Civic Intelligence

St Vincent Madison County Health System Inc

EIN 35-0876389 • 501(c)3 • St Louis, MO

Profile

St.Vincent Madison County Health System, Inc. is dedicated to providing spiritually-centered, holistic healthcare that sustains and improves the health of those served, with special attention to the poor and vulnerable. Both inpatient and outpatient health services are provided without regard to patient race, creed, national origin, economic status, insurance status or ability to pay. This mission extends well beyond the provision of core medical services to encompass medical and scientific research programs, the training and educating of health care professionals and active support of community-based partnerships and programs to improve health and quality of life.

C/O Tax Department PO Box 45998St Louis, MO 63145-5998

www.stvincent.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

89th percentile

0.87x

Higher debt load relative to assets than 89% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

69th percentile

0.59x

Higher debt load relative to revenue than 69% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

41st percentile

1.5%

Higher net margin than 41% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

92nd percentile

$885,362

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 3.4% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

77th percentile

15%

Faster asset growth than 77% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

30th percentile

-0.9%

Faster revenue growth than 30% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$17,569,093

Up $2,290,850 (+15%) from 2023

Liabilities

Up

$15,214,856

Up $325,093 (+2.2%) from 2023

Net Assets

Up

$2,354,237

Up $1,965,757 (+506%) from 2023

Revenue

Down

$25,785,175

Down $242,784 (-0.9%) from 2023

Expenses

Up

$25,407,427

Up $1,368,398 (+5.7%) from 2023

Net Income

Down

$377,748

Down $1,611,182 (-81%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200M$150M$100M$50M$0-$50MAssets 2010: $152,273,680Liabilities 2010: $64,809,911Net Assets 2010: $87,463,7692010Assets 2011: $152,384,035Liabilities 2011: $52,880,326Net Assets 2011: $99,503,7092011Assets 2012: $164,401,059Liabilities 2012: $54,206,049Net Assets 2012: $110,195,0102012Assets 2013: $31,936,968Liabilities 2013: $18,145,347Net Assets 2013: $13,791,6212013Assets 2014: $33,114,554Liabilities 2014: $16,765,154Net Assets 2014: $16,349,4002014Assets 2015: $30,703,522Liabilities 2015: $14,517,236Net Assets 2015: $16,186,2862015Assets 2016: $29,996,019Liabilities 2016: $14,465,015Net Assets 2016: $15,531,0042016Assets 2017: $15,604,901Liabilities 2017: $17,331,514Net Assets 2017: -$1,726,6132017Assets 2018: $15,918,188Liabilities 2018: $17,440,822Net Assets 2018: -$1,522,6342018Assets 2019: $18,336,085Liabilities 2019: $17,425,559Net Assets 2019: $910,5262019Assets 2020: $17,247,089Liabilities 2020: $17,262,501Net Assets 2020: -$15,4122020Assets 2021: $16,859,229Liabilities 2021: $16,782,133Net Assets 2021: $77,0962021Assets 2022: $16,665,130Liabilities 2022: $14,911,577Net Assets 2022: $1,753,5532022Assets 2023: $15,278,243Liabilities 2023: $14,889,763Net Assets 2023: $388,4802023Assets 2024: $17,569,093Liabilities 2024: $15,214,856Net Assets 2024: $2,354,2372024

Highlighted filing

2024

Assets$17,569,093
Liabilities$15,214,856
Net Assets$2,354,237

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300M$200M$100M$0Expenses 2010: $219,608,8432010Expenses 2011: $238,471,1112011Expenses 2012: $237,527,5662012Expenses 2013: $133,970,3872013Revenue 2014: $28,332,932Expenses 2014: $26,985,319Net Income 2014: $1,347,6132014Revenue 2015: $25,097,179Expenses 2015: $21,853,778Net Income 2015: $3,243,4012015Revenue 2016: $24,825,304Expenses 2016: $22,281,104Net Income 2016: $2,544,2002016Revenue 2017: $26,540,637Expenses 2017: $23,386,566Net Income 2017: $3,154,0712017Revenue 2018: $24,792,610Expenses 2018: $22,958,251Net Income 2018: $1,834,3592018Revenue 2019: $25,222,287Expenses 2019: $22,857,290Net Income 2019: $2,364,9972019Revenue 2020: $24,431,674Expenses 2020: $22,322,328Net Income 2020: $2,109,3462020Revenue 2021: $26,013,161Expenses 2021: $21,865,078Net Income 2021: $4,148,0832021Revenue 2022: $26,384,895Expenses 2022: $24,626,998Net Income 2022: $1,757,8972022Revenue 2023: $26,027,959Expenses 2023: $24,039,029Net Income 2023: $1,988,9302023Revenue 2024: $25,785,175Expenses 2024: $25,407,427Net Income 2024: $377,7482024

Highlighted filing

2024

Revenue$25,785,175
Expenses$25,407,427
Net Income$377,748

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$17.6$15.2$2.35$25.8$25.4$0.38
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.3$14.9$0.39$26.0$24.0$1.99
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.7$14.9$1.75$26.4$24.6$1.76
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$16.9$16.8$0.08$26.0$21.9$4.15
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.2$17.3$0.02$24.4$22.3$2.11
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$18.3$17.4$0.91$25.2$22.9$2.36
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$15.9$17.4$1.52$24.8$23.0$1.83
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$15.6$17.3$1.73$26.5$23.4$3.15
2016Detailed filing. Detailed filing data is available for this year.$30.0$14.5$15.5$24.8$22.3$2.54
2015Detailed filing. Detailed filing data is available for this year.$30.7$14.5$16.2$25.1$21.9$3.24
2014Detailed filing. Detailed filing data is available for this year.$33.1$16.8$16.3$28.3$27.0$1.35
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$31.9$18.1$13.8$134
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$164$54.2$110$238
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$152$52.9$99.5$238
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$152$64.8$87.5$220
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 13, 2025
Return Version
2023v6.0
Gross Receipts
$25,785,175
Mission and Program Overview

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.

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$11,879,756$10,707,310▼ $1,172,446
Accounts Receivable$2,411,174$6,027,287▲ $3,616,113
Inventories for Sale or Use$489,650$495,551▲ $5,901
Savings and Temporary Cash Investments$57,942--
Cash and Non-Interest-Bearing Accounts$450$450→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Loans From Officers Directors$0$0→ $0
Total Assets$15,278,243$17,569,093▲ $2,290,850
Other Assets Total$439,271$338,495▼ $100,776
Liabilities
Other Liabilities$13,559,745$13,697,788▲ $138,043
Accounts Payable and Accrued Expenses$1,330,018$1,489,568▲ $159,550
Deferred Revenue-$27,500-
Total Liabilities$14,889,763$15,214,856▲ $325,093
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$330,538$2,299,161▲ $1,968,623
Net Assets With Donor Restrictions$57,942$55,076▼ $2,866
Total Net Assets Fund Balance$388,480$2,354,237▲ $1,965,757
Total Liabilities and Net Assets / Fund Balance$15,278,243$17,569,093▲ $2,290,850

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$8,657,916$19,072,142$27,730,058
Equipment$1,312,468$6,075,714$7,388,182
Other Land Buildings$263,476$547,554$811,030
Land$465,381-$465,381
Leasehold Improvements$8,069$2,232$10,301
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Ann C Yates RnAdministratorFT$173,338$69,031$242,369
George SinningPharamcy SupervisorFT$155,660$37,806$193,466
Tamala S Swager RnRegistered NurseFT$126,576$30,495$157,071
Sandra Kay StephensPharmacistFT$142,030$5,684$147,714
Tracy S CarlsonMultimodality TechnologistFT$136,976$10,634$147,610
Kevin D BangleTechnologist, MultimodalityFT$113,830$8,264$122,094

Board Members and Trustees

NameTitle
Ryan PenrodChair
Dale GrubbVice Chair
Brian a EdwardsDirector
Carlyle FloydDirector
Cynthia D Adams RnDirector
Michael T Emmons DoDirector
Steve BakerDirector
Ann VarnerDirector (end 9/2023)
Georgiana Cunningham ReynalDirector (end 9/2023)
Shalin ShahDirector (end 9/2023)
Dana M MuntzEx-officio
Bethany Lynn MorrowFormer Officer (end 1/2019)
Becky L JacobsonFormer Officer (end 9/2021)
Christopher Forrest HonsVP, Finance

Highest Paid Contractors

ContractorServicesLocationCompensation
Mid America Clinical Laboratories LLCLab Services6704 RELIABLE PKWY, STE 400, Chicago, IL 60686-0067$1,147,747
Cep America LLCStaffing Services2100 POWELL STREET, STE 330, Emeryville, CA 94608-1844$978,030
Pt Solutions Holdings LLCPhysical Therapy Services1990 VAUGHN ROAD, Kennesaw, GA 30144-7817$814,230
Revenue and Support

Revenue Composition

Contributions and Grants
$217,055
Program Service Revenue
$25,458,871
Investment Income
$9,918
Other Revenue
$99,331
Change in Net Assets
$377,748
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,240,371
Salaries, Compensation, and Employee Benefits$7,155,818
Grants and Similar Amounts Paid$11,238
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,034,815$523,314-$5,558,129
Other Expenses$1,640,538$2,853,309-$1,640,538
Fees for Services Other$1,336,598$81,811$0$1,418,409
Depreciation Depletion$1,058,635$156,331-$1,214,966
Other Employee Benefits$626,800$65,149-$691,949
All Other Expenses$539,515$47,032$0$586,547
Occupancy$409,565$60,482-$470,047
Payroll Taxes$358,245$52,903-$411,148
Interest-$385,993-$385,993
Pension Plan Contributions$228,475$23,748-$252,223
Current Officers, Directors, Trustees, and Key Employees$0$242,369$0$242,369
Office Expenses$10,343$15,419-$25,762
Travel$19,304$4,593-$23,897
Grants to Domestic Orgs$11,238--$11,238
Information Technology-$9,552-$9,552
Advertising-$8,447-$8,447
Conferences and Meetings$1,509$644-$2,153
Total Functional Expenses$19,133,964$6,273,463$0$25,407,427
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
East Main Street Christian ChurchElwood, IN170(b)(1)(A)(i)Food Back Pack Program$10,500
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Recovery Tail Liability$9,869,467
Debt with Ascension Health Alliance$2,050,158
Lease Liability$1,655,350
Estimated 3rd Party Payor Settlement$120,000
Due to Affiliates$2,791
Receivables Sold with Recourse$22
Accrued Real Estate Tax Liability-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A & 15B - PROCESS FOR DETERMINING COMPENSATION

The process for determining compensation of the organization's ceo, executive director, or top management official, as well as that of any other officers or senior executives (if any), is directed by a related organization. The related organization's board committee responsible for compensation oversees the process, utilizing independent delegees within the organization as appropriate, depending on the role. In some cases, the process may utilize comparability data and analysis from a national third-party compensation firm; or, if more appropriate for the role, it may instead utilize other applicable sources of market comparability data as needed to verify reasonableness. The process also includes contemporaneous substantiation of the analysis and decision regarding the compensation arrangement. Compensation is reviewed at least annually and the process is administered to assure independence, avoid conflicts of interest, ensure reasonableness and market comparability of total compensation, and to otherwise abide by pertinent laws and regulations.

Form 990, Part VI, Line 6 Classes of members or stockholders

St. Vincent Madison County Health System, Inc. has a single corporate member, St. Vincent Health, Inc.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

St. Vincent Madison County Health System, Inc. has a single corporate member, St. Vincent Health, Inc. who has the ability to elect members to the governing body of St. Vincent Madison County Health System, Inc.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

All decisions that have a material impact to St. Vincent Madison County Health System, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent Health, Inc.

Form 990, Part VI, Line 11B Review of form 990 by governing body

During the return preparation process, the tax department works with other functional areas which may include, as needed, finance, accounting, treasury, legal, human resources, and corporate compliance for advice, information and assistance in order to prepare a complete and accurate return. A complete final copy of the return is provided to designated management team members with experience in tax in lieu of the full board.

Form 990, Part VI, Line 12C Conflict of interest policy

The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.

Form 990, Part VI, Line 19 Required documents available to the public

The organization will provide any documents open to public inspection upon request.

Form 990, Part VII, Section A RELATED ENTITIES

The organization utilizes an affiliate as the common pay agent. Employees reported in part vii may have duties that impact multiple related entities. Total average hours worked and compensation and benefits paid are reported. In doing so, if available, a common law employer analysis is used to determine whether the hours and compensation/benefits are reportable as attributable directly to the filing organization or another entity; otherwise, the best available information has been used as the basis for allocations utilized in the reporting.

Form 990, Part VIII, Line 11D Other Miscellaneous Revenue

Late Penalty Fees - Total Revenue: 19, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 19; Miscellaneous Revenue - Total Revenue: 14, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 14;

Filing and Contact Details

Filer

Filer Name
St Vincent Madison County Health System Inc
EIN
35-0876389
Phone
3147338000
Address
C/O TAX DEPARTMENT PO BOX 45998, ST LOUIS, MO 63145-5998
Doing Business As
See Schedule O for Complete List

Signing Officer

Name
Tonya Mershon
Title
Vice President, Tax
Phone
3147338000
Signed
2025-05-13

Organization Details

Formed
1955
Legal Domicile
In
Voting Board Members
8
Independent Board Members
5
Employees
81
Volunteers
38
Supplemental Narrative

Additional Explanations

Form 990, Part IV, Line 24A TAX EXEMPT BONDS

The organization is part of ascension health system. Ascension health alliance, d/b/a ascension, is a missouri nonprofit corporation. Ascension is the sole corporate member and parent organization of ascension health. Ascension health alliance is either the borrower for, or secures, tax exempt hospital revenue bonds. The organization may hold an intercompany note payable with ascension health alliance, and this information is reported on the balance sheet.

Form 990, Part IV, Line 20B Audited financial statements

The activity of the filing organization is reported in the consolidated financial statements of ascension health alliance. No individual audit of the filing organization is completed. Therefore, the attached audited financial statements are of ascension health alliance and affiliates, which include the activity of the filing organization.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Transfers with affiliates - 1587923;

Form 990, Part XII, Line 2C oversight of audit or selection of independent accountant

The filing organization is included in the consolidated financial statements of ascension health alliance. The finance and audit committee of ascension health alliance's board assumes responsibility for the consolidated organization as a whole.

Form 990, Page 1 - Box C Doing Business as

Alexandria Health Center Anderson Center of Saint John's Anderson Family Practice Ascension St. Vincent Mercy Carl D. Erskine Rehabilitation and Sports Medicine Center Central Indiana Hematology/Oncology Chesterfield Health Center Health Network of Madison County Madison County Rheumatology Associates Med One Urgent Care Med One Urgent Care Centers Middletown Family Practice Center My Choice Nursing Registry Pendleton Family Practice Center Pendleton Health Center Robbie A. and Naomi B. Bennett Rehabilitation Center Saint John Health System Saint John's Birthing Center Saint John's Cancer Center Saint John's Children's Clinic Saint John's Continuing Care Center Saint John's Digestive Diseases Center Saint John's Health Resource Center Saint John's Health System Saint John's Home Care and Hospice Saint John's Joint Replacement Center Saint John's Medical Supplies Saint John's Orthopedic Surgery Center Saint John's Surgery Center Saint John's Women's Center St. Joseph Hospice St. Vincent Anderson Regional Hospital St. Vincent Home Medical St. Vincent Mercy St. Vincent Mercy Hospital Woman to Woman Health Care Women's Health Specialists

Form 990, Page 1 Physical Address

The physical address for this entity is 1331 south a street, elwood, indiana 46036. The address on page 1 is for mailing purposes only.

Financial Statement Notes

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2024.

Raw XML AppendixShowing 400 of 5,865 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0THE 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 Mercy Hospital is a 13-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 Mercy Hospital treated 211 adults and children for a total of 817 patient days of service. The hospital also provided services for 29,953 outpatient visits, which included 527 outpatient surgeries and 7,660 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.
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