2011-11-14T15:18:28-06:00 2010-12-31 ERNST & YOUNG US LLP 190 CARONDELET PLAZA SUITE 1300 CLAYTON MO 63105 990 2010-01-01 810468034 ST VINCENT HEALTHCARE FOUNDATION STVI 4062373600 PO BOX 35200 BILLINGS MT 591075200 DAVID IRION 2011-11-07 3142901000 2010 2016-03-07 17:11:31Z DAVID IRION PO BOX 35200 BILLINGS MT 591075200 8901147 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. 15 12 0 316 0 0 6404484 8067393 0 0 529623 1289069 -21886 -10850 6912221 9345612 4367348 7891036 0 0 0 0 0 0 238322 798647 966268 5165995 8857304 1746226 488308 31382862 33509164 1455390 1608101 29927472 31901063 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 3987517 3987517 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. 1955251 1955251 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. 529834 529834 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. 1418434 1418434 7891036 true true 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 false false false false true true true false false true 14 0 true 0 false false false false false true true false false false false X 15 12 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 172765 31492 TIM BROCOPP 4.0 X X 0 0 0 PAT COBB MD 4.0 X 0 0 0 TIMOTHY DERNBACK MD 4.0 X 0 508449 43954 LORA SCHULTZ RN 4.0 X 0 0 0 NEAL SORENSEN MD 4.0 X 0 249225 0 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 JAMES PAQUETTE 4.0 X 0 768909 97940 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 0 1699348 173386 0 false true false 0 408952 1184013 2072754 4401674 88735 8067393 0 682692 682692 0 0 -606377 606377 606377 606377 151062 408952 161912 -10850 -10850 0 0 0 9345612 1278219 7891036 7891036 0 0 0 0 0 0 0 0 0 672620 504465 168155 4077 4077 6049 6049 0 0 0 60941 60941 38133 38133 128136 96102 32034 0 0 0 26312 26312 0 0 0 0 0 0 PROVISION FOR UNPAID PLEDGES 30000 30000 8857304 7891036 727946 238322 2699050 2773387 202153 3368916 5618995 0 5767995 5618995 22687864 21722066 25800 25800 31382862 33509164 1455390 1608101 1455390 1608101 X 17837597 15514487 7215735 10777058 4874140 5609518 29927472 31901063 31382862 33509164 X 488308 1485283 X false true true X true true X 7592276 4606579 3975337 6404484 8067393 30646069 7592276 4606579 3975337 6404484 8067393 30646069 2462852 28183217 804822 974319 503285 659123 682692 3624241 93012 102785 93078 119010 151062 558947 34829257 558947 0.80918 0.82481 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13018507 7120185 557080 1940841 1439726 17315205 11984697 3744602 983335 2017212 1676915 13018507 12103787 3464935 -1416345 1659895 507785 11984697 0.05000 0.32000 0.63000 false false 0 4313597 4313597 305329 0 305329 0 1000069 1000069 5618995 0 DUE TO ST VINCENT HEALTHCARE 489775 ANNUITIES PAYABLE 1118326 1608101 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 421104 349854 71250 83566 ROAD RACE 60192 15120 45072 39020 2 78718 43978 34740 39326 560014 408952 151062 161912 161912 -10850 true ST VINCENT HEALTHCARE PO BOX 35200 BILLINGS MT 591075200 810232124 501(c)(3) 7867091 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 false false DAVID IRION 0 172765 0 0 0 0 0 13413 0 18079 0 204257 0 0 TIMOTHY DERNBACK MD 0 508449 0 0 0 0 0 19600 0 24354 0 552403 0 0 NEAL SORENSEN MD 0 249225 0 0 0 0 0 0 0 0 0 249225 0 0 JAMES PAQUETTE 0 416920 0 66462 0 285527 0 87072 0 10868 0 866849 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 THELEVEL 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 2010 WERE: JAMES T. PAQUETTE-$108,797 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 PRESIDENT & CHIEF EXECUTIVE OFFICER AT ST. VINCENT HEALTHCARE (ST. VINCENT). HE ALSO SERVES AS A MEMBER OF THE FOUNDATION'S BOARD. THE COMPENSATION REFLECTED IS THAT OF MR. PAQUETTE'S POSITION AS A ST. VINCENT EXECUTIVE AND NOT AS A MEMBER OF THE FOUNDATION'S BOARD. IN KEEPING WITH SCLHS' CORE VALUE OF STEWARDSHIP, NO BOARD MEMBER SERVING ON SCLHS OR AFFILIATE BOARDS IS COMPENSATED FOR THAT SERVICE. X 5 88735 VALUE- DATE OF GIFT false false false PART III LINE 4D OTHER PROGRAM SERVICES INCLUDE OUR SHARE OUR SPIRIT EMPLOYEE CAMPAIGN THAT GAVE $207,141 AND OTHER VARIOUS PROGRAMS TOTALING $1,418,434. INCLUDED IN THE TOTAL WERE GRANTS OF $23,945 GIVEN TO OTHER NON PROFITS. PART VI LINE 11B A COMMITTEE REVIEWS THE RETURN PRIOR TO COMPLETION OF THE FINAL DRAFT. WHEN THE FINAL DRAFT IS COMPLETED THE RETURN IS REVIEWED BY THE EXECUTIVE BOARD OF THE FOUNDATION AND UPON ACCEPTANCE BY THE BOARD IT IS SENT TO THE SYSTEM OFFICE FOR FINAL REVIEW BY THEM AND AN INDEPENDENT ACCOUNTING FIRM. UPON FINAL APPROVAL THE RETURN IS SIGNED AND SUBMITTED TO THE IRS. PART VI SECTION 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 INCREASE IN NET ASSETS OF $1,485,283 IS ATTRIBUTIBLE TO UNREALIZED GAINS WITHIN THE INVESTMENTS. 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:BOARD MEMBER HOURS:40 SISTERS OF CHARITY LEAVENWORTH HLTH SYST 9801 RENNER BLVD STE 100 LENEXA KS 66219 237379161 SUPPORT MMBRS KS 501(C)(3) 11B-TYPE II NA CARITAS CLINICS INC 818 NORTH 7TH STREET LEAVENWORTH KS 66048 481009910 CLINIC SVCS KS 501(C)(3) 3 NA MARIAN CLINIC INC 1001 SW GARFIELD TOPEKA KS 66604 481046905 CLINIC SVCS KS 501(C)(3) 3 NA MARILLAC CLINIC INC 2333 N 6TH STREET GRAND JUNCTION CO 81501 841085822 CLINIC SVCS CO 501(C)(3) 3 NA PROVIDENCE MEDICAL CENTER 8929 PARALLEL PARKWAY KANSAS CITY KS 66112 480784446 HEALTHCARE KS 501(C)(3) 3 NA ST JOHN HOSPITAL INC 3500 SOUTH FOURTH STREET LEAVENWORTH KS 66048 480543768 HEALTHCARE KS 501(C)(3) 3 NA BETHANY COMMUNITY PLAZA INC 15 NORTH 12TH STREET KANSAS CITY KS 66102 481207407 HEALTHCARE KS 501(C)(3) 3 NA PROVIDENCEST JOHN FOUNDATION INC 8929 PARALLEL PARKWAY KANSAS CITY KS 661121689 480925688 SUPPORT 501C3 KS 501(C)(3) 7 NA ST FRANCIS HEALTH CENTER INC 1700 SW 7TH STREET TOPEKA KS 66606 480547719 HEALTHCARE KS 501(C)(3) 3 NA ST FRANCIS HEALTH CENTER FOUNDATION 1700 SW 7TH STREET TOPEKA KS 66606 481092520 SUPPORT 501C3 KS 501(C)(3) 11A-TYPE I NA ST MARYS HOSPITAL & MEDICAL CENTER INC 2635 N 7TH STREET GRAND JUNCTION CO 81502 840425720 HEALTHCARE CO 501(C)(3) 3 NA ST MARYS HOSPITAL FOUNDATION 2635 N 7TH STREET GRAND JUNCTION CO 81502 237001007 SUPPORT 501C3 CO 501(C)(3) 11A-TYPE I NA SAINT JOSEPH HOSPITAL FOUNDATION 1835 FRANKLIN STREET DENVER CO 80218 840735096 SUPPORT 501C3 CO 501(C)(3) 11A-TYPE I NA HOLY ROSARY HEALTHCARE 2600 WILSON MILES CITY MT 59301 810231792 HEALTHCARE MT 501(C)(3) 3 NA HOLY ROSARY HEALTHCARE FOUNDATION INC 2600 WILSON MILES CITY MT 59301 202270238 SUPPORT 501C3 MT 501(C)(3) 11A-TYPE I NA ST VINCENT HEALTHCARE 1233 NORTH 30TH BILLINGS MT 59101 810232124 HEALTHCARE MT 501(C)(3) 3 NA NORTHWEST RESEARCH & EDUCATION INSTITUTE 315 NORTH 25TH STREET BILLINGS MT 59101 201343024 COMM HLTH RES MT 501(C)(3) 9 NA ST JAMES HEALTHCARE 400 SOUTH CLARK STREET BUTTE MT 597012328 810231785 HEALTHCARE MT 501(C)(3) 3 NA ST JAMES HEALTHCARE FOUNDATION 400 SOUTH CLARK STREET BUTTE MT 59701 651202190 SUPPORT 501C3 MT 501(C)(3) 11A-TYPE I NA SAINT JOHNS HEALTH CENTER 1328 22ND STREET SANTA MONICA CA 90404 951684082 HEALTHCARE CA 501(C)(3) 3 NA JOHN WAYNE CANCER INSTITUTE 2000 SANTA MONICA BLVD SANTA MONICA CA 90404 954291515 CANCER R&D CA 501(C)(3) 4 NA SAINT JOHNS HOSPITAL & HLTH CENTER FNDTN 1328 22ND STREET SANTA MONICA CA 904042091 956100079 SUPPORT 501C3 CA 501(C)(3) 11A-TYPE I NA EXEMPLA INC FKA LUTHERAN HOSPITAL 2420 W 26TH AVE SUITE 100D DENVER CO 80211 841103606 HEALTHCARE CO 501(C)(3) 3 NA EXEMPLA LUTHERAN MEDICAL CENTER FNDTN 2480 W 26TH AVESUITE 360B DENVER CO 80211 208846152 SUPPORT 501C3 CO 501(C)(3) 7 NA EXEMPLA GOOD SAMARITAN MEDICAL CTR FNDTN 200 EXEMPLA CIRCLE LAFAYETTE CO 80026 841649162 SUPPORT 501C3 CO 501(C)(3) 7 NA LUTH MED CNTR PRO&GEN LIAB SELF-INS TRST 2480 W 26TH AVESUITE 360B DENVER CO 80211 742571584 INSURANCE CO 501(C)(3) 11A-TYPE I NA MEDPARK INC 2480 W 26TH AVESUITE 360B DENVER CO 80211 841490379 PARKING CO 501(C)(3) 7 NA SAINT JOSEPH HOSPITAL 1835 FRANKLIN STREET DENVER CO 80218 840417134 HEALTHCARE CO 501(C)(3) 3 NA PAVILION IMAGING LLC 750 WELLINGTON GRAND JUNCTION CO 81501 030516198 RADIOLOGY CO NA N/A 0 0 false 0 false 0.00000 GRAND VALLEY SURGICAL CENTER LLC 710 WELLINGTON GRAND JUNCTION CO 81501 841505075 OP SURGERY CO NA N/A 0 0 false 0 false 0.00000 SAN JUAN CANCER CENTER LLC 600 SOUTH 5TH STREET MONTROSE CO 81401 202856331 OP CANCER CO NA N/A 0 0 false 0 false 0.00000 BILLINGS MRI CENTER LLC 1041 NORTH 29TH STREET BILLINGS MT 59101 810450943 MRI-PET SCAN MT NA N/A 0 0 false 0 false 0.00000 LUTHERAN CAMPUS ASC LLC 3455 LUTHRN PKW SUITE 150 WHEATRIDGE CO 800336028 020749532 OP SURGERY CO NA N/A 0 0 false 0 false 0.00000 COLORADO SURGICAL VENTURES LLC 30 S WACKER DR SUITE 2302 CHICAGO IL 60605 208038915 OP SURGERY CO NA N/A 0 0 false 0 false 0.00000 COLORADO SURGICAL HOSPITAL LLC 30 S WACKER DR SUITE 2302 CHICAGO IL 60605 208038977 OP SURGERY CO NA N/A 0 0 false 0 false 0.00000 CARITAS INC AND SUBSIDIARIES 9801 RENNER BOULEVARD SUITE 100 LENEXA KS 66219 480941069 OTHER MEDICAL KS N/A C CORP 0.00000 LEAVEN INSURANCE COMPANY LTD 23 LIME TREE BAY AVE PO BOX 1051 GEORGETOWN GRAND CAYMAN CJ KY1-1102 980370522 INSURANCE CJ N/A 0.00000 false true true false false false false false false false false false false false true true false false