2017-05-12T17:06:31-05:00 2016-06-30 990 2015-07-01 351712001 St Vincent Seton Specialty Hospital Inc STVI 3174158357 8071 Township Line Road Suite 200 Indianapolis IN 46260 JOEL FELDMAN MD CEO 2017-05-12 2015 2021-01-29 14:40:06Z JOEL FELDMAN MD 8071 Township Line Road Suite 200 Indianapolis IN 46260 46240452 false 0928 X WWW.STVINCENT.ORG X 1987 IN St. Vincent Seton Specialty Hospital is a nonprofit hospital dedicated to providing healthcare that leaves no one behind. 15 12 394 12 0 4141 4080 50390299 45711432 2566286 423252 89148 98268 53049874 46237032 0 0 23593856 21038318 0 0 19147867 15953764 42741723 36992082 10308151 9244950 109536613 106660287 5289577 4980141 104247036 101680146 St. Vincent Seton Specialty Hospital 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. false false 33186353 45711432 St. Vincent Seton Specialty Hospital is a 74-bed long term acute care hospital serving primarily Marion and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. It is a unique organization that specializes in caring for acute, critically ill and catastrophically injured patients requiring longer hospital stays averaging more than 25 days. During fiscal year 2016, SVSSH treated 544 adults and children for a total of 21,246 patient days of service. St. Vincent Seton Specialty Hospital provides inpatient health care services that include Individualized Ventilator Weaning Programs; Complex Infusion therapy; Long-Term Wound Care; Chemotherapy; Therapy Services; Surgical, Radiological, Dialysis and Laboratory Services; Telemetry; and Hemodynamic Monitoring. Some of these services operate at a loss in order to ensure that comprehensive services are available to the community. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 33186353 true false false true false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 24 0 true 394 true false false false false false false false false false false X 15 12 false false false false true true true true true false true true true true true true true true false true false IN X DUSTIN MCKINLEY 3173387023 8050 TOWNSHIP LINE ROAD INDIANAPOLIS IN 46260 MICHAEL B MASON CHAIR 0.2 0.2 X X 0 0 0 MOIRA CARLSTEDT VICE CHAIR 0.2 0.2 X X 0 0 0 NEEDHAM RICHARD HURST SECRETARY 0.2 0.2 X X 0 0 0 KEVIN BOWER DIRECTOR 0.2 0.2 X 0 0 0 AARON J FELDMAN MD DIRECTOR 0.2 41.0 X 0 851595 32968 CHARLES J GARCIA DIRECTOR 0.2 0.2 X 0 0 0 SANFORD GARNER DIRECTOR 0.2 0.2 X 0 0 0 RICHARD GATES MD DIRECTOR 0.2 40.0 X 0 165150 0 MALCOLM BELL HERRING MD DIRECTOR 0.2 0.2 X 0 0 0 ANN LATHROP DIRECTOR 0.2 0.2 X 0 0 0 DEBORAH A LAWRENCE DIRECTOR 0.2 0.2 X 0 0 0 JONATHAN NALLI EX-OFFICIO 0.2 41.0 X 0 1451152 50024 SISTER THERESA SULLIVAN DC DIRECTOR 0.2 0.2 X 0 0 0 MICHAEL HALL DIRECTOR 0.2 0.2 X 0 0 0 INGRID E MASON MD DIRECTOR 0.2 0.2 X 0 0 0 PETER H ALEXANDER ADMINISTRATOR 40.0 0 X 333024 0 44813 THERESA M ANDERSON SITE ADMINISTRATOR - INDY (END 1/2015) 0.0 40.0 X 11675 87813 28741 PENELOPE J HARPER DIRECTOR PATIENT CARE SERVICES 40.0 0 X 144517 0 35163 MELANIE G HOLT EXECUTIVE DIRECTOR - CNO & PCS 40.0 0 X 204725 0 23968 TROY T REIFF EXECUTIVE DIRECTOR OPERATIONS 40.0 0 X 166260 0 27376 RITA BIANCHI PHARMACIST 40.0 0 X 151101 0 18160 SEPIDEH S CRAWFORD PHARMACIST 40.0 0 X 147178 0 33813 CYNTHIA L OVERTON MANAGER OF PHARMACY 40.0 0 X 140360 0 34147 JANE AKINYI OULA RN - STAFF 40.0 0 X 135310 0 15847 MERLY S SHAW RN - STAFF 40.0 0 X 165401 0 26905 DAVID M GIRTEN FORMER OFFICER 0.0 0 X 162653 0 17212 1762204 2555710 389137 18 true true false SOUTH BEND MEDICAL FOUNDATION 530 N LAFAYETTE BLVD SOUTH BEND IN 466011004 LAB SERVIES 876651 FRESNIUS MANAGEMENT SERVICES 10585 N MERIDIAN ST STE 160 INDIANAPOLIS IN 46290 COMMERCIAL SERVICES 823958 ACTION AMBULANCE 5647 DIVIDEND RD STE A INDIANAPOLIS IN 462414301 AMBULANCE SERVICES 209435 UNITED HOSPITAL SERVICES LLC 9948 PARK DAVIS DR INDIANAPOLIS IN 46235 LAUNDRY SERVICES 153274 BRADLEY & ASSOCIATES 201 S CAPITOL AVE STE 700 INDIANAPOLIS IN 46225 CONSULTING SERVICES 152475 6 4080 4080 NET PATIENT REVENUE 621990 21195814 21195814 NET MEDICARE/MEDICAID 621990 24515618 24515618 0 0 0 0 45711432 426672 426672 0 0 3420 0 -3420 -3420 -3420 CAFETERIA REVENUE 722210 98268 98268 0 0 0 0 98268 46237032 45711432 0 521520 991695 991695 15624251 14398997 1225254 256390 236284 20106 2988595 2754229 234366 1177387 1085056 92331 1287078 1186145 100933 9996 9212 784 13 13 2699 2487 212 0 363469 334966 28503 85988 79245 6743 13006 11986 1020 1135627 1046571 89056 116421 116421 PURCHASED SERVICES 4146107 3820969 325138 SUPPLIES 4050435 3732800 317635 CORPORATE EXPENSES 1936156 1784323 151833 CONTRACT LABOR 1163062 1071855 91207 1643707 1514807 128900 0 36992082 33186353 3805729 0 9615592 10615936 0 0 518829 348602 13382 14843 22905071 11436205 12370942 11468866 0 0 87017868 84212040 109536613 106660287 3413317 3277450 1876260 1702691 5289577 4980141 X 104247036 101680146 104247036 101680146 109536613 106660287 X 9244950 -2911091 -8900749 X false true X true false X false false false false false false false false true 1368 1368 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ST.VINCENT SETON SPECIALTY HOSPITAL, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING 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. ST.VINCENT SETON SPECIALTY HOSPITAL, 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. 847629 847629 17095253 7093636 10001617 3157 2552 605 4959032 4340017 619015 11468866 RECEIVABLE FROM THIRD PARTY PAYORS INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE 84199029 OTHER ASSETS 13011 84212040 PAYABLES TO THIRD PARTY PROGRAMS 825506 INTERCOMPANY PAYABLES 134338 OTHER LIABILITIES 328005 INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE 414842 1702691 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2016. true true X true X 250 true X true true true false true true 320336 320336 0.0087 2774706 1004305 1770401 0.0479 0 0.0 0 0 3095042 1004305 2090737 0.0565 9 2614 7876 7876 0.0002 2 83 12847 12847 0.0003 0 0.0 0 0.0 3 90 15943 15943 0.0004 14 2787 36666 0 36666 0.0010 14 2787 3131708 1004305 2127403 0.0575 0 0.0 0 0.0 1 28 2427 2427 0.0001 0 0.0 1 4 2191 2191 0.0001 0 0.0 0 0.0 1 2 274 274 0.0000 0 0.0 3 34 4892 0 4892 0.0001 false 219486 65846 20376207 24553647 -4177440 X true true 1 1 STVINCENT SETON - INDIANAPOLIS 8071 TOWNSHIP LINE ROAD INDIANAPOLIS IN 46260 HTTP://WWW.STVINCENT.ORG 14-003350-1 X A A 1 false false true X X X X X X X X X 15 true true false true X http://www.stvincent.org/how-we-are-different/community-assessment X true 15 true http://www.stvincent.org/how-we-are-different/community-assessment false false true X 250.0 400.0 X true true X X X true X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility A, 1 Facility A, 1 - St. Vincent Seton Specialty Hospital, Inc.. 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 About Special Kids, Inc., Alliance for Health Promotion/Health by Design, Archdiocese of Indianapolis, Central Indiana's Area Agency on Aging, Covering Kids and Families, Crooked Creek Community Development Corporation, Gennesaret Free Clinic, Holy Family Shelter, Indiana Minority Health Coalition, Indiana State Department of Health, Indianapolis OASIS, The Julian Center, Leukemia & Lymphoma Society, Little Red Door Cancer Agency, Marion County Health Department, National Alliance of Mental Illness Indiana, and YMCA of Greater Indianapolis. Schedule H, Part V, Section B, Line 6a Facility A, 1 Facility A, 1 - St. Vincent Seton Specialty Hospital, Inc.. The hospital conducted its CHNA in conjunction with St. Vincent Indianapolis, Community Health Network, Franciscan Health and Indiana University Health. Schedule H, Part V, Section B, Line 11 Facility A, 1 Facility A, 1 - St. Vincent Seton Specialty Hospital, Inc.. 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. Healthy Lifestyle/Healthy Choices (Nutrition & Physical Activity) A presentation took place at the Farmer's Market regarding fruits and vegetables in season. Samples of basil pesto and watermelon salsa were offered, along with a copy of the recipe. A notice was posted encouraging associates to work, and/or attend, the Famer's Market, via the intranet for St.Vincent associates. Additionally, St.Vincent supported the efforts by making 2,500 color flyers to distribute in the Crooked Creek neighborhood, focusing mainly on low-income housing. In October, 2014, the hospital participated in the Crooked Creek Community Walk by presenting nutritional education based on ChooseMyPlate.gov, USDA recommended daily nutrition. The hospital offered health education at the Greater Lafayette Senior Fair to promote healthy nutrition education to seniors and healthy snacks were provided. The hospital attended the Area IV Agency on Aging and Community Program to provide educational materials regarding "Eating Healthy Nutrition and Diet Tips as you Age", lead games and offer healthy snacks. In May, 2015, the hospital participated in the Indianapolis Metropolitan Police Department Southeast Community Day by providing resources for healthy eating in English and Spanish, including My Plate resources. During FY16, Seton Specialty staff donated 50 hours sorting food at Gleaners Food Bank, collecting funds to donate to Gleaners, and serving food at Fletcher Community Center. Seton hospital donated $690 in meal tickets for patients' families who were low-come. - Hospital closure - Seton Lafayette closed December, 2014. - Staff transition - An associate from Lafayette transferred to Indianapolis and part of her responsibilities was to oversee community benefit. Due to a lengthy medical LOA and the resignation of the associate training her, there are action items that were not addressed. In February, 2015, the hospital presented to the American Heritage Girls regarding the importance of exercise in leading a healthy life. Provided ideas and direction for exercise, how much time and taught how to monitor heart rate. Also talked about the importance of diet, portions and how to make healthy snack choices. During FY16, staff assisted Mother Theodore Catholic Academies (K-8) with baseline Fitness Gram testing. 2. Quality of Life/Continuum of Care In December, 2014, the hospital presented to the Jewish Community Center regarding Health Care Directives and continuum of care. During FY16, staff worked the first Medical Mission at Home event, which offered free screenings and exams to the community. 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 Seton Specialty will use the RUAH Pathway Program to increase its reported number of completed pathways (i.e., verification from FSSA) in FY 2015 by 5% each year for FYs 2017-2019. Achieving this goal will contribute to the percentage of people who have health insurance in Marion County. Specific action steps include the following: 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 Seton Specialty will partner with a school and a food source to provide eligible students with a weekend backpack of nutritious food throughout the school year in order to reduce the school's number of families in FY 2018 who are food insecure (based on survey responses) by 5% at the end of FY 2019 (June 30, 2019). (NOTE: FY 2017 is the planning year for the program.) Specific action steps include the following: complete the Weekend Feeding Program Preparation Checklist; meet with all stakeholders to determine program logistics; plan the specifics of 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 Seton Specialty will offer Rx for Change training at no charge to anyone who works in a health care setting to increase the proportion of training participants who screen and refer to the Indiana Tobacco Quitline by 10% by the end of FY 2019 (June 30, 2019). Achieving this goal will contribute to the percentage of tobacco users who have been screened and referred to the Indiana Tobacco Quitline. Specific action steps include the following: complete the Provider Training Checklist - Action Step #1; plan at least two Rx for Change trainings in 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 Indianapolis supports the efforts of Health by Design and other organizations that are focusing on this issue. Social Environment - This identified health need is not being monitored and evaluated in the Implementation Strategy due to limitations within the hospital's financials and human resources. However, St. Vincent Indianapolis supports organizations that focus on housing, homelessness, domestic violence and other organizations that focus on this issue. Maternal, Fetal & Infant Health - This issue is being addressed in the Access to Health Services priority. Schedule H, Part V, Section B, Line 22 Facility A, 1 Facility A, 1 - St. Vincent Seton Specialty Hospital, Inc.. 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 to our managed care payers. 0 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 Seton Specialty Hospital is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. Public Program Participation St. Vincent Seton Specialty Hospital participates in government programs including Medicaid, SCHIP (Hoosier Healthwise), Healthy Indiana Plan (HIP), the Health Insurance Marketplace and Medicare and assists patients in enrolling for programs for which they are eligible. Per Catholic Health Association guidelines and St. Vincent'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. Healthy Lifestyle/Healthy Choices (Nutrition & Physical Activity) and Quality of Life/Continuum of Care have all been identified as key community needs. Food Security Marion County has the highest rate of individuals who are food insecure in the state. These individuals did not have access to a reliable source of food within the past year. During FY16, Seton Specialty associates began working shifts at Gleaners Food Bank. During a shift, an associate may sort food or assemble weekend feeding bags for youth to take home from school on a Friday. In addition, staff raised funds and collected personal donations, which were delivered to the food bank. Health Fairs and Screenings St. Vincent Seton Specialty participates in several health fairs each year, providing health education on various topics, including nutrition, physical activity, caregiver support, and end of life care. Materials with health information and preventive services are a vital part of health fairs and are distributed. Health Professions Clinical Training In an effort to prepare future healthcare professionals, especially in the area of long-term acute care, St. Vincent Seton Specialty, in collaboration with area schools, offers a variety of clinical settings and internships for undergraduate and vocational allied health professionals, including nurses and respiratory therapists. Last year, students from Marian University, IUPUI, and Ivy Tech received specialized training from Seton Specialty health professionals. Medical Supplies Donations St. Vincent Seton Specialty made donations of medical supplies throughout the year to a local organization, Hospital Sisters Mission Outreach, for world-wide distribution of high quality, life-saving medical supplies and equipment. 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 I, Line 7 COMMUNITY BENEFIT OVERVIEW St. Vincent Seton Specialty 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 Seton Specialty 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 Seton Specialty associates and others. Working with its partners, and utilizing the CHNA completed every three years, St. Vincent Seton Specialty Hospital is committed to addressing community health needs and developing and executing an implementation strategy to meet identified needs to improve health outcomes within the community. Community benefit is not the work of a single department or group within St. Vincent Seton Specialty, 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 Department, but associates at all levels of the organization contribute to community benefit and health improvement. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied. Schedule H, Part II Community Building Activities Research shows that social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status. Student Tutoring St. Vincent Seton Specialty associates spend time tutoring 3rd grade students who struggle to read at grade level through United Way's ReadUp Program. The goal for these students is to reach grade level literacy and pass the English Language Arts portion of the ISTEP. Additionally, associates spend time tutoring children in the summer, prior to starting kindergarten through Lion Catchers, a local grass roots coalition focused on improving the lives of children in our community. 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 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 $744,053 at charges, ($219,486 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 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 Seton Specialty Hospital collaborates with Crooked Creek Community Development Corporation and Fay Biccard Glick Neighborhood Center to assess needs within the community, prioritize action and work in partnership to address identified challenges. These organizations work closely with its members who 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, they work 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 Seton Specialty Hospital communicates with patients in multiple ways to ensure that those who are billed for services are aware of the hospital's financial assistance program as well as their potential eligibility for local, state or federal programs. Signs are prominently posted in each service area, and bills contain a formal notice explaining the hospital's charity care program. In addition, the hospital employs financial counselors, health access workers, and enrollment specialists who consult with patients about their eligibility for financial assistance programs and help patients in applying for any public programs for which they may qualify. Schedule H, Part VI, Line 4 Community information St. Vincent Seton Specialty is located on the Indianapolis campus on the northwest side of Indianapolis in a neighborhood known as Crooked Creek (zip codes=46260, 46268, 46228), which is one of the most racially and economically diverse neighborhoods in Indianapolis, with a population of approximately 73,447 residents. St. Vincent Seton Specialty serves Marion and the surrounding counties in Central Indiana. Marion County is the largest county in the state, with a population of 939,020. When including the Metropolitan Statistical Area (MSA), the population of Indianapolis is approximately 1.76 million. The median age is 34.3 years old. Race consists primarily of two categories, Caucasian (65.8%) and African American (28.0%). The Hispanic population is 10%. The poverty rate is 21.3%. The median household income is $42,700. Schedule H, Part VI, Line 5 Promotion of community health St. Vincent Seton Specialty Hospital 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 Seton Specialty Hospital 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 the Crooked Creek Community Development Corporation, United Way, Fay Biccard Glick Neighborhood Center, and Marion University. Schedule H, Part VI, Line 6 Affiliated health care system As part of St. Vincent, St. Vincent Seton Specialty Hospital is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St. Vincent Seton Specialty Hospital devote 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 Seton Specialty Hospital participates. true true false false false false false false false AARON J FELDMAN MD DIRECTOR 0 508982 0 335257 0 7356 0 11806 0 21162 0 884563 0 0 RICHARD GATES MD DIRECTOR 0 165150 0 0 0 0 0 0 0 0 0 165150 0 0 JONATHAN NALLI EX-OFFICIO 0 852923 0 484151 0 114078 0 13250 0 36774 0 1501176 0 0 DAVID M GIRTEN FORMER OFFICER 0 0 0 0 162653 0 0 0 17212 0 179865 0 0 0 PETER H ALEXANDER ADMINISTRATOR 245770 0 85632 0 1622 0 16743 0 28070 0 377837 0 0 0 PENELOPE J HARPER DIRECTOR PATIENT CARE SERVICES 130959 0 13226 0 332 0 8281 0 26882 0 179680 0 0 0 MELANIE G HOLT EXECUTIVE DIRECTOR - CNO & PCS 164089 0 40423 0 213 0 12300 0 11668 0 228693 0 0 0 TROY T REIFF EXECUTIVE DIRECTOR OPERATIONS 96291 0 0 0 69969 0 721 0 26655 0 193636 0 0 0 RITA BIANCHI PHARMACIST 145465 0 967 0 4669 0 7743 0 10417 0 169261 0 0 0 SEPIDEH S CRAWFORD PHARMACIST 141928 0 967 0 4283 0 7802 0 26011 0 180991 0 0 0 CYNTHIA L OVERTON MANAGER OF PHARMACY 127298 0 12744 0 318 0 8704 0 25443 0 174507 0 0 0 JANE AKINYI OULA RN - STAFF 134143 0 967 0 200 0 6748 0 9099 0 151157 0 0 0 MERLY S SHAW RN - STAFF 152843 0 967 0 11591 0 8306 0 18599 0 192306 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation ST. VINCENT HEALTH, INC., A RELATED ORGANIZATION OF ST. VINCENT SETON SPECIALTY HOSPITAL, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE Schedule J, Part I, Line 4a Severance or change-of-control payment The following individuals received severance payments from the organization or a related organization during the calendar year 2015: David M Girten - $162,653 Theresa M Anderson - $11,653 Troy T Reiff - $69,831 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan Eligible executives participate in various non-qualified deferred compensation plans organized under Code Section 457(f). The exact purpose of each plan varies but they include: compensation limitation make-up plans, voluntary deferral plans, deferral of a portion of incentive bonus type plans, etc. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. No payments were made to listed persons in Part VII under the various non-qualified deferred compensation plans during the year. Form 990, Part VI, Line 6 Classes of members or stockholders St. Vincent Seton Specialty Hospital, Inc. has a single corporate member, St. Vincent Health, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St. Vincent Seton Specialty Hospital, Inc. has a single corporate member, St. Vincent Health, Inc. who has the ability to elect members to the governing body of St. Vincent Seton Specialty Hospital, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St. Vincent Seton Specialty Hospital, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St. Vincent Health, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 St. Vincent Seton Specialty Hospital, Inc.'s CEO, executive director, or top management official are made by St. Vincent Health, Inc.'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 St. Vincent Seton Specialty Hospital, Inc.'s other officers or key employees are made by St. Vincent Seton Specialty Hospital, 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. 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