ST MARYS WARRICK HOSPITAL INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: ST MARYS WARRICK HOSPITAL INC (EIN 35-1343019)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201731359349307958
Schema version: 2015v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T14:00:31-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	351343019	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARYS WARRICK HOSPITAL 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	1116 MILLIS AVENUE	AddressLine1Txt
City	BOONVILLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOHN L ZABROWSKI III	PersonNm
Person Title	CHIEF FINANCIAL OFFICER	PersonTitleTxt
Signature	2017-05-15	SignatureDt

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DAN PAROD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1116 MILLIS AVENUE	AddressLine1Txt
City	BOONVILLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$16,200,223	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.STMARYS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1971	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	ST. MARY'S WARRICK HOSPITAL, INC. IS A CRITICAL ACCESS HOSPITAL IN RURAL WARRICK COUNTY. THE HOSPITAL PROVIDES ACUTE CARE AND OUTPATIENT SERVICES TO PERSONS REGARDLESS OF ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	168	TotalEmployeeCnt
Total Volunteers	27	TotalVolunteersCnt
Total Gross UBI	$90,212	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$39,140	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,103,397	PYContributionsGrantsAmt
CY Contributions Grants	$16,698	CYContributionsGrantsAmt
PY Program Service Revenue	$14,397,326	PYProgramServiceRevenueAmt
CY Program Service Revenue	$15,910,394	CYProgramServiceRevenueAmt
PY Investment Income	$25,417	PYInvestmentIncomeAmt
CY Investment Income	$4,288	CYInvestmentIncomeAmt
PY Other Revenue	$335,489	PYOtherRevenueAmt
CY Other Revenue	$268,843	CYOtherRevenueAmt
PY Total Revenue	$18,861,629	PYTotalRevenueAmt
CY Total Revenue	$16,200,223	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,915,647	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,131,420	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$6,669,238	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$8,558,233	PYOtherExpensesAmt
CY Other Expenses	$8,814,273	CYOtherExpensesAmt
PY Total Expenses	$16,605,300	PYTotalExpensesAmt
CY Total Expenses	$15,483,511	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,256,329	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$716,712	CYRevenuesLessExpensesAmt
Total Assets BOY	$12,278,970	TotalAssetsBOYAmt
Total Assets EOY	$10,654,838	TotalAssetsEOYAmt
Total Liabilities BOY	$10,262,869	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$8,687,575	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,016,101	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,967,263	NetAssetsOrFundBalancesEOYAmt
Mission	ST. MARY'S WARRICK HOSPITAL, INC. IS A CRITICAL ACCESS HOSPITAL IN RURAL WARRICK COUNTY. THE HOSPITAL PROVIDES ACUTE CARE AND OUTPATIENT SERVICES TO PERSONS REGARDLESS OF ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$8,094,710	ExpenseAmt
Revenue	$15,906,371	RevenueAmt
Desc	ST. MARY'S WARRICK HOSPITAL, INC. (SMW) IS A NOT-FOR-PROFIT GENERAL SHORT-TERM CRITICAL ACCESS HOSPITAL SERVING WARRICK, POSEY, SPENCER, AND OTHER RURAL POPULATED COUNTIES SURROUNDING THE AREA WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY. DURING THE FISCAL YEAR ENDING JUNE 30, 2016, THE HOSPITAL PROVIDED HEALTHCARE TO 652 PATIENTS IN THE COMMUNITY FOR A TOTAL OF 6,853 PATIENT DAYS OF SERVICE. ADDITIONALLY, THE HOSPITAL ALSO PROVIDED SERVICES TO 21,626 OUTPATIENTS, INCLUDING 417 OUTPATIENT SURGERY SERVICES AND 6,713 EMERGENCY ROOM 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	$2,679,843	ExpenseAmt
Desc	SMW PROVIDES A SUBSTANTIAL PORTION OF ITS CORE HEALTH SERVICES TO THE POOR, UNINSURED, OR UNDER INSURED 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 WERE DEEMED INDIGENT UNDER STATE, COUNTY, OR HOSPITAL GUIDELINES WAS $2,679,843 WHICH INCLUDED $222,077 OF TRADITIONAL FINANCIAL ASSISTANCE AND $2,457,766 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	$18,424	ExpenseAmt
Desc	IN ADDITION TO CORE MEDICAL SERVICES, SMW 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, SMW PROVIDED $18,424 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, SMW PROVIDED A TOTAL COMMUNITY BENEFIT OF $2,698,267 IN FISCAL YEAR 2016.) SMW SERVES AND SUPPORTS ITS COMMUNITY THROUGH SUCH PROGRAMS AS HEALTH FAIRS AND SCREENINGS, TRANSPORTATION FOR PATIENT AT NO COST TO PATIENT, AS WELL AS VARIOUS COMMUNITY SUPPORT GROUPS. 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	$10,792,977	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	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	25	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	168	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
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	15	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	false	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 (30 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	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL HERRELL MD
CHAIR (THRU 11/15)	1.0	0.3	Yes (X)	Yes (X)	$0	$0	$0
LLOYD MCGINNIS MD
VICE CHAIR (THRU 11/15)	1.0	55.0	Yes (X)	Yes (X)	$0	$204,538	$14,923
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
GWEN SANDEFUR
SECRETARY/TREASURER (THRU 8/2015)	1.0	60.0	Yes (X)	Yes (X)	$0	$227,697	$22,256
PHILLIP L STIVER MD
SECRETARY	1.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
JERRY AIGNER
BOARD MEMBER (THRU 11/15)	1.0	0	Yes (X)		$0	$0	$0
MICHAEL ANDREAS
BOARD MEMBER (THRU 11/15)	1.0	0	Yes (X)		$0	$0	$0
RITA EYKAMP
BOARD MEMBER	1.0	2.3	Yes (X)		$0	$0	$0
KATHY HALL
EX-OFFICIO	1.0	55.0	Yes (X)		$0	$238,740	$44,771
JUDGE DONALD HENDRICKSON
BOARD MEMBER (THRU 11/15)	1.0	0	Yes (X)		$0	$0	$0
KEITH JEWELL
EX-OFFICIO	1.0	64.6	Yes (X)		$0	$783,468	$52,981
SHARON KAZEE
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
KELLY MITCHELL
BOARD MEMBER (THRU 11/15)	1.0	1.0	Yes (X)		$0	$0	$0
JAMES MOONEY MD
BOARD MEMBER (THRU 11/15)	1.0	0	Yes (X)		$11,125	$0	$0
JOSEPH O MURDOCK
BOARD MEMBER	1.0	42.0	Yes (X)		$0	$590,385	$42,598
STEWART PHILLIPS
BOARD MEMBER (THRU 11/15)	1.0	0	Yes (X)		$0	$0	$0
SALLY RIDEOUT
BOARD MEMBER	1.0	2.0	Yes (X)		$0	$0	$0
KARL SASH MD
BOARD MEMBER	1.0	56.0	Yes (X)		$0	$497,146	$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
MICHAEL R HINTON
BOARD MEMBER	1.0	2.2	Yes (X)		$0	$0	$0
MARK MARCHINO
EXECUTIVE DIRECTOR	45.0	5.0			$135,528	$15,600	$38,256	Yes (X)
JOHN SCHELLHASE
RN, EMERGENCY SERVICES	50.0	0			$116,549	$0	$14,763	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$263,201	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,557,574	TotReportableCompRltdOrgAmt
Total Other Compensation	$296,540	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HORIZON MENTAL HEALTH MANAGEMENT
PO Box 840839	DALLAS	TX	75284	Physician Services	$480,905
KENNETH R PARKER MD
2222 Huffman RD	BOONVILLE	IN	47601	Physician Services	$201,600
EVANSVILLE SURGICAL ASSOCIATES INC
520 Mary Street	EVANSVILLE	IN	47710	Physician Services	$151,414
SIGHTPATH MEDICAL INC
5775 W Old Shakopee Road	BLOOMINGTON	MN	55437	Physician Services	$106,078

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$16,698	RelatedOrganizationsAmt
Total Contributions	$16,698	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
INPATIENT REVENUE	621990	$5,294,110	$5,294,110
OUTPATIENT REVENUE	621990	$10,534,112	$10,534,112
REFERENCE LAB FEES	541380	$82,172		$82,172

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	$15,910,394	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,288	TotalRevenueColumnAmt
Exclusion	$4,288	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$90,050	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$90,050	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$90,050	TotalRevenueColumnAmt
Exclusion	$90,050	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
JAIL CLINIC	621990	$93,646	$93,646
VENDING MACHINE/CAFETERIA	900099	$58,206	$58,206
GYM MEMBERSHIP	900099	$22,924	$22,924

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,017	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$4,023	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,040	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$178,793	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,200,223	TotalRevenueColumnAmt
Related Or Exempt Func Income	$15,824,199	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$90,212	UnrelatedBusinessRevenueAmt
Exclusion	$269,114	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,125	TotalAmt
Program Services	$11,125	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$5,433,640	TotalAmt
Program Services	$4,445,821	ProgramServicesAmt
Management And General	$987,819	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$837,542	TotalAmt
Program Services	$685,590	ProgramServicesAmt
Management And General	$151,952	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$386,931	TotalAmt
Program Services	$316,732	ProgramServicesAmt
Management And General	$70,199	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$283,727	TotalAmt
Program Services	$283,727	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$36,168	TotalAmt
Management And General	$36,168	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

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

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$82,210	TotalAmt
Program Services	$22,632	ProgramServicesAmt
Management And General	$59,578	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$177,509	TotalAmt
Program Services	$1,100	ProgramServicesAmt
Management And General	$176,409	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$418,358	TotalAmt
Program Services	$342,457	ProgramServicesAmt
Management And General	$75,901	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$11,107	TotalAmt
Program Services	$4,610	ProgramServicesAmt
Management And General	$6,497	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$7,866	TotalAmt
Program Services	$2,897	ProgramServicesAmt
Management And General	$4,969	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$145,327	TotalAmt
Program Services	$43,282	ProgramServicesAmt
Management And General	$102,045	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$692,602	TotalAmt
Program Services	$206,275	ProgramServicesAmt
Management And General	$486,327	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$63,923	TotalAmt
Management And General	$63,923	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES	$3,411,343	$1,025,625	$2,385,718
PROVIDER TAX EXPENSE	$747,864	$747,864
MEDICAL FEES	$1,717,964	$1,717,964
MEDICAL SUPPLIES	$757,616	$748,652	$8,964

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$260,689	TotalAmt
Program Services	$186,624	ProgramServicesAmt
Management And General	$74,065	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,483,511	TotalAmt
Program Services	$10,792,977	ProgramServicesAmt
Management And General	$4,690,534	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,016,596	BOYAmt
EOY	$1,586,947	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,245,464	BOYAmt
EOY	$1,915,064	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$167,686	BOYAmt
EOY	$158,026	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,341	BOYAmt
EOY	$14,341	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$19,852,519	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,591,610	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,582,815	BOYAmt
EOY	$4,260,909	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	$17,767	BOYAmt
EOY	$19,208	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$255,151	BOYAmt
EOY	$250,203	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,979,150	BOYAmt
EOY	$2,450,140	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$12,278,970	BOYAmt
EOY	$10,654,838	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,980,187	BOYAmt
EOY	$1,521,152	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,282,682	BOYAmt
EOY	$7,166,423	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$10,262,869	BOYAmt
EOY	$8,687,575	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,016,101	BOYAmt
EOY	$1,967,263	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,016,101	BOYAmt
EOY	$1,967,263	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$12,278,970	BOYAmt
EOY	$10,654,838	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$716,712	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$28,622	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$736,928	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	$305	OtherActivitiesAmt
Total Lobbying Expenditures	$305	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 WARRICK HOSPITAL, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	LOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. ST. MARY'S WARRICK HOSPITAL, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$181,810	OtherCostOrOtherBasisAmt
Book Value	$181,810	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$11,670,469	OtherCostOrOtherBasisAmt
Depreciation	$8,585,418	DepreciationAmt
Book Value	$3,085,051	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,267	OtherCostOrOtherBasisAmt
Depreciation	$14,267	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,722,541	OtherCostOrOtherBasisAmt
Depreciation	$6,729,393	DepreciationAmt
Book Value	$993,148	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$263,432	OtherCostOrOtherBasisAmt
Depreciation	$262,532	DepreciationAmt
Book Value	$900	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$4,260,909	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
RECEIVABLE FROM 3RD PARTY PROGRAM	$92,218
AH DEFERRED COMPENSATION	$141,586
OTHER CURRENT ASSETS	$252,738
INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE	$827,535
PHYSICIAN GUARANTEE	$1,127,666
INTERCOMPANY RECEIVABLES	$8,397

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,450,140	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
INTERCOMPANY DEBT WITH ASCENSION HEALTH ALLIANCE	$3,551,539
PENSION LIABILITY	$1,725,246
INTERCOMPANY PAYABLE TO ST. MARY'S HEALTH, INC.	$620,386
DEFERRED COMPENSATION	$141,586
PHYSICIAN GUARANTEE	$1,127,666

Field	Value	IRS element (for citing)
Total Liability	$7,166,423	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	$222,077	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$222,077	NetCommunityBenefitExpnsAmt
Total Expense	0.0143	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,101,331	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$643,565	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,457,766	NetCommunityBenefitExpnsAmt
Total Expense	0.1587	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	$3,323,408	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$643,565	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,679,843	NetCommunityBenefitExpnsAmt
Total Expense	0.1731	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	750	PersonsServedCnt
Total Community Benefit Expns	$26,267	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,867	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	3	ActivitiesOrProgramsCnt
Persons Served	815	PersonsServedCnt
Total Community Benefit Expns	$6,557	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,557	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	1565	PersonsServedCnt
Total Community Benefit Expns	$32,824	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,400	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,424	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	1565	PersonsServedCnt
Total Community Benefit Expns	$3,356,232	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$657,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,698,267	NetCommunityBenefitExpnsAmt
Total Expense	0.1743	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	55	PersonsServedCnt
Total Community Benefit Expns	$730	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$730	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1250	PersonsServedCnt
Total Community Benefit Expns	$2,645	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,645	NetCommunityBenefitExpnsAmt
Total Expense	0.0002	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	25	PersonsServedCnt
Total Community Benefit Expns	$250	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$250	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	11	PersonsServedCnt
Total Community Benefit Expns	$391	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$391	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	4	ActivitiesOrProgramsCnt
Persons Served	1341	PersonsServedCnt
Total Community Benefit Expns	$4,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,016	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$668,158	BadDebtExpenseAmt
Bad Debt Expense Attributable	$66,816	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$11,279,302	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,359,871	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$80,569	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 WARRICK HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1116 MILLIS AVENUE	AddressLine1Txt
City	BOONVILLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47601	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.STMARYS.ORG/WARRICK	WebsiteAddressTxt
State License	15-005111-1	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
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 WARRICK HOSPITAL 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 WARRICK HOSPITAL, INC.. IN CONDUCTING ITS CHNA, THE HOSPITAL FACILITY CONDUCTED INTERVIEWS AND FOCUS GROUPS WITH COMMUNITY MEMBERS WHO HAVE A FUNDAMENTAL UNDERSTANDING OF WARRICK COUNTY'S HEALTH NEEDS AND REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. EIGHT KEY INFORMANT INTERVIEWS AND TWO FOCUS GROUP DISCUSSIONS PROVIDED INPUT ON THE COUNTY'S HEALTH CHALLENGES, THE SUB-POPULATIONS MOST IN NEED, AND EXISTING RESOURCES FOR THE COUNTY RESIDENTS. IN TOTAL, 26 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 WARRICK HOSPITAL, INC.. THE OTHER HOSPITAL FACILITIES WITH WHICH THE REPORTING HOSPITAL FACILITY CONDUCTED ITS CHNA INCLUDES ST. MARY'S HEALTH, INC. AND DEACONESS HEALTH SYSTEM.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - ST. MARY'S WARRICK HOSPITAL, 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, AND WELBORN BAPTIST FOUNDATION.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - ST. MARY'S WARRICK HOSPITAL, 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 WARRICK 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 THE AGE ADJUSTED DEATH RATE DUE TO CANCER BY: -IMPLEMENTING A COMMUNITY-WIDE CAMPAIGN THAT INTEGRATES EDUCATION AND BARRIER REDUCTION TO INCREASE BREAST CANCER AWARENESS AND SCREENINGS. -FINALIZING THE DATA REVIEW WHERE TO BEST TARGET THE NEED IN WARRICK COUNTY FOR MOBILE MAMMOGRAPHY. -DISTRIBUTING EDUCATIONAL BROCHURES AT COMMUNITY HEALTH FAIRS. -PROVIDING FREE SCREENINGS TO LOW-INCOME, UNINSURED AND UNDERINSURED WOMEN IN THE COMMUNITY. -INCREASING AWARENESS THROUGH MARKING IN YOUR HEALTH MAGAZINE AND MASS MEDIA. THE HOSPITAL FACILITY'S CHNA IDENTIFIED SUBSTANCE ABUSE, ACCESS TO HEALTH SERVICES, TRANSPORTATION, WOMEN'S AND MEN'S HEALTH, IMMUNIZATION AND INFECTIOUS DISEASE, AND ORAL HEALTH AS NEEDS TO THE COMMUNITY. THE HOSPITAL FACILITY DID NOT TAKE ACTION TO ADDRESS THESE NEEDS AS IT HAS LIMITED FINANCIAL AND OTHER RESOURCES. 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 WARRICK HOSPITAL, INC.. THE DISCOUNT WAS DETERMINED BY REVIEWING THE LOWEST DISCOUNT PROVIDED TO MANAGED CARE PAYERS THAT COMPRISE AT LEAST 3% OF OUR VOLUME WITH AN ADDED PROMPT PAY DISCOUNT TO THE HIGHEST PAID DISCOUNT PROVIDED TO OUR MANAGED CARE PAYERS.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c ELIGIBILITY FOR RECEIVING FREE CARE	THE ORGANIZATION PROVIDES MEDICALLY NECESSARY CARE TO ALL PATIENTS, REGARDLESS OF RACE, COLOR, CREED, ETHNIC ORIGIN, GENDER, DISABILITY, OR ECONOMIC STATUS. THE HOSPITAL USES A PERCENTAGE OF FEDERAL POVERTY LEVEL (FPL) TO DETERMINE FREE AND DISCOUNTED CARE. AT A MINIMUM, PATIENTS WITH INCOME LESS THAN OR EQUAL TO 200% OF THE FPL, 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, ARE ELIGIBLE TO 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 AN 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	WHILE MOST OF ST. MARY'S WARRICK HOSPITAL, INC.'S COMMUNITY BENEFIT ACTIVITIES DIRECTLY IMPACT THE HEALTH OF ITS COMMUNITIES, ST. MARY'S WARRICK HOSPITAL, INC. ALSO INVESTS IN COMMUNITY BUILDING ACTIVITIES THAT INDIRECTLY IMPROVE HEALTH BY IMPROVING QUALITY OF LIFE WITHIN THE COMMUNITY. RESEARCH HAS ESTABLISHED THAT FACTORS SUCH AS ECONOMIC STATUS, EMPLOYMENT, HOUSING, EDUCATION LEVEL, AND BUILT ENVIRONMENT CAN ALL BE POWERFUL SOCIAL DETERMINANTS OF HEALTH. ADDITIONALLY, HELPING TO CREATE GREATER CAPACITY WITHIN THE COMMUNITY TO ADDRESS A BROAD RANGE OF QUALITY OF LIFE ISSUES ALSO IMPACTS HEALTH.
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 BAD DEBT EXPENSE IN FISCAL YEAR 2016 WAS $1,832,579 AT CHARGES ($668,158 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 CONDITION, 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 THE 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 COST REPORTED IN THE ORGANIZATION'S MEDICARE COST REPORT. ASCENSION HEALTH AND ITS RELATED HEALTH MINISTRIES FOLLOW THE CATHOLIC HEALTH ASSOCIATION ("CHA") GUIDELINES FOR DETERMINING COMMUNITY BENEFIT. CHA COMMUNITY BENEFIT REPORTING GUIDELINES SUGGEST THAT MEDICARE SHORTFALL IS NOT TREATED AS 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 WARRICK HOSPITAL, 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 WARRICK HOSPITAL, 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 WARRICK HOSPITAL, INC: Line 16c URL: http://www.stmarys.org/patients-visitors/financial-assistance/;
Schedule H, Part VI, Line 2 Needs assessment	COMMUNITIES ARE DYNAMIC IN WHICH MULTIPLE FACTORS INTERACT TO IMPACT QUALITY OF LIFE AND HEALTH STATUS. AS A PART OF THE ST. MARY'S HEALTH SYSTEM, THE GOAL OF ST. MARY'S WARRICK HOSPITAL, INC. IS TO WORK WITH ITS COMMUNITY TO CONDUCT AN ASSESSMENT AT LEAST EVERY THREE YEARS IN PARTNERSHIP WITH ST. MARY'S HEALTH, INC. ASSESSMENTS MAY INCLUDE PRIMARY SURVEY DATA, SECONDARY SURVEY 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 WARRICK HOSPITAL, 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 WARRICK HOSPITAL, 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 WARRICK HOSPITAL, 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 CONTRACTS HEALTH ACCESS WORKERS AND ENROLLMENT SPECIALISTS WHO CONSULT WITH PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE PROGRAMS AND HELP PATIENTS IN APPLYING FOR ANY PUBLIC PROGRAMS FOR WHICH THEY MAY QUALIFY.
Schedule H, Part VI, Line 4 Community information	ST. MARY'S WARRICK HOSPITAL, INC. IS A CRITICAL ACCESS HOSPITAL LOCATED IN BOONVILLE, INDIANA SERVING WARRICK, POSEY, SPENCER AND OTHER RURAL POPULATED COUNTIES SURROUNDING THE AREA. ACCORDING TO THE 2016 COUNTY AND HEALTH RANKINGS, WARRICK COUNTY HAS A POPULATION OF 61,149 AND 11% OF THE CHILDREN IN WARRICK COUNTY ARE DEEMED TO LIVE IN HOUSEHOLDS BELOW THE POVERTY GUIDELINES. IN ADDITION, 14% OF THE ADULTS AND 7% OF THE CHILDREN LIVING IN WARRICK COUNTY DO NOT HAVE HEALTH INSURANCE. CHILD AND ADULT OBESITY CONTINUES TO BE ONE OF THE HIGHEST COMMUNITY ISSUES FOR WARRICK COUNTY WITH 28% OF ADULTS WITH A BODY MASS GREATER THAN 30. OTHER COMMUNITY ISSUES INCLUDE: - FAMILIES' UNDERSTANDING OF FINANCES, BUDGETING, AND TAX CREDITS; - UNDERSTANDING THE CYCLE OF POVERTY THAT OCCURS IN SUCCESSIVE GENERATIONS; - COST OF PRESCRIPTION MEDICINE; AND - AFFORDABLE AND ACCESSIBLE HEALTH CARE FOR LOW TO MODERATE INCOME INDIVIDUALS.
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 WARRICK HOSPITAL, INC.: - DELIVERS PATIENT SERVICES, INCLUDING EMERGENCY DEPARTMENT SERVICES, 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. - PARTICIPATES IN GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICAID AND MEDICARE TO THE POOR AND ELDERLY. - HOLDS MEMBERSHIP ON OTHER PUBLIC AGENCY BOARDS TO ENHANCE THE WELL BEING OF THE COMMUNITY IN PARTNERSHIP PROGRAMS.
Schedule H, Part VI, Line 6 Affiliated health care system	AS A PART OF ST. MARY'S HEALTH SYSTEM, ST. MARY'S WARRICK HOSPITAL, INC. IS DEDICATED TO IMPROVING THE HEALTH STATUS AND QUALITY OF LIFE FOR THE COMMUNITIES IT SERVES. WHILE DESIGNATED ASSOCIATES AT ST. MARY'S WARRICK HOSPITAL, INC. DEVOTE SIGNIFICANT PORTIONS OF TIME TO LEADING AND ADMINISTERING LOCAL COMMUNITY-BASED PROGRAMS AND PARTNERSHIPS, ASSOCIATES THROUGHOUT THE ORGANIZATION ARE ACTIVE PARTICIPANTS IN COMMUNITY OUTREACH. THEY ARE ASSISTED AND SUPPORTED BY DESIGNATED ST. MARY'S HEALTH COMMUNITY DEVELOPMENT AND SERVICE STAFF WHO WORK WITH EACH OF ITS HEALTHCARE FACILITIES TO ADVOCATE FOR AND PROVIDE TECHNICAL ASSISTANCE FOR COMMUNITY OUTREACH, NEEDS ASSESSMENTS AND PARTNERSHIPS AS WELL AS TO SUPPORT REGIONAL AND STATE-WIDE PROGRAMS, COMMUNITY PROGRAMS SPONSORED BY ST. MARY'S HEALTH IN WHICH ST. MARY'S WARRICK HOSPITAL, INC. PARTICIPATES.

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 (7 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
LLOYD MCGINNIS MD
VICE CHAIR (THRU 11/15)	$0	$122,887	$0	$79,563	$0	$2,088	$0	$9,872	$0	$5,051	$0	$219,461	$0	$0
GWEN SANDEFUR
SECRETARY/TREASURER (THRU 8/2015)	$0	$227,118	$0	$0	$0	$579	$0	$1,000	$0	$21,256	$0	$249,952	$0	$0
KATHY HALL
EX-OFFICIO	$0	$185,089	$0	$52,859	$0	$792	$0	$15,280	$0	$29,490	$0	$283,510	$0	$0
KEITH JEWELL
EX-OFFICIO	$0	$490,240	$0	$287,459	$0	$5,770	$0	$33,812	$0	$19,169	$0	$836,450	$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	$0	$304,462	$0	$136,981	$0	$55,704	$0	$27,911	$0	$38,081	$0	$563,138	$0	$54,512
MARK MARCHINO
EXECUTIVE DIRECTOR	$119,219	$15,550	$16,080	$0	$230	$50	$8,304	$498	$26,056	$3,399	$169,887	$19,497	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 CEO COMPENSATION

ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. MARY'S WARRICK HOSPITAL, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

Schedule J, Part I, Line 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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part IV, Line 24a PART IV, LINE 24A	ST. MARY'S WARRICK HOSPITAL, INC. IS A HEALTH FACILITY THAT IS PART OF THE ASCENSION HEALTH SYSTEM. ASCENSION HEALTH SYSTEM IS THE HOLDER OF THE TAX EXEMPT HOSPITAL REVENUE BONDS. ST. MARY'S WARRICK HOSPITAL, INC. HOLDS AN INTERCOMPANY NOTE PAYABLE WITH ASCENSION HEALTH AND THIS INFORMATION IS REPORTED ON THE BALANCE SHEET.
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 15 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 WARRICK HOSPITAL, 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. COMPENSATION DETERMINATIONS OF ST. MARY'S WARRICK HOSPITAL, 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 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 WARRICK HOSPITAL, INC. HAS A SINGLE CORPORATE MEMBER, ST. MARY'S HEALTH, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	ST. MARY'S WARRICK HOSPITAL, INC. HAS A SINGLE CORPORATE MEMBER, ST. MARY'S HEALTH, INC., WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF THE ST. MARY'S WARRICK HOSPITAL, INC. BOARD
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ST. MARY'S WARRICK HOSPITAL, INC.'S FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ST. MARY'S HEALTH, INC.
Form 990, Part VI, Line 11b Review of form 990 by governing body	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 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	NET INCOME WITH JV - Total Revenue: 1441, Related or Exempt Function Revenue: 1441, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; GOVERNMENT INCENTIVES - Total Revenue: -5914, Related or Exempt Function Revenue: -5914, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; INTERCOMPANY DRUG SCREENS - Total Revenue: 450, Related or Exempt Function Revenue: 450, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; HOUSEKEEPING - Total Revenue: 8040, Related or Exempt Function Revenue: , Unrelated Business Revenue: 8040, 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 - -793555; NET ASSET TRANSFER WITH RELATED ENTITIES - 56627;

Schedule R IRS990ScheduleR

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 HEALTH INC
3700 WASHINGTON AVENUE	EVANSVILLE	IN	47750	350869065	HOSPITAL	IN	501(c)(3	3	ST VINCENT HEALTH INC	false
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 (5 entries)

Address Line1USAddress/AddressLine1Txt	Address Line2USAddress/AddressLine2Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	OwnershipOwnershipPct
ENDOSCOPY CENTER LLC
13421 OLD MERIDIAN STREET	STE 150	CARMEL	IN	46032	320029881	ENDOSCOPY CENTER	IN	NA	N/A	0
STVINCENT HEART CENTER OF INDIANA LLC
10580 N MERIDIAN STREET		INDIANAPOLIS	IN	46290	364492612	HEART HOSPITAL	IN	NA	N/A	0
CARMEL AMBULATORY SURGERY CENTER LLC
13421 OLD MERIDIAN ST	STE 150	CARMEL	IN	46032	320014795	AMBULATORY SURGERY CENTER	IN	NA	N/A	0
NAAB ROAD SURGERY CENTER LLC
8260 NAAB ROAD	STE 100	INDIANAPOLIS	IN	46260	351991390	AMBULATORY SURGERY CENTER	IN	NA	N/A	0
TRI-STATE COMMUNITY CLINICS LLC
8601 N KENTUCKY AVENUE	SUITE J	EVANSVILLE	IN	47711	270885968	PRIMARY CARE PHYSICIAN PRACTICES	IN	NA	N/A	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	ST MARY'S MEDICAL GROUP INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3700 WASHINGTON AVE	AddressLine1Txt
City	EVANSVILLE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	47750	ZIPCd

Field	Value	IRS element (for citing)
EIN	352076827	EIN
Primary Activities	INVESTMENT	PrimaryActivitiesTxt
Legal Domicile State	IN	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	MEDXCEL LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionTypeTxt
Involved	$628,098	InvolvedAmt
Method Of Amount Determination	FMV OF SERIVCES OR CASH	MethodOfAmountDeterminationTxt