2019-05-13T18:16:19-05:00 2018-06-30 990 2017-07-01 350992717 St Joseph Hospital & Health Center Inc STJO 3147338000 1907 W Sycamore Street Kokomo IN 469015148 Tonya Mershon Tax Officer 2019-05-13 2017 2019-02-21 02:37:17Z St Vincent Kokomo Dennis E Ressler 1907 W Sycamore Street Kokomo IN 469015148 161380531 false 0928 X www.stvincent.org/locations/hospitals/kokomo X 1913 IN To improve the health and well-being of all people in the communities we serve. 13 8 899 145 0 342 122372 8619 160033525 160559742 2496 11225 1086043 800945 161244436 161380531 25728 186366 0 58586944 53274094 0 0 79172494 88359172 137785166 141819632 23459270 19560899 51289065 53363834 45469517 43099259 5819548 10264575 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 98788131 186366 160559742 St. Joseph Hospital & Health Center, Inc. is a 129-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, St. Joseph Hospital & Health Center, Inc. treated 5,103 adults and children for a total of 20,869 patient days of service. The hospital also provided services for 204,229 outpatient visits, which included 4,001 outpatient surgeries and 28,153 Emergency Room Visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 98788131 true false false true false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false true true true true false false true 117 0 true 899 true false false false false false false true false false false X 13 8 false false false false true true true true true false false false true true true true true false false false IN X SARA OBRIEN 3147338070 11775 BORMAN DRIVE MARYLAND HEIGHTS MO 63146 KARAM F ABBASI MD CHAIR 1.0 55.0 X X 0 506021 42840 WILLIE E STROMAN VICE CHAIR 1.0 0 X X 0 0 0 MELANIE L BOZARD MD SECRETARY 1.0 55.0 X X 0 251285 16699 GENE MILES TREASURER 1.0 0 X X 0 0 0 MARGARET M JOHNSON EX-OFFICIO/PRESIDENT 40.0 2.0 X X 471612 0 23207 TERRENCE G METZGER DIRECTOR 1.0 42.0 X 0 464458 46386 SCOT A ORTMAN DIRECTOR 1.0 1.0 X 0 0 0 BRADLEY J CLARK DIRECTOR 1.0 0 X 0 0 0 JOHN A FOUNTAIN DIRECTOR 1.0 0 X 0 0 0 RONALD T MAUS DIRECTOR 1.0 0 X 0 0 0 JOHN O'DONNELL DIRECTOR 1.0 0 X 0 0 0 DAVID L WILLIAMS MD DIRECTOR/CMO 40.0 0 X 135944 0 19547 SHELLY WYMAN DIRECTOR 1.0 0 X 0 0 0 DENNIS E RESSLER EXECUTIVE DIRECTOR, FINANCE (END 12/2017) 40.0 1.0 X 263207 0 38812 BETHANY L MORROW VP, FINANCE (START 1/2018) 5.0 36.0 X 0 170340 26718 KATHLEEN K PEOPLES RN VP, NURSING & CNO 40.0 0 X 224238 0 25219 PANCHAPAKESAN P HARAN MD PHYSICIAN 40.0 0 X 820343 0 49749 HEATH A SPENCE MD PHYSICIAN 40.0 0 X 671469 0 32535 HUAN PU CUI MD PHYSICIAN 40.0 0 X 626647 0 34473 DAVID A CHEESMAN MD PHYSICIAN 40.0 0 X 478186 0 46301 ELIZABETH TENTLER MD PHYSICIAN 40.0 0 X 460773 0 38057 4152417 1392104 440545 37 false true false AMERICAN HEALTH NETWORK OF INDIANA LLC 10333 N MERIDIAN ST STE 450 INDIANAPOLIS IN 46290 MEDICAL SERVICES 16195628 MID AMERICA CLINICAL LABORATORIES 2560 N Shadeland Avenue Indianapolis IN 46219 LAB SERVICES 4215604 AMERIPATH INDIANAPOLIS LLC 2560 N SHADELAND AVE STE A INDIANAPOLIS IN 46219 LAB SERVICES 783875 DIVERSIFIED CLINICAL SERVICES 4500 Salisbury Rd Ste 300 Jacksonville FL 32216 PHYSICIAN SERVICES 482263 TUCHSCHERER MEDICAL LLC 3064 EMERALD CT KOKOMO IN 46902 PHYSICIAN SERVICES 398630 17 X 8619 8619 Net Patient Service Revenue 621990 156355802 156355802 Services to Affiliates 621990 4003198 4003198 Rental Income from Affiliates 531120 218331 218331 Pharmacy Revenue 446110 11219 11219 Management Fees 561000 35 35 -28843 -28843 0 0 160559742 11225 11225 157676 0 157676 0 157676 157676 0 0 0 Cafeteria/Vending Revenue 722514 483923 483923 Escheatment Revenue 900099 7849 7849 151497 0 0 151497 643269 161380531 160559742 0 812170 186366 186366 1201786 1021518 180268 40138450 34203557 5934893 1750138 1491363 258775 7642661 6512300 1130361 2541059 2165192 375867 520450 864815 -344365 41718 41718 3420 3420 2846698 2349802 496896 0 49219 882 48337 161540 75545 85995 12870 12422 448 2098419 556610 1541809 34564 19996 14568 69679 57352 12327 572402 572402 3996277 2825244 1171033 759277 55239 704038 Purchased Services 29419944 22887308 6532636 Medical Supplies 12001704 11895705 105999 Management Fee to Affiliate 14444111 14444111 Corporate Expense 10850268 1918809 8931459 10476612 9688106 788506 0 141819632 98788131 43031501 0 0 1275 35726 17546 20176289 20770308 0 0 0 0 0 24208 1808105 1949709 115179 118643 135931847 110854865 24906675 25076982 0 0 300698 286259 3946393 5118904 51289065 53363834 11861466 10317697 0 0 33608051 32781562 45469517 43099259 X 5644480 10089507 175068 175068 5819548 10264575 51289065 53363834 X 19560899 -15115872 X false true X true true true X false false false false false false false false true 3420 3420 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Joseph Hospital & Health Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Joseph Hospital & Health Center, Inc. does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 722779 722779 87881123 74255908 13625215 528071 528071 0 40646037 34603969 6042068 6153837 1466917 4686920 25076982 Miscellaneous Assets 83561 Due from Affiliates 3875533 Other Receivables 1017471 Estimated 3rd Party Payor Settlements 142339 5118904 0 Due to Affiliates 12304785 Asset Retirement Obligation 1937907 Estimated 3rd Party Payor Settlement 914083 Recovery Tail Liability 558057 Accrued Tax Liability 53304 Debt with Ascension Health Alliance 15703146 Other Liabilites 1310280 32781562 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 true X true X 250 true X true true true false true true 4510067 0 4510067 0.0318 29141579 19869824 9271755 0.0654 0 0.0 0 0 33651646 19869824 13781822 0.0972 16 4077 517451 16869 500582 0.0035 3 136 3077 0 3077 0.0000 0 0.0 0 0.0 3 64 40980 0 40980 0.0003 22 4277 561508 16869 544639 0.0038 22 4277 34213154 19886693 14326461 0.1010 0 0.0 1 1 50 0 50 0.0000 1 21 574 0 574 0.0000 0 0.0 1 10 74 0 74 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 3 32 698 0 698 0.0000 false 222265 0 55794110 64730152 -8936042 X true true 1 1 St Joseph Hospital & Health Center Inc 1907 W Sycamore Street Kokomo IN 46901 www.stvincent.org/locations/hospitals/kokomo 17-005010-1 X X X St Joseph Hospital & Health Center Inc 1 false false true X X X X X X X X X 15 true true false true X https://www.stvincent.org/how-we-are-different/community-assessment X true 16 true https://www.stvincent.org/how-we-are-different/community-assessment false true X 250.0 400.0 X true true X X X true X HTTPS://WWW.STVINCENT.ORG/Billing-Services X HTTPS://WWW.STVINCENT.ORG/Billing-Services X HTTPS://WWW.STVINCENT.ORG/Billing-Services X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E To better target community resources on the county's most pressing health needs, the hospital participated in a group discussion with organizational decision makers and community leaders to prioritize the significant community health needs while considering several criteria: alignment with Ascension Health strategies of healthcare that leaves no one behind; care for the poor and vulnerable; opportunities for partnership; availability of existing programs and resources; addressing disparities of subgroups; availability of evidence-based practices; and community input. Facilitated by HCI, participants utilized a prioritization toolkit to examine how well each of the 10 significant health needs (resulting from analysis of the primary and secondary data) met the criteria. Next, participants ranked the top 5 most pressing health needs, which were then aggregated by rank. The top 5 most pressing health needs, as prioritized by the group, will be under consideration for the development of an implementation plan that will address some of the health issues. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St. Joseph Hospital & Health Center, Inc.. As federally required by the Affordable Care Act, the following is an overview of the methods and process used to identify and prioritize significant health needs in Howard County, Indiana. St. Vincent Health contracted Healthy Communities Institute (HCI) to help facilitate their system wide CHNA work and document all efforts. The secondary data included over 100 community health and quality of life indicators covering over 20 topic areas. Health indicators for Howard County were compared to other counties in Indiana and nationwide to score health topics and compare relative areas of need. Other considerations for health areas of need included trends over time, Healthy People 2020 targets, and disparities by gender and race/ethnicity. The needs assessment was further informed by interviews with community members who have a fundamental understanding of Howard County's health needs and represent the broad interests of the community. Eight key informants provided valuable input on the county's health challenges, the sub-populations most in need, and existing resources for county residents. The informants included: *211 of Howard County - United Way *4Community of Howard County *Head Start *Howard County Public Health *Indiana Health Center *Kokomo Police Department *Project Access *St. Joseph Hospital & Health Center, Inc. Behavioral Health Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - St. Joseph Hospital & Health Center, Inc.. The hospital conducted its CHNA in conjunction with Community Health Network, Franciscan Health and Indiana University Health. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST. JOSEPH HOSPITAL & HEALTH CENTER, INC.. The St. Vincent FY 2017-2019 Implementation Strategy specifically addresses the following three SWHIPs: 1) Access to Health Services - St. Joseph Hospital & Health Center, Inc. will use the RUAH Pathway Program to increase its reported number of completed pathways (i.e., verification from FSSA) in FY 2015 by 5% each year for FYs 2017-2019. Achieving this goal will contribute to the percentage of people who have health insurance in Howard County. Specific action steps include the following: Health Advocate (HA) assesses for eligibility and educates individuals about coverage options; HA submits application and works through any issues or delays; and HA verifies eligibility in order to complete the Pathway. 2) Exercise, Nutrition & Weight - St. Joseph Hospital & Health Center, Inc. will partner with a school and a food source to provide eligible students with a weekend backpack of nutritious food throughout the school year. Specific action steps include the following: complete the Weekend Feeding Program Preparation Checklist; meet with all stakeholders to determine program logistics; plan the specifics of your program's protocol; make final preparations for the program's "go live" date in FY 2018. 3) Behavioral Health - St. Joseph Hospital & Health Center, Inc. will offer Rx for Change training at no charge to anyone who works in a health care setting to increase the proportion of training participants who screen and refer to the Indiana Tobacco Quitline by 10% by the end of FY 2019 (June 30, 2019). Achieving this goal will contribute to the percentage of tobacco users who have been screened and referred to the Indiana Tobacco Quitline. Specific action steps include the following: complete the Provider Training Checklist - Action Step #1; plan at least two Rx for Change trainings in your community in FY 2018 and ensure continuing education credits are available, if applicable (See Provider Training Checklist - Action Step #2); develop a strategy to promote trainings to the community; promote and offer at least two Rx for Change trainings at no charge to your community in FY 2018; enter FY 2018 baseline survey data into database within two weeks of each training; for FY 2019 - Repeat Action Steps #2-4 to plan, develop, and promote and offer at least two Rx for Change trainings at no charge to your community in FY 2019; and enter FY 2019 baseline survey data into database within two weeks of each training. Needs That Will Not Be Addressed - The hospital is committed to improving community health by directly, and indirectly, addressing prioritized health needs. However, certain factors impact the hospital's ability to fully address all priorities health needs. The needs listed below are not included in the hospital's implementation strategy plan for the following reasons: Diabetes - This identified health need is not being monitored and evaluated in the Implementation Strategy due to limitations within the hospital's financials and human resources. However, St. Joseph Hospital & Health Center, Inc. does offer a Diabetes Support Group which focuses on this issue. 1 ST JOSEPH PRIMARY CARE LLC 1907 W SYCAMORE STREET KOMOMO IN 46901 PHYSICIAN PRACTICES Schedule H, Part I, Line 7 COMMUNITY BENEFIT St. Joseph Hospital & Health Center, Inc. is a Catholic healthcare facility located in the state of Indiana. St. Joseph Hospital & Health Center, Inc. is a part of St. Vincent Health, a non-profit healthcare system consisting of 24 locally-sponsored ministries which includes a comprehensive network of affiliated joint ventures, medical practices, and clinics. St. Vincent Health is one of the largest healthcare employers in the state and is sponsored by Ascension Health, the nation's largest Catholic healthcare system. St. Vincent creates strong partnerships with businesses, community organizations, local, state and federal government. Working with its partners, and utilizing the CHNA completed every three years, St. Joseph Hospital & Health Center, Inc. is committed to addressing community health needs and developing and executing an implementation strategy to meet identified needs to improve health outcomes within the community. Community benefit is not the work of a single department or group within St. Joseph Hospital & Health Center, Inc., but is part of the St. Vincent mission and cultural fabric. The hospital leadership team provides direction and resources in developing and executing the Implementation Strategy in conjunction with the St. Vincent Health Community Development & Health Improvement Department but associates at all levels of the organization contribute to community benefit and health improvement. Part I Certain Other Community Benefits at Cost Community health improvement efforts must take a comprehensive approach and utilize diverse methods to reach intended audiences. As a system, St. Vincent works to improve the health of communities through a variety of approaches, including community health improvement services, health professions education, subsided health services, generalizable research, and cash and in-kind contributions. During fiscal year 2018, St. Vincent supported the community in the following ways: Community Health Improvement Services Community Health Education St. Vincent provides health education on several topics and issues facing the local community throughout the year. The information is offered to the community through a variety of methods, which include, but are not limited to the following: health fairs, health promotion and wellness programs, lectures, school health education programs, and support groups. Community Based Clinical Services To reach individuals who are uninsured and underinsured, St. Vincent offers screenings, one-time clinics which include blood pressure, cholesterol screening, and/or immunization clinics, and free clinics which provided free and/or low-cost healthcare. Social and Environmental Improvement Activities Programs and activities that improve the health of persons in the community by addressing the determinants of health, which include the social, economic and physical environment, which includes removal of harmful materials in public housing, participations in community coalitions to increase jobs with health insurance and conducing a separate assessment for community disaster preparedness. Health Professions Education St. Vincent is committed to helping ensure the next generation of healthcare professionals by providing education through hands on training to students who are working towards a wide range of healthcare degrees and certificates. These categories include medical students, nursing students and other health professions, such as physical therapy, social work, pharmacy, and pastoral care students. Cash and In-Kind Contributions St. Vincent makes cash and in-kind contributions to a variety of organizations focused on improving the health status in the community. Examples include cash donations to nonprofits in response to natural disasters, event sponsorships focused on addressing an identified community health need, donation of employee time/services to outside organizations, and the representation of the hospital on community boards and committees. Community Benefit Operations St. Vincent staff dedicates significant time and costs to lead and manage community benefit programs and activities. Resources are also allocated to conduct a community health needs assessment and develop an implementation strategy. Community benefit is tracked and reported to St. Vincent leadership, Ascension leadership, state and federal government entities. System Wide Health Improvement Priorities FY18 was the second year of the three-year SWHIP implementation strategy (FY17-19). Below is a year 2 update for each SWHIP: 1) Access to Health Services: Community benefit=$25,916 In year two of the strategy, the HA helped 82 people obtain medical insurance (FY18 goal=86; FY18 goal attainment=95%). 2) Exercise, Nutrition & Weight: Community benefit=$5,590; Staff time=9 hours FY18 was an implementation year. The hospital contributed funds for the program however, staff were unable to obtain approval from the school to distribute the survey within the baseline timeframe. Approval to distribute the survey was granted by the school in FY18-Q3. Fourteen families responded to the survey. Analysis of this survey will be completed in FY19. Additionally, surveys #3-4 will be administered in FY19. 3) Behavioral Health: Community benefit=$839; Staff time=20 hours The hospital offered 2 Rx for Change training to the community on November 8, 2017 and January 10, 2018. A total of seven participants attended the training. Participants represented respiratory therapists from the community and St. Joseph Hospital & Health Center, Inc. staff (community members=4, 57%; St. Vincent associates=3, 43%). Each participant was eligible to earn two continuing education units for the training. The continuing education unit request form doubled as the baseline survey. To increase the response rate, participants were allotted two weeks to complete the brief, online form. The response rate for the baseline was 29% (n=2). NOTE: Due to a miscommunication between the hospital and Rx for Change teams, baseline questions about "Preferred Provider" status and changes in ask/advise/recommend/refer as a result of the training were not asked at baseline in any training before February 2018 (participants impacted=2). However, all participants were asked to rate their overall ability to discuss cessation with patients. On a scale of 1-5 (Poor-Excellent), 2 (100%) participants rated their overall ability as "Very Good" or "Excellent". Thirty days after the training, a brief, follow-up survey was emailed to all participants (email address provided by participant). To increase the response rate, participants received a friendly reminder message with link to the survey once a week for four weeks. Participants who answered the email within the 4-week follow-up period were removed from the email queue and did not receive subsequent messages. No incentives were offered for survey completion. A total of 4 participants completed the 30-day follow-up survey. Of those completing the follow-up survey: - 2 participants reported being/working for an organization that is registered with the quitline as a "Preferred Provider" - 2 participants reported asking more patients about tobacco use - 2 participants reported advising more tobacco users to quit - 2 participants reported recommending medications for quitting - 1 participant reported referring patients to the tobacco quitline Participants were also asked to consider the 30 days following the training and approximate the number of patients that they: - Asked about tobacco use = ~29 (range of approximations = 0-15) - Advising more tobacco users to quit = ~24 (range of approximations = 0-15) - Recommending medications for quitting = ~15 (range of approximations = 0-15) - Referring patients to the quitline = ~16 (range of approximations = 0-15) Although the small size precludes detecting changes in screening behaviors with statistical significance, these findings provide may provide insight into: - Respondents awareness of their own/organizational status as a registered quitline "Preferred Provider" - Respondents perception of the number of patients they screen for tobacco use in a 30-day period - Hospital can determine next steps, if any, for similar programs in the future. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied. Schedule H, Part II Community Building Activities Research shows that social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on the root causes of health problems, ultimately influence and improve health status. Examples of community building activities include physical improvement and housing, economic development, community support, environmental improvements, leadership development and leadership training for community members, coalition building, advocacy for community health improvements and safety, and workforce development. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount After satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2018 was $911,931 at charges, ($222,265 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 21. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply. Schedule H, Part V, Section B, Line 16a FAP website - St. Joseph Hospital & Health Center, Inc.: Line 16a URL: HTTPS://WWW.STVINCENT.ORG/Billing-Services; Schedule H, Part V, Section B, Line 16b FAP Application website - St. Joseph Hospital & Health Center, Inc.: Line 16b URL: HTTPS://WWW.STVINCENT.ORG/Billing-Services; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - St. Joseph Hospital & Health Center, Inc.: Line 16c URL: HTTPS://WWW.STVINCENT.ORG/Billing-Services; Schedule H, Part VI, Line 2 Needs assessment St. Joseph Hospital & Health Center uses reliable, third party reports, including data from government sources to assess the health care needs of the communities it serves. These reports provide information about key health, socioeconomic and demographic indicators that point to area of need and include but are not limited to reports from Indiana State Department of Health, Indiana Business Research Center at Indiana University, U.S. Census Bureau, Alliance for a Heathier Indiana, Tobacco Prevention & Cessation Commission and Indiana Hospital Association. St. Joseph Hospital & Health Center utilizes information from these secondary sources to develop programs and provide services throughout the region. In addition, St. Joseph Hospital & Health Center considers the health care needs of the overall community when evaluating internal financial and operational decisions. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance St. Joseph Hospital & Health Center, Inc. communicates with patients in multiple ways to ensure that those who are billed for services are aware of the hospital's financial assistance program as well as their potential eligibility for local, state or federal programs. Signs are prominently posted in each service area, and bills contain a formal notice explaining the hospital's charity care program. In addition, the hospital employs financial counselors, health access workers, and enrollment specialists who consult with patients about their eligibility for financial assistance programs and help patients in applying for any public programs for which they may qualify. Schedule H, Part VI, Line 4 Community information St. Joseph Hospital & Health Center, Inc. is located in Kokomo, Indiana and serves Howard and contiguous counties, in north Central Indiana. Howard County has an estimated population of 82,363. According to the 2018 County Health Rankings, Howard County ranks 66th out of 92 Indiana counties in health outcomes. Howard County demographics are slightly more homogenous than the overall Indiana state population with 88.1% the county's population is White, 7.1% is Black/African American, 1.3% is Asian, 2.3% is of two or more races, and 3.1% is Hispanic/Latino. The median household income is lower than the state at about $49,204 annually, and roughly 14.8% of Howard County families are living in poverty, which is slightly higher than the state. Howard County's uninsured rate is 10% which is lower than the state's rate of 11%. By the Indiana State Department of Health and U.S. Department of Health and Human Services, a small portion of Howard County is designated as a Medically Underserved Area (MUA) and Population (MUP). Schedule H, Part VI, Line 5 Promotion of community health St. Joseph Hospital & Health Center's governing body is comprised of persons representing diverse aspects and interests of the community. Many members of St. Joseph Hospital & Health Center's governing body reside in the organization's primary service area; who are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community for some or all of its departments or specialties and applies surplus funds to improvements in patient care, medical education, and research. Schedule H, Part VI, Line 6 Affiliated health care system St. Joseph Hospital & Health Center, Inc. is an affiliate of St. Vincent Health system and Ascension Health. St. Joseph Hospital & Health Center, Inc. affiliates are large multi-faceted, integrated, not-for-profit ministries including hospital and non-hospital ministries (physician group practices, hospital organizations, research, home health, durable medical equipment and senior facilities). These ministries work together to care for patients, joined by common systems and a philosophy of serving as a healing presence with special concern for our neighbors especially those who are vulnerable. This community benefit happens through its focus on patient care, education and research. The organizations work together to serve their communities at the local, regional, state, and national level. Ascension Health Alliance, D/B/A Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health. A Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or health ministries, located in 21of the United States and the District of Columbia. Ascension is sponsored by Ascension Sponsor, a public juridic person. The participating of Ascension sponsor are the Daughters of Charity of St. Vincent De Paul, St. Louise Province; The Congregation of St. Joseph; The Congregation of the Sisters of St. Joseph of Carondelet; The Congregation of Alexian Brothers of the Immaculate Conception Province, Inc. - American Province; and the Sisters of the Sorrowful Mother of the Third Order of St. Francis of Assisi - US/Caribbean Province. As part of St. Vincent Health, St. Joseph Hospital & Health Center, Inc. is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St. Joseph Hospital & Health Center, Inc. devote time to leading and administering local community-based programs and partnerships, associates throughout the organization are active participants in community outreach. They are assisted and supported by designated St. Vincent Health Community Development & Health Improvement associates and other support staff who work with each of its healthcare facilities to advocate for and provide technical assistance for community outreach, needs assessments and partnerships as well as to support regional and state-wide programs, community programs sponsored by St. Vincent Health in which St. Joseph Hospital & Health Center participates. true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC 1907 W SYCAMORE STREET KOKOMO IN 46901 237312306 501(C)(3) 160246 GENERAL SUPPORT GREATER KOKOMO ECONOMIC DEVELOPMENT 325 NORTH MAIN ST KOKOMO IN 46901 351499686 501(c)(3) 5000 OPERATING GRANT SAMARITAN CAREGIVERS INC 2705 S BERKLEY RD STE 3C KOKOMO IN 46902 351999781 501(c)(3) 6000 OPERATING GRANT KOKOMO URBAN OUTREACH INC 1701 S LOCIKE ST KOKOMO IN 46902 841702273 501(c)(3) 5000 OPERATING GRANT Logansport Memorial Hospital 1101 Michigan Ave Logansport IN 46947 356001853 501(c)(3) 9870 OPERATING GRANT 5 0 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. X true true false true false false false false false false false KARAM F ABBASI MD CHAIR 0 466661 0 27000 0 12360 0 16200 0 26640 0 548861 0 0 MELANIE L BOZARD MD SECRETARY 0 210000 0 40619 0 666 0 13057 0 3642 0 267984 0 0 MARGARET M JOHNSON EX-OFFICIO/PRESIDENT 328878 0 134083 0 8650 0 16656 0 6551 0 494819 0 0 0 TERRENCE G METZGER DIRECTOR 0 354265 0 90380 0 19813 0 13500 0 32886 0 510845 0 0 DAVID L WILLIAMS MD DIRECTOR/CMO 100152 0 35168 0 624 0 2783 0 16764 0 155491 0 0 0 DENNIS E RESSLER EXECUTIVE DIRECTOR, FINANCE (END 12/2017) 201503 0 61704 0 0 0 16178 0 22634 0 302018 0 0 0 BETHANY L MORROW VP, FINANCE (START 1/2018) 0 153566 0 16468 0 307 0 10606 0 16112 0 197058 0 0 KATHLEEN K PEOPLES RN VP, NURSING & CNO 163278 0 54147 0 6812 0 13039 0 12181 0 249457 0 0 0 PANCHAPAKESAN P HARAN MD PHYSICIAN 554451 0 259350 0 6542 0 14850 0 34899 0 870091 0 0 0 HEATH A SPENCE MD PHYSICIAN 381391 0 284320 0 5758 0 14850 0 17685 0 704004 0 0 0 HUAN PU CUI MD PHYSICIAN 382439 0 242900 0 1309 0 14850 0 19623 0 661120 0 0 0 DAVID A CHEESMAN MD PHYSICIAN 224283 0 252595 0 1307 0 14850 0 31451 0 524487 0 0 0 ELIZABETH TENTLER MD PHYSICIAN 318252 0 114393 0 28128 0 5400 0 32657 0 498831 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments St. Joseph Hospital & Health Center, Inc. included imputed income for individuals listed in Part VII. St. Joseph Hospital & Health Center, Inc. "grossed up" applicable non-business expenses and included in the employees' W-2 as additional taxable compensation. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation St.Vincent Health, Inc., a related organization of St.Joseph Hospital & Health Center, 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 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. Joseph Hospital & Health Center, Inc. is a health facility that is part of Ascension Health System. Ascension Health is the borrower for tax exempt hospital revenue bonds. St. Joseph Hospital & Health Center, Inc. holds an inter company note payable with Ascension Health, and this information is reported on the balance sheet. Form 990, Part IV, Line 20b Audited financial statements The activity of St. Joseph Hospital & Health Center, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Joseph Hospital & Health Center, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Joseph Hospital & Health Center, Inc. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PERFORMED BY ST. VINCENT HEALTH, INC. AND ITS SUBSIDIARY ORGANIZATIONS. ST. VINCENT HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HOSPITAL & HEALTH CENTER, 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 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS PERFORMED BY ST. VINCENT HEALTH, INC. AND ITS SUBSIDIARY ORGANIZATIONS. ST. VINCENT HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HOSPITAL & HEALTH CENTER, 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 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 6 Classes of members or stockholders St. Joseph Hospital & Health Center, 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. Joseph Hospital & Health Center, Inc. has a single corporate member, St. Vincent Health, Inc. who has the ability to elect members to the governing body of St. Joseph Hospital & Health Center, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. Joseph Hospital & Health Center, 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 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 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part VIII, Line 2f Other Program Service Revenue Government Incentives - Total Revenue: -28843, Related or Exempt Function Revenue: -28843, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Miscellaneous Revenue - Total Revenue: 151497, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 151497; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS WITH ALPHA FUND - -15115872; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant St. Joseph Hospital & Health Center, 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. ST JOSEPH PRIMARY CARE LLC 1907 W SYCAMORE STREET KOKOMO IN 46901 742979291 PHYSICIAN PRACTICES IN 7333843 1082516 ST JOSEPH HOSPITAL & HEALTH CENTER INC ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ST VINCENT HEALTH INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS IN 46290 352052591 PARENT COMPANY IN 501(c)(3) Type III-FI ASCENSION HEALTH false CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC 2001 W 86TH STREET INDIANAPOLIS IN 46260 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true SVH REAL ESTATE INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS IN 46290 205002285 REAL ESTATE HOLDING COMPANY IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true ST VINCENT ANDERSON REGIONAL HOSPITAL INC 2015 JACKSON STREET ANDERSON IN 46016 460877261 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CARMEL HOSPITAL INC 13500 N MERIDIAN STREET CARMEL IN 46032 743107055 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CLAY HOSPITAL INC 1206 E NATIONAL AVENUE BRAZIL IN 47834 352112529 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT DUNN HOSPITAL INC 1600 23RD STREET BEDFORD IN 47421 272192831 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FISHERS HOSPITAL INC 13861 OLIO ROAD FISHERS IN 46037 454243702 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FRANKFORT HOSPITAL INC 1300 S JACKSON FRANKFORT IN 46041 352099320 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC 8333 NAAB ROAD STE 301 INDIANAPOLIS IN 46260 461227327 HEALTH AND WELLNESS SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC 2001 W 86TH STREET INDIANAPOLIS IN 46260 350869066 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT JENNINGS HOSPITAL INC 301 HENRY STREET NORTH VERNON IN 47265 351841606 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MADISON COUNTY HEALTH SYSTEM INC 1331 SOUTH A STREET ELWOOD IN 46036 350876389 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MEDICAL GROUP INC 8425 HARCOURT ROAD INDIANAPOLIS IN 46260 272039417 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT CARMEL HOSPITAL INC true ST VINCENT RANDOLPH HOSPITAL INC 473 GREENVILLE AVENUE WINCHESTER IN 47394 352103153 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT RAS INC 10330 N MERIDIAN STREET STE 400N INDIANAPOLIS IN 46290 471289091 RETAIL AMBULATORY SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT SALEM HOSPITAL INC 911 N SHELBY STREET SALEM IN 47167 270847538 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT SETON SPECIALTY HOSPITAL INC 8050 TOWNSHIP LINE RD INDIANAPOLIS IN 46260 351712001 LONG TERM CARE HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT WILLIAMSPORT HOSPITAL INC 412 N MONROE STREET WILLIAMSPORT IN 47993 350784551 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST MARY'S HEALTH INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 350869065 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST MARY'S WARRICK HOSPITAL INC 1116 MILLIS AVENUE BOONVILLE IN 47601 351343019 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC 1907 W SYCAMORE STREET KOKOMO IN 46901 237313206 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST JOSEPH HOSPITAL & HEALTH CENTER INC true ST MARY'S AT HOME INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 351899560 DME/HOME CARE IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S BUILDING CORPORATION 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 237248362 REAL ESTATE HOLDING COMPANY IN 501(c)(2) ST MARY'S HEALTH INC true ST MARY'S HEALTH SERVICES INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 351679526 INVESTMENT SERVICES IN 501(c)(3) Type III-FI ST MARY'S HEALTH INC true ST MARY'S CARE PARTNERS INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 351899562 TAX-EXEMPT AFFILIATE REIMBURSEMENTS IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S HEALTH FOUNDATION INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 237045370 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S MEDICAL GROUP LLC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 261356310 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT MEDICAL GROUP INC true ST MARY'S OHIO VALLEY HEARTCARE LLC 901 ST MARYS DRIVE EVANSVILLE IN 47714 273474697 DORMANT IN 501(c)(3) Type I ST MARY'S MEDICAL GROUP LLC true PRIMARY PHYSICIAN NETWORK LLC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 208775914 DORMANT IN 501(c)(3) 10 ST MARY'S HEALTH INC true ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC 2015 JACKSON STREET ANDERSON IN 46016 352053693 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT ANDERSON REGIONAL HOSPITAL INC true ST VINCENT FRANKFORT HOSPITAL FOUNDATION INC 1300 S JACKSON FRANKFORT IN 46041 351531734 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT FRANKFORT HOSPITAL INC true ST VINCENT HOSPITAL FOUNDATION INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS IN 46290 356088862 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC true ST VINCENT MERCY HOSPITAL FOUNDATION INC 1331 SOUTH A STREET ELWOOD IN 46036 311066871 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT MADISON COUNTY HEALTH SYSTEM INC true ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC 473 GREENVILLE AVENUE WINCHESTER IN 47394 352133006 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT RANDOLPH HOSPITAL INC true ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC 412 N MONROE STREET WILLIAMSPORT IN 47993 743130159 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST VINCENT WILLIAMSPORT HOSPITAL INC true ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 205342518 AMBULANCE SERVICES IN 501(c)(4) ST MARY'S HEALTH SERVICES INC true ENDOSCOPY CENTER LLC 13421 OLD MERIDIAN STREET STE 150 CARMEL IN 46032 320029881 ENDOSCOPY CENTER IN NA N/A STVINCENT HEART CENTER OF INDIANA LLC 10580 N MERIDIAN STREET INDIANAPOLIS IN 46290 364492612 HEART HOSPITAL IN NA N/A CARMEL AMBULATORY SURGERY CENTER LLC 13421 OLD MERIDIAN ST STE 150 CARMEL IN 46032 320014795 AMBULATORY SURGERY CENTER IN NA N/A NAAB ROAD SURGERY CENTER LLC 8260 NAAB ROAD STE 100 INDIANAPOLIS IN 46260 351991390 AMBULATORY SURGERY CENTER IN NA N/A TRI-STATE COMMUNITY CLINICS LLC 8601 N KENTUCKY AVENUE SUITE J EVANSVILLE IN 47711 270885968 PRIMARY CARE PHYSICIAN PRACTICES IN NA N/A THP - ST VINCENT VENTURE LLC 1415 LOUISIANA STREET 27TH FLOOR HOUSTON TX 77002 813184703 FREESTANDING ED'S TX NA N/A AMBROSE PARKWOOD WEST II LLC 55 MONUMENTAL CIRCLE STE 450 INDIANAPOLIS IN 46204 270532924 LAND HOLDINGS IN NA N/A ST MARY'S MEDICAL GROUP INC 3700 WASHINGTON AVE EVANSVILLE IN 47750 352076827 INVESTMENT IN NA C Corporation true false true false false false false false false false true false true true false true true true true false ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC B 160246 FAIR MARKET VALUE ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC L 2244594 FAIR MARKET VALUE ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC Q 70985 FAIR MARKET VALUE ST VINCENT MEDICAL GROUP INC J 218331 FAIR MARKET VALUE ST VINCENT MEDICAL GROUP INC L 135420 FAIR MARKET VALUE ST VINCENT MEDICAL GROUP INC Q 143065 FAIR MARKET VALUE