St Vincent Charity Medical Center

“The organization has one corporate member: sister of charity of st. Augustine health system, inc.”

“The organization's member may elect members of the governing body.”

“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.”

“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.”

“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.”

“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.”

“Forms 990, 990-t, and 1023 are available to public upon request at the medical center.”

“Governing documents, the financial statements, and the conflict of interest policy are available to public upon request at the medical center.”

“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.”

“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.”

“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.”

“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”

“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.”

“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.”

“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.”

“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.”