CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC (EIN 35-1869951)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-12
- IRS object ID
- 201701329349305340
- Schema version
- 2015v3.0
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-12T15:00:15-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351869951 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 3173387080 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10330 N MERIDIAN STREET SUITE 430N | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46290 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JONATHAN NALLI | PersonNm |
| Person Title | SYSTEM CEO | PersonTitleTxt |
| Signature | 2017-05-12 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JONATHAN NALLI | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10330 N MERIDIAN STREET | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46290 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $81,150,624 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STVINCENT.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | St. Vincent Heart Center of Indiana strives to create a just and compassionate health care environment. | ActivityOrMissionDesc |
| Voting Members Governing Body | 2 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 541 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $23,613 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,379 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,546,308 | PYInvestmentIncomeAmt |
| CY Investment Income | $883,249 | CYInvestmentIncomeAmt |
| PY Other Revenue | $64,275,687 | PYOtherRevenueAmt |
| CY Other Revenue | $79,956,747 | CYOtherRevenueAmt |
| PY Total Revenue | $66,845,608 | PYTotalRevenueAmt |
| CY Total Revenue | $80,851,375 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,365,118 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $37,075,401 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,996,024 | PYOtherExpensesAmt |
| CY Other Expenses | $11,696,067 | CYOtherExpensesAmt |
| PY Total Expenses | $45,361,142 | PYTotalExpensesAmt |
| CY Total Expenses | $48,771,468 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $21,484,466 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $32,079,907 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $247,155,854 | TotalAssetsBOYAmt |
| Total Assets EOY | $309,439,407 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $61,659,624 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $91,395,366 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $185,496,230 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $218,044,041 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To own free standing outpatient and diagnostic cardiac catherization laboratories and support other entities that provides cardiac services to the community and to support and encourage the activities and purposes of Ascension Health and St. Vincent Health. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $43,512,293 | ExpenseAmt |
| Revenue | $79,526,471 | RevenueAmt |
| Desc | Central Indiana Health System Cardiac Services, Inc. (CIHSCS) owns a 74.08% interest in St. Vincent Heart Center of Indiana, LLC (SVHC), a licensed hospital. SVHC is a specialized cardiovascular hospital serving Hamilton and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2016, SVHC treated 4,437 adults and children for a total of 19,901 patient days of service. The hospital also provided services for 11,420 outpatient visits, including 168 outpatient surgeries and 2,915 emergency room visits. St. Vincent Heart Center of Indiana, LLC 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. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. | Desc |
| Total Program Service Expenses | $43,512,293 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | 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 | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | 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 | 45 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 541 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| 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 | 2 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | 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 | Yes (true) | 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 | Yes (true) | 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 | ELLEN FERRINGER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3175833294 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10330 N MERIDIAN STREET | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46290 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL L MULLINS | ||||||||||
| SYSTEM VP-MINISTRY OPERATING EXEC | 0.2 | 40.8 | Yes (X) | Yes (X) | $0 | $674,465 | $42,590 | |||
| JONATHAN NALLI | ||||||||||
| CHAIR - SYSTEM CEO | 0.2 | 41.0 | Yes (X) | Yes (X) | $0 | $1,451,152 | $50,024 | |||
| BLAKE A DYE | ||||||||||
| PRESIDENT-SVHCI | 40.0 | 0.2 | Yes (X) | $808,802 | $0 | $40,371 | ||||
| MICHAEL K SCHROYER | ||||||||||
| COO - SVHCI | 20.0 | 21.2 | Yes (X) | $281,513 | $8,806 | $42,375 | ||||
| BECKY L JACOBSON | ||||||||||
| VP FINANCE - SVHCI | 40.0 | 0 | $232,111 | $0 | $32,960 | Yes (X) | ||||
| JOSEPH B LANDIS | ||||||||||
| TEAM LEAD CATH - SVHCI | 40.0 | 0 | $186,134 | $0 | $28,839 | Yes (X) | ||||
| ALEX W LEE | ||||||||||
| DIRECTOR - PHARMACY | 40.0 | 0 | $139,467 | $0 | $33,902 | Yes (X) | ||||
| KAREN B RICHMOND | ||||||||||
| OR NURSE - SVHCI | 40.0 | 0 | $136,953 | $0 | $21,787 | Yes (X) | ||||
| JEFFERY L BOARDS | ||||||||||
| RN - CARDIOVASCULAR | 40.0 | 0 | $153,605 | $0 | $22,324 | Yes (X) | ||||
| LORI L SHANNON | ||||||||||
| CARDIOVASCULAR RN - SVHCI | 40.0 | 0 | $231,698 | $0 | $13,323 | Yes (X) | ||||
| JULIE M CARMICHAEL | ||||||||||
| FORMER OFFICER | 0.0 | 0.0 | $0 | $429,459 | $16,407 | Yes (X) | ||||
| IAN G WORDEN | ||||||||||
| FORMER OFFICER | 0.0 | 0.0 | $0 | $289,650 | $1,004 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,170,283 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,853,532 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $345,906 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 33 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | 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 |
|---|---|---|---|---|---|
| MID AMERICA CLINICAL LABORATORIES | |||||
| PO BOX 642263 | PITTSBURGH | PA | 15264 | LAB SERVICES | $2,561,584 |
| SOUTH BEND MEDICAL FOUNDATION | |||||
| 530 N LAFAYETTE BLVD | SOUTH BEND | IN | 466011004 | LAB SERVICES | $536,241 |
| FRESNIUS MANAGEMENT SERVICES | |||||
| 10585 N MERIDIAN ST STE 160 | INDIANAPOLIS | IN | 46290 | COMMERCIAL SERVICES | $222,614 |
| MVP PROFESSIONAL COATINGS LLC | |||||
| 7832 HUFF ST | INDIANAPOLIS | IN | 46259 | DRYWALL AND PAINT CONTRACTOR | $108,676 |
| JACK LAURIE COMMERCIAL FLOORS | |||||
| 7998 GEORGETOWN ROAD | INDIANAPOLIS | IN | 46268 | FLOORING SERVICES | $108,055 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $11,379 | RelatedOrganizationsAmt |
| Total Contributions | $11,379 | TotalContributionsAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $883,249 | TotalRevenueColumnAmt |
| Exclusion | $883,249 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $729,525 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $299,249 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $430,276 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $430,276 | TotalRevenueColumnAmt |
| Exclusion | $430,276 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| JOINT VENTURE INCOME | 900099 | $31,836,093 | $31,836,093 |
| PAYROLL SERVICE REVENUE | 541200 | $37,075,401 | $37,075,401 |
| MANAGEMENT FEES | 541900 | $10,614,977 | $10,614,977 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $79,526,471 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $80,851,375 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $79,526,471 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,313,525 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,436,755 | TotalAmt |
| Management And General | $1,436,755 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,494,982 | TotalAmt |
| Program Services | $25,274,680 | ProgramServicesAmt |
| Management And General | $2,220,302 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,063,096 | TotalAmt |
| Program Services | $977,248 | ProgramServicesAmt |
| Management And General | $85,848 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,341,173 | TotalAmt |
| Program Services | $4,909,857 | ProgramServicesAmt |
| Management And General | $431,316 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,739,395 | TotalAmt |
| Program Services | $1,598,934 | ProgramServicesAmt |
| Management And General | $140,461 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,601,629 | TotalAmt |
| Program Services | $3,310,787 | ProgramServicesAmt |
| Management And General | $290,842 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,429 | TotalAmt |
| Program Services | $107,027 | ProgramServicesAmt |
| Management And General | $9,402 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,717 | TotalAmt |
| Program Services | $111,888 | ProgramServicesAmt |
| Management And General | $9,829 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,387,868 | TotalAmt |
| Program Services | $2,195,040 | ProgramServicesAmt |
| Management And General | $192,828 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| CORPORATE EXPENSES | $5,440,375 | $5,001,048 | $439,327 |
| Miscellaneous Expense | $27,872 | $25,621 | $2,251 |
| SUPPLIES | $177 | $163 | $14 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,771,468 | TotalAmt |
| Program Services | $43,512,293 | ProgramServicesAmt |
| Management And General | $5,259,175 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,454,507 | BOYAmt |
| EOY | $41,219,008 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,083,966 | BOYAmt |
| EOY | $55,932,310 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $2,298,627 | BOYAmt |
| EOY | $1,979,955 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,184 | BOYAmt |
| EOY | $73,171 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $69,532,572 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $46,161,755 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,977,709 | BOYAmt |
| EOY | $23,370,817 | 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 | $8,000,000 | BOYAmt |
| EOY | $8,000,000 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,896,257 | BOYAmt |
| EOY | $55,623,667 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,222,604 | BOYAmt |
| EOY | $123,240,479 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,155,854 | BOYAmt |
| EOY | $309,439,407 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,163,570 | BOYAmt |
| EOY | $9,682,208 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,496,054 | BOYAmt |
| EOY | $81,713,158 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,659,624 | BOYAmt |
| EOY | $91,395,366 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,496,230 | BOYAmt |
| EOY | $218,044,041 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,496,230 | BOYAmt |
| EOY | $218,044,041 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,155,854 | BOYAmt |
| EOY | $309,439,407 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $32,079,907 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,653,429 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,121,333 | 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 | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350869066 | EIN |
| Organization Type | 3 | OrganizationTypeCd |
| Governing Document Listed | Yes (true) | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | false | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | false | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (true) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (true) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (true) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Test | Yes (X) | ActivitiesTestInd |
| Activities Further Exempt Prps | Yes (true) | ActivitiesFurtherExemptPrpsInd |
| Activities Engaged Org Invlmnt | Yes (true) | ActivitiesEngagedOrgInvlmntInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule A, Part I, Line 11 AMOUNTS OF OTHER SUPPORT | CHISCS LEASES REAL ESTATE TO ST. VINCENT HOSPITAL AND HEALTH CARE CENTER, INC. |
| Schedule A, Part IV, Section C, Line 1 Supp. Org. Have Significant Voice In Investment Policies | BY VIRTUE OF OVERLAPPING BOARD MEMBERS, THE SUPPORTED ORGANIZATIONS HAVE A SIGNIFICANT VOICE IN THE SUPPORTING ORGANIZATION'S DAILY OPERATIONS. THE ASCENSION SPONSOR, THROUGH ITS CONTROL OF THE ASCENSION BOARD, CONTROLS THE SYSTEM INTEGRATED STRATEGIC OPERATIONAL FINANCIAL PLAN, ANNUAL TARGETS AND INITIATIVES. WITHIN THIS OPERATIONAL FRAMEWORK, CERTAIN EXPENDITURES OF FUNDS, CAPITAL INVESTMENTS, ISSUANCE OF DEBT, ETC. ARE SUBJECT TO ASCENSION-LEVEL APPROVAL. |
| Schedule A, Part IV, Section E, Line 1a Org. Activities Directly Further The Exempt Purposes | Central Indiana Health System Cardiac Services, Inc. provides outpatient and diagnostic cardiac catherization laboratories services and support other entities that provide cardiac services to the surrounding community. Central Indiana Health System Cardiac Services, Inc. supports and encourages the activities and purposes of St. Vincent Hospital and Health Care Center, Inc. |
| Schedule A, Part IV, Section E, Line 1b Activities That One Or More Supp. Org. Engaged In | CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES, INC. OWNS A 74.08% INTEREST IN ST. VINCENT HEART CENTER OF INDIANA, LLC (SVHC), A LICENSED HOSPITAL. SVHC IS A SPECIALIZED CARDIOVASCULAR HOSPITAL SERVING HAMILTON AND CONTIGUOUS COUNTIES AND PROVIDES SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $2,739 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,739 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. |
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,345,327 | OtherCostOrOtherBasisAmt |
| Book Value | $5,345,327 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,163,550 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,241,026 | DepreciationAmt |
| Book Value | $11,922,524 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,793,162 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,679,281 | DepreciationAmt |
| Book Value | $113,881 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,500,815 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,241,448 | DepreciationAmt |
| Book Value | $5,259,367 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $729,718 | OtherCostOrOtherBasisAmt |
| Book Value | $729,718 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,370,817 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE | $122,126,008 |
| OTHER RECEIVABLES | $924,875 |
| RECEIVABLES FROM THIRD PARTY PAYORS | $189,596 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $123,240,479 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| INTERCOMPANY PAYABLES | $53,457,890 |
| PAYABLES TO THIRD PARTY PROGRAMS | $3,327,191 |
| INTERCOMPANY DEBT TO ST. VINCENT HEALTH | $24,928,077 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $81,713,158 | 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, 2016. | 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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 250 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| 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 | $1,519,783 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,519,783 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0312 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,023,367 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,536,509 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,486,858 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1125 | 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 | $10,543,150 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,536,509 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,006,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1437 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 5 | ActivitiesOrProgramsCnt |
| Persons Served | 1155 | PersonsServedCnt |
| Total Community Benefit Expns | $3,412 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,412 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 131 | PersonsServedCnt |
| Total Community Benefit Expns | $49,908 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $49,908 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0010 | 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 | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 71 | PersonsServedCnt |
| Total Community Benefit Expns | $7,803 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $7,803 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0002 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 1357 | PersonsServedCnt |
| Total Community Benefit Expns | $61,123 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $61,123 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0013 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 1357 | PersonsServedCnt |
| Total Community Benefit Expns | $10,604,273 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,536,509 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,067,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1449 | 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) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 800 | PersonsServedCnt |
| Total Community Benefit Expns | $1,126 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,126 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | 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) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | 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 | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 800 | PersonsServedCnt |
| Total Community Benefit Expns | $1,126 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,126 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $119,990 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $35,997 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $67,970,152 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $69,389,271 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,419,119 | 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 VINCENT HEART CENTER OF INDIANA LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10580 N MERIDIAN STREET | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46290 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | http://www.stvincent.org | WebsiteAddressTxt |
| State License | 14-003284-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| 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 VINCENT HEART CENTER OF INDIANA LLC | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| 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 | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.stvincent.org/how-we-are-different/community-assessment | OwnWebsiteURLTxt |
| 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 | http://www.stvincent.org/how-we-are-different/community-assessment | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| 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 | 250.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.0 | 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 |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| 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. VINCENT HEART CENTER OF INDIANA, LLC. In conducting its CHNA, the hospital facility took into account input from representatives of the community as well as those with special knowledge or expertise in public health. These included Board of Directors for St. Vincent Fishers Hospital, Carmel Fire Department, Carmel Police Department, Central Indiana Community Foundation, Fishers Fire Department, Fishers United Methodist Church, Fishers YMCA, Good Samaritan Network of Hamilton, Inc., Hamilton County Health Department, Heart And Soul Clinic, Purdue Extension, Prevail, Inc., St. Vincent Fishers Hospital, Trinity Free Clinic, and United Way Central Indiana. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - St. Vincent Heart Center of Indiana, LLC. The hospital conducted its CHNA in conjunction with St. Vincent Carmel Hospital, St. Vincent Fishers Hospital, Community Health Network, Franciscan Health and Indiana University Health. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - ST. VINCENT HEART CENTER OF INDIANA, LLC. Implementation Strategy Using the CHNA completed in fiscal year 2013, the hospital developed a 2014-2016 implementation strategy to address priority community health needs. These strategies include: 1. Obesity The Heart Center has created a Healthy Foods and Diet Program which works with the contract company, Touchpoint, to provide heart healthy options for visitors. The Retail Cafe has realized that adding healthy items is better than eliminating bad items at this time. There is now an educational table set-up to feature healthy items for the month including a farmer's market highlight in the summer. After the conclusion of FY2016, two Community Development & Health Improvement staff members conducted an observational field study to assess the implementation of action steps to transform menu offerings and provide nutrition education through the Retail Cafe. The following provides a snapshot of these action steps: Eliminate sugared beverages from menu: - Total number of available beverages=74 - Number of sugar-free/low sugar beverages=16 (22%) - Number of sugared beverages=58 (78%) Modify or discontinue menu items that do not meet heart-healthy guidelines: - Total number of food stations=6 - Number of food stations offering mainly heart-healthy items=2 (33%, salad bar and grill station) - Number of food stations with a majority of items that are not heart-healthy=4 (67%, two dessert bars, a deli-style sandwich station, and a fast food-style station) - Salad bar station is the first option that is made available. - Fit Bundle is a contest at the hospital that encourages people to buy a plate of healthy items. Post calorie/nutrition information for all menu items: The manager reports that the team is currently on a project to post calorie/nutrition information for all menu items, which was scheduled for completion in December, 2016. Implementation healthy cooking demonstrations during peak business hours (lunchtime): The Cafe hosts Welcome Wednesdays, a program led by the hospital's dietitian, and several community events at Market District to promote heart-healthy eating habits. SV Heart Center participated in several fairs including the Henry County Wellness Fair, Carmel Wellness Expo, and Black Expo Health Fair. Approximately 50 screenings were completed. Approximately, 100 participants received education. The Heart Center supports the American Heart Association in these events. The Go Red for Women event is a luncheon, over a 1,000 women receive healthy heart information. The Heart Ball is a more formal event to raise money for heart research. Finally, the Heart Walk gets thousands of people walking each year to support the American Heart Association. A new program called Men Go Red is also supported by the Heart Center. Administration provides their expertise on the American Heart Association board and two national committees. On these boards and committees, one of their goals is to educate legislators about heart disease. 2. Smoking Cessation Approximately, 100 participants received education. SV Heart Center now refers to the Tobacco Management Center at SV Indianapolis Hospital which has one-on-one and group meetings. SV Heart Center also ensures bedside hospital smoking cessation is offered to all patients. Administration participates in the Indiana Chapter of the American College of Cardiology and their efforts to educate legislators about the causes of heart disease. Administration participates in the American College of Cardiology professional association which this year educated legislators on access and obesity. 3. Stress Management SV Heart Center was unable to meet this strategy because the physician responsible for this health need retired. The St. Vincent FY 2017-2019 Implementation Strategy specifically addresses the following three System Wide Health Improvement Priorities: 1) Access to Health Services St Vincent Heart Center 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 Hamilton 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 Heart Center 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 the program's protocol; make final preparations for the program's "go live" date in FY 2018; and distribute and collect surveys, enter survey data into software at the beginning and end of the school year (twice a year in FY 2018 and FY 2019). 3) Behavioral Health St. Vincent Heart Center 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 the 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 the 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 the community in FY 2019; and enter FY 2019 baseline survey data into database within two weeks of each training. Needs That Will Not Be Addressed The hospital is committed to improving community health by directly, and indirectly, addressing prioritized health needs. However, certain factors impact the hospital's ability to fully address all priorities health needs. The needs listed below are not included in the hospital's implementation strategy plan for the following reasons: Transportation - This identified health need is not being monitored and evaluated in the Implementation Strategy due to limitations within the hospital's financials and human resources. However, St. Vincent Carmel supports the transportation service that is offered through PrimeLife Enrichment and has supported Partnership for a Healthy Hamilton County and other organizations that are focusing on this issue. Older Adults & Aging - This issue is being addressed in the Access to Health Services priority. |
| Schedule H, Part V, Section B, Line 22 Facility , 1 | Facility , 1 - St. Vincent Heart Center of Indiana, LLC. The discount was determined by reviewing the lowest discount provided to managed care payers that comprise at least 3% of our volume with an added prompt pay discount to the highest paid discount provided to our managed care payers. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 0 | FacilityNum |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c CRITERIA FOR DETERMINING ELIGIBILTY FOR FREE OR DISCOUNTED CARE | The organization provides medically necessary care to all patients, regardless of race, color, creed, ethnic origin, gender, disability or economic status. The hospital uses a percentage of federal poverty level (FPL) to determine free and discounted care. At a minimum, patients with income less than or equal to 200% of the FPL, which may be adjusted for cost of living utilizing the local wage index compared to the national wage index, will be eligible for 100% charity care write off of charges for services that have been provided to them. Also, at a minimum, patients with incomes above 200% of the FPL but not exceeding 400% of the FPL, subject to adjustments for cost of living utilizing the local wage index compared to national wage index, will receive a discount on the services provided to them. |
| Schedule H, Part I, Line 7 COMMUNITY BENEFIT OVERVIEW | St. Vincent Carmel Hospital is part of St. Vincent, 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 is one of the largest healthcare employers in the state. As part of St. Vincent, the St. Vincent Carmel vision is to deliver a continuum of holistic, high-quality health services and improve the lives and health of Indiana individuals and communities, with special attention to the poor and vulnerable. This is accomplished through strong partnerships with businesses, community organizations, local, state and federal government, physicians, St. Vincent Carmel associates and others. Working with its partners, and utilizing the CHNA completed every three years, St. Vincent Carmel 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 Carmel, 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 Community Development & Health Improvement & Health Improvement Department, but associates at all levels of the organization contribute to community benefit and health improvement. |
| Schedule H, Part I, Line 7 CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST | 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 Heart Center is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. Public Program Participation St. Vincent Heart Center 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's conservative approach, Medicare shortfall is not included as community benefit. Community Health Needs Assessment True community benefit responds to the particular needs and challenges of the community, building on its unique strengths and assets. The hospital leads a community health needs assessment every 3 years. Using a variety of tools, including surveys, key person interviews, focus groups, secondary data, and data analysis professionals, the team identifies community issues and concerns. These are shared with the community at large, and a consensus is reached about priorities and available resources. To provide community input and a basis for collaboration within the community to address health needs, St. Vincent leads or participates in a community roundtable or forum. This group brings together individuals and organizations from throughout the community who share a common interest in improving health status and quality of life and provide expertise in a variety of community areas including public health. Obesity, smoking cessation, and stress management have all been identified as key community needs. Health Professions Clinical Training In an effort to prepare future healthcare professionals, St. Vincent Heart Center offers a variety of clinical settings and internships to undergraduate and vocational allied health professionals from University of Indianapolis, Purdue University, Marian University, IUPUI, Butler, Ivy Tech, and Ball State University. Health Fairs and Screenings St. Vincent Heart Center of Indiana, LLC participates in several health fairs and screenings throughout the year. Health information and preventive services material are a vital part of health fairs and screenings. Also, participants can be tested for blood pressure, cholesterol, pulmonary function, oxygenation and more at low or no cost. St. Vincent Heart Center participated in these health fairs in fiscal year 2016; Henry County Wellness Fair, Carmel Wellness Fair, and Black Expo Health Fair. CPR Class St. Vincent Heart Center, LLC provided a health educational class on CPR. This class is to teach individuals how to properly perform the lifesaving technique. To get certified in CPR, individuals will learn the correct method of compressions, clearing the airway and how to perform appropriate breathing techniques. Community Benefit Cash and In-Kind Contributions In addition to the outreach programs operated by the hospital, the hospital makes cash and in-kind donations to a variety of community organizations focused on improving health status in the community. These take the form of cash donations to outside organizations, the donation of employee time/services to outside organizations and the representation of the hospital on community boards and committees working to improve health status and quality of life within the community. |
| Schedule H, Part II COMMUNITY BUILDING ACTIVITIES | Research shows that social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status. Community Building Cash and In-Kind Contribution The hospital makes cash and in-kind donations to a variety of community organizations focused on building the community and improving quality of life. These take the form of cash donations to outside organizations, the donation of employee time/services to outside organizations and the representation of the hospital on community boards and committees working to improve infrastructure for the community. |
| 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 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 2016 was $515,586 at charges, ($119,990 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 conditions, 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 18. |
| 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 | Communities are dynamic systems in which multiple factors interact to impact quality of life and health status. In addition to the formal CHNA conducted every 3 years, St. Vincent Heart Center of Indiana helps to lead a community roundtable called Partnership for a Healthy Hamilton County whose purpose is to assess needs within the community, prioritize action and work in partnership to address identified challenges. The coalition works closely with its member organizations which come from multiple sectors of the community, including local government, business, education, faith communities, public health, health care providers and other social and human service organizations. In addition, the coalition works closely with other coalitions as well as the local and state health departments to stay abreast of changing needs within the community and to identify evidence-based and promising practices to address these needs. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | St. Vincent Heart Center of Indiana, LLC 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 | The St. Vincent Heart Center of Indiana, LLC (SVHC) is located in the southern portion of Hamilton County, which borders Marion County, home to Indianapolis. SVHC serves mostly Central Indiana; however, its reach extends to the entire state and beyond. St. Vincent Heart Center of Indiana, LLC is located in Carmel, Indiana. Hamilton County has an estimated population of 309,697. Per capita personal income and median household income are above state averages. The poverty rate for Hamilton County is 4.9. The majority race is white which makes up 87.8% of the population, followed by Asians at 5.9%. Hispanics comprise 3.9% of the population. Median age for the county is 36.6 years. |
| Schedule H, Part VI, Line 5 Promotion of community health | St. Vincent Heart Center of Indiana, LLC promotes the health of its communities by striving to improve the quality of life within the community. Research has established that factors such as economic status, employment, housing, education level, and built environment can all be powerful social determinants of health. Additionally, helping to create greater capacity within the community to address a broad range of quality of life issues also impacts health. St. Vincent Heart Center of Indiana, LLC meets regularly with local organizations in the community to learn what resources are available and plan community health improvement efforts. In fiscal year 2016, these organizations included: Good Samaritan Network, Community Hospital, IU Health, St. Francis Hospital, YMCA, Aspire Riverview Health, and staff from Partnership for a Healthy Hamilton County. |
| Schedule H, Part VI, Line 6 Affiliated health care system | As part of St. Vincent, St. Vincent Heart Center of Indiana, LLC is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St. Vincent Heart Center of Indiana, LLC devote all or a significant portion of their 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 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 in which St. Vincent Heart Center of Indiana, LLC participates. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | 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 (12 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JULIE M CARMICHAEL | ||||||||||||||
| FORMER OFFICER | $0 | $175,777 | $0 | $108,369 | $0 | $145,313 | $0 | $4,990 | $0 | $11,417 | $0 | $445,866 | $0 | $0 |
| IAN G WORDEN | ||||||||||||||
| FORMER OFFICER | $0 | $0 | $0 | $0 | $0 | $289,650 | $0 | $0 | $0 | $1,004 | $0 | $290,654 | $0 | $0 |
| MICHAEL L MULLINS | ||||||||||||||
| SYSTEM VP-MINISTRY OPERATING EXEC | $0 | $499,876 | $0 | $169,205 | $0 | $5,384 | $0 | $13,250 | $0 | $29,340 | $0 | $717,055 | $0 | $0 |
| JONATHAN NALLI | ||||||||||||||
| CHAIR - SYSTEM CEO | $0 | $852,923 | $0 | $484,151 | $0 | $114,078 | $0 | $13,250 | $0 | $36,774 | $0 | $1,501,176 | $0 | $0 |
| BLAKE A DYE | ||||||||||||||
| PRESIDENT-SVHCI | $498,021 | $0 | $195,554 | $0 | $115,227 | $0 | $14,575 | $0 | $25,796 | $0 | $849,173 | $0 | $0 | $0 |
| MICHAEL K SCHROYER | ||||||||||||||
| COO - SVHCI | $219,206 | $8,768 | $61,369 | $0 | $938 | $38 | $11,576 | $200 | $29,422 | $1,177 | $322,511 | $10,183 | $0 | $0 |
| BECKY L JACOBSON | ||||||||||||||
| VP FINANCE - SVHCI | $185,928 | $0 | $45,927 | $0 | $256 | $0 | $14,230 | $0 | $18,730 | $0 | $265,071 | $0 | $0 | $0 |
| JOSEPH B LANDIS | ||||||||||||||
| TEAM LEAD CATH - SVHCI | $178,204 | $0 | $3,531 | $0 | $4,399 | $0 | $11,968 | $0 | $16,871 | $0 | $214,973 | $0 | $0 | $0 |
| ALEX W LEE | ||||||||||||||
| DIRECTOR - PHARMACY | $126,219 | $0 | $13,055 | $0 | $193 | $0 | $4,458 | $0 | $29,444 | $0 | $173,369 | $0 | $0 | $0 |
| KAREN B RICHMOND | ||||||||||||||
| OR NURSE - SVHCI | $124,255 | $0 | $12,293 | $0 | $405 | $0 | $4,199 | $0 | $17,588 | $0 | $158,740 | $0 | $0 | $0 |
| JEFFERY L BOARDS | ||||||||||||||
| RN - CARDIOVASCULAR | $151,038 | $0 | $2,383 | $0 | $184 | $0 | $4,675 | $0 | $17,649 | $0 | $175,929 | $0 | $0 | $0 |
| LORI L SHANNON | ||||||||||||||
| CARDIOVASCULAR RN - SVHCI | $186,387 | $0 | $44,932 | $0 | $379 | $0 | $11,317 | $0 | $2,006 | $0 | $245,021 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | Ascension Health, a related organization of Central Indiana Health System Cardiac Services, 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 4a Severance or change-of-control payment | The following individuals received severence payments from the organization or a related organization during the calendar year 2015: Julie M Carmichael - $142,919 Ian G Worden - $289,650 |
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part IV, Line 24a Part IV, Line 24a | Tax Exempt Bond Issuance Central Indiana Health System Cardiac Services, Inc. is a holding company that is part of Ascension Health System. Ascension Health is the borrower for tax exempt hospital revenue bonds. Central Indiana Health System Cardiac Services, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Central Indiana Health System Cardiac Services, Inc. has a single corporate member, St. Vincent Health, Inc. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | Central Indiana Health System Cardiac Services, Inc. has a single corporate member, St. Vincent Health, Inc. who has the ability to elect members to the governing body of Central Indiana Health System Cardiac Services, Inc. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | All decisions that have a material impact to Central Indiana Health System Cardiac Services, 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 | Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form 990 to a designated committee of the Board to review and answer any questions. Prior to filing the returns, all Board members are provided the Form 990 and management team members are available to answer any Board member questions. |
| 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 committee 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 15b Process to establish compensation of other employees | Compensation determinations of Central Indiana Health System Cardiac Services, Inc.'s CEO, executive director, or top management official is made by Ascension Health's management. The process includes a review and approval by independent persons and comparability data. In review of the compensation, the CEO, executive director, and top management were compared to other hospitals in the area that hold the same position. Compensation determinations of Central Indiana Health System Cardiac Services, Inc.'s other officers or key employees are made by Central Indiana Health System Cardiac Services, Inc.'s management. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same position. |
| 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 | TRANSFER FROM AFFILIATES - 8620; Non-Controlling Interest Activity - 3112713; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CIHS NEWCO LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8425 HARCOURT ROAD | AddressLine1Txt |
| City | INDIANAPOLIS | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46260 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352174403 | EIN |
| Primary Activities | LAND HOLDING COMPANY | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Total Income | $729,525 | TotalIncomeAmt |
| End Of Year Assets | $6,858,794 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC | BusinessNameLine1Txt |
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 |
| 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 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 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 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 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 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 HEALTH INC | ||||||||||
| 10330 N MERIDIAN STREET STE 430N | INDIANAPOLIS | IN | 46290 | 352052591 | PARENT COMPANY | IN | 501(c)(3 | Type III-FI | ASCENSION HEALTH | false |
| 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 | 9 | 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 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 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 | 9 | ST VINCENT HEALTH 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 INC | ||||||||||
| 473 GREENVILLE AVENUE | WINCHESTER | IN | 47394 | 352103153 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH 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 RAS INC | ||||||||||
| 10330 N MERIDIAN STREET STE 400N | INDIANAPOLIS | IN | 46290 | 471289091 | RETAIL AMBULATORY SERVICES | IN | 501(c)(3 | 9 | 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 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 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 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) | |
| 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 WARRICK HOSPITAL INC | ||||||||||
| 1116 MILLIS AVENUE | BOONVILLE | IN | 47601 | 351343019 | HOSPITAL | IN | 501(c)(3 | 3 | 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) |
| ST MARY'S MEDICAL GROUP LLC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 261356310 | PHYSICIAN PROFESSIONAL SERVICES | IN | 501(c)(3 | 9 | ST MARY'S HEALTH INC | Yes (true) |
| PRIMARY PHYSICIAN NETWORK LLC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 208775914 | DORMANT | IN | 501(c)(3 | 9 | ST MARY'S 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) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 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 | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC | Related | 0.7408 | $23,588,791 | $74,298,048 | false | false | |
| 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 | ||||
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 | false | 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 | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | 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 | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST VINCENT HEART CENTER OF INDIANA LLC | ||
| Q | $37,075,401 | FAIR MARKET VALUE |
| ST VINCENT HEART CENTER OF INDIANA LLC | ||
| S | $18,520,000 | FAIR MARKET VALUE |
Comments