2018-05-12T12:03:00-05:00 2017-06-30 990 2016-07-01 350992717 St Joseph Hospital & Health Center Inc STJO 3147338000 1907 W Sycamore Street Kokomo IN 469015148 Tonya Mershon Tax Officer 2017-09-27 2016 2021-01-29 14:40:06Z St Vincent Kokomo Dennis E Ressler 1907 W Sycamore Street Kokomo IN 469015148 161246275 false 0928 X www.stvincent.org X 1913 IN To improve the health and well-being of all people in the communities we serve. X 13 8 902 145 0 0 105476 122372 157814002 160033525 785153 2496 1121659 1086043 159826290 161244436 180046 25728 0 56114549 58586944 0 0 77722135 79172494 134016730 137785166 25809560 23459270 193796844 51289065 34597914 45469517 159198930 5819548 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 119870095 25728 160304984 St. Vincent Kokomo Hospital (SVKH) is a 167-bed, hospital serving rural Howard and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. SVKH 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, SVKH treated 5,387 adults and children for a total of 22,388 patient days of service. The hospital also provided services for 212,602 outpatient visits, including 11,479 outpatient surgeries and 201,123 Emergency Room and Minor Care Visits. St.Vincent Kokomo provides the following hospital services: Blood Disorders, Cardiopulmonary Rehabilitation, Cardiovascular Services, Chest Pain Center, Clinic of Hope, COAG Clinic, Diabetes Care, Digestive Health, Emergency Medicine, Home Care, Hospice, Interventional Radiology, Laboratory Services, Maternity Services, Medical Imaging, Mental & Behavioral Health, Neuroscience, Nutrition Support, Orthopedics, Rehabilitation Services (Inpatient and Outpatient), Respiratory Services, Sleep Disorders, Spiritual Care & Social Services, Surgery, Women's Health and Wound Treatment. St. Vincent Kokomo is a recognized leader in stroke prevention and is designated by The Joint Commission as a Primary Stoke Center of Excellence. Some of these services operate at a loss in order to ensure that comprehensive services are available to the community. 119870095 true false false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false true true true true true false false true 102 0 true 902 true false false false false false false false false false false X 13 8 false false false false true true true true true false false false true true true true true false false false IN X Dennis E Ressler 7654565304 1907 W Sycamore Street Kokomo IN 469015148 MARGARET M JOHNSON DIRECTOR/REGIONAL PRESIDENT 40.0 0.6 X X 475368 0 26087 DAVID L WILLIAMS MD DIRECTOR/CMO 40.0 0 X X 133609 0 13376 ROBERT K LUTZ CHAIRMAN 1.0 0 X X 0 0 0 KARAM F ABBASI MD VICE-CHAIRMAN 1.0 55.0 X X 0 520223 39193 ROBERT A LEE SECRETARY 1.0 0 X X 0 0 0 GENE MILES TREASURER 1.0 0 X X 0 0 0 CHERYL A HARMON DIRECTOR 1.0 41.6 X 0 813173 25631 MELANIE L BOZARD MD DIRECTOR 1.0 55.0 X 0 211166 14058 BRADLEY J CLARK DIRECTOR 1.0 0 X 0 0 0 JOHN A FOUNTAIN DIRECTOR 1.0 0 X 0 0 0 RONALD T MAUS DIRECTOR 1.0 0 X 0 0 0 Willie E Stroman Director 1.0 0 X 0 0 0 RONALD J METZ MD DIRECTOR 1.0 0 X 0 0 0 DENNIS E RESSLER CFO 40.0 0.4 X 264566 0 36849 KATHLEEN K PEOPLES VP NURSING/CNO 40.0 0 X 231578 0 24968 DAVID CHEESMAN MD PHYSICIAN 40.0 0 X 446815 0 43886 HUAN PU CUI MD PHYSICIAN 40.0 0 X 661849 0 29980 PANCHAPAKESAN P HARAN MD PHYSICIAN 40.0 0 X 861398 0 49186 HEATH A SPENCE MD PHYSICIAN 40.0 0 X 709717 0 37267 ELIZABETH TENTLER MD PHYSICIAN 40.0 0 X 354620 0 32955 4139520 1544562 373436 36 false true false AMERICAN HEALTH NETWORK OF INDIANA LLC 10333 N MERIDIAN ST STE 450 INDIANAPOLIS IN 46290 MEDICAL SERVICES 16291937 MID AMERICA CLINICAL LABORATORIES 2560 N Shadeland Avenue Indianapolis IN 46219 LAB SERVICES 3347587 AMERIPATH INDIANAPOLIS LLC 2560 N SHADELAND AVE STE A INDIANAPOLIS IN 46219 LAB SERVICES 441630 ERIC J TUCHSCHERER 3064 EMERALD CT KOKOMO IN 46902 PHYSICIAN SERVICES 435434 DIVERSIFIED CLINICAL SERVICES 4500 Salisbury Rd Ste 300 Jacksonville FL 32216 PHYSICIAN SERVICES 421783 19 122372 122372 Net Patient Revenue 621990 159341442 159341442 Program revenue 621990 515247 515247 Intercompany Other 621990 12000 12000 Intercompany Rent 531120 164836 164836 0 0 0 0 160033525 4335 4335 179493 179493 0 179493 179493 1839 0 -1839 -1839 -1839 Cafeteria Revenue 722514 617829 617829 Other Revenue 900099 271459 271459 Pharmacy Revenue 446110 17262 17262 0 0 0 0 906550 161244436 160304984 0 817080 25728 25728 1206401 1206401 45044560 39235433 5809127 1041693 907352 134341 8628572 7515797 1112775 2665718 2321936 343782 597078 520076 77002 122424 106636 15788 3349580 2917605 431975 0 19540 17020 2520 278799 242844 35955 75289 65579 9710 1717784 1496252 221532 58870 51278 7592 140896 122725 18171 558714 486660 72054 4526895 3943089 583806 602158 602158 PURCHASED SERVICES 33427940 29116939 4311001 MEDICAL SUPPLIES 12467151 10859337 1607814 CORPORATE EXPENSES 11567160 10075413 1491747 PROVIDER TAX EXPENSE 6390155 6390155 3272061 2850083 421978 0 137785166 119870095 17915071 0 21372 35726 20704213 20176289 0 0 0 1858816 1808105 130047 115179 131882495 106975820 24980200 24906675 0 0 190529 300698 145911667 3946393 193796844 51289065 12117430 11861466 0 0 22480484 33608051 34597914 45469517 X 159037962 5644480 160968 175068 X 159198930 5819548 193796844 51289065 X 23459270 -176838652 X false true X true true true X false false false false false false false false true 2824 2824 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ST. JOSEPH HOSPITAL & HEALTH CENTER, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ST. JOSEPH HOSPITAL & HEALTH CENTER, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. 722779 722779 87674931 72114446 15560485 1764978 1421048 343930 38971186 33440326 5530860 2748621 2748621 24906675 Intra/Intercompany AR 2630974 Restricted Funds Miscellaneous Assets 83560 Estimated Settlements from Third-Party Payor 107093 Other Receivables 1124766 3946393 Estimated Settlement to Third-Party Payor 2030846 Intercompany Debt with Ascension Health Alliance 15907534 Asset Retirement Obligation 1937907 intercompany payables 11410885 Other Liabilities 2320879 33608051 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, 2017. true true X true X 250 true X true true true false true true 3557875 3557875 0.0258 26009888 15545793 10464095 0.0759 0 0.0 0 0 29567763 15545793 14021970 0.1018 20 6521 516696 129200 387496 0.0028 2 22 8664 0 8664 0.0001 0 0 0 0 0 0.0 0 0 0 0 0 0.0 5 340 17822 0 17822 0.0001 27 6883 543182 129200 413982 0.0030 27 6883 30110945 15674993 14435952 0.1048 0 0 0 0 0 0.0 1 22 377 0 377 0.0000 1 982 15585 0 15585 0.0001 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 1 11 717 0 717 0.0000 0 0 0 0 0 0.0 3 1015 16679 0 16679 0.0001 false 867188 260156 57088681 66439092 -9350411 X true true 1 1 St Joseph Hospital & Health Center Inc 1907 W Sycamore Street Kokomo IN 46901 www.stvincent.org 14-005010-1 X X X St Joseph Hospital & Health Center Inc 1 false false true X X X X X X X X X 15 true true false true X https://www.stvincent.org/how-we-are-different/community-assessment X true 15 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 X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St. Joseph Hospital & Health Center, Inc.. As federally required by the Affordable Care Act, the following is an overview of the methods and process used to identify and prioritize significant health needs in Howard County, Indiana. St. Vincent Health contracted Healthy Communities Institute (HCI) to help facilitate their system wide CHNA work and document all efforts. The secondary data included over 100 community health and quality of life indicators covering over 20 topic areas. Health indicators for Howard County were compared to other counties in Indiana and nationwide to score health topics and compare relative areas of need. Other considerations for health areas of need included trends over time, Healthy People 2020 targets, and disparities by gender and race/ethnicity. The needs assessment was further informed by interviews with community members who have a fundamental understanding of Howard County's health needs and represent the broad interests of the community. Eight key informants provided valuable input on the county's health challenges, the sub-populations most in need, and existing resources for county residents. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - St. Joseph Hospital & Health Center, Inc.. The hospital conducted its CHNA in conjunction with Community Health Network, Franciscan Health and Indiana University Health. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - ST. JOSEPH HOSPITAL & HEALTH CENTER, INC.. The St. Vincent FY 2017-2019 Implementation Strategy specifically addresses the following three SWHIPs: 1) Access to Health Services St Vincent Kokomo will use the RUAH Pathway Program to increase its reported number of completed pathways (i.e., verification from FSSA) in FY 2015 by 5% each year for FYs 2017-2019. Achieving this goal will contribute to the percentage of people who have health insurance in Howard County. Specific action steps include the following: 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. Vincent Kokomo will partner with a school and a food source to provide eligible students with a weekend backpack of nutritious food throughout the school year. Specific action steps include the following: complete the Weekend Feeding Program Preparation Checklist; meet with all stakeholders to determine program logistics; plan the specifics of your program's protocol; make final preparations for the program's "go live" date in FY 2018. 3) Behavioral Health St. Vincent Kokomo 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 priority health needs. The needs listed below are not included in the hospital's implementation strategy plan for the following reasons: Diabetes - This identified health need is not being monitored and evaluated in the Implementation Strategy due to limitations within the hospital's financials and human resources. However, St. Vincent Kokomo does offer a Diabetes Support Group which focuses on this issue. 0 ST JOSEPH PRIMAR CARE LLC 1907 W SYCAMORE STREET KOMOMO IN 46901 PHYSICIAN PRACTICES Schedule H, Part I, Line 7 COMMUNITY BENEFIT - part 1 community benefit overview St. Vincent Kokomo Hospital is part of St. Vincent Health, a non-profit healthcare system consisting of 20 locally-sponsored ministries serving over 57 counties throughout Central Indiana. Sponsored by Ascension Health, the nation's largest Catholic healthcare system, St. Vincent Health is one of the largest healthcare employers in the state. 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 Kokomo 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 Kokomo, 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. Schedule H, Part I, Line 7 community benefit - Part 2 charity care and certain other community benefits at cost As part of St. Vincent Health, the St. Vincent Kokomo vision is to deliver a continuum of holistic, high-quality services and improve the health of individuals and communities, with special attention to the poor and vulnerable. This is accomplished through a generous assistance policy which includes financial assistance at cost and unreimbursed cost of public programs. Patient Services for Poor and Vulnerable Hospital and outpatient care is provided to patients that cannot pay for services, including hospitalizations, surgeries, prescription drugs, medical equipment and medical supplies. Patients with income less than or equal to 250% of the Federal Poverty level (FPL) will be eligible for 100% charity care write off on that portion of the charges for services for which the patient is responsible following payment by an insurer, if any. At a minimum, patients with incomes above 250% of the FPL, but not exceeding 400% of the FPL, will receive a sliding scale discount on that portion of the charges for services provided for which the patient is responsible following payment by an insurer, if any. A patient eligible for the sliding scale discount will not be charged more than the calculated AGB (amounts generally billed) charges. Patients with demonstrated financial needs with income greater than 400% of the FPL may be eligible for consideration under a "Means Test" for some discount of their charges for services from the organization based on a substantive assessment of their ability to pay. Maximum owed by any patient per episode of care or account is 10% of gross household income. Hospital financial counselors and health access workers assist patients in determining eligibility and in completing necessary documentation. St. Vincent Kokomo Hospital is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. Public Program Participation St. Vincent Kokomo Hospital participates in government programs including Medicaid, SCHIP (Hoosier Healthwise), Healthy Indiana Plan (HIP), the Health Insurance Marketplace and Medicare and assists patients in enrolling for programs for which they are eligible. Per Catholic Health Association guidelines and St. Vincent Health's conservative approach, Medicare shortfall is not included as community benefit. Part I Certain Other Community Benefits at Cost Community health improvement efforts must take a comprehensive approach and utilize diverse methods in order 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 2017, St. Vincent Kokomo supported the community in the following ways: Community Health Improvement Services Community Health Education St. Vincent Kokomo Hospital provides health education on a number of 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 In an effort to reach individuals who are uninsured and underinsured, St. Vincent Clay offers screenings, one-time clinics which include blood pressure, cholesterol screening, and/or immunization clinics, and free clinics which provided free and/or low-cost healthcare. Social and Environmental Activities Programs and activities that improve the health of persons in the community by addressing the determinants of health, which include the social, economic and physical environment, which includes removal of harmful materials in public housing, participations in community coalitions to increase jobs with health insurance, and conducing a separate assessment for community disaster preparedness. Health Professions Education The hospital 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 The hospital 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 Hospital staff dedicates significant time and costs to lead and manage community benefit programs and activities, which include internal tracking and reporting of community benefit. Funds are allocated to conduct a community health needs assessment and develop an implementation strategy. System Wide Health Improvement Priorities FY17 was the first year of the three year SWHIP implementation strategy (FY17-19). Below is a year 1 update for each SWHIP: 1) Access to Health Services: The health advocate helped 95 people obtain medical insurance (FY17 goal=82; FY17 goal attainment=116%). As of June 30, 2017, the hospital has attained 37% of its overall enrollment goal for this three year cycle (n=258). The total community benefit for this health need in FY17 was $26,248. 2) Exercise, Nutrition & Weight: FY17 was structured as a planning year. In the first year of implementation, the hospital: * Completed a program checklist, which assisted in identifying a school, finding potential community partners, and assessing availability of hospital resources (completed by 9/30/16). * Met with program stakeholders to determine logistics (completed by 12/31/16). * Developed protocol describing how the weekend feeding program works and the hospital's role/contribution to the program over the three year cycle (completed by 3/31/17). The hospital's described its role/contribution as: - Contribution of funds for the program in FYs 2017-2019 - Provide ~10-12 associates to assemble weekend feeding bags twice a year in FY18 and FY19 - Sent a partner commitment letter to the school's principal outlining the hospital's contribution to the weekend feeding program in FY18 and FY19. This letter was signed by the hospital administrator then emailed and mailed via US Postal Service (completed by 6/30/17). The total community benefit for this health need in FY17 was $1,134; Staff time=24 hours. 3) Behavioral Health: The first year of this implementation cycle was designated as a planning year to increase the likelihood of program sustainability and success. During FY17, the hospital: * Completed a training checklist, which facilitated in identifying associates to become formally trained Rx for Change Trainers (completed by 9/30/16). * Developed a distribution list of possible training participants (completed by 3/31/17). * Sent 2 associates to attend an in-person Rx for Change "Train-the-Trainer" session. Both associates can deliver the Rx for Change curriculum to any health care professional (completed by 5/18/17). * Scheduled at least two dates Rx for Change trainings in your community in FY18, which are slated for August 16, 2017 and September 13, 2017 (completed by 6/30/17). A template to promote the trainings was developed at the system level. The template can customized to meet individual market needs. The total community benefit for this health need in FY17 was $977; Staff time=25 hours. 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 the bad debt expense in fiscal year 2017 was $3,122,884 at charges, ($867,188 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 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 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 VI, Line 2 Needs assessment St. Vincent Kokomo 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 Healthier Indiana, Tobacco Prevention & Cessation Commission and Indiana Hospital Association. St. Vincent Kokomo Hospital utilizes information from these secondary sources to develop programs and provide services throughout the region. In addition, St. Vincent Kokomo 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. Joseph Hospital & Health Center communicates with patients in multiple ways to ensure that those who are billed for services are aware of the hospital's financial assistance program as well as their potential eligibility for local, state or federal programs. Signs are prominently posted in each service area, and bills contain a formal notice explaining the hospital's charity care program. In addition, the hospital employs financial counselors, health access workers, and enrollment specialists who consult with patients about their eligibility for financial assistance programs and help patients in applying for any public programs for which they may qualify. Schedule H, Part VI, Line 4 Community information St. Vincent Kokomo Hospital is located in Kokomo, Indiana and serves Howard and contiguous counties, in north Central Indiana. Howard County has an estimated population of 82,660. According to the 2015 County Health Rankings, Howard County ranks 61st out of 92 Indiana counties in health outcomes. Howard County demographics are slightly more homogenous than the overall Indiana state population. According to Nielsen Claritas 2015, 87.5% the county's population is White, 7.1% is Black/African American, 1.1% is Asian, 2% is of two or more races, and 3.2% is Hispanic/Latino. The median household income is lower than the state at about $38,922 annually, and roughly 13.1% of Howard County families are living in poverty, which is slightly higher than the state. Howard County's uninsured rate is 13% 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, a small portion of Howard County is 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. Vincent Kokomo Hospital's governing body is comprised of persons representing diverse aspects and interests of the community. Many members of St. Vincent Kokomo 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 Kokomo Hospital is an affiliate of St. Vincent Health system and Ascension Health. St. Vincent Kokomo 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. 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 Kokomo Hospital is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St. Vincent Kokomo 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 Kokomo Hospital participates. true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC 1907 W SYCAMORE STREET KOKOMO IN 46901 237313206 501(C)(3) 25728 GENERAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The finance committee ensures that funds are distributed appropriately according to Ascension Health's strategic business plan and consistent with corporate policies and procedures. X true true false true false false false false false false false MARGARET M JOHNSON DIRECTOR/REGIONAL PRESIDENT 318261 0 149912 0 7195 0 16574 0 9513 0 501455 0 0 0 KARAM F ABBASI MD VICE-CHAIRMAN 0 423726 0 84000 0 12497 0 14575 0 24618 0 559416 0 0 CHERYL A HARMON DIRECTOR 0 463400 0 297018 0 52755 0 12552 0 13079 0 838804 0 0 MELANIE L BOZARD MD DIRECTOR 0 210375 0 125 0 666 0 10525 0 3533 0 225224 0 0 DENNIS E RESSLER CFO 195347 0 69219 0 0 0 16307 0 20542 0 301415 0 0 0 KATHLEEN K PEOPLES VP NURSING/CNO 163732 0 61034 0 6812 0 13278 0 11690 0 256546 0 0 0 DAVID CHEESMAN MD PHYSICIAN 211428 0 234152 0 1235 0 14575 0 29311 0 490701 0 0 0 HUAN PU CUI MD PHYSICIAN 382333 0 278207 0 1309 0 13811 0 16169 0 691829 0 0 0 PANCHAPAKESAN P HARAN MD PHYSICIAN 524819 0 332317 0 4262 0 13250 0 35936 0 910584 0 0 0 HEATH A SPENCE MD PHYSICIAN 377179 0 328787 0 3751 0 14575 0 22692 0 746984 0 0 0 ELIZABETH TENTLER MD PHYSICIAN 312754 0 41207 0 659 0 5300 0 27655 0 387575 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments St.Joseph Hospital & Health Center, Inc. included imputed income for individuals listed in Part VII. St.Joseph Hospital & Health Center, Inc. "grossed up" applicable non-business expenses and included in the employees' W-2 as additional taxable compensation. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation St.Vincent Health, Inc., a related organization of St.Joseph Hospital & Health Center, Inc., uses the following to establish the compensation of the organization's CEO/Executive Director: - Compensation committee - Independent compensation consultant - Compensation survey or study - Approval by the board or compensation committee Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in various non-qualified deferred compensation plans organized under Code Section 457(f). The exact purpose of each plan varies but they include: compensation limitation make-up plans, voluntary deferral plans, deferral of a portion of incentive bonus type plans, etc. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No payments were made to listed persons in Part VII under the various non-qualified deferred compensation plans during the year. CASH ACCOUNTS TRANSFERRED TO PARENT'S BALANCE SHEET 2016-07-01 144746262 FMV 453358926 ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 501(C)(3) false false false false Schedule N, Part II CASH TRANSFER ST. JOSEPH HOSPITAL & HEALTH CENTER, INC. TRANSFERRED ITS BEGINNING HSD CASH BALANCES TO ASCENSION HEALTH ALLIANCE (45-3358926) AS OF JULY 1, 2016. Form 990, Part IV, Line 24a Tax Exempt Bond Issuance St. Joseph Hospital & Health Center, Inc. is a health facility that is part of Ascension Health System. Ascension Health is the borrower for tax exempt hospital revenue bonds. St. Joseph Hospital & Health Center, Inc. holds an inter company note payable with Ascension Health, and this information is reported on the balance sheet. Form 990, Part IV, Line 20b Audited financial statements The activity of St. Joseph Hospital & Health Center, Inc. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of St. Joseph Hospital & Health Center, Inc. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of St. Joseph Hospital & Health Center, Inc. Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL IS PERFORMED BY ST. VINCENT HEALTH, INC. AND ITS SUBSIDIARY ORGANIZATIONS. ST. VINCENT HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HOSPITAL & HEALTH CENTER, INC. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR OR TOP MANAGEMENT OFFICIAL'S SALARY WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEES THE PROCESS OF DETERMINING THE AMOUNT OF COMPENSATION PAID TO THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS PERFORMED BY ST. VINCENT HEALTH, INC. AND ITS SUBSIDIARY ORGANIZATIONS. ST. VINCENT HEALTH, INC. IS THE SOLE CORPORATE MEMBER OF ST. JOSEPH HOSPITAL & HEALTH CENTER, INC. THE PROCESS INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. Form 990, Part VI, Line 6 Classes of members or stockholders St. Joseph Hospital & Health Center, Inc. has a single corporate member, St. Vincent Health, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. Joseph Hospital & Health Center, Inc. has a single corporate member, St. Vincent Health, Inc. who has the ability to elect members to the governing body of St. Joseph Hospital & Health Center, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. Joseph Hospital & Health Center, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent Health, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body DURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD. Form 990, Part VI, Line 12c Conflict of interest policy The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose. Form 990, Part VI, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances TRANSFERS TO AFFILIATES - -32092390; TRANSFER TO ALPHA FUND AS OF 7/1/2016 - -XXX-XX-XXXX; Form 990, Part XII, Line 2c oversight of audit or selection of independent accountant St. Joseph Hospital & Health Center, Inc. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole. ST JOSEPH PRIMARY CARE LLC 1907 W SYCAMORE STREET KOKOMO IN 46901 742979291 PHYSICIAN PRACTICES IN 3185274 628732 ST JOSEPH HOSPITAL & HEALTH CENTER INC ASCENSION HEALTH ALLIANCE PO BOX 45998 ST LOUIS MO 63145 453358926 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I NA false ASCENSION HEALTH PO BOX 45998 ST LOUIS MO 63145 311662309 NATIONAL HEALTH SYSTEM MO 501(c)(3) Type I ASCENSION HEALTH ALLIANCE false ST VINCENT HEALTH INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS IN 46290 352052591 PARENT COMPANY IN 501(c)(3) Type III-FI ASCENSION HEALTH false CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC 2001 W 86TH STREET INDIANAPOLIS IN 46260 351869951 FREESTANDING OUTPATIENT CENTER IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true REHABILITATION HOSPITAL OF INDIANA INC 4141 SHORE DRIVE INDIANAPOLIS IN 46254 351786005 REHABILITATION HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true SVH REAL ESTATE INC 10330 N MERIDIAN STREET STE 430N INDIANAPOLIS IN 46290 205002285 REAL ESTATE HOLDING COMPANY IN 501(c)(3) Type III-FI ST VINCENT HEALTH INC true ST VINCENT ANDERSON REGIONAL HOSPITAL INC 2015 JACKSON STREET ANDERSON IN 46016 460877261 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CARMEL HOSPITAL INC 13500 N MERIDIAN STREET CARMEL IN 46032 743107055 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT CLAY HOSPITAL INC 1206 E NATIONAL AVENUE BRAZIL IN 47834 352112529 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT DUNN HOSPITAL INC 1600 23RD STREET BEDFORD IN 47421 272192831 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FISHERS HOSPITAL INC 13861 OLIO ROAD FISHERS IN 46037 454243702 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT FRANKFORT HOSPITAL INC 1300 S JACKSON FRANKFORT IN 46041 352099320 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC 8333 NAAB ROAD STE 301 INDIANAPOLIS IN 46260 461227327 HEALTH AND WELLNESS SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC 2001 W 86TH STREET INDIANAPOLIS IN 46260 350869066 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT JENNINGS HOSPITAL INC 301 HENRY STREET NORTH VERNON IN 47265 351841606 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MADISON COUNTY HEALTH SYSTEM INC 1331 SOUTH A STREET ELWOOD IN 46036 350876389 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT MEDICAL GROUP INC 8425 HARCOURT ROAD INDIANAPOLIS IN 46260 272039417 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT RANDOLPH HOSPITAL INC 473 GREENVILLE AVENUE WINCHESTER IN 47394 352103153 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT RAS INC 10330 N MERIDIAN STREET STE 400N INDIANAPOLIS IN 46290 471289091 RETAIL AMBULATORY SERVICES IN 501(c)(3) 10 ST VINCENT HEALTH INC true ST VINCENT SALEM HOSPITAL INC 911 N SHELBY STREET SALEM IN 47167 270847538 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT SETON SPECIALTY HOSPITAL INC 8050 TOWNSHIP LINE RD INDIANAPOLIS IN 46260 351712001 LONG TERM CARE HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST VINCENT WILLIAMSPORT HOSPITAL INC 412 N MONROE STREET WILLIAMSPORT IN 47993 350784551 CRITICAL ACCESS HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST MARY'S HEALTH INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 350869065 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST MARY'S WARRICK HOSPITAL INC 1116 MILLIS AVENUE BOONVILLE IN 47601 351343019 HOSPITAL IN 501(c)(3) 3 ST VINCENT HEALTH INC true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC 1907 W SYCAMORE STREET KOKOMO IN 46901 237313206 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST JOSEPH HOSPITAL & HEALTH CENTER INC true ST MARY'S AT HOME INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 351899560 DME/HOME CARE IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S BUILDING CORPORATION 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 237248362 REAL ESTATE HOLDING COMPANY IN 501(c)(2) ST MARY'S HEALTH INC true ST MARY'S HEALTH SERVICES INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 351679526 INVESTMENT SERVICES IN 501(c)(3) Type III-FI ST MARY'S HEALTH INC true ST MARY'S CARE PARTNERS INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 351899562 TAX-EXEMPT AFFILIATE REIMBURSEMENTS IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S HEALTH FOUNDATION INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 237045370 SUPPORTING ORGANIZATION IN 501(c)(3) Type I ST MARY'S HEALTH INC true ST MARY'S MEDICAL GROUP LLC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 261356310 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3) 10 ST MARY'S HEALTH 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 HEALTH INC 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 ST VINCENT 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 ST MARY'S MEDICAL GROUP INC 3700 WASHINGTON AVE EVANSVILLE IN 47750 352076827 INVESTMENT IN NA C Corporation true false true false false false false false false false true false true true false true true true true true ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC L 238705 FAIR MARKET VALUE ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC P 98197 FAIR MARKET VALUE ST VINCENT FRANKFORT HOSPITAL INC S 65000 FAIR MARKET VALUE ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC L 1433853 FAIR MARKET VALUE ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC P 107470 FAIR MARKET VALUE ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC S 20492149 FAIR MARKET VALUE ST VINCENT MEDICAL GROUP INC J 164836 FAIR MARKET VALUE ST VINCENT MEDICAL GROUP INC Q 152006 FAIR MARKET VALUE ST VINCENT MEDICAL GROUP INC S 2014697 FAIR MARKET VALUE ST VINCENT MEDICAL GROUP INC R 347565 FAIR MARKET VALUE