Civic Intelligence

St. Vincent Medical Group

990 • Fiscal year 2016 • EIN 71-0830696

Jul 01, 2015 to Jun 30, 2016 • Filed on May 13, 2017

2 St Vincent CircleLittle Rock, AR 72205

(501) 552-3000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

100th percentile

10.46x

Higher debt load relative to assets than 100% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Liabilities / Revenue

84th percentile

1.76x

Higher debt load relative to revenue than 84% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Net Margin

10th percentile

-21%

Higher net margin than 10% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Top Officer Pay

98th percentile

$1,880,330

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 4.1% of source-year revenue.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2016

Asset Growth

68th percentile

7.1%

Faster asset growth than 68% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Revenue Growth

61st percentile

6.1%

Faster revenue growth than 61% of similar nonprofits.

2016 filings • 501(c)3 • $25M-$50M nonprofits • Annualized from 2015 to 2016

Assets

Up

$7,725,660

Up $513,867 (+7.1%) from 2015

Net Assets

Down

-$73,056,721

Down $9,690,123 (-15%) from 2015

Liabilities

Up

$80,782,381

Up $10,203,990 (+14%) from 2015

Revenue

Up

$46,022,399

Up $2,665,713 (+6.1%) from 2015

Expenses

Up

$55,712,522

Up $4,436,290 (+8.7%) from 2015

Net Income

Down

-$9,690,123

Down $1,770,577 (-22%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$400M$200M$0-$200M-$400MAssets 2010: $4,183,267Liabilities 2010: $39,556,535Net Assets 2010: -$35,373,2682010Assets 2012: $5,244,669Liabilities 2012: $49,860,315Net Assets 2012: -$44,615,6462012Assets 2013: $5,550,696Liabilities 2013: $55,748,462Net Assets 2013: -$50,197,7662013Assets 2014: $16,986,349Liabilities 2014: $72,433,401Net Assets 2014: -$55,447,0522014Assets 2015: $7,211,793Liabilities 2015: $70,578,391Net Assets 2015: -$63,366,5982015Assets 2016: $7,725,660Liabilities 2016: $80,782,381Net Assets 2016: -$73,056,7212016Assets 2019: $44,109,072Liabilities 2019: $168,514,203Net Assets 2019: -$124,405,1312019Assets 2020: $172,997,057Liabilities 2020: $318,254,556Net Assets 2020: -$145,257,4992020Assets 2021: $55,492,284Liabilities 2021: $225,475,163Net Assets 2021: -$169,982,8792021Assets 2022: $59,228,893Liabilities 2022: $253,925,039Net Assets 2022: -$194,696,1462022Assets 2024: $65,316,904Liabilities 2024: $310,243,044Net Assets 2024: -$244,926,1402024

Highlighted filing

2016

Assets$7,725,660
Liabilities$80,782,381
Net Assets-$73,056,721

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$200M$100M$0-$100MExpenses 2010: $23,372,3672010Expenses 2012: $33,653,7222012Expenses 2013: $40,646,8052013Revenue 2014: $39,389,143Expenses 2014: $44,638,429Net Income 2014: -$5,249,2862014Revenue 2015: $43,356,686Expenses 2015: $51,276,232Net Income 2015: -$7,919,5462015Revenue 2016: $46,022,399Expenses 2016: $55,712,522Net Income 2016: -$9,690,1232016Revenue 2019: $95,579,156Expenses 2019: $119,393,443Net Income 2019: -$23,814,2872019Revenue 2020: $116,161,384Expenses 2020: $132,592,811Net Income 2020: -$16,431,4272020Revenue 2021: $114,934,419Expenses 2021: $139,605,131Net Income 2021: -$24,670,7122021Revenue 2022: $119,975,701Expenses 2022: $144,746,519Net Income 2022: -$24,770,8182022Revenue 2024: $156,290,326Expenses 2024: $179,320,464Net Income 2024: -$23,030,1382024

Highlighted filing

2016

Revenue$46,022,399
Expenses$55,712,522
Net Income-$9,690,123
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 13, 2017
Return Version
2015v3.0
Gross Receipts
$46,022,399
Mission and Program Overview

Mission

As an affiliate of commonspirit health, we make the healing presence of god known in our world by improving the health of the people we serve, especially those who are vulnerable, while we advance social justice for all.

Providing holistic care focusing on the physical, spiritual & psycho-social needs of patients. These activities take place in various settings, but all spring from the same mission & fundamental purpose.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$3,904,042$4,050,262▲ $146,220
Land, Buildings, and Equipment, Net$2,390,295$2,286,004▼ $104,291
Savings and Temporary Cash Investments$832,453$1,304,194▲ $471,741
Cash and Non-Interest-Bearing Accounts$3,610$3,807▲ $197
Receivable From Disqualified Prsn$0--
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Total Assets$7,211,793$7,725,660▲ $513,867
Other Assets Total$81,393$81,393→ $0
Liabilities
Other Liabilities$65,752,324$76,165,452▲ $10,413,128
Accounts Payable and Accrued Expenses$4,826,067$4,616,929▼ $209,138
Total Liabilities$70,578,391$80,782,381▲ $10,203,990
Net Assets / Fund Balance
Unrestricted Net Assets$-63,366,598$-73,056,721▼ $9,690,123
Total Net Assets Fund Balance$-63,366,598$-73,056,721▼ $9,690,123
Total Liabilities and Net Assets / Fund Balance$7,211,793$7,725,660▲ $513,867

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,239,443$2,034,724$3,274,167
Buildings$779,159$953,232$1,732,391
Other Land Buildings$103,304$287,182$390,486
Land$150,000-$150,000
Leasehold Improvements$14,098$1,282$15,380
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
-surgeonFT$317,528$475,064$792,592
-NeurosurgeonFT$444,059$323,531$767,590

Board Members and Trustees

NameTitle
-Board Chair/cardiologist
-Chair Elect
-Senior Vice President (partial Year)
-Board Member
-Former TREASURER/CHIEF FINANCIAL OFFICER - SVIMC
-Market CEO
-Market CFO

Highest Paid Contractors

ContractorServicesLocationCompensation
Arkansas Physician ManagementPhysician Services701 N UNIVERSITY SUITE 201, 603, Little Rock, AR 72205$2,255,858
St Vincent Heart Clinic ArkansasMedical Services10100 KANIS ROAD, Little Rock, AR 72205$662,267
Hcp Ventures Iv LLCFinancial Services3760 KILROY AIRPORT W SUITE 300, Long Beach, CA 90806$563,589
Servicemaster Twin CitiesCleaning services6321 Forbing Road, Little Rock, AR 72205$246,885
Smart Staffstaffing services2024 Arkansas Valley Dr, Little Rock, AR 72212$245,561
Revenue and Support

Revenue Composition

Contributions and Grants
$64,479
Program Service Revenue
$45,957,920
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-9,690,123
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$41,722,275
Other Expenses$13,990,247
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$36,450,346--$36,450,346
Fees for Services Other$5,827,206$0$0$5,827,206
Other Employee Benefits$3,616,753--$3,616,753
Payroll Taxes$1,655,176--$1,655,176
Occupancy$1,469,302--$1,469,302
Other Expenses$802,567$451,868-$802,567
All Other Expenses$555,143$0$0$555,143
Office Expenses$418,790--$418,790
Insurance$387,803--$387,803
Depreciation Depletion$318,381--$318,381
Travel$104,372--$104,372
Conferences and Meetings$11,211--$11,211
Information Technology$5,915--$5,915
Fees for Services Legal-$170-$170
Total Functional Expenses$55,260,484$452,038$0$55,712,522
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
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

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

Other Reported Liabilities

LiabilityAmount
Intercompany Payables$76,165,452
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
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 PROCESS OF DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL

The organization's top management official's compensation is paid by Catholic Health Initiatives (CHI), a related organization. CHI has a defined compensation philosophy. Both the executive and non-executive compensation structures and ranges are reviewed annually in comparison to market data. CHI uses The Korn Ferry Hay Group as the independent third party to assess executive compensation programs and to ensure the reasonableness of actual salaries and total compensation packages. Compensation of the senior most executives is reviewed annually. The Korn Ferry Hay Group reviews both cash and total compensation for overall reasonableness, for adherence to CHI's compensation philosophy, and for comparability to the not-for-profit healthcare market. This independent review is delivered by Korn Ferry Hay Group to the HR committee of the CHI Board of Stewardship Trustees annually at their September meeting and minutes are shared with the full board at the December meeting. The last review was September 13, 2016. In addition, Korn Ferry Hay Group completed a comprehensive review of all positions at the level of vice president and above in the fall of 2014 to determine and validate appropriate compensation levels. These levels have been reviewed annually since and revised based on market data, where applicable.

Form 990, Part VI, Line 15B PROCESS OF DETERMINING COMPENSATION OF OTHER OFFICERS

During the tax year ended 6/30/2016, no officers, directors or trustees received compensation from the organization. Any executive compensation paid to officers, directors or trustees by related organizations was set by the related organization's compensation committee utilizing both an independent consultant and comparability studies to determine compensation. Therefore, this question is more appropriately answered as n/a but has been answered "no" in accordance with form 990 instructions.

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

According to the bylaws of ST. VINCENT MEDICAL GROUP, the entity's sole member is ST. VINCENT INFIRMARY MEDICAL CENTER D/B/A ST. VINCENT HEALTH SYSTEM, an Arkansas nonprofit corporation.

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

According to the organization's bylaws, directors shall be appointed or refused by the corporate member. The corporate member may appoint one or more individuals to the board of directors, and may at any time remove, with or without cause, any member of the board of directors. According to the organization's bylaws, directors of the corporation shall be appointed by the corporate member no later than June 30 of each year. The Corporate Member shall select the Physician Directors from a slate of qualified candidates provided to it by the board's Nominating Advisory Committee. The corporate member may unilaterally appoint one or more individuals to the board of directors should the Nominating Advisory Committee fail to furnish the corporate member with a list of individuals qualified to serve on the board of directors of the corporation.

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

The organization's corporate member is St. Vincent Infirmary Medical Center. Pursuant to Section 5.4 of the organization's bylaws, both St. Vincent Infirmary Medical Center and Catholic Health Initiatives ("CHI") (St. Vincent Infirmary Medical Center's sole corporate member) have reserved powers as outlined in the CHI governance matrix. Pursuant to the governance matrix the following rights are held by the St. Vincent Infirmary Medical Center Board: *Approve members of the St. Vincent Medical Group board *Amendment of the corporate documents of St. Vincent Medical Group *Approve removal of a member of the governing body of St. Vincent Medical Group *Adoption of long range and strategic plans for St. Vincent Medical Group The following rights are reserved to the CHI Board directly or through powers delegated to the CHI Chief Executive Officer: *Substantial change in the mission or philosophy of St. Vincent Medical Group *Removal of a member of the governing body of St. Vincent Medical Group *Approval of issuance of debt by St. Vincent Medical Group *Approval of participation of St. Vincent Medical Group in a joint venture *Approval of formation of a new corporation by St. Vincent Medical Group *Approval of a merger involving St. Vincent Medical Group *Approval of the sale of all or substantially all of the assets of St. Vincent Medical Group *To require the transfer of assets by the St. Vincent Medical Group to CHI to accomplish CHI's goals and objectives, and to satisfy CHI debts. Pursuant to Section 5.5.2 of the organization's bylaws, St. Vincent Infirmary Medical Center or CHI may, in exercise of their approval powers, grant or withhold approval in whole or in part, or may, in its complete discretion, after consultation with the Board and its President and the Chief Executive Officer of the organization, recommend such other or different actions as it deems appropriate.

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

The cfo is responsible for reviewing the final tax return prepared by the chi tax department. Any questions or discrepancies are resolved prior to filing the return. The tax department files the return with the appropriate federal and state agencies, making any-nonsubstantive changes necessary to effect e-filing. After the return has been filed, a copy is presented at the finance committee meeting and board meeting.

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

Catholic Health Initiatives ("CHI") has a Conflicts of Interest ("COI") policy in place to maintain the integrity of all of its activities. The policy applies to CHI Board of Stewardship Trustees and members of its committees; all board and board committee members of CHI Entities; all CHI employees; all CHI physicians (both employed and non-employed) and all physician administrators and leaders; advanced practice clinicians (both employed and non-employed); and all CHI research personnel (both employed and non-employed). Disclosure, review and management of perceived, potential or actual conflicts of interest are accomplished through a defined COI disclosure process. Each person has a general ongoing obligation to promptly and fully report to his/her direct manager, supervisor, medical staff office, board or board committee chair any situation or circumstance that may create a conflict of interest. The person must report the actual or potential conflict as soon as she/he becomes aware of it. In any situation where the person may be in doubt, a full disclosure should be made to permit an impartial and objective determination. In addition to the general ongoing obligation, there are initial disclosure obligations. The board, board committee members, and new employees are required to make disclosures at the time of their initial hiring/appointment. All non-employed, credentialed or contracted physicians are required to make disclosures at the time of their credentialing and during any subsequent reappointment or recredentialing. All researchers are required to make disclosures upon consideration of affiliation with a research sponsor. In addition to the general ongoing and initial disclosure obligations, there is an annual disclosure obligation. All corporate officers, board and board committee members, employees at the level of manager and above, researchers, supply chain employees, employed physicians, physician administrators and leaders, and employed advanced practice clinicians must complete a new conflict of interest disclosure annually. Disclosures of perceived, potential or actual conflicts involving financial interests are forwarded to the Conflicts of Interest Review Committee ("C-CIRC") or Legal Services Group for review depending on the position of the person involved. The C-CIRC reviews COI questionnaires containing disclosures of perceived or possible conflicts for employees at a level of manager or above, supply chain employees, researchers and physicians, physician administrators and leaders, and advanced practice clinicians (both employed and non-employed). In the determination of a conflict, a COI management plan will be developed for that person. With respect to those audiences for which the C-CIRC has review responsibility, the C-CIRC will facilitate development of any such conflict of interest management plan in collaboration with local CRP staff. A designated CHI Entity staff will be responsible for monitoring the COI management plan and for documenting monitoring activities. At its sole discretion, a CHI Entity may reject a Person's request to enter into the relationship in question, or require the relationship be sufficiently altered to avoid a potential COI. If the C-CIRC determines that there is a potential or actual conflict of interest that does not currently have appropriate controls to address the conflict of interest, it may recommend that the disclosing person be allowed to participate in the activity or transaction subject to restrictions as outlined in the COI management plan. If a Person does not agree with a determination made by the C-CIRC, its interpretation of the Policy or Addenda, or seeks an exemption or exception, the following steps should be followed. The Employee disputing the review decision, interpretation of the Policy, or seeking exemption or exception must present the matter to the Employee's immediate direct manager or supervisor for review and determination. If the Employee and

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

The organization's financial statements, conflict of interest policy and governing documents are available to the public upon request from the administration department. The organization's financial statements are included in Catholic Health Initiatives' consolidated audited financial statements that are available at www. www.catholichealthinitiatives.org or at www.DACBOND.org. In addition, the governing documents are available from the Arkansas Secretary of State.

Filing and Contact Details

Filer

Filer Name
St Vincent Medical Group
EIN
71-0830696
Phone
5015523000
Address
2 ST VINCENT CIRCLE, LITTLE ROCK, AR 72205
Doing Business As
Chi St Vincent Medical Group

Signing Officer

Name
Tadd Richert
Title
Market CFO
Signed
2017-05-13
Discuss with paid preparer
Yes

Organization Details

Formed
1999
Legal Domicile
Ar
Voting Board Members
18
Independent Board Members
15
Employees
288
Volunteers
25

Preparer

Firm
Crowe Horwath Llp
Address
401 EAST LAS OLAS BLVD SUITE 1100, FORT LAUDERDALE, FL 33301-4230
Preparer
Brittney Kocaj
Phone
9542028600
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 4A DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS

St. Vincent medical group (svmg) is an arkansas nonprofit corporation that was created to provide medical services in the little rock, arkansas metropolitan area. Svmg owns and operates physician clinics and related facilities and engages in activities designed to promote the health care needs of the community, including the provision of health care services by physicians and other health care professionals. Svmg currently provides physician services at twenty-one clinic locations and three hospital locations through sixty-two physician employees. Svmg provides a broad range of professional medical services at its clinics of the type normally provided at outpatient clinics. These clinics provide the health care services of non-physician professionals, including a nurse practitioner and nurses. Svmg also provides ancillary services, including radiology (including screening mammography, bone densitometry scanning, and general extremity and chest x-ray), clia-waived laboratory testing, treadmill stress testing, ekg, pulse oximetry, audiometry, physical therapy, injection and ultrasound services. Svmg provides medical care services on a nondiscriminatory basis to all persons in the community. Svmg participates in the medicare and medicaid programs in a nondiscriminatory manner. In addition, svmg provides health care services to all individuals regardless of ability to pay, in accordance with svmg's charity care policy. In addition, svmg requires each employed physician to cooperate with the community service activities consistent with furtherance of svmg's charitable mission, including the physician's participation in community health and wellness education, community service activities and treatment of indigent and charity care patients. Svmg's sole corporate member is st. Vincent infirmary medical center (svimc), an arkansas nonprofit corporation that is exempt from federal income tax as an organization described under 501 (c)(3) of the internal revenue code.

Form 990, Part III, Line 1 MISSION STATEMENT

The mission of the corporation is to nurture the healing ministry of the church, supported by education and research. Fidelity to the gospel urges the corporation to emphasize human dignity and social justice as it creates healthier communities. The corporation, sponsored by a lay-religious partnership, calls other catholic sponsors and systems to unite to ensure the future of catholic health care. To fulfill this mission, the corporation, as a values-based organization, will assure the integrity of the ministry in both current and developing organizations and activities; research and develop new ministries that integrate health, education, pastoral, and social services; promote leadership development and formation for ministry throughout the entire organization; advocate for systemic changes with specific concern for persons who are poor, alienated, and underserved; and steward resources by general oversight of the entire organization.

Form 990, Part IX, Line 11G Other Fees

NURSING SERVICES - Total Expense: 265393, Program Service Expense: 265393, Management and General Expenses: , Fundraising Expenses: ; LABORATORY SERVICES - Total Expense: 693971, Program Service Expense: 693971, Management and General Expenses: , Fundraising Expenses: ; Physician practice management services - Total Expense: 858376, Program Service Expense: 858376, Management and General Expenses: , Fundraising Expenses: ; Billing services - Total Expense: 2251657, Program Service Expense: 2251657, Management and General Expenses: , Fundraising Expenses: ; OTHER FEES FOR SERVICES - Total Expense: 1757809, Program Service Expense: 1757809, Management and General Expenses: , Fundraising Expenses: ;

Financial Statement Notes

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

ST. VINCENT MEDICAL GROUP'S financial information is included in the consolidated audited financial statements of Catholic Health Initiatives (CHI), a related organization. CHI's FIN 48 (ASC 740) footnote for the year ended June 30, 2016, reads as follows: "CHI is a tax-exempt Colorado corporation and has been granted an exemption from federal income tax under Section 501(c)(3) of the Internal Revenue Code. CHI owns certain taxable subsidiaries and engages in certain activities that are unrelated to its exempt purpose and therefore subject to income tax. Management reviews its tax positions annually and has determined that there are no material uncertain tax positions that require recognition in the accompanying consolidated financial statements."

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