2025-11-04T14:53:12-06:00 2024-12-31 990 2024-01-01 840405260 MOUNT ST VINCENT HOME INC MOUN 3034587220 4159 LOWELL BOULEVARD DENVER CO 80211 JENESSA WILLIAMS EXECUTIVE DIRECTOR 3033181773 2025-11-04 1 2024 2025-03-06 01:10:19Z JENESSA WILLIAMS 4159 LOWELL BOULEVARD DENVER CO 80211 10995587 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. 9 7 119 246 0 0 3160372 2042250 3830320 4348350 492141 4460990 -28712 10457 7454121 10862047 1000 0 0 0 5945795 5866312 0 0 241928 1804712 1822406 7751507 7688718 -297386 3173329 40485001 42109291 4899061 5671177 35585940 36438114 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 4834904 0 2899027 SEE SCHEDULE "O" 2065500 1449323 SEE SCHEDULE "O" 6900404 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 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 0 119 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 9 7 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X COLIN QUINCY 8014423491 36 SOUTH STATE STREET SUITE 1600 SALT LAKE CITY UT 84111 X GREGG MOSS TRUSTEE 1.00 52.00 X 0 351169 123315 JENESSA WILLIAMS EXECUTIVE DIRECTOR MSVH 50.00 0.00 X 195755 0 39687 JOSEPH SHEHATA DIRECTOR FINANCE (PARTIAL) 50.00 0.00 X 0 161267 42250 DARAH MEYER PHILANTHROPY DIRECTOR MSVH 50.00 0.00 X 153647 0 29698 PENNY CORDILLO-WALLER DIRECTOR OPERATIONS MSVH 50.00 0.00 X 144690 0 34035 JULIE ALCORN PHILANTHROPY DIRECTOR MSVH 50.00 0.00 X 122716 0 45316 JESSICA BECKER TRUSTEE (PARTIAL) 1.00 0.00 X 0 140564 14183 RACHEL GILLEN EDUCATION MANAGER MSVH 50.00 0.00 X 111189 0 17647 TONY COOK TRUSTEE 1.00 0.00 X 0 0 0 BRYAN HASSLER CHAIR 1.00 0.00 X X 0 0 0 JOSEPH HOLUB TRUSTEE 1.00 0.00 X 0 0 0 CHERI JAHN SECRETARY 1.00 0.00 X X 0 0 0 JILL POLITO VICE CHAIR 1.00 0.00 X X 0 0 0 JOHN ODENHEIMER TRUSTEE (PARTIAL) 1.00 0.00 X 0 0 0 MAX STICH TRUSTEE (PARTIAL) 1.00 0.00 X 0 0 0 727997 653000 346131 5 0 1 0 0 500 500000 27533 1514217 81118 2042250 DAY TREATMENT/EDUCATIO 623200 2899027 2899027 FOSTER CARE/IN-HOME TH 623200 1449323 1449323 4348350 361157 361157 10457 0 10457 10457 10457 3576330 657043 0 133540 3576330 523503 4099833 4099833 10862047 4348350 0 4471447 438961 388455 34551 15955 4558925 4034379 358841 165705 192762 171932 14181 6649 298037 265831 21926 10280 377627 336819 27782 13026 21225 19817 893 515 1238 1238 31060 31060 72109 67324 3035 1750 14226 13282 599 345 35489 33862 1212 415 43034 41061 1470 503 158550 151282 5415 1853 27509 26247 940 322 85104 81202 2907 995 484487 455479 19027 9981 FOSTER FAMILY STIPENDS 419388 397227 13514 8647 PROGRAM FOOD 98769 93550 3183 2036 REPAIRS & MAINTENANCE 79579 75374 2564 1641 HOUSEKEEPING 63558 60200 2048 1310 187081 187081 7688718 6900404 546386 241928 43252 58905 379851 413560 51340 175499 23816139 1253245 22722940 22562894 17287618 0 18898433 40485001 42109291 468529 31139 4430532 5640038 4899061 5671177 X 34869953 35880461 715987 557653 35585940 36438114 40485001 42109291 X 3173329 -2318546 -2609 X 0 1 X 1 0 X 3103281 3474219 2846633 3160372 2042250 14626755 4257622 3006678 2967281 3830320 4348350 18410251 39950 34022 111955 127937 0 313864 7400853 6514919 5925869 7118629 6390600 33350870 0 0 0 33350870 234088 235489 292271 321948 371614 1455410 234088 235489 292271 321948 371614 1455410 7634941 6750408 6218140 7440577 6762214 34806280 0.95820 0.96300 0.04180 0.03700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1238 1238 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. 715986 215695 10813 384845 557649 82153 1310624 7064 683855 715986 356657 685447 -10914 949037 82153 384308 904514 7585 939750 356657 418297 868405 10362 912756 384308 0.00000 0.14300 0.85700 0 0 15344015 15344015 7999374 1074235 6925139 69196 4997 64199 238893 174013 64880 164661 164661 22562894 INTEREST IN FOUNDATIONS INVESTMENT 18898433 C 18898433 ASSET RETIREMENT OBLIGATION 399713 RELATED PARTY PAYABLE 5240325 5640038 PART V, LINE 4: THE FOUNDATION'S TEMPORARY ENDOWMENT FUNDS AND EARNINGS FROM THE PERMANENT ENDOWMENT FUNDS SUPPORT MOUNT ST. VINCENT. 0 1 0 0 0 0 0 0 0 GREGG MOSS TRUSTEE 0 279149 0 68656 0 3364 0 112124 0 11191 0 474484 0 68656 JENESSA WILLIAMS EXECUTIVE DIRECTOR MSVH 162410 0 32820 0 525 0 38376 0 1311 0 235442 0 17304 0 JOSEPH SHEHATA DIRECTOR FINANCE (PARTIAL) 0 132076 0 28893 0 298 0 30677 0 11573 0 203517 0 14961 DARAH MEYER PHILANTHROPY DIRECTOR MSVH 125913 0 27132 0 602 0 28681 0 1017 0 183345 0 13931 0 PENNY CORDILLO-WALLER DIRECTOR OPERATIONS MSVH 118786 0 25683 0 221 0 22085 0 11950 0 178725 0 13682 0 JULIE ALCORN PHILANTHROPY DIRECTOR MSVH 108097 0 13661 0 958 0 19957 0 25359 0 168032 0 13661 0 JESSICA BECKER TRUSTEE (PARTIAL) 0 139342 0 504 0 718 0 8017 0 6166 0 154747 0 0 PART I, LINE 3 THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH, AN INTEGRATED HEALTH SYSTEM THAT IS NATIONALLY RECOGNIZED FOR PROVIDING QUALITY MEDICAL CARE THAT RANKS AMONG THE HIGHEST IN THE NATION WITH CHARGES THAT ARE AMONG THE LOWEST IN THE NATION. INTERMOUNTAIN HEALTH'S POLICY IS TO COMPENSATE ITS EMPLOYEES, INCLUDING SENIOR MANAGEMENT, AT MARKET COMPETITIVE RATES. 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 COMPENSATION COMMITTEE OF THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. (PARENT ORGANIZATION) RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO BECOME A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID, AS REQUIRED IN THE REPORTING SCHEDULE INSTRUCTIONS. PART I, LINE 4B PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES A NONQUALIFIED DEFERRED COMPENSATION PLAN (NQDC) KNOWN AS THE 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 NONPROFIT HEALTH SYSTEMS. THIS PLAN ENABLES THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR OF PARTICIPATION. 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 PLAN 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 A 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 2024. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. WHEN THE AMOUNTS BECOME TAXABLE THEY ARE INCLUDED ON THE PARTICIPANTS' W-2 THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2024 WERE: N/A. SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES 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 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 242 FMV AT DATE OF GIFT X 25340 FMV AT DATE OF GIFT X 3 19796 FMV AT DATE OF GIFT X 10 10732 FMV AT DATE OF GIFT X AMZN WISH LIST ITEMS 3 18808 FMV AT DATE OF GIFT X SUPPLIES 26 6201 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, AND WYOMING. THE ORGANIZATION EMPLOYS MORE THAN 68,000 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 ENROLLS CHILDREN AGES FIVE TO THIRTEEN WHO HAVE STRUGGLED IN A TRADITIONAL SCHOOL SETTING. THIS PROGRAM'S CORNERSTONE IS A THERAPEUTIC MILIEU STRUCTURED, BUT FLEXIBLE 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, IN-HOME THERAPY, TRAINING, AND BEHAVIORAL HEALTH 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 REFERRED 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, 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 JESSICA BECKER / GREGG MOSS / JOSEPH SHEHATA - 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 TRUSTEES OF THE MOUNT ST VINCENT HOME BOARD OF TRUSTEES, 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 TRUSTEES, 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 INTERMOUNTAIN HEALTH CARE, INC.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 COMPENSATION COMMITTEE ("COMPENSATION COMMITTEE"), A SUBSET OF INTERMOUNTAIN HEALTH CARE, INC.'S GOVERNING BODY (A RELATED NONPROFIT ORGANIZATION), IS RESPONSIBLE FOR THE PROCESS OF ANNUALLY DETERMINING THE TOTAL COMPENSATION PACKAGES (INCLUDING CASH AND NONCASH BENEFITS) FOR THE FOLLOWING OFFICERS: - EXECUTIVE DIRECTOR THE COMPENSATION COMMITTEE ANNUALLY RETAINS AN INDEPENDENT, EXTERNAL CONSULTING FIRM TO PROVIDE AN ANALYSIS OF COMPARABLE MARKET DATA. THE CONSULTANTS REVIEW THE VARIOUS TYPES OF DIRECT COMPENSATION, INCLUDING BASE SALARY, TOTAL CASH, AND ANNUAL AND LONG-TERM INCENTIVES. INFORMATION FROM A SELECTED GROUP OF COMPARABLE NONPROFIT ORGANIZATIONS IS USED TO SUPPLEMENT PUBLISHED SURVEY DATA. THE CONSULTANTS ALSO CONDUCT AN IN-DEPTH ANALYSIS OF THE ASSOCIATED BENEFITS AND PERQUISITES. INFORMATION PROVIDED BY THE EXTERNAL CONSULTANTS IS REVIEWED BY THE COMPENSATION COMMITTEE ALONG WITH THE PERFORMANCE DATA FOR EACH OFFICER LISTED ABOVE. DECISIONS BY THE COMPENSATION COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THE COMPENSATION COMMITTEE PRESENTS THE COLLECTED INFORMATION AND THE ASSOCIATED COMPENSATION DECISIONS TO THE ENTIRE BOARD OF TRUSTEES. THE PHILOSOPHY IS TO PAY COMPENSATION AT MARKET COMPETITIVE RATES. THE DETERMINATION OF EXECUTIVE COMPENSATION IS ALSO DESIGNED TO MEET THE "REBUTTABLE PRESUMPTION OF REASONABLENESS" STANDARD AS OUTLINED IN THE TREASURY REGULATIONS. FORM 990, PART VI, SECTION C, LINE 19 MOUNT ST VINCENT HOME DOES NOT CURRENTLY ALLOW PUBLIC INSPECTION OF ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY. THE CONSOLIDATED FINANCIAL STATEMENTS ARE ALSO AVAILABLE TO THE PUBLIC ON THE ELECTRONIC MUNICIPAL MARKET ACCESS WEBSITE (HTTPS://EMMA.MSRB.ORG/P21914280-P21463550-P21912552.PDF), A SERVICE PROVIDED BY THE MUNICIPAL SECURITIES RULEMAKING BOARD. 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 -2,609. 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