2023-11-14T09:21:40-06:00 2022-12-31 381357951 PLANTE & MORAN PLLC 250 SOUTH HIGH ST SUITE 100 COLUMBUS OH 43215 990 2022-01-01 340714756 ST VINCENT CHARITY MEDICAL CENTER STVI 2168616200 2351 EAST 22ND STREET CLEVELAND OH 44115 BRADLEY RAUH CHIEF ADMINISTRATION OFFICER 2168616200 2023-11-13 1 BRADLEY RAUH 999009999 1 AMY CIMINELLO P00796388 6148493000 2023-11-10 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z ADNAN TAHIR MD 2351 EAST 22ND STREET CLEVELAND OH 44115 100066129 0 0928 X STVINCENTCHARITY.COM X 1926 OH PROVIDER OF HEALTHCARE SERVICES X 17 12 1191 24 348276 47003 1851701 1303371 131586738 90970714 -32244 -6661253 3123225 3858934 136529420 89471766 0 0 0 0 67978564 65291612 0 0 0 83986913 73137055 151965477 138428667 -15436057 -48956901 64632414 31643953 45642250 27355183 18990164 4288770 X SEE SCHEDULE O 0 1 123410347 0 90970714 SEE SCHEDULE O 123410347 1 1 0 1 0 0 0 1 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 1 146 0 1 1191 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X THERESA WRABEL 2168616200 2351 EAST 22ND STREET CLEVELAND OH 44115 MURPHY JANICE DIRECTOR 2.00 48.00 X 0 597420 54210 ROGERS MELISSA DIRECTOR 2.00 48.00 X 0 460450 77910 TAHIR MD ADNAN PRESIDENT/CEO, DIRECTOR 50.00 0.00 X X 0 449405 40710 BASTULLI JOHN MD DIRECTOR 12.00 0.00 X 78125 0 0 CHMIELEWSKI RICHARD MD DIRECTOR 12.00 0.00 X 46040 0 0 BEDELL JACK DIRECTOR - PART YEAR 2.00 0.00 X 0 0 0 CHAPMAN TIMOTHY DIRECTOR 2.00 0.00 X 0 0 0 COYNE ANTHONY CHAIR 5.00 0.00 X X 0 0 0 DUNN CYNTHIA DIRECTOR 2.00 0.00 X 0 0 0 FRANTZ MICHAEL SECRETARY 3.00 0.00 X X 0 0 0 ISAKOV GARY DIRECTOR 2.00 0.00 X 0 0 0 KARAM CSA SR JUDITH ANN DIRECTOR 2.00 0.00 X 0 0 0 PANZICA TIMOTHY DIRECTOR 2.00 0.00 X 0 0 0 STRICKLIN MARY LOU VICE CHAIR 3.00 0.00 X X 0 0 0 VARLEY ROBERT W DIRECTOR 2.00 0.00 X 0 0 0 WEAVER JEFFERY J TREASURER 3.00 0.00 X X 0 0 0 WONG MARGARET JD DIRECTOR 2.00 0.00 X 0 0 0 RUSNACZYK JOHN SR. V.P. & CHIEF FINANCIAL 50.00 0.00 X 0 371235 0 MONCZEWSKI THEODORE V.P. OF HUMAN RESOURCES 50.00 0.00 X 191046 0 212548 BLESSING JODY CHIEF NURSING OFFICER 50.00 0.00 X 171263 0 200958 RAUH BRADLEY EXECUTIVE DIRECTOR STRATEGIC PROJECTS 50.00 0.00 X 290184 0 35223 ERB SR MIRIAM V.P. OF MISSION & MINISTRY 50.00 0.00 X 0 0 0 FRIEDHOFF GEORGE PHYSICIAN 50.00 0.00 X 507024 0 58948 COOPER MD KEVIN PHYSICIAN 50.00 0.00 X 365229 0 42645 HENSLEY LESLIE DIRECTOR OF SUPPORT & PROFESSIONAL SERVICES 50.00 0.00 X 284995 0 28380 VOLENIK FIOVDALIZA NURSE PRACTITIONER 50.00 0.00 X 246894 0 29425 TUROSKY JODIE CLINICAL MANAGER PHARMACY 50.00 0.00 X 229932 0 39598 2410732 1878510 820555 75 0 1 0 CLEVELAND ANESTHESIA GROUP INC 6701 ROCKSIDE RD STE 200 INDEPENDENCE OH 44131 HEALTHCARE SERVICES 3270672 XTEND HEALTHCARE LLC 90 VOLUNTEER DR STE 200 HENDERSONVILLE TN 37075 BILLING & COLLECTION SERVICES 2072271 M&M MANAGEMENT & CONSULTING 6701 ROCKSIDE RD STE 200 INDEPENDENCE OH 44131 MANAGEMENT SERVICES 1365820 METZ CULINARY MANAGEMENT INC TWO WOODLAND DRIVE DALLAS PA 18162 MANAGEMENT SERVICES 1044281 PHYSICIAN STAFFING INC PO BOX 650823 DALLAS TX 75265 HEALTHCARE SERVICES 698948 35 635031 668340 1303371 NET PATIENT REVENUE 623000 87249840 87249840 PROGRAM RENTAL INCOME 532000 2024706 2024706 PHYSICIAN PRACTICE REVENUE 621300 518086 518086 DIAG REVENUE 900099 95806 95806 RESIDENT & INTERN DEVELOPMENT 611430 66000 66000 1016276 1016276 90970714 45795 45795 3887315 10594363 -6707048 -6707048 -6707048 PHYSICIAN BILLING REVENUE 900099 1483258 74541 1408717 CAFETERIA REVENUE 722514 646820 646820 NONPATIENT LAB SERVICES 621500 273735 273735 1455121 1455121 3858934 89471766 90970714 348276 -3150595 X 1958241 124165 1834076 48106407 44183433 3922974 1804163 1587834 216329 6883389 6012306 871083 6539412 5861888 677524 125062 125062 292052 292052 15695363 13485436 2209927 326135 326135 5847678 5111279 736399 2077793 1900987 176806 2208586 2168132 40454 61959 54854 7105 14835 14462 373 287323 257521 29802 7039405 6321177 718228 1193809 1193809 SUPPLIES-MEDICAL 23060785 23060785 STATE FRANCHISE TAX 5163603 5163603 BAD DEBT 2203848 2203848 UBIT TAXES 3034 1517 1517 7535785 4377176 3158609 138428667 123410347 15018320 0 4130 2552 3826485 4725764 13728320 2904619 4009179 446485 2072264 857949 12919757 5099864 25396928 7819893 11090694 8794631 4504414 6092060 64632414 31643953 21940890 24235277 3260236 762744 20441124 2357162 45642250 27355183 X 6024724 -5924194 12965440 10212964 18990164 4288770 64632414 31643953 X -48956901 34255507 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3260 3260 0 PART II-B, LINE 1: DURING THE YEAR, THE REPORTING ORGANIZATION WAS A MEMBER OF THE OHIO HOSPITAL ASSOCIATION (OHA) AND THE CENTER FOR HEALTH AFFAIRS (CHA). DUES OF $45,671 AND $10,000 WERE PAID TO OHA AND CHA RESPECTIVELY, AND OHA AND CHA REPORTED THAT 5.5% AND 7.48% OF DUES RECEIVED FROM THE MEMBER ORGANIZATIONS WERE ALLOCATED TO LOBBYING ACTIVITIES OF THE ASSOCIATIONS RESPECTIVELY. 0 38500 0 3150856 -539113 11661 8647 2591435 2936010 224824 9979 3150856 2577611 366645 6950 1295 2936010 2159797 5000 381466 5049 8603 2577611 2225951 67542 -125717 7979 2159797 0.00000 1.00000 0.00000 0 1 1 1183998 1183998 5856002 449520 5406482 5879757 4650344 1229413 7819893 NON-PATIENT RECEIVABLE 1267680 OTHER ASSETS 416690 UPL RECEIVABLE 971527 ASSETS HELD FOR SALE 1296978 RIGHT OF USE ASSETS - OPERATING LEASES 1449377 MED STAFF ASSETS 689808 6092060 MALPRACTICE CAPTIVE 1160587 DEFERRED GRANTS & OTHER 276590 MEDICAL STAFF FUNDS 689808 CMS ADVANCE 230177 2357162 X PART III, LINE 4: SVCMC HOLDS ONE CAST SILVER SCULPTURE AND ONE CAST BRONZE SCULPTURE. THESE PIECES OF ART WERE DONATED IN 2020 FOR THE PRIMARY PURPOSE FOR THE VALUE OF THE ASSET. THE ART IS CURRENTLY ON DISPLAY IN THE ADMINISTRATION OFFICES. PART V, LINE 4: TO PROVIDE GRANTS TO CURRENTLY ENROLLED STUDENTS WHO ARE PURSUING AN EDUCATION IN NURSING, REGARDLESS OF AGE, SEX, RACE, COLOR, RELIGION, ACADEMIC STATUS OR NEED. PART X, LINE 2: ST. VINCENT CHARITY MEDICAL CENTER AND ITS SUBSIDIARY ST. VINCENT CHARITY DEVELOPMENT FOUNDATION ARE NONPROFIT, TAX-EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND, ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. INDEPENDENT PHYSICIAN SOLUTIONS IS CONSIDERED A DISREGARDED ENTITY, AND ITS OPERATIONS ARE INCLUDED IN THE TAX FILINGS OF ST. VINCENT CHARITY MEDICAL CENTER. WITH FEW EXCEPTIONS, THE SYSTEM IS NO LONGER SUBJECT TO U.S. FEDERAL, STATE, AND LOCAL OR NON-U.S. INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2018. ST. VINCENT MEDICAL GROUP IS A FOR-PROFIT ENTITY. THE ENTITY IS A C CORPORATION THAT FILES A CONSOLIDATED FEDERAL TAX RETURN AND HAS NET OPERATING LOSSES OF APPROXIMATELY $10,436,600 AND $11,497,016 FOR THE YEARS ENDED DECEMBER 31, 2021 AND 2022, RESPECTIVELY. ANY POTENTIAL DEFERRED TAX ASSET ATTRIBUTABLE TO THE NET OPERATING LOSS CARRYFORWARDS HAS BEEN FULLY OFFSET BY A VALUATION ALLOWANCE, AS SVMG DOES NOT EXPECT TO REALIZE A BENEFIT FROM THE LOSSES. INCOME TAXES ON ST. VINCENT MEDICAL GROUP, IF ANY, ARE NOT SIGNIFICANT. BRAINARD ENTITIES ARE TREATED AS PARTNERSHIPS FOR INCOME TAX PURPOSES. INCOME AND LOSSES FOR BRAINARD ENTITIES ARE PASSED TO THEIR MEMBERS. 1 1 X 1 X 1 X 1 1 0 0 896 755124 509377 245747 0.00180 21073 45508555 23227767 22280788 0.16350 21969 46263679 23737144 22526535 0.16530 10 7366 390754 161875 228879 0.00170 2 621 207633 207633 0.00150 1 600 2592 2592 0.00000 13 8587 600979 161875 439104 0.00320 13 30556 46864658 23899019 22965639 0.16850 1 17590 17590 0.00010 2 61 7604 7604 0.00010 1 1604 19970 19970 0.00010 4 1665 45164 45164 0.00030 1 2203848 107567 9680295 15126584 -5446289 X 1 1 1 1 ST VINCENT CHARITY MEDICAL CENTER 2351 EAST 22ND STREET CLEVELAND OH 44115 X X X X ST VINCENT CHARITY MEDICAL CENTER 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X HTTPS://WWW.STVINCENTCHARITY.COM/ABOUT/COMMUNITY-BENEFIT/ X X 1 20 1 HTTPS://WWW.STVINCENTCHARITY.COM/ABOUT-ST-VINCENT-CHARITY-MEDICAL-CENTER 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.STVINCENTCHARITY.COM/POLICIES/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.STVINCENTCHARITY.COM/POLICIES/FINANCIAL-ASSISTANCE/ X HTTPS://WWW.STVINCENTCHARITY.COM/POLICIES/FINANCIAL-ASSISTANCE/ X X X X X X 1 X 0 X X X X 1 X 0 0 ST. VINCENT CHARITY MEDICAL CENTER PART V, SECTION B, LINE 5: QUANTITATIVE DATA INCLUDED A RANDOM SAMPLE SURVEY TO ADULTS AND CHILDREN IN CUYAHOGA COUNTY WITH AN OVERSAMPLING OF AFRICAN AMERICAN AND HISPANIC RESIDENTS TO ASSURE REPRESENTATION OF THESE COMMUNITIES. A CONVENIENCE SAMPLE WAS ALSO CONDUCTED TO SUPPLEMENT THE RANDOM SAMPLE SURVEYS BY COMMUNITY HEALTH WORKERS WHO DISSEMINATED AND ASSISTED WITH SURVEY COMPLETION IN UNDER-RESOURCED NEIGHBORHOODS.QUALITATIVE DATA INCLUDED KEY STAKEHOLDER INTERVIEWS AND A FOCUS GROUP WITH COMMUNITY AGENCIES. INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS FROM A VISION OF CHANGE, ALCOHOL, DRUG ADDICTION, AND MENTAL HEALTH SERVICES (ADAMHS) BOARD OF CUYAHOGA COUNTY, BENJAMIN ROSE INSTITUTE ON AGING, CALVARY HILL CHURCH OF GOD IN CHRIST, CLEVELAND CITY PLANNING COMMISSION, CLEVELAND DEPARTMENT OF PUBLIC HEALTH, CUYAHOGA COUNTY BOARD OF HEALTH, CUYAHOGA COUNTY DEPARTMENT OF HEALTH AND HUMAN SERVICES, CUYAHOGA COUNTY MEDICAL EXAMINER, LGBT COMMUNITY CENTER, NEIGHBORHOOD CONNECTIONS, NEIGHBORHOOD FAMILY PRACTICE, THE CENTER OF COMMUNITY SOLUTIONS, THE METROHEALTH SYSTEM, ST. VINCENT CHARITY MEDICAL AND UNITED WAY OF GREATER CLEVELAND. THE MAJORITY OF THESE ORGANIZATIONS REPRESENT UNDER-RESOURCED, MEDICALLY VULNERABLE, LOW-INCOME, COMMUNITY MEMBERS AND POPULATIONS PROVIDING UNIQUE PERSPECTIVES ON HEALTH NEEDS IN CUYAHOGA COUNTY. FOCUS GROUP PARTICIPANTS INCLUDED REPRESENTATIVES FROM WESTERN RESERVE AREA AGENCY ON AGING, NORTHEAST OHIO AREAWIDE COORDINATING AGENCY, COUNCIL FOR ECONOMIC OPPORTUNITIES IN GREATER CLEVELAND, ENTERPRISE COMMUNITY PARTNERS, CLEVELAND RAPE CRISIS CENTER, CUYAHOGA METROPOLITAN HOUSING AUTHORITY, CHN HOUSING PARTNERS, HUNGER NETWORK OF GREATER CLEVELAND AND THE FOOD TRUST. FOCUS GROUP PARTICIPANTS SHARED THEIR PERSPECTIVES REGARDING THE MOST PRESSING ISSUES FACING THE PEOPLE THEY SERVE, HEALTH DISPARITIES, AND THE ROLE HOSPITALS AND HEALTH DEPARTMENTS SHOULD PLAY IN COMMUNITY HEALTH ISSUES. ST. VINCENT CHARITY MEDICAL CENTER PART V, SECTION B, LINE 6A: 1.) THE METROHEALTH SYSTEM2.) UNIVERSITY HOSPITALS3.) SOUTHWEST GENERAL HEALTH CENTER ST. VINCENT CHARITY MEDICAL CENTER PART V, SECTION B, LINE 6B: THE HOSPITAL'S 2019 CHNA WAS COMPLETED BY THE CENTER FOR HEALTH AFFAIRS WORKING WITH THE HOSPITAL. THE CHNA WAS ADOPTED BY THE ST. VINCENT CHARITY MEDICAL CENTER BOARD OF DIRECTORS ON OCTOBER 2, 2019. ST. VINCENT CHARITY MEDICAL CENTER PART V, SECTION B, LINE 7D: CHNA WAS POSTED TO OUR WEBSITE AND PROMOTED VIA SOCIAL MEDIA CHANNELS, INCLUDING FACEBOOK, TWITTER AND LINKEDIN. IT WAS ALSO SHARED WITH ALL INTERNAL STAKEHOLDERS, INCLUDING BOARD, PHYSICIANS AND CAREGIVERS, VIA EMAIL. ST. VINCENT CHARITY MEDICAL CENTER PART V, SECTION B, LINE 11: ST. VINCENT CHARITY MEDICAL CENTER IDENTIFIED FIVE PRIORITY AREAS TO FOCUS ON AS PART OF OUR COMMUNITY HEALTH NEEDS ASSESSMENT IMPLEMENTATION PLAN. THE FIVE AREAS ARE:1.) ELIMINATING STRUCTURAL RACISM2.) ENHANCING TRUST AND TRUSTWORTHINESS ACROSS SECTORS, PEOPLE, COMMUNITIES3.) ADDRESSING COMMUNITY CONDITIONS, SUCH AS REDUCING POVERTY AND ITS EFFECTS4.) ENHANCING MENTAL HEALTH AND REDUCING SUBSTANCE ABUSE5.) REDUCING CHRONIC ILLNESS AND ITS EFFECTS ST. VINCENT CHARITY MEDICAL CENTER PART V, SECTION B, LINE 16J: HTTPS://WWW.STVINCENTCHARITY.COM/POLICIES/FINANCIAL-ASSISTANCE/ 9 1 - ST VINCENT - ROCKSIDE OP SURGERY CENTER 6701 ROCKSIDE RD INDEPENDENCE OH 44131 OUTPATIENT SURGERY CENTER 2 - ST VINCENT - ROCKSIDE 4400 ROCKSIDE RD INDEPENDENCE OH 44131 IMAGING/RADIOLOGY 3 - ST VINCENT - MEDICAL OFFICE BUILDING 2475 EAST 22ND ST CLEVELAND OH 44115 OCCUPATIONAL MED THERAY, LAB, RADIOLOGY, URGENT CARE & MEDICAL OFFICE BLDG 4 - ST VINCENT - ROCKY RIVER 20220 CENTER RIDGE RD STE 120 ROCKY RIVER OH 44116 DIAGNOSTIC SERVICES 5 - ST VINCENT - ROCKSIDE 6701 ROCKSIDE RD INDEPENDENCE OH 44131 MEDICAL OFFICE BUILDING 6 - ST VINCENT SHAKER MEDICAL OFFICE BLG 11201 SHAKER BLVD CLEVELAND OH 44104 MEDICAL OFFICE BUILDING 7 - ST VINCENT - SOLON MEDICAL OFFICE BLDG 33001 SOLON RD SOLON OH 44139 LAB, RADIOLOGY, URGENT CARE & OCCUPATIONAL HEALTH SERVICES 8 - ST VINCENT - MEDICAL OFFICE BUILDING 2322 EAST 22ND ST CLEVELAND OH 44115 MEDICAL OFFICE BUILDING 9 - ST VINCENT - WARREN OFFICE 2614 EAST MARKET ST WARREN OH 44483 MEDICAL OFFICE BUILDING PART I, LINE 7: THE ORGANIZATION USES ITS CURRENT YEAR COST-TO-CHARGE RATIO TO DETERMINE THE COSTS ASSOCIATED WITH CHARITY CARE AND MEANS-TESTED GOVERNMENT PROGRAMS. PART I, LN 7 COL(F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $2,151,348. PART III, LINE 4: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS CALCULATED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF FACTORS BY FINANCIAL CLASS AND AGING CATEGORY APPLIED TO UNPAID ACCOUNTS BASED ON AGING. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE. THE BAD DEBT EXPENSE IS BASED ON OUR AUDITED FINANCIAL STATEMENTS. ESTIMATE EXPENSE ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR ASSISTANCE IS BASED ON DATA GATHERED ON ACCOUNTS INITIALLY WRITTEN OFF TO BAD DEBT THAT SUBSEQUENTLY WERE DETERMINED TO HAVE QUALIFIED FOR CHARITY CARE AFTER SECURING PATIENT COOPERATION IN THE FINANCIAL ASSISTANCE APPLICATION PROCESS.THE MEDICAL CENTER IS LOCATED IN A COMMUNITY WHERE 70% OF THE POPULATION'S INCOME FALLS BELOW THE FEDERAL POVERTY LEVEL. SOME PATIENTS DO NOT FULLY COMPLETE THE FINANCIAL ASSISTANCE (CHARITY) APPLICATION PROCESS OFFERED BY ST. VINCENT MEDICAL CENTER. GIVEN THE COMMUNITY DEMOGRAPHICS, ST. VINCENT MEDICAL CENTER REASONABLY ASSUMES THAT A PORTION OF THESE BAD DEBT ACCOUNTS WOULD OTHERWISE QUALIFY FOR ST. VINCENT MEDICAL CENTER'S FINANCIAL ASSISTANCE (CHARITY) PROGRAM IF PATIENTS COMPLETED THE CHARITY APPLICATIONS. ACCORDINGLY, A PORTION OF THESE AMOUNTS ARE CONSIDERED A COMMUNITY BENEFIT. PART III, LINE 8: MEDICARE COST REPORT ALLOWABLE COSTS WERE USED TO ARRIVE AT THE AMOUNT REPORTED ON PART III, LINE 6. PART III, LINE 9B: OUR POLICIES CONTAIN DETAILED INSTRUCTIONS AS TO THE PROCESS TO FOLLOW AS TO INFORMATION NEEDED AND FINANCIAL ASSISTANCE TO BE PROVIDED FOR ANY PATIENT THAT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE. WHEN PATIENTS QUALIFY FOR FINANCIAL/CHARITY ASSISTANCE, THEIR ACCOUNT BALANCE IS EITHER WRITTEN OFF OR REDUCED USING A CHARITY ADJUSTMENT CODE. ANY RESIDUAL ACCOUNT BALANCE AFTER CHARITY ADJUSTMENTS ARE SUBJECT TO THE SAME COLLECTION PROCEDURES AS ALL OTHER PATIENTS. PART VI, LINE 2: COMMUNITY BOARD MEETS REGULARLY AT THE MEDICAL CENTER TO HELP ASSESS COMMUNITY NEEDS AND MAKE DETERMINATIONS ON THE NEED TO EXPAND OR RETRACT SERVICES OFFERED TO PATIENTS RELATIVE TO OUR MISSION AND MINISTRY. UNDER THE UMBRELLA OF THE SISTERS OF CHARITY OF ST. AUGUSTINE, THE COMMUNITY BOARD STRIVES TO MEET EVER-CHANGING COMMUNITY NEEDS, CLINICAL PRACTICES AND TECHNOLOGY WITH A SHARED COMMITMENT TO REPRESENT THE COMPASSION AND EXCELLENCE THAT DISTINGUISHES CATHOLIC HEALTH CARE. PART VI, LINE 3: NOTICES ARE POSTED THROUGHOUT THE MEDICAL CENTER OF ELIGIBILITY FOR FINANCIAL ASSISTANCE. IN PARTICULAR, THEY ARE POSTED IN REGISTRATION, SCHEDULING AND CASHIER LOCATIONS. THE MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY IS ALSO AVAILABLE ON THE MEDICAL CENTER'S WEBSITE. ADDITIONALLY, FINANCIAL COUNSELORS ARE AVAILABLE TO MEET WITH PATIENTS OR THEIR DESIGNATED FAMILY MEMBERS. BILLING REPRESENTATIVES ARE WELL AWARE OF OUR FINANCIAL ASSISTANCE POLICIES AND DISCUSS WITH PATIENTS AS NEEDED. FINALLY, STATEMENTS SENT TO PATIENT DISCLOSE THAT FINANCIAL ASSISTANCE IS AVAILABLE IF PATIENTS MEET THE GUIDELINES AND INSTRUCTS PATIENTS HOW TO CONTACT OUR OFFICES TO APPLY FOR FINANCIAL ASSISTANCE. PART VI, LINE 4: THE PROVISION OF QUALITY HEALTH CARE, ESPECIALLY TO PEOPLE LIVING IN POVERTY, IS A SISTERS OF CHARITY HEALTH SYSTEM HALLMARK. IN KEEPING WITH THE MISSION OF ST. VINCENT CHARITY MEDICAL CENTER AND ITS FOUNDERS, THE SISTERS OF CHARITY OF ST. AUGUSTINE, THIS URBAN DISPROPORTIONATE SHARE HOSPITAL DELIVERS HIGH-QUALITY, INNOVATIVE MEDICAL CARE TO EVERY PATIENT, REGARDLESS OF THEIR FAITH OR THEIR ABILITY TO PAY. ITS EMPLOYEES, PHYSICIANS, AND VOLUNTEERS SERVE APPROXIMATELY 94,500 HEALTHCARE VISITS ANNUALLY BY PROVIDING PRIMARY, SPECIALTY, AND SURGICAL CARE AT ST. VINCENT CHARITY MEDICAL CENTER AND ITS SATELLITE FACILITIES. THE MEDICAL CENTER'S SURROUNDING DOWNTOWN NEIGHBORS, INCLUDING RESIDENTS FROM CLEVELAND'S MOST IMPOVERISHED CENTRAL NEIGHBORHOOD, ARE ALSO SERVED BY THE HOSPITAL. THE POPULATION OF THE CENTRAL NEIGHBORHOOD IS APPROXIMATELY 11,689 WITH AN AVERAGE ANNUAL MEDIAN HOUSEHOLD INCOME OF $10,440. AS A TEACHING INSTITUTION, ST. VINCENT CHARITY IS COMMITTED TO TRAINING CAREGIVERS OF THE FUTURE THROUGH AN AFFILIATION WITH NORTHEAST OHIO MEDICAL UNIVERSITY, TEACHING MORE THAN 60 RESIDENT TRAINEES AND FELLOWS IN POST-GRADUATE TRAINING FOR INTERNAL MEDICINE, PODIATRY, DENTISTRY, AND CLINICAL ADDICTION. PART VI, LINE 5: SEE SCHEDULE O - PROGRAM ACCOMPLISHMENTS & MISSION PART VI, LINE 6: THE MEDICAL CENTER IS OWNED BY THE SISTERS OF CHARITY OF ST. AUGUSTINE (SCHS). SCHS OPERATES MEDICAL CENTERS IN OHIO. THE SCHS HOSPITALS INCLUDE ST. VINCENT CHARITY MEDICAL CENTER (IN CLEVELAND, OH) AND MERCY MEDICAL CENTER (IN CANTON, OH), WHICH WAS SOLD IN 2021. THE SCHS HAS NUMEROUS OTHER PROGRAMS AIMED AT IDENTIFYING AND ANSWERING UNMET AND EMERGING COMMUNITY NEEDS. FOR EXAMPLE, OUR ELDER CARE PROGRAMS OFFER COMPASSIONATE, QUALITY HEALTH CARE AND SOCIAL SERVICES IN RESPONSE TO THE SPECIAL NEEDS OF SENIORS. THESE ORGANIZATIONS HAVE EVOLVED TO MEET EVER-CHANGING COMMUNITY NEEDS, CLINICAL PRACTICES AND TECHNOLOGY WITH A SHARED COMMITMENT TO REPRESENT THE COMPASSION AND EXCELLENCE THAT DISTINGUISHES CATHOLIC HEALTH CARE.THE MEDICAL CENTER HAS A FOR-PROFIT PHYSICIAN GROUP, ST. VINCENT MEDICAL GROUP, THAT EMPLOYS PRIMARY CARE AND SPECIALIST PHYSICIANS, MANY WHO HAVE OFFICES IN UNDERSERVED AREAS OF GREATER CLEVELAND. THE MEDICAL CENTER FUNDED THE $11.4 MILLION LOSS THIS PHYSICIAN GROUP INCURRED IN 2022. 1 X X X 1 1 0 0 0 0 0 1 0 MURPHY JANICE DIRECTOR 0 590485 0 0 0 6935 0 51210 0 3000 0 651630 0 0 FRIEDHOFF GEORGE PHYSICIAN 464914 0 20316 0 21794 0 32989 0 25959 0 565972 0 0 0 ROGERS MELISSA DIRECTOR 0 455930 0 0 0 4520 0 51210 0 26700 0 538360 0 0 TAHIR MD ADNAN PRESIDENT/CEO, DIRECTOR 0 445885 0 0 0 3520 0 30710 0 10000 0 490115 0 0 RUSNACZYK JOHN SR. V.P. & CHIEF FINANCIAL 0 367560 0 0 0 3675 0 30710 0 18500 0 420445 0 0 COOPER MD KEVIN PHYSICIAN 362745 0 0 0 2484 0 22068 0 20577 0 407874 0 0 0 MONCZEWSKI THEODORE V.P. OF HUMAN RESOURCES 187102 0 0 0 3944 0 203108 0 9440 0 403594 0 0 0 BLESSING JODY CHIEF NURSING OFFICER 169831 0 0 0 1432 0 185474 0 15484 0 372221 0 0 0 RAUH BRADLEY EXECUTIVE DIRECTOR STRATEGIC PROJECT 282607 0 0 0 7577 0 14646 0 20577 0 325407 0 0 0 HENSLEY LESLIE DIRECTOR OF SUPPORT & PROFESSIONAL S 274705 0 0 0 10290 0 18940 0 9440 0 313375 0 0 0 VOLENIK FIOVDALIZA NURSE PRACTITIONER 246403 0 389 0 102 0 13941 0 15484 0 276319 0 0 0 TUROSKY JODIE CLINICAL MANAGER PHARMACY 142407 0 3000 0 84525 0 11279 0 28319 0 269530 0 0 0 PART I, LINE 3 THE REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION IS THE RESPONSIBILITY OF THE BOARD. THIS THEN IS SUBJECT TO REVIEW BY THE MEMBER SISTERS OF CHARITY HEALTH SYSTEM. THE BOARD USES REPORTS FROM INDEPENDENT COMPENSATION CONSULTANTS, SURVEYORS OR STUDIES TO ASSIST IN THE REVIEW. IN MOST CASES, THESE REPORTS ARE OBTAINED FROM THE SAME SOURCES USED BY THE MEMBER. PART I, LINES 4A-B THEODORE MONCZEWSKI AGREED TO A 12 MONTH SEVERANCE WITH AN ESIMATED VALUE OF $189,342. JODY BLESSING AGREED TO A 12 MONTH SEVERANCE WITH AN ESTIMATED VALUE OF $171,600. JODIE TUROSKY AGRRED TO A LUMP SUM SEVERANCE PAYMENT OF $57,672. SUPPLEMENTAL EXECUTIVE RETIREMENT PAYMENTS (SERP) OF $20,500 WERE MADE BY THE RELATED ORGANIZATION TO MELISSA ROGERS AND JANICE MURPHY. ST. VINCENT CHARITY MEDICAL CENTER CONTRACTED WITH DR. PERSE'S COMPANY TO PROVIDE CALL COVERAGE IN 2022. TOTAL PAYMENTS MADE TO THE CORPORATION DURING 2022 WERE $200,012. PART I, LINE 7 DURING THE TERM OF DR. FRIEDHOFF'S EMPLOYMENT AGREEMENT, SO LONG AS PHYSICIAN REMAINS IN COMPLIANCE WITH THE TERMS OF THE AGREEMENT AND SO LONG AS THE AGREEMENT REMAINS IN EFFECT, PHYSICIAN SHALL BE ENTITLED TO A ONE-HUNDRED PERCENT PRODUCTION COMPENSATION AFTER ALL DIRECT AND INDIRECT EXPENSES ARE PAID. JODIE TUROSKY RECEIVED A $3,000 RETENTION BONUS IN 2022. FIOVDALIZA VOLENIK RECEIVED A $389 BONUS FOR THE NURSES WEEK AWARD. MEDICAL EQUIPMENT 2022-12-31 6707048 TRANSACTION EXPENSE MULTIPLE N/A NA OH 99999 0 0 0 0 PART II, LINE 1 ST. VINCENT CHARITY MEDICAL CENTER CEASED INPATIENT SERVICES AS OF 11/15/2022. EQUIPMENT WAS SOLD THAT COULD NOT BE USED FOR OPERATIONS GOING FORWARD. EQUIPMENT WAS SOLD EITHER DIRECTLY TO HEALTHCARE ORGANIZATIONS OR THROUGH AN AUCTION. FORM 990, PART III, LINE 1 OUR MISSION: IN THE SPIRIT OF THE SISTERS OF CHARITY OF ST. AUGUSTINE, THE ST. VINCENT CHARITY MEDICAL CENTER FAMILY IS DEDICATED TO THE HEALING MISSION OF JESUS. AS CAREGIVERS, WE SERVE WITH A DEEP RESPECT FOR THE DIGNITY AND VALUE OF ALL PERSONS; WE ARE FOCUSED ON QUALITY CARE; DEDICATED TO THE POOR; AND COMMITTED TO CONTINUING EDUCATION. OUR VISION: ST. VINCENT CHARITY MEDICAL CENTER, WITH THE COMMITMENT OF ITS CAREGIVERS AND PHYSICIANS, WILL BE A LEADING MODEL FOR HEALTHCARE DELIVERY IN NORTHEAST OHIO BASED ON ITS FAITH-BASED MISSION, DEDICATION TO EDUCATION, COMMITMENT TO THE COMMUNITIES IT SERVES, EXCELLENCE IN THE PATIENT EXPERIENCE IT PROVIDES, FOCUS ON SURGICAL SERVICES, AND PARTNERSHIPS WITH PHYSICIANS AND OTHER CONSTITUENCIES. OUR VALUES RESPECT: WE SERVE IN AN ATMOSPHERE OF MUTUAL RESPECT AND FAIRNESS, TREATING EACH PERSON WITH REVERENCE AND DIGNITY THAT RECOGNIZES EACH INDIVIDUAL'S CONTRIBUTION. INTEGRITY: WE HOLD OURSELVES ACCOUNTABLE FOR OUR ACTIONS AND ARE HONEST AND ETHICAL IN ALL OUR DEALINGS. QUALITY: WE ARE COMMITTED TO CONTINUOUS IMPROVEMENT OF OUR SERVICES TO BETTER EACH LIFE AS IF IT WERE OUR OWN. TEAM WORK: WE CELEBRATE THE OPPORTUNITY TO COME TOGETHER AS CAREGIVERS IN AN INCLUSIVE WORKPLACE WHERE DIVERSITY AND OPEN COMMUNICATIONS ARE VALUED. ACCOUNTABILITY: WE TAKE OWNERSHIP OF OUR WORK AND DO WHAT IS BEST FOR THE ORGANIZATION. DIVERSITY VISION: ST. VINCENT CHARITY MEDICAL CENTER IS COMMITTED TO CREATING, ADVOCATING FOR AND MAINTAINING AN INCLUSIVE ENVIRONMENT THAT SUPPORTS, RESPECTS AND VALUES THE UNIQUENESS OF EACH INDIVIDUAL. AS CAREGIVERS, WE CONTRIBUTE OUR UNIQUE TALENTS, EXPERIENCES AND PERSPECTIVES TO ENRICH THE QUALITY AND DELIVERY OF CARE TO OUR PATIENTS. FORM 990, PART III, LINE 3 ON NOVEMBER 15, 2022, THE SYSTEM CEASED OPERATING AS A "HOSPITAL." A SIGNIFICANT PORTION OF OUTPATIENT SERVICES, AS WELL AS ALL INPATIENT, SURGICAL, AND EMERGENCY DEPARTMENT SERVICES, WERE TERMINATED. AFTER NOVEMBER 15, 2022, THE SYSTEM'S SERVICE OFFERINGS ARE LIMITED TO AMBULATORY CARE IN THE FORM OF A HEALTH CARE CLINIC, TWO PRIMARY CARE PHYSICIANS, URGENT CARE, OCCUPATIONAL HEALTH, OUTPATIENT MENTAL HEALTH, AND ADDICTION MEDICINE SERVICES. FORM 990, PART III, LINE 4A ST. VINCENT CHARITY MEDICAL CENTER IS CLEVELAND'S FAITH-BASED, HIGH-QUALITY HEALTHCARE PROVIDER. OUR DISTINGUISHED DOCTORS AND CAREGIVERS ARE DEVOTED TO TREATING EVERY PATIENT WITH CLINICAL EXCELLENCE AND COMPASSIONATE CARE. ST. VINCENT CHARITY MEDICAL CENTER IS HOME TO THE RENOWNED SPINE AND ORTHOPEDIC INSTITUTE AND THE CENTER FOR BARIATRIC SURGERY. OWNED BY THE SISTERS OF CHARITY HEALTH SYSTEM, ST. VINCENT CHARITY MEDICAL CENTER PROVIDES CARE BEYOND MEDICINE. ST. VINCENT BEGAN INTEGRATING THE UNITE US PLATFORM INTO WORKFLOWS IN AUGUST 2021 IN AN EFFORT TO EFFECTIVELY LINK PATIENTS WITH COMMUNITY RESOURCES TO ADDRESS THE SOCIAL DETERMINATES OF HEALTH. SOCIAL DETERMINATES OF HEALTH PLAY A KEY ROLE IN THE HEALTH OF PATIENTS ESPECIALLY THOSE WITH CHRONIC MEDICAL CONDITION. UNITE US LINKS HEALTH CARE PROVIDERS AND COMMUNITY AGENCIES TO COORDINATE CARE BY PROVIDING A PLATFORM FOR REFERRALS AND TRACKING OF SERVICES. UNITE US IS BEING USED BY THE QUALITY DEPARTMENT, BEHAVIORAL HEALTH AND DIABETES EDUCATION. THE CENTRAL NEIGHBORHOOD STRUGGLED WITH COVID CHALLENGES AND THE LACK OF A GROCERY STORE. ST. VINCENT CHARITY BEGAN A MONTHLY OUTDOOR FOOD DISTRIBUTION IN 2021 FROM MAY TO OCTOBER IN PARTNERSHIP WITH THE GREATER CLEVELAND FOOD BANK. IT IS IMPORTANT FOR US TO ADDRESS THE NEED FOR HEALTHY FOOD SINCE 80% OF THE FACTORS THAT INFLUENCE HEALTH HAPPEN OUTSIDE THE WALLS OF A HOSPITAL. THE DISTRIBUTION PROVIDED FRESH FRUITS AND VEGETABLES, SHELF STABLE PRODUCTS, CLOTHES, COMMUNITY RESOURCES, BOXED LUNCHES AND HEALTH SCREENINGS. IN 2022, 1002 PEOPLE WERE SERVED. 35% OF THE HOUSEHOLDS SERVED IN 2022 RECEIVED FOOD ASSISTANCE FOR THE FIRST TIME AT OUR PANTRY. IT IS IMPORTANT TO MAKE THESE RESOURCES AVAILABLE WITH 9 IN 10 CENTRAL NEIGHBORHOOD RESIDENTS ELIGIBLE TO RECEIVE FOOD BANK BENEFITS. OUTPATIENT MENTAL HEALTH CLINIC WAS CREATED IN 2021 TO MEET THE GROWING NEED FOR MENTAL HEALTH OUTPATIENT SERVICES. THE OUTPATIENT MENTAL HEALTH CLINIC CONTINUED THROUGHOUT 2022. THE CARE TEAM INCLUDES PSYCHIATRY, PSYCHOLOGY, SOCIAL WORK, COUNSELING, CARE COORDINATION AND MEDICATION MANAGEMENT. THE CLINIC FOCUSES ON CARING FOR THE PHYSICAL, MENTAL, EMOTIONAL AND SPIRITUAL HEALTH OF THE PATIENT. FORM 990, PART III, LINE 4A EXPANDED MEDICAL-LEGAL PARTNERSHIP WITH LEGAL AID SOCIETY OF CLEVELAND FROM BEHAVIORAL HEALTH AND ADDICTION SERVICE LINES TO INCLUDE THE ENTIRE MEDICAL CENTER AND JOSEPH'S HOME. THE PARTNERSHIP PROVIDES FREE, ON-SITE SERVICES TO RESOLVE CIVIL-LEGAL ISSUES THAT ARE TIED TO SOCIAL DETERMINANTS OF HEATH AND ISSUES THAT IMPACT THE OVERALL HEALTH OF PATIENTS. ST. VINCENT CHARITY MEDICAL CENTER CAREGIVERS INCLUDING PHYSICIANS, NURSING, PHARMACY, LEGAL, EXTERNAL AFFAIRS, AND GOVERNMENT AFFAIRS CONTINUE TO PARTICIPATE IN THE NORTHEAST OHIO HOSPITAL OPIOID CONSORTIUM, A HOSPITAL SYSTEM-BASED AND PHYSICIAN-LED COLLABORATIVE OF HEALTHCARE ORGANIZATIONS WORKING TOGETHER TO SIGNIFICANTLY REDUCE THE IMPACT OF THE OPIOID EPIDEMIC IN THE REGION BY SHARING AND IMPLEMENTING EVIDENCE-BASED PRACTICES; PROMOTING POLICY CHANGES; AND INCREASING PREVENTION EFFORTS. ST. VINCENT RECEIVED GRANT FUNDING FROM CIGNA HEALTH TO HOST AN OUTDOOR HALLOWEEN HEALTH AND WELLNESS FAIR FOR THE CENTRAL COMMUNITY. THE EVENT INCLUDED BLOOD PRESSURE AND GLUCOSE SCREENINGS, FLU SHOTS, AND DISTRIBUTION OF HOUSEHOLD GOODS AND FOOD AS WELL AS TRICK-OR-TREAT. MORE THAN 200 INDIVIDUALS WERE SERVED. DESPITE THE PANDEMIC, ST. VINCENT CHARITY CONTINUED THE NO TEARS FOR CHRISTMAS PROGRAM. CAREGIVERS PURCHASE AND WRAP GIFTS FOR NEIGHBORHOOD CHILDREN AND THE GIFTS WERE DELIVERED VIA DRIVE-THROUGH AT BINGHAM PRESCHOOL AND WILLIAM PATRICK DAY PRESCHOOL. MORE THAN 100 CHILDREN RECEIVED CHRISTMAS GIFTS THROUGH THE PROGRAM. THROUGHOUT THE YEAR COMMUNITY OUTREACH TEAM SOUGHT OUT DONATIONS OF PERSONAL PROTECTIVE EQUIPMENT AND PURCHASED SUPPLIES AS WELL AND DISTRIBUTED THE PERSONAL PROTECTIVE EQUIPMENT TO COMMUNITY ORGANIZATIONS AND INDIVIDUALS. ST. VINCENT WORKS IN CONJUNCTION WITH ST. MARTIN DE PORRES SCHOOL TO PROVIDE FOUR STUDENTS FOR THE SCHOOL YEAR AN EXPERIENCE OF WORKING IN A HOSPITAL SETTING. AT THE HOSPITAL THEY LEARN SKILLS OF PROFESSIONALISM, COMMUNICATION AND SECRETARIAL WORK ALONG WITH INTERACTING WITH PATIENTS, DOCTORS AND FAMILIES. THE STUDENTS WORK 8 HOURS EACH WEEK AND RECEIVE PARTIAL PAYMENT (GOES DIRECTLY TO THE SCHOOL) TOWARD THEIR TUITION. THE PROGRAM WAS PAUSED IN MARCH, 2020 DUE TO THE PANDEMIC. THE PROGRAM WAS REOPENED IN THE FALL FOR THE 2020-2021 SCHOOL YEAR AND STUDENTS WERE ASSIGNED TO NON-HOSPITAL AREAS TO PROTECT THEM FROM COVID. THE PROGRAM CONTINUED THROUGH SEPTEMBER 2022 UNTIL THE ANNOUNCEMENT OF THE CLOSURE OF THE INPATIENT HOSPITAL. THE CLOSING OF THE HOSPITAL WAS NOT BENEFICIAL TO THE MARTIN DE PORRES STUDENT'S PROGRAM. ST. VINCENT CHARITY MEDICAL CENTER WORKED WITH OTHER ORGANIZATIONS IN THE COMMUNITY TO PLACE THE STUDENTS TO CONTINUE THE PROGRAM. ST. VINCENT CHARITY MEDICAL CENTER PARTICIPATES IN THE CAPUCHIN LAY MISSIONARY PROGRAM. AS A FRANCISCAN COMMUNITY, THEY INVITE MEN AND WOMEN TO GIVE A YEAR OF SERVICE TO A NUMBER OF DIFFERENT SOCIAL JUSTICE NEEDS. ONE OF THE LAY MINISTERS SERVES AT SVCMC IN OUR EMERGENCY DEPARTMENT. THAT PERSON EXPERIENCED ALL KINDS OF MEDICAL NEEDS AND DIAGNOSIS AND HAS A FIRST HAND OPPORTUNITY TO DECIDE IF MEDICINE, DOCTOR, NURSE OR PHYSICIAN ASSISTANT IS THEIR FUTURE CALLING. THIS PROGRAM IS FUNDED THROUGH A GRANT THAT SVCMC DEVELOPMENT DEPARTMENT OBTAINS. THE PROGRAM RETURNED FOR THE 2022-2023 SCHOOL. ST. VINCENT CHARITY MEDICAL CENTER CLOSED INPATIENT SERVICES IN NOVEMBER. ST. VINCENT CHARITY MEDICAL CENTER WORKED WITH REGINA HEALTH CENTER, A RELATED ORGANIZATION, TO TRANSITION THE PROGRAM TO REGINA HEALTH CENTER. THE PROGRAM WILL CONTINUE INTO 2023. MISSION KITCHEN WAS ESTABLISHED IN FEBRUARY 2021 FOR THE PEOPLE OF CENTRAL NEIGHBORHOOD, ESPECIALLY THOSE LIVING IN THE OLDE CEDAR ESTATE HOUSING. OLDE CEDAR ESTATE HOUSING IS THE POOREST SECTION OF HOUSING IN CLEVELAND AND OLDEST IN THE UNITED STATES. THE DREAM OF TAKING FOOD TO THE PEOPLE IN THE NEIGHBORHOOD CAME FROM OUR DIRECTOR OF FOOD SERVICES WHEN COVID LIMITED THE ACCESS TO THE CAFETERIA TO PATIENTS AND STAFF. SVCMC COULD NO LONGER ALLOW OUR NEIGHBORS TO COME IN AND BUY A VERY REASONABLY PRICED BUT DELICIOUS BREAKFAST. WE STARTED DELIVERING OVEN READY MEALS TO THE RESIDENTS OF OLDE CEDAR ESTATE HOUSING ONCE A MONTH ALONG WITH DELIVERING MEALS TO THE FRIENDLY INN. THE FRIENDLY INN IS A SOCIAL SERVICE CENTER THAT SERVES RESIDENTS IN THE CENTRAL NEIGHBORHOODS. ST. VINCENT CHARITY MEDICAL CENTER ALSO OPENED THE CAFETERIA TO THE NEIGHBORHOOD FOR A FREE HOT MEAL ONCE A MONTH. THE CAFETERIA SERVED ABOUT 100 PLUS PEOPLE FOR THE MONTHLY MEAL. ST. VINCENT CHARITY MEDICAL CENTER HAS A FOOD PANTRY AND A JESUS ROOM (CLOTHING AND SHOES) FOR THE CAREGIVERS IN NEED AND FOR PATIENTS LEAVING THE HOSPITAL WITHOUT THE NECESSARY CLOTHING. CLOTHING IS AVAILABLE AT THE REFRESH PANTRY AND DAYS OF MISSION KITCHEN EVENTS. PROGRAMS AND SERVICES ST. VINCENT CHARITY MEDICAL CENTER CONVERTED AN INTENSIVE CARE UNIT INTO A RESPIRATORY CARE UNIT TO SPECIFICALLY CARE FOR COVID-19 PATIENTS. THE MEDICAL CENTER ALSO OFFERED COVID-19 TESTING THROUGH ITS EMERGENCY DEPARTMENT AND PHYSICIAN OFFICES THROUGHOUT THE PANDEMIC. THIS CONTINUED UNTIL THE INPATIENT HOSPITAL SERVICES CLOSED, AND THERE WAS NO LONGER A NEED FOR COVID UNITS. ST. VINCENT CHARITY MEDICAL CENTER CONTINUED COVID-19 CARE IN THE URGENT CARE CENTER AFTER THE INPATIENT HOSPITAL SERVICES CLOSED. ON DEC. 23 2020, ST. VINCENT CHARITY RECEIVED NOTICE THAT IT WAS AN APPROVED COVID-19 VACCINE DISTRIBUTION PROVIDER AND THE ORGANIZATION BEGAN TO OPERATIONALIZE A STAFF AND COMMUNITY VACCINE CLINIC. ST. VINCENT CHARITY MEDICAL CENTER CONTINUED PROVIDING VACCINES FOR THE COMMUNITY, PATIENTS, AND CAREGIVERS IN 2022. ST. VINCENT CHARITY MEDICAL CENTER CONTINUED DISTRIBUTING PPE IN 2022. WE PROVIDED MASKS, PPE KITS, HAND SANITIZERS, PERSONAL HYGIENE ITEMS, AND COVID RESOURCE INFORMATION AT FOOD DISTRIBUTION EVENTS. ST. VINCENT CEASED DISTRIBUTION OF PPE WHEN INPATIENT SERVICES CLOSED IN NOVEMBER 2022. DIABETES EDUCATION PROVIDED 1604 INDIVIDUAL SCREENINGS OF BLOOD PRESSURE AND BLOOD GLUCOSE IN 2022. THE INDIVIDUALS RECEIVED EDUCATION REGARDING THE RESULTS ALONG WITH RESOURCES FOR HEALTH CARE AND SOCIAL SERVICE NEEDS. THE SCREENINGS WERE PERFORMED AT FOOD DISTRIBUTIONS, OUTDOOR EVENTS AND SENIOR LIVING COMMUNITIES. DIABETES EDUCATION ALSO PROVIDED EDUCATION TO 116 PARTICIPANTS AT SEVEN EDUCATION PROGRAMS CONDUCTED VIRTUALLY. THE CENTRAL NEIGHBORHOOD OF CLEVELAND CONTINUES TO HAVE THE LOWEST MEDIAN INCOME IN CUYAHOGA COUNTY. LESS THAN HALF OF THE 4,722 HOUSEHOLDS IN CENTRAL HAD ACCESS TO THE INTERNET AS OF EARLY 2022. ST. VINCENT CHARITY REMAINS COMMITTED TO DIGITAL-C'S EFFORT TO IMPROVE INTERNET CAPACITY AND ACCESS FOR THE RESIDENTS OF THE CENTRAL NEIGHBORHOOD AND OTHER UNDER-CONNECTED AND UNCONNECTED COMMUNITIES. DIGITAL-C IS A CLEVELAND NOT-FOR-PROFIT THAT CONNECTS THE UNDERSERVED COMMUNITY TO THE INTERNET. SINCE 2017, ST. VINCENT CHARITY HAS HOSTED A DIGITAL-C INTERNET TRANSMITTER ON ITS ROOF, WHICH EXPANDS THE INTERNET COVERAGE AREA. DIGITAL C BEGAN ROLLING OUT TECHNOLOGIES AND HARDWARE TO BRING INTERNET ACCESS TO 500 ADDITIONAL HOMES IN THE CENTRAL NEIGHBORHOOD DUE IN PART TO CUYAHOGA COUNTY'S 2022 CENTRAL SURGE INITIATIVE. AS FURTHER EVIDENCE OF ST. VINCENT CHARITY'S SUPPORT OF INCREASED INTERNET ACCESS IN THE COMMUNITY, WE CONTINUE TO ENHANCE PUBLIC AWARENESS OF PC'S FOR PEOPLE. A NOT FOR PROFIT ORGANIZATION WHOSE MISSION IS TO PROVIDE REFURBISHED PC'S, TRAINING, AND SUPPORT TO HOUSEHOLDS THAT CAN CANNOT AFFORD THAT TYPE OF EQUIPMENT AND SUPPORT SERVICES. FORM 990, PART III, LINE 4A AWARDS AND ACCOMPLISHMENTS THE JOINT COMMISSION SURVEY CONDUCTED IN MARCH 2021 HIGHLIGHTED THE QUALITY OF CARE DELIVERED BY THE DEDICATED CAREGIVERS. AS WITH ANY SURVEY, THERE WERE AREAS IDENTIFIED WITH OPPORTUNITIES FOR IMPROVEMENT. UPON A FOLLOW-UP SURVEY IN 2022, EACH IDENTIFIED AREA SHOWED SUSTAINED IMPROVEMENT. ONGOING ACCREDITATION WAS AWARDED AND THE MEDICAL CENTER WAS PLACED ON A TRIENNIAL CYCLE FOR REACCREDITATION SURVEYS. IN DECEMBER 2022, THE JOINT COMMISSION SURVEYED THE PSYCHIATRIC EMERGENCY DEPARTMENT AND OUTPATIENT ROSARY HALL DUE TO THE RECENT TRANSFORMATION FROM ACUTE INPATIENT CARE TO AN OUTPATIENT MODEL. ALL ISSUES FROM THE SURVEY WERE QUICKLY ADDRESSED AND CORRECTED. ACCREDITATION WAS AWARDED. IN 2022, THE CLEVELAND CENTRAL PROMISE NEIGHBORHOOD RECOGNIZED LESLIE ANDREWS, R.N., AS A 'CHAMPION OF CENTRAL'. THIS AWARD WAS CREATED TO HONOR ESTEEMED COMMUNITY MEMBERS AND PARTNERS, WHO GO TO GREAT LENGTHS TO ELEVATE THE VOICE OF THE CENTRAL COMMUNITY AND CONTRIBUTE TO ITS VIBRANCY. CHAMPIONS OF CENTRAL ARE NOMINATED BY A COMMUNITY PARTNER, RESIDENT STAKEHOLDER, AND/OR PROMISE AMBASSADOR. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CORPORATE MEMBER: SISTER OF CHARITY OF ST. AUGUSTINE HEALTH SYSTEM, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S MEMBER MAY ELECT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS OF THE GOVERNING BODY, SUCH AS APPROVAL OF BUDGETS, CAPITAL EXPENDITURES AND ACQUISITION OF LAND, MUST BE APPROVED BY THE BOARD OF THE MEMBER ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE DATA AND INFORMATION FOR THE 990 IS PREPARED INTERNALLY, AND IT IS SUBMITTED TO THE TAX ADVISORS. THE TAX ADVISORS INPUT ALL DATA AND INFORMATION INTO THE TAX SOFTWARE TO GENERATE THE RETURN, AND THEY REVIEW THE RETURN. THEY REVIEW FOR COMPLETENESS AND COMMUNICATE ANY CONCERNS THAT THEY IDENTIFY WITHIN THE DOCUMENTS AND WORKSHEETS OF THE TAX RETURN. A DRAFT COPY IS PROVIDED TO THE ACCOUNTING STAFF FOR REVIEW. THE TAX ADVISORS AND THE ACCOUNTING STAFF ADDRESS ALL THE CONCERNS FROM THE REVIEW PROCESS. THE RETURN IS THEN SUBMITTED TO THE BOARD FOR REVIEW ONCE CONCERNS ARE ADDRESSED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS IN PLACE A CONFLICT OF INTEREST POLICY AS WELL AS A NON-RETALIATION POLICY (WHISTLE-BLOWER). THE CONFLICT OF INTEREST FORMS ARE SENT OUT ANNUALLY TO ADMINISTRATION AND OTHER LEADERSHIP EMPLOYEES AS WELL AS BOARD MEMBERS. THE FORMS ARE RETURNED TO ADMINISTRATION. ONCE RETURNED, THEY ARE REVIEWED BY THE COMPLIANCE OFFICER AND CEO TO DETERMINE IF ANYTHING WOULD BE DEEMED A POTENTIAL CONFLICT OF INTEREST. IF THERE IS A CONFLICT, THE CEO, COMPLIANCE OFFICER AND EMPLOYEE/INDIVIDUAL MEET TO DISCUSS. THE RESULTS OF THOSE MEETINGS ARE AN AGENDA ITEM AT THE ORGANIZATION'S ADMINISTRATIVE COMPLIANCE COMMITTEE MEETING AND IT IS FURTHER DISCUSSED THERE. ONCE A DECISION IS MADE REGARDING THE CONFLICT, FOLLOW-UP IS MADE BY THE COMPLIANCE OFFICER/CEO WITH THE EMPLOYEE, IF APPROPRIATE. THE ORGANIZATION ALSO DISCUSSES THE RESULTS OF THE CONFLICT OF INTERESTS AT THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15 THE REVIEW AND APPROVAL OF EXECUTIVE COMPENSATION IS THE RESPONSIBILITY OF THE BOARD. THIS THEN IS SUBJECT TO REVIEW BY THE MEMBER SISTERS OF CHARITY HEALTH SYSTEM. THE BOARD USES REPORTS FROM INDEPENDENT COMPENSATION CONSULTANTS, COMPENSATION SURVEYORS OR STUDIES TO ASSIST IN THE REVIEW. IN MOST CASES, THESE REPORT ARE OBTAINED FROM THE SAME SOURCES USED BY THE MEMBER. INFORMATION PROVIDED TO THE COMMITTEE INCLUDES SALARY, BONUS, INCENTIVE COMPENSATION, DEFERRED COMPENSATION AND OTHER BENEFITS. FORM 990, PART VI, SECTION C, LINE 18 FORMS 990, 990-T, AND 1023 ARE AVAILABLE TO PUBLIC UPON REQUEST AT THE MEDICAL CENTER. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, THE FINANCIAL STATEMENTS, AND THE CONFLICT OF INTEREST POLICY ARE AVAILABLE TO PUBLIC UPON REQUEST AT THE MEDICAL CENTER. FORM 990, PART IX, LINE 11G CONTRACT LABOR/AGENCY: PROGRAM SERVICE EXPENSES 1,876,430. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,876,430. PROFESSIONAL SERVICE PHYSICIANS: PROGRAM SERVICE EXPENSES 7,260,841. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,260,841. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 4,348,165. MANAGEMENT AND GENERAL EXPENSES 2,209,927. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,558,092. FORM 990, PART XI, LINE 9: ASSET TRANSFER TO ST. VINCENT MEDICAL GROUP -11,451,079. PREVIOUSLY REPORTED DONOR CONTRIBUTIONS 829,771. ASSETS RELEASED FROM RESTRICTION -1,037,915. MARKET VALUE TRUST -2,287,011. MARKET VALUE/INTEREST ON TEMP RESTRICTED FUNDS -191,215. ASSET TRANSFER FROM SISTERS OF CHARITY HEALTH SYSTEM 54,533,714. ASSET TRANSFER FROM ST. VINCENT CHARITY DEVELOPMENT FOUNDATION 393,967. BUILDING IMPAIRMENT -6,568,497. ROLLFORWARD ADJUSTMENT 33,772. FORM 990 PART XII, LINE 2C: THE ORGANIZATION HAS AN AUDIT AND COMPLIANCE COMMITTEE THAT HAS BEEN CHARGED WITH OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTING FIRM. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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