ST VINCENT HEALTHCARE FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ST VINCENT HEALTHCARE FOUNDATION INC (EIN 81-0468034)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349305177
Schema version
2011v1.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T13:07:31-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1190 CARONDELET PLAZA SUITE 1300AddressLine1
CityCLAYTONCity
StateMOState
ZIP Code63105ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN810468034EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT HEALTHCARE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DAVID IRIONInCareOfName
Name ControlSTVINameControl
Phone4062373600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 35200AddressLine1
CityBILLINGSCity
StateMTState
ZIP Code591075200ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID IRIONName
TitlePRESIDENT & CEOTitle
Date Signed2012-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone3142901000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID IRIONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 35200AddressLine1
CityBILLINGSCity
StateMTState
ZIP Code591075200ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6487121GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Group Exemption Number0928GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.SVH-MT.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileMTStateLegalDomicile
Activity Or Mission DescriptionWE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers301TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year8067393ContributionsGrantsPriorYear
Contributions Grants Current Year5858391ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year1289069InvestmentIncomePriorYear
Investment Income Current Year513023InvestmentIncomeCurrentYear
Other Revenue Prior Year-10850OtherRevenuePriorYear
Other Revenue Current Year-73833OtherRevenueCurrentYear
Total Revenue Prior Year9345612TotalRevenuePriorYear
Total Revenue Current Year6297581TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year7891036GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY6786028GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year270608TotalFundrsngExpCurrentYear
Other Expense Prior Year966268OtherExpensePriorYear
Other Expenses Current Year1078921OtherExpensesCurrentYear
Total Expenses Prior Year8857304TotalExpensesPriorYear
Total Expenses Current Year7864949TotalExpensesCurrentYear
Revenues Less Expenses Prior Year488308RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1567368RevenuesLessExpensesCY
Total Assets BOY33509164TotalAssetsBOY
Total Assets EOY31592738TotalAssetsEOY
Total Liabilities BOY1608101TotalLiabilitiesBOY
Total Liabilities EOY2218858TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY31901063NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY29373880NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE WILL, IN THE SPIRIT OF THE SISTERS OF CHARITY, REVEAL GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR OR VULNERABLE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2366565Expense
Grants2366565Grants
DescriptionST VINCENT HEALTHCARE FOUNDATION WORKS CLOSELY WITH ST VINCENT HEALTHCARE TO PROVIDE CAPITAL EQUIPMENT TO THE HOSPITAL AND UPDATE THE HOSPITAL FACILITIES. THESE ITEMS ARE NEEDED BUT NOT CURRENTLY BUDGETED BY THE HOSPITAL.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2383433Expense
Grants2383433Grants
DescriptionTHE FOUNDATION GRANTS DIVISION APPLIES FOR AND ADMINISTERS FEDERAL AND STATE GRANTS THAT OPERATE OUT OF THE HOSPITAL. THE GRANTS HAVE HELPED WITH TELEMEDICINE, ELDER CARE, PEDIATRICS, TRAINING AND OTHER PROGRAMS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense710190Expense
Grants710190Grants
DescriptionTHE FOUNDATION IS WORKING WITH THE HOSPITAL TO ESTABLISH THE MONTANA PEDIATRICS PROJECT. THEY HAVE BROUGHT IN PEDIATRIC SPECIALISTS SO THAT SICK AND INJURED CHILDREN CAN REMAIN IN MONTANA AND NOT HAVE TO BE SENT TO LARGER METROPOLITAN HOSPITALS AWAY FROM THEIR FAMILIES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1325840TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt1325840TotalOfOtherProgramServiceGrnt
Total Program Service Expense6786028TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDAVID IRIONNamePerson
Telephone Number4062373607TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 35200AddressLine1
CityBILLINGSCity
StateMTState
ZIP Code591075200ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormer
DAVID IRION
EXECUTIVE DIRECTOR40.0XX017285140756
TIM BROCOPP
BOARD MEMBER4.0X000
PAT COBB MD
BOARD MEMBER4.0X000
TIMOTHY DERNBACK MD
BOARD MEMBER4.0X051513445014
NEAL SORENSEN MD
CHAIRMAN4.0X029574642731
BILL UNDERRINER
BOARD MEMBER4.0X000
CINDY BEERS
TREASURER4.0XX000
TODD CAPSER
BOARD MEMBER4.0X000
DAVID RIGG
BOARD MEMBER4.0X000
RON THOM
BOARD MEMBER4.0X000
SR LYNN CASEY
BOARD MEMBER4.0X000
STEVEN GOSE
BOARD MEMBER4.0X000
SHAWN HERINGER
VICE CHAIR4.0XX000
JEFF SORENSON
SECRETARY4.0X000
JAMES MCCRAY
BOARD MEMBER4.0X000
PAM KERCHER
BOARD MEMBER4.0X000
CHRIS EDWARDS
BOARD MEMBER4.0X000
JASON BARKER
BOARD MEMBER4.0X043709752347
JAMES PAQUETTE
FORMER DIRECTOR0.007385270X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2159355TotalReportableCompFrmRltdOrgs
Total Other Compensation180848TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events462522FundraisingEvents
Related Organizations1102367RelatedOrganizations
Government Grants2070402GovernmentGrants
All Other Contributions2223100AllOtherContributions
Noncash Contributions58031NoncashContributions
Total Contributions5858391TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column541001TotalRevenueColumn
Exclusion$541,001ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities27978Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-27978Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-27978TotalRevenueColumn
Exclusion-$27,978ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events87729GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events462522CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses161562FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-73833TotalRevenueColumn
Exclusion-$73,833ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6297581TotalRevenueColumn
Exclusion$439,190ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total6786028Total
Program Services6786028ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total737423Total
Management And General553067ManagementAndGeneral
Fundraising184356Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5403Total
Management And General5403ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7557Total
Management And General7557ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total79796Total
Management And General79796ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total50329Total
Fundraising50329Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total143693Total
Management And General107770ManagementAndGeneral
Fundraising35923Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total24720Total
Management And General24720ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionPROVISION FOR UNPAID PLEDGESDescription
Total30000Total
Management And General30000ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7864949Total
Program Services6786028ProgramServices
Management And General808313ManagementAndGeneral
Fundraising270608Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2773387BOY
EOY1656549EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3368916BOY
EOY2031023EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6164275LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5618995BOY
EOY6164275EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY21722066BOY
EOY21709123EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY25800BOY
EOY31768EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33509164BOY
EOY31592738EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1608101BOY
EOY2218858EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1608101BOY
EOY2218858EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15514487BOY
EOY12374027EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10777058BOY
EOY11118810EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5609518BOY
EOY5881043EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY31901063BOY
EOY29373880EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33509164BOY
EOY31592738EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1567368ReconcilationRevenueExpenses
Reconcilation Other Changes-959815ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4606579CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3975337CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6404484CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8067393CurrentTaxYearMinus1Year
Current Tax Year5858391CurrentTaxYear
Total28912184Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years4606579CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3975337CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6404484CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8067393CurrentTaxYearMinus1Year
Current Tax Year5858391CurrentTaxYear
Total28912184Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1517866AmountsSubstContributorsTotal
Public Support Total17027394318PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years974319CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years503285CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years659123CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year682692CurrentTaxYearMinus1Year
Current Tax Year541001CurrentTaxYear
Total3360420Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years102785CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years93078CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years119010CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year151062CurrentTaxYearMinus1Year
Current Tax Year87729CurrentTaxYear
Total553664Total
FieldValueIRS element (for citing)
Total Support32826268TotalSupport
Gross Receipts From Admissions Etc553664GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.83452PublicSupportPertcentage170
Public Support Pertcent Prior Year0.80918PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance17315205BeginningOfYearBalance
Contributions4759507Contributions
Investment Earnings Or Losses-155529InvestmentEarningsOrLosses
Grants Or Scholarships2728621GrantsOrScholarships
Other Expenditures1262078OtherExpenditures
End Of Year Balance17928484EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance13018507BeginningOfYearBalance
Contributions7120185Contributions
Investment Earnings Or Losses557080InvestmentEarningsOrLosses
Grants Or Scholarships1940841GrantsOrScholarships
Other Expenditures1439726OtherExpenditures
End Of Year Balance17315205EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11984697BeginningOfYearBalance
Contributions3744602Contributions
Investment Earnings Or Losses983335InvestmentEarningsOrLosses
Grants Or Scholarships2017212GrantsOrScholarships
Other Expenditures1676915OtherExpenditures
End Of Year Balance13018507EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance12103787BeginningOfYearBalance
Contributions3464935Contributions
Investment Earnings Or Losses-1416345InvestmentEarningsOrLosses
Grants Or Scholarships1659895GrantsOrScholarships
Other Expenditures507785OtherExpenditures
End Of Year Balance11984697EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.05000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.33000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.62000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis4319762OtherCostOrOtherBasis
Book Value4319762BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis844444InvestmentCostOrOtherBasis
Book Value844444BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1000069OtherCostOrOtherBasis
Book Value1000069BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6164275TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO ST VINCENT HEALTHCARE$1,108,052
ANNUITIES PAYABLE$1,110,806
FieldValueIRS element (for citing)
Total Of Amounts2218858TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE D PART VIdentifier
ExplanationTHE TWO LARGEST ENDOWMENTS ARE DESIGNATED FOR INSURANCE COVERAGE FOR THE WORKING POOR AND NURSE EDUCATION. THE REMAINDER SUPPORT VARIOUS DEPARTMENTS IN THE HOSPITAL AND FOR GREATEST NEED FOR THE HOSPITAL AND FOR PATIENTS.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1DINNER AUCTIONNameOfEvent1
Gross Receipts Event1470796GrossReceiptsEvent1
Charitable Contributions Event1396546CharitableContributionsEvent1
Gross Revenue Event174250GrossRevenueEvent1
Other Direct Expenses Event193460OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENTNameOfEvent2
Gross Receipts Event243420GrossReceiptsEvent2
Charitable Contributions Event233460CharitableContributionsEvent2
Gross Revenue Event29960GrossRevenueEvent2
Other Direct Expenses Event220132OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events36035GrossReceiptsOtherEvents
Charitable Contrib Other Events32516CharitableContribOtherEvents
Gross Revenue Other Events3519GrossRevenueOtherEvents
Other Direct Expenses Other Events47970OtherDirectExpensesOtherEvents
Gross Receipts Total550251GrossReceiptsTotal
Charitable Contributions Total462522CharitableContributionsTotal
Gross Revenue Total Events87729GrossRevenueTotalEvents
Other Direct Expenses Total Events161562OtherDirectExpensesTotalEvents
Direct Expense Summary Events161562DirectExpenseSummaryEvents
Net Income Summary-73833NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT HEALTHCAREBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 35200AddressLine1
CityBILLINGSCity
StateMTState
ZIP Code591075200ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient810232124EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant6786028AmountOfCashGrant
Purpose Of GrantOPERATIONS/EQUIPMENTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMONITORING GRANT FUNDSIdentifier
Return ReferenceSCHEDULE I PART I LINE 2ReturnReference
ExplanationTHE GRANTS ASSOCIATED WITH FEDERAL OR STATE GRANTS ARE MONITORED BY THE GRANTS DIVISION OF THE FOUNDATION. ST. VINCENT FOUNDATION USES A REIMBURSEMENT MODEL FOR ACCESSING FUNDS. THE GRANTS HAVE A DESIGNATED COST CENTER AND ALL EXPENSES FOR THOSE GRANTS ARE VERIFIED FOR ACCURACY, ALLOWABILITY AND APPLICABILITY BEFORE A REQUEST IS MADE TO THE FEDERAL GOVERNMENT FOR FUNDING REIMBURSEMENT. THE REQUESTS FOR REIMBURSEMENT INCLUDE THE SIGNATURES OF BOTH THE PROGRAM DIRECTOR AND GRANTS DIRECTOR.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgBonus Related OrgsBonusRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID IRION
0155526001732502200001875602136070
TIMOTHY DERNBACK MD
0500011001512302052002449405601480
NEAL SORENSEN MD
024480400122000219960207350338477038742
JASON BARKER
04081320028965042237010110048944400
JAMES PAQUETTE
04183510032017601078850152260861638000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FORM 990,SCHEDULE J, PART I, LINE 3PROCESS FOR DETERMINING COMPENSATIONSCLHS EMPLOYS THE EXECUTIVE TEAM AT EACH OF ITS HOSPITAL AFFILIATES. AS PART OF ITS ANNUAL REVIEW PROCESS, SCLHS USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF THOSE IN THESE POSITIONS: -COMPENSATION COMMITTEE -INDEPENDENT COMPENSATION CONSULTANT -FORM 990 OF OTHER ORGANIZATIONS -WRITTEN EMPLOYMENT CONTRACTS -COMPENSATION SURVEYS AND STUDIES -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS EXECUTIVES (OFFICERS, KEY EMPLOYEES, ETC.) IS CONSISTENT WITH MARKET VALUE AND THE PAY PHILOSOPHY SET BY THE BOARD. THE PAY PHILOSOPHY SET BY THE BOARD IS TO PAY AT THE MIDDLE OF THE MARKET FOR EXECUTIVES OF SIMILAR SIZED ORGANIZATIONS OVERALL. SCLHS' EXECUTIVE COMPENSATION IS COMPARABLE TO THAT PROVIDED IN SIMILAR, NOT-FOR-PROFIT HEALTHCARE SYSTEMS AND HOSPITALS.
FORM 990 SCHEDULE J, PART I, LINE 4BOTHER REPORTABLE COMPENSATION SHOWN IN SCHEDULE J PART II COLUMN (B) (III) CONTAINS AN ANNUAL REPORTING ADJUSTMENT FOR CERTAIN EMPLOYEES WHO PARTICIPATE IN THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. SCLHS PROVIDES NONQUALIFIED RETIREMENT PLANS FOR EXECUTIVES TO COMPENSATE FOR IRS 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. ON THE ADVICE OF COUNSEL, SCLHS HAS DETERMINED THAT THESE BENEFITS SHOULD BE SUBJECT TO TAXATION AS THEY ARE EARNED AND VESTED RATHER THAN WHEN THEY ARE RECEIVED. AS A RESULT, THE TOTAL NONQUALIFIED RETIREMENT PLAN BENEFITS, WHICH WERE ACCRUED AND VESTED IN THE CURRENT YEAR, ARE NOW CONSIDERED TAXABLE AND THUS WERE TAXED TO THE PARTICIPANTS. AN AMOUNT EQUAL TO THE PARTICIPANT'S EXPECTED INCOME TAX LIABILITY WAS WITHDRAWN FROM THE PARTICIPANT'S ACCOUNT AND REMITTED TO THE IRS AS WITHHOLDING ON THE TAXABLE BENEFIT. THE AMOUNTS WITHDRAWN FROM THE PLAN FOR TAXES IN 2011 WERE: JAMES T. PAQUETTE-$105,270
FORM 990, SCHEDULE J, PART I, LINE 7 (NON-FIXED PAYMENTS)SCLHS HAS MANAGEMENT INCENTIVE PLANS WHICH ARE BASED ON A COMBINATION OF MEASURES. MANAGEMENT AND SENIOR LEADERSHIP ARE ELIGIBLE FOR THE INCENTIVE COMPENSATION. PERFORMANCE CATEGORIES ARE MADE UP OF A COMBINATION OF CLINICAL QUALITY MEASURES AND OPERATING INCOME. THE OPERATING INCOME CATEGORY IS GENERALLY RELATED TO THE NET EARNINGS OF THE CARE SITE IN WHICH THE INDIVIDUAL WORKS, OR IN THE CASE OF SCLHS SENIOR MANAGEMENT, THE NET EARNINGS OF SCLHS.
FORM 990, SCHEDULE J, PART IITHE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS) CONSISTS OF ELEVEN HOSPITALS AND FOUR CLINICS (AFFILIATES) IN FOUR STATES INCLUDING ST. VINCENT HEALTHCARE FOUNDATION (FOUNDATION) IN BILLINGS, MONTANA. SCLHS AND ITS AFFILIATES ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING TRANSPARENCY AND ACCOUNTABILITY. JAMES T. PAQUETTE IS A SYSTEM PROJECT LEADER OF SCLHS IN DENVER, COLORADO. HE ALSO SERVED AS A MEMBER OF THE FOUNDATION'S BOARD. THE COMPENSATION REFLECTED IS THAT OF MR. PAQUETTE'S POSITION AS AN SCLHS SYSTEM PROJECT LEADER AND IS NOT RELATED TO THE FOUNDATION. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions21NumberOfContributions
Noncash Contribs Rptd F99019629NoncashContribsRptdF990
Method Of Determining RevenuesDONOR PROVIDEDMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F99038402NoncashContribsRptdF990
Method Of Determining RevenuesVALUE- DATE OF GIFTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART III LINE 4DOTHER PROGRAM SERVICES INCLUDING THE SHARE OUR SPIRIT EMPLOYEE CAMPAIGN THAT GAVE $149,175 AND OTHER VARIOUS PROGRAMS TOTALING $1,176,665. INCLUDED IN THE TOTAL WERE GRANTS OF $19,875 GIVEN TO OTHER NON PROFITS.
PART VI LINE 6ST VINCENT HEALTHCARE IS THE SOLE MEMBER OF ST VINCENT HEALTHCARE FOUNDATION.
PART VI LINE 7ATHE CEO OF ST VINCENT HEALTHCARE IS ALWAYS A MEMBER OF THE GOVERNING BOARD OF ST VINCENT HEALTHCARE FOUNDATION.
PART VI LINE 7BTHE CEO OF ST VINCENT HEALTHCARE FOUNDATION IS AN EMPLOYEE OF ST VINCENT HEALTHCARE AND IS HIRED BY THAT GROUP.
PART VI LINE 11BA PRELIMINARY DRAFT OF THE FORM 990 IS REVIEWED BY THE BOARD AT A REGULARY SCHEDULED BOARD MEETING. IT IS SENT TO THE SYSTEM OFFICE FOR FINAL REVIEW BY THEM AND AN INDEPENDENT ACCOUNTING FIRM AND THEN FORWARDED VIA EMAIL TO THE FOUNDATION BOARD FOR THEIR FINAL REVIEW PRIOR TO THE FILING DEADLINE. UPON FINAL APPROVAL THE RETURN IS SIGNED AND SUBMITTED TO THE IRS.
PART VI SECTIONS B LINE 12CALL MEMBERS OF THE BOARD ARE SUBJECT TO THE CONFLICT OF INTEREST POLICY. IN ADDITION TO RECEIVING A COPY OF THE CONFLICT OF INTEREST POLICY AND SIGNING A FORM ATTESTING TO THE FACT THAT THEY HAVE NO CONFLICTS BOARD MEMBERS ARE REMINDED AT THE MEETING OF THE NEED TO INFORM THE PRESIDENT OF ANY CONFLICTS THAT MAY HAVE ARISEN. THE EXECUTIVE COMMITTEE IS RESPONSIBLE FOR REVIEWING THE POSSIBLE CONFLICT OF INTEREST AND DETERMINING WHETHER A CONFLICT OF INTEREST HAS ARISEN. WHEN AN ACTUAL CONFLICT IS IDENTIFIED, THE INDIVIDUAL IS EXCUSED FROM PARTICIPATING IN THE DISCUSSION AND DECISION MAKING. THIS IS RECORDED IN THE MINUTES OF THE MEETING.
PART VI SECTION C LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE FOUNDATION OFFICES.
PART XI LINE 5THE DECREASE IN NET ASSETS OF $959,815 IS ATTRIBUTIBLE TO UNREALIZED LOSSES WITHIN THE INVESTMENTS.
STATEMENT OF CONTROLLED FOREIGN CORPORATIONST. VINCENT HEALTHCARE FOUNDATION, PARTICIPATION CORPORATION EIN: 81-0468034 FOR THE TAX YEAR ENDED DECEMBER 31, 2011 THIS STATEMENT IS BEING FILED PURSUANT TO TREAS. REG. 1.6038-2(J)(3). ST. VINCENT HEALTHCARE FOUNDATION'S FILING REQUIREMENT FOR FORM 5471 FOR THE CONTROLLED FOREIGN CORPORATIONS LISTED BELOW HAS BEEN SATISFIED BY SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM (FEIN:23-7379161). SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM HAS INCLUDED THE FORM 5471 WITH ITS FORM 990 WHICH WAS FILED ELECTRONICALLY. LEAVEN INSURANCE COMPANY, LTD. 98-0370522 23 LIMETREE BAY AVE., PO BOX 1051 GEORGE TOWN, GRAND CAYMAN KY1-1102 CJ RIVERVIEW MULTI-SERIES FUND SPC, LTD. 510 THORNALL STREET, SUITE 220 EDISON, NJ 08837 AUSTIN CAPITAL SAFE HARBOR OFFSHORE FUND, LTD. PO BOX 31106, 89 NEXUS WAY, 2ND FLOOR CAMANA BAY GEORGE TOWN, GRAND CAYMAN KY1-1205 CJ JP MORGAN HEDGE FUND SPC-ACCESS MAR09 SEGREGATED 98-0680591 %INT'L FUND SVCS LTD, 78 SIR JOHN ROGERSON'S QUAY DUBLIN, IRELAND 2 EI JP MORGAN HEDGE FUND SPC-ACCESS JUN09 SEGREGATED 98-0680582 %INT'L FUND SVCS LTD, 78 SIR JOHN ROGERSON'S QUAY DUBLIN, IRELAND 2 EI
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:TIMOTHY DERNBACK MD TITLE:BOARD MEMBER HOURS:40FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:NEAL SORENSEN MD TITLE:CHAIRMAN HOURS:40FORM 990 PART VII
HOURS DEVOTED FOR RELATED ORGANIZATIONNAME:JASON BARKER TITLE:BOARD MEMBER HOURS:40FORM 990 PART VII

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SISTERS OF CHARITY LEAVENWORTH HLTH SYST
2420 WEST 26TH AVE STE 100-DDENVERCO80211237379161SUPPORT MMBRSKS501(C)(3)11B-TYPE IINAfalse
CARITAS CLINICS INC
818 NORTH 7TH STREETLEAVENWORTHKS66048481009910CLINIC SVCSKS501(C)(3)3SCLHStrue
MARIAN CLINIC INC
1001 SW GARFIELDTOPEKAKS66604481046905CLINIC SVCSKS501(C)(3)3SCLHStrue
MARILLAC CLINIC INC
2333 N 6TH STREETGRAND JUNCTIONCO81501841085822CLINIC SVCSCO501(C)(3)3SCLHStrue
PROVIDENCE MEDICAL CENTER
8929 PARALLEL PARKWAYKANSAS CITYKS66112480784446HEALTHCAREKS501(C)(3)3SCLHStrue
ST JOHN HOSPITAL INC
3500 SOUTH FOURTH STREETLEAVENWORTHKS66048480543768HEALTHCAREKS501(C)(3)3PMCtrue
BETHANY COMMUNITY PLAZA INC
15 NORTH 12TH STREETKANSAS CITYKS66102481207407HEALTHCAREKS501(C)(3)3PMCtrue
PROVIDENCEST JOHN FOUNDATION INC
8929 PARALLEL PARKWAYKANSAS CITYKS66112480925688SUPPORT 501C3KS501(C)(3)7PMCtrue
ST FRANCIS HEALTH CENTER INC
1700 SW 7TH STREETTOPEKAKS66606480547719HEALTHCAREKS501(C)(3)3SCLHStrue
ST FRANCIS HEALTH CENTER FOUNDATION
1700 SW 7TH STREETTOPEKAKS66606481092520SUPPORT 501C3KS501(C)(3)11A-TYPE ISFHCtrue
ST MARYS HOSPITAL & MEDICAL CENTER INC
2635 N 7TH STREETGRAND JUNCTIONCO81502840425720HEALTHCARECO501(C)(3)3SCLHStrue
ST MARYS HOSPITAL DEVELOPMENT FOUNDATION
2635 N 7TH STREETGRAND JUNCTIONCO81502237001007SUPPORT 501C3CO501(C)(3)11A-TYPE ISMHMCtrue
SAINT JOSEPH HOSPITAL FOUNDATION
1835 FRANKLIN STREETDENVERCO80218840735096SUPPORT 501C3CO501(C)(3)11A-TYPE ISJHtrue
HOLY ROSARY HEALTHCARE
2600 WILSONMILES CITYMT59301810231792HEALTHCAREMT501(C)(3)3SCLHStrue
HOLY ROSARY HEALTHCARE FOUNDATION INC
2600 WILSONMILES CITYMT59301202270238SUPPORT 501C3MT501(C)(3)11A-TYPE IHRHCtrue
ST VINCENT HEALTHCARE
1233 NORTH 30THBILLINGSMT59101810232124HEALTHCAREMT501(C)(3)3SCLHStrue
NORTHWEST RESEARCH & EDUCATION INSTITUTE
315 NORTH 25TH STREETBILLINGSMT59101201343024COMM HLTH RESMT501(C)(3)9SVHCtrue
ST JAMES HEALTHCARE
400 SOUTH CLARK STREETBUTTEMT59701810231785HEALTHCAREMT501(C)(3)3SCLHStrue
ST JAMES HEALTHCARE FOUNDATION
400 SOUTH CLARK STREETBUTTEMT59701651202190SUPPORT 501C3MT501(C)(3)11A-TYPE ISJHCtrue
SAINT JOHNS HEALTH CENTER
2121 SANTA MONICA BLVDSANTA MONICACA904042091951684082HEALTHCARECA501(C)(3)3SCLHStrue
JOHN WAYNE CANCER INSTITUTE
2000 SANTA MONICA BLVDSANTA MONICACA90404954291515CANCER R&DCA501(C)(3)4SJHCtrue
SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN
2121 SANTA MONICA BLVDSANTA MONICACA904042091956100079SUPPORT 501C3CA501(C)(3)11A-TYPE ISJHCtrue
EXEMPLA INC FKA LUTHERAN HOSPITAL
2420 W 26TH AVE SUITE 100DDENVERCO80211841103606HEALTHCARECO501(C)(3)3SCLHStrue
EXEMPLA LUTHERAN MEDICAL CENTER FNDTN
2480 W 26TH AVESUITE 360BDENVERCO80211208846152SUPPORT 501C3CO501(C)(3)7EXEMPLA INCtrue
EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN
200 EXEMPLA CIRCLELAFAYETTECO80026841649162SUPPORT 501C3CO501(C)(3)7EXEMPLA INCtrue
LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST
2480 W 26TH AVESUITE 360BDENVERCO80211742571584INSURANCECO501(C)(3)11A-TYPE IEXEMPLA INCtrue
SAINT JOSEPH HOSPITAL
1835 FRANKLIN STREETDENVERCO80218840417134HEALTHCARECO501(C)(3)3SCLHStrue
MOUNT ST VINCENT HOME INC
4159 LOWELL BOULEVARDDENVERCO80211840405260RES CARECO501(C)(3)11A-TYPE ISCLHStrue

Form990 Schedule R Part III Form990ScheduleRPartIII (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
PAVILION IMAGING LLC
750 WELLINGTONGRAND JUNCTIONCO81501030516198RADIOLOGYCONAN/A
GRAND VALLEY SURGICAL CENTER LLC
710 WELLINGTONGRAND JUNCTIONCO81501841505075OP SURGERYCONAN/A
SAN JUAN CANCER CENTER LLC
600 SOUTH 5TH STREETMONTROSECO81401202856331OP CANCERCONAN/A
BILLINGS MRI CENTER LLC
1041 NORTH 29TH STREETBILLINGSMT59101810450943MRI-PET SCANMTNAN/A
LUTHERAN CAMPUS ASC LLC
3455 LUTHRN PKW SUITE 150WHEATRIDGECO800336028020749532OP SURGERYCONAN/A
COLORADO SURGICAL VENTURES LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038915OP SURGERYCONAN/A
COLORADO SURGICAL HOSPITAL LLC
30 S WACKER DR SUITE 2302CHICAGOIL60605208038977OP SURGERYCONAN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
CARITAS INC AND SUBSIDIARIES
9801 RENNER BOULEVARD SUITE 100LENEXAKS66219480941069OTHER MEDICALKSC CORP
LEAVEN INSURANCE COMPANY LTD
980370522INSURANCE23 LIME TREE BAY AVE PO BOX 1051GEORGETOWNGRAND CAYMANCJKY1-1102CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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