2019-05-13T19:25:57-05:00 2018-06-30 990 2017-07-01 351712001 St Vincent Seton Specialty Hospital Inc STVI 3147338000 8071 Township Line Road Suite 200 Indianapolis IN 46260 Tonya Mershon Tax Officer 2019-05-13 2017 2019-02-21 02:37:17Z JOEL FELDMAN MD 8071 Township Line Road Suite 200 Indianapolis IN 46260 33893259 false 0928 X www.stvincent.org/Locations/Hospitals/Seton X 1987 IN To improve the health and well-being of all people in the communities we serve. 10 7 294 7 0 391 0 0 41277137 33800071 1285 -198 101075 93386 41379497 33893259 410 0 0 20953789 18051227 0 0 0 14182851 16663715 35137050 34714942 6242447 -821683 20299730 18239253 8053446 5685896 12246284 12553357 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 20280365 33800071 St. Vincent Seton Specialty Hospital is a 72-bed hospital campus providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2018, St. Vincent Seton Specialty Hospital treated 431 adults and children for a total of 14,832 patient days of service. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 20280365 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 false false true false false false false false false false false false false false false false true true true false false true 31 0 true 294 true false false false false false false true false false false X 10 7 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 SISTER THERESA SULLIVAN DC CHAIR 1.0 1.0 X X 0 0 0 MOIRA CARLSTEDT VICE CHAIR 1.0 1.0 X X 0 0 0 KEVIN BOWER SECRTEARY 1.0 1.0 X X 0 0 0 AARON J FELDMAN MD EX-OFFICIO/PRESIDENT 20.0 20.0 X X 0 758150 41336 SANFORD GARNER DIRECTOR 1.0 1.0 X 0 0 0 MICHAEL HALL DIRECTOR 1.0 1.0 X 0 0 0 ANN LATHROP DIRECTOR 1.0 1.0 X 0 0 0 DEBORAH A LAWRENCE DIRECTOR 1.0 1.0 X 0 0 0 INGRID E MASON MD DIRECTOR 1.0 40.0 X 0 100960 0 JONATHAN S NALLI FACHE DIRECTOR 0.0 50.0 X 0 2589144 51990 TERRENCE G METZGER CFO (END 12/2017) 1.0 42.0 X 0 464458 46386 JOHN M WAITS VP, FINANCE (START 12/2017) 20.0 20.0 X 0 5769 0 MARY MYERS RN CNO 20.0 20.0 X 0 415781 44523 JEFFREY M ROTHENBERG MD CMO 20.0 20.0 X 0 477286 47136 ANN VARNER CMIO 20.0 20.0 X 0 159247 15595 ERICA L WEHRMEISTER COO 20.0 20.0 X 0 420973 51963 MERLY S SHAW RN REGISTERED NURSE 40.0 0 X 217390 0 31618 JERRY J JENSEN REGISTERED NURSE 40.0 0 X 208664 0 22005 CYNTHIA L OVERTON PHARMACIST 40.0 0 X 175209 0 31391 RITA BIANCHI PHARMACIST 40.0 0 X 167187 0 30904 PENELOPE J HARPER RN DIRECTOR, PATIENT CARE SERVICES 40.0 0 X 157185 0 33162 CRAIG A DUNKER FORMER KEY EMPLOYEE (END 6/2017) 20.0 20.0 X 0 305976 36560 RICHARD K FREEMAN MD FORMER OFFICER (END 6/2017) 0.0 41.0 X 0 694686 49781 CHERYL A HARMON FORMER OFFICER (END 6/2017) 0.0 43.0 X 0 995135 26915 925635 7387564 561263 18 true true false FRESNIUS MANAGEMENT SERVICES 10585 N MERIDIAN ST STE 160 INDIANAPOLIS IN 46290 COMMERCIAL SERVICES 604327 SOUTH BEND MEDICAL FOUNDATION 530 N LAFAYETTE BLVD SOUTH BEND IN 466011004 LAB SERVIES 462301 2 X 0 Net Patient Service Revenue 621990 33800071 33800071 0 0 0 0 33800071 -198 -198 0 0 0 0 Cafeteria/Vending Revenue 722514 93325 93325 61 0 0 61 93386 33893259 33800071 0 93188 13999043 12173232 1825811 491077 427029 64048 2621073 2279222 341851 940034 817431 122603 1123 1123 982 982 1948962 875 1948087 0 1014 1014 35485 15325 20160 383134 -185 383319 33276 2153 31123 7035 2534 4501 14732 14732 1051376 319356 732020 127516 127516 Management Fee to Affiliate 4223566 4223566 Purchased Services 2720108 1022680 1697428 Corporate Expense 2659711 27806 2631905 Medical Supplies 2576829 2484288 92541 878866 708619 170247 0 34714942 20280365 14434577 0 8943180 6336022 0 0 0 0 419132 410587 15009 1216 23372007 13568575 10447145 9803432 0 0 475264 1687996 20299730 18239253 3072035 1778531 0 0 4981411 3907365 8053446 5685896 X 12246284 12553357 12246284 12553357 20299730 18239253 X -821683 1128756 X false true X true false X false false false false false false false false true 982 982 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 Seton Specialty Hospital, 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. Vincent Seton Specialty Hospital, 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. 847629 847629 17050592 9321727 7728865 53700 50103 3597 5242473 4193588 1048885 177613 3157 174456 9803432 Other Miscellaneous Assets 13011 Due from Affiliates 942848 Other Receivables 477740 Estimated 3rd Party Payor Settlements 254397 1687996 0 AH SAVINGS PLAN LIABILITY Due to Affiliates 2700573 OTHER LIABILITIES 702 Estimated 3rd Party Payor Settlement 591216 Recovery Tail Liability 210000 Accrued Tax Liability 730 Debt with Ascension Health Alliance 404144 3907365 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 84957 0 84957 0.0024 193026 36704 156322 0.0045 0 0.0 0 0 277983 36704 241279 0.0070 7 850 8037 0 8037 0.0002 2 53 13121 0 13121 0.0004 0 0.0 0 0.0 2 18 2574 0 2574 0.0001 11 921 23732 0 23732 0.0007 11 921 301715 36704 265011 0.0076 0 0.0 0 0.0 1 1 207 0 207 0.0000 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 1 1 207 0 207 0.0000 false 0 0 20335408 26413931 -6078523 X true true 1 1 ST VINCENT SETON SPECIALTY HOSPITAL 8071 TOWNSHIP LINE ROAD INDIANAPOLIS IN 46260 www.stvincent.org/Locations/Hospitals/Seton 17-003350-1 X ST VINCENT SETON SPECIALTY HOSPITAL 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 service area'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. The significant health needs are a prioritized description of the significant health needs of the community as identified through the CHNA. See Schedule H, Part V, Line 7 for the link to the CHNA and Schedule H, Part V, Line 11 for how those needs are being addressed. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St. Vincent Seton Specialty Hospital, 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 Marion 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 Marion 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 Marion County's health needs and represent the broad interests of the community. Eighteen 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: *About Special Kids, Inc. *Alliance for Health Promotion/Health by Design *Archdiocese of Indianapolis *Central Indiana's Area Agency on Aging *Covering Kids and Families *Crooked Creek Community Development Corporation *Gennesarat Free Clinic *Holy Family Shelter *Indiana Minority Health Coalition *Indiana State Department of Health *Indianapolis OASIS *The Julian Center *Leukemia & Lymphoma Society *Little Red Door Cancer Agency *Marion County Health Department *National Alliance of Mental Illness Indiana *YMCA of Greater Indianapolis Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - St. Vincent Seton Specialty Hospital, Inc.. The hospital conducted its CHNA in conjunction with St. Vincent Indianapolis, Community Health Network, Franciscan Health and Indiana University Health. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. Vincent Seton Specialty Hospital, Inc.. The St. Vincent FY 2017-2019 Implementation Strategy specifically addresses the following three SWHIPs: 1) Access to Health Services - St Vincent Seton Specialty 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 Marion 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. Vincent Seton Specialty will partner with a school and a food source to provide eligible students with a weekend backpack of nutritious food throughout the school year in order to reduce the school's number of families in FY 2018 who are food insecure (based on survey responses) by 5% at the end of FY 2019 (June 30, 2019). (NOTE: FY 2017 is the planning year for the program.) 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; and distribute and collect surveys, enter survey data into software at the beginning and end of the school year (twice a year in FY 2018 and FY 2019). 3) Behavioral Health - St. Vincent Seton Specialty 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: Transportation - 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. Vincent Indianapolis supports the efforts of Health by Design and other organizations that are focusing on this issue. Social Environment - 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. Vincent Indianapolis supports organizations that focus on housing, homelessness, domestic violence and other organizations that focus on this issue. Maternal, Fetal & Infant Health - This issue is being addressed in the Access to Health Services priority. 0 Schedule H, Part I, Line 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST St. Vincent Seton Specialty Hospital is a Catholic healthcare facility located in the state of Indiana. St. Vincent Seton 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. Vincent Seton Hospital 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. Vincent Seton, 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. 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=$605; Staff time=9 hours During the second year of the implementation strategy, the hospital provided an associate to assist RUAH at the enrollment table during the FY18 Medical Mission at Home (10/21/17). 2) Exercise, Nutrition & Weight: Community benefit=$329; Staff time=6.5 hours FY18 was an implementation year. The hospital distributed and collected surveys, then entered survey data into a secured St. Vincent web application at the beginning and end of the school year (twice a year in FY18). Analysis of survey #1-baseline showed (aggregated at the program level): - A total of 66 families participated in the program - 23% (n=15) of families responded to the baseline survey - 73% (n=11) reported being food secure - 27% (n=4) reported being food insecure Surveys #2 was administered in FY18. Consolidation and retirement of antiquated software systems necessitated migration of this data to a new system by the IT department. Analysis of this survey was rescheduled and will be completed in FY19. Additionally, surveys #3-4 will be administered in FY19. 3) Behavioral Health: Community benefit=$3,667; Staff time=61 hours The hospital offered 2 Rx for Change training to the community on May 30 and 31, 2018. A total of eight participants attended the training. Participants represented Anthem Medicaid, Margaret Mary Health, and St. Vincent Seton Specialty (community members=3, 38%; St. Vincent associates=5, 63%). 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 38% (n=3). All participants were asked to rate their overall ability to discuss cessation with patients. On a scale of 1-5 (Poor-Excellent), 2 (67%) participants rated their overall ability as "Good" or "Very Good". None of the respondents self-reported being registered (or their practice site) as a "Preferred Provider" with the Indiana Tobacco Quitline (No=2; Don't know=1). As a result of this training, participants reported how likely they were to: - Ask more patients about tobacco use (n=3, 100%) - Advise more tobacco users to quit (n=3, 100%) - Recommend medications for quitting more often (n=3, 100%) - Refer patients to the tobacco quitline (n=3, 100%) 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. Timestamps indicate that participants completed the survey within the first three weeks of the 4-week follow-up period. No incentives were offered for survey completion. Baseline and follow-up surveys were matched at the individual participant level using a unique ID number. Twenty-five percent of all participants completed the baseline and 30-day follow-up surveys (n=2). Of those responding to both surveys: - 0 participants reported being/working for an organization that is registered with the quitline as a "Preferred Provider" - 1 participant reported asking more patients about tobacco use - 2 participants reported advising more tobacco users to quit - 1 participant 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 = ~20 (mode = 10) - Advising more tobacco users to quit = ~20 (mode = 10) - Recommending medications for quitting = ~5 (range of approximations = 0-5) - Referring patients to the quitline = ~20 (mode = 10) 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. 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. VINCENT SETON SPECIALTY HOSPITAL: Line 16a URL: HTTPS://WWW.STVINCENT.ORG/Billing-Services; Schedule H, Part V, Section B, Line 16b FAP Application website - ST. VINCENT SETON SPECIALTY HOSPITAL: Line 16b URL: HTTPS://WWW.STVINCENT.ORG/Billing-Services; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - ST. VINCENT SETON SPECIALTY HOSPITAL: Line 16c URL: HTTPS://WWW.STVINCENT.ORG/Billing-Services; Schedule H, Part VI, Line 2 Needs assessment St. Vincent Seton Specialty Hospital 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. Vincent Seton Specialty Hospital utilizes information from these secondary sources to develop programs and provide services throughout the region. In addition, St. Vincent Seton Specialty Hospital 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. Vincent Seton Specialty Hospital 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 Marion is the largest county in the state, with an estimated population of 950,082. The county includes Indianapolis, the 16th largest city in the United States. According to the 2018 County Health Rankings, Marion County ranks 75th out of 92 Indiana counties in overall health outcomes. Despite residential and commercial development, the northern part of the county remains primarily agricultural. Residents of the county primarily work in healthcare or social assistance, retail and manufacturing. Marion County is more diverse compared to the overall Indiana state population. By percentage, there are more African-Americans (27.3%), more Hispanic or Latinos (9.8%), and fewer Whites (62.4%) living in Marion when compared to the state. Income and poverty levels in the county are dissimilar compared to the state. The median household income of Marion is about $45,300, which is about $7,000 lower than the state. And roughly 19% of Marion County families are living in poverty, which is about 5% higher than the state. Marion County's uninsured rate is 14% which is higher than the state's rate of 11%. By the Indiana State Department of Health and U.S. Department of Health and Human Services, parts of Marion County are designated as a Medically Underserved Area (MUA) and Population (MUP). Schedule H, Part VI, Line 5 Promotion of community health St. Vincent Seton Specialty Hospital's governing body is comprised of persons representing diverse aspects and interests of the community. Many members of St. Vincent Seton Specialty Hospital'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. Vincent Seton Specialty Hospital is an affiliate of St. Vincent Health system and Ascension Health. St. Vincent Seton Specialty Hospital 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 21 of 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. Vincent Seton Specialty Hospital is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St. Vincent Seton Specialty Hospital 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. Vincent Seton participates. false true false false false false false false false AARON J FELDMAN MD EX-OFFICIO/PRESIDENT 0 527907 0 215765 0 14478 0 12840 0 28496 0 799486 0 0 JONATHAN S NALLI FACHE DIRECTOR 0 876231 0 1478663 0 234250 0 13500 0 38490 0 2641134 0 0 RICHARD K FREEMAN MD FORMER OFFICER (END 6/2017) 0 491064 0 201000 0 2622 0 14850 0 34931 0 744467 0 0 CHERYL A HARMON FORMER OFFICER (END 6/2017) 0 522046 0 377015 0 96073 0 12803 0 14112 0 1022050 0 0 TERRENCE G METZGER CFO (END 12/2017) 0 354265 0 90380 0 19813 0 13500 0 32886 0 510845 0 0 CRAIG A DUNKER FORMER KEY EMPLOYEE (END 6/2017) 0 232128 0 68620 0 5228 0 12882 0 23678 0 342535 0 0 MARY MYERS RN CNO 0 317399 0 93360 0 5022 0 13500 0 31023 0 460304 0 0 JEFFREY M ROTHENBERG MD CMO 0 442384 0 30000 0 4902 0 12669 0 34466 0 524421 0 0 ANN VARNER CMIO 0 124474 0 31192 0 3582 0 6273 0 9322 0 174842 0 0 ERICA L WEHRMEISTER COO 0 322675 0 97272 0 1026 0 13500 0 38463 0 472936 0 0 MERLY S SHAW RN REGISTERED NURSE 200591 0 13729 0 3069 0 11515 0 20104 0 249008 0 0 0 JERRY J JENSEN REGISTERED NURSE 186865 0 21799 0 0 0 12866 0 9139 0 230669 0 0 0 CYNTHIA L OVERTON PHARMACIST 162095 0 5351 0 7763 0 11122 0 20269 0 206600 0 0 0 RITA BIANCHI PHARMACIST 156136 0 2099 0 8952 0 8975 0 21930 0 198091 0 0 0 PENELOPE J HARPER RN DIRECTOR, PATIENT CARE SERVICES 135376 0 20591 0 1218 0 9815 0 23346 0 190346 0 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 SETON SPECIALTY 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. Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS The activity of St. Vincent Seton Specialty Hospital, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Vincent Seton Specialty Hospital, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Vincent Seton Specialty 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 SETON SPECIALTY 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 SETON SPECIALTY 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 Seton Specialty 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 Seton Specialty 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 Seton Specialty 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 Seton Specialty 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 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: 61, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 61; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfers with Alpha Fund - 1128756; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant St. Vincent Seton Specialty 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. 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 JOSEPH HOSPITAL & HEALTH CENTER INC 1907 W SYCAMORE STREET KOKOMO IN 46901 350992717 HOSPITAL IN 501(c)(3) 3 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 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 false false false false false false false false false false true true false true true true true false ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC L 790686 FAIR MARKET VALUE ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC Q 151291 FAIR MARKET VALUE ST VINCENT MEDICAL GROUP INC Q 225971 FAIR MARKET VALUE