Schedule L
(Form 990)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
right arrow Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
St Elizabeth Medical Center Inc
 
Employer identification number

61-0445850
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... right arrow$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ right arrow$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
(1) BRUNO GIACOMUZZI
  		SVP COO FLO GRANT & PROF SVCS To fund split dollar life Insurance premiums for supplemental life insurance   X 728,424 763,421   No Yes   Yes  
(2) CHRIS CARLE
  		PRESIDENT & CEO SEPN; DEARBORN To fund split dollar life Insurance premiums for supplemental life insurance   X 1,030,206 1,090,973   No Yes   Yes  
(3) GARREN COLVIN
  		PRESIDENT & CEO To fund split dollar life Insurance premiums for supplemental life insurance   X 5,206,205 5,472,652   No Yes   Yes  
(4) GARY BLANK
  		EXEC VP COO To fund split dollar life Insurance premiums for supplemental life insurance   X 1,801,201 1,886,704   No Yes   Yes  
(5) HARRY WATSON
  		SVP FACILITIES To fund split dollar life Insurance premiums for supplemental life insurance   X 432,971 451,050   No Yes   Yes  
(6) JAMES PARSONS
  		FORMER SVP, HUMAN RESOURCES To fund split dollar life Insurance premiums for supplemental life insurance   X 177,153 181,582   No Yes   Yes  
(7) JOHN MITCHELL
  		SVP COO FT. THOMAS/COVINGTON To fund split dollar life Insurance premiums for supplemental life insurance   X 525,866 544,960   No Yes   Yes  
(8) KATHY JENNINGS
  		SVP PATIENT CARE SVCS/CANCER CARE To fund split dollar life Insurance premiums for supplemental life insurance   X 290,264 301,731   No Yes   Yes  
(9) LAROY KENDALL
  		SVP CHIEF MEDICAL OFFICER To fund split dollar life Insurance premiums for supplemental life insurance   X 493,379 514,965   No Yes   Yes  
(10) LISA FREY
  		SVP LEGAL SVCS/GENERAL COUNSEL To fund split dollar life Insurance premiums for supplemental life insurance   X 560,031 582,514   No Yes   Yes  
(11) LORI RITCHEY-BALDWIN
  		SVP FINANCE/CFO/TREASURER To fund split dollar life Insurance premiums for supplemental life insurance   X 842,582 886,590   No Yes   Yes  
(12) MOHAN BRAR
  		PHYSICIAN To fund split dollar life Insurance premiums for supplemental life insurance   X 386,250 400,240   No Yes   Yes  
(13) ROBERT PRICHARD
  		EVP/CEO - SEP/CCIO To fund split dollar life Insurance premiums for supplemental life insurance   X 1,856,708 1,964,487   No Yes   Yes  
(14) SAEB KHOURY
  		PHYSICIAN To fund split dollar life Insurance premiums for supplemental life insurance   X 247,200 256,065   No Yes   Yes  
(15) SARAH GIOLANDO
  		SVP CHIEF STRATEGY OFFICER To fund split dollar life Insurance premiums for supplemental life insurance   X 1,052,350 1,102,443   No Yes   Yes  
(16) VERA HALL
  		SVP SYSTEM CNE To fund split dollar life Insurance premiums for supplemental life insurance   X 614,915 639,513   No Yes   Yes  
Total ...............right arrow $ 17,039,890
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) 2022
Schedule L (Form 990) 2022
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) CULTURE INDEX LLC
  		Board Member A.J. Schaeffer 48,000 RECRUITING SERVICES   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L, Part IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS WERE AT ARM'S LENGTH (FMV) AND APPROVED BY DISINTERESTED MEMBERS OF THE BOARD.
Schedule L, Part II To fund split dollar life Insurance premiums for supplemental life insurance The Organization has entered into a split-dollar life insurance with a number of its executive and key employees in order to provide supplemental life insurance benefits. Premiums under the arrangement, as opposed to contributions to a standard non-qualified plan, are not an expense for accounting purposes. In addition, all of the premiums treated as split-dollar loans in accordance with IRS rules will be recovered by the Organization with interest at the death of the individual(s), which will help further the Organization's charitable mission (see the associated receivable in Part X).
Schedule L (Form 990) 2022


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