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Nonprofiteer
← ST VINCENT SALEM HOSPITAL INC

Form 990 for tax year 2022

Filed by ST VINCENT SALEM HOSPITAL INC.

Totals

Total revenue
$19,035,684
Total expenses
$17,874,169
Contributions and grants received
$225,901
Grants paid
$0
Program service revenue
$18,555,158
Investment income
$1,460
Other revenue
$253,165
Total assets, end of year
$6,737,034
Total liabilities, end of year
$4,331,342
Net assets or fund balances, end of year
$2,405,692
Program services expenses (Part IX)
$13,061,826
Management and general expenses
$4,812,343
Fundraising expenses
$0
Program service expenses (Part III)
$13,061,826

Program services were 73.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • TERRENCE G METZGER

    CHAIR (END 4/2023)

    Total calculated
    $1,146,301
    From this org
    $0
    From related orgs
    $1,096,953
    Other
    $49,348
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $528,354 related
    Bonus
    $0 + $481,500 related
    Other
    $0 + $87,099 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $32,573 related
    Filer's total
    $0 + $1,146,301 related

  • CYNTHIA D ADAMS RN

    DIRECTOR

    Total calculated
    $778,305
    From this org
    $0
    From related orgs
    $735,767
    Other
    $42,538
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $494,231 related
    Bonus
    $0 + $151,088 related
    Other
    $0 + $90,448 related
    Deferred
    $0 + $16,775 related
    Nontaxable benefits
    $0 + $25,763 related
    Filer's total
    $0 + $778,305 related

  • MICHAEL T EMMONS DO

    DIRECTOR

    Total calculated
    $650,651
    From this org
    $0
    From related orgs
    $612,238
    Other
    $38,413
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $441,112 related
    Bonus
    $0 + $127,500 related
    Other
    $0 + $43,626 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $20,113 related
    Filer's total
    $0 + $650,651 related

  • ROBIN E LUDLOW

    DIRECTOR

    Total calculated
    $312,983
    From this org
    $0
    From related orgs
    $270,420
    Other
    $42,563
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $205,515 related
    Bonus
    $0 + $64,260 related
    Other
    $0 + $645 related
    Deferred
    $0 + $16,377 related
    Nontaxable benefits
    $0 + $26,186 related
    Filer's total
    $0 + $312,983 related

  • SHALIN SHAH

    DIRECTOR

    Total calculated
    $702,877
    From this org
    $0
    From related orgs
    $679,347
    Other
    $23,530
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $441,159 related
    Bonus
    $0 + $180,965 related
    Other
    $0 + $57,223 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $8,280 related
    Filer's total
    $0 + $702,877 related

  • STEPHAN C MASONCUP

    DIRECTOR

    Total calculated
    $835,663
    From this org
    $0
    From related orgs
    $784,209
    Other
    $51,454
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $421,790 related
    Bonus
    $0 + $304,500 related
    Other
    $0 + $57,919 related
    Deferred
    $0 + $19,825 related
    Nontaxable benefits
    $0 + $31,629 related
    Filer's total
    $0 + $835,663 related

  • CHRISTOPHER FORREST HONS

    VP, FINANCE

    Total calculated
    $323,303
    From this org
    $0
    From related orgs
    $290,933
    Other
    $32,370
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $226,390 related
    Bonus
    $0 + $63,838 related
    Other
    $0 + $705 related
    Deferred
    $0 + $11,920 related
    Nontaxable benefits
    $0 + $20,450 related
    Filer's total
    $0 + $323,303 related

  • DONNA K CASSIDY

    ADMINISTRATOR

    Total calculated
    $235,711
    From this org
    $211,429
    From related orgs
    $0
    Other
    $24,282
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $174,573
    Bonus
    $36,000
    Other
    $856
    Deferred
    $11,880
    Nontaxable benefits
    $12,402
    Filer's total
    $235,711

  • ALISA J BRINSON MD

    DIRECTOR, RADIOLOGY

    Total calculated
    $145,488
    From this org
    $117,805
    From related orgs
    $0
    Other
    $27,683
    Hours/week
    50

  • JADA N SMITH

    DIRECTOR, QUALITY & PATIENT SAFETY

    Total calculated
    $135,587
    From this org
    $110,837
    From related orgs
    $0
    Other
    $24,750
    Hours/week
    50

  • JAMES D PASSERENI JR

    PHARMACY MANAGER

    Total calculated
    $185,815
    From this org
    $164,678
    From related orgs
    $0
    Other
    $21,137
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $158,243
    Bonus
    $5,000
    Other
    $1,435
    Deferred
    $10,119
    Nontaxable benefits
    $11,018
    Filer's total
    $185,815

  • KRYSTAL TERREL RN

    REGISTERED NURSE

    Total calculated
    $122,906
    From this org
    $109,888
    From related orgs
    $0
    Other
    $13,018
    Hours/week
    50

  • TONYA BROWN RN

    REGISTERED NURSE

    Total calculated
    $141,509
    From this org
    $126,377
    From related orgs
    $0
    Other
    $15,132
    Hours/week
    50

  • CHRISTINA CRANK RN

    FORMER KEY EMPLOYEE (END 12/2021)

    Total calculated
    $237,918
    From this org
    $0
    From related orgs
    $203,697
    Other
    $34,221
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $167,139 related
    Bonus
    $0 + $36,000 related
    Other
    $0 + $558 related
    Deferred
    $0 + $7,696 related
    Nontaxable benefits
    $0 + $26,525 related
    Filer's total
    $0 + $237,918 related

  • JENNIFER L STANLEY MD

    FORMER KEY EMPLOYEE (END 12/2017)

    Total calculated
    $379,108
    From this org
    $0
    From related orgs
    $336,170
    Other
    $42,938
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $299,596 related
    Bonus
    $0 + $35,001 related
    Other
    $0 + $1,573 related
    Deferred
    $0 + $15,875 related
    Nontaxable benefits
    $0 + $27,063 related
    Filer's total
    $0 + $379,108 related

  • ZACH ZIRKELBACH

    FORMER OFFICER (END 9/2021)

    Total calculated
    $337,652
    From this org
    $0
    From related orgs
    $289,442
    Other
    $48,210
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $218,969 related
    Bonus
    $0 + $69,768 related
    Other
    $0 + $705 related
    Deferred
    $0 + $16,672 related
    Nontaxable benefits
    $0 + $31,538 related
    Filer's total
    $0 + $337,652 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, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

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.

Taxable family on this return

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

Related partnerships

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

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
10 May 2024
IRS schema version
2022v5.0
Source object
202441319349301744

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