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Nonprofiteer
← ST VINCENT RANDOLPH HOSPITAL INC

Form 990 for tax year 2023

Filed by ST VINCENT RANDOLPH HOSPITAL INC.

Totals

Total revenue
$32,845,227
Total expenses
$24,539,554
Contributions and grants received
$140,424
Grants paid
$12,000
Program service revenue
$32,440,904
Investment income
$6,167
Other revenue
$257,732
Total assets, end of year
$16,659,529
Total liabilities, end of year
$17,685,481
Net assets or fund balances, end of year
-$1,025,952
Program services expenses (Part IX)
$18,486,707
Management and general expenses
$6,052,847
Fundraising expenses
$0
Program service expenses (Part III)
$18,486,707

Program services were 75.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

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

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $44,814

  • 1e · Government grants (contributions)

    $90,610

  • 1f · All other contributions, gifts and grants

    $5,000

  • 2a · Program service revenue: Net Patient Service Revenue

    total $32,179,162 · related or exempt $32,179,162

  • 2b · Program service revenue: Rental Income from Affiliates

    total $259,952 · related or exempt $259,952

  • 2c · Program service revenue: Lab Services

    total $911 · related or exempt $911

  • 2d · Program service revenue: Interest Income from Patient Accounts

    total $879 · related or exempt $879

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $347 · excluded $347

  • 6a · Gross rents

    real property $129,728

  • 6c · Rental income or loss

    real property $129,728 · personal property $0

  • 6d · Net rental income or loss

    total $129,728 · excluded $129,728

  • 7a · Gross sales of assets other than inventory

    other assets $5,820

  • 7c · Gain or loss

    securities $0 · other assets $5,820

  • 7d · Net gain or loss

    total $5,820 · excluded $5,820

  • 11a · Other revenue: Cafeteria/Vending Revenue

    total $49,726 · excluded $49,726

  • 11b · Other revenue: Medical Staff Dues

    total $17,346 · excluded $17,346

  • 11c · Other revenue: Escheatment Revenue

    total $1,081 · related or exempt $1,081

  • 11d · All other revenue

    total $59,851 · related or exempt $20 · unrelated business $0 · excluded $59,831

  • 11e · Other revenue, total

    $128,004

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $12,000 · program services $12,000

  • 5 · Compensation of officers, directors and key employees

    total $205,227 · program services $0 · management and general $205,227 · fundraising $0

  • 7 · Other salaries and wages

    total $5,918,155 · program services $5,516,121 · management and general $402,034

  • 8 · Pension plan contributions

    total $235,666 · program services $219,657 · management and general $16,009

  • 9 · Other employee benefits

    total $638,294 · program services $594,933 · management and general $43,361

  • 10 · Payroll taxes

    total $435,722 · program services $393,804 · management and general $41,918

  • 11g · Fees: other

    total $1,120,674 · program services $1,072,132 · management and general $48,542 · fundraising $0

  • 12 · Advertising and promotion

    total $8,818 · management and general $8,818

  • 13 · Office expenses

    total $22,770 · program services $14,134 · management and general $8,636

  • 14 · Information technology

    total $9,552 · management and general $9,552

  • 16 · Occupancy

    total $478,819 · program services $432,755 · management and general $46,064

  • 17 · Travel

    total $14,051 · program services $8,260 · management and general $5,791

  • 19 · Conferences, conventions and meetings

    total $1,626 · program services $1,626

  • 20 · Interest

    total $479,743 · management and general $479,743

  • 22 · Depreciation, depletion and amortization

    total $1,224,600 · program services $1,106,790 · management and general $117,810

  • 24a · Other expenses: Purchased Services

    total $5,586,569 · program services $3,929,050 · management and general $1,657,519

  • 24b · Other expenses: Management Fee to Affiliate

    total $2,908,054 · management and general $2,908,054

  • 24c · Other expenses: Medical Supplies

    total $2,287,536 · program services $2,272,982 · management and general $14,554

  • 24d · Other expenses: Provider Tax

    total $1,454,574 · program services $1,454,574

  • 24e · All other expenses

    total $1,497,104 · program services $1,457,889 · management and general $39,215 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $475 · end of year $475

  • 4 · Accounts receivable

    beginning of year $2,239,497 · end of year $7,862,239

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $311,671 · end of year $318,912

  • 10a · Land, buildings and equipment: cost or other basis

    $30,555,628

  • 10b · Land, buildings and equipment: accumulated depreciation

    $22,390,534

  • 10c · Land, buildings and equipment, net

    beginning of year $9,236,997 · end of year $8,165,094

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $1,419,985 · end of year $312,809

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,559,441 · end of year $1,672,565

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $16,123,386 · end of year $16,012,916

  • 27 · Net assets without donor restrictions

    beginning of year -$4,474,202 · end of year -$1,039,223

  • 28 · Net assets with donor restrictions

    end of year $13,271

Mission and programs · 2023

Mission

ROOTED IN THE LOVING MINISTRY OF JESUS AS HEALER, WE COMMIT OURSELVES TO SERVING ALL PERSONS WITH SPECIAL ATTENTION TO THOSE WHO ARE POOR AND VULNERABLE. OUR CATHOLIC HEALTH MINISTRY IS DEDICATED TO SPIRITUALLY-CENTERED, HOLISTIC CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. WE ARE ADVOCATES FOR A COMPASSIONATE AND JUST SOCIETY THROUGH OUR ACTIONS AND OUR WORDS.

Activities or mission (Part I)

To improve the health and well-being of all people in the communities we serve.

  • THE FILING ORGANIZATION IS A PART OF THE ASCENSION CATHOLIC HEALTH MINISTRY. ASCENSION IS A FAITH-BASED HEALTHCARE ORGANIZATION THAT DELIVERS PERSONALIZED, COMPASSIONATE CARE TO ALL, ESPECIALLY TO THOSE WHO NEED IT THE MOST. St. Vincent Randolph Hospital is a 19-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2024, St. Vincent Randolph Hospital treated 544 adults and children for a total of 1,551 patient days of service. The hospital also provided services for 44,255 outpatient visits, which included 510 outpatient surgeries and 8,876 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.

    Expenses $18,486,707 · Grants $12,000 · Revenue $32,442,005

As filed on the 2023 return.

Listed in Part VII

  • DALE GRUBB

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • DANA M MUNTZ

    INTERIM ADMINISTRATOR (START 10/2023-END 1/2024)

    Total calculated
    $332,237
    From this org
    $0
    From related orgs
    $285,502
    Other
    $46,735
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $235,203 related
    Bonus
    $0 + $49,498 related
    Other
    $0 + $801 related
    Deferred
    $0 + $16,336 related
    Nontaxable benefits
    $0 + $30,399 related
    Filer's total
    $0 + $332,237 related

  • RYAN PENROD

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • ANN VARNER

    DIRECTOR (END 9/2023)

    Total calculated
    $662,925
    From this org
    $0
    From related orgs
    $622,139
    Other
    $40,786
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $320,989 related
    Bonus
    $0 + $239,349 related
    Other
    $0 + $61,801 related
    Deferred
    $0 + $18,150 related
    Nontaxable benefits
    $0 + $22,636 related
    Filer's total
    $0 + $662,925 related

  • BRIAN A EDWARDS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • CARLYLE FLOYD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 related

  • CYNTHIA D ADAMS RN

    DIRECTOR

    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

  • GEORGIANA CUNNINGHAM REYNAL

    DIRECTOR (END 9/2023)

    Total calculated
    $288,937
    From this org
    $0
    From related orgs
    $254,053
    Other
    $34,884
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $163,691 related
    Bonus
    $0 + $58,974 related
    Other
    $0 + $31,388 related
    Deferred
    $0 + $7,009 related
    Nontaxable benefits
    $0 + $27,875 related
    Filer's total
    $0 + $288,937 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

  • 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

  • STEVE BAKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 4 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

  • RODNEY STEVENS

    ADMINISTRATOR (END 10/2023)

    Total calculated
    $223,941
    From this org
    $185,119
    From related orgs
    $15,968
    Other
    $22,854
    Hours/week
    50 + 50 related

    Schedule J breakdown matched by us

    Base
    $144,338 + $15,894 related
    Bonus
    $37,000
    Other
    $3,781 + $74 related
    Deferred
    $8,824 + $341 related
    Nontaxable benefits
    $11,284 + $2,405 related
    Filer's total
    $205,227 + $18,714 related

  • SHELLEY L MILLER

    ADMINISTRATOR (START 1/2024)

    Total calculated
    $0
    Hours/week
    50

  • CARRIE ANN SPENCE RN

    REGISTERED NURSE

    Total calculated
    $160,455
    From this org
    $125,672
    From related orgs
    $0
    Other
    $34,783
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $115,701
    Bonus
    $5,409
    Other
    $4,562
    Deferred
    $5,863
    Nontaxable benefits
    $28,920
    Filer's total
    $160,455

  • CORTNEY RENEE JAMES

    SUPERVISOR, RESPIRATORY THERAPY

    Total calculated
    $162,577
    From this org
    $153,075
    From related orgs
    $0
    Other
    $9,502
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $147,896
    Bonus
    $500
    Other
    $4,679
    Deferred
    $8,622
    Nontaxable benefits
    $880
    Filer's total
    $162,577

  • KAREN K WARD RN

    REGISTERED NURSE

    Total calculated
    $155,198
    From this org
    $133,926
    From related orgs
    $0
    Other
    $21,272
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $128,926
    Bonus
    $5,000
    Other
    $0
    Deferred
    $9,063
    Nontaxable benefits
    $12,209
    Filer's total
    $155,198

  • KIMBERLY A SIBERY

    NURSING MANAGER

    Total calculated
    $160,426
    From this org
    $123,249
    From related orgs
    $0
    Other
    $37,177
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $117,680
    Bonus
    $5,000
    Other
    $569
    Deferred
    $8,635
    Nontaxable benefits
    $28,542
    Filer's total
    $160,426

  • MICHELLE STARR LIGHTLE RN

    REGISTERED NURSE

    Total calculated
    $172,088
    From this org
    $163,355
    From related orgs
    $0
    Other
    $8,733
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $158,687
    Bonus
    $4,500
    Other
    $168
    Deferred
    $7,959
    Nontaxable benefits
    $774
    Filer's total
    $172,088

  • BECKY L JACOBSON

    FORMER OFFICER (END 9/2021)

    Total calculated
    $399,163
    From this org
    $0
    From related orgs
    $358,121
    Other
    $41,042
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $271,633 related
    Bonus
    $0 + $82,735 related
    Other
    $0 + $3,753 related
    Deferred
    $0 + $20,171 related
    Nontaxable benefits
    $0 + $20,871 related
    Filer's total
    $0 + $399,163 related

  • BETHANY LYNN MORROW

    FORMER OFFICER (END 1/2019)

    Total calculated
    $431,210
    From this org
    $0
    From related orgs
    $393,814
    Other
    $37,396
    Hours/week
    0 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $300,038 related
    Bonus
    $0 + $91,008 related
    Other
    $0 + $2,768 related
    Deferred
    $0 + $19,800 related
    Nontaxable benefits
    $0 + $17,596 related
    Filer's total
    $0 + $431,210 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

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 4a Severance or change-of-control payment
THE FOLLOWING INDIVIDUAL(S) RECEIVED SEVERANCE PAYMENTS FROM THE ORGANIZATION OR A RELATED ORGANIZATION DURING THE CALENDAR YEAR 2023: Georgiana Cunningham Reynal - $25,404
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

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
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202531359349305528

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