SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ST VINCENT MEDICAL GROUP
 
Employer identification number

71-0830696
Return Reference Explanation
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 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 VI, Sec A, Line 6, Classes of members or stockholders ACCORDING TO ST. VINCENT MEDICAL GROUP'S ARTICLES OF INCORPORATION, 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, Sec A, Line 7a, Members or stockholders electing members of governing body ACCORDING TO THE ORGANIZATION'S ARTICLES OF INCORPORATION, THE RIGHT TO SELECT THE DIRECTORS OF THE CORPORATION IS RESERVED TO THE SOLE CORPORATE MEMBER. THE CORPORATE MEMBER MAY UNILATERALLY APPOINT DIRECTORS AS NEEDED TO FILL EXPIRED TERMS OR VACANCIES, AND MAY REMOVE, WITH OR WITHOUT CAUSE, ANY MEMBER OF THE BOARD OF DIRECTORS.
Form 990, Part VI, Sec A, 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, Sec B, 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. AFTER THE RETURN HAS BEEN FILED, A COPY IS PRESENTED AT THE FINANCE COMMITTEE MEETING AND BOARD MEETING. THE TAX DEPARTMENT THEN FILES THE RETURN WITH THE APPROPRIATE FEDERAL AND STATE AGENCIES, MAKING ANY-NONSUBTANTIVE CHANGES NECESSARY TO EFFECT E-FILING. ANY SUCH CHANGES ARE NOT RE-SUBMITTED TO THE BOARD.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy ST. VINCENT MEDICAL GROUP ("SVMG") HAS ADOPTED THE CONFLICT OF INTEREST (COI) POLICY OF ITS SOLE CORPORATE MEMBER, ST. VINCENT INFIRMARY MEDICAL CENTER (SVIMC).THE ORGANIZATION FOLLOWS THESE GUIDELINES TO MONITOR AND ENFORCE ITS COI POLICY: SVMG EMPLOYEES SHALL NOT ACCEPT ANY GIFTS, FAVORS OR HOSPITALITY THAT MIGHT INFLUENCE OR BE INTERPRETED AS INFLUENCING THEIR DECISION MAKING OR OTHER ACTIONS AFFECTING SVMG. SVMG EMPLOYEES SHOULD NOT ACCEPT OUTSIDE EMPLOYMENT OR ENGAGE IN BUSINESS ACTIVITIES WHICH CREATE A CONFLICT OF INTEREST WITH THEIR EMPLOYMENT STATUS OR WHICH HINDER THE EMPLOYEE'S ABILITY TO PERFORM THEIR JOB ASSIGNMENTS. EMPLOYEES IN MANAGEMENT ARE REQUIRED TO INFORM THEIR EXECUTIVE OF WORK BEING PERFORMED OUTSIDE OF SVMG. SVMG WILL NOT HIRE, ASSIGN, OR TRANSFER IMMEDIATE RELATIVES OF PRESENT EMPLOYEES TO WORK IN THE SAME DEPARTMENT AT THE SAME PHYSICAL LOCATION. NO PERSON SHALL BE EMPLOYED, RETAINED IN OR TRANSFERRED TO A POSITION, WHICH IS DIRECTLY OR INDIRECTLY SUPERVISED BY AN IMMEDIATE RELATIVE. IMMEDIATE RELATIVES ARE SPOUSES, SPOUSAL EQUIVALENTS, PARENTS, MOTHERS-IN-LAW, FATHERS-IN-LAW, SISTERS, BROTHERS, SISTERS-IN-LAW, BROTHERS-IN-LAW, CHILDREN, DAUGHTERS-IN-LAW, SONS-IN-LAW, FIRST COUSINS, AUNTS, UNCLES, GRANDPARENTS, AND GRANDCHILDREN. SVIMC AND SVMG CREATED A COMPLIANCE COMMITTEE TO REVIEW ALL REPORTED ACTIVITY THAT MAY VIOLATE ESTABLISHED POLICY AND PROCEDURES. ADDITIONALLY, A HOTLINE HAS BEEN ESTABLISHED FOR ANY EMPLOYEE TO REPORT POSSIBLE COMPLIANCE VIOLATIONS. THE CONFLICT OF INTEREST POLICY COVERS ALL INDIVIDUALS WITHIN SVMG. IT IS INTENDED TO CONCENTRATE ON EMPLOYEES AT THE LEVEL THAT THEY CAN USE THEIR WORK KNOWLEDGE FOR PERSONAL GAIN. THIS IS GENERALLY ANY MANAGEMENT PERSONNEL. EACH PERSON IN A MANAGEMENT POSITION IS REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT. THIS STATEMENT INQUIRES TO ANY POSSIBLE CONFLICT OF INTEREST AND INFORMS THE EMPLOYEE OF THE COI POLICY. ACTUAL CONFLICTS ARE REVIEWED BY THE CORPORATE RESPONSIBILITY OFFICER. IF THE CONFLICT CANNOT BE RESOLVED OR DETERMINED AT THAT LEVEL, THE CRO DISCUSSES WITH THE CEO.
FORM 990, PART VI, LINE 15A, PROCESS OF DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIAL THE ORGANIZATION'S CEO'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 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 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 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 18, 2014. IN ADDITION, IN DECEMBER 2009, HAY GROUP COMPLETED A COMPREHENSIVE REVIEW OF ALL POSITIONS AT THE LEVEL OF VICE PRESIDENT AND ABOVE 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 6/30/14, 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, Sec C, Line 19, Required documents available to the public THE ORGANIZATION'S FINANCIAL STATEMENTS ARE INCLUDED IN CATHOLIC HEALTH INITIATIVES' CONSOLIDATED AUDITED FINANCIAL STATEMENTS THAT ARE AVAILABLE AT WWW.CATHOLICHEALTHINIT.ORG OR AT WWW.DACBOND.ORG. THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST FROM THE ADMINISTRATION DEPARTMENT. IN ADDITION, THE GOVERNING DOCUMENTS ARE AVAILABLE FROM THE ARKANSAS SECRETARY OF STATE.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

Additional Data


Software ID: 13000248
Software Version: 2013v3.1