ST MARYS WARRICK HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: ST MARYS WARRICK HOSPITAL INC (EIN 35-1343019)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-05-12
IRS object ID: 201821329349300917
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-05-12T12:10:07-05:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	351343019	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARYS WARRICK HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STMA	BusinessNameControlTxt
Phone	3147338000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1116 MILLIS AVENUE	AddressLine1Txt
City	BOONVILLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Tonya Mershon	PersonNm
Person Title	Tax Officer	PersonTitleTxt
Signature	2017-10-12	SignatureDt

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	ST VINCENT WARRICK	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAN PAROD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1116 MILLIS AVENUE	AddressLine1Txt
City	BOONVILLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$15,469,369	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Group Exemption	0928	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	http://www.stvincentevansville.org/	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1971	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	St. Mary's Warrick Hospital, Inc. is a nonprofit hospital dedicated to providing healthcare that leaves no one behind.	ActivityOrMissionDesc
Contract Termination	Yes (X)	ContractTerminationInd
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	167	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$101,821	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$41,525	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$16,698	PYContributionsGrantsAmt
CY Contributions Grants	$5,691	CYContributionsGrantsAmt
PY Program Service Revenue	$15,910,394	PYProgramServiceRevenueAmt
CY Program Service Revenue	$15,339,345	CYProgramServiceRevenueAmt
PY Investment Income	$4,288	PYInvestmentIncomeAmt
CY Investment Income	$148	CYInvestmentIncomeAmt
PY Other Revenue	$268,843	PYOtherRevenueAmt
CY Other Revenue	$124,185	CYOtherRevenueAmt
PY Total Revenue	$16,200,223	PYTotalRevenueAmt
CY Total Revenue	$15,469,369	CYTotalRevenueAmt
CY Grants And Similar Paid	$561	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,669,238	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$6,990,605	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$8,814,273	PYOtherExpensesAmt
CY Other Expenses	$9,354,255	CYOtherExpensesAmt
PY Total Expenses	$15,483,511	PYTotalExpensesAmt
CY Total Expenses	$16,345,421	CYTotalExpensesAmt
PY Revenues Less Expenses	$716,712	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$876,052	CYRevenuesLessExpensesAmt
Total Assets BOY	$10,654,838	TotalAssetsBOYAmt
Total Assets EOY	$14,028,874	TotalAssetsEOYAmt
Total Liabilities BOY	$8,687,575	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$13,412,448	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,967,263	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$616,426	NetAssetsOrFundBalancesEOYAmt
Mission	St. Mary's Warrick Hospital, Inc. is dedicated to providing spiritually-centered, holistic healthcare that sustains and improves the health of those served, with special attention to the poor and vulnerable. Both inpatient and outpatient health services are provided without regard to patient race, creed, national origin, economic status, insurance status or ability to pay. This mission extends well beyond the provision of core medical services to encompass medical and scientific research programs, the training and educating of health care professionals and active support of community-based partnerships and programs to improve health and quality of life.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$7,490,545	ExpenseAmt
Grant	$561	GrantAmt
Revenue	$15,245,564	RevenueAmt
Desc	St. Mary's Warrick Hospital, Inc. (SMWH) is a 25-bed, critical access hospital serving rural Warrick and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. SMWH provides inpatient and outpatient health care services with a 24- hour emergency department that is staffed with an on-site physician. During fiscal year 2017, SMWH treated 596 adults and children for a total of 6,010 patient days of service. The hospital also provided services for 23,337 outpatient visits, including 453 outpatient surgeries and 22,884 Emergency Room and Minor Care Visits. St. Mary's Warrick Hospital, Inc. provides the following hospital services: Cardiopulmonary Rehabilitation, Day Treatment and Infusion Services, Medical Imaging, Multi-Specialty Clinic, Respiratory Therapy, Surgery Services, and Wellness Services. Some of these services operate at a loss in order to ensure that comprehensive services are available to the community.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,602,995	ExpenseAmt
Desc	St. Mary's Warrick Hospital, Inc. provides a substantial portion of its core health services to the poor, uninsured or underinsured and has proactively taken steps to address the accessibility, financing, and delivery of healthcare to the underserved. During the fiscal year ending June 30, 2017, the unreimbursed cost of free or discounted services provided to patients who were deemed indigent under state, county, or hospital guidelines was $3,602,995 which included $825,905 of traditional charity care and $2,777,090 in unpaid costs of care for those qualifying for Medicaid or other public programs for the poor.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$19,604	ExpenseAmt
Desc	In addition to core medical services, St. Mary's Warrick Hospital, Inc. (SMWH) partners with its community to assess community assets and needs and to work together to address issues impacting health and quality of life, with special emphasis on the poor and vulnerable. In fiscal year 2017, SMWH provided $19,604 in unbilled services to the poor and to the broader community. (When combined with the costs of free or discounted services for the poor listed in Line 4b, SMWH provided a total community benefit of $3,622,599 in fiscal year 2017.) SMWH serves and supports its community through such programs as Health Advocates, health fairs and health education. Such community-focused programs improve access to healthcare, advocate for the poor and vulnerable, promote health through free education and screenings and help to build better communities by improving quality of life.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$11,113,144	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	Yes (true)	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	40	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	167	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CRAIG POLKOW	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8124854178	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3700 Washington Avenue	AddressLine1Txt
City	Evansville	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47750	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KEITH JEWELL
EX-OFFICIO (END 2/2017)	1.0	63.6	Yes (X)	Yes (X)	$0	$883,729	$26,418
DANIEL PAROD
EX-OFFICIO (START 2/2017)	1.0	63.6	Yes (X)	Yes (X)	$0	$213,901	$12,825
LAURENCE STEENBERG
CHAIRMAN	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
SUSAN HARDWICK
VICE-CHAIRMAN	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
PHILLIP L STIVER MD
SECRETARY	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
TRUDY STOCK
TREASURER	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
NADINE COUDRET
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
RITA EYKAMP
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
MICHAEL R HINTON
BOARD MEMBER	1.0	2.2	Yes (X)		$0	$0	$0
E LYNN JOHNSON
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
SHARON KAZEE
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
SISTER SHARON RICHARDT
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
SALLY RIDEOUT
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
JAMES SANDGREN
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
KARL W SASH MD
BOARD MEMBER	1.0	56.0	Yes (X)		$0	$721,814	$65,510
BRIAN SCHYMIK MD
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
JEFFERY WOLF
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
MARK L MARCHINO
Executive Director	55.0	0			$154,896	$0	$33,630	Yes (X)
JOHN L SCHELLHASE
RN, Emergency Services	55.0	0			$126,592	$0	$14,664	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$281,488	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,819,444	TotReportableCompRltdOrgAmt
Total Other Compensation	$153,047	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
EMERGENCY PROFESSIONAL SERVICE INC
P O BOX 634850	CINCINNATI	OH	452634850	MEDICAL SERVICES	$1,305,548
HORIZON MENTAL HEALTH MANAGEMENT
PO BOX 840839	DALLAS	TX	75284	PHYSICIAN SERVICES	$583,394
KENNETH R PARKER MD
2222 HUFFMAN RD	BOONVILLE	IN	47601	PHYSICIAN SERVICES	$344,400
MEDICAL STAFFING SOLUTIONS LLC
9700 HIGHWAY 57	EVANSVILLE	IN	477251458	MEDICAL STAFFING SERVICES	$167,631	SUITE A
EVANSVILLE SURGICAL ASSOCIATES INC
520 MARY STREET	EVANSVILLE	IN	47710	PHYSICIAN SERVICES	$144,478

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$5,691	RelatedOrganizationsAmt
Total Contributions	$5,691	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INPATIENT/OUTPATIENT REVENUE	621990	$15,118,831	$15,118,831
REFERENCE LAB FEES	621500	$93,781		$93,781
Intercompany Rent	531120	$57,440	$57,440
Jail clinic REVENUE	621990	$45,149	$45,149
fitness revenue	713940	$23,457	$23,457

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$687	TotalRevenueColumnAmt
Related Or Exempt Func Income	$687	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$15,339,345	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$148	TotalRevenueColumnAmt
Exclusion	$148	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$60,100	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$60,100	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$60,100	TotalRevenueColumnAmt
Exclusion	$60,100	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Exclusion	$0	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA/VENDING	722514	$59,190	$59,190
HOUSEKEEPING	561720	$8,040		$8,040

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,145	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$3,145	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$64,085	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,469,369	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,245,564	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$101,821	UnrelatedBusinessRevenueAmt
Exclusion	$116,293	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$561	TotalAmt
Program Services	$561	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$5,695,285	TotalAmt
Program Services	$4,707,148	ProgramServicesAmt
Management And General	$988,137	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$13,999	TotalAmt
Program Services	$11,570	ProgramServicesAmt
Management And General	$2,429	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$899,697	TotalAmt
Program Services	$743,599	ProgramServicesAmt
Management And General	$156,098	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$381,624	TotalAmt
Program Services	$315,412	ProgramServicesAmt
Management And General	$66,212	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$288,133	TotalAmt
Program Services	$288,133	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$780	TotalAmt
Management And General	$780	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,725,100	TotalAmt
Program Services	$1,690,416	ProgramServicesAmt
Management And General	$34,684	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11,496	TotalAmt
Management And General	$11,496	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,979	TotalAmt
Program Services	$35,426	ProgramServicesAmt
Management And General	$29,553	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,555	TotalAmt
Program Services	$10,555	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$417,981	TotalAmt
Management And General	$417,981	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,901	TotalAmt
Program Services	$2,604	ProgramServicesAmt
Management And General	$2,297	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,460	TotalAmt
Program Services	$1,746	ProgramServicesAmt
Management And General	$714	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$153,775	TotalAmt
Management And General	$153,775	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$628,874	TotalAmt
Program Services	$227,092	ProgramServicesAmt
Management And General	$401,782	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$42,925	TotalAmt
Management And General	$42,925	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$3,741,428	$1,061,618	$2,679,810
PROVIDER TAX	$897,100	$897,100
MEDICAL SUPPLIES	$688,332	$688,332
CONTRACT LABOR	$222,534	$222,534

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$452,902	TotalAmt
Program Services	$209,298	ProgramServicesAmt
Management And General	$243,604	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,345,421	TotalAmt
Program Services	$11,113,144	ProgramServicesAmt
Management And General	$5,232,277	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,586,947	BOYAmt
EOY	$1,751,084	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,915,064	BOYAmt
EOY	$2,590,946	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$158,026	BOYAmt
EOY	$157,363	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,341	BOYAmt
EOY	$14,341	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$19,822,635	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,947,372	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,260,909	BOYAmt
EOY	$3,875,263	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$19,208	BOYAmt
EOY	$19,895	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$250,203	BOYAmt
EOY	$139,231	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,450,140	BOYAmt
EOY	$5,480,751	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,654,838	BOYAmt
EOY	$14,028,874	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,521,152	BOYAmt
EOY	$1,444,899	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$7,166,423	BOYAmt
EOY	$11,967,549	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,687,575	BOYAmt
EOY	$13,412,448	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,967,263	BOYAmt
EOY	$616,426	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,967,263	BOYAmt
EOY	$616,426	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$10,654,838	BOYAmt
EOY	$14,028,874	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$876,052	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$474,785	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$181,810	OtherCostOrOtherBasisAmt
Book Value	$181,810	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,772,879	OtherCostOrOtherBasisAmt
Depreciation	$10,602,297	DepreciationAmt
Book Value	$3,170,582	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,267	OtherCostOrOtherBasisAmt
Depreciation	$14,267	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,525,235	OtherCostOrOtherBasisAmt
Depreciation	$5,068,046	DepreciationAmt
Book Value	$457,189	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$328,444	OtherCostOrOtherBasisAmt
Depreciation	$262,762	DepreciationAmt
Book Value	$65,682	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,875,263	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE
PHYSICIAN GUARANTEE	$4,180,580
Total Deferred Compensation Asset	$135,974
Intra/Intercompany AR	$110,875
Estimated Settlements from Third-Party Payor	$752,654
Other Receivables	$200,446
Miscellaneous Current Assets	$100,222

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$5,480,751	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
INTERCOMPANY PAYABLE TO ST. MARY'S HEALTH, INC.	$568,647
DEFERRED COMPENSATION	$135,974
PHYSICIAN GUARANTEE	$4,180,580
Estimated Settlement to Third-Party Payor	$464,624
intra/intercompany accounts payable	$1,213,564
INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE	$3,504,981
PENSION AND POSTRETIREMENT LIABILITY	$1,784,979
TAIL LIABILITY	$40,000
AH SAVINGS PLAN LIABILITY	$74,200

Field	Value	IRS element (for citing)
Total Liability	$11,967,549	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	FormAndLineReferenceDesc
Explanation	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, 2017.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$819,897	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$819,897	NetCommunityBenefitExpnsAmt
Total Expense	0.0502	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,475,226	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$717,031	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,758,195	NetCommunityBenefitExpnsAmt
Total Expense	0.1687	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,295,123	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$717,031	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,578,092	NetCommunityBenefitExpnsAmt
Total Expense	0.2189	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	514	PersonsServedCnt
Total Community Benefit Expns	$10,588	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,588	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	1096	PersonsServedCnt
Total Community Benefit Expns	$9,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,016	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	1610	PersonsServedCnt
Total Community Benefit Expns	$19,604	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,604	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	13	ActivitiesOrProgramsCnt
Persons Served	1610	PersonsServedCnt
Total Community Benefit Expns	$4,314,727	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$717,031	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,597,696	NetCommunityBenefitExpnsAmt
Total Expense	0.2201	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	50	PersonsServedCnt
Total Community Benefit Expns	$500	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$500	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1082	PersonsServedCnt
Total Community Benefit Expns	$9,031	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$9,031	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	78	PersonsServedCnt
Total Community Benefit Expns	$758	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$758	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1210	PersonsServedCnt
Total Community Benefit Expns	$10,289	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,289	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$518,407	BadDebtExpenseAmt
Bad Debt Expense Attributable	$51,841	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,260,608	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,342,648	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$82,040	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S WARRICK HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1116 MILLIS AVENUE	AddressLine1Txt
City	BOONVILLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	http://www.stvincentevansville.org/locations/locations-profile/?id=95	WebsiteAddressTxt
State License	15-005111-1	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S WARRICK HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.stvincent.org/how-we-are-different/community-assessment	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	http://www.healthyswin.org	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.stvincent.org/how-we-are-different/community-assessment	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://www.stvincentevansville.org/patients-visitors/financial-assistance/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://www.stvincentevansville.org/patients-visitors/financial-assistance/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://www.stvincentevansville.org/patients-visitors/financial-assistance/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - ST. MARY'S WARRICK 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 Warrick County, Indiana. St. Mary's 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 Warrick 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 focus groups and interviews with community members who have a fundamental understanding of Warrick County's health needs and represent the broad interests of the community. Twenty-six key informants provided valuable input on the county's health challenges, the sub-populations most in need, and existing resources for county residents.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - ST. MARY'S WARRICK HOSPITAL, INC.. The hospital conducted its CHNA in conjunction with St. Mary's Health, Inc. and Deaconess Health System.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - ST. MARY'S WARRICK HOSPITAL, INC.. The hospital conducted its CHNA in conjunction with United Way of Southwestern Indiana, Vanderburgh County Health Department, ECHO Community Health Care, and Welborn Baptist Foundation.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST. MARY'S WARRICK HOSPITAL, INC.. The St. Mary's FY 2017-2019 Implementation Strategy specifically addresses the following three SWHIPs: 1) Access to Health Services St Mary's Warrick 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 Warrick County. Specific action steps include the following: HAW assesses for eligibility and educates individuals about coverage options; HAW submits application and works through any issues or delays; and HAW verifies eligibility in order to complete the Pathway. 2) Exercise, Nutrition & Weight St. Mary's Warrick 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. Mary's Warrick 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. Mary's Warrick supports the effort of organizations that are focusing on this issue. Economy - This identified health need is not being monitored and evaluated in the Implementation Strategy because it is outside the scope of the hospital's core mission. However, St. Mary's Warrick does support efforts of organizations focused on economic development for Warrick County.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 17 Billing and Collection Policy	During tax year 2017, the organization learned via verbal comments of IRS agents at public events that the IRS intends that the "readily obtainable" standard in the 501(r) regulations for the AGB calculation and billing and collection policy is only met if those items are posted to the organization's web site. The organization had interpreted that web posting standard to be a safe harbor after consulting with external counsel and tax advisors, and timely took other steps to make the information readily obtainable. Consequently, the organization does not believe its decision to not post these documents to its web site rises to the level of a failure, nor does it believe the circumstances were either willful or egregious, having otherwise timely taken the steps necessary to attain and continue to maintain compliance with the other requirements related to the billing and collection policy and the AGB, as part of its policies and procedures for ensuring compliance with all aspects of 501(r). However, the organization is making this voluntary disclosure in order to communicate to the IRS the changes it is undertaking in response to the recent IRS informal guidance on this specific point concerning the "readily obtainable" standard, and the fact that the organization has started the work necessary to post its AGB information and billing and collection policy to its web site and will complete those additional postings as soon as reasonably possible. The other web postings required under 501(r) (i.e., those related to the community health needs assessment and the financial assistance policy) were timely completed and continue to remain in place as required. The organization believes its safeguards worked as intended in this case (i.e., the organization has regular communications with a number of external law firms and tax consultants and the timely attention to the recent guidance was supported by the framework of regular access to subject matter experts). These changes are in the process of being incorporated into corporate policies and procedures that apply to the organization.
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	Extensive research has shown that social determinants, such as poverty level, education level, employment and housing, have significant impact on health outcomes, equal to or greater than the impact of health care, health education and direct health behaviors. Efforts to improve health within our communities must include both traditional community benefit activities that directly address health outcomes as well as community building activities that address some of the underlying factors that help to determine the overall health and well-being of individuals and communities served. An example of community building is the Back to School Program which provides school supplies and back packs for children. Purchasing school items can be a financial burden which affects the mental and physical health of families.
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 BAD DEBT EXPENSE IN FISCAL YEAR 2017 WAS $1,401,099 AT CHARGES ($518,407 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 HISTORICAL EXPERIENCE, ECONOMIC CONDITION, 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 A PART OF THE ASCENSION HEALTH ALLIANCE'S CONSOLIDATED AUDIT IN WHICH THE FOOTNOTE THE DISCUSSES THE BAD DEBT EXPENSE IS LOCATED ON PAGE 19.
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 COST 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 A 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 AND THE FINANCIAL ASSISTANCE PROGRAM IS FOLLOWED.
Schedule H, Part V, Section B, Line 16a FAP website	- ST. MARY'S WARRICK HOSPITAL, INC: Line 16a URL: http://www.stvincentevansville.org/patients-visitors/financial-assistance/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- ST. MARY'S WARRICK HOSPITAL, INC: Line 16b URL: http://www.stvincentevansville.org/patients-visitors/financial-assistance/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- ST. MARY'S WARRICK HOSPITAL, INC: Line 16c URL: http://www.stvincentevansville.org/patients-visitors/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	St. Mary's Warrick Hospital, Inc. 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 Healthier Indiana, Tobacco Prevention & Cessation Commission and Indiana Hospital Association. St. Mary's Warrick Hospital, Inc. utilizes information from these secondary sources to develop programs and provide services throughout the region. In addition, St. Mary's Warrick Hospital, Inc. 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. MARY'S WARRICK HOSPITAL, INC. COMMUNICATES WITH PATIENTS IN MULTIPLE WAYS TO ENSURE THAT THOSE WHO ARE BILLED FOR SERVICES ARE AWARE OF THE HOSPITAL'S CHARITY CARE PROGRAM AS WELL AS THEIR POTENTIAL ELIGIBILITY FOR LOCAL, STATE OR FEDERAL PROGRAMS. SIGNS ARE PROMINENTLY POSTED IN EACH SERVICE AREA. IN ADDITION, THE HOSPITAL CONTRACTS 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. Mary's Warrick Hospital, Inc. is located in Boonville, Indiana. St. Mary's Warrick serves Warrick and contiguous counties in Southern Indiana. Warrick County has an estimated population of 61,740 residents. Warrick County borders Vanderburgh County and is located near the Ohio River, which marks the state border between Indiana and Kentucky. According to the 2015 County Health Rankings, Warrick County ranks 30th out of 92 Indiana Counties in overall health outcomes. Warrick County demographics are similar to those of the overall Indiana state population, with about 2% less 18-24-year-old and 1.5% more 65 and older. Less than 6% of Warrick County residents are nonwhite or Caucasian. The median household income is about $66,500 annually which is about $17,500 more than that of the state median, and roughly 6.6% of Warrick County families are living in poverty, which is lower than the state. Warrick County's uninsured rate is 10% which is lower than the state's rate of 14%. By the Indiana State Department of Health and U.S. Department of Health and Human Services, Warrick County is not designated as a Medically Underserved Area (MUA) and Population (MUP) as of December, 2016.
Schedule H, Part VI, Line 5 Promotion of community health	St. Mary's Warrick Hospital, Inc.'s governing body is comprised of persons representing diverse aspects and interests of the community. Many members of St. Mary's Warrick Hospital, Inc.'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. Mary's Warrick Hospital, Inc. is an affiliate of St. Vincent Health system and Ascension Health. St. Mary's Warrick 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 23 of the United States and the District of Columbia. Ascension is sponsored by Ascension Sponsor, a public juridic person. The participating ORGANIZATIONS/ENTITIES of Ascension sponsor are the Daughters of Charity of St. Mary's 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. Mary's Warrick Hospital, Inc. is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St. Mary's Warrick Hospital, 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. Mary's Warrick Hospital, Inc. participates.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KEITH JEWELL
EX-OFFICIO (END 2/2017)	$0	$536,721	$0	$281,655	$0	$65,353	$0	$13,250	$0	$13,168	$0	$910,147	$0	$0
DANIEL PAROD
EX-OFFICIO (START 2/2017)	$0	$109,051	$0	$40,000	$0	$64,850	$0	$381	$0	$12,444	$0	$226,726	$0	$0
KARL W SASH MD
BOARD MEMBER	$0	$334,483	$0	$352,373	$0	$34,958	$0	$33,596	$0	$31,914	$0	$787,324	$0	$33,281
MARK L MARCHINO
Executive Director	$134,727	$0	$19,506	$0	$663	$0	$9,055	$0	$24,575	$0	$188,526	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 CEO COMPENSATION

ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. MARY'S WARRICK 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 a program that provides for supplemental retirement benefits. The payment of benefits under the program, if any, is entirely dependent upon the facts and circumstances under which the executive terminates employment with the organization. Benefits under the program are unfunded and non-vested. Due to the substantial risk of forfeiture provision, there is no guarantee that these executives will ever receive any benefit under the program. 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. The following individuals received payment from the supplemental nonqualified retirement plan in the amount as noted: KARL SASH, MD $33,281

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail

Field	Value	IRS element (for citing)
Assets Distri Or Expnss Paid	CASH ACCOUNTS TRANSFERRED TO PARENT'S BALANCE SHEET	AssetsDistriOrExpnssPaidDesc
Distribution	2016-07-01	DistributionDt
Fair Market Value Of Asset	$827,535	FairMarketValueOfAssetAmt
Method Of FMV Determination	FMV	MethodOfFMVDeterminationTxt
EIN	453358926	EIN
Person	ASCENSION HEALTH ALLIANCE	PersonNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 45998	AddressLine1Txt
City	ST LOUIS	CityNm
State Abbreviation	MO	StateAbbreviationCd
ZIP	63145	ZIPCd

Field	Value	IRS element (for citing)
IRC Section	501(C)(3)	IRCSectionTxt

Field	Value	IRS element (for citing)
Director Of Successor2	false	DirectorOfSuccessor2Ind
Employee Of Successor2	false	EmployeeOfSuccessor2Ind
Owner Of Successor2	false	OwnerOfSuccessor2Ind
Receive Compensation2	false	ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule N, Part II CASH TRANSFERRED	FormAndLineReferenceDesc
Explanation	ST. MARY'S WARRICK HOSPITAL, INC. TRANSFERRED ITS BEGINNING HSD CASH BALANCES TO ASCENSION HEALTH ALLIANCE (45-3358926) AS OF JULY 1, 2016.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 24a PART IV, LINE 24A	ST. MARY'S WARRICK HOSPITAL, INC. IS A HEALTH FACILITY THAT IS PART OF THE ASCENSION HEALTH SYSTEM. ASCENSION HEALTH SYSTEM IS THE HOLDER OF THE TAX EXEMPT HOSPITAL REVENUE BONDS. ST. MARY'S WARRICK 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. MARY'S WARRICK HOSPITAL, INC. IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ST. MARY'S WARRICK HOSPITAL, INC. IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ST. MARY'S WARRICK 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 ASCENSION HEALTH AND ITS SUBSIDIARY ORGANIZATIONS. ASCENSION HEALTH IS THE NATIONAL HEALTH SYSTEM PARENT. 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. MARY'S WARRICK 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 2 Family/business relationships amongst interested persons	TRUDY STOCK AND KEITH JEWELL - Business relationship, TRUDY STOCK AND JAMES SANDGREN - Business relationship, KEITH JEWELL AND JAMES SANDGREN - Business relationship, JAMES SANDGREN AND JEFFERY WOLF - Business relationship
Form 990, Part VI, Line 6 Classes of members or stockholders	ST. MARY'S WARRICK 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. MARY'S WARRICK HOSPITAL, INC. HAS A SINGLE CORPORATE MEMBER, ST. VINCENT HEALTH, INC., WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF THE ST. MARY'S WARRICK HOSPITAL, INC. BOARD.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ST. MARY'S WARRICK 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 2f Other Program Service Revenue	JOINT VENTURE INCOME - Total Revenue: 687, Related or Exempt Function Revenue: 687, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	OTHER MISCELLANEOUS INCOME - Total Revenue: -3145, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -3145;
Form 990, Part IX, Line 11g Other Fees	Other Professional Fees - Total Expense: 31307, Program Service Expense: 22667, Management and General Expenses: 8640, Fundraising Expenses: ; Consulting - Total Expense: 40488, Program Service Expense: 17917, Management and General Expenses: 22571, Fundraising Expenses: ; Physician Fees - Total Expense: 1653305, Program Service Expense: 1649832, Management and General Expenses: 3473, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	FAS 158 PENSION - -285633; NET ASSET TRANSFER WITH RELATED ENTITIES - 638383; TRANSFER TO ALPHA FUND AS OF 7/1/2016 - -827535;
Form 990, Part XII, Line 2c Audit Committee	St. Mary's WARRICK 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 R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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	Yes (true)
REHABILITATION HOSPITAL OF INDIANA INC
4141 SHORE DRIVE	INDIANAPOLIS	IN	46254	351786005	REHABILITATION HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes (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	Yes (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	Yes (true)
ST VINCENT ANDERSON REGIONAL HOSPITAL INC
2015 JACKSON STREET	ANDERSON	IN	46016	460877261	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes (true)
ST VINCENT CARMEL HOSPITAL INC
13500 N MERIDIAN STREET	CARMEL	IN	46032	743107055	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes (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	Yes (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	Yes (true)
ST VINCENT FISHERS HOSPITAL INC
13861 OLIO ROAD	FISHERS	IN	46037	454243702	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (true)
ST VINCENT MEDICAL GROUP INC
8425 HARCOURT ROAD	INDIANAPOLIS	IN	46260	272039417	PHYSICIAN PROFESSIONAL SERVICES	IN	501(c)(3)	10	ST VINCENT HEALTH INC	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (true)
ST MARY'S HEALTH INC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	350869065	HOSPITAL	IN	501(c)(3)	3	ST VINCENT HEALTH INC	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (true)
ST MARY'S MEDICAL GROUP LLC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	261356310	PHYSICIAN PROFESSIONAL SERVICES	IN	501(c)(3)	10	ST MARY'S HEALTH INC	Yes (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 HEALTH INC	Yes (true)
PRIMARY PHYSICIAN NETWORK LLC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	208775914	DORMANT	IN	501(c)(3)	10	ST MARY'S HEALTH INC	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	OwnershipOwnershipPct
ENDOSCOPY CENTER LLC
13421 OLD MERIDIAN STREET	STE 150	CARMEL	IN	46032	320029881	ENDOSCOPY CENTER	IN	NA	N/A	0
STVINCENT HEART CENTER OF INDIANA LLC
10580 N MERIDIAN STREET		INDIANAPOLIS	IN	46290	364492612	HEART HOSPITAL	IN	NA	N/A	0
CARMEL AMBULATORY SURGERY CENTER LLC
13421 OLD MERIDIAN ST	STE 150	CARMEL	IN	46032	320014795	AMBULATORY SURGERY CENTER	IN	NA	N/A	0
NAAB ROAD SURGERY CENTER LLC
8260 NAAB ROAD	STE 100	INDIANAPOLIS	IN	46260	351991390	AMBULATORY SURGERY CENTER	IN	NA	N/A	0
TRI-STATE COMMUNITY CLINICS LLC
8601 N KENTUCKY AVENUE	SUITE J	EVANSVILLE	IN	47711	270885968	PRIMARY CARE PHYSICIAN PRACTICES	IN	NA	N/A	0
THP - ST VINCENT VENTURE LLC
1415 LOUISIANA STREET	27TH FLOOR	HOUSTON	TX	77002	813184703	FREESTANDING ED'S	TX	NA	N/A	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S MEDICAL GROUP INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3700 WASHINGTON AVE	AddressLine1Txt
City	EVANSVILLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47750	ZIPCd

Field	Value	IRS element (for citing)
EIN	352076827	EIN
Primary Activities	INVESTMENT	PrimaryActivitiesTxt
Legal Domicile State	IN	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	St Mary's Medical Group LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	K	TransactionTypeTxt
Involved	$57,103	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt