2012-11-15T13:07:31-06:00 2011-12-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2011-01-01 810468034 ST VINCENT HEALTHCARE FOUNDATION % DAVID IRION STVI 4062373600 PO BOX 35200 BILLINGS MT 591075200 DAVID IRION 2012-11-14 3142901000 2011 2016-02-24 21:20:13Z DAVID IRION PO BOX 35200 BILLINGS MT 591075200 6487121 false 0928 X HTTP://WWW.SVH-MT.ORG X 1990 MT WE 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. 16 13 0 301 0 8067393 5858391 0 0 1289069 513023 -10850 -73833 9345612 6297581 7891036 6786028 0 0 0 0 0 0 270608 966268 1078921 8857304 7864949 488308 -1567368 33509164 31592738 1608101 2218858 31901063 29373880 X WE 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. false false 2366565 2366565 ST 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. 2383433 2383433 THE 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. 710190 710190 THE 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. 1325840 1325840 6786028 true true false false false false false false false true true false false false true false false true false false false false false false true false false true false true false false false false false false false false true true false false false true true true false false true 17 0 true 0 false false false false false true true false false false false false X 16 13 false false false false true true true true true false false true true true true true true false false false X DAVID IRION 4062373607 PO BOX 35200 BILLINGS MT 591075200 X DAVID IRION 40.0 X X 0 172851 40756 TIM BROCOPP 4.0 X 0 0 0 PAT COBB MD 4.0 X 0 0 0 TIMOTHY DERNBACK MD 4.0 X 0 515134 45014 NEAL SORENSEN MD 4.0 X 0 295746 42731 BILL UNDERRINER 4.0 X 0 0 0 CINDY BEERS 4.0 X X 0 0 0 TODD CAPSER 4.0 X 0 0 0 DAVID RIGG 4.0 X 0 0 0 RON THOM 4.0 X 0 0 0 SR LYNN CASEY 4.0 X 0 0 0 STEVEN GOSE 4.0 X 0 0 0 SHAWN HERINGER 4.0 X X 0 0 0 JEFF SORENSON 4.0 X 0 0 0 JAMES MCCRAY 4.0 X 0 0 0 PAM KERCHER 4.0 X 0 0 0 CHRIS EDWARDS 4.0 X 0 0 0 JASON BARKER 4.0 X 0 437097 52347 JAMES PAQUETTE 0.0 X 0 738527 0 0 2159355 180848 0 true true false 0 462522 1102367 2070402 2223100 58031 5858391 0 541001 541001 0 0 27978 -27978 -27978 -27978 87729 462522 161562 -73833 -73833 0 0 0 6297581 439190 6786028 6786028 0 0 0 0 0 0 0 0 0 737423 553067 184356 5403 5403 7557 7557 0 0 0 79796 79796 50329 50329 143693 107770 35923 0 0 0 24720 24720 0 0 0 0 0 0 PROVISION FOR UNPAID PLEDGES 30000 30000 7864949 6786028 808313 270608 0 0 2773387 1656549 3368916 2031023 0 0 0 0 0 0 0 0 0 0 0 0 6164275 5618995 6164275 21722066 21709123 0 0 0 0 0 0 25800 31768 33509164 31592738 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1608101 2218858 1608101 2218858 X 15514487 12374027 10777058 11118810 5609518 5881043 31901063 29373880 33509164 31592738 X -1567368 -959815 X false true true X true true X 4606579 3975337 6404484 8067393 5858391 28912184 4606579 3975337 6404484 8067393 5858391 28912184 1517866 27394318 974319 503285 659123 682692 541001 3360420 102785 93078 119010 151062 87729 553664 32826268 553664 0.83452 0.80918 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17315205 4759507 -155529 2728621 1262078 17928484 13018507 7120185 557080 1940841 1439726 17315205 11984697 3744602 983335 2017212 1676915 13018507 12103787 3464935 -1416345 1659895 507785 11984697 0.05000 0.33000 0.62000 false false 0 4319762 4319762 844444 844444 1000069 1000069 6164275 0 DUE TO ST VINCENT HEALTHCARE 1108052 ANNUITIES PAYABLE 1110806 2218858 SCHEDULE D PART V THE 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. DINNER AUCTION 470796 396546 74250 93460 GOLF TOURNAMENT 43420 33460 9960 20132 1 36035 32516 3519 47970 550251 462522 87729 161562 161562 -73833 true ST VINCENT HEALTHCARE PO BOX 35200 BILLINGS MT 591075200 810232124 501(c)(3) 6786028 OPERATIONS/EQUIPMENT 1 0 MONITORING GRANT FUNDS SCHEDULE I PART I LINE 2 THE 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. false true false false false false false true false DAVID IRION 0 155526 0 0 17325 0 22000 0 18756 0 213607 0 TIMOTHY DERNBACK MD 0 500011 0 0 15123 0 20520 0 24494 0 560148 0 NEAL SORENSEN MD 0 244804 0 38742 0 12200 0 21996 0 20735 0 338477 0 JASON BARKER 0 408132 0 0 28965 0 42237 0 10110 0 489444 0 0 JAMES PAQUETTE 0 418351 0 0 0 320176 0 107885 0 15226 0 861638 0 0 FORM 990,SCHEDULE J, PART I, LINE 3 PROCESS FOR DETERMINING COMPENSATION SCLHS 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 4B OTHER 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 II THE 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. X 21 19629 DONOR PROVIDED X 4 38402 VALUE- DATE OF GIFT 0 false false false PART III LINE 4D OTHER 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 6 ST VINCENT HEALTHCARE IS THE SOLE MEMBER OF ST VINCENT HEALTHCARE FOUNDATION. PART VI LINE 7A THE CEO OF ST VINCENT HEALTHCARE IS ALWAYS A MEMBER OF THE GOVERNING BOARD OF ST VINCENT HEALTHCARE FOUNDATION. PART VI LINE 7B THE CEO OF ST VINCENT HEALTHCARE FOUNDATION IS AN EMPLOYEE OF ST VINCENT HEALTHCARE AND IS HIRED BY THAT GROUP. PART VI LINE 11B A 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 12C ALL 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 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC AT THE FOUNDATION OFFICES. PART XI LINE 5 THE DECREASE IN NET ASSETS OF $959,815 IS ATTRIBUTIBLE TO UNREALIZED LOSSES WITHIN THE INVESTMENTS. STATEMENT OF CONTROLLED FOREIGN CORPORATION ST. 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 ORGANIZATION FORM 990 PART VII NAME:TIMOTHY DERNBACK MD TITLE:BOARD MEMBER HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:NEAL SORENSEN MD TITLE:CHAIRMAN HOURS:40 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:JASON BARKER TITLE:BOARD MEMBER HOURS:40 SISTERS OF CHARITY LEAVENWORTH HLTH SYST 2420 WEST 26TH AVE STE 100-D DENVER CO 80211 237379161 SUPPORT MMBRS KS 501(C)(3) 11B-TYPE II NA false CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH KS 66048 481009910 CLINIC SVCS KS 501(C)(3) 3 SCLHS true MARIAN CLINIC INC 1001 SW GARFIELD TOPEKA KS 66604 481046905 CLINIC SVCS KS 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