALIZE THEIR STRENGTHS AND SKILLS IN MEETING RESPONSIBILITIES AND OPPORTUNITIES OF LIFE. THE RESIDENTIAL PROGRAM IS BASED ON STRENGTHS-BASED, SOLUTION-FOCUSES APPROACH AND INTEGRATES THE NEUROSEQUENTIAL MODEL OF THERAPEUTICS (NMT) TO ADDRESS THE INDIVIDUAL, FAMILY AND ENVIRONMENTAL NEEDS IN ORDER TO BUILD A FOUNDATION OF EMOTIONAL AND PHYSICAL SAFETY. THE NMT APPROACH ENSURES THAT SERVICES ARE DEVELOPMENTALLY RELEVANT WITH THE GOAL OF REGULATION BOTH FOR THE CHILD AND THE FAMILY. AN EFFORT IS MADE TO UNDERSTAND BEHAVIOR IN THE CONTEXT OF THE FAMILY'S CYCLE OF INTERACTION, THE CHILD'S TRAUMA AND EMOTIONAL DEVELOPMENT AS WELL AS THE FAMILY'S CULTURE. THE OVERALL GOAL IS TO HELP IMPROVE THE CHILD'S AND FAMILY'S FUNCTIONING, WITH THE HOPE OF REUNIFICATION. THE AVERAGE LENGTH OF STAY VARIES ACCORDING TO EACH CHILD AND FAMILY'S INDIVIDUAL NEEDS. INDIVIDUAL, EDUCATIONAL, AND TREATMENT PLANNING MAKE IT POSSIBLE TO ACCOMMODATE A WIDE RANGE OF ACADEMIC AND EMOTIONAL NEEDS. THE PRIMARY COMPONENTS OF THE RESIDENTIAL PROGRAM INCLUDE: 1) THE THERAPEUTIC MILIEU, 2) PSYCHOTHERAPY, 3) THE ACADEMIC EXPERIENCE. 1) THE THERAPEUTIC MILIEU - THE MAIN PURPOSE OF THE THERAPEUTIC MILIEU IS TO PROVIDE AN EMOTIONALLY AND PHYSICALLY SAFE ATMOSPHERE IN WHICH THE CHILDREN CAN EXPERIENCE, EXPLORE, AND RISK A VARIETY OF THOUGHTS, FEELINGS, AND INTERPERSONAL BEHAVIORS. TO ACHIEVE THE GOAL OF REGULATION RATHER THAN COMPLIANCE, STAFF PROVIDES NURTURING WHILE IMPLEMENTING ACTIVITIES THAT ACTIVATE BRAIN DEVELOPMENT AND HELP SUPPORT AND BUILD THE FOUNDATION THAT IS ESSENTIAL FOR CHILDREN'S FUNCTIONING AND SUCCESS. THESE ACTIVITIES INCLUDE SOMATOSENSORY INTERVENTIONS THAT HIGHLIGHT RHYTHM, REPETITION AND CREATIVE ACTIVITIES THAT INCLUDE PAINTING, BEADING, AND DANCE. MENTAL HEALTH WORKERS HELP DEVELOP AND REINFORCE THE CHILDREN'S COMPETENCY, COPING SKILLS, AND ABILITY TO RELATE POSITIVELY WITH OTHERS. 2) PSYCHOTHERAPY - CHILDREN ARE SEEN FOR INDIVIDUAL PSYCHOTHERAPY AT LEAST ONCE A WEEK, ADDITIONALLY CHILDREN PARTICIPATE IN GROUP THERAPY FOCUSING ON SPECIFIC ISSUES SUCH AS ABUSE, SOCIAL SKILLS, OR FRIENDSHIPS. FAMILIES ALSO RECEIVE A WIDE ARRAY OF SERVICES, DEPENDING UPON THEIR NEEDS. THESE INCLUDE REGULAR, ON-GOING FAMILY THERAPY, NMT EDUCATION, AND SUPPORT GROUPS. REGULAR AND FREQUENT VISITATION BETWEEN THE CHILDREN AND THEIR FAMILIES, AS WELL AS INVOLVEMENT IN THEIR CHILD'S TREATMENT PLAN, IS ADVOCATED AND EMPHASIZED WHENEVER APPROPRIATE. 3) THE GOAL OF THE ACADEMIC COMPONENT OF THE PROGRAM IS TO IMPROVE ACADEMIC PERFORMANCE WHILE ATTENDING TO THE CHILD'S EMOTIONAL NEEDS. ACADEMIC AND TREATMENT GOALS, DEFINED DURING THE EVALUATION AND ASSESSMENT PERIOD, SERVE AS THE FOUNDATION FOR INTERVENTION. EACH CHILD RECEIVES PERSONALIZED INSTRUCTION DESIGNED TO MEET HIGHER ACADEMIC NEEDS, PLANNING AND INSTRUCTION ARE BASED ON DIAGNOSTIC TEACHING METHODS THAT IDENTIFY AND REMEDIATE WEAKNESSES WHILE USING THE CHILD'S STRENGTHS TO FACILITATE LEARNING. THE CURRICULUM FOR EACH STUDENT IS CONSISTENT WITH COMPARABLE GRADE LEVELS IN THE PUBLIC SCHOOL SYSTEM. 4) OTHER SERVICES - ADJUNCT THERAPIES SUCH AS RECREATION THERAPY, ART THERAPY, ANIMAL ASSISTED THERAPY, DANCE/MOVEMENT THERAPY, MUSIC THERAPY, AND MASSAGE THERAPY ARE AN INTEGRAL PART OF TREATMENT AT MOUNT ST. VINCENT'S. PHYSICAL EDUCATION, SPEECH AND LANGUAGE THERAPY, OCCUPATIONAL THERAPY AND REMEDIAL READING ARE ALSO OFFERED TO CHILDREN WHO NEED SPECIALIZED HELP IN THOSE AREAS. PSYCHIATRIC AND PEDIATRIC SERVICES AND CONSULTATION ARE AVAILABLE AND UTILIZED ON A REGULAR BASIS. ARRANGEMENTS ARE MADE FOR THE MEDICAL AND DENTAL CARE OF ALL CHILDREN. EDUCATIONAL SERVICES FOR RESIDENTIAL AND DAY TREATMENT CHILDREN CHILDREN WHO HAVE EXPERIENCED TRAUMA OR ABUSE EARLY IN THEIR LIVES OFTEN HAVE A VERY DIFFICULT TIME IN SCHOOL. THE TRAUMA OR NEGLECT, ESPECIALLY IN THE FIRST FOUR YEARS OF LIFE, CAN AFFECT BRAIN ORGANIZATION, SELF-REGULATION, AND IMPEDE A CHILD'S ABILITY TO UNDERSTAND THE WAY THEY FEEL OR EXPRESS WHAT THEY THINK. THE EDUCATIONAL PROGRAM IS DESIGNED FOR CHILDREN AGES FIVE THROUGH 14 WHO NEED EITHER DAY TREATMENT, RESIDENTIAL OR A SCHOOL-ONLY PROGRAM IN AN ON-GROUNDS SCHOOL. THE SCHOOL PROVIDED SERVICES FOR THE CHILDREN IN THE RESIDENTIAL PROGRAM AND AN ADDITIONAL 25 CHILDREN PER DAY FROM THE COMMUNITY (THE DAY TREATMENT PROGRAM.) CLASSROOMS CAN HOLD UP TO 12 STUDENTS WITH A SPECIAL EDUCATION TEACHER AND EDUCATIONAL MENTAL HEALTH WORKER IN EACH CLASS. ADDITIONAL SERVICES PROVIDED INCLUDE PHYSICAL EDUCATION, TITLE ONE MATH AND READING, COMPUTERS, SPEECH/LANGUAGE THERAPY, OCCUPATIONAL THERAPY AND, ART AND AFFECTIVE EDUCATION GROUPS. WITH THIS IS MIND, OUR SCHOOL IS DESIGNED TO PROVIDE A CONSISTENT, WELL-STRUCTURED SYSTEM OF EDUCATION AND BEHAVIORAL MANAGEMENT THAT FOCUSES ON A CHILD'S INDIVIDUAL SKILL LEVEL, LEARNING STYLE, COGNITIVE ABILITY, AND DEVELOPMENTAL DEGREE OF SOCIALIZATION. AN INDIVIDUALIZED EDUCATION OR LEARNING PLAN IS DEVELOPED FOR EACH CHILD. ACADEMIC, BEHAVIORAL, AND TREATMENT GOALS ARE COOPERATIVELY DEFINED BY THE TEACHING STAFF AND CLINICAL TEAMS. IN ADDITION, THE CHILD IS INVOLVED WITH THE PROCESS AND IS AN ACTIVE PARTICIPANT FOR HIS/HER GOALS. MSVH OFFER SERVICES TO STUDENTS YEAR-ROUND. THE DAY TREATMENT PROGRAM AT MOUNT ST. VINCENT SERVES CHILDREN 5 TO 14, PRIMARILY IN THE DENVER METRO AREA. ALL CHILDREN ENROLLED IN THE DAY TREATMENT PROGRAM RECEIVE INDIVIDUAL THERAPY, FAMILY THERAPY, AND GROUP THERAPY IN ACCORDANCE WITH THEIR THERAPEUTIC NEEDS. CHILDREN IN DAY TREATMENT RECEIVE CREATIVE ARTS THERAPY (ART, MOVEMENT, AND MUSIC) AS WELL AS RECREATION AND WHEN APPROPRIATE, SPECIALTY THERAPIES (EMDR AND ANIMAL-ASSISTED). THE DAY TREATMENT PROGRAM ALSO PROVIDES PSYCHIATRIC SERVICES AND CONSULTATION FOR EACH CHILD IN THE PROGRAM. CHILDREN IN DAY TREATMENT ARE ENROLLED IN OUR ON-GROUNDS SCHOOL WHERE THEY ARE TAUGHT BY TRAINED SPECIAL EDUCATION TEACHERS. THE SCHOOL IS LICENSED BY ADVANCE ED ACCREDITATION SERVICE AND CONSIDERS ACADEMIC AND DEVELOPMENTAL LEVELS WHEN PROVIDING SERVICES FOR THE CHILDREN. DAY TREATMENT PROVIDES A THERAPEUTIC MILIEU THAT IS DESIGNED TO MOVE CHILDREN TOWARDS EMOTIONAL HEALTH AND EVENTUALLY BE SUCCESSFUL IN A PUBLIC SCHOOL SETTING. UPON DISCHARGE, MOUNT ST. VINCENT MAY PROVIDE IN-HOME CARE IF APPROPRIATE. PRESCHOOL MOUNT ST. VINCENT'S PRESCHOOL IS A CHILD-CENTERED PROGRAM THAT RESPECTS EACH CHILD'S INDIVIDUAL NEEDS AND ACTIVELY PROMOTES HIS OR HER SUCCESS. MSVH BELIEVE THAT CHILDREN LEARN FROM SUPPORTIVE RELATIONAL EXPERIENCES DERIVED FROM POSITIVE COMMUNITY, FAMILY, AND TEACHER INVOLVEMENT. TO UPHOLD THAT PHILOSOPHY, WE PROVIDE A WARM, HOMELIKE ENVIRONMENT RICH IN MEANINGFUL AND UNIQUE OPPORTUNITIES THAT ENCOURAGE EXPLORATION, CREATIVITY, AND GROWTH IN ALL ASPECTS OF CHILD DEVELOPMENT. MSVH PROGRAM EARNED FOUR OUT OF FIVE STARS WITH COLORADO SHINES. OUR THREE COMMUNITY PRESCHOOL CLASSROOMS SERVE CHILDREN AGED THREE TO FIVE YEARS. THE HOURS OF OPERATION VARY TO ACCOMMODATE OUR PARENTS' BUSY SCHEDULES. EACH CLASSROOM IS DESIGNED TO SUPPORT THE CHILDREN'S VARYING AGE AND DEVELOPMENTAL LEVELS. A DEVELOPMENTALLY APPROPRIATE CURRICULUM TAUGHT BY HIGHL FORM 990, PART III, LINE 4B FOSTER CARE, IN-HOME THERAPY, AND TRAINING FOSTER CARE - IS THE TEMPORARY 24-HOUR CARE OF CHILDREN WHO CANNOT REMAIN IN THEIR OWN HOMES DUE TO ABUSE, NEGLECT, OR OTHER SAFETY CONCERNS. MOUNT ST. VINCENT CONTRACTS WITH COUNTY DEPARTMENTS OF HUMAN SERVICES TO PROVIDE FOSTER CARE PLACEMENTS FOR THESE IDENTIFIED CHILDREN. FOSTER FAMILIES PROVIDE CHILDREN A STABLE, SAFE, AND NURTURING ENVIRONMENT. FOSTER FAMILIES SUPPORT THE GOAL OF REUNIFICATION WITH BIOLOGICAL FAMILY/KIN. IF RETURNING TO BIOLOGICAL FAMILY/KIN ENDS UP TO NOT BE AN OPTION, AN ADOPTION PLAN MAY BE DEVELOPED ALTERNATIVELY, FOSTER FAMILIES MAY BE ASKED TO HELP OLDER CHILDREN DEVELOP INDEPENDENT LIVING SKILLS. MOUNT ST. VINCENT'S FOSTER CARE PROGRAM SERVES CHILDREN AGES NEWBORN TO 18 YEARS OLD WHOSE LENGTH OF STAY IN FOSTER CARE MAY RANGE FROM OVERNIGHT, TO A FEW MONTHS, OR A COUPLE OF YEARS. CHILDREN PLACED IN FOSTER CARE COME FROM EVERY SOCIAL, ECONOMIC, ETHNIC, AND RACIAL BACKGROUND. THEY HAVE BEEN ABUSED OR NEGLECTED, OR MAY HAVE MEDICAL, EMOTIONAL, BEHAVIORAL NEEDS. WHAT THEY ALL HAVE IN COMMON IS A NEED FOR A SAFE HOME AND A FAMILY TO COMMIT TO AND CARE FOR THEM FOR AS LONG AS NECESSARY. TO HELP FOSTER FAMILIES SUCCEED, MSVH PROVIDES CASE MANAGEMENT SUPPORT THROUGH FACE TO FACE AND PHONE CONTACT, RESPITE CARE, TRAINING AND EDUCATION OPPORTUNITIES, 24-HOUR EMERGENCY ACCESS TO AGENCY STAFF, AND A MONTHLY SUPPORT GROUP FOR FOSTER PARENTS. THIS WRAP-AROUND SUPPORT FOR FOSTER FAMILIES IS ONE OF THE PRIMARY REASONS THE FOSTER CARE PROGRAMS AT MOUNT ST. VINCENT'S IS SO SUCCESSFUL. THE IN-HOME THERAPY PROGRAM SERVES CHILDREN AND FAMILIES IN THE DENVER METRO AREA TO ENSURE A SAFE, HEALTHY, AND NURTURING HOME ENVIRONMENT. THERAPISTS AND BEHAVIOR COACHES TRAINED IN THE NEUROSEQUENTIAL MODEL OF THERAPEUTICS AND THERAPEUTIC CRISIS INTERVENTION PROVIDE SPECIALIZED CARE. THEY CREATE INDIVIDUALIZED TREATMENT PLANS FOR EACH FAMILY BY USING DEVELOPMENTALLY APPROPRIATE INTERVENTIONS THAT ARE STRENGTHS-BASED AND SOLUTIONS-FOCUSED. THERAPISTS AND BEHAVIOR COACHES WORK TO STABILIZE CHILDREN WHO ARE ACTING OUT BEHAVIORALLY OR EMOTIONALLY. THEY FOCUS ON PROVIDING A SAFE, CONFIDENTIAL AND ENCOURAGING ENVIRONMENT TO HELP STRENGTHEN THE INNER WORKINGS OF THE FAMILY. TO OFFER THE BEST SUPPORT POSSIBLE, THE THERAPISTS AND COACHES ADOPT A NONJUDGMENTAL AND CULTURALLY COMPETENT APPROACH. THEY RECOGNIZE THAT THE CAREGIVER IS THE EXPERT. THE THERAPISTS AND COACHES' ROLE IS TO PROVIDE COMPREHENSIVE AND COLLABORATIVE SUPPORT BY IDENTIFYING COPING SKILLS, STRENGTHENING FAMILIAL COMMUNICATIONS, INITIATING SAFETY PLANNING, AND PROVIDING STRUCTURE. IN ADDITION TO ADDRESSING PROBLEMATIC BEHAVIORS, THE COACHES ALSO OFFER POSITIVE REINFORCEMENT OF DESIRABLE BEHAVIORS. SEVERAL LEVELS OF SERVICES ARE AVAILABLE, DEPENDING ON THE FAMILY'S NEEDS. THESE RANGE FROM ONE TO 10 HOURS PER WEEK OF IN-HOME SERVICES AND 24/7 CRISIS SUPPORT. THE GOALS OF THE IN-HOME PROGRAM ARE TO PREVENT OUT-OF-HOME PLACEMENTS AND/OR SUPPORT CHILDREN WHO ARE TRANSITIONING FROM FOSTER CARE OR RESIDENTIAL TREATMENT. TRAINING AND COMMUNITY EDUCATION - MOUNT ST. VINCENT WORKS WITH COMMUNITY ORGANIZATIONS AND PUBLIC INSTITUTIONS TO PROVIDE TRAINING AND CONSULTATION REGARDING TRAUMATIZED CHILDREN. MSVH IS A LEADER IN TRAUMA-INFORMED CARE, EARLY CHILDHOOD DEVELOPMENT, AND CRISIS INTERVENTION. MSVH SHARES EXPERTISE SO THAT LIFE BECOMES BETTER FOR ALL CHILDREN IN OUR COMMUNITY. WE PARTNER WITH SCHOOLS, EARLY LEARNING CENTERS, AND OTHER ORGANIZATIONS WHO SERVE CHILDREN TO NOT JUST PROVIDE TRAINING BUT CONSULT AND OFFER A WRAPAROUND APPROACH. WE WORK ALONGSIDE CARE PROVIDERS TO DEVELOP SOLUTIONS TAILORED TO CHILDREN AND DEVELOP PROGRAMING THAT MEETS THEIR SPECIFIC CIRCUMSTANCES. AREAS OF CONSULTATION INCLUDE: TRAUMA-INFORMED CARE, CRISIS PREVENTION AND MILIEU/CLASSROOM MANAGEMENT, SUPPORT FOR SCHOOLS TO MEET THE NEEDS OF STUDENTS DISPLAYING CHALLENGING BEHAVIORS, EARLY CHILDHOOD DEVELOPMENT AND DEVELOPMENTAL ENRICHMENT, CREATIVE ARTS THERAPY INTERVENTIONS AND REGULATION STRATEGIES, AND COMPREHENSIVE, TRAUMA-INFORMED ASSESSMENTS AND RECOMMENDATIONS USING THE NEUROSEQUENTIAL MODEL OF THERAPEUTICS (NMT) FORM 990, PART V, LINE 1A EXPLANATION FOR NUMBER REPORTED IN BOX 3 OF FORM 1096: THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF MOUNT ST. VINCENT HOME, INC. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OR APPOINT MEMBERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC., THE SOLE MEMBER OF MOUNT ST. VINCENT HOME, INC., APPROVES MEMBERS OF MOUNT ST. VINCENT HOME INC.'S BOARD OF DIRECTORS, SUBJECT TO THE RATIFICATION BY THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS RESERVED TO MEMBERS OR STOCKHOLDERS WHILE SCLHS IS THE SOLE MEMBER OF MOUNT ST. VINCENT HOME, INC., RESERVED POWERS ARE PRIMARILY HELD BY INTERMOUNTAIN HEALTH CARE, INC. ("INTERMOUNTAIN"), WHO AS A RESULT OF AFFILIATION, IS A MEMBER OF SCLHS. SCLHS, HAS THE POWER TO APPOINT TRUSTEES TO THE BOARD OF DIRECTORS, WHICH ARE SUBJECT TO RATIFICATION BY INTERMOUNTAIN. RESERVED POWERS HELD BY INTERMOUNTAIN INCLUDE: - ESTABLISH THE MISSION, VISION, AND VALUES FOR THE CORPORATION; - DEVELOP, ADOPT, AND OVERSEE STRATEGY, GOALS, OBJECTIVES, POLICIES, STANDARDS, AND GUIDELINES FOR THE CORPORATION; - ADOPT, AMEND, OR REPEAL THE GOVERNING DOCUMENTS OF THE CORPORATION; - FIX THE NUMBER OF TRUSTEES OF THE BOARD AND APPOINT AND REMOVE TRUSTEES TO AND FROM THE BOARD; - APPOINT AND REMOVE THE TRUSTEES, DIRECTORS, MANAGERS, OR BOARD OFFICERS OF THE CORPORATION; - PROVIDE FOR THE OVERALL MANAGEMENT OF THE CORPORATION, INCLUDING APPOINTING, OVERSEEING, AND REMOVING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION; - OVERSEE AUDIT AND COMPLIANCE, CLINICAL EXCELLENCE, COMPENSATION, FINANCE, INVESTMENT, NOMINATING AND GOVERNANCE, AND ANY OTHER NEEDED FUNCTIONS FOR THE PROPER OPERATION OF THE CORPORATION; - OVERSEE THE MEDICAL GROUPS OF THE SYSTEM IN A MANNER TO ENCOURAGE THE DELIVERY OF COST-EFFECTIVE PROFESSIONAL SERVICES TO PATIENTS SERVED AND, IN ACCORDANCE WITH APPLICABLE STATE LAW, OVERSEE CLINICAL PRACTICE AND EVIDENCED-BASED MEDICINE; - APPROVE THE ACQUISITION OF ASSETS, INCURRENCE OF INDEBTEDNESS, SALE, LEASE, TRANSFER, ASSIGNMENT, OR ENCUMBRANCE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; - APPROVE ANY MERGER, CHANGE OF CONTROL, DISSOLUTION, OR CORPORATE RESTRUCTURING OF THE CORPORATION; - OVERSEE THE ACQUISITION OR FORMATION OF ANY NEW SUBSIDIARY OF THE CORPORATION; AND - DIRECT FINANCES AND INVESTMENTS OF THE CORPORATION, INCLUDING CONTROLS, OPERATING AND CAPITAL BUDGETS, INTERCOMPANY TRANSFERS OR LOANS, AND SELECTION AND REMOVAL OF EXTERNAL AUDITORS. THE OTHER MEMBER OF SCLHS IS LEAVEN MINISTRIES, WHO WAS GRANTED THE FOLLOWING RESERVED POWERS: - TO APPROVE THE ADOPTION, AMENDMENT OR REPEAL OF THE CIVIL ARTICLES OF INCORPORATION OR BYLAWS OF SCLHS, OF ANY CIVIL CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, AND OF ANY SUBSIDIARY CORPORATION OF SCLHS; - TO FIX THE NUMBER AND APPOINT THE MEMBERS OF THE BOARD OF TRUSTEES OF SCLHS; - TO REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF TRUSTEES OF SCLHS; - TO APPROVE FOR SCLHS, ANY CORPORATION OF WHICH SCLHS IS THE CONTROLLING MEMBER, OR ANY SUBSIDIARY CORPORATION OF SCLHS, 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 LEAVEN MINISTRIES; - TO APPROVE ANY OTHER ACTION WHICH, IN ACCORDANCE WITH THE CIVIL CORPORATE DOCUMENTS GOVERNING SCLHS IS RESERVED TO THE MEMBERS OF LEAVEN MINISTRIES; - TO APPROVE ANY ALIENATION, SALE, GIFT OR OTHER TRANSFER OF THE REAL PROPERTY HELD BY ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO APPROVE ANY DISSOLUTION, FILING OF A BANKRUPTCY PETITION, MERGER, CONSOLIDATION OR CHANGE OF MAJORITY CONTROL OF ANY SCLHS CATHOLIC ENTITY; - TO APPROVE ANY MORTGAGE OR OTHER SECURITY INSTRUMENT THAT DIRECTLY ENCUMBERS THE REAL PROPERTY OF ANY SCLHS CATHOLIC ENTITY THAT CONSTITUTES ECCLESIASTICAL GOODS; - TO MONITOR, OVERSEE AND ENFORCE THE CATHOLIC PROTECTIONS INCLUDING THOSE ON-GOING OBLIGATIONS OF THE CONSOLIDATED SYSTEM PARENT SET FORTH IN THE MERGER AGREEMENT THAT ARE FOR THE BENEFIT OF LEAVEN MINISTRIES; AND - TO APPROVE ANY ALTERATION, REVOCATION, SUSPENSION, OR OTHER TERMINATION OR MODIFICATION OF THE RESERVED POWERS SET FORTH HEREIN. IN THE EVENT ANY CONFLICTS ARISE BETWEEN THE RESERVED POWERS GRANTED TO LEAVEN MINISTRIES AND THOSE OF INTERMOUNTAIN, THE LEAVEN RESERVED POWERS WILL CONTROL. FORM 990, PART VI, SECTION B, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THE FORM 990 IS PREPARED BY THE TAX DEPARTMENT OF THE HEALTH CARE SYSTEM. THE FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF 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 DEPARTMENT PRIOR TO FILING THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING AND ENFORCEMENT OF COMPLIANCE WITH CONFLICT OF INTEREST POLICY MOUNT ST. VINCENT HOME, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (COLLECTIVELY REFERRED TO AS SCL HEALTH), REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES ITS CONFLICT OF INTEREST POLICY BY PROVIDING EDUCATION AND TRAINING FOR ITS EMPLOYEES, OFFICERS AND DIRECTORS. PERSONS CONSIDERED TO BE IN AN INFLUENTIAL POSITION, SUCH AS BOARD MEMBERS, OFFICERS, PHYSICIANS, EXECUTIVES AND DIRECTOR LEVEL MANAGERS ARE ALL REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT UPON HIRE/APPOINTMENT AND 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. 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 SUPERVISOR AND/OR BOARD CHAIR. 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, COMPLETE A DISCLOSURE, 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 OR TO THE APPLICABLE BOARD OR COMMITTEE CHAIR, EVEN IF THE CONFLICT OF INTEREST HAS BEEN PREVIOUSLY DISCLOSED. THE INTERESTED PERSON'S LOCAL COMPLIANCE AND PRIVACY OFFICER AND/OR SUPERVISOR/BOARD OR COMMITTEE CHAIR 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 AUDIT AND COMPLIANCE COMMITTEES. ANY REPORTED CONFLICTS OR POTENTIAL CONFLICTS WILL ALSO BE REPORTED TO AND REVIEWED BY THE HEALTH CARE SYSTEM'S TAX DEPARTMENT FOR COMPLIANCE WITH THE FORM 990 TAX RETURN. FORM 990, PART VI, SECTION B, LINE 15 FORM 990, PART VI, SECTION B (POLICIES) LINES 15(A) & 15(B) THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY MOUNT ST. VINCENT HOME, INC. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. 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 INTERMOUNTAIN HEALTH CARE, INC.'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 INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE, INC.'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, INTERMOUNTAIN HEALTH CARE, INC. 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 VII, SECTION B INDEPENDENT CONTRACTORS THE ORGANIZATION'S EXPENSES ARE PAID BY A RELATED 501(C)(3) TAX-EXEMPT ORGANIZATION. THE RELATED ORGANIZATION FILES THE REQUIRED FORM 1096 AND RELATED 1099 TAX FORMS FOR ANY EXPENDITURE THAT REQUIRES A FORM 1099 TO BE FILED. FORM 990, PART XI, LINE 9: OTHER DIFFERENCES 2,411. FAIR VALUE ACQUISITION ADJUSTMENT 3,346,137. 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