FURP.ORG / PUBLIC DATA EXPLORER

ST VINCENT FRANKFORT HOSPITAL INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ST VINCENT FRANKFORT HOSPITAL INC (EIN 35-2099320)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-13
IRS object ID
201521339349305292
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-13T17:46:12-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1111 Monument Circle Suite 2000AddressLine1
CityIndianapolisCity
StateINState
ZIP Code462045108ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352099320EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1StVincent Frankfort Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSTVIBusinessNameControlTxt
Phone7656563542PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 South Jackson StreetAddressLine1
CityFrankfortCity
StateINState
ZIP Code460410669ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas CrawfordPersonNm
Person TitleAdministratorPersonTitleTxt
Phone7656563133PhoneNum
Signature2015-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonShawna M JimenezPreparerPersonNm
PTINP01222873PTIN
Phone3174648600PhoneNum
Preparation2015-05-01PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerThomas CrawfordPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 South Jackson StreetAddressLine1
CityFrankfortCity
StateINState
ZIP Code460410669ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$31,509,272GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.stvincent.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionWe are a nonprofit hospital dedicated to providing healthcare that leaves no one behind.ActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee165TotalEmployeeCnt
Total Volunteers70TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$59,576PYContributionsGrantsAmt
CY Contributions Grants$32,197CYContributionsGrantsAmt
PY Program Service Revenue$30,422,243PYProgramServiceRevenueAmt
CY Program Service Revenue$29,457,747CYProgramServiceRevenueAmt
PY Investment Income$1,578,352PYInvestmentIncomeAmt
CY Investment Income$1,770,850CYInvestmentIncomeAmt
PY Other Revenue$263,775PYOtherRevenueAmt
CY Other Revenue$248,478CYOtherRevenueAmt
PY Total Revenue$32,323,946PYTotalRevenueAmt
CY Total Revenue$31,509,272CYTotalRevenueAmt
PY Grants And Similar Paid$203PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,967,735CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,581,507PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,888,691CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$16,206,691PYOtherExpensesAmt
CY Other Expenses$12,630,966CYOtherExpensesAmt
PY Total Expenses$26,788,401PYTotalExpensesAmt
CY Total Expenses$25,487,392CYTotalExpensesAmt
PY Revenues Less Expenses$5,535,545PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,021,880CYRevenuesLessExpensesAmt
Total Assets BOY$46,405,212TotalAssetsBOYAmt
Total Assets EOY$55,300,473TotalAssetsEOYAmt
Total Liabilities BOY$7,803,270TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,613,137TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$38,601,942NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$47,687,336NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSt.Vincent Frankfort Hospital is dedicated to providing spiritually-centered, holistic healthcare that sustains and improves the health of those served, with special attention to the poor and vulnerable. Both inpatient and outpatient health services are provided without regard to patient race, creed, national origin, economic status, insurance status or ability to pay. This mission extends well beyond the provision of core medical services to encompass medical and scientific research programs, the training and educating of health care professionals and active support of community-based partnerships and programs to improve health and quality of life.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$22,175,732ExpenseAmt
Grant$2,967,735GrantAmt
Revenue$29,457,747RevenueAmt
DescSt.Vincent Frankfort Hospital (SVFH) is a 25-bed, critical access hospital serving rural Clinton and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2014, SVFH treated 837 adults and children for a total of 3,460 inpatient days of service. The hospital also provided services for 35,193 outpatient visits, including 741 outpatient surgeries and 11,249 emergency room and minor care visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
DescSt.Vincent Frankfort Hospital (SVFH) provides a substantial portion of its core health services to the poor, uninsured or underinsured and has proactively taken steps to address the accessibility, financing, and delivery of healthcare to the underserved. In addition to core medical services, SVFH partners with its community to assess community assets and needs, with special emphasis on the poor and vunerable. During the fiscal year ending June 30, 2014, SVFH's total community benefit was ($147,941), which included $3,654,311 of DSH money related to fiscal year 2012 and 2013. If the DSH money were not paid in fiscal year 2014, SVFH's total community benefit would have been $3,506,370. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$22,175,732TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee165EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wayne Knight CFOBusinessNameLine1
FieldValueIRS element (for citing)
Phone7656563452PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 S Jackson StreetAddressLine1
CityFrankfortCity
StateINState
ZIP Code460410669ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Gloria Ponton
Chair0.200.00Yes (X)Yes (X)$0$0$0
R Mark Ellison Thru 42014
Secretary/Treasurer0.2040.00Yes (X)Yes (X)$0$203,381$39,934
Joseph D Dominik MD
Director40.000.00Yes (X)$0$152,913$27,771
Brett Eaton MD
Director0.200.00Yes (X)$0$0$0
Randy Ridgway
Director0.200.00Yes (X)$0$0$0
Ronald L Mead
Director0.2040.00Yes (X)$0$292,204$49,777
Don Rusk
Director0.200.00Yes (X)$0$0$0
Thomas D Crawford
Administrator40.000.40Yes (X)Yes (X)$179,257$0$38,716
Wayne R Knight
CFO15.0045.20Yes (X)$0$156,694$25,355
Jerrell K Marks Thru 92013
CFO40.000.20Yes (X)$114,813$0$11,530
Stephen D Tharp
CMO40.000.00Yes (X)$0$172,604$28,545
Kristi L Bledsoe
CNO40.000.00Yes (X)$116,691$0$20,682
Melissa M Roche
Physician40.000.00$217,888$0$23,078Yes (X)
Donald H Jacoby
Manager Pharmacy40.000.00$140,619$0$12,535Yes (X)
Krista K Wright
Director of HR40.000.20$108,932$0$25,231Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$878,200TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$977,796TotReportableCompRltdOrgAmt
Total Other Compensation$303,154TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
TX Team Rehab Inc
8777 Purdue Rd Ste 330IndianapolisIN46268PT/OT services$811,101
Emcare
1717 Main Street Ste 5200DallasTX75201Medical services$755,276
Mid America Clinical Labs
6704 Reliable ParkwayChicagoIL60686Lab services$396,090
Ameripath Indianapolis LLC
2560 N Shadeland Ave Ste AIndianapolisIN46219Pathology services$142,802
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Related Organizations$32,197RelatedOrganizationsAmt
Total Contributions$32,197TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Medicare/Medicaid621990$17,940,018$17,940,018
Net patient revenue621990$11,517,729$11,517,729
FieldValueIRS element (for citing)
Total Program Service Revenue$29,457,747TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,770,850TotalRevenueColumnAmt
Exclusion$1,770,850ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$129,420RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$129,420RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$129,420TotalRevenueColumnAmt
Exclusion$129,420ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria revenue722210$113,953$113,953
Pharmacy revenue446110$5,105$5,105
FieldValueIRS element (for citing)
Other Revenue Total$119,058OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,509,272TotalRevenueColumnAmt
Related Or Exempt Func Income$29,457,747RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,019,328ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,967,735TotalAmt
Program Services$2,967,735ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$481,691TotalAmt
Management And General$481,691ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,374,882TotalAmt
Program Services$6,426,553ProgramServicesAmt
Management And General$948,329ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,588,170TotalAmt
Program Services$1,383,949ProgramServicesAmt
Management And General$204,221ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$443,948TotalAmt
Program Services$386,861ProgramServicesAmt
Management And General$57,087ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$911,943TotalAmt
Program Services$794,677ProgramServicesAmt
Management And General$117,266ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,566TotalAmt
Program Services$8,336ProgramServicesAmt
Management And General$1,230ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15TotalAmt
Program Services$13ProgramServicesAmt
Management And General$2ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$530,005TotalAmt
Program Services$461,852ProgramServicesAmt
Management And General$68,153ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,312,017TotalAmt
Program Services$2,014,717ProgramServicesAmt
Management And General$297,300ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$32,836TotalAmt
Program Services$28,614ProgramServicesAmt
Management And General$4,222ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$15,873TotalAmt
Program Services$13,832ProgramServicesAmt
Management And General$2,041ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$418,574TotalAmt
Program Services$364,750ProgramServicesAmt
Management And General$53,824ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$30,107TotalAmt
Program Services$30,107ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased services$3,068,467$2,673,896$394,571
Supplies$1,436,407$1,251,701$184,706
Corporate expense$1,331,806$1,160,550$171,256
Provider tax expense$1,168,414$1,018,169$150,245

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,364,936TotalAmt
Program Services$1,189,420ProgramServicesAmt
Management And General$175,516ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$25,487,392TotalAmt
Program Services$22,175,732ProgramServicesAmt
Management And General$3,311,660ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$161,282BOYAmt
EOY$118,241EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,912,343BOYAmt
EOY$5,898,952EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$422,974BOYAmt
EOY$495,978EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$22,365BOYAmt
EOY$163,500EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,230,111LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,862,174LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,612,958BOYAmt
EOY$2,367,937EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$40,273,290BOYAmt
EOY$46,255,865EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$46,405,212BOYAmt
EOY$55,300,473EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,630,008BOYAmt
EOY$3,194,128EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,173,262BOYAmt
EOY$4,419,009EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,803,270BOYAmt
EOY$7,613,137EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$38,567,700BOYAmt
EOY$47,633,643EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,242BOYAmt
EOY$53,693EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,601,942BOYAmt
EOY$47,687,336EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$46,405,212BOYAmt
EOY$55,300,473EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,021,880ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,973,706NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$89,808OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$1,568OtherActivitiesAmt
Total Lobbying Expenditures$1,568TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationLobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St.Vincent Frankfort 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.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$160,146OtherCostOrOtherBasisAmt
Book Value$160,146BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,646,735OtherCostOrOtherBasisAmt
Depreciation$1,277,020DepreciationAmt
Book Value$1,369,715BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,241OtherCostOrOtherBasisAmt
Depreciation$39,582DepreciationAmt
Book Value$26,659BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,340,076OtherCostOrOtherBasisAmt
Depreciation$4,545,572DepreciationAmt
Book Value$794,504BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,913OtherCostOrOtherBasisAmt
Book Value$16,913BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,367,937TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Interest in investments held by Ascension Health Alliance$45,353,668
Other receivables and notes receivable$208,767
Restricted by donor or grantor$53,693
Receivables from third party payors$400,249
Pension plan$239,488
FieldValueIRS element (for citing)
Total Book Value Other Assets$46,255,865TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Due to St.Vincent Hospital and Health Care Center, Inc. (EIN: 35-0869066)$2,073,141
Other$375,123
Payable to third party programs$1,477,980
Intercompany debt with Ascension Health Alliance$492,765
FieldValueIRS element (for citing)
Total Liability$4,419,009TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationThe System accounts for uncertainty in income tax positions by applying a recognition threshold and measurement attribute for financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. The System has determined that no material unrecognized tax benefits or liabilities exist as of June 30, 2014.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,588,914TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,588,914NetCommunityBenefitExpnsAmt
Total Expense0.06230TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,497,616TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,290,128DirectOffsettingRevenueAmt
Net Community Benefit Expns-$1,792,512NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,086,530TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,290,128DirectOffsettingRevenueAmt
Net Community Benefit Expns-$203,598NetCommunityBenefitExpnsAmt
Total Expense0.06230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served113PersonsServedCnt
Total Community Benefit Expns$32,467TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$390DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,077NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served13PersonsServedCnt
Total Community Benefit Expns$23,580TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$23,580NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served126PersonsServedCnt
Total Community Benefit Expns$56,047TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$390DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,657NetCommunityBenefitExpnsAmt
Total Expense0.00220TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served126PersonsServedCnt
Total Community Benefit Expns$7,142,577TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,290,518DirectOffsettingRevenueAmt
Net Community Benefit Expns-$147,941NetCommunityBenefitExpnsAmt
Total Expense0.06450TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Persons Served2PersonsServedCnt
Total Community Benefit Expns$80TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$80NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served2PersonsServedCnt
Total Community Benefit Expns$80TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$80NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$807,183BadDebtExpenseAmt
Bad Debt Expense Attributable$242,155BadDebtExpenseAttributableAmt
Reimbursed By Medicare$8,413,865ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,330,559CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$83,306MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1StVincent Frankfort Hospital IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 S Jackson StreetAddressLine1
CityFrankfortCity
StateINState
ZIP Code460410669ZIPCode
FieldValueIRS element (for citing)
Website Addresshttp://www.stvincent.org/St-Vincent-FrWebsiteAddressTxt
State License14-005039-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1StVincent Frankfort Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.stvincent.org/CHNA/OwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Include Operational PlanYes (X)IncludeOperationalPlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs Addressed0AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt CareYes (1)FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
Income LevelYes (X)IncomeLevelInd
Asset LevelYes (X)AssetLevelInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Attached To InvoiceYes (X)AttachedToInvoiceInd
Posted In Emergency RoomYes (X)PostedInEmergencyRoomInd
Posted In Admission OfficeYes (X)PostedInAdmissionOfficeInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
St.Vincent Frankfort Hospital, Inc.Part V, Section B, Line 3: In conducting its CHNA, the hospital facility took into account input from representatives of the community as well as those with special knowledge or expertise in public health. The hospital formed a CHNA Task Force, which was the group primarily responsible for overseeing the CHNA process, consisting of internal St.Vincent Frankfort Hospital staff. However, due to her expertise in public health and epidemiology, the effort was led by Pauline Shen, an Indiana-based epidemiologist and consultant with extensive experience in public health. Throughout this process, the task force met monthly to discuss strategy and the progress made toward the completion of the comprehensive community health needs assessment. Other organizations who participated in the CHNA included Wesley Manor, Purdue Extension, Head Start, YMCA, Learning Network, Frankfort Public Schools, Clinton County Health Department, Community Counseling Center, WIC, Clinton County Tobacco Prevention & Cessation Program, Chamber of Commerce, government officials, and more.
St.Vincent Frankfort Hospital, Inc.Part V, Section B, Line 7: Dental Addressing this issue is not a direct priority of St.Vincent Frankfort; however, the hospital supports the efforts of organizations focused on dental issues. Educational Attainment - Addressing this issue is not a direct priority of St.Vincent Frankfort; however, the hospital provides a clinic site for the certified nursing assistant program in Clinton County. Teen Pregnancy - Addressing this issue is not a direct priority of St.Vincent Frankfort; however, the hospital does support efforts of the PEERS Program that focuses on abstinence for high school students.
St.Vincent Frankfort Hospital, Inc.Part V, Section B, Line 20d: 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.

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:The organization provides medically necessary care to all patients, regardless of race, color, creed, ethnic origin, gender, disability or economic status. The hospital uses a percentage of federal poverty level (FPL) to determine free and discounted care. At a minimum, patients with income less than or equal to 200% of the FPL, which may be adjusted for cost of living utilizing the local wage index compared to the national wage index, will be eligible for 100% charity care write off of charges for services that have been provided to them. Also, at a minimum, patients with incomes above 200% of the FPL but not exceeding 400% of the FPL, subject to adjustments for cost of living utilizing the local wage index compared to national wage index, will receive a discount on the services provided to them.
Part I, Line 7: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.
Part II, Community Building Activities:St.Vincent Frankfort Hospital promotes the health of its communities by striving to improve the quality of life within the community. Research has established that factors such as economic status, employment, housing, education level, and built environment can all be powerful social determinants of health. Additionally, helping to create greater capacity within the community to address a broad range of quality of life issues also impacts health. St.Vincent Frankfort Hospital meets regularly with local organizations in the community to learn what resources are available and plan community health improvement efforts. In fiscal year 2014, these organizations included: the Chamber of Commerce, Paul Phillippe Senior Resource Center, Frankfort Main Street Board, the Clinton County Economic Advancement Foundation and United Way.
Part III, Line 2: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 2014 was $2,445,773 at charges, ($807,183 at cost).
Part III, Line 3:The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Part III, Line 4:The organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense is located on page 19.
Part III, Line 8:A cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Part III, Line 9b: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.
Part VI, Line 2:Communities are dynamic systems in which multiple factors interact to impact quality of life and health status. In addition to the formal CHNA conducted every 3 years, St.Vincent Frankfort Hospital helps to lead a community roundtable called Healthy Communities of Clinton County Coalition whose purpose is to assess needs within the community, prioritize action and work in partnership to address identified challenges. The coalition works closely with its member organizations which come from multiple sectors of the community, including local government, business, education, faith communities, public health, health care providers and other social and human service organizations. In addition, the coalition works closely with other coalitions as well as the local and state health departments to stay abreast of changing needs within the community by identifying evidence-based and promising practices to address these needs.
Part VI, Line 3:St.Vincent Frankfort Hospital 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, and bills contain a formal notice explaining the hospital's charity care program. In addition, the hospital employs financial counselors, health access workers, and enrollment specialists who consult with patients about their eligibility for financial assistance programs and help patients in applying for any public programs for which they may qualify.
Part VI, Line 4:St.Vincent Frankfort Hospital (SVFH) is located in Frankfort, Indiana and serves rural Clinton and contiguous counties, in northwest Central Indiana. Clinton County has a population of 32,916. Per capita personal income is below state average while median household income is above state average. Clinton County's unemployment rate of 7.1% and poverty rate of 13.8% are below the state averages. Manufacturing is the county's leading industry, accounting for 34.6% of total employment.
Part VI, Line 5:To provide the highest quality healthcare to all persons in the community, and in keeping with its not-for-profit status, St.Vincent Frankfort Hospital:- 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- trains and educates health care professionals- participates in government-sponsored programs such as Medicaid and Medicare to provide healthcare to the poor and elderly- is governed by a board in which independent persons who are representative of the community comprise a majority
Part VI, Line 6:As part of the St.Vincent Health System, St.Vincent Frankfort Hospital is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St.Vincent Frankfort Hospital devote all or a significant portion of their time to leading and administering local community-based programs and partnerships, associates throughout the organization are active participants in community outreach. They are assisted and supported by designated St.Vincent Health Community Development associates and other support staff who work with each of its healthcare facilities to advocate for and provide technical assistance for community outreach, needs assessments and partnerships as well as to support regional and state-wide programs, community programs sponsored by St.Vincent Health in which St.Vincent Frankfort Hospital participates.
Form 990, Part III, Line 4a, 4b and 4c:Community Benefit ReportSt.Vincent Frankfort Hospital also provides the following medical services: Cancer (Oncology), Diabetes Care, Gastroenterology, Emergency Medicine, Heart (Cardiovascular), Immediate Care, Laboratory, Maternity (Obstetrics), Mental Health (Psychiatry), Pastoral Care, Radiology, Rehabilitation Therapy, Respiratory Care, Surgery, and Women's Services. Some of these services operate at a loss in order to ensure that comprehensive services are available to the community.Such community-focused programs improve access to healthcare, advocate for the poor and vulnerable, promote health through free education and screenings and help build better communities by improving quality of life.
Community Benefit OverviewSt.Vincent Frankfort Hospital is part of St.Vincent Health, a non-profit healthcare system consisting of 22 locally-sponsored ministries serving over 47 counties throughout Central Indiana. Sponsored by Ascension Health, the nation's largest Catholic healthcare system, St.Vincent Health is one of the largest healthcare employers in the state. As part of St.Vincent Health, the St.Vincent Frankfort vision is to deliver a continuum of holistic, high-quality health services and improve the lives and health of Indiana individuals and communities, with special attention to the poor and vulnerable. This is accomplished through strong partnerships with businesses, community organizations, local, state and federal government, physicians, St.Vincent Frankfort associates and others. Working with its partners, and utilizing the CHNA completed every three years, St.Vincent Frankfort Hospital is committed to addressing community health needs and developing and executing an implementation strategy to meet identified needs to improve health outcomes within the community. Community benefit is not the work of a single department or group within St.Vincent Frankfort, but is part of the St.Vincent mission and cultural fabric. The hospital leadership team provides direction and resources in developing and executing the Implementation Strategy in conjunction with the St.Vincent Health Community Development Department, but associates at all levels of the organization contribute to community benefit and health improvement.
Charity Care and Certain Other Community Benefits at CostPatient Services for Poor and Vulnerable Hospital and outpatient care is provided to patients that cannot pay for services, including hospitalizations, surgeries, prescription drugs, medical equipment and medical supplies. Patients with income less than 200% of the Federal Poverty level (FPL) are eligible for 100% charity care for services. Patients with incomes at or above 200% of the FPL, but not exceeding 400% of the FPL, receive discounted services based on an income-dependent sliding scale. Hospital financial counselors and health access workers assist patients in determining eligibility and in completing necessary documentation. St.Vincent Frankfort Hospital is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. Public Program Participation St.Vincent Frankfort Hospital participates in government programs including Medicaid, SCHIP (Hoosier Healthwise), Healthy Indiana Plan (HIP), the Insurance Exchange and Medicare and assists patients in enrolling for programs for which they are eligible. Per Catholic Health Association guidelines and St.Vincent Health's conservative approach, Medicare shortfall is not included as community benefit. Community Health Needs Assessment True community benefit responds to the particular needs and challenges of the community, building on its unique strengths and assets. The hospital leads a community health needs assessment every 3 years. Using a variety of tools, including surveys, key person interviews, focus groups, secondary data, and data analysis professionals, the team identifies community issues and concerns. These are shared with the community at large, and a consensus is reached about priorities and available resources. To provide community input and a basis for collaboration within the community to address health needs, St.Vincent leads or participates in a community roundtable or forum. This group brings together individuals and organizations from throughout the community who share a common interest in improving health status and quality of life and provide expertise in a variety of community areas including public health. Tobacco use, obesity, drug use and abuse, and access to healthcare have all been identified as key community needs.Implementation Strategy Using the CHNA completed in fiscal year 2013, the hospital developed a 2014-2016 Implementation Strategy to address priority community health needs. These strategies include:1. Tobacco UseEducate children of the harms of smokeless tobacco, provide smoking cessation program, create new policy, systems, and environmental changes with new grant funding- Educate all Clinton County elementary schools about the harms of smokeless tobacco. - Continue providing smoking cessation classes.- Manage ITPC and ACHIEVE grant funds in partnership with Healthy Communities of Clinton County Coalition.2. ObesityInitiate a healthy foods policy/pledge and guidelines for the hospital - Work with Touch Point in creating policy/pledge and plan.- Create stoplight and healthy food percentages.- Present to administrator for approval.- Educate the associates.3. Drug Use & AbuseOrganize a "Get rid of your Prescription Drugs" Day and a Prescription Drug Seminar- Plan a Prescription Drug Drop Off Day.- Partner with Sheriff's Department at health fair.- Plan a prescription Drug Seminar.- Create pamphlet packet of drug abuse for physicians and emergency department.4. Access to HealthcareCoordinate access for vulnerable community members through a Health Access Worker (HAW)- Work with community based agencies, programs, services and providers to coordinate care for vulnerable community members.- Access referrals and assist clients based on Pathway indicators.- Document client intervention/assistance in eCAP.- Report completed Pathways on a quarterly basis and work on identified barriers to access with community stakeholders (goal of 300 completed Pathways a year).Rural and Urban Access to HealthAs part of its commitment to 100% access, St.Vincent Frankfort Hospital is one of eight St.Vincent Health ministries that participate in Rural and Urban Access to Health (RUAH), a community-based care coordination program. Effective care coordination provides a strategy for addressing certain social determinants of health by assuring barriers to care are addressed and individuals are connected to critical prevention and treatment services. Central to the program is a Health Access Worker whose role is to connect the hospital to the community by helping individuals address barriers to health care, and referring them to other local resources as needed. The Health Access Worker assists individuals with finding a medical home; applying for public programs such as Medicaid, food stamps and the Healthy Indiana Plan; and in assessing needs so that referrals can be made for other forms of community-based assistance. The Health Access Worker also advocates for clients with service providers and serves as a system navigator. RUAH outcomes are measured using the Pathways Model with 5 defined pathways/protocols (enrollment, medical home, pregnancy, medical referral and social services) as a means of tracking interventions and improving accountability towards positive, measurable changes in patients' lives. During fiscal year 2014, the Health Access Worker opened 1,026 pathways and completed 566 pathways.Medication AssistanceIn addition to care coordination, RUAH assists patients who meet income guidelines in obtaining free or reduced-cost prescription drugs. St.Vincent Frankfort Hospital provides a sophisticated and continually-updated database to track eligibility and requirements that vary by company and medication. In fiscal year 2014, the medication assistant helped patients obtain a total of 2,080 medications for which the average wholesale price totaled $880,003. Community Health Education St.Vincent Frankfort Hospital provides health education on a number of topics and issues facing the local community throughout the year. In fiscal year 2014, the following health education was provided: CPR, breastfeeding, diabetes care and smoking cessation. Approximately 593 people received health education in fiscal year 2014. Health Fairs and ScreeningsSt.Vincent Frankfort Hospital participates in several health fairs and screening events each year, including their annual health fair which is held at the Clinton County Fairgrounds. Participants can be tested for blood pressure, blood glucose, cholesterol, fitness testing, and more at low or no cost. Materials on health information and preventive services are a vital part of health fairs and screenings. During fiscal year 2014, St.Vincent Frankfort Hospital served over 1,000 people through its participation in these health fairs and screenings.Healthy Communities of Clinton County CoalitionHealthy Communities of Clinton County Coalition began 9 years ago as a partnership between St.Vincent Frankfort and Purdue Extension. Based on the results of the community health needs assessment, the coalition has focused on tobacco prevention and cessation, obesity prevention, and the elimination of minority health disparities. Partnering with local, state and national partners, the coalition has been instrumental in advocating policy, system and environmental changes that make the healthy choice the easy choice. In addition to the tobacco and obesity efforts described, the coalition has helped 2 school systems in the county attract federal/state dollars to encourage safe walking and riding to school. The coalition also received grant funding to reevaluate the change (community health assessment and group evaluation) tools that were performed 2 years ago from the ACHIEVE (Action Communities for Health Innovation and Environmental Change) grant. This grant will analyze what has been accomplished and help motivate the community to do more to improve the health of Clinton County.Immunizations and Flu ShotsVaccinations are one of the best ways to stop an epidemic and prevent the spread of diseases. St.Vincent Frankfort Hospital provided approximately 100 flu shots and over 3,000 immunizations, free of charge, to the elderly, college students, and children during fiscal year 2014.
Tobacco Prevention and CessationThe Healthy Communities of Clinton County Coalition recognizes tobacco use as one of the leading causes of preventable death in Indiana. Representing the Healthy Communities of Clinton County Coalition and serving as its fiscal agent, St.Vincent Frankfort Hospital applied for, and was awarded, Indiana Tobacco Prevention & Cessation funds. These funds support a part-time tobacco prevention coordinator for Clinton County, whose efforts include the initiation of campus-wide smoke-free policies for schools and healthcare facilities; education at schools and workplace health fairs; and advocating to service organizations the positive impact of smoke-free policies. The hospital also, independently, provides Stop Smoking classes, free-of-charge, to anyone needing help with this addiction. During fiscal year 2014, 60 people participated in these classes.Community Benefit Cash and In-Kind ContributionsIn addition to the outreach programs operated by the hospital, the hospital makes cash and in-kind donations to a variety of community organizations focused on improving health status in the community. These take the form of cash donations to outside organizations, the donation of employee time/services to outside organizations and the representation of the hospital on community boards and committees working to improve health status and quality of life within the community.
Community Building ActivitiesResearch shows that social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status. Partnering to Build a Better CommunityWith the support and leadership of county government, the Healthy Communities of Clinton County Coalition has also focused on infrastructure initiatives. The city of Frankfort passed a complete streets ordinance to encourage walking and biking paths in conjunction with streets. This creates a healthier environment and promotes other options of transportation. Also, a Health Action Plan was developed and adopted as part of the Clinton County Comprehensive Plan. Community Building Cash and In-Kind ContributionThe hospital makes cash and in-kind donations to a variety of community organizations focused on building the community and improving quality of life. These take the form of cash donations to outside organizations, the donation of employee time/services to outside organizations and the representation of the hospital on community boards and committees working to improve infrastructure for the community.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1StVincent Health IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line110330 N Meridian Street Ste 430NAddressLine1
CityIndianapolisCity
StateINState
ZIP Code46290ZIPCode
FieldValueIRS element (for citing)
Recipient EIN352052591RecipientEIN
IRC Section501 (c)(3)IRCSectionDesc
Cash Grant$2,967,735CashGrantAmt
Purpose Of GrantNet cash transfer to parent company's centralized cash accountPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe finance committee ensures that funds are distributed appropriately according to Ascension Health's strategic business plan and consistent with corporate policies and procedures.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
R Mark Ellison Thru 42014
Secretary/Treasurer$0$193,865$0$0$0$9,516$0$18,794$0$21,140$0$243,315$0$0
Joseph D Dominik MD
Director$0$121,406$0$30,905$0$602$0$14,493$0$13,278$0$180,684$0$0
Ronald L Mead
Director$0$264,039$0$0$0$28,165$0$35,511$0$14,266$0$341,981$0$0
Thomas D Crawford
Administrator$178,555$0$0$0$702$0$19,064$0$19,652$0$217,973$0$0$0
Wayne R Knight
CFO$0$153,735$0$0$0$2,959$0$9,463$0$15,892$0$182,049$0$0
Stephen D Tharp
CMO$0$171,785$0$138$0$681$0$14,974$0$13,571$0$201,149$0$0
Melissa M Roche
Physician$198,760$0$1,069$0$18,059$0$5,106$0$17,972$0$240,966$0$0$0
Donald H Jacoby
Manager Pharmacy$139,898$0$0$0$721$0$10,329$0$2,206$0$153,154$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationSt.Vincent Health, Inc., a related organization of St.Vincent Frankfort 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 committeeExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6St.Vincent Frankfort Hospital, Inc. has a single corporate member, St.Vincent Health, Inc.
Form 990, Part VI, Section A, line 7aSt.Vincent Frankfort Hospital, Inc. has a single corporate member, St.Vincent Health, Inc. who has the ability to elect members to the governing body of St.Vincent Frankfort Hospital, Inc.
Form 990, Part VI, Section A, line 7bAll decisions that have a material impact to St.Vincent Frankfort Hospital, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St.Vincent Health, Inc.
Form 990, Part VI, Section B, line 11Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form 990 to a designated committee of the Board to review and answer any questions. Prior to filing the returns, all Board members are provided the Form 990 and management team members are available to answer any Board member questions.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committee with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax exempt purpose.
Form 990, Part VI, Section B, line 15bCompensation determinations of St.Vincent Frankfort Hospital, Inc.'s CEO, executive director, or top management official is made by St.Vincent Health, Inc.'s management. The process includes a review and approval by independent persons and comparability data. In review of the compensation, the CEO, executive director, and top management were compared to other hospitals in the area that hold the same position. Compensation determinations of St.Vincent Frankfort Hospital, Inc.'s other officers or key employees are made by St.Vincent Frankfort Hospital, Inc.'s management. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same position.
Form 990, Part VI, Section C, line 19The organization will provide any documents open to public inspection upon request.
Form 990, Part IX, Line 1:During the fiscal year, St.Vincent Frankfort Hospital, Inc.'s parent, St.Vincent Health, Inc., moved to a centralized bank account for all of their related organizations. Some of the amounts shown on Form 990, Part IX, Line 1 represent cash transfers to their parent organization's centralized bank account.
Form 990, Part XI, line 9:FAS 158 pension liability 89,808.
Part IV, Line 24A:Tax Exempt Bond Issuance St.Vincent Frankfort Hospital, Inc. is a health facility that is part of Ascension Health System. Ascension Health is the borrower for tax exempt hospital revenue bonds. St.Vincent Frankfort Hospital, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (44 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health Alliance
PO Box 45998St LouisMO631455998453358926National health systemMO501(C)(3)11A, IN/A0
Ascension Health
PO Box 45998St LouisMO63145311662309National health systemMO501(C)(3)11A, I0Ascension Health Alliance
Central Indiana Health System Cardiac Services Inc
2001 W 86th StreetIndianapolisIN46260351869951Freestanding outpatient centerIN501(C)(3)11C, III-FIYes (1)StVincent Hospital & Health Care Center Inc
Rehabilitation Hospital of Indiana Inc
4141 Shore DriveIndianapolisIN46254351786005Rehabilitation hospitalIN501(C)(3)3Yes (1)StVincent Health Inc
SVH Real Estate Inc
10330 N Meridian Street Ste 430NIndianapolisIN46290205002285Real estate holding companyIN501(C)(3)11A, IYes (1)StVincent Health Inc
StJoseph Hospital & Health Center Inc
1907 W Sycamore StreetKokomoIN46901350992717HospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StJoseph Foundation of Kokomo Indiana Inc
1907 W Sycamore StreetKokomoIN46901237313206Supporting organizationIN501(C)(3)11A, IYes (1)StJoseph Hospital & Health Center Inc
StVincent Anderson Regional Hospital Inc
2015 Jackson StreetAndersonIN46016460877261HospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Anderson Regional Hospital Foundation Inc
2015 Jackson StreetAndersonIN46016352053693Supporting organizationIN501(C)(3)11A, IYes (1)StVincent Anderson Regional Hospital Inc
StVincent Carmel Hospital Inc
13500 N Meridian StreetCarmelIN46032743107055HospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Clay Hospital Inc
1206 E National AvenueBrazilIN47834352112529Critical access hospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Dunn Hospital Inc
1600 23rd StreetBedfordIN47421272192831Critical access hospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Frankfort Hospital Inc
1300 S JacksonFrankfortIN46041352099320Critical access hospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Frankfort Hospital Foundation Inc
1300 S JacksonFrankfortIN46041351531734Supporting organizationIN501(C)(3)11A, IYes (1)StVincent Frankfort Hospital Inc
StVincent Health Inc
10330 N Meridian Street Ste 430NIndianapolisIN46290352052591Parent companyIN501(C)(3)11C, III-FI0Ascension Health
StVincent Health Wellness and Preventive Care Institute Inc
8333 Naab Road Ste 301IndianapolisIN46260461227327Health and wellness servicesIN501(C)(3)9Yes (1)StVincent Health Inc
StVincent Hospital and Health Care Center Inc
2001 W 86th StreetIndianapolisIN46260350869066HospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Hospital Foundation Inc
10330 N Meridian Street Ste 430NIndianapolisIN46290356088862Supporting organizationIN501(C)(3)11A, IYes (1)StVincent Hospital & Health Care Center Inc
StVincent Jennings Hospital Inc
301 Henry StreetNorth VernonIN47265351841606Critical access hospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Madison County Health System Inc
1331 South A StreetElwoodIN46036350876389HospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Medical Group Inc
8425 Harcourt RoadIndianapolisIN46260272039417Physician professional servicesIN501(C)(3)9Yes (1)StVincent Health Inc
StVincent Mercy Hospital Foundation Inc
1331 South A StreetElwoodIN46036311066871Supporting organizationIN501(C)(3)11A, IYes (1)StVincent Madison County Health System Inc
StVincent New Hope Inc
8450 N Payne RoadIndianapolisIN46260351733591Intermediate care facilityIN501(C)(3)9Yes (1)StVincent Health Inc
StVincent Randolph Hospital Inc
473 Greenville AvenueWinchesterIN47394352103153Critical access hospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Randolph Hospital Foundation Inc
473 Greenville AvenueWinchesterIN47394352133006Supporting organizationIN501(C)(3)11A, IYes (1)StVincent Randolph Hospital Inc
StVincent Salem Hospital Inc
911 N Shelby StreetSalemIN47167270847538Critical access hospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Seton Specialty Hospital Inc
8050 Township Line RoadIndianapolisIN46260351712001Long term care hospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Williamsport Hospital Inc
412 N Monroe StreetWilliamsportIN47993350784551Critical access hospitalIN501(C)(3)3Yes (1)StVincent Health Inc
StVincent Williamsport Hospital Foundation Inc
412 N Monroe StreetWilliamsportIN47993743130159Supporting organizationIN501(C)(3)11A, IYes (1)StVincent Williamsport Hospital Inc
SVSM Inc
2001 W 86th StreetIndianapolisIN46260810607827Holding companyIN501(C)(3)11A, IYes (1)StVincent Health Inc
St Mary's At Home Inc
3700 Washington AvenueEvansvilleIN47750351899560DME/Home careIN501(C)(3)11A, IYes (1)St Mary's Health Services Inc
St Mary's Building Corporation
3700 Washington AvenueEvansvilleIN47750237248362Real estate holding companyIN501(C)(2)Yes (1)St Mary's Health Services Inc
St Mary's Warrick Emergency Medical Services Inc
3700 Washington AvenueEvansvilleIN47750205342518Ambulance servicesIN501(C)(4)Yes (1)St Mary's Health Services Inc
St Mary's Health Inc
3700 Washington AvenueEvansvilleIN47750352057801Health ministry parentIN501(C)(3)11C, III-FIYes (1)StVincent Health Inc
St Mary's Physician Network LLC
3700 Washington AvenueEvansvilleIN47750205023387Physician professional servicesIN501(C)(3)9Yes (1)St Mary's Health Inc
St Mary's Health Services Inc
3700 Washington AvenueEvansvilleIN47750351679526Investment servicesIN501(C)(3)11C, III-FIYes (1)St Mary's Health Inc
St Mary's CARE Partners Inc
3700 Washington AvenueEvansvilleIN47750351899562Tax-exempt affiliate reimbursementsIN501(C)(3)11A, IYes (1)St Mary's Health Inc
St Mary's Medical Center Foundation of Evansville Inc
3700 Washington AvenueEvansvilleIN47750237045370Supporting organizationIN501(C)(3)11A, IYes (1)St Mary's Medical Center of Evansville Inc
St Mary's Medical Center of Evansville Inc
3700 Washington AvenueEvansvilleIN47750350869065HospitalIN501(C)(3)3Yes (1)St Mary's Health Services Inc
St Mary's Warrick Hospital Foundation Inc
1116 Millis AvenueBoonvilleIN47601351961890Supporting organizationIN501(C)(3)11A, IYes (1)St Mary's Warrick Hospital Inc
St Mary's Warrick Hospital Inc
1116 Millis AvenueBoonvilleIN47601351343019HospitalIN501(C)(3)3Yes (1)St Mary's Health Services Inc
St Mary's Ohio Valley Heartcare LLC
901 St Marys DriveEvansvilleIN47714273474697Cardiology servicesIN501(C)(3)11A, IYes (1)St Mary's Health Inc
St Mary's Medical Group LLC
3700 Washington AvenueEvansvilleIN47750261356310Physician professional servicesIN501(C)(3)9Yes (1)St Mary's Health Inc
Primary Physician Network LLC
3700 Washington AvenueEvansvilleIN47750208775914Physician professional servicesIN501(C)(3)9Yes (1)St Mary's Health Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (15 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Breast MRI Leasing Company LLC
10330 N Meridian St Ste 430NIndianapolisIN46290426662493Sale and rental servicesINStVincent Hospital and Health Care Center IncRelated$235,288$43,1170Yes (1)0.50000
Carmel Ambulatory Surgery Center LLC
13421 Old Meridian St Ste 150CarmelIN46032320014795Ambulatory surgery centerINStVincent Carmel Hospital IncRelated$3,732,048$1,498,7680Yes (1)0.51000
Cooperative Managed Care Services LLC
9045 River Road Ste 250IndianapolisIN46240351999227Case managementINStVincent Hospital and Health Care Center IncUnrelated$158,622$2,278,5450Yes (1)0.50000
Endoscopy Center LLC
13421 Old Meridian St Ste 150CarmelIN46032320029881Endoscopy centerINStVincent Carmel Hospital IncRelated$578,601$314,246000.51000
Hancock Physician Network LLC
801 N State StreetGreenfieldIN46140352051598Primary care physician practicesINStVincent Hospital and Health Care Center IncRelated-$3,111,767$2,034,5840Yes (1)0.50000
HCH SVH Cath Lab Services LLC
1000 N 16th StreetNew CastleIN47362452087950Cath lab servicesINStVincent Hospital and Health Care Center IncRelated-$357,761$1,333,4590Yes (1)0.50000
Meridian Heights Associates LLC
6100 W 96th Street Ste 250IndianapolisIN46278264020296Real estate holdingINStVincent Carmel Hospital IncRelated$3,773,7810Yes (1)0.50000
Naab Road Surgery Center LLC
8260 Naab Road Ste 100IndianapolisIN46260351991390Ambulatory surgery centerINStVincent Hospital and Health Care Center IncRelated$3,167,357$1,838,7180Yes (1)0.51000
Neuro Oncology Equipment LLC
10330 N Meridian St Ste 430NIndianapolisIN46290743103803Sale and rental servicesINStVincent Hospital and Health Care Center IncRelated$396,120$1,386,9170Yes (1)0.50000
StVincent HealthUSP LLC
15305 Dallas Pkwy Ste 1600AddisonTX75001203749962Ambulatory surgery centerINStVincent Health IncRelated$84,964$161,8180Yes (1)0.50000
StVincent Heart Center of Indiana LLC
10580 N Meridian StreetIndianapolisIN46290364492612Heart hospitalINCentral Indiana Health System Cardiac Services IncRelated$24,931,443$79,758,894000.74080
Women's Physician Surgery Center LLC
8081 Township Line RoadIndianapolisIN46260352086841Ambulatory surgery centerINStVincent Hospital and Health Care Center IncRelated-$122,846$45,663000.58900
Ambulatory Care Center LLC
1125 Professional BlvdEvansvilleIN47714352006018OP SurgeryINSt Mary's Health Services IncRelated$5,266,312$5,068,7660Yes (1)0.50000
Seton Health Services LLC
3700 Washington AvenueEvansvilleIN47750270451316Equipment rentalINSt Mary's Health Services IncRelated$45,743$55,3360Yes (1)0.50000
St Mary's Peripheral Vascular Services Management Co LLC
3700 Washington AvenueEvansvilleIN47750205062635Management servicesINSt Mary's Medical Center of Evansville IncRelated$465,380$321,9890Yes (1)0.75000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1St Mary's Medical Group IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13700 Washington AvenueAddressLine1
CityEvansvilleCity
StateINState
ZIP Code47750ZIPCode
FieldValueIRS element (for citing)
EIN352076827EIN
Primary ActivitiesInvestmentPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1St Mary's Health Services IncBusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income-$1,556,561ShareOfTotalIncomeAmt
Share Of EOY Assets$257,378ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1StVincent Health IncBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$2,967,735InvolvedAmt
Method Of Amount DeterminationFair market valueMethodOfAmountDeterminationTxt