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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-12T15:00:15-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351869951EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCENTBusinessNameControlTxt
Phone3173387080PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110330 N MERIDIAN STREET SUITE 430NAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46290ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJONATHAN NALLIPersonNm
Person TitleSYSTEM CEOPersonTitleTxt
Signature2017-05-12SignatureDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1JONATHAN NALLIBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110330 N MERIDIAN STREETAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46290ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$81,150,624GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STVINCENT.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionSt. Vincent Heart Center of Indiana strives to create a just and compassionate health care environment.ActivityOrMissionDesc
Voting Members Governing Body2VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee541TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$23,613PYContributionsGrantsAmt
CY Contributions Grants$11,379CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$2,546,308PYInvestmentIncomeAmt
CY Investment Income$883,249CYInvestmentIncomeAmt
PY Other Revenue$64,275,687PYOtherRevenueAmt
CY Other Revenue$79,956,747CYOtherRevenueAmt
PY Total Revenue$66,845,608PYTotalRevenueAmt
CY Total Revenue$80,851,375CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,365,118PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$37,075,401CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,996,024PYOtherExpensesAmt
CY Other Expenses$11,696,067CYOtherExpensesAmt
PY Total Expenses$45,361,142PYTotalExpensesAmt
CY Total Expenses$48,771,468CYTotalExpensesAmt
PY Revenues Less Expenses$21,484,466PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$32,079,907CYRevenuesLessExpensesAmt
Total Assets BOY$247,155,854TotalAssetsBOYAmt
Total Assets EOY$309,439,407TotalAssetsEOYAmt
Total Liabilities BOY$61,659,624TotalLiabilitiesBOYAmt
Total Liabilities EOY$91,395,366TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$185,496,230NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$218,044,041NetAssetsOrFundBalancesEOYAmt
MissionTo 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$43,512,293ExpenseAmt
Revenue$79,526,471RevenueAmt
DescCentral 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$43,512,293TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document45IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee541EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members2GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ELLEN FERRINGERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3175833294PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110330 N MERIDIAN STREETAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46290ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL L MULLINS
SYSTEM VP-MINISTRY OPERATING EXEC0.240.8Yes (X)Yes (X)$0$674,465$42,590
JONATHAN NALLI
CHAIR - SYSTEM CEO0.241.0Yes (X)Yes (X)$0$1,451,152$50,024
BLAKE A DYE
PRESIDENT-SVHCI40.00.2Yes (X)$808,802$0$40,371
MICHAEL K SCHROYER
COO - SVHCI20.021.2Yes (X)$281,513$8,806$42,375
BECKY L JACOBSON
VP FINANCE - SVHCI40.00$232,111$0$32,960Yes (X)
JOSEPH B LANDIS
TEAM LEAD CATH - SVHCI40.00$186,134$0$28,839Yes (X)
ALEX W LEE
DIRECTOR - PHARMACY40.00$139,467$0$33,902Yes (X)
KAREN B RICHMOND
OR NURSE - SVHCI40.00$136,953$0$21,787Yes (X)
JEFFERY L BOARDS
RN - CARDIOVASCULAR40.00$153,605$0$22,324Yes (X)
LORI L SHANNON
CARDIOVASCULAR RN - SVHCI40.00$231,698$0$13,323Yes (X)
JULIE M CARMICHAEL
FORMER OFFICER0.00.0$0$429,459$16,407Yes (X)
IAN G WORDEN
FORMER OFFICER0.00.0$0$289,650$1,004Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,170,283TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,853,532TotReportableCompRltdOrgAmt
Total Other Compensation$345,906TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K33IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MID AMERICA CLINICAL LABORATORIES
PO BOX 642263PITTSBURGHPA15264LAB SERVICES$2,561,584
SOUTH BEND MEDICAL FOUNDATION
530 N LAFAYETTE BLVDSOUTH BENDIN466011004LAB SERVICES$536,241
FRESNIUS MANAGEMENT SERVICES
10585 N MERIDIAN ST STE 160INDIANAPOLISIN46290COMMERCIAL SERVICES$222,614
MVP PROFESSIONAL COATINGS LLC
7832 HUFF STINDIANAPOLISIN46259DRYWALL AND PAINT CONTRACTOR$108,676
JACK LAURIE COMMERCIAL FLOORS
7998 GEORGETOWN ROADINDIANAPOLISIN46268FLOORING SERVICES$108,055
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$11,379RelatedOrganizationsAmt
Total Contributions$11,379TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$883,249TotalRevenueColumnAmt
Exclusion$883,249ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$729,525RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$299,249RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$430,276RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$430,276TotalRevenueColumnAmt
Exclusion$430,276ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
JOINT VENTURE INCOME900099$31,836,093$31,836,093
PAYROLL SERVICE REVENUE541200$37,075,401$37,075,401
MANAGEMENT FEES541900$10,614,977$10,614,977

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$79,526,471OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$80,851,375TotalRevenueColumnAmt
Related Or Exempt Func Income$79,526,471RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,313,525ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,436,755TotalAmt
Management And General$1,436,755ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$27,494,982TotalAmt
Program Services$25,274,680ProgramServicesAmt
Management And General$2,220,302ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,063,096TotalAmt
Program Services$977,248ProgramServicesAmt
Management And General$85,848ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,341,173TotalAmt
Program Services$4,909,857ProgramServicesAmt
Management And General$431,316ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,739,395TotalAmt
Program Services$1,598,934ProgramServicesAmt
Management And General$140,461ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$3,601,629TotalAmt
Program Services$3,310,787ProgramServicesAmt
Management And General$290,842ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$116,429TotalAmt
Program Services$107,027ProgramServicesAmt
Management And General$9,402ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$121,717TotalAmt
Program Services$111,888ProgramServicesAmt
Management And General$9,829ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,387,868TotalAmt
Program Services$2,195,040ProgramServicesAmt
Management And General$192,828ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement 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

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$48,771,468TotalAmt
Program Services$43,512,293ProgramServicesAmt
Management And General$5,259,175ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$35,454,507BOYAmt
EOY$41,219,008EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$29,083,966BOYAmt
EOY$55,932,310EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,298,627BOYAmt
EOY$1,979,955EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$222,184BOYAmt
EOY$73,171EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$69,532,572LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$46,161,755LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$24,977,709BOYAmt
EOY$23,370,817EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$8,000,000BOYAmt
EOY$8,000,000EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$46,896,257BOYAmt
EOY$55,623,667EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$100,222,604BOYAmt
EOY$123,240,479EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$247,155,854BOYAmt
EOY$309,439,407EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,163,570BOYAmt
EOY$9,682,208EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,496,054BOYAmt
EOY$81,713,158EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$61,659,624BOYAmt
EOY$91,395,366EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$185,496,230BOYAmt
EOY$218,044,041EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$185,496,230BOYAmt
EOY$218,044,041EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$247,155,854BOYAmt
EOY$309,439,407EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$32,079,907ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,653,429NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$3,121,333OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT HOSPITAL AND HEALTH CARE CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN350869066EIN
Organization Type3OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (true)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (true)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (true)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Activities TestYes (X)ActivitiesTestInd
Activities Further Exempt PrpsYes (true)ActivitiesFurtherExemptPrpsInd
Activities Engaged Org InvlmntYes (true)ActivitiesEngagedOrgInvlmntInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Part I, Line 11 AMOUNTS OF OTHER SUPPORTCHISCS 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 PoliciesBY 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 PurposesCentral 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 InCENTRAL 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

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$2,739OtherActivitiesAmt
Total Lobbying Expenditures$2,739TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLOBBYING 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 ACTIVITYLOBBYING 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,345,327OtherCostOrOtherBasisAmt
Book Value$5,345,327BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,163,550OtherCostOrOtherBasisAmt
Depreciation$33,241,026DepreciationAmt
Book Value$11,922,524BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,793,162OtherCostOrOtherBasisAmt
Depreciation$1,679,281DepreciationAmt
Book Value$113,881BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,500,815OtherCostOrOtherBasisAmt
Depreciation$11,241,448DepreciationAmt
Book Value$5,259,367BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$729,718OtherCostOrOtherBasisAmt
Book Value$729,718BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,370,817TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE$122,126,008
OTHER RECEIVABLES$924,875
RECEIVABLES FROM THIRD PARTY PAYORS$189,596
FieldValueIRS element (for citing)
Total Book Value Other Assets$123,240,479TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTERCOMPANY PAYABLES$53,457,890
PAYABLES TO THIRD PARTY PROGRAMS$3,327,191
INTERCOMPANY DEBT TO ST. VINCENT HEALTH$24,928,077
FieldValueIRS element (for citing)
Total Liability$81,713,158TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationThe 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,519,783TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,519,783NetCommunityBenefitExpnsAmt
Total Expense0.0312TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,023,367TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,536,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,486,858NetCommunityBenefitExpnsAmt
Total Expense0.1125TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$10,543,150TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,536,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,006,641NetCommunityBenefitExpnsAmt
Total Expense0.1437TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served1155PersonsServedCnt
Total Community Benefit Expns$3,412TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,412NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served131PersonsServedCnt
Total Community Benefit Expns$49,908TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$49,908NetCommunityBenefitExpnsAmt
Total Expense0.0010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served71PersonsServedCnt
Total Community Benefit Expns$7,803TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,803NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served1357PersonsServedCnt
Total Community Benefit Expns$61,123TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$61,123NetCommunityBenefitExpnsAmt
Total Expense0.0013TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served1357PersonsServedCnt
Total Community Benefit Expns$10,604,273TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,536,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,067,764NetCommunityBenefitExpnsAmt
Total Expense0.1449TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served800PersonsServedCnt
Total Community Benefit Expns$1,126TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,126NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served800PersonsServedCnt
Total Community Benefit Expns$1,126TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,126NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$119,990BadDebtExpenseAmt
Bad Debt Expense Attributable$35,997BadDebtExpenseAttributableAmt
Reimbursed By Medicare$67,970,152ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$69,389,271CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,419,119MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT HEART CENTER OF INDIANA LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110580 N MERIDIAN STREETAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46290ZIPCd
FieldValueIRS element (for citing)
Website Addresshttp://www.stvincent.orgWebsiteAddressTxt
State License14-003284-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST VINCENT HEART CENTER OF INDIANA LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttp://www.stvincent.org/how-we-are-different/community-assessmentOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttp://www.stvincent.org/how-we-are-different/community-assessmentStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 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 , 1Facility , 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 , 1Facility , 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 , 1Facility , 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.
FieldValueIRS element (for citing)
Facility0FacilityNum

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3c CRITERIA FOR DETERMINING ELIGIBILTY FOR FREE OR DISCOUNTED CAREThe 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 OVERVIEWSt. 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 COSTPatient 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 ACTIVITIESResearch 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 assistanceThe 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 amountAfter 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 MethodologyThe 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 footnoteThe 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 costsA 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 assistanceThe 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 assessmentCommunities 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 assistanceSt. 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 informationThe 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 healthSt. 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 systemAs 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

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationAscension 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 paymentThe 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 planEligible 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part IV, Line 24a Part IV, Line 24aTax 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 stockholdersCentral 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 bodyCentral 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 stockholdersAll 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 bodyManagement, 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 policyThe 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 employeesCompensation 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 publicThe organization will provide any documents open to public inspection upon request.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTRANSFER FROM AFFILIATES - 8620; Non-Controlling Interest Activity - 3112713;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CIHS NEWCO LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18425 HARCOURT ROADAddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46260ZIPCd
FieldValueIRS element (for citing)
EIN352174403EIN
Primary ActivitiesLAND HOLDING COMPANYPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd
Total Income$729,525TotalIncomeAmt
End Of Year Assets$6,858,794EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (40 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ASCENSION HEALTH ALLIANCE
PO BOX 45998ST LOUISMO63145453358926NATIONAL HEALTH SYSTEMMO501(c)(3Type INAfalse
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTH SYSTEMMO501(c)(3Type IASCENSION HEALTH ALLIANCEfalse
REHABILITATION HOSPITAL OF INDIANA INC
4141 SHORE DRIVEINDIANAPOLISIN46254351786005REHABILITATION HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
SVH REAL ESTATE INC
10330 N MERIDIAN STREET STE 430NINDIANAPOLISIN46290205002285REAL ESTATE HOLDING COMPANYIN501(c)(3Type III-FIST VINCENT HEALTH INCYes (true)
ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC
1907 W SYCAMORE STREETKOKOMOIN46901237313206SUPPORTING ORGANIZATIONIN501(c)(3Type IST JOSEPH HOSPITAL & HEALTH CENTER INCYes (true)
ST JOSEPH HOSPITAL & HEALTH CENTER INC
1907 W SYCAMORE STREETKOKOMOIN46901350992717HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT ANDERSON REGIONAL HOSPITAL INC
2015 JACKSON STREETANDERSONIN46016460877261HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC
2015 JACKSON STREETANDERSONIN46016352053693SUPPORTING ORGANIZATIONIN501(c)(3Type IST VINCENT ANDERSON REGIONAL HOSPITAL INCYes (true)
ST VINCENT CARMEL HOSPITAL INC
13500 N MERIDIAN STREETCARMELIN46032743107055HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT CLAY HOSPITAL INC
1206 E NATIONAL AVENUEBRAZILIN47834352112529CRITICAL ACCESS HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT DUNN HOSPITAL INC
1600 23RD STREETBEDFORDIN47421272192831CRITICAL ACCESS HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT FISHERS HOSPITAL INC
13861 OLIO ROADFISHERSIN46037454243702HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT FRANKFORT HOSPITAL INC
1300 S JACKSONFRANKFORTIN46041352099320CRITICAL ACCESS HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT FRANKFORT HOSPITAL FOUNDATION INC
1300 S JACKSONFRANKFORTIN46041351531734SUPPORTING ORGANIZATIONIN501(c)(3Type IST VINCENT FRANKFORT HOSPITAL INCYes (true)
ST VINCENT HEALTH INC
10330 N MERIDIAN STREET STE 430NINDIANAPOLISIN46290352052591PARENT COMPANYIN501(c)(3Type III-FIASCENSION HEALTHfalse
ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC
8333 NAAB ROAD STE 301INDIANAPOLISIN46260461227327HEALTH AND WELLNESS SERVICESIN501(c)(39ST VINCENT HEALTH INCYes (true)
ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC
2001 W 86TH STREETINDIANAPOLISIN46260350869066HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT HOSPITAL FOUNDATION INC
10330 N MERIDIAN STREET STE 430NINDIANAPOLISIN46290356088862SUPPORTING ORGANIZATIONIN501(c)(3Type IST VINCENT HOSPITAL AND HEALTH CARE CENTER INCYes (true)
ST VINCENT JENNINGS HOSPITAL INC
301 HENRY STREETNORTH VERNONIN47265351841606CRITICAL ACCESS HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT MADISON COUNTY HEALTH SYSTEM INC
1331 SOUTH A STREETELWOODIN46036350876389HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT MEDICAL GROUP INC
8425 HARCOURT ROADINDIANAPOLISIN46260272039417PHYSICIAN PROFESSIONAL SERVICESIN501(c)(39ST VINCENT HEALTH INCYes (true)
ST VINCENT MERCY HOSPITAL FOUNDATION INC
1331 SOUTH A STREETELWOODIN46036311066871SUPPORTING ORGANIZATIONIN501(c)(3Type IST VINCENT MADISON COUNTY HEALTH SYSTEM INCYes (true)
ST VINCENT RANDOLPH HOSPITAL INC
473 GREENVILLE AVENUEWINCHESTERIN47394352103153CRITICAL ACCESS HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC
473 GREENVILLE AVENUEWINCHESTERIN47394352133006SUPPORTING ORGANIZATIONIN501(c)(3Type IST VINCENT RANDOLPH HOSPITAL INCYes (true)
ST VINCENT RAS INC
10330 N MERIDIAN STREET STE 400NINDIANAPOLISIN46290471289091RETAIL AMBULATORY SERVICESIN501(c)(39ST VINCENT HEALTH INCYes (true)
ST VINCENT SALEM HOSPITAL INC
911 N SHELBY STREETSALEMIN47167270847538CRITICAL ACCESS HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT SETON SPECIALTY HOSPITAL INC
8050 TOWNSHIP LINE RDINDIANAPOLISIN46260351712001LONG TERM CARE HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT WILLIAMSPORT HOSPITAL INC
412 N MONROE STREETWILLIAMSPORTIN47993350784551CRITICAL ACCESS HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)
ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC
412 N MONROE STREETWILLIAMSPORTIN47993743130159SUPPORTING ORGANIZATIONIN501(c)(3Type IST VINCENT WILLIAMSPORT HOSPITAL INCYes (true)
ST MARY'S AT HOME INC
3700 WASHINGTON AVENUEEVANSVILLEIN47750351899560DME/HOME CAREIN501(c)(3Type IST MARY'S HEALTH INCYes (true)
ST MARY'S BUILDING CORPORATION
3700 WASHINGTON AVENUEEVANSVILLEIN47750237248362REAL ESTATE HOLDING COMPANYIN501(c)(2ST MARY'S HEALTH INCYes (true)
ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES INC
3700 WASHINGTON AVENUEEVANSVILLEIN47750205342518AMBULANCE SERVICESIN501(c)(4ST MARY'S HEALTH SERVICES INCYes (true)
ST MARY'S HEALTH SERVICES INC
3700 WASHINGTON AVENUEEVANSVILLEIN47750351679526INVESTMENT SERVICESIN501(c)(3Type III-FIST MARY'S HEALTH INCYes (true)
ST MARY'S CARE PARTNERS INC
3700 WASHINGTON AVENUEEVANSVILLEIN47750351899562TAX-EXEMPT AFFILIATE REIMBURSEMENTSIN501(c)(3Type IST MARY'S HEALTH INCYes (true)
ST MARY'S HEALTH FOUNDATION INC
3700 WASHINGTON AVENUEEVANSVILLEIN47750237045370SUPPORTING ORGANIZATIONIN501(c)(3Type IST MARY'S HEALTH INCYes (true)
ST MARY'S WARRICK HOSPITAL INC
1116 MILLIS AVENUEBOONVILLEIN47601351343019HOSPITALIN501(c)(33ST MARY'S HEALTH INCYes (true)
ST MARY'S OHIO VALLEY HEARTCARE LLC
901 ST MARYS DRIVEEVANSVILLEIN47714273474697DORMANTIN501(c)(3Type IST MARY'S HEALTH INCYes (true)
ST MARY'S MEDICAL GROUP LLC
3700 WASHINGTON AVENUEEVANSVILLEIN47750261356310PHYSICIAN PROFESSIONAL SERVICESIN501(c)(39ST MARY'S HEALTH INCYes (true)
PRIMARY PHYSICIAN NETWORK LLC
3700 WASHINGTON AVENUEEVANSVILLEIN47750208775914DORMANTIN501(c)(39ST MARY'S HEALTH INCYes (true)
ST MARY'S HEALTH INC
3700 WASHINGTON AVENUEEVANSVILLEIN47750350869065HOSPITALIN501(c)(33ST VINCENT HEALTH INCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtOwnershipOwnershipPctShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
ENDOSCOPY CENTER LLC
13421 OLD MERIDIAN STREETSTE 150CARMELIN46032320029881ENDOSCOPY CENTERINNAN/A0
STVINCENT HEART CENTER OF INDIANA LLC
10580 N MERIDIAN STREETINDIANAPOLISIN46290364492612HEART HOSPITALINCENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INCRelated0.7408$23,588,791$74,298,048falsefalse
CARMEL AMBULATORY SURGERY CENTER LLC
13421 OLD MERIDIAN STSTE 150CARMELIN46032320014795AMBULATORY SURGERY CENTERINNAN/A0
NAAB ROAD SURGERY CENTER LLC
8260 NAAB ROADSTE 100INDIANAPOLISIN46260351991390AMBULATORY SURGERY CENTERINNAN/A0
TRI-STATE COMMUNITY CLINICS LLC
8601 N KENTUCKY AVENUESUITE JEVANSVILLEIN47711270885968PRIMARY CARE PHYSICIAN PRACTICESINNAN/A0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S MEDICAL GROUP INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13700 WASHINGTON AVEAddressLine1Txt
CityEVANSVILLECityNm
State AbbreviationINStateAbbreviationCd
ZIP47750ZIPCd
FieldValueIRS element (for citing)
EIN352076827EIN
Primary ActivitiesINVESTMENTPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CorporationEntityTypeTxt
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ST VINCENT HEART CENTER OF INDIANA LLC
Q$37,075,401FAIR MARKET VALUE
ST VINCENT HEART CENTER OF INDIANA LLC
S$18,520,000FAIR MARKET VALUE

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.