2019-05-13T18:20:46-05:00 2018-06-30 990 2017-07-01 352099320 ST VINCENT FRANKFORT HOSPITAL INC STVI 3147338000 250 WEST 96TH STREET INDIANAPOLIS IN 46260 Tonya Mershon Tax Officer 2019-05-13 2017 2019-02-21 02:37:17Z X Barry S Moffitt 250 WEST 96TH STREET INDIANAPOLIS IN 46260 210583 false X WWW.STVINCENT.ORG X 2000 IN To improve the health and well-being of all people in the communities we serve. 5 2 101 2 0 0 141394 6523 21570851 210099 0 0 146185 -6039 21858430 210583 0 0 0 7331624 -163131 0 0 0 14093526 -57231 21425150 -220362 433280 430945 6442804 3912206 7493625 3037549 -1050821 874657 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 2931 210099 St. Vincent Frankfort transferred net assets to Indiana University Health on 5/31/17 and is in the process of winding up its affairs. 2931 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 false false false true false false false false false false false false false false false false false true true true false false true 25 0 true 101 true false false false false false false true false false false X 5 2 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 RANDY RIDGWAY CHAIR 1.0 0 X X 0 0 0 BARRY S MOFFITT DIRECTOR 1.0 42.0 X 0 424688 44728 RANDY COX DIRECTOR 1.0 0 X 0 0 0 RICHARD I FOGEL MD DIRECTOR 1.0 41.0 X 0 1168781 45504 JENNIFER FRY DIRECTOR 1.0 40.0 X 0 437032 42658 WAYNE R KNIGHT EXECUTIVE DIRECTOR, FINANCE 5.0 36.0 X 0 231257 36025 KRISTI L BLEDSOE INTERIM ADMINISTRATOR/CNO 40.0 1.0 X 71404 0 16364 STEPHEN D THARP MD FORMER OFFICER (END 6/2015) 0.0 40.0 X 0 172784 33982 71404 2434543 219261 0 true true false EMCARE PHYSICIANS 7032 COLLECTION CTR DR CHICAGO IL 60693 PHYSICIAN SERVICES 1306297 MID AMERICA CLINICAL LABORATORIES PO BOX 642263 PITTSBURGH PA 15264 LAB SERVICES 516005 2 X 6523 6523 Net Patient Service Revenue 621990 210099 210099 0 0 0 0 210099 -17858 0 -17858 0 -17858 -17858 0 0 Escheatment Revenue 900099 845 845 Medical Staff Dues 900099 450 450 Medical Records Fees 900099 71 71 10453 0 0 10453 11819 210583 210099 0 -6039 -127896 -127896 -49790 -49790 24300 24300 -9745 -9745 1311 1311 667 667 10191 0 10191 0 -541 -541 2329 2329 -132555 -132555 757 757 -445 -445 17028 17028 -20090 -20090 44307 44307 Equipment Lease 29863 29863 Licenses & Permits 17500 17500 Maintenance & Repairs 6842 6842 Provider Tax 3026 3026 -37421 -95 -37326 0 -220362 2931 -223293 0 99 0 1283333 234048 0 0 0 0 239 0 291756 37329 176573 254427 0 0 4982560 3423731 6442804 3912206 2170335 1110533 0 0 5323290 1927016 7493625 3037549 X -1090048 828907 39227 45750 -1050821 874657 6442804 3912206 X 430945 1494533 X false true X true true true X false false false false false false false false true 667 667 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. VINCENT FRANKFORT HOSPITAL, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTION OR 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. VINCENT FRANKFORT HOSPITAL, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTION OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 291756 37329 254427 254427 Restricted Funds 45750 Miscellaneous Assets Estimated Settlements from Third-Party Payor Due from Affiliates 53102 Other Receivables 3324879 3423731 0 Pension and Other Post retirement Liability INTERCOMPANY PAYABLES 14237 Estimated 3rd Party Payor Settlement 1339115 Other Liabilities 106510 Debt with Ascension Health Alliance 467154 1927016 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. false true false false false false false false false BARRY S MOFFITT DIRECTOR 0 290448 0 132696 0 1544 0 12806 0 31921 0 469416 0 0 RICHARD I FOGEL MD DIRECTOR 0 527935 0 530304 0 110542 0 14850 0 30654 0 1214285 0 0 JENNIFER FRY DIRECTOR 0 308701 0 127720 0 612 0 15415 0 27243 0 479690 0 0 STEPHEN D THARP MD FORMER OFFICER (END 6/2015) 0 168810 0 0 0 3974 0 11354 0 22628 0 206766 0 0 WAYNE R KNIGHT EXECUTIVE DIRECTOR, FINANCE 0 174812 0 53829 0 2616 0 13157 0 22868 0 267283 0 0 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. Vincent Frankfort Hospital, 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. Tax Exempt Bond Issuance St. Vincent Frankfort Hospital, 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 Frankfort Hospital, Inc. holds an intercompany 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. VINCENT FRANKFORT HOSPITAL, INC is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of ST. VINCENT FRANKFORT HOSPITAL, INC is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of ST. VINCENT FRANKFORT HOSPITAL, 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. VINCENT FRANKFORT HOSPITAL 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. VINCENT FRANKFORT HOSPITAL, 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. Vincent Frankfort Hospital, 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. Vincent Frankfort Hospital, Inc. has a single corporate member, St. Vincent Health, Inc. who has the ability to elect members to the governing body of St. Vincent Frankfort Hospital, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. Vincent Frankfort Hospital, 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 11d Other Miscellaneous Revenue Miscellaneous Revenue - Total Revenue: 10453, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 10453; Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFER WITH ALPHA FUND - 1494533; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant ST. VINCENT FRANKFORT HOSPITAL, 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. Schedule A, Part I, Line 3 PUBLIC CHARITY STATUS Saint Joseph's Hospital of Marshfield, Inc. is exempt as a hospital under Internal Revenue Code Section 170(b)(1)(A)(iii); however, it no longer operates a hospital as defined by Form 990, Schedule H Instructions. 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