ST MARYS HEALTH INC DBA ASCENSION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS HEALTH INC DBA ASCENSION (EIN 35-0869065)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201721359349314217
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T21:04:52-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Monument Circle Suite 4200 | AddressLine1Txt |
| City | Indianapolis | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 462045108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350869065 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 8124854178 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 WASHINGTON AVENUE | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47750 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN L ZABROWSKI III | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Shawna M Jimenez | PreparerPersonNm |
| PTIN | P01222873 | PTIN |
| Phone | 3174648600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAN PAROD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 WASHINGTON AVENUE | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47750 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $528,766,935 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STMARYS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1941 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | DEDICATED TO SPIRITUALLY CENTERED CARE, WHICH IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 3541 | TotalEmployeeCnt |
| Total Volunteers | 329 | TotalVolunteersCnt |
| Total Gross UBI | $241,857 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$262,887 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $22,152,002 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,660,484 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $469,119,871 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $495,020,543 | CYProgramServiceRevenueAmt |
| PY Investment Income | $16,491,630 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,324,915 | CYInvestmentIncomeAmt |
| PY Other Revenue | $66,997,900 | PYOtherRevenueAmt |
| CY Other Revenue | $26,733,953 | CYOtherRevenueAmt |
| PY Total Revenue | $574,761,403 | PYTotalRevenueAmt |
| CY Total Revenue | $527,739,895 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $65,593,542 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $174,397,893 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $188,844,743 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $781,297 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $282,061,410 | PYOtherExpensesAmt |
| CY Other Expenses | $244,889,338 | CYOtherExpensesAmt |
| PY Total Expenses | $522,052,845 | PYTotalExpensesAmt |
| CY Total Expenses | $433,734,081 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $52,708,558 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $94,005,814 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $829,695,793 | TotalAssetsBOYAmt |
| Total Assets EOY | $870,479,825 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $251,245,692 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $215,394,142 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $578,450,101 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $655,085,683 | NetAssetsOrFundBalancesEOYAmt |
| Mission | DEDICATED TO SPIRITUALLY CENTERED CARE, WHICH IMPROVES THE HEALTH OF INDIVIDUALS AND COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $248,635,465 | ExpenseAmt |
| Revenue | $519,599,087 | RevenueAmt |
| Desc | ST. MARY'S HEALTH, INC. (SMH) PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES SERVING VANDERBURGH AND CONTIGUOUS COUNTIES AND PROVIDING SERVICES WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING FISCAL YEAR 2016, SMH TREATED 17,469 INPATIENTS IN THE COMMUNITY FOR A TOTAL OF 81,394 PATIENT DAYS OF SERVICE. SMH ALSO PROVIDED SERVICES TO 403,174 OUTPATIENTS, INCLUDING 4,509 INPATIENT SURGERY PATIENTS, 51,649 EMERGENCY ROOM VISITS, 2,023 PHYSICIAN OFFICE VISITS, AND 28,764 CLINIC VISITS. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $49,831,502 | ExpenseAmt |
| Desc | SMH PROVIDES A SUBSTANTIAL PORTION OF ITS CORE HEALTH SERVICES TO THE POOR, UNINSURED, OR UNDERINSURED AND HAS PROACTIVELY TAKEN STEPS TO ADDRESS ACCESSIBILITY, AND THE FINANCING, AND DELIVERY OF HEALTHCARE TO THE UNDERSERVED. DURING THE FISCAL YEAR ENDING JUNE 30, 2016, THE UNREIMBURSED COST OF FREE OR DISCOUNTED SERVICES PROVIDED TO PATIENTS WHO ARE DEEMED INDIGENT UNDER STATE, COUNTY, OR HOSPITAL GUIDELINES WAS $49,831,502, WHICH INCLUDED $11,490,461 OF TRADITIONAL FINANCIAL ASSISTANCE AND $38,341,041 IN UNPAID COSTS OF CARE FOR THOSE QUALIFYING FOR MEDICAID OR OTHER PUBLIC PROGRAMS FOR THE POOR. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,494,223 | ExpenseAmt |
| Desc | IN ADDITION TO CORE MEDICAL SERVICES, SMH AND COMMUNITY PARTNERS ASSESS COMMUNITY ASSETS AND NEEDS AND WORK TOGETHER TO ADDRESS ISSUES IMPACTING HEALTH AND QUALITY OF LIFE, WITH SPECIAL EMPHASIS ON THE POOR AND VULNERABLE. IN FISCAL YEAR 2016, SMH PROVIDED $1,494,223 IN UNBILLED SERVICES TO THE POOR AND TO THE BROADER COMMUNITY. (WHEN COMBINED WITH THE COSTS OF FREE OR DISCOUNTED SERVICES FOR THE POOR LISTED IN LINE 4B, SMH PROVIDED A TOTAL COMMUNITY BENEFIT OF $51,325,725 IN FISCAL YEAR 2016.) SMH SERVES AND SUPPORTS ITS COMMUNITY THROUGH SUCH PROGRAMS AS SUPPORT GROUPS, PUBLIC HEALTH SCREENINGS, AND NUTRITION COUNSELING. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $299,961,190 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 310 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3541 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN L ZABROWSKI III | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8124854178 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 WASHINGTON AVENUE | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47750 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| KEITH JEWELL | |||||||||
| CEO/PRESIDENT | 60.0 | 5.6 | Yes (X) | Yes (X) | $783,468 | $0 | $52,981 | ||
| LAURENCE STEENBERG | |||||||||
| CHAIR | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TRUDY STOCK | |||||||||
| TREASURER | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SUSAN HARDWICK | |||||||||
| VICE CHAIR | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PHILLIP L STIVER MD | |||||||||
| SECRETARY | 1.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RITA EYKAMP | |||||||||
| BOARD MEMBER | 1.0 | 2.3 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL R HINTON | |||||||||
| BOARD MEMBER | 1.0 | 2.2 | Yes (X) | $0 | $0 | $0 | |||
| SHARON KAZEE | |||||||||
| BOARD MEMBER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH O MURDOCK | |||||||||
| BOARD MEMBER | 1.0 | 42.0 | Yes (X) | $0 | $590,385 | $42,598 | |||
| SALLY RIDEOUT | |||||||||
| BOARD MEMBER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| KARL SASH MD | |||||||||
| BOARD MEMBER | 2.0 | 55.0 | Yes (X) | $12,227 | $484,919 | $65,992 | |||
| SISTER SHARON RICHARDT | |||||||||
| BOARD MEMBER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES SANDGREN | |||||||||
| BOARD MEMBER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| BRIAN SCHYMIK MD | |||||||||
| BOARD MEMBER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JEFFERY WOLF | |||||||||
| BOARD MEMBER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| NADINE COUDRET | |||||||||
| BOARD MEMBER | 1.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| LYNN JOHNSON | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| TERRY KEATING | |||||||||
| BOARD MEMBER | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| TRICIA BAIRD MD | |||||||||
| CHIEF CLINICAL INTEGRATION OFFICER | 30.0 | 30.0 | Yes (X) | $178,418 | $164,335 | $33,073 | |||
| DARCY ELLISON | |||||||||
| SR VP/CNO | 60.0 | 0 | Yes (X) | $378,884 | $0 | $57,502 | |||
| WILLIAM MILLIKAN JR MD | |||||||||
| CEO, MEDICAL GROUP | 60.0 | 1.0 | Yes (X) | $465,713 | $0 | $42,047 | |||
| HEIDI DUNNIWAY MD | |||||||||
| REGIONAL CMO (start 2/2016) | 60.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| GWEN SANDEFUR | |||||||||
| EVP/COO (thru 8/2015) | 60.0 | 1.0 | Yes (X) | $227,697 | $0 | $22,256 | |||
| JOHN L ZABROWSKI III | |||||||||
| CFO | 60.0 | 0 | Yes (X) | $324,533 | $0 | $32,308 | |||
| JOHN GREANEY | |||||||||
| VP, AMBULATORY/CONSUMER HEALTH & FOUNDATION | 55.0 | 0 | $227,346 | $0 | $38,445 | Yes (X) | |||
| KATHY HALL | |||||||||
| VP, REGIONAL ADMINISTRATOR | 55.0 | 1.0 | $238,740 | $0 | $44,771 | Yes (X) | |||
| SUZETTE HERSHMAN | |||||||||
| VP, MEDICAL GROUP | 55.0 | 2.0 | $244,918 | $0 | $28,205 | Yes (X) | |||
| VERNON MAAS MD | |||||||||
| VP, MEDICAL AFFAIRS (thru 6/2016) | 55.0 | 0 | $338,736 | $0 | $68,505 | Yes (X) | |||
| MIKE WHITMORE | |||||||||
| VP, CLINICAL SUPPORT & ANCILLARY SERVICES | 55.0 | 0 | $243,474 | $0 | $23,020 | Yes (X) | |||
| janice ERNest | |||||||||
| VP, CARDIOVASCULAR & SYSTEM SUPPORT | 55.0 | 0 | $242,528 | $0 | $56,875 | Yes (X) | |||
| MICHAEL KLUEH | |||||||||
| VP/CRO (THRU 2/2016) | 55.0 | 0 | $223,759 | $0 | $42,076 | Yes (X) | |||
| ALIREZA KHAKBAZNEJAD MD | |||||||||
| PHYSICIAN | 55.0 | 0 | $540,257 | $0 | $61,686 | Yes (X) | |||
| LUISSA KIPRONO MD | |||||||||
| PHYSICIAN | 55.0 | 0 | $580,283 | $0 | $36,100 | Yes (X) | |||
| CHARLES LACKEY MD | |||||||||
| PHYSICIAN | 55.0 | 0 | $511,302 | $0 | $51,481 | Yes (X) | |||
| NURAHMED MOHAMMED MD | |||||||||
| PHYSICIAN | 55.0 | 0 | $529,816 | $0 | $48,438 | Yes (X) | |||
| DALE YINGLING MD | |||||||||
| PHYSICIAN | 55.0 | 0 | $554,131 | $0 | $46,805 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,846,230 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,239,639 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $895,164 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 132 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| mid america laboratories | |||||
| PO Box 19163 | INDIANAPOLIS | IN | 46219 | Laboratory Services | $12,850,303 |
| ANESTHESIOLOGY GROUP ASSOCIATES PC | |||||
| PO Box 5348 | EVANSVILLE | IN | 47716 | Physician Services | $3,621,278 |
| EVANSVILLE SURGICAL ASSOCIATES INC | |||||
| 520 Mary Street | EVANSVILLE | IN | 47710 | Physician Services | $2,374,028 |
| MEDICAL STAFFING SOLUTIONS LLC | |||||
| 8601 N Kentucky Ave | EVANSVILLE | IN | 47725 | Physician Services | $1,245,646 |
| RAY HAASE LLC | |||||
| 1025 Reis Avenue | EVANSVILLE | IN | 47711 | Construction Services | $1,054,403 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 30 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Related Organizations | $1,584,794 | RelatedOrganizationsAmt |
| Government Grants | $11,376 | GovernmentGrantsAmt |
| All Other Contributions | $64,314 | AllOtherContributionsAmt |
| Noncash Contributions | $1,272,968 | NoncashContributionsAmt |
| Total Contributions | $1,660,484 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OUTPATIENT SERVICE REV | 621110 | $257,674,454 | $257,674,454 |
| INPATIENT SERVICE REV | 621110 | $237,346,089 | $237,346,089 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $495,020,543 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,896,244 | TotalRevenueColumnAmt |
| Exclusion | $3,896,244 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $734,773 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $462,848 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $271,925 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $271,925 | TotalRevenueColumnAmt |
| Exclusion | $271,925 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $992,863 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $564,192 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $428,671 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $428,671 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $428,671 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ADMINISTRATIVE SERVICES FOR MEMBER ENTITIES | 900099 | $6,074,631 | $6,074,631 |
| INCOME FROM K-1'S | 900099 | $8,032,758 | $8,032,758 |
| APOTHECARY | 446110 | $5,342,907 | $5,342,907 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,011,732 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,699,577 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $241,857 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,070,298 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $26,462,028 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $527,739,895 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $519,599,087 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $241,857 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,238,467 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,656,545 | TotalAmt |
| Management And General | $4,656,545 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,019,389 | TotalAmt |
| Program Services | $112,353,643 | ProgramServicesAmt |
| Management And General | $31,409,382 | ManagementAndGeneralAmt |
| Fundraising | $256,364 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,941 | TotalAmt |
| Program Services | $163,227 | ProgramServicesAmt |
| Management And General | $24,342 | ManagementAndGeneralAmt |
| Fundraising | $372 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,381,568 | TotalAmt |
| Program Services | $23,261,491 | ProgramServicesAmt |
| Management And General | $7,067,000 | ManagementAndGeneralAmt |
| Fundraising | $53,077 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,599,300 | TotalAmt |
| Program Services | $7,279,903 | ProgramServicesAmt |
| Management And General | $2,302,786 | ManagementAndGeneralAmt |
| Fundraising | $16,611 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,327,995 | TotalAmt |
| Program Services | $1,326,198 | ProgramServicesAmt |
| Management And General | $1,797 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $931,150 | TotalAmt |
| Program Services | $17,274 | ProgramServicesAmt |
| Management And General | $911,520 | ManagementAndGeneralAmt |
| Fundraising | $2,356 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $657,705 | TotalAmt |
| Management And General | $657,705 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,131 | TotalAmt |
| Management And General | $4,131 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,649,599 | TotalAmt |
| Program Services | $171,374 | ProgramServicesAmt |
| Management And General | $1,443,909 | ManagementAndGeneralAmt |
| Fundraising | $34,316 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,918,025 | TotalAmt |
| Program Services | $58,586 | ProgramServicesAmt |
| Management And General | $2,854,713 | ManagementAndGeneralAmt |
| Fundraising | $4,726 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,563,406 | TotalAmt |
| Program Services | $633,473 | ProgramServicesAmt |
| Management And General | $4,868,646 | ManagementAndGeneralAmt |
| Fundraising | $61,287 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,613,549 | TotalAmt |
| Program Services | $401,949 | ProgramServicesAmt |
| Management And General | $23,201,162 | ManagementAndGeneralAmt |
| Fundraising | $10,438 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,703,465 | TotalAmt |
| Program Services | $3,782,203 | ProgramServicesAmt |
| Management And General | $5,920,962 | ManagementAndGeneralAmt |
| Fundraising | $300 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $797,842 | TotalAmt |
| Program Services | $327,076 | ProgramServicesAmt |
| Management And General | $353,281 | ManagementAndGeneralAmt |
| Fundraising | $117,485 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,639 | TotalAmt |
| Program Services | $200,318 | ProgramServicesAmt |
| Management And General | $118,120 | ManagementAndGeneralAmt |
| Fundraising | $5,201 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,137,277 | TotalAmt |
| Program Services | $3,143,061 | ProgramServicesAmt |
| Management And General | $994,216 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,534,950 | TotalAmt |
| Program Services | $6,414,471 | ProgramServicesAmt |
| Management And General | $8,120,479 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,301,184 | TotalAmt |
| Program Services | $1,746,886 | ProgramServicesAmt |
| Management And General | $552,577 | ManagementAndGeneralAmt |
| Fundraising | $1,721 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PURCHASED SERVICES | $76,101,056 | $57,833,593 | $18,100,798 | $166,665 |
| MEDICAL SUPPLIES | $56,126,075 | $56,126,075 | ||
| PROVIDER TAX EXPENSE | $14,116,347 | $14,116,347 | ||
| COST OF GOODS SOLD | $8,061,676 | $8,061,676 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,020,267 | TotalAmt |
| Program Services | $16,658,713 | ProgramServicesAmt |
| Management And General | $5,311,176 | ManagementAndGeneralAmt |
| Fundraising | $50,378 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $433,734,081 | TotalAmt |
| Program Services | $299,961,190 | ProgramServicesAmt |
| Management And General | $132,991,594 | ManagementAndGeneralAmt |
| Fundraising | $781,297 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,661,768 | BOYAmt |
| EOY | $11,241,992 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,142,877 | BOYAmt |
| EOY | $77,453,059 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $620,386 | BOYAmt |
| EOY | $568,646 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,684,516 | BOYAmt |
| EOY | $7,942,925 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $913,207 | BOYAmt |
| EOY | $1,158,694 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $351,650,215 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $269,307,419 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,544,553 | BOYAmt |
| EOY | $82,342,796 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,282,003 | BOYAmt |
| EOY | $8,005,350 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,153,143 | BOYAmt |
| EOY | $4,583,331 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $645,693,340 | BOYAmt |
| EOY | $677,183,032 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $829,695,793 | BOYAmt |
| EOY | $870,479,825 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,983,939 | BOYAmt |
| EOY | $32,291,440 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,002 | BOYAmt |
| EOY | $37,504 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $218,136,751 | BOYAmt |
| EOY | $183,065,198 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $251,245,692 | BOYAmt |
| EOY | $215,394,142 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $578,450,101 | BOYAmt |
| EOY | $655,085,683 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $578,450,101 | BOYAmt |
| EOY | $655,085,683 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $829,695,793 | BOYAmt |
| EOY | $870,479,825 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $94,005,814 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$19,555,625 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,185,393 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $4,131 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $4,131 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ST. MARY'S HEALTH, 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. MARY'S HEALTH, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE. |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,736,792 | OtherCostOrOtherBasisAmt |
| Book Value | $7,736,792 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $116,729,766 | OtherCostOrOtherBasisAmt |
| Depreciation | $77,258,103 | DepreciationAmt |
| Book Value | $39,471,663 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,371,416 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,380,146 | DepreciationAmt |
| Book Value | $4,991,270 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $214,812,241 | OtherCostOrOtherBasisAmt |
| Depreciation | $184,669,170 | DepreciationAmt |
| Book Value | $30,143,071 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $82,342,796 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $6,460,994 |
| DEFERRED COMPENsATION ASSET | $4,927,628 |
| ESTIMATED SETTLEMENTS FROM THIRD PARTIES | $98,686 |
| PHYSICIAN GUARANTEES ASSET | $7,348,251 |
| OTHER CURRENT ASSETS | $231,968 |
| INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE | $653,732,030 |
| OTHER LONG TERM ASSETS | |
| INTERCOMPANY RECEIVABLES | $4,383,475 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $677,183,032 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION | $4,927,628 |
| SELF INSURANCE LIABILITY | $1,991,296 |
| ESTIMATED SETTLEMENT LIABILITY | $7,779,568 |
| AH SAVINGS LIABILITY | $1,819,047 |
| VALUATION ALLOWANCE | |
| DEFERRED RENT PAYABLE | $334,384 |
| PHYSICIAN GUARANTEE LIABILITY | $7,348,251 |
| INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE | $131,954,375 |
| PENSION PLAN LIABILITY | $15,692,806 |
| IBNR CAPITATION CLAIMS | |
| INTERCOMPANY PAYABLES | $11,217,843 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $183,065,198 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2016. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,490,461 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,490,461 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0265 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $81,307,222 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,966,181 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,341,041 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0884 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $92,797,683 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,966,181 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $49,831,502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1149 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 10587 | PersonsServedCnt |
| Total Community Benefit Expns | $521,595 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $521,595 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0012 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 4216 | PersonsServedCnt |
| Total Community Benefit Expns | $546,102 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $546,102 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0013 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 6 | ActivitiesOrProgramsCnt |
| Persons Served | 25524 | PersonsServedCnt |
| Total Community Benefit Expns | $426,526 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $426,526 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 40327 | PersonsServedCnt |
| Total Community Benefit Expns | $1,494,223 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,494,223 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0034 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 29 | ActivitiesOrProgramsCnt |
| Persons Served | 40327 | PersonsServedCnt |
| Total Community Benefit Expns | $94,291,906 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $42,966,181 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $51,325,725 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.1183 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 5 | PersonsServedCnt |
| Total Community Benefit Expns | $1,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1300 | PersonsServedCnt |
| Total Community Benefit Expns | $14,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1262 | PersonsServedCnt |
| Total Community Benefit Expns | $15,111 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 331 | PersonsServedCnt |
| Total Community Benefit Expns | $3,005 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,005 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 1 | PersonsServedCnt |
| Total Community Benefit Expns | $34 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $34 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 150 | PersonsServedCnt |
| Total Community Benefit Expns | $1,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 139 | PersonsServedCnt |
| Total Community Benefit Expns | $16,420 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,620 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 7 | ActivitiesOrProgramsCnt |
| Persons Served | 3188 | PersonsServedCnt |
| Total Community Benefit Expns | $51,570 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,800 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $47,770 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0001 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,955,097 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $395,510 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $150,440,145 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $122,817,149 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $27,622,996 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HEALTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 WASHINGTON AVENUE | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47750 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.STMARYS.ORG/SMLOCATION | WebsiteAddressTxt |
| State License | 14-005089-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | http://www.stmarys.org/about-us/chna/ | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | http://www.healthyswin.org | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | http://www.stmarys.org/about-us/chna/ | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.0 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.0 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.stmarys.org/patients-visitors/financial-assistance/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.stmarys.org/patients-visitors/financial-assistance/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.stmarys.org/patients-visitors/financial-assistance/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - ST. MARY'S HEALTH, INC.. IN CONDUCTING ITS CHNA, THE HOSPITAL FACILITY CONDUCTED INTERVIEWS AND FOCUS GROUPS WITH COMMUNITY MEMBERS WHO HAVE A FUNDAMENTAL UNDERSTANDING OF VANDERBURGH COUNTY'S HEALTH NEEDS AND REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. NINE KEY INFORMANT INTERVIEWS AND 10 FOCUS GROUP DISCUSSIONS PROVIDED INPUT ON THE COUNTY'S HEALTH CHALLENGES, THE SUB-POPULATIONS MOST IN NEED, AND EXISTING RESOURCES FOR COUNTY RESIDENTS. IN TOTAL, 84 INDIVIDUALS PARTICIPATED IN PRIMARY DATA COLLECTION TO PROVIDE COMMUNITY INPUT. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - ST. MARY'S HEALTH, INC.. THE OTHER HOSPITAL FACILITIES WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA INCLUDES ST. MARY'S WARRICK HOSPITAL, INC. AND DEACONESS HEALTH SYSTEM. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - ST. MARY'S HEALTH, INC.. THE OTHER NON-HOSPITAL ORGANIZATIONS WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA INCLUDES ECHO COMMUNITY HEALTH CARE, UNITED WAY OF SOUTHWESTERN INDIANA, VANDERBURGH COUNTY HEALTH DEPARTMENT, AND WELBORN BAPTIST FOUNDATION. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - ST. MARY'S HEALTH, INC.. USING THE CHNA COMPLETED IN FISCAL YEAR 2016, THE HOSPITAL DEVELOPED, ADOPTED, AND WORKED ON EXECUTING A 2017-2019 COMMUNITY WIDE IMPLEMENTATION STRATEGY TO ADDRESS PRIORITY COMMUNITY HEALTH NEEDS. THE ORGANIZATION IS WORKING TO ADDRESS THE FOLLOWING NEEDS: 1. IMPROVE THE OVERALL BEHAVIORAL HEALTH OF VANDERBURGH COUNTY BY: -SUPPORTING OPPORTUNITIES TO EDUCATE AND INCREASE ACCESS FOR MENTAL HEALTH AND SUBSTANCE ABUSE. -JOINING A GROUP OF LOCAL AGENCIES AND ORGANIZATIONS THAT MEET ON A REGULAR BASIS AS WELL AS SUB-COMMITTEES FOR SUBSTANCE ABUSE, MENTAL HEALTH ASSET MAPPING AND THE YOUTH MENTAL HEALTH FIRST AID GRANT. -INCREASING AWARENESS OF SUICIDE THROUGH COMMUNITY OUTREACH AND RESOURCES FOR ASSISTANCE THROUGH A FOCUSED EFFORT EDUCATION ON WHAT TO DO IF SOMEONE IS IN A PSYCHIATRIC CRISIS. -INCREASING AWARENESS THROUGH MARKETING IN "YOUR HEALTH" MAGAZINE. -IMPROVING ACCESS FOR MENTAL HEALTH SERVICES. 2. REDUCE THE PERCENTAGE OF ADULTS AGED 20 AND OLDER WHO ARE OBESE BY: -IMPLEMENTING A COMMUNITY-WIDE CAMPAIGN THAT INTEGRATES EDUCATION AND OPPORTUNITIES FOR MORE ACTIVE MOVEMENT AND ACCESS TO HEALTH FOODS. -OFFERING FREE DIABETES AND PRE-DIABETES EDUCATION CLASSES TO THE PUBLIC. -PROVIDING RESOURCES TO TEACHERS FOR HEALTHY EATING. -PARTICIPATING IN LOCAL COMMUNITY INITIATIVES TO MAXIMIZE RESOURCES AND SUPPORT OBESITY PREVENTION EFFORTS. 3. REDUCE INFANT MORTALITY IN THE FIRST YEAR OF LIFE BY: -MEETING REGULARLY WITH THE FETAL INFANT MORTALITY REVIEW, VANDERBURGH COUNTY HEALTH DEPARTMENT, CHILD ABUSE TASK FORCE AND OTHER LOCAL HEALTH SYSTEMS. -PROMOTING TOBACCO CESSATION WHICH RESULTS IN HEALTHIER MOTHERS AND BABIES. -PROMOTING THE POWER OF PARENTING PROGRAM, A UNIQUE PROGRAM FOR YOUNG PARENT. THE HOSPITAL FACILITY'S CHNA IDENTIFIED SUBSTANCE ABUSE, DIABETES, SOCIAL ENVIRONMENT, IMMUNIZATIONS AND INFECTIOUS DISEASE, AND PREVENTION AND SAFETY AS NEEDS TO THE COMMUNITY. THE HOSPITAL FACILITY DID NOT TAKE ACTION TO ADDRESS THESE NEEDS AS IT HAS LIMITED FINANCIAL AND OTHER RESOURCES. NO ACTIONS WERE TAKEN DURING FISCAL YEAR 2016 TOWARDS ADDRESSING THE PRIORTY COMMUNITY HEALTH NEEDS IDENTIFIED AS THE CHNA WAS NOT ADOPTED UNTIL THE END OF THE TAX YEAR. USING THE CHNA COMPLETED IN FISCAL YEAR 2013, THE HOSPITAL HAD MANY IMPLEMENTATION SUCCESSES DURING FISCAL YEAR 2016. THE HOSPITAL HAD 80 IMPLEMENTATION TACTICS, AND AMONG THE SUCCESSUL ONES WERE: -Promotion of QuitNowIndiana.com to patients as well as DrugFree.org and exceeding the goal of 100 clicks to each site from the stmarys.org website. - Child Abuse - Vanderburgh and Warrick both had a total number of substantiated Physical and Sexual Abuse cases below the FY16 goal. For Vanderburgh, the percentage of substantiated cases for all three typEs of abuse (Neglect, Physical and Sexual) are below or meeting the goal for FY16. For Warrick, the percentage of substantiated cases for Physical and Sexual abuse are below or meeting the goal for FY16. - Healthy Lives Fitness Center - Memberships made FREE to all St. Mary's Health associates and those connected to the health system through Medexcel, Touchpoint, AIS, TriMedx, Mission Point and MACL. - Joslin Diabetes Program - St. Mary's Joslin Diabetes program is now offered FREE of charge to the community as of March 1, 2016 and has seen an increase in individual visits as well as number of referring physicians. |
| Schedule H, Part V, Section B, Line 22 Facility , 1 | Facility , 1 - ST. MARY'S HEALTH, 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 PROVIDED TO OUR MANAGED CARE PAYERS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 28 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| ST MARY'S SURGICARE | ||||
| 300 CIRCLE FRONT DRIVE | EVANSVILLE | IN | 47715 | GENERAL SURGICAL CENTER |
| ST MARY'S SURGICARE | ||||
| 1125 PROFESSIONAL BLVD | EVANSVILLE | IN | 47714 | GENERAL SURGICAL CENTER |
| ST MARY'S REHAB | ||||
| 3900 WASHINGTON AVENUE | EVANSVILLE | IN | 47714 | INPATIENT REHAB CENTER |
| ST MARY'S BREAST CENTER | ||||
| 100 EPWORTH CROSSING SUITE B100 | NEWBURGH | IN | 47630 | MAMMOGRAPHY |
| St Mary's Infusion Center | ||||
| 3900 WASHINGTON AVENUE | EVANSVILLE | IN | 47714 | Infusion services |
| ST MARY'S URGENT CARE EPWORTH | ||||
| 100 EPWORTH CROSSING SUITE B100 | NEWBURGH | IN | 47630 | MULTI SERVICE OUTPATIENT FACILITY |
| WOUND CARE CLINIC | ||||
| 3801 BELLEMEADE AVENUE | EVANSVILLE | IN | 47714 | WOUND CARE |
| ST MARY'S MATERNAL-FETAL MEDICINE | ||||
| 3700 WASHINGTON AVENUE SUITE 2100A | EVANSVILLE | IN | 47750 | OBSTETRICS/GYNECOLOGY |
| ST MARY'S OUTPATIENT REHAB | ||||
| 1144 WASHINGTON SQUARE | EVANSVILLE | IN | 47715 | OUTPATIENT REHAB CLINIC |
| ST MARY'S FOR CHILDREN | ||||
| 3900 WASHINGTON AVENUE | EVANSVILLE | IN | 47714 | CHILDREN'S HEALTH FACILITY |
| ST MARY'S CONVENIENT CARE WEST | ||||
| 5320 WESTON ROAD | EVANSVILLE | IN | 47712 | MULTI SERVICE OUTPATIENT FACILITY |
| ST MARY'S DME | ||||
| 100 Epworth Crossing Suite A001 | NEWBURGH | IN | 47630 | DME |
| ST MARY'S NORTHBROOK | ||||
| 3838 N FIRST AVENUE | EVANSVILLE | IN | 47710 | IMAGING SERVICES/RADIOLOGY |
| ST MARY'S DME | ||||
| 6840 Logan Dr Ste E | EVANSVILLE | IN | 47715 | DME |
| ST MARY'S OCCUPATIONAL MEDICINE CLINIC | ||||
| 2330 LYNCH ROAD | EVANSVILLE | IN | 47711 | OCCUPATIONAL MEDICINE CLINIC |
| ST MARY'S URGENT CARE BOONVILLE | ||||
| 3277 LIBERTY BLVD | BOONVILLE | IN | 47601 | MULTI SERVICE OUTPATIENT FACILITY |
| ST MARY'S NORTH POINTE REHAB | ||||
| 2300 LYNCH ROAD | EVANSVILLE | IN | 47711 | OUTPATIENT REHAB CLINIC |
| ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES | ||||
| 415 S 4th Street | Boonville | IN | 47601 | EMS |
| ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES | ||||
| 540 S State St | Newburgh | IN | 47630 | EMS |
| ST MARY'S DME | ||||
| 2345 W Franklin Street Suite 102 | EVANSVILLE | IN | 47712 | DME |
| ST MARY'S IMAGING AND LAB | ||||
| 1138 WASHINGTON SQUARE | EVANSVILLE | IN | 47715 | IMAGING SERVICES/RADIOLOGY |
| ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES | ||||
| 510 N State St | Chandler | IN | 47610 | EMS |
| ST MARY'S WEST SIDE X-RAY | ||||
| 2345 W FRANKLIN STREET | EVANSVILLE | IN | 47712 | IMAGING SERVICES/RADIOLOGY |
| ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES | ||||
| 5266 Old State Rd 66 | Newburgh | IN | 47630 | EMS |
| ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES | ||||
| 333 Peach Street | Lynnville | IN | 47619 | EMS |
| ST MARY'S WEIGHT MANAGEMENT CENTER | ||||
| 950 S KENMORE | EVANSVILLE | IN | 47714 | WEIGHT MANAGEMENT FACILITY |
| JOSLIN DIABETES CENTER | ||||
| 3801 BELLEMEADE AVENUE | EVANSVILLE | IN | 47714 | DIABETES SERVICE CENTER |
| ST MARY'S HEART INSTITUTE | ||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47714 | SPECIALITY CARE FACILITY |
| ST MARY'S PRE-PROCEDURE CLINIC | ||||
| 1140 WASHINGTON AVENUE | EVANSVILLE | IN | 47714 | Pre-Surgery testing facility |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COMMUNITY BENEFIT REPORT | AS A MEMBER OF ASCENSION HEALTH, THE NATION'S LARGEST CATHOLIC HEALTHCARE SYSTEM, ST. MARY'S HEALTH, INC. CONTINUES TO BUILD AND STRENGTHEN SUSTAINABLE COLLABORATIVE EFFORTS THAT BENEFIT THE HEALTH OF INDIVIDUALS, FAMILIES, AND SOCIETY AS A WHOLE. THE GOAL OF ST. MARY'S HEALTH, INC. IS TO PERPETUATE THE HEALING MISSION OF THE CHURCH. ST. MARY'S HEALTH, INC. FURTHERS THIS GOAL THROUGH DELIVERY OF PATIENT SERVICES, CARE TO THE ELDERLY AND INDIGENT, PATIENT EDUCATION AND HEALTH AWARENESS PROGRAMS FOR THE COMMUNITY, AND MEDICAL RESEARCH. OUR CONCERN FOR ALL HUMAN LIFE AND DIGNITY OF EACH PERSON LEADS THE ORGANIZATION TO PROVIDE MEDICAL SERVICES TO ALL PEOPLE IN THE COMMUNITY WITHOUT REGARD TO THE PATIENT'S RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. IN ORDER TO PORTRAY THE FULL BREADTH OF OUR CONTRIBUTION, OUR COMMUNITY BENEFIT INFORMATION IS DESCRIBED BELOW: ORGANIZATIONAL COMMITMENT TO PROVIDING COMMUNITY BENEFIT ST. MARY'S HEALTH, INC. IS A 494-BED ACUTE CARE HOSPITAL. ST. MARY'S HEALTH, INC. SERVICES THE TRI-STATE AREA AROUND SOUTHERN INDIANA, INCLUDING SOUTHEASTERN ILLINOIS, AND NORTHWESTERN KENTUCKY. ST. MARY'S HEALTH, INC. SEEKS TO IMPROVE THE PHYSICAL, MENTAL, SOCIAL AND SPIRITUAL HEALTH STATUS OF ITS SURROUNDING COMMUNITY. ST. MARY'S HEALTH, INC. PROVIDES SIGNIFICANT RESOURCES ONLINE FOR PUBLIC USE AND EDUCATION AT WWW.STMARYS.ORG. SUCH ITEMS INCLUDE INFORMATION ON ALLERGIES, ASTHMA, BACK PAIN, CANCER, DIABETES, HEART DISEASE, KIDNEY DISEASE, MEN'S HEALTH, ORTHOPEDIC HEALTH, MENTAL HEALTH, PARENTING, PATIENT SAFETY, PREGNANCY, SENIOR HEALTH, STRESS, STROKE, WEIGHT MANAGEMENT AND WOMEN'S HEALTH. PLEASE VISIT WWW.STMARYS.ORG FOR A FULL LIST OF SERVICES. |
| Schedule H, Part I, Line 3c FREE AND DISCOUNTED CARE DETERMINATION | THE ORGANIZATION PROVIDES MEDICALLY NECESSARY CARE TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, ETHNIC ORIGIN, GENDER, DISABILITY, OR ECONOMIC STATUS. THE HOSPITAL USES A PERCENTAGE OF FEDERAL POVERTY LEVEL (FPL) TO DETERMINE FREE AND DISCOUNTED CARE. AT A MINIMUM, PATIENTS WITH INCOME LESS THAN OR EQUAL TO 200% OF THE FPL, WHICH MAY BE ADJUSTED FOR COST OF LIVING UTILIZING THE LOCAL WAGE INDEX COMPARED TO THE NATIONAL WAGE INDEX, WILL BE ELIGIBLE FOR 100% CHARITY CARE WRITE OFF OF CHARGES FOR SERVICES THAT HAVE BEEN PROVIDED TO THEM. ALSO, AT A MINIMUM, PATIENTS WITH INCOMES ABOVE 200% OF THE FPL BUT NOT EXCEEDING 300% 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 Costing Methodology used to calculate financial assistance | THE COST OF PROVIDING CHARITY CARE, MEANS TESTED GOVERNMENT PROGRAMS, AND 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 | ST. MARY'S HEALTH, INC. PROMOTES THE HEALTH OF THE COMMUNITIES IT SERVES THROUGH COMMUNITY BUILDING BY PARTICIPATING AND SITTING ON VARIOUS BOARDS OF OTHER AGENCIES IN THE AREA. SOME OF THE AGENCIES THAT ST. MARY'S HEALTH, INC. WORKS WITH INCLUDE 4C OF SOUTHERN INDIANA, CHAMBER OF COMMERCE, CHILD ABUSE TASK FORCE, COMMUNITY ALLIANCE FOUNDATION, EASTER SEALS, THE RONALD MCDONALD HOUSE, BOYS & GIRLS CLUB, UNITED WAY, JUNIOR ACHIEVEMENT AND OTHER. |
| 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 $15,485,892 AT CHARGES ($3,955,097 AT COST). |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | THE PROVISION FOR DOUBTFUL ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL EXPERIENCE, ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY, INCLUDING THOSE AMOUNTS NOT COVERED BY INSURANCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR DOUBTFUL ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | THE ORGANIZATION IS A 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 RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS A COMMUNITY BENEFIT. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | THE ORGANIZATION HAS A WRITTEN DEBT COLLECTION POLICY THAT ALSO INCLUDES A PROVISION ON THE COLLECTION PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE. IF A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE CERTAIN COLLECTION PRACTICES DO NOT APPLY AND THE FINANCIAL ASSISTANCE PROGRAM IS FOLLOWED. |
| Schedule H, Part V, Section B, Line 16a FAP website | - ST. MARY'S HEALTH, INC.: Line 16a URL: http://www.stmarys.org/patients-visitors/financial-assistance/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - ST. MARY'S HEALTH, INC.: Line 16b URL: http://www.stmarys.org/patients-visitors/financial-assistance/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - ST. MARY'S HEALTH, INC.: Line 16c URL: http://www.stmarys.org/patients-visitors/financial-assistance/; |
| 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. AS PART OF THE ST. MARY'S HEALTH SYSTEM, THE GOAL OF ST. MARY'S HEALTH, INC. IS TO WORK WITH ITS COMMUNITY TO CONDUCT AN ASSESSMENT AT LEAST EVERY THREE YEARS. ASSESSMENTS MAY INCLUDE PRIMARY SURVEY DATA, SECONDARY DATA, FOCUS GROUP INPUT, COMMUNITY LEADERS' SURVEY AND OTHER DATA. RESULTS ARE MADE AVAILABLE TO ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COMMUNITY. THESE NEEDS ASSESSMENTS ARE ALSO UTILIZED IN CREATING THE HOSPITAL'S INTEGRATED STRATEGIC FINANCIAL AND OPERATIONAL PLAN. TO THAT END, ST. MARY'S HEALTH, INC. HAS BROUGHT TOGETHER A COMMUNITY ROUNDTABLE WITH THE PURPOSE OF DETERMINING THE RESOURCES AND NEEDS, PRIORITIZING ACTION AND WORKING IN PARTNERSHIP TO ADDRESS IDENTIFIED CHALLENGES WITHIN A DESIGNATED AREA SURROUNDING THE HOSPITAL. ST. MARY'S HEALTH, INC. ALSO IDENTIFIES COMMUNITY HEALTH NEEDS BY EMPLOYING OTHER PUBLIC AGENCY NEEDS ASSESSMENTS SUCH AS WELBORN BAPTIST FOUNDATION AND THE UNITED WAY. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | ST. MARY'S HEALTH, INC. COMMUNICATES WITH PATIENTS IN MULTIPLE WAYS TO ENSURE THAT THOSE WHO ARE BILLED FOR SERVICES ARE AWARE OF THE HOSPITAL'S CHARITY CARE PROGRAM AS WELL AS THEIR POTENTIAL ELIGIBILITY FOR LOCAL, STATE OR FEDERAL PROGRAMS. SIGNS ARE PROMINENTLY POSTED IN EACH SERVICE AREA. IN ADDITION, THE HOSPITAL 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. ALL SELF-PAY PATIENTS RECEIVE A 15% DISCOUNT OFF THE TOP ON ALL CHARGES BEFORE STATEMENTS ARE MAILED. |
| Schedule H, Part VI, Line 4 Community information | ST. MARY'S HEALTH, INC. IS LOCATED IN EVANSVILLE, INDIANA AND SERVES VANDERBURGH AND CONTIGUOUS COUNTIES IN SOUTHERN INDIANA AND NORTH CENTRAL KENTUCKY. THE PRIMARY SERVICE AREA IS DEFINED AS VANDERBURGH, WARRICK, SPENCER, AND POSEY COUNTIES. THE POPULATION FOR THE PRIMARY SERVICE AREA WAS 289,496 IN 2016. ALSO THE MEDIAN INCOME FOR THE PRIMARY SERVICE AREA WAS $55,725 FOR 2016 WITH 15% OF CHILDREN BELOW POVERTY LEVEL. |
| Schedule H, Part VI, Line 5 Promotion of community health | TO PROVIDE THE HIGHEST QUALITY HEALTHCARE TO ALL PERSONS IN THE COMMUNITY, AND IN KEEPING WITH ITS NOT FOR-PROFIT STATUS, ST. MARY'S HEALTH, INC.: - DELIVERS PATIENT SERVICES, INCLUDING EMERGENCY DEPARTMENT SERVICES AND URGENT CARE SITES, TO ALL INDIVIDUALS REQUIRING HEALTHCARE, WITHOUT REGARD TO PATIENT RACE, ETHNICITY, ECONOMIC STATUS, INSURANCE STATUS OR ABILITY TO PAY - MAINTAINS AN OPEN MEDICAL STAFF THAT ALLOWS CREDENTIALED PHYSICIANS TO PRACTICE AT ITS FACILITIES - TRAINS AND EDUCATES HEALTH CARE PROFESSIONALS - PARTICIPATES IN GOVERNMENT SPONSORED PROGRAMS SUCH AS MEDICAID AND MEDICARE TO PROVIDE TO THE POOR AND ELDERLY. APPLICATION EVENTS ARE HELD AS WELL AS FOLLOW UP ASSISTANCE FOR INSURANCE - HEALTH ACCESS ADVOCATES ("HAA") ARE COMMUNITY BASED STAFF WHOSE PRIMARY ROLE IS TO SIGN CHILDREN UP FOR HOOSIER HEALTHCARE INSURANCE. THEY CAN DO THIS BY ASSISTING FAMILIES IN APPLYING FOR HOOSIER HEALTHCARE INSURANCE HERE IN THE OFFICE, IN THE COMMUNITY, OR AT THE PATIENT'S HOME. DURING THIS PROCESS, THEY CAN ALSO ASSIST FAMILIES WITH BASIC NEEDS SUCH AS FOOD, SHELTER AND CLOTHING. THE ADVOCATES CAN ALSO ASSIST ADULTS WITH APPLYING FOR MEDICAID, HEALTHY INDIANA PLAN, AND OTHER RESOURCES SUCH AS PHARMACEUTICAL APPLICATIONS FOR THOSE WHO QUALIFY. HAA WILL AT TIMES TRANSPORT PATIENTS TO NECESSARY APPOINTMENTS. ADDITIONALLY, HAA PROVIDES ASSISTANCE TO THE LATINO POPULATION BY PROVIDING A BI LINGUAL ASSOCIATE. THIS ASSOCIATE SPEARHEADS A CERTIFIED MEDICAL INTERPRETER TRAINING PROGRAM THROUGH THE BRIDGING THE GAP PROGRAM - IS GOVERNED BY A BOARD IN WHICH INDEPENDENT COMMUNITY MEMBERS COMPRISE A MAJORITY - CONDUCTS COMMUNITY HEALTH NEEDS ASSESSMENTS AND HOLDS MEMBERSHIP ON OTHER PUBLIC AGENCY BOARDS TO ENHANCE WELL BEING OF THE COMMUNITY IN PARTNERSHIP PROGRAMS - PROVIDES DENTAL SERVICES FOR PRIMARY SERVICE AREA WITH MOBILE DENTAL FOR KIDS CLINIC - NUTRITION COUNSELING IS PROVIDED TO THE COMMUNITY AND SPECIFICALLY AREA SCHOOLS AND YOUTH GROUPS, SUCH AS FOOD PYRAMID PROGRAMS, STAFF HEALTH FAIR, ETC. - COMPLIMENTARY THERAPIES INCLUDING MASSAGES, YOGA CLASSES, STRESS REDUCTION CLASSES AT HOPE RESOURCE CENTER FOR CANCER PATIENTS AND SURVIVORS - MALL WALKING PROGRAMS AND MONTHLY BLOOD PRESSURE SCREENINGS AT LOCAL MALL - CHRISTMAS PROGRAMS FOR THE POOR: GREAT EXPECTATIONS. AREA FAMILIES ARE IDENTIFIED FROM LOCAL GROUPS SUCH AS UNITED WAY, CHURCHES, AND THE SCHOOL SYSTEMS, AS NEEDING ASSISTANCE WITH CHRISTMAS. ASSOCIATES OF ST. MARY'S GIVE MONIES, FOOD, CLOTHING, TOYS, ETC. TO FAMILIES IN NEED EACH YEAR. - AUTISM VISIT WITH SANTA - WNIN KIDS DAY - MOBILE DENTAL CLINIC - CPR CLASSES GIVEN AT LOCAL DAYCARES AND SCHOOLS - JOSLIN AND DIABETIC FOOT CLINIC - LECTURES, CLASSES, EXERCISE INSERVICES - SAFESITTERS EDUCATION FOR TEENAGERS PREPARING TO TAKE CARE OF YOUNG CHILDREN, TODDLERS, AND INFANTS - ST. MARY'S NIGHTS AT CHILDREN'S MUSEUM OF EVANSVILLE - YOUTH FIRST RETREATS - AMERICAN RED CROSS BLOOD DRIVES - AMBULANCE, REHAB, AND MISC. BILLINGS PAID FOR PATIENTS - PATIENT CARE FOR NON PROFIT ECHO CLINIC - TRANSPORTATION SERVICES FOR PATIENTS AND FAMILIES - MEAL TICKETS FOR PATIENT FAMILIES |
| Schedule H, Part VI, Line 6 Affiliated health care system | As part of St. Mary's Health System, St. Mary's Health, INc. is a member of Ascension Health Alliance ("The System"). Ascension Health Alliance d/b/a Ascension (Ascension), is a Missouri nonprofit corporation formed on September 13, 2011. Ascension is the sole corporate member and parent organization of Ascension Health, a Catholic national health system consisting primarily of nonprofit corporations that own and operate local healthcare facilities, or Health Ministries, located in 23 of the United States and the District of Columbia. SPONSORSHIP: ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. MISSION: THE SYSTEM DIRECTS ITS GOVERNANCE AND MANAGEMENT ACTIVITIES TOWARD STRONG, VIBRANT, CATHOLIC HEALTH MINISTRIES UNITED IN SERVICE AND HEALING, AND DEDICATES ITS RESOURCES TO SPIRITUALLY CENTERED CARE WHICH SUSTAINS AND IMPROVES THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES IT SERVES. IN ACCORDANCE WITH THE SYSTEM'S MISSION OF SERVICE TO THOSE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS, EACH HEALTH MINISTRY ACCEPTS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. THE SYSTEM USES FOUR CATEGORIES TO IDENTIFY THE RESOURCES UTILIZED FOR THE CARE OF PERSONS LIVING IN POVERTY AND COMMUNITY BENEFIT PROGRAMS: - TRADITIONAL CHARITY CARE INCLUDES THE COST OF SERVICES PROVIDED TO PERSONS WHO CANNOT AFFORD HEALTHCARE BECAUSE OF INADEQUATE RESOURCES AND/OR WHO ARE UNINSURED OR UNDERINSURED. - UNPAID COST OF PUBLIC PROGRAMS, EXCLUDING MEDICARE, REPRESENTS THE UNPAID COST OF SERVICES PROVIDED TO PERSONS COVERED BY PUBLIC PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS. - COST OF OTHER PROGRAMS FOR PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS INCLUDES UNREIMBURSED COSTS OF PROGRAMS INTENTIONALLY DESIGNED TO SERVE THE PERSONS LIVING IN POVERTY AND OTHER VULNERABLE PERSONS OF THE COMMUNITY, INCLUDING SUBSTANCE ABUSERS, THE HOMELESS, VICTIMS OF CHILD ABUSE, AND PERSONS WITH ACQUIRED IMMUNE DEFICIENCY SYNDROME. - COMMUNITY BENEFIT CONSISTS OF THE UNREIMBURSED COSTS OF COMMUNITY BENEFIT PROGRAMS AND SERVICES FOR THE GENERAL COMMUNITY, NOT SOLELY FOR THE PERSONS LIVING IN POVERTY, INCLUDING HEALTH PROMOTION AND EDUCATION, HEALTH CLINICS AND SCREENINGS, AND MEDICAL RESEARCH. DISCOUNTS ARE PROVIDED TO ALL UNINSURED PATIENTS, INCLUDING THOSE WITH THE MEANS TO PAY. DISCOUNTS PROVIDED TO THOSE PATIENTS WHO DID NOT QUALIFY FOR ASSISTANCE UNDER CHARITY CARE GUIDELINES ARE NOT INCLUDED IN THE COST OF PROVIDING CARE OF PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS. THE COST OF PROVIDING CARE TO PERSONS LIVING IN POVERTY AND OTHER COMMUNITY BENEFIT PROGRAMS IS ESTIMATED BY REDUCING CHARGES FORGONE BY A FACTOR DERIVED FROM THE RATIO OF EACH ENTITY'S TOTAL OPERATING EXPENSES TO THE ENTITY'S BILLED CHARGES FOR PATIENT CARE. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KEITH JEWELL | ||||||||||||||
| CEO/PRESIDENT | $490,240 | $0 | $287,459 | $0 | $5,770 | $0 | $33,812 | $0 | $19,169 | $0 | $836,450 | $0 | $0 | $0 |
| JOSEPH O MURDOCK | ||||||||||||||
| BOARD MEMBER | $0 | $385,269 | $0 | $148,207 | $0 | $56,909 | $0 | $9,275 | $0 | $33,323 | $0 | $632,983 | $0 | $0 |
| KARL SASH MD | ||||||||||||||
| BOARD MEMBER | $12,227 | $292,235 | $0 | $136,981 | $0 | $55,704 | $322 | $27,589 | $0 | $38,081 | $12,548 | $550,590 | $0 | $54,512 |
| TRICIA BAIRD MD | ||||||||||||||
| CHIEF CLINICAL INTEGRATION OFFICER | $150,778 | $149,543 | $27,500 | $2,915 | $140 | $11,877 | $12,195 | $10,907 | $4,597 | $5,374 | $195,211 | $180,616 | $0 | $0 |
| DARCY ELLISON | ||||||||||||||
| SR VP/CNO | $252,178 | $0 | $72,638 | $0 | $54,068 | $0 | $30,916 | $0 | $26,586 | $0 | $436,387 | $0 | $52,050 | $0 |
| WILLIAM MILLIKAN JR MD | ||||||||||||||
| CEO, MEDICAL GROUP | $365,655 | $0 | $96,263 | $0 | $3,795 | $0 | $13,250 | $0 | $28,797 | $0 | $507,760 | $0 | $0 | $0 |
| GWEN SANDEFUR | ||||||||||||||
| EVP/COO (thru 8/2015) | $227,118 | $0 | $0 | $0 | $579 | $0 | $1,000 | $0 | $21,256 | $0 | $249,952 | $0 | $0 | $0 |
| JOHN L ZABROWSKI III | ||||||||||||||
| CFO | $257,129 | $0 | $67,127 | $0 | $276 | $0 | $21,928 | $0 | $10,380 | $0 | $356,841 | $0 | $0 | $0 |
| JOHN GREANEY | ||||||||||||||
| VP, AMBULATORY/CONSUMER HEALTH & FOUNDATION | $180,773 | $0 | $46,382 | $0 | $192 | $0 | $10,551 | $0 | $27,894 | $0 | $265,791 | $0 | $0 | $0 |
| KATHY HALL | ||||||||||||||
| VP, REGIONAL ADMINISTRATOR | $185,089 | $0 | $52,859 | $0 | $792 | $0 | $15,280 | $0 | $29,490 | $0 | $283,510 | $0 | $0 | $0 |
| SUZETTE HERSHMAN | ||||||||||||||
| VP, MEDICAL GROUP | $196,140 | $0 | $48,490 | $0 | $288 | $0 | $14,650 | $0 | $13,555 | $0 | $273,123 | $0 | $0 | $0 |
| VERNON MAAS MD | ||||||||||||||
| VP, MEDICAL AFFAIRS (thru 6/2016) | $230,476 | $0 | $67,072 | $0 | $41,188 | $0 | $37,803 | $0 | $30,702 | $0 | $407,240 | $0 | $39,991 | $0 |
| MIKE WHITMORE | ||||||||||||||
| VP, CLINICAL SUPPORT & ANCILLARY SERVICES | $194,918 | $0 | $47,787 | $0 | $768 | $0 | $16,009 | $0 | $7,011 | $0 | $266,494 | $0 | $0 | $0 |
| janice ERNest | ||||||||||||||
| VP, CARDIOVASCULAR & SYSTEM SUPPORT | $192,147 | $0 | $49,135 | $0 | $1,246 | $0 | $14,976 | $0 | $41,899 | $0 | $299,403 | $0 | $0 | $0 |
| MICHAEL KLUEH | ||||||||||||||
| VP/CRO (THRU 2/2016) | $168,953 | $0 | $44,654 | $0 | $10,152 | $0 | $12,314 | $0 | $29,762 | $0 | $265,835 | $0 | $9,041 | $0 |
| ALIREZA KHAKBAZNEJAD MD | ||||||||||||||
| PHYSICIAN | $384,407 | $0 | $120,169 | $0 | $35,681 | $0 | $28,038 | $0 | $33,648 | $0 | $601,943 | $0 | $35,158 | $0 |
| LUISSA KIPRONO MD | ||||||||||||||
| PHYSICIAN | $449,027 | $0 | $0 | $0 | $131,256 | $0 | $13,250 | $0 | $22,850 | $0 | $616,383 | $0 | $0 | $0 |
| CHARLES LACKEY MD | ||||||||||||||
| PHYSICIAN | $473,122 | $0 | $0 | $0 | $38,180 | $0 | $24,259 | $0 | $27,222 | $0 | $562,783 | $0 | $37,579 | $0 |
| NURAHMED MOHAMMED MD | ||||||||||||||
| PHYSICIAN | $352,219 | $0 | $170,152 | $0 | $7,446 | $0 | $23,797 | $0 | $24,641 | $0 | $578,254 | $0 | $0 | $0 |
| DALE YINGLING MD | ||||||||||||||
| PHYSICIAN | $541,356 | $0 | $0 | $0 | $12,775 | $0 | $13,250 | $0 | $33,555 | $0 | $600,936 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. MARY'S HEALTH, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | ELIGIBLE EXECUTIVES PARTICIPATE IN VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE FOLLOWING INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS OF: KARL SASH, MD $54,512 DARCY ELLISON $52,050 VERNON MAAS, MD $39,991 ALIREZA KHAKBAZNEJAD, MD $35,158 CHARLES LACKEY, MD $37,579 Michael Klueh $9,041 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CAROL ACKERMAN | |||
| SISTER-IN-LAW OF DARCY ELLISON | $45,351 | CAROL ACKERMAN IS AN EMPLOYEE OF ST. MARY'S HEALTH, INC. AND RECEIVES COMPENSATION FROM THE ORGANIZATION | false |
| KIMBERLY WHITMORE | |||
| WIFE OF MIKE WHITMORE | $55,988 | KIMBERLY WHITMORE IS AN EMPLOYEE OF ST. MARY'S HEALTH, INC. AND RECEIVES COMPENSATION FROM THE ORGANIZATION | false |
| TRACY NEELEY | |||
| SISTER OF KEITH JEWELL | $72,711 | TRACY NEELEY IS AN EMPLOYEE OF ST. MARY'S HEALTH, INC. AND RECEIVES COMPENSATION FROM THE ORGANIZATION | false |
| STEPHANY STANTON | |||
| SISTER OF SUZETTE HERSHMAN | $133,533 | STEPHANY STANTON IS AN EMPLOYEE OF ST. MARY'S HEALTH, INC. AND RECEIVES COMPENSATION FROM THE ORGANIZATION | false |
| ANN SCHYMIK | |||
| WIFE OF DR. BRIAN SCHYMIK | $31,642 | ANN SCHYMIK IS AN EMPLOYEE OF ST. MARY'S HEALTH, INC. AND RECEIVES COMPENSATION FROM THE ORGANIZATION | false |
Schedule M IRS990ScheduleM
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $672,632 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | EQUIPMENT | 3 | $215,639 | Market value |
| Yes (X) | LAND/BUILDING IMPROVEMENTS | 2 | $384,697 | Market value |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Cars and other vehicles - THE NUMBERS IN COLUMN (B) REFER TO THE NUMBER OF CONTRIBUTIONS. Other - EQUIPMENT THE NUMBERS IN COLUMN (B) REFER TO THE NUMBER OF CONTRIBUTIONS. Other - LAND/BUILDING IMPROVEMENTS THE NUMBERS IN COLUMN (B) REFER TO THE NUMBER OF CONTRIBUTIONS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part IV, Line 24a PART IV, LINE 24A | ST. MARY'S HEALTH, INC. IS A HEALTH FACILITY THAT IS PART OF THE ASCENSION HEALTH SYSTEM. ASCENSION HEALTH IS THE BORROWER FOR TAX-EXEMPT HOSPITAL REVENUE BONDS. ST. MARY'S HEALTH, INC. HOLDS AN INTERCOMPANY NOTE PAYABLE WITH ASCENSION HEALTH, AND THIS INFORMATION IS REPORTED ON THE BALANCE SHEET. |
| Form 990, Part IV, Line 20b AUDITED FINANCIAL STATEMENTS | THE ACTIVITY OF ST. MARY'S HEALTH, INC. IS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF ASCENSION HEALTH ALLIANCE. NO INDIVIDUAL AUDIT OF ST. MARY'S HEALTH, INC. IS COMPLETED. THEREFORE, THE ATTACHED AUDITED FINANCIAL STATEMENTS ARE OF ASCENSION HEALTH ALLIANCE AND AFFILIATES, WHICH INCLUDE THE ACTIVITY OF ST. MARY'S HEALTH, INC. |
| Form 990, Part VI, Line 15a PART VI, LINE 15 | IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. MARY'S HEALTH, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 16b PART VI, LINE 16B | ST. MARY'S HEALTH, INC. AND SUBSIDIARIES (ST. MARY'S) JOINT VENTURE OPERATING AGREEMENTS ARE NEGOTIATED WITH OTHER MEMBERS OF THE JOINT VENTURE TO ENSURE THAT ADEQUATE SAFEGUARDS ARE IN PLACE TO PROTECT ST. MARY'S EXEMPT STATUS. EACH AGREEMENT CONTAINS SPECIFIC LANGUAGE RELATED TO THE PROVISION OF HEALTH CARE SERVICES WITH A FOCUS ON COMMUNITY HEALTH BENEFIT AND MUST FOLLOW A FORMAL REVIEW PROCESS PRIOR TO CONTRACT EXECUTION. ST. MARY'S CONTINUALLY ENSURES THAT ITS EXEMPT STATUS IS PROTECTED BY ACTIVELY PARTICIPATING IN THE GOVERNANCE OF ALL ST. MARY'S JOINT VENTURES. |
| Form 990, Part VI, Line 2 Family/business relationships amongst interested persons | TRUDY STOCK AND KEITH JEWELL - Business relationship, TRUDY STOCK AND JAMES SANDGREN - Business relationship, KEITH JEWELL AND JAMES SANDGREN - Business relationship, JAMES SANDGREN AND JEFFERY WOLF - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | ST. MARY'S HEALTH, INC. HAS A SINGLE CORPORATE MEMBER, ST.VINCENT HEALTH, INC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | ST. MARY'S HEALTH, INC. HAS A SINGLE CORPORATE MEMBER, ST.VINCENT HEALTH, INC. WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ST. MARY'S HEALTH, INC. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ST. MARY'S HEALTH, 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 | UPON RECEIVING DIRECTION FROM ITS TAX PREPARER, THE FORM 990 IS PROVIDED TO THE ST. MARY'S HEALTH, INC.'S GOVERNING BODY VIA A SECURE WEB-BASED PORTAL. THE GOVERNING BODY WILL REVIEW THE FORM 990 PRIOR TO THE FILING DATE AND ASK ANY QUESTIONS REGARDING THE FORM 990. ANY QUESTIONS AND RESPONSES WILL BE POSTED TO THE WEB-BASED PORTAL BEFORE THE RETURN IS FILED. ALL QUESTIONS AND RESPONSES WILL BE REVIEWED AND DISCLOSED IN THE MEETING MINUTES OF THE NEXT BOARD MEETING FOLLOWING THE REVIEW OF THE FORM 990. |
| Form 990, Part VI, Line 12c Conflict of interest policy | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY IN THAT ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST, MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF THE COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. THE REMAINING INDIVIDUALS ON THE GOVERNING BOARD OR COMMITTEE WILL DECIDE IF CONFLICTS OF INTEREST EXIST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, HAS AGREED TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ITS TAX-EXEMPT PURPOSE |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | COMPENSATION DETERMINATIONS OF ST. MARY'S HEALTH, INC.'S OTHER OFFICERS OR KEY EMPLOYEES ARE MADE BY ST. MARY'S HEALTH, 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 THE OTHER HOSPITALS' EMPLOYEES IN THE AREA THAT HOLD THE SAME POSITION. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST. |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | DIETARY REVENUE - Total Revenue: 1749614, Related or Exempt Function Revenue: , Unrelated Business Revenue: 114249, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1635365; LAB SERVICES - Total Revenue: 317798, Related or Exempt Function Revenue: , Unrelated Business Revenue: 114550, Revenue Excluded from Tax Under Sections 512, 513, or 514: 203248; ALL OTHER REVENUE - Total Revenue: 3539110, Related or Exempt Function Revenue: 3294367, Unrelated Business Revenue: 13058, Revenue Excluded from Tax Under Sections 512, 513, or 514: 231685; GOVERNMENT INCENTIVES - Total Revenue: 1405210, Related or Exempt Function Revenue: 1405210, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | FAS 158 PENSION - -14773317; NET ASSET TRANSFER WITH RELATED ENTITIES - 15867895; Book to Tax Difference in Joint Ventures - 1090815; |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| ST MARY'S AT WORK LLC | |||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 272085003 | DORMANT | IN | $0 | $0 | ST MARY'S HEALTH INC |
| ST MARY'S BREAST CENTER LLC | |||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 351935526 | DORMANT | IN | $0 | $0 | ST MARY'S HEALTH INC |
| ST MARY'S ACUTE DIALYSIS SERVICES LLC | |||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 271346179 | DORMANT | IN | $0 | $0 | ST MARY'S HEALTH INC |
| ST MARY'S PERIPHERAL VASCULAR SERVICES MANAGEMENT CO LLC | |||||||||
| 3700 Washington AVenue | Evansville | IN | 47750 | 205062635 | MANAGEMENT SERVICES | IN | $0 | $0 | sT mARY'S hEALTH iNC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | NA | false |
| ASCENSION HEALTH | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | ASCENSION HEALTH ALLIANCE | false |
| CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC | ||||||||||
| 2001 W 86TH STREET | INDIANAPOLIS | IN | 46260 | 351869951 | FREESTANDING OUTPATIENT CENTER | IN | 501(c)(3 | Type III-FI | ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC | Yes (true) |
| REHABILITATION HOSPITAL OF INDIANA INC | ||||||||||
| 4141 SHORE DRIVE | INDIANAPOLIS | IN | 46254 | 351786005 | REHABILITATION HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| SVH REAL ESTATE INC | ||||||||||
| 10330 N MERIDIAN STREET STE 430N | INDIANAPOLIS | IN | 46290 | 205002285 | REAL ESTATE HOLDING COMPANY | IN | 501(c)(3 | Type III-FI | ST VINCENT HEALTH INC | Yes (true) |
| ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC | ||||||||||
| 1907 W SYCAMORE STREET | KOKOMO | IN | 46901 | 237313206 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST JOSEPH HOSPITAL & HEALTH CENTER INC | Yes (true) |
| ST JOSEPH HOSPITAL & HEALTH CENTER INC | ||||||||||
| 1907 W SYCAMORE STREET | KOKOMO | IN | 46901 | 350992717 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT ANDERSON REGIONAL HOSPITAL INC | ||||||||||
| 2015 JACKSON STREET | ANDERSON | IN | 46016 | 460877261 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC | ||||||||||
| 2015 JACKSON STREET | ANDERSON | IN | 46016 | 352053693 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT ANDERSON REGIONAL HOSPITAL INC | Yes (true) |
| ST VINCENT CARMEL HOSPITAL INC | ||||||||||
| 13500 N MERIDIAN STREET | CARMEL | IN | 46032 | 743107055 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT CLAY HOSPITAL INC | ||||||||||
| 1206 E NATIONAL AVENUE | BRAZIL | IN | 47834 | 352112529 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT DUNN HOSPITAL INC | ||||||||||
| 1600 23RD STREET | BEDFORD | IN | 47421 | 272192831 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT FISHERS HOSPITAL INC | ||||||||||
| 13861 OLIO ROAD | FISHERS | IN | 46037 | 454243702 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT FRANKFORT HOSPITAL INC | ||||||||||
| 1300 S JACKSON | FRANKFORT | IN | 46041 | 352099320 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT FRANKFORT HOSPITAL FOUNDATION INC | ||||||||||
| 1300 S JACKSON | FRANKFORT | IN | 46041 | 351531734 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT FRANKFORT HOSPITAL INC | Yes (true) |
| ST VINCENT HEALTH INC | ||||||||||
| 10330 N MERIDIAN STREET STE 430N | INDIANAPOLIS | IN | 46290 | 352052591 | PARENT COMPANY | IN | 501(c)(3 | Type III-FI | ASCENSION HEALTH | false |
| ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC | ||||||||||
| 8333 NAAB ROAD STE 301 | INDIANAPOLIS | IN | 46260 | 461227327 | HEALTH AND WELLNESS SERVICES | IN | 501(c)(3 | 9 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC | ||||||||||
| 2001 W 86TH STREET | INDIANAPOLIS | IN | 46260 | 350869066 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT HOSPITAL FOUNDATION INC | ||||||||||
| 10330 N MERIDIAN STREET STE 430N | INDIANAPOLIS | IN | 46290 | 356088862 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC | Yes (true) |
| ST VINCENT JENNINGS HOSPITAL INC | ||||||||||
| 301 HENRY STREET | NORTH VERNON | IN | 47265 | 351841606 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT MADISON COUNTY HEALTH SYSTEM INC | ||||||||||
| 1331 SOUTH A STREET | ELWOOD | IN | 46036 | 350876389 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT MEDICAL GROUP INC | ||||||||||
| 8425 HARCOURT ROAD | INDIANAPOLIS | IN | 46260 | 272039417 | PHYSICIAN PROFESSIONAL SERVICES | IN | 501(c)(3 | 9 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT MERCY HOSPITAL FOUNDATION INC | ||||||||||
| 1331 SOUTH A STREET | ELWOOD | IN | 46036 | 311066871 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT MADISON COUNTY HEALTH SYSTEM INC | Yes (true) |
| ST VINCENT RANDOLPH HOSPITAL INC | ||||||||||
| 473 GREENVILLE AVENUE | WINCHESTER | IN | 47394 | 352103153 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC | ||||||||||
| 473 GREENVILLE AVENUE | WINCHESTER | IN | 47394 | 352133006 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT RANDOLPH HOSPITAL INC | Yes (true) |
| ST VINCENT RAS INC | ||||||||||
| 10330 N MERIDIAN STREET STE 400N | INDIANAPOLIS | IN | 46290 | 471289091 | RETAIL AMBULATORY SERVICES | IN | 501(c)(3 | 9 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT SALEM HOSPITAL INC | ||||||||||
| 911 N SHELBY STREET | SALEM | IN | 47167 | 270847538 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT SETON SPECIALTY HOSPITAL INC | ||||||||||
| 8050 TOWNSHIP LINE RD | INDIANAPOLIS | IN | 46260 | 351712001 | LONG TERM CARE HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT WILLIAMSPORT HOSPITAL INC | ||||||||||
| 412 N MONROE STREET | WILLIAMSPORT | IN | 47993 | 350784551 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC | ||||||||||
| 412 N MONROE STREET | WILLIAMSPORT | IN | 47993 | 743130159 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT WILLIAMSPORT HOSPITAL INC | Yes (true) |
| ST MARY'S AT HOME INC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 351899560 | DME/HOME CARE | IN | 501(c)(3 | Type I | ST MARY'S HEALTH INC | Yes (true) |
| ST MARY'S BUILDING CORPORATION | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 237248362 | REAL ESTATE HOLDING COMPANY | IN | 501(c)(2 | ST MARY'S HEALTH INC | Yes (true) | |
| ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES INC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 205342518 | AMBULANCE SERVICES | IN | 501(c)(4 | ST MARY'S HEALTH SERVICES INC | Yes (true) | |
| ST MARY'S HEALTH SERVICES INC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 351679526 | INVESTMENT SERVICES | IN | 501(c)(3 | Type III-FI | ST MARY'S HEALTH INC | Yes (true) |
| ST MARY'S CARE PARTNERS INC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 351899562 | TAX-EXEMPT AFFILIATE REIMBURSEMENTS | IN | 501(c)(3 | Type I | ST MARY'S HEALTH INC | Yes (true) |
| ST MARY'S HEALTH FOUNDATION INC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 237045370 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST MARY'S HEALTH INC | Yes (true) |
| ST MARY'S WARRICK HOSPITAL INC | ||||||||||
| 1116 MILLIS AVENUE | BOONVILLE | IN | 47601 | 351343019 | HOSPITAL | IN | 501(c)(3 | 3 | ST MARY'S HEALTH INC | Yes (true) |
| ST MARY'S OHIO VALLEY HEARTCARE LLC | ||||||||||
| 901 ST MARYS DRIVE | EVANSVILLE | IN | 47714 | 273474697 | DORMANT | IN | 501(c)(3 | Type I | ST MARY'S HEALTH INC | Yes (true) |
| ST MARY'S MEDICAL GROUP LLC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 261356310 | PHYSICIAN PROFESSIONAL SERVICES | IN | 501(c)(3 | 9 | ST MARY'S HEALTH INC | Yes (true) |
| PRIMARY PHYSICIAN NETWORK LLC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 208775914 | DORMANT | IN | 501(c)(3 | 9 | ST MARY'S HEALTH INC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BREAST MRI LEASING COMPANY LLC | ||||||||||||||
| 10330 N MERIDIAN STREET | STE 430N | INDIANAPOLIS | IN | 46290 | 426662493 | SALE AND RENTAL SERVICES | IN | STVINCENT HOSPITAL AND HEALTH CARE CENTER INC | Related | $55,134 | $44,032 | false | Yes (true) | 0.5 |
| CARMEL AMBULATORY SURGERY CENTER LLC | ||||||||||||||
| 13421 OLD MERIDIAN ST | STE 150 | CARMEL | IN | 46032 | 320014795 | AMBULATORY SURGERY CENTER | IN | STVINCENT CARMEL HOSPITAL INC | Related | $8,895,467 | $3,113,114 | false | Yes (true) | 0.51 |
| COOPERATIVE MANAGED CARE SERVICES LLC | ||||||||||||||
| 9045 RIVER ROAD | STE 250 | INDIANAPOLIS | IN | 46240 | 351999227 | CASE MANAGEMENT | IN | STVINCENT HOSPITAL AND HEALTH CARE CENTER INC | Unrelated | $343,243 | $2,673,553 | false | Yes (true) | 0.5 |
| ENDOSCOPY CENTER LLC | ||||||||||||||
| 13421 OLD MERIDIAN STREET | STE 150 | CARMEL | IN | 46032 | 320029881 | ENDOSCOPY CENTER | IN | STVINCENT CARMEL HOSPITAL INC | Related | $2,532,677 | $948,947 | false | false | 0.51 |
| HANCOCK PHYSICIAN NETWORK LLC | ||||||||||||||
| 801 N STATE STREET | GREENFIELD | IN | 46140 | 352051598 | PRIMARY CARE PHYSICAN PRACTICES | IN | STVINCENT HOSPITAL AND HEALTH CARE CENTER INC | Related | -$4,062,879 | $2,302,723 | false | Yes (true) | 0.5 | |
| HCH SVH CATH LAB SERVICES LLC | ||||||||||||||
| 1000 N 16TH STREET | NEW CASTLE | IN | 47362 | 452087950 | CATH LAB SERVICES | IN | STVINCENT HOSPITAL AND HEALTH CARE CENTER INC | Related | -$111,359 | $922,403 | false | Yes (true) | 0.5 | |
| MERIDIAN HEIGHTS ASSOCIATES LLC | ||||||||||||||
| 6100 W 96TH STREET | STE 250 | INDIANAPOLIS | IN | 46278 | 264020296 | REAL ESTATE HOLDING | IN | STVINCENT CARMEL HOSPITAL INC | Related | $0 | $3,816,193 | false | Yes (true) | 0.5 |
| NAAB ROAD SURGERY CENTER LLC | ||||||||||||||
| 8260 NAAB ROAD | STE 100 | INDIANAPOLIS | IN | 46260 | 351991390 | AMBULATORY SURGERY CENTER | IN | STVINCENT HOSPITAL AND HEALTH CARE CENTER INC | Related | $13,260,979 | $7,041,243 | false | Yes (true) | 0.51 |
| NEURO ONCOLOGY EQUIPMENT LLC | ||||||||||||||
| 10330 N MERIDIAN STREET | STE 430N | INDIANAPOLIS | IN | 46290 | 743103803 | SALE AND RENTAL SERVICES | IN | STVINCENT HOSPITAL AND HEALTH CARE CENTER INC | Related | $516,430 | $889,553 | false | Yes (true) | 0.5 |
| STVINCENT HEART CENTER OF INDIANA LLC | ||||||||||||||
| 10580 N MERIDIAN STREET | INDIANAPOLIS | IN | 46290 | 364492612 | HEART HOSPITAL | IN | CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC | Related | $23,588,791 | $74,298,048 | false | false | 0.7408 | |
| AMBULATORY CARE CENTER LLC | ||||||||||||||
| 1125 PROFESSIONAL BLVD | EVANSVILLE | IN | 47714 | 352006018 | OP SURGERY | IN | ST MARY'S HEALTH INC | Related | $6,707,801 | $4,313,256 | false | Yes (true) | 0.5 | |
| SETON HEALTH SERVICES LLC | ||||||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 270451316 | EQUIPMENT RENTAL | IN | ST MARY'S HEALTH INC | Related | $68,844 | $75,008 | false | Yes (true) | 0.5 | |
| TRI-STATE COMMUNITY CLINICS LLC | ||||||||||||||
| 8601 N KENTUCKY AVENUE | SUITE J | EVANSVILLE | IN | 47711 | 270885968 | PRIMARY CARE PHYSICIAN PRACTICES | IN | ST MARY'S HEALTH INC | Related | $207,402 | $1,577,388 | false | Yes (true) | 0.6 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S MEDICAL GROUP INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 WASHINGTON AVE | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47750 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352076827 | EIN |
| Primary Activities | INVESTMENT | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Ownership | 1 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST MARY'S BUILDING CORPORATION | ||
| K | $1,383,203 | FMV OF SERviCES OR CASH |
| ST MARY'S BUILDING CORPORATION | ||
| Q | $8,434,808 | FMV OF SERviCES OR CASH |
| ST MARY'S HEALTH FOUNDATION INC | ||
| C | $1,584,794 | FMV OF SERviCES OR CASH |
| ST MARY'S HEALTH FOUNDATION INC | ||
| Q | $460,969 | FMV OF SERviCES OR CASH |
| ST MARY'S MEDICAL GROUP LLC | ||
| R | $26,017,793 | FMV OF SERviCES OR CASH |
| ST MARY'S WARRICK HOSPITAL INC | ||
| P | $7,456,046 | FMV OF SERviCES OR CASH |
| Medxcel LLC | ||
| Q | $8,796,794 | FMV OF SERviCES OR CASH |
| ST MARY'S CARE PARTNERS INC | ||
| S | $303,743 | FMV OF SERviCES OR CASH |
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