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Nonprofiteer
← ST VINCENT SALEM HOSPITAL INC

Form 990 for tax year 2023

Filed by ST VINCENT SALEM HOSPITAL INC.

Totals

Total revenue
$20,082,100
Total expenses
$19,409,301
Contributions and grants received
$138,352
Grants paid
$0
Program services expenses (Part IX)
$14,932,972
Management and general expenses
$4,476,329
Fundraising expenses
$0
Program service expenses (Part III)
$14,932,972

Program services were 76.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • CYNTHIA D ADAMS RN

    CHAIR

    Total calculated
    $783,581
    From this org
    $0
    From related orgs
    $735,243
    Other
    $48,338
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $490,130 related
    Bonus
    $0 + $151,088 related
    Other
    $0 + $94,025 related
    Deferred
    $0 + $18,150 related
    Nontaxable benefits
    $0 + $30,188 related
    Filer's total
    $0 + $783,581 related

  • MICHAEL T EMMONS DO

    DIRECTOR

    Total calculated
    $730,524
    From this org
    $0
    From related orgs
    $686,164
    Other
    $44,360
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $482,318 related
    Bonus
    $0 + $149,490 related
    Other
    $0 + $54,356 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $24,560 related
    Filer's total
    $0 + $730,524 related

  • ROBIN E LUDLOW

    DIRECTOR

    Total calculated
    $337,145
    From this org
    $0
    From related orgs
    $286,955
    Other
    $50,190
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $218,602 related
    Bonus
    $0 + $66,188 related
    Other
    $0 + $2,165 related
    Deferred
    $0 + $17,574 related
    Nontaxable benefits
    $0 + $32,616 related
    Filer's total
    $0 + $337,145 related

  • SHALIN SHAH

    DIRECTOR (END 9/2023)

    Total calculated
    $885,362
    From this org
    $0
    From related orgs
    $858,951
    Other
    $26,411
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $499,000 related
    Bonus
    $0 + $287,055 related
    Other
    $0 + $72,896 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $9,911 related
    Filer's total
    $0 + $885,362 related

  • STEPHAN C MASONCUP

    DIRECTOR

    Total calculated
    $974,272
    From this org
    $0
    From related orgs
    $915,310
    Other
    $58,962
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $431,506 related
    Bonus
    $0 + $420,645 related
    Other
    $0 + $63,159 related
    Deferred
    $0 + $21,450 related
    Nontaxable benefits
    $0 + $37,512 related
    Filer's total
    $0 + $974,272 related

  • CHRISTOPHER FORREST HONS

    VP, FINANCE

    Total calculated
    $374,837
    From this org
    $0
    From related orgs
    $341,398
    Other
    $33,439
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $258,079 related
    Bonus
    $0 + $81,000 related
    Other
    $0 + $2,319 related
    Deferred
    $0 + $13,466 related
    Nontaxable benefits
    $0 + $19,973 related
    Filer's total
    $0 + $374,837 related

  • DONNA K CASSIDY

    ADMINISTRATOR

    Total calculated
    $236,007
    From this org
    $211,435
    From related orgs
    $0
    Other
    $24,572
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $174,579
    Bonus
    $36,000
    Other
    $856
    Deferred
    $11,880
    Nontaxable benefits
    $12,692
    Filer's total
    $236,007

  • ALISA J BRINSON MD

    DIRECTOR, RADIOLOGY

    Total calculated
    $151,618
    From this org
    $123,327
    From related orgs
    $0
    Other
    $28,291
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $110,326
    Bonus
    $12,026
    Other
    $975
    Deferred
    $7,860
    Nontaxable benefits
    $20,431
    Filer's total
    $151,618

  • JADA N SMITH

    DIRECTOR, QUALITY & PATIENT SAFETY

    Total calculated
    $142,157
    From this org
    $116,165
    From related orgs
    $0
    Other
    $25,992
    Hours/week
    50

  • JAMES D PASSERENI JR

    PHARAMCY SUPERVISOR

    Total calculated
    $191,312
    From this org
    $163,637
    From related orgs
    $0
    Other
    $27,675
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $158,993
    Bonus
    $3,401
    Other
    $1,243
    Deferred
    $10,274
    Nontaxable benefits
    $17,401
    Filer's total
    $191,312

  • LIA ANN BROWN

    TECHNOLOGIST, MULTIMODALITY

    Total calculated
    $115,703
    From this org
    $107,657
    From related orgs
    $0
    Other
    $8,046
    Hours/week
    50

  • RN BRITTNEY N GARLOCH

    RN, MANAGER

    Total calculated
    $122,377
    From this org
    $107,400
    From related orgs
    $0
    Other
    $14,977
    Hours/week
    50

  • CHRISTINA CRANK RN

    FORMER KEY EMPLOYEE (END 12/2021)

    Total calculated
    $245,457
    From this org
    $0
    From related orgs
    $203,085
    Other
    $42,372
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $166,527 related
    Bonus
    $0 + $36,000 related
    Other
    $0 + $558 related
    Deferred
    $0 + $10,281 related
    Nontaxable benefits
    $0 + $32,091 related
    Filer's total
    $0 + $245,457 related

  • TERRENCE G METZGER

    FORMER BOARD OFFICER (END 4/2023)

    Total calculated
    $249,455
    From this org
    $0
    From related orgs
    $224,054
    Other
    $25,401
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $188,835 related
    Bonus
    $0
    Other
    $0 + $35,219 related
    Deferred
    $0 + $10,389 related
    Nontaxable benefits
    $0 + $15,012 related
    Filer's total
    $0 + $249,455 related

  • ZACH ZIRKELBACH

    FORMER OFFICER (END 9/2021)

    Total calculated
    $348,619
    From this org
    $0
    From related orgs
    $323,587
    Other
    $25,032
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $245,952 related
    Bonus
    $0 + $75,454 related
    Other
    $0 + $2,181 related
    Deferred
    $0 + $15,868 related
    Nontaxable benefits
    $0 + $9,164 related
    Filer's total
    $0 + $348,619 related

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

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

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

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A RELATED ORGANIZATION OF THE FILING ORGANIZATION, USES ONE OR MORE OF THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY, AND - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE PLEASE REFER TO THE FORM 990, PART VI, LINE 15A DISCLOSURE IN SCHEDULE O FOR ADDITIONAL DETAILS ON HOW COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS ESTABLISHED.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
ELIGIBLE EXECUTIVES PARTICIPATE IN A PROGRAM THAT PROVIDES FOR SUPPLEMENTAL RETIREMENT BENEFITS. THE PAYMENT OF BENEFITS UNDER THE PROGRAM, IF ANY, IS ENTIRELY DEPENDENT UPON THE FACTS AND CIRCUMSTANCES UNDER WHICH THE EXECUTIVE TERMINATES EMPLOYMENT WITH THE ORGANIZATION. BENEFITS UNDER THE PROGRAM ARE UNFUNDED AND NON-VESTED. DUE TO THE SUBSTANTIAL RISK OF FORFEITURE PROVISION, THERE IS NO GUARANTEE THAT THESE EXECUTIVES WILL EVER RECEIVE ANY BENEFIT UNDER THE PROGRAM. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. NO INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS.

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

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

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

Provenance

Return type
form_990
Tax year
2023
Filed
13 May 2025
IRS schema version
2023v6.0
Source object
202501339349304625

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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