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Nonprofiteer
← ST MARYS HOSPITAL FOUNDATION

Form 990 for tax year 2022

Filed by ST MARYS HOSPITAL FOUNDATION.

Totals

Total revenue
$5,510,821
Total expenses
$5,454,650
Contributions and grants received
$5,363,595
Grants paid
$4,463,998
Program service revenue
$0
Investment income
$203,275
Other revenue
-$56,049
Total assets, end of year
$20,470,965
Total liabilities, end of year
$1,570,330
Net assets or fund balances, end of year
$18,900,635
Program services expenses (Part IX)
$4,996,741
Management and general expenses
$308,198
Fundraising expenses
$149,711
Program service expenses (Part III)
$4,996,741

Program services were 91.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1a · Federated campaigns

    $11,549

  • 1c · Fundraising events

    $145,244

  • 1d · Related organizations

    $1,004,354

  • 1e · Government grants (contributions)

    $2,260,529

  • 1f · All other contributions, gifts and grants

    $1,941,919

  • 1g · Noncash contributions included above

    $33,758

  • 3 · Investment income

    total $290,985 · excluded $290,985

  • 7b · Less cost or other basis and sales expenses

    securities $87,710

  • 7c · Gain or loss

    securities -$87,710

  • 7d · Net gain or loss

    total -$87,710 · excluded -$87,710

  • 8a · Fundraising events: gross income

    $66,135

  • 8a · Fundraising events: contributions included on line 1c

    $145,244

  • 8b · Fundraising events: direct expenses

    $137,296

  • 8c · Net income from fundraising events

    total -$71,161 · excluded -$71,161

  • 9a · Gaming: gross income

    $24,074

  • 9b · Gaming: direct expenses

    $8,962

  • 9c · Net income from gaming

    total $15,112 · excluded $15,112

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $4,432,771 · program services $4,432,771

  • 2 · Grants to domestic individuals

    total $31,227 · program services $31,227

  • 5 · Compensation of officers, directors and key employees

    total $190,872 · program services $152,641 · management and general $13,418 · fundraising $24,813

  • 7 · Other salaries and wages

    total $297,925 · program services $238,259 · management and general $20,936 · fundraising $38,730

  • 8 · Pension plan contributions

    total $25,266 · program services $15,960 · management and general $3,242 · fundraising $6,064

  • 9 · Other employee benefits

    total $13,663 · program services $6,456 · management and general $2,161 · fundraising $5,046

  • 10 · Payroll taxes

    total $32,395 · program services $21,860 · management and general $3,408 · fundraising $7,127

  • 11g · Fees: other

    total $5,547 · program services $2,413 · management and general $2,413 · fundraising $721

  • 12 · Advertising and promotion

    total $56,086 · program services $48,963 · management and general $87 · fundraising $7,036

  • 13 · Office expenses

    total $20,344 · program services $7,025 · management and general $5,488 · fundraising $7,831

  • 17 · Travel

    total $4,472 · program services $393 · management and general $527 · fundraising $3,552

  • 19 · Conferences, conventions and meetings

    total $850 · program services $850

  • 24a · Other expenses: SHARED SERVICES - ADMIN

    total $215,688 · management and general $215,688

  • 24b · Other expenses: BANK CHARGES

    total $80,848 · program services $16,170 · management and general $20,212 · fundraising $44,466

  • 24c · Other expenses: FOOD-MEALS ON WHEELS

    total $18,662 · program services $9,969 · management and general $6,693 · fundraising $2,000

  • 24d · Other expenses: SHARED SERVICES - HR

    total $8,268 · management and general $8,268

  • 24e · All other expenses

    total $19,766 · program services $11,784 · management and general $5,657 · fundraising $2,325

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,121,246 · end of year $840,685

  • 3 · Pledges and grants receivable

    beginning of year $1,898,760 · end of year $1,818,520

  • 11 · Investments: publicly traded securities

    beginning of year $20,587,305 · end of year $17,811,760

  • 17 · Accounts payable and accrued expenses

    beginning of year $43,690 · end of year $96,581

  • 25 · Other liabilities

    beginning of year $2,018,832 · end of year $1,473,749

  • 27 · Net assets without donor restrictions

    beginning of year $3,286,509 · end of year $2,797,099

  • 28 · Net assets with donor restrictions

    beginning of year $18,258,280 · end of year $16,103,536

Mission and programs · 2022

Mission

WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OFTHE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POORAND VULNERABLE.

Activities or mission (Part I)

WE REVEAL AND FOSTER GOD'S HEALING LOVE BY IMPROVING THE HEALTH OF THE PEOPLE AND COMMUNITIES WE SERVE, ESPECIALLY THOSE WHO ARE POOR AND VULNERABLE.ST. MARY'S HOSPITAL FOUNDATION WEBSITE ADDRESS:HTTPS://WWW.SCLHEALTH.ORG/LOCATIONS/ST-MARYS-MEDICAL-CENTER-FOUNDATION/

  • THE PROMISE OF HEALTHCARE PHILANTHROPY IS THE ABILITY TO CHANGE LIVES AND THE POWER TO SAVE LIVES. THE ST. MARY'S HOSPITAL FOUNDATION DEVELOPS THE RESOURCES THAT HELP KEEP AND EXPAND THIS PROMISE TO THE PEOPLE WHO TRUST ST. MARY'S HOSPITAL AND MEDICAL CENTER, INC., TO CARE FOR THEM. IT IS COMMITTED TO ADVANCING THE PROMISE OF LIFE THROUGH PHILANTHROPY. THE FOUNDATION'S FUNDRAISING EFFORTS ENSURE THAT THE HOSPITAL IS ABLE TO MEET THE COMMUNITY'S HEALTHCARE NEEDS. ST. MARY'S HOSPITAL FOUNDATION WAS PART OF THE SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM. ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. MERGED, CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH AND IDAHO.AS PART OF INTERMOUNTAIN HEALTH (INTEGRATED HEALTH SYSTEM), ST. MARY'S HAS DIRECT ACCESS TO BEST PRACTICES, RESOURCES, TECHNOLOGY, TALENT AND STRATEGIC CAPITAL.MAJOR AREAS OF SUPPORT DURING THE YEAR INCLUDED:ROSE HILL HOSPITALITY HOUSE ROSE HILL HOUSE REFLECTS THE COMPASSION AND GENEROSITY OF OUR COMMUNITY BY PROVIDING A FREE, COMFORTABLE, HOME-LIKE SETTING WHERE FAMILIES CAN HAVE A REST FROM THE OFTEN CRITICAL CONCERNS ASSOCIATED WITH THE HEALTH OF A LOVED ONE. PATIENTS COME TO ST. MARY'S FROM MANY DISTANT PLACES TO RECEIVE MEDICAL ASSISTANCE OFTEN NOT AVAILABLE OUTSIDE OF GRAND JUNCTION. ST. MARY'S HOSPITAL FOUNDATION RECOGNIZES THE IMPORTANCE OF MEETING THE NEEDS OF FAMILY AND FRIENDS SUPPORTING A LOVED ONE IN THE HEALING PROCESS. CANCER SURVIVORSHIP PROGRAM THE ST. MARY'S HOSPITAL FOUNDATION ALSO FINANCIALLY SUPPORTS ST. MARY'S CANCER SURVIVORSHIP PROGRAM. ST. MARY'S IS PROUD TO OFFER A COMPREHENSIVE CANCER SURVIVORSHIP PROGRAM FOR PATIENTS FROM DIAGNOSIS, THROUGH TREATMENT, AND BEYOND. AS HEALTHCARE CHANGES, WE HAVE IDENTIFIED THE NEED FOR NOT ONLY PREVENTATIVE MEDICINE, BUT TO PROVIDE HOLISTIC CARE TO OUR PATIENTS. THE CANCER SURVIVORSHIP PROGRAM EDUCATES, SUPPORTS, AND EMPOWERS THOSE AFFECTED BY CANCER TO TAKE CHARGE OF THEIR HEALTH SO THEY CAN TRULY THRIVE. SURVIVORSHIP EMBRACES THE PHYSICAL, EMOTIONAL, SOCIAL, SPIRITUAL, AND ECONOMIC ASPECTS OF LIFE THAT MAY BE INFLUENCED BY CANCER, PROVIDING A VARIETY OF SERVICES FOR CANCER PATIENTS AND THEIR FAMILY INCLUDING: ART EXPLORATION CLASSES, SUPPORT GROUPS, CANCER EDUCATION AND SCREENING EVENTS, A RESOURCE LIBRARY, EQUINE THERAPY, PATIENT ADVISORY TEAMS, REHABILITATION, THERAPEUTIC MASSAGE, AND NUTRITION AND EXERCISE RETREATS. SENIOR PROGRAMS ST. MARY'S HOSPITAL FOUNDATION IS PROUD TO SPONSOR THE FOSTER GRANDPARENT, SENIOR COMPANION, AND MEALS ON WHEELS PROGRAM (FORMERLY CALLED GRAY GOURMET). THE FOSTER GRANDPARENT PROGRAM (FGP) IS A SUCCESSFUL NATIONWIDE VOLUNTEER PROGRAM THAT HELPS ACTIVE SENIORS USE THEIR EXPERIENCE TO IMPROVE THE LIVES OF CHILDREN IN THE CLASSROOM. THROUGH A FEDERALLY FUNDED PROGRAM, THE FOSTER GRANDPARENT PROGRAM IS ABLE TO PAY SENIOR VOLUNTEERS AN HOURLY NON-TAXABLE STIPEND. SENIOR COMPANIONS PROVIDE SUPPORT AND FRIENDSHIP TO THOSE WHO NEED ASSISTANCE WITH GROCERY SHOPPING, ERRANDS, AND OTHER EVERYDAY TASKS NECESSARY TO MAINTAINING INDEPENDENCE. WITHOUT THIS HELP, MANY OLDER ADULTS WOULD BE FORCED TO LEAVE THEIR HOMES FOR ASSISTED LIVING FACILITIES OR NURSING HOMES. IN MESA COUNTY, SENIORS 60 YEARS AND OLDER CAN RECEIVE HELP AND FRIENDSHIP THROUGH ST. MARY'S SENIOR COMPANION PROGRAM. LASTLY, THE ST. MARY'S FOUNDATION RAISES FUNDS TO SUPPORT MEALS ON WHEELS MESA COUNTY, A HOSPITAL AND GOVERNMENT SPONSORED PROGRAM TO PROVIDE NOURISHING MEALS TO THE HOMEBOUND AND TO OTHERS THAT ARE IN NEED. PROGRAM REVENUE ASSOCIATED WITH THE PROGRAM REPRESENTS A VOLUNTARY CO-PAYMENT FOR THE MEALS AND IS NOT A REQUIREMENT FOR RECEIVING A MEAL.MICAH S. MONTAG PEDIATRIC FUNDST. MARY'S HOSPITAL FOUNDATION RECOGNIZES THE IMPORTANCE OF KEEPING CHILDREN IN THEIR OWN COMMUNITY WHEN HOSPITALIZATION IS REQUIRED. TOO OFTEN KIDS ARE TRANSFERRED TO THE FRONT RANGE FOR INPATIENT CARE THAT COULD BE ACCOMPLISHED IN THEIR OWN BACKYARD. THIS RESULTS IN MISSED SCHOOL AND WORK DAYS AND THE ADDITIONAL STRESS OF BEING ISOLATED, FAR FROM HOME, WITH NO SUPPORT SYSTEM. THROUGH THE MICAH MONTAG PEDIATRIC FUND THE FOUNDATION WILL PROVIDE THE FUNDING FOR IMMEDIATE NEEDS WHILE ALSO BUILDING FOR THE FUTURE.

    Expenses $4,996,741 · Grants $4,463,998

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • BRYAN JOHNSON

    DIRECTOR/SMHMC CEO

    Total calculated
    $842,946
    From this org
    $0
    From related orgs
    $635,785
    Other
    $207,161
    Hours/week
    1 + 56 related

    Schedule J breakdown matched by us

    Base
    $0 + $457,894 related
    Bonus
    $0 + $141,306 related
    Other
    $0 + $36,585 related
    Deferred
    $0 + $181,461 related
    Nontaxable benefits
    $0 + $25,700 related
    Filer's total
    $0 + $842,946 related

  • TERRI CHINN

    DIRECTOR/SMHMC VP FINANCE

    Total calculated
    $514,561
    From this org
    $0
    From related orgs
    $409,204
    Other
    $105,357
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $304,090 related
    Bonus
    $0 + $66,914 related
    Other
    $0 + $38,200 related
    Deferred
    $0 + $95,275 related
    Nontaxable benefits
    $0 + $10,082 related
    Filer's total
    $0 + $514,561 related

  • MARY BETH DEERING MD

    DIRECTOR 1/1-12/13/22

    Total calculated
    $281,949
    From this org
    $0
    From related orgs
    $266,718
    Other
    $15,231
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,382 related
    Bonus
    $0 + $5,060 related
    Other
    $0 + $4,276 related
    Deferred
    $0 + $2,652 related
    Nontaxable benefits
    $0 + $12,579 related
    Filer's total
    $0 + $281,949 related

  • CARMEN SHIPLEY

    EXECUTIVE DIR FOUNDATION

    Total calculated
    $201,920
    From this org
    $0
    From related orgs
    $154,075
    Other
    $47,845
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $135,248 related
    Bonus
    $0 + $18,369 related
    Other
    $0 + $458 related
    Deferred
    $0 + $19,621 related
    Nontaxable benefits
    $0 + $28,224 related
    Filer's total
    $0 + $201,920 related

  • SANDRA HICKS

    DIRECTOR

    Total calculated
    $63,174
    From this org
    $0
    From related orgs
    $43,838
    Other
    $19,336
    Hours/week
    1 + 50 related

  • KIM ALEXANDER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOEL BECHTEL MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MIKE BLACKBURN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JOE BREMAN

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    3

  • KEIRA BRESNAHAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CLARA BROWN SHAFFER

    SECRETARY

    Total calculated
    $0
    Hours/week
    3

  • FRANK DESANTIS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CASEY FLEMING

    CHAIR

    Total calculated
    $0
    Hours/week
    3

  • DAVE HUERKAMP

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ADAM KINSEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • LISA MULLEN

    DIRECTOR 1/1-4/30/22

    Total calculated
    $0
    Hours/week
    1

  • MICHELLE REPLOGLE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SETH ROSA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JESSICA SHAFFER

    TREASURER

    Total calculated
    $0
    Hours/week
    3

  • JOSH SMITH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • ASHLIE ZIMMERMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SCL HEALTH AND ALL OF ITS AFFILIATES. THE COMMITTEE REVIEWS AND APPROVES COMPENSATION ARRANGEMENTS OF THE OFFICERS AND SENIOR MANAGEMENT AND MAKES RECOMMENDATIONS TO INTERMOUNTAIN HEALTH CARE, INC.'S BOARD FOR APPROVAL OF ANY CHANGES TO COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT. THE COMMITTEE'S REVIEW IS CONDUCTED IN A MANNER THAT IS INTENDED TO QUALIFY FOR THE REBUTTABLE PRESUMPTION OF REASONABLENESS UNDER THE INTERMEDIATE SANCTIONS RULES OF INTERNAL REVENUE CODE SECTION 4958. THE COMMITTEE CONDUCTS THE REVIEW WITH THE ASSISTANCE OF AN EXPERIENCED AND INDEPENDENT COMPENSATION CONSULTING FIRM THAT HAS DEEP NATIONAL EXPERTISE IN HEALTH SYSTEMS' EXECUTIVE COMPENSATION PROGRAMS AND LEVELS. THE COMMITTEE OBTAINS AND RELIES UPON CURRENT, COMPARABLE MARKET DATA FOR PEER ORGANIZATIONS PRIOR TO MAKING COMPENSATION RELATED DECISIONS. THE INFORMATION REVIEWED INCLUDES COMPENSATION LEVELS PAID BY SIMILARLY SITUATED ORGANIZATIONS FOR FUNCTIONALLY COMPARABLE POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA SERVED BY INTERMOUNTAIN HEALTH CARE, INC. AND CURRENT COMPENSATION SURVEYS COMPILED BY AN INDEPENDENT FIRM. CONSISTENT WITH THE PAY PHILOSOPHY SET BY INTERMOUNTAIN HEALTH CARE INC.'S BOARD, THE COMMITTEE EMPHASIZES THE IMPORTANCE OF ENSURING TOTAL REMUNERATION IS REASONABLE AND APPROPRIATE WHEN REVIEWING AND MAKING RECOMMENDATIONS WITH RESPECT TO COMPENSATION PACKAGES FOR THE OFFICERS AND SENIOR MANAGEMENT. AS PART OF THE REVIEW PROCESS, INTERMOUNTAIN HEALTH CARE, INC. USES THE FOLLOWING IN ESTABLISHING THE COMPENSATION OF OFFICERS AND SENIOR MANAGEMENT. 1) COMPENSATION COMMITTEE 2) INDEPENDENT COMPENSATION CONSULTANT 3) FORM 990 OF OTHER ORGANIZATIONS 4) WRITTEN EMPLOYMENT CONTRACTS 5) COMPENSATION SURVEYS AND STUDIES 6) APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE THE ITEMS LISTED ABOVE SUPPORT THE COMPENSATION COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED TO ITS OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD.
PART I, LINE 4B
SCHEDULE J, PART I, LINE 4B PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES NONQUALIFIED DEFERRED COMPENSATION PLANS (NQDC) KNOWN AS SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NOT FOR PROFIT HEALTH SYSTEMS. THESE PLANS ENABLE THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR THAT THEY PARTICIPATE. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COST AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLANS PRIOR TO 2014 PRIOR TO 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 5 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN AFTER DECEMBER 31, 2013. FOR AMOUNTS CONTRIBUTED TO THE NQDC SERP PLAN PRIOR TO 2014, VESTED AMOUNTS ARE PAYABLE UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS WITHDRAWN INCLUDE AMOUNTS PREVIOUSLY TAXED TO THE RECIPIENT AND AMOUNTS TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. IN 2019, THE RELATED ORGANIZATION CONSOLIDATED FOUR NON QUALIFED DEFERRED COMPENSATION PLANS INTO ONE PLAN. AS PART OF THIS EFFORT, ALL VESTED BALANCES FROM THE SERP PLANS PRIOR TO 2014 WERE PAID TO THE PARTICIPANTS IN 2020. THERE ARE NO REMAINING PARTICIPANTS IN THE LEGACY PLANS. NQDC SERP PLANS STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. STARTING IN 2014, FOR CONTRIBUTIONS TO THE NQDC SERP PLAN, CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2022. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE RECIPIENT'S W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2022 WERE: TERRI CHINN - $29,421, BRYAN JOHNSON - $32,319 IN ACCORDANCE WITH THE REQUIREMENTS OF SCHEDULE J, DEFERRED COMPENSATION EARNED OVER THE VESTING PERIOD IS REPORTED IN COLUMN C AND ANY AMOUNTS VESTED/PAID FROM A DEFERRED COMPENSATION PLAN ARE REPORTED IN COLUMN B(III). THUS, THE SAME AMOUNT WOULD BE REPORTED TWICE (FIRST WHEN IT ACCRUED DURING THE VESTING PERIOD AND AGAIN WHEN IT IS VESTED/PAID). THIS RESULTS IN THE APPEARANCE OF CERTAIN EXECUTIVES RECEIVING MORE THAN THEY ARE ACTUALLY PAID FROM THE DEFERRED COMPENSATION PLANS. COLUMN F IS INTENDED TO RECONCILE THIS DUPLICATION (BY REPORTING AMOUNTS INCLUDED IN COLUMN B(III) THAT HAD BEEN REPORTED AS DEFERRED COMPENSATION ON A SCHEDULE J FOR A PREVIOUS YEAR). HOWEVER, THE SIGNIFICANCE OF THE AMOUNTS LISTED IN COLUMN F IS OFTEN OVERLOOKED AND GIVEN THE COMPLEXITY OF THE SCHEDULE J REPORTING REQUIREMENTS, THE AMOUNTS SHOWN ARE EASILY MISUNDERSTOOD. TO DETERMINE TOTAL AMOUNT EARNED (RATHER THAN THE AMOUNT VESTED/PAID OUT) DURING THE YEAR, SUBTRACT THE AMOUNT IN COLUMN F FROM COLUMN E.
PART I, LINE 7
OTHER NON-FIXED PAYMENTS THE AT-RISK COMPENSATION (ARC) PLAN WAS ESTABLISHED TO ENABLE SCL HEALTH TO ATTRACT AND ENGAGE QUALIFIED LEADERS AND TO PROVIDE SUCH LEADERS WITH AN ADDITIONAL PERFORMANCE COMPENSATION OPPORTUNITY TO PROMOTE AND FURTHER ITS CHARITABLE MISSION AND STRATEGIC IMPERATIVES. THE PLAN OPERATES ON A CALENDAR-YEAR BASIS AND AWARD OPPORTUNITIES ARE A PERCENTAGE OF LEADERS' BASE PAY AS DETERMINED BY THEIR MANAGEMENT LEVEL AT SCL HEALTH. ACTUAL AWARDS WILL BE PAID OUT BASED ON ATTAINMENT OF SELECTED SCL HEALTH BOARD-APPROVED GOALS, INCLUDING EBIDA (EARNINGS BEFORE INTEREST, DEPRECIATION AND AMORTIZATION), STEWARDSHIP, QUALITY, PATIENT AND ASSOCIATE SAFETY, AND PATIENT EXPERIENCE AND FULFILLMENT OF OUR MISSION. AWARDS ARE BASED ON THE BOARD'S DETERMINATION ON HOW WELL THE HEALTH CARE SYSTEM PERFORMS RELATIVE TO THE PLAN'S STATED PERFORMANCE STANDARDS AND THE WEIGHT GIVEN TO EACH OF THE PERFORMANCE MEASURES AS DEFINED FOR THAT PLAN YEAR. THE AT RISK COMPENSATION PLAN SHALL BE INTERPRETED, APPLIED AND ADMINISTERED AT ALL TIMES IN ACCORDANCE WITH CODE SECTION 409A AND GUIDANCE ISSUED THEREUNDER. THE HEALTH CARE SYSTEM RESERVES THE RIGHT TO AMEND OR TERMINATE THIS PLAN AT ANY TIME FOR ANY REASON.
ADDITIONAL OFFICER AND BOARD DISCLOSURES
ON APRIL 1, 2022, INTERMOUNTAIN HEALTH CARE, INC. AND SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCL HEALTH) MERGED, CREATING A MODEL HEALTH SYSTEM THAT PROVIDES HIGH-QUALITY, ACCESSIBLE, AND AFFORDABLE HEALTHCARE TO COMMUNITIES IN UTAH, IDAHO, NEVADA, COLORADO, MONTANA, WYOMING, AND KANSAS. THE ORGANIZATION EMPLOYS NEARLY 60,000 CAREGIVERS, OPERATES 33 HOSPITALS (INCLUDING ONE VIRTUAL HOSPITAL), AND RUNS HUNDREDS OF CLINICS, WHILE PROVIDING HEALTH INSURANCE TO OVER ONE MILLION PEOPLE IN UTAH AND IDAHO. INTERMOUNTAIN HEALTH CARE, INC. AND RELATED TAX-EXEMPT ORGANIZATIONS ADHERE TO GOVERNANCE EXCELLENCE STANDARDS INCLUDING ACCOUNTABILITY. IN KEEPING WITH INTERMOUNTAIN HEALTH CARE, INC.'S CORE VALUE OF STEWARDSHIP, INTERMOUNTAIN HEALTH CARE, INC.'S BOARD COMPENSATION COMMITTEE (COMMITTEE) HAS RETAINED THE SERVICES OF AN INDEPENDENT COMPENSATION ADVISOR. THE COMPENSATION ADVISOR IS RESPONSIBLE FOR ADVISING THE COMMITTEE ON ALL MATTERS RELATING TO EXECUTIVE COMPENSATION INCLUDING SUPPORTING THE COMMITTEE'S EFFORTS TO ENSURE THAT THE LEVEL OF COMPENSATION PROVIDED OFFICERS AND SENIOR MANAGEMENT IS REASONABLE, APPROPRIATE AND CONSISTENT WITH THE PAY PHILOSOPHY SET BY THE BOARD. THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH CARE SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
31 October 2023
IRS schema version
2022v5.0
Source object
202323049349301527

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