2024-11-07T09:57:11-06:00 2023-12-31 990 2023-01-01 840405260 MOUNT ST VINCENT HOME INC MOUN 3034587220 4159 LOWELL BOULEVARD DENVER CO 80211 JENESSA WILLIAMS EXECUTIVE DIRECTOR 3033181773 2024-11-05 0 2023 2024-10-15 13:58:12Z JENESSA WILLIAMS 4159 LOWELL BOULEVARD DENVER CO 80211 7646106 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. 7 5 93 735 0 0 2846633 3160372 2967281 3830320 44523 492141 -25044 -28712 5833393 7454121 0 1000 0 0 5777261 5945795 0 0 436492 1623815 1804712 7401076 7751507 -1567683 -297386 39043050 40485001 3724732 4899061 35318318 35585940 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 4399964 1000 2343955 SEE SCHEDULE "O" 2295609 1486365 SEE SCHEDULE "O" 6695573 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 1 1 0 0 1 X 0 0 93 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 7 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JOSEPH SHEHATA 3034587220 4159 LOWELL BOULEVARD DENVER CO 80211 X CARL MOSS DIRECTOR 1.00 51.00 X 0 412190 133267 KATIE TIERNAN JOHNSON DIRECTOR 1.00 52.00 X 0 233193 76016 SHERRY BENEDETTI FORMER OFFICER 0.00 50.00 X 0 217189 78461 JENESSA WILLIAMS EXECUTIVE DIRECTOR MSVH 50.00 0.00 X 173858 0 25240 JOSEPH SHEHATA DIRECTOR FINANCE 50.00 0.00 X 148981 0 30160 DARAH MEYER DIRECTOR MSVH 50.00 0.00 X 140836 0 20319 JULIE ALCORN DIRECTOR MSVH 50.00 0.00 X 122509 0 37194 PENNY CORDILLO-WALLER DIRECTOR OPERATIONS MSVH 50.00 0.00 X 133179 0 25205 TONY COOK DIRECTOR 1.00 0.00 X 0 0 0 BRYAN HASSLER CHAIR 1.00 0.00 X X 0 0 0 JOSEPH HOLUB DIRECTOR 1.00 0.00 X 0 0 0 CHERI JAHN DIRECTOR/SECRETARY (PARTIAL) 1.00 0.00 X X 0 0 0 JILL POLITO SECRETARY/VICE CHAIR (PARTIAL) 1.00 0.00 X X 0 0 0 719363 862572 425862 5 1 1 0 0 263 283836 506075 118084 2252114 128632 3160372 DAY TREATMENT/EDUCATIO 623200 2343955 2343955 FOSTER CARE/IN-HOME TH 623200 1486365 1486365 3830320 297948 297948 24000 0 24000 24000 24000 194193 0 194193 194193 194193 127937 283836 191985 -64048 -64048 OTHER REVENUE 900099 11336 11336 11336 7454121 3841656 0 452093 1000 1000 378237 331092 28061 19084 4650384 4070747 345002 234635 160431 141506 11201 7724 399966 352785 27925 19256 356777 314691 24909 17177 20860 12933 7301 626 990 990 56653 56653 66926 41494 23424 2008 24065 14920 8423 722 45768 30253 3443 12072 27050 17880 2035 7135 168795 111574 12698 44523 16625 10989 1251 4385 61736 40808 4644 16284 441939 418837 14204 8898 7323 4467 2563 293 FOSTER FAMILY STIPENDS 459374 420793 28619 9962 REPAIRS & MAINTENANCE 112524 103074 7010 2440 PROGRAM FOOD 81707 74845 5090 1772 HOUSEKEEPING 64142 58755 3996 1391 148235 122130 26105 7751507 6695573 619442 436492 71495 43252 535151 379851 104134 51340 23505852 782912 22623873 22722940 15708397 17287618 39043050 40485001 571358 468529 3153374 4430532 3724732 4899061 X 35236165 34869953 82153 715987 35318318 35585940 39043050 40485001 X -297386 1082660 4437 -522089 X 0 1 X 1 1 1 X 3167544 3103281 3474219 2846633 3160372 15752049 5090311 4257622 3006678 2967281 3830320 19152212 116006 39950 34022 111955 127937 429870 8373861 7400853 6514919 5925869 7118629 35334131 0 0 0 35334131 274480 234088 235489 292271 321948 1358276 274480 234088 235489 292271 321948 1358276 8648341 7634941 6750408 6218140 7440577 36692407 0.96300 0.96480 0.03700 0.03520 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 990 990 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. 82153 1310624 7064 683855 715986 356657 685447 -10914 949037 82153 384308 904514 7585 939750 356657 418297 868405 10362 912756 384308 605448 486120 4956 678227 418297 0.00000 0.11200 0.88800 0 0 15344015 15344015 7837713 655305 7182408 36731 36731 176923 124872 52051 110470 2735 107735 22722940 ASSET RETIREMENT OBLIGATION 500000 RELATED PARTY PAYABLE 3930532 4430532 8824974 1082660 181999 162846 1427505 7397469 56653 56653 7454122 8057352 177562 184936 362498 7694854 56653 56653 7751507 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 - ($6,602) RECLASS FUNDRAISING EXPENSES - ($191,740) OTHER DIFFERENCES - ($22,287) ROUNDING - ($5) PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS BAD DEBT EXPENSE - ($6,602) RECLASS FUNDRAISING EXPENSES - ($191,740) OTHER DIFFERENCES - ($197) ROUNDING - ($5) SILVER BELL BALL 321320 236047 85273 500 32173 17061 53100 4000 39864 GOLF TOURNAMENT 90453 47789 42664 180 5602 21600 14773 0 3132 411773 283836 127937 680 37775 38661 67873 4000 42996 191985 -64048 0 1 0 0 0 0 0 0 0 CARL MOSS DIRECTOR 0 267048 0 112905 0 32237 0 122532 0 10735 0 545457 0 34646 KATIE TIERNAN JOHNSON DIRECTOR 0 196105 0 36339 0 749 0 64680 0 11336 0 309209 0 13251 SHERRY BENEDETTI FORMER OFFICER 0 199360 0 15530 0 2299 0 61324 0 17137 0 295650 0 15530 JENESSA WILLIAMS EXECUTIVE DIRECTOR MSVH 152142 0 21263 0 453 0 24003 0 1237 0 199098 0 11473 0 JOSEPH SHEHATA DIRECTOR FINANCE 129366 0 19215 0 400 0 20755 0 9405 0 179141 0 9926 0 DARAH MEYER DIRECTOR MSVH 122429 0 18029 0 378 0 19322 0 997 0 161155 0 9228 0 JULIE ALCORN DIRECTOR MSVH 106732 0 10631 0 5146 0 13783 0 23411 0 159703 0 9048 0 PENNY CORDILLO-WALLER DIRECTOR OPERATIONS MSVH 115808 0 17074 0 297 0 13804 0 11401 0 158384 0 9074 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 SISTERS OF CHARITY OF LEAVENWORTH HEALTHY SYSYTEM, INC. 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. 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. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECURIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. 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) COMPENSATION SURVEYS AND STUDIES 5) 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, LINE 4B 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 COSTS 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 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. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2023. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. 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 2023 WERE: N/A. SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES 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 289 FMV AT DATE OF GIFT X 45742 FMV AT DATE OF GIFT X 4 41428 FMV AT DATE OF GIFT X 15 10521 FMV AT DATE OF GIFT X SUPPLIES 3 10071 FMV AT DATE OF GIFT X AUCTION ITEMS 37 9292 FMV AT DATE OF GIFT X AMZN WISH LIST ITEMS 5 9279 FMV AT DATE OF GIFT X TICKETS 4 2010 FMV AT DATE OF GIFT 0 1 0 FORM 990, PART I, LINE J MOUNT ST. VINCENT HOME, INC. WEBSITE ADDRESS: HTTPS://INTERMOUNTAINHEALTHCARE.ORG/LOCATIONS/INTERMOUNTAIN-HEALTH-MOUNT -SAINT-VINCENT FORM 990, PART III, LINE 4A MOUNT SAINT VINCENT HOMES'(MSVH) MISSION IS TO PARTNER WITH CHILDREN AND FAMILIES TO HEAL BEYOND TRAUMA INTO A HEALTHY AND HOPEFUL FUTURE. IT GUIDES EVERYTHING THEY DO. CARING FOR EVERYONE, REGARDLESS OF THE CAUSE FOR TREATMENT IS DEEPLY ROOTED IN MSVH'S MISSION AND VALUES. MSVH HAS SERVED CHILDREN AND FAMILIES OF COLORADO AND THE METRO DENVER AREA FOR 141 YEARS. THE MISSION IS AS RELEVANT TODAY AS IT WAS ON DAY ONE. ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (WHICH MOUNT ST. VINCENT HOME IS A PART OF) AFFILIATED, 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 MORE THAN 66,000 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. DAY TREATMENT/EDUCATION: THE DAY TREATMENT AND EDUCATION PROGRAM FORMERLY INCLUDED A RESIDENTIAL PROGRAM, HOWEVER, IT WAS DISCONTINUED IN 2022 TO FOCUS ON DAY TREATMENT/EDUCATION AND OTHER PROGRAMS OFFERED. THE DAY TREATMENT AND EDUCATION PROGRAM ENROLLS CHILDREN AGES FIVE TO THIRTEEN WHO HAVE STRUGGLED IN A TRADITIONAL SCHOOL SETTING. THIS PROGRAM'S CORNERSTONE IS A THERAPEUTIC MILIEU STRUCTURED, BUT FLEXIABLE GROUP ENVIRONMENT THAT IMPROVES MENTAL HEALTH. THE THERAPEUTIC MILIEU OF THE SISTER DANIEL STEFANI SCHOOL MOVES CHILDREN TOWARD EMOTIONAL HEALTH SO THEY CAN SUCCESSFULLY REINTEGRATE INTO THEIR SCHOOL SETTINGS. CHILDREN RECEIVE MULTIPLE THERAPEUTIC SERVICES TO MEET THEIR INDIVIDUALIZED NEEDS AND IDENTIFIED GOALS. IF THEY QUALIFY FOR EXTENDED SCHOOL YEAR, THEY ATTEND YEAR-ROUND. OUTPATIENT THERAPY OR IN-HOME THERAPY CAN PROVIDE FURTHER SUPPORT. FUNDING FOR THIS PROGRAM IS TYPICALLY ADMINISTERED THROUGH SCHOOL DISTRICTS. HOWEVER, FAMILIES CAN ALSO PRIVATE PAY. THE EARLY LEARNING CENTER (ELC) IS A CHILD-CENTERED COMMUNITY PRESCHOOL PROGRAM THAT RESPECTS EACH CHILD'S INDIVIDUAL NEEDS AND ACTIVELY PROMOTES SUCCESS. MSVH SERVES CHILDREN AGES THREE TO FIVE. THE ELC PROVIDES A WARM, HOMELIKE ENVIRONMENT THAT IS RICH IN MEANINGFUL AND UNIQUE OPPORTUNITIES. IT ENCOURAGES EXPLORATION, CREATIVITY AND GROWTH IN ALL ASPECTS OF CHILD DEVELOPMENT. THE PROGRAM HAS EARNED FIVE OUT OF FIVE STARS WITH COLORADO SHINES, THE QUALITY RATING AGENCY FOR PROGRAMS AND PRACTICES. MSVH OFFERS FAMILIES FLEXIBILITY IN FULL-DAY AND EXTENDED-DAY PROGRAMS. FOR DENVER RESIDENTS WITH A CHILD FOUR YEARS OF AGE (OR THREE YEARS AND MEETS THE QUALIFICATIONS), THEY CAN SIGN UP FOR TUITION CREDITS THROUGH THE DENVER PRESCHOOL PROGRAM. MSVH ALSO ACCEPTS FUNDS THROUGH CCAP, THE COLORADO CHILD CARE ASSISTANCE PROGRAM. FORM 990, PART III, LINE 4B FOSTER CARE: THE NUMBER OF FOSTER CARE HOMES AVAILABLE FOR CHILDREN IN THE COMMUNITY IS AT AN ALL-TIME CRITICAL LOW. TO HELP NAVIGATE THE PROCESS OF BECOMING A FOSTER PARENT, MSVH'S PROGRAM OFFERS TRAINING, CERTIFICATION AND INDIVIDUALIZED SUPPORT. FOSTER PARENTS PROVIDE TEMPORARY 24-HOUR CARE TO CHILDREN WHO CANNOT REMAIN IN THEIR HOMES OF ORIGIN DUE TO ABUSE, NEGLECT OR OTHER SAFETY CONCERNS. THE PROGRAM PROVIDES CHILDREN WITH A STABLE, SAFE AND NURTURING ENVIRONMENT UNTIL THEY CAN REUNIFY WITH THEIR BIOLOGICAL FAMILIES OR OTHER PERMANENT HOMES. MSVH SERVES CHILDREN AGES NEWBORN TO 18 YEARS WHOSE LENGTH OF STAY IN FOSTER CARE RANGES FROM SHORT-TERM EMERGENCY CARE TO PERMANENT, LONG-TERM CARE. MSVH'S EXPERIENCED AND RESOURCEFUL TEAM HELPS IN THE SUCCESS OF FOSTER PARENTS THROUGH A CONTINUUM OF SUPPORTIVE SERVICES. IN-HOME THERAPY: MSVH'S INTENSIVE IN-HOME THERAPY PROGRAM PROVIDES FAMILY-BASED, TRAUMA-INFORMED THERAPEUTIC SERVICES TO FAMILIES AND CHILDREN BETWEEN THE AGES OF TWO AND 12 YEARS EXPERIENCING BEHAVIORAL, EMOTIONAL AND MENTAL HEALTH CONCERNS. CAREGIVERS PROVIDE THERAPY AND COACHING IN A REAL-LIFE ENVIRONMENT SO THEY CAN SUPPORT REAL-LIFE, LONG-LASTING CHANGE. THIS PROGRAM REQUIRES CHILDREN AND FAMILIES TO LIVE WITHIN A 25-MILE DRIVE FROM THE DENVER CAMPUS. SESSIONS TYPICALLY ARE TWO TO THREE HOURS LONG AND ARE HELD TWICE A WEEK. MSVH REQUIRES PARENT AND CHILD ENGAGEMENT THROUGHOUT BOTH SESSIONS. MSVH ACCEPTS MEDICAID AND PRIVATE INSURANCE. FOR FAMILIES WITH PRIVATE INSURANCE, THEY ARE REFERED TO THE CHILDREN AND YOUTH MENTAL HEALTH TREATMENT ACT. THIS ACT ALLOWS FAMILIES AN ASSESSMENT TO DETERMINE IF THEY CAN ACCESS SIGNAL FUNDING FOR THEIR CHILD OR YOUTH'S MENTAL HEALTH TREATMENT. OUTPATIENT THERAPY: ACROSS THE NATION AND IN COLORADO, THERE'S A MENTAL HEALTH CRISIS AMONG YOUTH. TO MEET THE INCREASING NEED FOR MENTAL HEALTH SERVICES, MSVH HAS EXPANDED THE OUTPATIENT THERAPY PROGRAM TO ACCOMMODATE BEHAVIORAL AND MENTAL HEALTH CONCERNS BEYOND THOSE CAUSED BY TRAUMA, ABUSE AND NEGLECT. MSVH OFFERS INDIVIDUAL, FAMILY AND GROUP THERAPIES TO SUPPORT CHILDREN AND ADOLESCENTS BETWEEN THE AGES OF TWO AND 18 YEARS. IF APPROPRIATE, TELEHEALTH THERAPY MAY ALSO BE AN OPTION. THERAPY HOURS AT THE DENVER CAMPUS HAVE BEEN EXTENDED TO MONDAY THROUGH THURSDAY FROM 8 A.M. TO 7 P.M. AND ON FRIDAY FROM 8 A.M. TO 4 P.M. MSVH ACCEPTS MOST MAJOR INSURANCE PLANS. THE ADMISSIONS TEAM IS AVAILABLE TO HELP WITH QUESTIONS. BEHAVIORAL HEALTHCARE: MSVH TAKES PRIDE IN THE DIVERSE EXPERIENCES THE THERAPISTS BRING TO MEETING THE UNIQUE NEEDS OF CHILDREN, ADOLESCENTS AND FAMILIES. THE THERAPISTS ARE TRAINED IN A VARIETY OF EVIDENCED-BASED MODALITIES INCLUDING, BUT NOT LIMITED TO: PLAY THERAPY, TRAUMA THERAPY, COGNITIVE BEHAVIORAL THERAPY, PARENT-CHILD INTERACTION THERAPY, DIALECTICAL BEHAVIORAL THERAPY, FAMILY SYSTEMS, EYE MOVEMENT DESENSITIZATION AND REPROCESSING, AND THE NEUROSEQUENTIAL MODEL OF THERAPEUTICS. AS PART OF INTERMOUNTAIN HEALTH (IMH), MSVH IS EXPANDING THEIR INNOVATIVE APPROACH TO INCLUSIVE PEDIATRIC HEALTHCARE. IMH'S PEDIATRIC BEHAVIORAL HEALTH PROGRAM IS EMBEDDED WITHIN PRIMARY CARE FOR ALL PATIENTS. MSVH WILL CONTINUE TO INTEGRATE THIS IMPACTFUL CARE MODEL INTO THE COMMUNITIES SERVED ACROSS THEIR PROGRAMS. 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 2 KATIE TIERNAN JOHNSON / GREGG MOSS - BUSINESS RELATIONSHIP (EMPLOYER/EMPLOYEE RELATIONSHIP IN SISTERS OF CHARITY HEALTH SYSTEM, INC., A RELATED TAX-EXEMPT ORGANIZATION). FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OR STOCKHOLDERS SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF MOUNT ST VINCENT HOME. 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, HAS THE POWER TO APPOINT MEMBERS OF THE MOUNT ST VINCET HOME 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 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) IS THE SOLE MEMBER OF MOUNT ST VINCENT HOME, 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 INTERMOUNTAIN HEALTH CARE, INC. AND SUBSIDIARIES. THE DRAFT FORM 990 IS REVIEWED BY CERTAIN MEMBERS OF SENIOR MANAGEMENT. A COPY OF THE FINAL FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C EACH OFFICER, DIRECTOR, TRUSTEE AND KEY EMPLOYEE IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE AT LEAST ANNUALLY. THESE INDIVIDUALS HAVE BEEN INSTRUCTED TO UPDATE THEIR QUESTIONNAIRE INFORMATION IF THEY BECOME AWARE OF A NEW POTENTIAL CONFLICT, OR IF ANY OF THE PREVIOUSLY REPORTED INFORMATION CHANGES. ADDITIONALLY, BOARD MEMBERS ARE ASKED AT THE BEGINNING OF EACH BOARD OR COMMITTEE MEETING IF THEY ARE AWARE OF ANY CONFLICTS. ACCORDING TO POLICY, THE QUESTIONNAIRES ARE COLLECTED AND REVIEWED BY INTERMOUNTAIN'S CHIEF COMPLIANCE OFFICER. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED WITH APPROPRIATE PERSONNEL, WHICH MAY INCLUDE (BUT IS NOT LIMITED TO) THE AUDIT AND COMPLIANCE COMMITTEE CHAIR, SENIOR MANAGEMENT AND THE LEGAL DEPARTMENT. IF AN INDIVIDUAL DISCLOSES A SITUATION THAT POSES A CONFLICT OF INTEREST, A DETERMINATION IS MADE WHETHER THE SITUATION CAN BE MANAGED (SUCH AS BY RECUSAL IN DECISION-MAKING SETTINGS) OR MUST BE ELIMINATED (SUCH AS THROUGH DIVESTITURE OF THE OUTSIDE INTEREST). FINDINGS ARE REPORTED TO THE AUDIT AND COMPLIANCE COMMITTEE OF INTERMOUNTAIN HEALTH CARE, INC. 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 SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. 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) COMPENSATION SURVEYS AND STUDIES 5) 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 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. 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 198. ASBESTOS LIABILITY ADJUSTMENT -500,000. FAIR VALUE ACQUISITION ADJUSTMENT -22,287. 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