TY 2022 Form 990

- TIN:

Form990

Department of the TreasuryInternal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Do not enter social security numbers on this form as it may be made public.

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

A For the 2021 calendar year, or tax year beginning 01-01-2022 , and ending 12-31-2022

BCheck if applicable: Address change Name change Initial return Final return/terminated Amended return Application pending

CName of organization
ST VINCENT CHARITY MEDICAL CENTER

Doing business as

Number and street (or P.O. box if mail is not delivered to street address)
2351 EAST 22ND STREET

Room/suite

City or town, state or province, country, and ZIP or foreign postal code
CLEVELAND, OH44115

D Employer identification number

34-0714756

E Telephone number

G Gross receipts $ 100,066,129

F Name and address of principal officer:
ADNAN TAHIR MD
2351 EAST 22ND STREET
CLEVELAND,OH44115

Tax-exempt status: 501(c)(3) 501(c) ( ) LeftBullet

(insert no.) 4947(a)(1) or 527

Website:

STVINCENTCHARITY.COM

H(a)

Is this a group return for
subordinates? Yes No

H(b)

Are all subordinates
included?

Yes No

If "No," attach a list. See instructions.

H(c)

Group exemption number MediumBullet

0928

K Form of organization: Corporation Trust Association Other MediumBullet

L Year of formation: 1926

M State of legal domicile: OH

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: PROVIDER OF HEALTHCARE SERVICES
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	17
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	1,191
6	Total number of volunteers (estimate if necessary) .............	6	24
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	348,276
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	47,003

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,851,701	1,303,371
9	Program service revenue (Part VIII, line 2g) .........	131,586,738	90,970,714
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	-32,244	-6,661,253
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,123,225	3,858,934
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	136,529,420	89,471,766
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	67,978,564	65,291,612
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	83,986,913	73,137,055
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	151,965,477	138,428,667
19	Revenue less expenses. Subtract line 18 from line 12.......	-15,436,057	-48,956,901
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	64,632,414	31,643,953
21	Total liabilities (Part X, line 26).............	45,642,250	27,355,183
22	Net assets or fund balances. Subtract line 21 from line 20.....	18,990,164	4,288,770

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name MediumBullet

Firm's EIN MediumBullet

Firm's address MediumBullet

Phone no.

May the IRS discuss this return with the preparer shown above? (see instructions) ..........YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y Form 990 (2021)

Form 990 (2021)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response or note to any line in this Part III..............

Briefly describe the organization’s mission: SEE SCHEDULE O

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ..................... Yes No

If "Yes," describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ........................... Yes No

If "Yes," describe these changes on Schedule O.

Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ 123,410,347 including grants of $ 0 ) (Revenue $ 90,970,714 )
	SEE SCHEDULE O

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses123,410,347

Form 990 (2021)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A Click to see attachment

List of Attached Documents:

// Content

.....................

Yes

Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment

List of Attached Documents:

// Content

...

Yes

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I Click to see attachment

List of Attached Documents:

// Content

.............

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II Click to see attachment

List of Attached Documents:

// Content

.........

Yes

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III Click to see attachment

List of Attached Documents:

// Content

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I Click to see attachment

List of Attached Documents:

// Content

.........................

Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II Click to see attachment

List of Attached Documents:

// Content

....

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III Click to see attachment

List of Attached Documents:

// Content

..............

Yes

Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV Click to see attachment

List of Attached Documents:

// Content

..............

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......

Yes

If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment

List of Attached Documents:

// Content

...................

11a

Yes

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII Click to see attachment

List of Attached Documents:

// Content

.......

11b

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII Click to see attachment

List of Attached Documents:

// Content

.......

11c

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX Click to see attachment

List of Attached Documents:

// Content

............

11d

Yes

Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X Click to see attachment

List of Attached Documents:

// Content

11e

Yes

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X Click to see attachment

List of Attached Documents:

// Content

11f

Yes

12a

Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII Click to see attachment

List of Attached Documents:

// Content

......................

12a

Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment

List of Attached Documents:

// Content

12b

Yes

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E

14a

Did the organization maintain an office, employees, or agents outside of the United States? .....

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........

14b

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...

Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................

20a

Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment

List of Attached Documents:

// Content

20a

Yes

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment

List of Attached Documents:

// Content

20b

Yes

Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....

Form 990 (2021)

Page 4

Part IV

Checklist of Required Schedules (continued)

Yes

Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........

Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment

List of Attached Documents:

// Content

Yes

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............

24c

Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...

24d

25a

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................

25b

Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........

Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?

If "Yes," complete

Schedule L, Part III.........................

Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................

28a

A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....

28b

A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................

28c

Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................

Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I Click to see attachment

List of Attached Documents:

// Content

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................ Click to see attachment

List of Attached Documents:

// Content

Yes

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............ Click to see attachment

List of Attached Documents:

// Content

Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1......................... Click to see attachment

List of Attached Documents:

// Content

Yes

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

Yes

If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ... Click to see attachment

List of Attached Documents:

// Content

35b

Yes

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment

List of Attached Documents:

// Content

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI Click to see attachment

List of Attached Documents:

// Content

Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Part V

Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........

Yes

Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..

146

Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

Form 990 (2021)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance (continued)

Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................

1,191

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?...

Yes

If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...

Yes

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..

If "Yes," enter the name of the foreign country: MediumBullet

See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...

If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................

If "Yes," did the organization notify the donor of the value of the goods or services provided? .....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................

If "Yes," indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................

Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........

Sponsoring organizations maintaining donor advised funds.

Did the sponsoring organization make any taxable distributions under section 4966?........

Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

12a

If "Yes," enter the amount of tax-exempt interest received or accrued during the year.

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.

13a

Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....

13b

Enter the amount of reserves on hand ............

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..

14b

Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.

Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.

Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.

Form 990 (2021)

Page 6

Part VI

Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response or note to any line in this Part VI..............

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year

If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................

Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Did the organization have members or stockholders? ................

Yes

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................

Yes

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Yes

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .......................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Yes

10a

Did the organization have local chapters, branches, or affiliates? ............

10a

If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?

10b

11a

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................

11a

Yes

Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....

12a

Did the organization have a written conflict of interest policy? If "No," go to line 13.......

12a

Yes

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................

12b

Yes

Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................

12c

Yes

Did the organization have a written whistleblower policy? ...............

Yes

Did the organization have a written document retention and destruction policy? .........

Yes

Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

Other officers or key employees of the organization ................

15b

Yes

If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.

16a

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................

16a

Yes

If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Yes

Section C. Disclosure

List the states with which a copy of this Form 990 is required to be filed MediumBullet

Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.

State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBullet

THERESA WRABEL2351 EAST 22ND STREET CLEVELAND,OH44115 (216) 861-6200

Form 990 (2021)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response or note to any line in this Part VII..............

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet

List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."

List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) MURPHY JANICE...................................................................... DIRECTOR	2.00 ................. 48.00	X		0	597,420	54,210
(2) ROGERS MELISSA...................................................................... DIRECTOR	2.00 ................. 48.00	X		0	460,450	77,910
(3) TAHIR MD ADNAN...................................................................... PRESIDENT/CEO, DIRECTOR	50.00 ................. 0.00	X	X	0	449,405	40,710
(4) BASTULLI JOHN MD...................................................................... DIRECTOR	12.00 ................. 0.00	X		78,125	0	0
(5) CHMIELEWSKI RICHARD MD...................................................................... DIRECTOR	12.00 ................. 0.00	X		46,040	0	0
(6) BEDELL JACK...................................................................... DIRECTOR - PART YEAR	2.00 ................. 0.00	X		0	0	0
(7) CHAPMAN TIMOTHY...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0	0
(8) COYNE ANTHONY...................................................................... CHAIR	5.00 ................. 0.00	X	X	0	0	0
(9) DUNN CYNTHIA...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0	0
(10) FRANTZ MICHAEL...................................................................... SECRETARY	3.00 ................. 0.00	X	X	0	0	0
(11) ISAKOV GARY...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0	0
(12) KARAM CSA SR JUDITH ANN...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0	0
(13) PANZICA TIMOTHY...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0	0
(14) STRICKLIN MARY LOU...................................................................... VICE CHAIR	3.00 ................. 0.00	X	X	0	0	0
(15) VARLEY ROBERT W...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0	0
(16) WEAVER JEFFERY J...................................................................... TREASURER	3.00 ................. 0.00	X	X	0	0	0
(17) WONG MARGARET JD...................................................................... DIRECTOR	2.00 ................. 0.00	X		0	0	0

Form 990 (2021)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) RUSNACZYK JOHN........................................................................ SR. V.P. & CHIEF FINANCIAL	50.00 .......................0.00	X		0	371,235	0
(19) MONCZEWSKI THEODORE........................................................................ V.P. OF HUMAN RESOURCES	50.00 .......................0.00	X		191,046	0	212,548
(20) BLESSING JODY........................................................................ CHIEF NURSING OFFICER	50.00 .......................0.00	X		171,263	0	200,958
(21) RAUH BRADLEY........................................................................ EXECUTIVE DIRECTOR STRATEGIC PROJECTS	50.00 .......................0.00	X		290,184	0	35,223
(22) ERB SR MIRIAM........................................................................ V.P. OF MISSION & MINISTRY	50.00 .......................0.00	X		0	0	0
(23) FRIEDHOFF GEORGE........................................................................ PHYSICIAN	50.00 .......................0.00		X	507,024	0	58,948
(24) COOPER MD KEVIN........................................................................ PHYSICIAN	50.00 .......................0.00		X	365,229	0	42,645
(25) HENSLEY LESLIE........................................................................ DIRECTOR OF SUPPORT & PROFESSIONAL SERVICES	50.00 .......................0.00		X	284,995	0	28,380
(26) VOLENIK FIOVDALIZA........................................................................ NURSE PRACTITIONER	50.00 .......................0.00		X	246,894	0	29,425
(27) TUROSKY JODIE........................................................................ CLINICAL MANAGER PHARMACY	50.00 .......................0.00		X	229,932	0	39,598

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,410,732	1,878,510	820,555

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet

Yes

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................

Yes

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

(A) Name and business address	(B) Description of services	(C) Compensation
CLEVELAND ANESTHESIA GROUP INC 6701 ROCKSIDE RD STE 200 INDEPENDENCE,OH44131	HEALTHCARE SERVICES	3,270,672
XTEND HEALTHCARE LLC 90 VOLUNTEER DR STE 200 HENDERSONVILLE,TN37075	BILLING & COLLECTION SERVICES	2,072,271
M&M MANAGEMENT & CONSULTING 6701 ROCKSIDE RD STE 200 INDEPENDENCE,OH44131	MANAGEMENT SERVICES	1,365,820
METZ CULINARY MANAGEMENT INC TWO WOODLAND DRIVE DALLAS,PA18162	MANAGEMENT SERVICES	1,044,281
PHYSICIAN STAFFING INC PO BOX 650823 DALLAS,TX75265	HEALTHCARE SERVICES	698,948
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 35

Form 990 (2021)

Page 9

Part VIII

Statement of Revenue

Check if Schedule O contains a response or note to any line in this Part VIII.............

(A)
Total revenue

(B)
Related or
exempt
function
revenue

(D)
Revenue
excluded from
tax under sections
512 - 514

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	635,031

f	All other contributions, gifts, grants, and similar amounts not included above		1f	668,340

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		1,303,371

		Business Code
2a	NET PATIENT REVENUE	623000	87,249,840	87,249,840
b	PROGRAM RENTAL INCOME	532000	2,024,706	2,024,706
c	PHYSICIAN PRACTICE REVENUE	621300	518,086	518,086
d	DIAG REVENUE	900099	95,806	95,806
e	RESIDENT & INTERN DEVELOPMENT	611430	66,000	66,000
f	All other program service revenue.		1,016,276	1,016,276
g	Total. Add lines 2a–2f .....		90,970,714

3 Investment income (including dividends, interest, and othersimilar amounts) ......			45,795			45,795
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)			6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	3,887,315		7a
b	Less: cost or other basis and sales expenses	10,594,363		7b
c	Gain or (loss)	-6,707,048		7c
d	Net gain or (loss).........			-6,707,048			-6,707,048
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	PHYSICIAN BILLING REVENUE		900099	1,483,258		74,541	1,408,717
b	CAFETERIA REVENUE		722514	646,820			646,820
c	NONPATIENT LAB SERVICES		621500	273,735		273,735
d	All other revenue ....			1,455,121			1,455,121
e	Total. Add lines 11a–11d ......			3,858,934
12	Total revenue. See instructions.....			89,471,766	90,970,714	348,276	-3,150,595

Form 990 (2021)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,958,241	124,165	1,834,076
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	48,106,407	44,183,433	3,922,974
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,804,163	1,587,834	216,329
9	Other employee benefits .......	6,883,389	6,012,306	871,083
10	Payroll taxes ...........	6,539,412	5,861,888	677,524
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	125,062		125,062
c	Accounting ...........	292,052		292,052
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	15,695,363	13,485,436	2,209,927
12	Advertising and promotion ....	326,135	326,135
13	Office expenses .......	5,847,678	5,111,279	736,399
14	Information technology ......	2,077,793	1,900,987	176,806
15	Royalties ..
16	Occupancy ...........	2,208,586	2,168,132	40,454
17	Travel ............	61,959	54,854	7,105
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	14,835	14,462	373
20	Interest ...........	287,323	257,521	29,802
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	7,039,405	6,321,177	718,228
23	Insurance ...	1,193,809	1,193,809
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	SUPPLIES-MEDICAL	23,060,785	23,060,785
b	STATE FRANCHISE TAX	5,163,603	5,163,603
c	BAD DEBT	2,203,848	2,203,848
d	UBIT TAXES	3,034	1,517	1,517
e	All other expenses	7,535,785	4,377,176	3,158,609
25	Total functional expenses. Add lines 1 through 24e	138,428,667	123,410,347	15,018,320	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Form 990 (2021)

Page 11

Part X

Balance Sheet

Check if Schedule O contains a response or note to any line in this Part IX..............

				(A) Beginning of year		(B) End of year

1	Cash–non-interest-bearing ........			4,130	1	2,552
2	Savings and temporary cash investments .........			3,826,485	2	4,725,764
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			13,728,320	4	2,904,619
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			4,009,179	8	446,485
9	Prepaid expenses and deferred charges ......			2,072,264	9	857,949
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	12,919,757
b	Less: accumulated depreciation	10b	5,099,864	25,396,928	10c	7,819,893
11	Investments—publicly traded securities .			11,090,694	11	8,794,631
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			4,504,414	15	6,092,060
16	Total assets. Add lines 1 through 15 (must equal line 33)...			64,632,414	16	31,643,953

17	Accounts payable and accrued expenses .....	21,940,890	17	24,235,277
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	3,260,236	24	762,744
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	20,441,124	25	2,357,162
26	Total liabilities. Add lines 17 through 25..	45,642,250	26	27,355,183

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	6,024,724	27	-5,924,194
28	Net assets with donor restrictions ...........	12,965,440	28	10,212,964
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	18,990,164	32	4,288,770
33	Total liabilities and net assets/fund balances ........	64,632,414	33	31,643,953

Form 990 (2021)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response or note to any line in this Part XI..............

Total revenue (must equal Part VIII, column (A), line 12) ............

89,471,766

Total expenses (must equal Part IX, column (A), line 25) ............

138,428,667

Revenue less expenses. Subtract line 2 from line 1 ..............

-48,956,901

Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..

18,990,164

Net unrealized gains (losses) on investments ...............

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

Other changes in net assets or fund balances (explain in Schedule O) ........

34,255,507

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))

4,288,770

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response or note to any line in this Part XII.............

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization’s financial statements audited by an independent accountant?

Yes

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?

Yes

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?

Yes

If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.

Yes

Form 990 (2021)

Additional Data

Software ID:
Software Version:

Form 990, Special Condition Description:

Special Condition Description

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

ST VINCENT CHARITY MEDICAL CENTER

Employer identification number

34-0714756

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2022

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2021. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2021. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2022

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2021. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2022

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2022

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2022

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Name of the organization

ST VINCENT CHARITY MEDICAL CENTER

Employer identification number

34-0714756

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization ST VINCENT CHARITY MEDICAL CENTER

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization ST VINCENT CHARITY MEDICAL CENTER		Employer identification number 34-0714756

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization ST VINCENT CHARITY MEDICAL CENTER			Employer identification number 34-0714756
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ST VINCENT CHARITY MEDICAL CENTER

Employer identification number

34-0714756

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2021

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2018	(b) 2019	(c) 2020	(d) 2021	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2021

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

3,260

Total. Add lines 1c through 1i ....................................................................................................

3,260

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
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.

Schedule C (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ST VINCENT CHARITY MEDICAL CENTER

Employer identification number

34-0714756

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

$ 0

Assets included in Form 990, Part X ............................... SchDMd Bullet

$ 38,500

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2021

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	3,150,856	2,936,010	2,577,611	2,159,797	2,225,951
b	Contributions ...				5,000	67,542
c	Net investment earnings, gains, and losses	-539,113	224,824	366,645	381,466	-125,717
d	Grants or scholarships ...	11,661		6,950	5,049
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	8,647	9,979	1,295	8,603	7,979
g	End of year balance ......	2,591,435	3,150,856	2,936,010	2,577,611	2,159,797

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

100.000 %

Term endowment SchDMd Bullet

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	1,183,998		1,183,998
b	Buildings ....	5,856,002	449,520	5,406,482
c	Leasehold improvements
d	Equipment ....	5,879,757	4,650,344	1,229,413
e	Other .....
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				7,819,893

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)NON-PATIENT RECEIVABLE				1,267,680
(2)OTHER ASSETS				416,690
(3)UPL RECEIVABLE				971,527
(4)ASSETS HELD FOR SALE				1,296,978
(5)RIGHT OF USE ASSETS - OPERATING LEASES				1,449,377
(6)MED STAFF ASSETS				689,808
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				6,092,060

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	2,357,162
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2021

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
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.

Schedule D (Form 990) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

ST VINCENT CHARITY MEDICAL CENTER

Employer identification number

34-0714756

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .		896	755,124	509,377	245,747	0.180 %
b	Medicaid (from Worksheet 3, column a) . . . . .		21,073	45,508,555	23,227,767	22,280,788	16.350 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .		21,969	46,263,679	23,737,144	22,526,535	16.530 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	10	7,366	390,754	161,875	228,879	0.170 %
f	Health professions education (from Worksheet 5) . . .	2	621	207,633		207,633	0.150 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	1	600	2,592		2,592	0 %
j	Total. Other Benefits . .	13	8,587	600,979	161,875	439,104	0.320 %
k	Total. Add lines 7d and 7j .	13	30,556	46,864,658	23,899,019	22,965,639	16.850 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members	1		17,590	17,590	0.010 %
6	Coalition building	2	61	7,604	7,604	0.010 %
7	Community health improvement advocacy	1	1,604	19,970	19,970	0.010 %
8	Workforce development
9	Other
10	Total	4	1,665	45,164	45,164	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,203,848

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

107,567

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

9,680,295

Enter Medicare allowable costs of care relating to payments on line 5.....

15,126,584

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-5,446,289

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ST VINCENT CHARITY MEDICAL CENTER 2351 EAST 22ND STREET CLEVELAND,OH44115	X	X	X	X

Schedule H (Form 990) 2022

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST VINCENT CHARITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTPS://WWW.STVINCENTCHARITY.COM/ABOUT/COMMUNITY-BENEFIT/

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 20

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTPS://WWW.STVINCENTCHARITY.COM/ABOUT-ST-VINCENT-CHARITY-MEDICAL-CENTER

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ST VINCENT CHARITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTPS://WWW.STVINCENTCHARITY.COM/POLICIES/FINANCIAL-ASSISTANCE/

The FAP application form was widely available on a website (list url):

HTTPS://WWW.STVINCENTCHARITY.COM/POLICIES/FINANCIAL-ASSISTANCE/

A plain language summary of the FAP was widely available on a website (list url):
HTTPS://WWW.STVINCENTCHARITY.COM/POLICIES/FINANCIAL-ASSISTANCE/

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	ST VINCENT CHARITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	ST VINCENT CHARITY MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
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/

Schedule H (Form 990) 2022

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?9
Name and address		Type of Facility (describe)
1	1 - ST VINCENT - ROCKSIDE OP SURGERY CENTER 6701 ROCKSIDE RD INDEPENDENCE,OH44131	OUTPATIENT SURGERY CENTER
2	2 - ST VINCENT - ROCKSIDE 4400 ROCKSIDE RD INDEPENDENCE,OH44131	IMAGING/RADIOLOGY
3	3 - ST VINCENT - MEDICAL OFFICE BUILDING 2475 EAST 22ND ST CLEVELAND,OH44115	OCCUPATIONAL MED THERAY, LAB, RADIOLOGY, URGENT CARE & MEDICAL OFFICE BLDG
4	4 - ST VINCENT - ROCKY RIVER 20220 CENTER RIDGE RD STE 120 ROCKY RIVER,OH44116	DIAGNOSTIC SERVICES
5	5 - ST VINCENT - ROCKSIDE 6701 ROCKSIDE RD INDEPENDENCE,OH44131	MEDICAL OFFICE BUILDING
6	6 - ST VINCENT SHAKER MEDICAL OFFICE BLG 11201 SHAKER BLVD CLEVELAND,OH44104	MEDICAL OFFICE BUILDING
7	7 - ST VINCENT - SOLON MEDICAL OFFICE BLDG 33001 SOLON RD SOLON,OH44139	LAB, RADIOLOGY, URGENT CARE & OCCUPATIONAL HEALTH SERVICES
8	8 - ST VINCENT - MEDICAL OFFICE BUILDING 2322 EAST 22ND ST CLEVELAND,OH44115	MEDICAL OFFICE BUILDING
9	9 - ST VINCENT - WARREN OFFICE 2614 EAST MARKET ST WARREN,OH44483	MEDICAL OFFICE BUILDING
10

Schedule H (Form 990) 2022

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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.

Schedule H (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

ST VINCENT CHARITY MEDICAL CENTER

Employer identification number

34-0714756

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2022

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1MURPHY JANICE DIRECTOR	(i) (ii)	0 ------------- 590,485	0 ------------- 0	0 ------------- 6,935	0 ------------- 51,210	0 ------------- 3,000	0 ------------- 651,630	0 ------------- 0
2FRIEDHOFF GEORGE PHYSICIAN	(i) (ii)	464,914 ------------- 0	20,316 ------------- 0	21,794 ------------- 0	32,989 ------------- 0	25,959 ------------- 0	565,972 ------------- 0	0 ------------- 0
3ROGERS MELISSA DIRECTOR	(i) (ii)	0 ------------- 455,930	0 ------------- 0	0 ------------- 4,520	0 ------------- 51,210	0 ------------- 26,700	0 ------------- 538,360	0 ------------- 0
4TAHIR MD ADNAN PRESIDENT/CEO, DIRECTOR	(i) (ii)	0 ------------- 445,885	0 ------------- 0	0 ------------- 3,520	0 ------------- 30,710	0 ------------- 10,000	0 ------------- 490,115	0 ------------- 0
5RUSNACZYK JOHN SR. V.P. & CHIEF FINANCIAL	(i) (ii)	0 ------------- 367,560	0 ------------- 0	0 ------------- 3,675	0 ------------- 30,710	0 ------------- 18,500	0 ------------- 420,445	0 ------------- 0
6COOPER MD KEVIN PHYSICIAN	(i) (ii)	362,745 ------------- 0	0 ------------- 0	2,484 ------------- 0	22,068 ------------- 0	20,577 ------------- 0	407,874 ------------- 0	0 ------------- 0
7MONCZEWSKI THEODORE V.P. OF HUMAN RESOURCES	(i) (ii)	187,102 ------------- 0	0 ------------- 0	3,944 ------------- 0	203,108 ------------- 0	9,440 ------------- 0	403,594 ------------- 0	0 ------------- 0
8BLESSING JODY CHIEF NURSING OFFICER	(i) (ii)	169,831 ------------- 0	0 ------------- 0	1,432 ------------- 0	185,474 ------------- 0	15,484 ------------- 0	372,221 ------------- 0	0 ------------- 0
9RAUH BRADLEY EXECUTIVE DIRECTOR STRATEGIC PROJECT	(i) (ii)	282,607 ------------- 0	0 ------------- 0	7,577 ------------- 0	14,646 ------------- 0	20,577 ------------- 0	325,407 ------------- 0	0 ------------- 0
10HENSLEY LESLIE DIRECTOR OF SUPPORT & PROFESSIONAL S	(i) (ii)	274,705 ------------- 0	0 ------------- 0	10,290 ------------- 0	18,940 ------------- 0	9,440 ------------- 0	313,375 ------------- 0	0 ------------- 0
11VOLENIK FIOVDALIZA NURSE PRACTITIONER	(i) (ii)	246,403 ------------- 0	389 ------------- 0	102 ------------- 0	13,941 ------------- 0	15,484 ------------- 0	276,319 ------------- 0	0 ------------- 0
12TUROSKY JODIE CLINICAL MANAGER PHARMACY	(i) (ii)	142,407 ------------- 0	3,000 ------------- 0	84,525 ------------- 0	11,279 ------------- 0	28,319 ------------- 0	269,530 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2022

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
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.

Schedule J (Form 990) 2022

Additional Data

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SCHEDULE N
(Form 990)

Department of the Treasury
Internal Revenue Service

Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet

Complete if the organization answered "Yes" on Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet

Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet

Attach to Form 990 or 990-EZ.
bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
ST VINCENT CHARITY MEDICAL CENTER

Employer identification number
34-0714756

Part I

Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 31, or Form 990-EZ, line 36. Part I can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? ...........................

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50087Z

Schedule N (Form 990) (2022)

Page 2

Part I

Liquidation, Termination, or Dissolution (continued)

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.

Yes

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III .............

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? ......

If "Yes," did the organization provide such notice? .....................

Did the organization discharge or pay all of its liabilities in accordance with state laws? .....................

Did the organization have any tax-exempt bonds outstanding during the year? .....................

If "Yes" on line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?

If "Yes" on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" on line 6b, explain in Part III.

Part II

Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity
MEDICAL EQUIPMENT	12-31-2022	6,707,048	TRANSACTION EXPENSE		MULTIPLE N/A NA,OH99999

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's significant disposition of assets? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50087Z

Schedule N (Form 990) (2022)

Page 3

Part III

Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.

Return Reference	Explanation

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.

Schedule N (Form 990) (2022)

Additional Data

Software ID:
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SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Open to Public
Inspection

Name of the organization

ST VINCENT CHARITY MEDICAL CENTER

Employer identification number

34-0714756

Return Reference	Explanation
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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2021

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

Name of the organization

ST VINCENT CHARITY MEDICAL CENTER

Employer identification number

34-0714756

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) SISTERS OF CHARITY HEALTH SYSTEM MSO LLC 2351 EAST 22ND ST CLEVELAND,OH44115 80-0626108	PHYSICIAN SERVICES	OH	-147,808	395,963	SVCMC

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)SISTERS OF CHARITY OF ST AUGUSTINE HEALTH SYSTEM INC 2475 EAST 22ND ST CLEVELAND,OH44115 34-1379356	CHARITABLE ORGANIZATION	OH	501 (C) (3)	12A	N/A		No
(2)SISTERS OF CHARITY OF ST AUGUSTINEROMAN CATHOLIC CHURCH 5232 BROADVIEW ROAD RICHFIELD,OH44286 34-0714763	RELIGIOUS ORDER OF WOMEN	OH	501 (C) (3)	1	N/A		No
(3)SCPH LEGACY CORORATION 2475 EAST 22ND ST CLEVELAND,OH44115 57-0314409	CHARITABLE ORGANIZATION	SC	501 (C) (3)	12A	SCHS		No
(4)REGINA HEALTH CENTER 5232 BROADVIEW ROAD RICHFIELD,OH44286 34-1722394	RETIREMENT COMMUNITY	OH	501 (C) (3)	10	SCHS		No
(5)ST VINCENT CHARITY DEVELOPMENT FOUNDATION 2351 EAST 22ND STREET CLEVELAND,OH44115 27-1602445	CHARITABLE ORGANIZATION	OH	501 (C) (3)	12A	ST VINCENT CHARITY MEDICAL CENTER	Yes
(6)ST JOHN HOSPITAL 2475 EAST 22ND ST CLEVELAND,OH44115 34-0714504	CHARITABLE ORGANIZATION	OH	501 (C) (3)	12A	SCHS		No
(7)HEALTHY LEARNERS 2749 LAUREL STREET COLUMBIA,SC29204 57-1127197	CHARITABLE ORGANIZATION	SC	501 (C) (3)	10	SCHS		No
(8)JOSEPH'S HOME 2412 COMMUNITY COLLEGE AVENUE CLEVELAND,OH44115 34-0901676	TRANSITIONAL HOME	OH	501 (C) (3)	10	SCHS		No
(9)SISTERS OF CHARITY FOUNDATION OF CLEVELAND 2475 EAST 22ND ST 4TH FLOOR CLEVELAND,OH44115 34-1832698	CHARITABLE FOUNDATION	OH	501 (C) (3)	12A	SCHS		No
(10)SISTERS OF CHARITY FOUNDATION OF CANTON 400 MARKET AVE N STE 300 CANTON,OH44702 34-1832697	CHARITABLE FOUNDATION	OH	501 (C) (3)	12A	SCHS		No
(11)EARLY CHILDHOOD RESOURCE CENTER 1718 CLEVELAND AVENUE NW CANTON,OH44703 34-0714462	CHARITABLE ORGANIZATION	OH	501 (C) (3)	7	SRS OF CHARITY FOUNDATIN OF CANTON		No
(12)SISTERS OF CHARITY FOUNDATION OF SC 2711 MIDDLEBURG DRIVE SUITE 115 COLUMBIA,SC29204 57-0708391	CHARITABLE FOUNDATION	SC	501 (C) (3)	12A	SCHS		No
(13)SOUTH CAROLINA CENTER FOR FATHERS & FAMILIES 2711 MIDDLEBURG DRIVE COLUMBIA,SC29204 36-4506347	OUTREACH MINISTRY	SC	501 (C) (3)	7	SRS OF CHARITY FOUNDATION OF SOUTH CAROLINA		No
(14)LIGHT OF HEARTS VILLA 283 UNION ST BEDFORD,OH44146 34-1619270	ASSISTED LIVING FACILITY	OH	501 (C) (3)	10	SCHS		No
(15)ST VINCENT CHARITY HEALTH CAMPUS 2475 E 22ND STREET CLEVELAND,OH44115 88-1728967	MEDICAL SERVICES	OH	501 (C) (3)	12A	SCHS	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2021

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) BRAINARD OPERATING LLC 201 SEABOARD LANE SUITE 125 FRANKLIN,OH37067 83-1687255	MEDICAL SERVICES	TN	ST VINCENT CHARITY MEDICAL CENTER	RELATED	-121,109			No		Yes		70.000 %
(2) BRAINARD SURGERY CENTER LLC 29017 CEDAR RD LYNDHURST,OH44124 82-3600153	MEDICAL SERVICES	OH	BRAINARD OPERATING LLC	RELATED	-121,109			No		Yes		36.400 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) ST VINCENT MEDICAL GROUP 2351 EAST 22ND STREET CLEVELAND,OH44115 34-1634990	MEDICAL SERVICES	OH	ST VINCENT CHARITY MEDICAL CENTER	C	-11,497,016	1,176,742	100.000 %	Yes
(2) SCHS INSURANCE COMPANY LTD 62 FORUM LANE 3RD FLOOR GRAND CAYMAN KY1-1203 CJ 98-0679825	INSURANCE	CJ	N/A	C					No

Schedule R (Form 990) 2021

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ST VINCENT MEDICAL GROUP	R	11,451,079	BOOK
(2) ST VINCENT CHARITY DEVELOPMENT FOUNDATION	S	393,967	BOOK
(3) ST VINCENT MEDICAL GROUP	A	647,005	BOOK
(4) ST VINCENT MEDICAL GROUP	O	1,433,428	BOOK
(5) ST VINCENT MEDICAL GROUP	M	763,719	BOOK
(6) ST VINCENT MEDICAL GROUP	Q	2,772,861	BOOK
(7) ST VINCENT MEDICAL GROUP	P	396,058	BOOK

Schedule R (Form 990) 2021

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2021

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2021

Additional Data

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