2019-05-13T18:21:54-05:00 2018-06-30 990 2017-07-01 352052591 ST VINCENT HEALTH INC STVI 3147338000 250 WEST 96TH STREET INDIANAPOLIS IN 46290 Tonya Mershon Tax Officer 2019-05-13 2017 2019-02-21 02:37:17Z JONATHAN S NALLI 250 WEST 96TH STREET INDIANAPOLIS IN 46290 178899180 false X WWW.STVINCENT.ORG X 1998 IN To improve the health and well-being of all people in the communities we serve. 10 9 2011 9 1640439 -774777 456836 266732 219839528 176868552 -32976 -700659 8236059 1754317 228499447 178188942 2127211 2194305 0 3034609 2082474 0 0 0 205094584 358679046 210256404 362955825 18243043 -184766883 220508341 195861586 333365058 319654241 -112856717 -123792655 Our Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve. false false 254530576 2194305 175228113 ST. VINCENT HEALTH, INC. (SVH) IS A NON-PROFIT HEALTHCARE SYSTEM CONSISTING OF 20 LOCALLY-SPONSORED MINISTRIES (RANGING FROM SEVERAL RURAL, 25-BED HOSPITALS TO ITS FLAGSHIP, QUATERNARY-LEVEL, INDIANAPOLIS-BASED HOSPITAL) SERVING OVER 57 COUNTIES THROUGHOUT CENTRAL INDIANA. SPONSORED BY ASCENSION HEALTH, THE NATION'S LARGEST CATHOLIC HEALTHCARE SYSTEM, SVH (INCLUDING ITS SPONSORED MINISTRIES) EMPLOYS MORE THAN 20,000 ASSOCIATES AND 2,500 PHYSICIANS, MAKING ST. VINCENT HEALTH ONE OF THE LARGEST HEALTHCARE EMPLOYERS IN THE STATE. THIS FILING INCLUDES SVH CORPORATE-LEVEL ACTIVITIES AND THE ACTIVITIES OF QUALITY HEALTHCARE SOLUTIONS. 254530576 true true false false false false false false false true false true true true true false true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true 152 0 true 2011 true true true false false false false false true false false false X 10 9 false false false false true true true true true false false false true true true true true false true true true IN X SARA OBRIEN 3147338070 11775 BORMAN DRIVE MARYLYAND HEIGHTS MO 63146 DANIEL J ELSENER CHAIR 1.0 0 X X 0 0 0 BENJAMIN CAMPBELL VICE CHAIR 1.0 0 X X 0 0 0 SISTER RENEE ROSE SECRETARY 1.0 0 X X 0 0 0 JONATHAN S NALLI FACHE EX-OFFICIO/CEO-MINISTRY MARKET INDIANA 0.0 50.0 X X 0 2589144 51990 BETSY MCCAW DIRECTOR 1.0 0 X 0 0 0 STEPHEN L SCOTT DIRECTOR 1.0 0 X 0 0 0 J ALBERT SMITH JR DIRECTOR 1.0 0 X 0 0 0 KENNETH G STELLA DIRECTOR 1.0 0 X 0 0 0 CLIFFORD HALLAM DIRECTOR 1.0 0 X 0 0 0 DAVID J HANDEL DIRECTOR (END 2/2018) 1.0 0 X 0 0 0 MICHAEL R HINTON DIRECTOR 1.0 0 X 0 0 0 TERRENCE G METZGER CFO-MINISTRY MARKET INDIANA 40.0 3.0 X 0 464458 46386 RICHARD I FOGEL MD CCO-MINISTRY MARKET INDIANA 40.0 2.0 X 0 1168781 45504 CHERYL A HARMON COO-MINISTRY MARKET INDIANA 40.0 3.0 X 0 995135 26915 CYNTHIA D ADAMS RN CNO-MINISTRY MARKET INDIANA 40.0 3.0 X 0 745872 18740 RICHARD K FREEMAN MD CMO-MINISTRY MARKET INDIANA 40.0 1.0 X 0 694686 49781 STEPHEN C SWINNEY MD CQO-MINISTRY MARKET INDIANA 40.0 2.0 X 0 513819 53166 KEVIN P WILLMANN PRESIDENT (NAVION) 40.0 0 X 411774 0 47249 BRENDA K ERNER EXECUTIVE DIRECTOR (NAVION) 40.0 0 X 297658 0 37126 JOHN R PEASLEY CIO (NAVION) 40.0 0 X 242435 0 44808 JILL A BROCKER DIRECTOR, QUALTIY (NAVION) 40.0 0 X 154113 0 28938 MARLA J WICKENS DIRECTOR, QUALITY (NAVION) 40.0 0 X 112138 0 35623 MICHAEL L MULLINS FORMER OFFICER (END 6/2016) 0.0 50.0 X 0 1365922 41134 JOSEPH O MURDOCK FORMER OFFICER (END 6/2017) 0.0 40.0 X 0 1015732 23724 1218117 9553549 551084 69 true true false ASCENSION WORKERS COMPENSATION SELF INSURANCE 11775 BORMAN DR STE 200 ST LOUIS MO 631464134 MANAGES COMMERCIAL AND SELF-INSURED RISK MANAGEMENT FUNCTIONS 4972943 CARMEL AMBULATORY SURGERY CENTER LLC 13421 OLD MERIDIAN ST CARMEL IN 46032 SURGICAL SERVICES 2293517 NORTHWEST RADIOLOGY NETWORK PC 5901 TECHNOLOGY CTR DR INDIANAPOLIS IN 462785071 RADIOLOGY SERVICES 1523300 HARMONY HEALTHCARE LLC 2909 W BAY TO BAY BLVD STE 500 TAMPA FL 336298178 Revenue Cycle Management 1150516 MEDSPEED LLC 655 W GRAND AVENUE SUITE 320 ELMHURST IL 60126 TRANSPORTATION SERVICES 910435 26 X 266732 266732 Services to Affiliates 900099 169479510 169479510 Income from Joint Ventures 900099 4572643 4572643 Contracted Services Revenue 900099 2816399 1175960 1640439 0 0 0 0 176868552 8579 8579 1014416 0 1014416 0 1014416 1014416 1000 710238 0 -709238 -709238 -709238 Cafeteria/Vending Revenue 722514 132017 132017 607884 0 0 607884 739901 178188942 175228113 1640439 1053658 2194305 2194305 1579951 1105961 473990 214661 150263 64398 -17180 -12026 -5154 305042 213529 91513 1760237 1232166 528071 5181 5181 276841 276841 289 289 5886533 4120573 1765960 0 10833822 7583675 3250147 964649 675254 289395 105900 74130 31770 8299099 5809369 2489730 1327824 929477 398347 440986 308690 132296 484391 339074 145317 25612689 17928882 7683807 47274 33092 14182 PHYSICIAN FEES TO AFFILIATE 180114174 126079927 54034247 PURCHASED SERVICES 110552353 77386647 33165706 NON RECURRING EXPENSES 7423983 5196788 2227195 DUES 1348414 943890 404524 3194407 2236910 957497 0 362955825 254530576 108425249 0 0 0 6365479 16613986 0 0 0 0 0 0 0 0 1500000 0 20324 0 2257580 1711837 125589037 91230200 25112443 34358837 0 0 0 5270056 15641539 57907606 45784360 122074853 81751027 220508341 195861586 25846601 19432297 0 0 14259776 0 0 0 0 0 0 0 0 0 0 0 293258681 300221944 333365058 319654241 X -112856717 -123792655 0 0 0 0 -112856717 -123792655 220508341 195861586 X -184766883 165691 173665254 X false true X true false X X 16 ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC 350869066 3 true 0 0 ST VINCENT CARMEL HOSPITAL INC 743107055 3 true 0 0 ST VINCENT SETON SPECIALTY HOSPITAL INC 351712001 3 true 0 0 ST JOSEPH HOSPITAL & HEALTH CENTER INC 350992717 3 true 0 0 ST VINCENT CLAY HOSPITAL INC 352112529 3 true 0 0 ST VINCENT FISHERS HOSPITAL INC 454243702 3 true 0 0 ST VINCENT FRANKFORT HOSPITAL INC 352099320 3 true 0 0 ST VINCENT JENNINGS HOSPITAL INC 351841606 3 true 0 0 ST VINCENT MADISON COUNTY HEALTH SYSTEM INC 350876389 3 true 0 0 ST VINCENT RANDOLPH HOSPITAL INC 352103153 3 true 0 0 ST VINCENT WILLIAMSPORT HOSPITAL INC 350784551 3 true 0 0 ST VINCENT SALEM HOSPITAL INC 270847538 3 true 0 0 ST VINCENT DUNN HOSPITAL INC 272192831 3 true 0 0 ST VINCENT MEDICAL GROUP INC 272039417 9 true 0 0 ST VINCENT ANDERSON REGIONAL HOSPITAL INC 460877261 3 true 0 0 ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC 461227327 9 true 0 0 16 0 0 true false false false false false false false false false false false false false false true true true X true true SCHEDULE A, PART I SUPPORTED ORGANIZATIONS ST. VINCENT HEALTH, INC. SUPPORTS THE PROVISION OF HEALTHCARE SERVICES AT THE CORPORATIONS TO WHICH IT IS THE NATIONAL MEMBER BY THE PROVISION OF CENTRALIZED ADMINISTRATIVE SUPPORT, INCLUDING SERVICES SUCH AS MISSION INTEGRATION, ACCOUNTING, ACCOUNTS PAYABLE, TREASURY (INCLUDING CASH, INVESTMENT AND DEBT MANAGEMENT), INSURANCE, PAYROLL, HUMAN RESOURCES, COMPLIANCE, LEGAL, EDUCATION, WELLNESS, AND PATIENT SAFETY AND QUALITY. ALL COSTS OF ST. VINCENT HEALTH, INC. ARE CHARGED TO THE MEMBERS THROUGH A MANAGEMENT FEE. TRANSACTIONS WITH EACH MEMBER ARE DELINEATED ON SCHEDULE R. Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies BY VIRTUE OF OVERLAPPING BOARD MEMBERS, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S DAILY OPERATIONS. THE ASCENSION SPONSOR, THROUGH ITS CONTROL OF THE ASCENSION BOARD, CONTROLS THE SYSTEM INTEGRATED STRATEGIC OPERATIONAL FINANCIAL PLAN, ANNUAL TARGETS AND INITIATIVES. WITHIN THIS OPERATIONAL FRAMEWORK, CERTAIN EXPENDITURES OF FUNDS, CAPITAL INVESTMENTS, ISSUANCE OF DEBT, ETC. ARE SUBJECT TO ASCENSION-LEVEL APPROVAL. Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee St. Vincent Health, Inc., as the National Member, has the authority to approve changes to the governing documents of its supported organizations; approve the mission and vision statements for its respective supported organizations; approve the formation or acquisition of legal entities; and, appoint, upon the recommendation of the governing board of the applicable supported organization, or removal, the Board Chair and members of the governing board of such supported organization. Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities All decisions that have a material impact to each of the supporting organization's financial information or corporation as a whole are subject to approval by the national Member, St. Vincent Health, Inc. 1016666 1016666 17641661 15390571 2251090 4910690 3697364 1213326 90587834 72052816 18535018 11432186 89449 11342737 34358837 REHABILITATION HOSPITAL OF INDIANA, INC. 5637589 F ORTHOPAEDIC CONSULTING SERVICES, LLC 9942 F HCH/SVH CATH LAB SERVICES, LLC SUBURBAN HEALTH ORGANIZATION 250000 F Advantus, LLC AMBROSE Parkwood West II, LLC 9744008 F 15641539 Total Deferred Compensation Asset Other Assets 2462831 Due from Affiliates 72784409 Other Receivables 6503787 81751027 0 DUE TO AFFILIATES 236196934 ASCENSION HEALTH DEFERRED COMPENSATION LIABLITY Pension and Other Post retirement Liability LONG TERM AT RISK COMEPNSATION AH SAVINGS PLAN LIABILITY Other Liabilities 21221640 Accrued Tax Liability 519992 Debt with Ascension Health Alliance 42283378 300221944 X 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, 2018. true NEW HOPE OF INDIANA INC 8450 N PAYNE ROAD INDIANAPOLIS IN 46268 371733591 501(c)(3) 285000 GENERAL OPERATIONS HERITAGE CHRISTIAN SCHOOLS INC 3500 S Glen Park Road NEW BERLIN WI 53151 391255868 501(c)(3) 229250 GENERAL OPERATIONS BUTLER UNIVERSITY 4600 Sunset Ave Indianapolis IN 46208 350867977 501(c)(3) 154054 GENERAL OPERATIONS ZIONSVILLE COMMUNITY SCHOOLS 900 MULBERRY ST ZIONSVILLE IN 46077 351168812 150000 GENERAL OPERATIONS INDIANA SPORTS CORPORATION 201 S CAPITOL AVE Suite 1200 Indianapolis IN 46225 310975117 501(c)(3) 121250 GENERAL OPERATIONS INDIANAPOLIS ZOOLOGICAL SOCIETY INC 1200 W Washington St Indianapolis IN 46222 351074747 501(c)(3) 109333 GENERAL OPERATIONS AMERICAN HEART ASSOCIATION INC 7272 Greenville Ave Dallas TX 75231 135613797 501(c)(3) 82500 GENERAL OPERATIONS PROVIDENCE CRISTO REY HIGH SCHOOL 75 North Belleview Place Indianapolis IN 46222 203585867 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356042246 501(c)(3) 10000 GENERAL OPERATIONS LITTLE SISTERS OF THE POOR 8745 James A Reed Road Kansas MO 64138 440571339 501(c)(3) 10000 GENERAL OPERATIONS VIDEOINDIANA INC DEPT L-2380 COLUMBUS OH 43260 310864602 10000 GENERAL OPERATIONS PACK AWAY HUNGER INC PO Box 37 Greenwood IN 46142 271438579 501(c)(3) 8350 GENERAL OPERATIONS ST VINCENT MEDICAL GROUP INC 8333 Naab Road Suite 200 Indianapolis IN 46260 272039417 501(c)(3) 7400 GENERAL OPERATIONS FIRST UNITED METHODIST CHURCH 1589 W MAPLE RD BIRMINGHAM MI 48009 381393844 501(c)(3) 7000 GENERAL OPERATIONS ZARK PRODUCTIONS INC 9301 N MICHIGAN RD INDIANAPOLIS IN 46268 351497614 7000 GENERAL OPERATIONS TRINITY TIMING & CONSULTING LLC 1450 E 83RD ST INDIANAPOLIS IN 46240 264360824 6170 GENERAL OPERATIONS BILL ESTES CHEVROLET 4105 West 96th Street Indianapolis IN 46268 351905893 6041 GENERAL OPERATIONS NATIONAL KIDNEY FOUNDATION 30 E 33rd Street New York NY 10016 131673104 501(c)(3) 6000 GENERAL OPERATIONS ZIONSVILLE VOLUNTEER FIRE DEPT PO BOX 459 Zionsville IN 46077 351461463 501(c)(4) 5500 GENERAL OPERATIONS SHRINERS INTERNATIONAL 2900 N ROCKY POINT DR Tampa FL 33607 362158164 501(c)(10) 5000 GENERAL OPERATIONS THE NEUROSURGERY FOUNDATION 355 W 16TH STREET SUITE 5100 INDIANAPOLIS IN 46202 271597127 501(c)(3) 5000 GENERAL OPERATIONS SECOND HARVEST FOOD BANK EAST CENTRAL IN 6621 N Old SR 3 Muncie IN 47303 311111795 501(c)(3) 5000 GENERAL OPERATIONS OVAR'COMING TOGETHER Inc 2625 N Meridian Street Suite 108 Indianapolis IN 46208 320009759 501(c)(3) 5000 GENERAL OPERATIONS LITTLE WISH FOUNDATION INC PO BOX 502487 INDIANAPOLIS IN 46250 320310302 501(c)(3) 5000 GENERAL OPERATIONS INDIANAPOLIS MUSEUM OF ART 4000 MICHIGAN RD Indianapolis IN 46208 350867955 501(c)(3) 5000 GENERAL OPERATIONS SECOND HELPINGS INC THE EUGENE AND MARILYN GLICK CENTER 1121 SOUTHEASTERN AVE Indianapolis IN 46202 351484281 501(c)(3) 5000 GENERAL OPERATIONS PARAMOUNT HERITAGE FOUNDATION INC PO Box 727 Anderson IN 46015 351774217 501(c)(3) 5000 GENERAL OPERATIONS IOPO FOUNDATION INC 3760 Guion Rd Indianapolis IN 46222 352094558 501(c)(3) 5000 GENERAL OPERATIONS INDY PUBLIC SAFETY FOUNDATION 200 E Washington Street Suite 241 Indianapolis IN 46204 462975046 501(c)(3) 5000 GENERAL OPERATIONS ST RAPHAEL CATHOLIC MEDICAL GUILD OF INDIANAPOLIS INC 520 STEVENS ST Indianapolis IN 46203 475189084 501(c)(3) 5000 GENERAL OPERATIONS CATHOLIC COMMUNITY FOUNDATION DIOCESE OF PHOENIX 400 E Monroe Street Phoenix AZ 85004 860465177 501(c)(3) 5000 GENERAL OPERATIONS INDIANA EMS MEMORIAL FOUNDATION INC 6731 CHAPEL XING Zionsville IN 46077 475319216 501(c)(3) 5000 GENERAL OPERATIONS JEFFERSON AWARDS FOR PUBLIC SERVICE 100 W 10TH ST STE 215 WILMINGTON DE 19801 520959336 501(c)(3) 5000 GENERAL OPERATIONS CATHOLIC CHARITIES OF THE DIOCESE OF EVANSVILLE COURT BUILDING STE 603 123 NW FOURTH ST Evansville IN 47708 351044322 501(c)(3) 5000 GENERAL OPERATIONS ST JOHN THE EVANGELIST CATHOLIC CHURCH 5301 Daylight Dr Evansville IN 47725 351113666 501(c)(3) 5000 GENERAL OPERATIONS INDIANA HEALTHCARE EXECUTIVES NETWORK 13224 SWALLOWTAIL DR LAKEWOOD RANCH FL 34202 383691386 501(c)(6) 5000 GENERAL OPERATIONS 54 15 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The finance committee ensures that funds are distributed appropriately according to Ascension Health's strategic business plan and consistent with corporate policies and procedures. true true false false false false false false false JONATHAN S NALLI FACHE EX-OFFICIO/CEO-MINISTRY MARKET INDIANA 0 876231 0 1478663 0 234250 0 13500 0 38490 0 2641134 0 0 MICHAEL L MULLINS FORMER OFFICER (END 6/2016) 0 620466 0 543869 0 201587 0 13500 0 27634 0 1407056 0 0 JOSEPH O MURDOCK FORMER OFFICER (END 6/2017) 0 207093 0 520553 0 288086 0 9450 0 14274 0 1039455 0 0 TERRENCE G METZGER CFO-MINISTRY MARKET INDIANA 0 354265 0 90380 0 19813 0 13500 0 32886 0 510845 0 0 RICHARD I FOGEL MD CCO-MINISTRY MARKET INDIANA 0 527935 0 530304 0 110542 0 14850 0 30654 0 1214285 0 0 CHERYL A HARMON COO-MINISTRY MARKET INDIANA 0 522046 0 377015 0 96073 0 12803 0 14112 0 1022050 0 0 CYNTHIA D ADAMS RN CNO-MINISTRY MARKET INDIANA 0 468920 0 190102 0 86851 0 13500 0 5240 0 764613 0 0 RICHARD K FREEMAN MD CMO-MINISTRY MARKET INDIANA 0 491064 0 201000 0 2622 0 14850 0 34931 0 744467 0 0 STEPHEN C SWINNEY MD CQO-MINISTRY MARKET INDIANA 0 394397 0 116800 0 2622 0 17550 0 35616 0 566985 0 0 KEVIN P WILLMANN PRESIDENT (NAVION) 286013 0 121386 0 4374 0 14850 0 32399 0 459022 0 0 0 BRENDA K ERNER EXECUTIVE DIRECTOR (NAVION) 225956 0 66623 0 5079 0 15000 0 22127 0 334785 0 0 0 JOHN R PEASLEY CIO (NAVION) 184758 0 56710 0 967 0 13875 0 30933 0 287242 0 0 0 JILL A BROCKER DIRECTOR, QUALTIY (NAVION) 136849 0 16056 0 1208 0 9462 0 19475 0 183051 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation Ascension Health, a related organization of St.Vincent Health, Inc., uses the following to establish the compensation of the organization's CEO/Executive Director: - Compensation committee - Independent compensation consultant - Compensation survey or study - Approval by the board or compensation committee Schedule J, Part I, Line 4a Severance or change-of-control payment The following individual(s) received severance payments from the organization or a related organization: Joseph O Murdock - $176,769 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in various non-qualified deferred compensation plans organized under Code Section 457(f). The exact purpose of each plan varies but they include: compensation limitation make-up plans, voluntary deferral plans, deferral of a portion of incentive bonus type plans, etc. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No payments were made to listed persons in Part VII under the various non-qualified deferred compensation plans during the year. Form 990, Part IV, Line 24a TAX EXEMPT BOND ISSUANCE St. Vincent Health, Inc. is a health facility that is part of Ascension Health System. Ascension Health is the borrower for tax exempt hospital revenue bonds. St. Vincent Health, Inc. holds an inter company note payable with Ascension Health, and this information is reported on the balance sheet. Form 990, Part VI, Line 15a DETERMINATION OF COMPENSATION THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. VINCENT HEALTH, INC. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL'S SALARY WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 6 Classes of members or stockholders St. Vincent Health, Inc. has a single corporate member, Ascension Health. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. Vincent Health, Inc. has a single corporate member, Ascension Health, who has the ability to elect members to the governing body of St. Vincent Health, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix. 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 INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS 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 15b Process to establish compensation of other employees IN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS, THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE ST. VINCENT HEALTH, INC. EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. 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 Miscellaneous Revenue - Total Revenue: 607884, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 607884; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS WITH ALPHA FUND - XXX-XX-XXXX; Contribution of Capital - 1000000; TRANSFER ASSETS TO SYSTEM OFFICE - -492935; Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTS The activity of ST. VINCENT HEALTH, INC. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of ST. VINCENT HEALTH, INC. is completed. Therefore, the audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of ST. VINCENT HEALTH, INC. Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant ST. VINCENT HEALTH, INC. 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. 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