ST VINCENT FRANKFORT HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ST VINCENT FRANKFORT HOSPITAL INC (EIN 35-2099320)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-14
IRS object ID: 201421349349307957
Schema version: 2012v2.1
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)
Timestamp	2014-05-14T17:32:59-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 Monument Circle Suite 2000	AddressLine1
City	Indianapolis	City
State	IN	State
ZIP Code	462045108	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	352099320	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	StVincent Frankfort Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	STVI	NameControl
Phone	7656563542	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1300 South Jackson Street	AddressLine1
City	Frankfort	City
State	IN	State
ZIP Code	460410669	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Thomas Crawford	Name
Title	Administrator	Title
Phone	7656563133	Phone
Date Signed	2014-05-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Shawna M Jimenez	Name
PTIN	P01222873	PTIN
Phone	3174648600	Phone
Date Prepared	2014-04-30	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Thomas Crawford	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1300 South Jackson Street	AddressLine1
City	Frankfort	City
State	IN	State
ZIP Code	460410669	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	32323946	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.stvincent.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	We are a nonprofit hospital dedicated to providing healthcare that leaves no one behind.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	4	NbrIndependentVotingMembers
Total Nbr Employees	209	TotalNbrEmployees
Total Nbr Volunteers	80	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	123106	ContributionsGrantsPriorYear
Contributions Grants Current Year	59576	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	28882328	ProgramServiceRevenuePriorYear
Program Service Revenue CY	30422243	ProgramServiceRevenueCY
Investment Income Prior Year	1493784	InvestmentIncomePriorYear
Investment Income Current Year	1578352	InvestmentIncomeCurrentYear
Other Revenue Prior Year	291073	OtherRevenuePriorYear
Other Revenue Current Year	263775	OtherRevenueCurrentYear
Total Revenue Prior Year	30790291	TotalRevenuePriorYear
Total Revenue Current Year	32323946	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	203	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	11521469	SalariesEtcPriorYear
Salaries Etc Current Year	10581507	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	15189626	OtherExpensePriorYear
Other Expenses Current Year	16206691	OtherExpensesCurrentYear
Total Expenses Prior Year	26711095	TotalExpensesPriorYear
Total Expenses Current Year	26788401	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	4079196	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	5535545	RevenuesLessExpensesCY
Total Assets BOY	38882858	TotalAssetsBOY
Total Assets EOY	46405212	TotalAssetsEOY
Total Liabilities BOY	7001725	TotalLiabilitiesBOY
Total Liabilities EOY	7803270	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	31881133	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	38601942	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	St.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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	19854404	Expense
Grants	203	Grants
Revenue	30422243	Revenue
Description	St.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 2013, SVFH treated 858 adults and children for a total of 3,398 inpatient days of service. The hospital also provided services for 38,240 outpatient visits, including 793 outpatient surgeries and 11,377 emergency room and minor care visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	3155528	Expense
Description	St.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. During the fiscal year ending June 30, 2013, the unreimbursed cost of free or discounted services provided to patients who were deemed indigent under state, county, or hospital guidelines was $3,155,528, which included $1,832,575 of traditional charity care and $1,322,953 in unpaid cost 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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	66087	Expense
Description	In addition to core medical services, St.Vincent Frankfort Hospital (SVFH) partners with its community to assess community assets and needs and to work together to address issues impacting health and quality of life, with special emphasis on the poor and vulnerable. In fiscal year 2013, SVFH provided $66,087 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, SVFH provided a total community benefit of $3,221,615 in fiscal year 2013.) SVFH serves and supports its community by providing such programs as health fairs and screenings, smoking cessation and other health education classes, and an immunization clinic. See Schedule H for a non-exhaustive list of community benefit programs and descriptions.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	23076019	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	28	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	209	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	4	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Jerry Marks CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7656563542	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1300 S Jackson Street	AddressLine1
City	Frankfort	City
State	IN	State
ZIP Code	460410669	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
Don Rusk
Chair	0.20	0.00	X	X	0	0	0
Gloria Ponton
Vice Chair	0.20	0.00	X	X	0	0	0
R Mark Ellison
Secretary/Treasurer	0.20	40.00	X	X	0	236358	58154
Joseph Dominik MD
Director	40.00	0.00	X		0	169885	47285
Brett Eaton MD
Director	0.20	0.00	X		0	0	0
Randy Ridgway
Director	0.20	0.00	X		0	0	0
Ronald L Mead
Director	0.20	40.20	X		0	380496	75922
Thomas D Crawford
Administrator	40.00	0.40	X	X	0	244633	73531
Jerrell K Marks
CFO	40.00	0.20		X	165335	0	29029
Kristi L Bledsoe
CNO	40.00	0.00		X	139757	0	28943
Donald H Jacoby
Manager Pharmacy	40.00	0.00			143119	0	35934	X
Krista K Wright
Director of HR	40.00	0.20			132410	0	36815	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	580621	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1031372	TotalReportableCompFrmRltdOrgs
Total Other Compensation	385613	TotalOtherCompensation
Number Individuals GT100 K	4	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
TX Team Rehab Inc
4625 East Stop 11 Ste B	Indianapolis	IN	46237	PT/OT services	829481
Emcare
1717 Main Street Ste 5200	Dallas	TX	75201	Medical services	520044
Mid America Clinical Labs
6704 Reliable Parkway	Chicago	IL	60686	Lab services	484532

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	3	NumberOfContractorsGT100K
Related Organizations	176	RelatedOrganizations
Government Grants	59400	GovernmentGrants
Total Contributions	59576	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net patient revenue	621990	15994379	15994379
Net Medicare/Medicaid	621990	14427864	14427864

Field	Value	IRS element (for citing)
Total Program Service Revenue	30422243	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1560062	TotalRevenueColumn
Exclusion	$1,560,062	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	152676	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	152676	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	152676	TotalRevenueColumn
Exclusion	$152,676	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	18290	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	0	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	18290	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	18290	TotalRevenueColumn
Exclusion	$18,290	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount
Cafeteria revenue	722210	106031	$106,031
Pharmacy revenue	446110	5068	$5,068

Field	Value	IRS element (for citing)
Total Other Revenue	111099	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	32323946	TotalRevenueColumn
Related Or Exempt Function Income	30422243	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$1,842,127	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	203	Total
Program Services	203	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	363063	Total
Management And General	363063	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	8030930	Total
Program Services	6870533	ProgramServices
Management And General	1160397	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5052	Total
Program Services	4322	ProgramServices
Management And General	730	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1699255	Total
Program Services	1453728	ProgramServices
Management And General	245527	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	483207	Total
Program Services	413388	ProgramServices
Management And General	69819	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1780713	Total
Program Services	1523416	ProgramServices
Management And General	257297	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	26341	Total
Program Services	22535	ProgramServices
Management And General	3806	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	15400	Total
Program Services	13175	ProgramServices
Management And General	2225	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	496054	Total
Program Services	424379	ProgramServices
Management And General	71675	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1614181	Total
Program Services	1380946	ProgramServices
Management And General	233235	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	77373	Total
Program Services	66193	ProgramServices
Management And General	11180	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	17483	Total
Program Services	14957	ProgramServices
Management And General	2526	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	498670	Total
Program Services	426617	ProgramServices
Management And General	72053	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	23402	Total
Program Services	23402	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Purchased services	3320240	2840495	479745
Community benefit	3221615	3221615
Supplies	1643509	1406037	237472
Provider tax expense	1001274	856599	144675

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2470436	Total
Program Services	2113479	ProgramServices
Management And General	356957	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	26788401	Total
Program Services	23076019	ProgramServices
Management And General	3712382	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	1490817	BOY
EOY	161282	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1917124	BOY
EOY	2912343	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	381280	BOY
EOY	422974	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	36178	BOY
EOY	22365	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	9051708	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6438750	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2992097	BOY
EOY	2612958	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	32065362	BOY
EOY	40273290	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	38882858	BOY
EOY	46405212	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3602835	BOY
EOY	3630008	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3398890	BOY
EOY	4173262	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	7001725	BOY
EOY	7803270	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	31836885	BOY
EOY	38567700	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	44248	BOY
EOY	34242	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	31881133	BOY
EOY	38601942	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	38882858	BOY
EOY	46405212	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	5535545	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1107165	ReconciliationUnrealizedInvest
Reconcilation Other Changes	78099	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$991	OtherActivitiesAmount
Total Lobbying Expenditures IIB	991	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	Lobbying 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.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	160146	OtherCostOrOtherBasis
Book Value	160146	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1906409	OtherCostOrOtherBasis
Depreciation	700128	Depreciation
Book Value	1206281	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	66241	OtherCostOrOtherBasis
Depreciation	31464	Depreciation
Book Value	34777	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6903226	OtherCostOrOtherBasis
Depreciation	5707158	Depreciation
Book Value	1196068	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	15686	OtherCostOrOtherBasis
Book Value	15686	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2612958	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Interest in investments held by Ascension Health Alliance	39724239
Other receivables and notes receivable	299977
Restricted by donor or grantor	34242
Receivables from third party payors	214832

Field	Value	IRS element (for citing)
Total Book Value Other Assets	40273290	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescription	AmountAmount
Due to St.Vincent Hospital and Health Care Center, Inc. (EIN: 35-0869066)	$1,274,720
Pension liability	$47,814
Other	$115,730
Payable to third party programs	$2,235,036
Intercompany debt with Ascension Health Alliance	$499,962

Field	Value	IRS element (for citing)
Total Of Amounts	4173262	TotalOfAmounts

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent400	X	Pcent400
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1832575	TotalCommunityBenefitExpense
Net Community Benefit Expense	1832575	NetCommunityBenefitExpense
Percent Of Total Expense	0.06840	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4961075	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3638122	DirectOffsettingRevenue
Net Community Benefit Expense	1322953	NetCommunityBenefitExpense
Percent Of Total Expense	0.04940	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6793650	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3638122	DirectOffsettingRevenue
Net Community Benefit Expense	3155528	NetCommunityBenefitExpense
Percent Of Total Expense	0.11780	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	1159	PersonsServed
Total Community Benefit Expense	55831	TotalCommunityBenefitExpense
Net Community Benefit Expense	55831	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	200	PersonsServed
Total Community Benefit Expense	10256	TotalCommunityBenefitExpense
Net Community Benefit Expense	10256	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	1359	PersonsServed
Total Community Benefit Expense	66087	TotalCommunityBenefitExpense
Net Community Benefit Expense	66087	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	1359	PersonsServed
Total Community Benefit Expense	6859737	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3638122	DirectOffsettingRevenue
Net Community Benefit Expense	3221615	NetCommunityBenefitExpense
Percent Of Total Expense	0.12030	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Persons Served	3500	PersonsServed
Total Community Building Expense	2488	TotalCommunityBuildingExpense
Net Community Building Expense	2488	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	278	PersonsServed
Total Community Building Expense	7429	TotalCommunityBuildingExpense
Net Community Building Expense	7429	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Persons Served	250	PersonsServed
Total Community Building Expense	3275	TotalCommunityBuildingExpense
Net Community Building Expense	3275	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	4028	PersonsServed
Total Community Building Expense	13192	TotalCommunityBuildingExpense
Net Community Building Expense	13192	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$106,073	BadDebtExpenseAmount
Amount Attributable To	31822	AmountAttributableTo
Amount Reimbursed By Medicare	9017909	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	8928623	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	89286	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	StVincent Frankfort Hospital Inc	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	1300 S Jackson Street	AddressLine1
City	Frankfort	City
State	IN	State
ZIP Code	460410669	ZIPCode

Field	Value	IRS element (for citing)
Website Address	http://www.stvincent.org/St-Vincent-Fr	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Critical Access Hospital	X	CriticalAccessHospital
Er24 Hours	X	Er24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	StVincent Frankfort Hospital Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	1	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	1	TakeIntoAccount
Other Facilities	0	OtherFacilities
CHNA Widely Available	1	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Adopt Budget	X	AdoptBudget
Prioritize Health Needs	X	PrioritizeHealthNeeds
Prioritize Services	X	PrioritizeServices
All Needs Addressed	0	AllNeedsAddressed
Organization Incur Excise Tax	0	OrganizationIncurExciseTax
Eligibility Criteria Explained	1	EligibilityCriteriaExplained
Uses FPG Free	1	UsesFPGFree
FPG Free Percent	200.000000000000	FPGFreePercent
Uses FPG Discounted	1	UsesFPGDiscounted
FPG Discount Percent	400.000000000000	FPGDiscountPercent
Explains Basis	1	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Explains Application Method	1	ExplainsApplicationMethod
Includes Publicity Measures	1	IncludesPublicityMeasures
Attached To Invoices	X	AttachedToInvoices
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Actions On Nonpayment	1	ActionsOnNonpayment
Collection Activities	0	CollectionActivities
Nondiscrim Emergency Care Policy	1	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	0	AmountsGenerallyBilled
Gross Charges	0	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (28 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
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: 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 2013, 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.
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 2013 was $312,254 at charges, ($106,073 at cost).	Schedule H, Part III, Line 2:
The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care 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 3:
Part III, Line 4: The organization is part of the St.Vincent Health System's consolidated audit in which the footnote that discusses the bad debt expense is located on page 22.
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 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.		St.Vincent Frankfort Hospital, Inc.
Part V, Section B, Line 21: The following steps were followed and considered reasonable efforts followed for purposes of identifying patients eligible for assistance under the facility's FAP:- Notified each individual of the Hospital's Financial Assistance Policy (FAP). This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual. - Individuals were notified of the FAP as noted in Question 14. This includes, but is not limited to, the following:- Brief description of eligibility requirements and assistance provided- Direct individuals to our website and physical location of application forms- Provided instructions to obtain free copy of FAP and application by mail- Provided contact information for an individual/nonprofit organization to assist if the individual has questions- Provided statement of translations of FAP as well as plain language summaries- Provided statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).		St.Vincent Frankfort Hospital, Inc.
Part V, Section B, Line 22: The following steps were followed and considered reasonable efforts followed for purposes of identifying patients eligible for assistance under the facility's FAP:- Notified each individual of the Hospital's Financial Assistance Policy (FAP) as noted in Question 14. This includes, but is not limited to, the following:- Brief description of eligibility requirements and assistance provided- Direct individuals to our website and physical location of application forms- Provided instructions to obtain free copy of FAP and application by mail- Provided contact information for an individual/nonprofit organization to assist if the individual has questions- Provided statement of translations of FAP as well as plain language summaries- Provided statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual.- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).		St.Vincent Frankfort Hospital, Inc.
The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stvincent.org/Frankfort/.	St.Vincent Frankfort Hospital, Inc.:	Part V, Section B, Line 5:
The following steps were followed and considered reasonable efforts for purposes of Question 16:- Notified each individual of the facility's Financial Assistance Policy (FAP). This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual. - Individuals were notified of the FAP by methods as noted in Question 14. This includes, but is not limited to, providing the following:- A brief description of eligibility requirements and assistance provided- Directions on how to access the FAP and application on our website and physical location of application forms- Instructions to obtain free copy of FAP and application by mail- Contact information for an individual/nonprofit organization to assist if the individual has questions- Statement of translations of FAP as well as plain language summaries- Statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).	St.Vincent Frankfort Hospital, Inc.:	Part V, Section B, Line 16:
The following steps were followed and considered reasonable efforts for purposes of Question 17:- Notified each individual of the Hospital's Financial Assistance Policy (FAP). This notification began on the date care was provided and ended on the 120th day after the first billing statement was provided to the individual. - Individuals were notified of the FAP as noted in Question 14. This includes, but is not limited to, the following:- Brief description of eligibility requirements and assistance provided- Direct individuals to our website and physical location of application forms- Provided instructions to obtain free copy of FAP and application by mail- Provided contact information for an individual/nonprofit organization to assist if the individual has questions- Provided statement of translations of FAP as well as plain language summaries- Provided statement that no FAP-eligible individual will be charged more for emergency/medically necessary care than AGB- For individuals who submitted an incomplete FAP, we provided that individual with information relevant to assist them with completion of the FAP. - For individuals who submitted a complete FAP, we made and documented a determination as to whether that person was eligible under the facility's FAP. - We determined eligibility based on other means such as establishing that the individual is eligible under one or more means tested programs (as noted in Question 12).	St.Vincent Frankfort Hospital, Inc.:	Part V, Section B, Line 17:
Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy of St.Vincent Frankfort Hospital, Inc. does not allow a hospital to engage in extraordinary collection actions before the organization made reasonable efforts to determine whether the individual is eligible for assistance under the financial assistance policy. Reasonable efforts taken include but are not limited to:- Notifying individuals of the financial assistance policy on admission- Notifying individuals of the financial assistance policy prior to discharge- Notifying individuals of the financial assistance policy in communications with the patients regarding the patients' bills- Documenting its determination of whether patients were eligible for financial assistance under the hospital facility's financial assistance policy	St.Vincent Frankfort Hospital, Inc.:	Part V, Section B, Line 18:
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 33,104, whose rapidly growing Hispanic population comprises almost 14% of the area population, over twice the state average. Per capita personal income is below state average while median household income is above state average. Manufacturing is the county's leading industry, accounting for 34.7% 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.
IN	Part VI, Line 7	Reports Filed With States
St.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, 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.	Form 990, Part III, Line 4a, 4b and 4c:	Community Benefit Report
St.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.		Community Benefit Overview
Patient Services for Poor and Vulnerable Hospital and outpatient care is provided to patients that cannot pay for services, including hospitalizations, surgeries, prescription drugs, medical equipment and medical supplies. Patients with income less than 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) 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 results of the CHNA completed in fiscal year 2013, the hospital developed a 2014-2016 Implementation Strategy to address priority 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 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 2013, the Health Access Worker opened 640 pathways and completed 419 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. St.Vincent Frankfort Hospital partners with the Open Door Clinic who provides a medication assistant to help patients by accessing the database. In 2013, the medication assistant helped patients obtain a total of 2,060 medications, for which the average wholesale price totaled $765,517. 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 2013, the following health education was provided: CPR, breastfeeding, diabetes care and smoking cessation. Approximately 593 people received health education in fiscal year 2013. Get Fit Clinton County During fiscal year 2013, the Healthy Communities of Clinton County Coalition, of which St.Vincent Frankfort Hospital is a primary partner, updated the 2010 Clinton County Walkways Brochure from 11 walkways to 20 walkways, including a walkway in every town in Clinton County. With the help of a monetary donation and time from the Rotary of Clinton County, 11 of the walkways now have a trail head to mark the starting point. 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 2013, 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.		Charity Care and Certain Other Community Benefits at Cost
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 100 flu shots and 3,787 immunizations, free of charge, to the elderly, college students, and children during fiscal year 2013.Kindergarten ToursA hospital visit can be especially traumatic for a child who has no previous experience with the hospital. At St.Vincent Frankfort Hospital, educational tours are given to kindergarteners each year to help children develop healthy attitudes about health care. The tour offers children an up-close and personal look at lab, radiology, emergency department, and dietary. In the laboratory, the children get to see cultures under a microscope. The tour ensures that children will feel more at ease in the hospital environment, whether as a visitor or a patient, and avoid the anxiety and fear that can interfere with healing and recovery. Tobacco Prevention and CessationThe Healthy Communities of Clinton County Coalition recognizes tobacco use as one of the leading cause 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 2013, 75 people participated in these classes.Open Door ClinicSt.Vincent Frankfort Hospital partners with the Open Door Clinic. The Open Door Clinic is a volunteer-based, community-sponsored clinic that provides free medical services for uninsured and underinsured, low-income residents of Clinton County. St.Vincent Frankfort Hospital provides all of the lab services for the patients at Open Door Clinic for free. Community Benefit Cash and In-Kind Contributions In addition to the outreach programs operated by the hospital, the hospital makes cash and in-kind donations to a variety of community organizations focused on improving health status in the community. These take the form of cash donations to outside organizations, the donation of employee time and 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.
Research shows that social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status. Local HeroesSt.Vincent Frankfort Hospital is a partner in the Local Heroes program sponsored by Coach Kids of Clinton County, an organization dedicated to enriching the lives of families through mentoring relationships supported by educational and faith-based services. Local Heroes is a school-based mentoring program that matches elementary-aged children with an adult mentor/coach who commits to meeting with the child one hour per week at their school. St.Vincent Frankfort Hospital invests in the future of Clinton County by providing trained mentors for the program. 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. Paul Phillippe Resource CenterThe Paul Phillippe Resource Center provides counseling, advocacy, information and referral, social activities, recreation, and transportation to the elderly. The center also provides meals and home delivered meals for the aging population in Clinton County. The senior population in Clinton County is growing and wants to be self reliant. St.Vincent Frankfort Hospital and the Paul Phillippe Resource Center serve to cultivate a new and positive image of the aging process through education and health awareness. Community Building Cash and In-Kind ContributionsThe hospital makes cash and in-kind donations to a variety of community organizations focused on building 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 infrastructure for the community.		Community Building Activities

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
R Mark Ellison
Secretary/Treasurer	0	192914	0	34251	0	9193	0	40455	0	17699	0	294512	0	0
Joseph Dominik MD
Director	0	122272	0	47011	0	602	0	35963	0	11322	0	217170	0	0
Ronald L Mead
Director	0	259003	0	85197	0	36296	0	59414	0	16508	0	456418	0	0
Thomas D Crawford
Administrator	0	176401	0	61992	0	6240	0	54858	0	18673	0	318164	0	0
Jerrell K Marks
CFO	124980	0	26708	0	13647	0	19480	0	9549	0	194364	0	0	0
Kristi L Bledsoe
CNO	114911	0	24694	0	152	0	18636	0	10307	0	168700	0	0	0
Donald H Jacoby
Manager Pharmacy	135020	0	2960	0	5139	0	33573	0	2361	0	179053	0	0	0
Krista K Wright
Director of HR	100439	0	22224	0	9747	0	19303	0	17512	0	169225	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	Part I, Line 1a	ReturnReference
Explanation	St.Vincent Frankfort Hospital paid for cell phone usage for four of the officers and highest compensated employees listed in Part VII. St.Vincent Frankfort Hospital will only reimburse a business expense when all three (3) of the following IRS requirements are met: 1. The expense must have a business connection (i.e., the expenses must be incurred while performing services on behalf of a SVH Entity); 2. The expense must be adequately substantiated by the Associate within a reasonable period of time; and 3. The Associate must return any excess reimbursement or allowance within a reasonable period of time. St.Vincent Frankfort Hospital "grossed up" the above applicable non-business expenses and included in the employees' W-2 as additional taxable compensation.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	St.Vincent Frankfort Hospital, Inc. has a single corporate member, St.Vincent Health, Inc.
Form 990, Part VI, Section A, line 7a	St.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 7b	All 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 11	Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form 990 to a designated committee of the Board to review and answer any questions. Prior to filing the returns, all Board members are provided the Form 990 and management team members are available to answer any Board member questions.
Form 990, Part VI, Section B, line 12c	The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committee with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting 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 15	Compensation determinations of St.Vincent Frankfort Hospital's CEO, executive director, or top management officials are made by a compensation committee of St.Vincent Frankfort Hospital, Inc. and/or St.Vincent Health, Inc. In determining compensation of the organization's CEO, executive director, or top management officials, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The board, in executive session, reviewed and approved the compensation. 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. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Individuals were not present when their compensation was decided. Compensation determinations of St.Vincent Frankfort Hospital's other officers or key employees are made by a compensation committee of St.Vincent Frankfort Hospital, Inc. and/or St.Vincent Health, Inc. 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. The board, in executive session, reviewed and approved the compensation. 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. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes.
Form 990, Part VI, Section C, line 19	The organization will provide any documents open to public inspection upon request.
Form 990, Part XI, line 9:	FAS 158 pension liability 78,099.	Changes in Net Assets or Fund Balances:
Part IV, Line 24A:	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.	Tax Exempt Bond Issuance

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (44 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Ascension Health
PO Box 45998	St Louis	MO	63145	311662309	National health system	MO	501(C)(3)	11A, I	Ascension Health Alliance	0
Central Indiana Health System Cardiac Services Inc
2001 W 86th Street	Indianapolis	IN	46260	351869951	Freestanding outpatient center	IN	501(C)(3)	11C, III-FI	StVincent Hospital & Health Care Center Inc	1
Jubilee Partnerships Inc
2301 N Park Avenue	Indianapolis	IN	46205	352060765	Outreach activities	IN	501(C)(3)	1	StVincent Hospital & Health Care Center Inc	1
Rehabilitation Hospital of Indiana Inc
4141 Shore Drive	Indianapolis	IN	46254	351786005	Rehabilitation hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Anderson Regional Hospital Foundation Inc
2015 Jackson Street	Anderson	IN	46016	352053693	Supporting organization	IN	501(C)(3)	11A, I	StVincent Anderson Regional Hospital Inc	1
StJoseph Hospital & Health Center Inc
1907 W Sycamore Street	Kokomo	IN	46901	350992717	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StJoseph Foundation of Kokomo Indiana Inc
1907 W Sycamore Street	Kokomo	IN	46901	237313206	Supporting organization	IN	501(C)(3)	11A, I	StJoseph Hospital & Health Center Inc	1
StVincent Anderson Regional Hospital Inc
2015 Jackson Street	Anderson	IN	46016	460877261	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Carmel Hospital Inc
13500 N Meridian Street	Carmel	IN	46032	743107055	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Clay Hospital Inc
1206 E National Avenue	Brazil	IN	47834	352112529	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Dunn Hospital Inc
1600 23rd Street	Bedford	IN	47421	272192831	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Fishers Hospital Inc
13861 Olio Road	Fishers	IN	46037	454243702	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Frankfort Hospital Foundation Inc
1300 S Jackson	Frankfort	IN	46041	351531734	Supporting organization	IN	501(C)(3)	11A, I	StVincent Frankfort Hospital Inc	1
StVincent Health Inc
8425 Harcourt Road	Indianapolis	IN	46260	352052591	Parent company	IN	501(C)(3)	11C, III-FI	Ascension Health	0
StVincent 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	StVincent Health Inc	1
StVincent Hospital and Health Care Center Inc
2001 W 86th Street	Indianapolis	IN	46260	350869066	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Hospital Foundation Inc
10330 N Meridian Street Ste 430N	Indianapolis	IN	46290	356088862	Supporting organization	IN	501(C)(3)	11A, I	StVincent Hospital & Health Care Center Inc	1
StVincent Jennings Hospital Inc
301 Henry Street	North Vernon	IN	47265	351841606	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Madison County Health System Inc
1331 South A Street	Elwood	IN	46036	350876389	Hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Medical Group Inc
8425 Harcourt Road	Indianapolis	IN	46260	272039417	Physician professional services	IN	501(C)(3)	9	StVincent Health Inc	1
StVincent Mercy Hospital Foundation Inc
1331 South A Street	Elwood	IN	46036	311066871	Supporting organization	IN	501(C)(3)	11A, I	StVincent Madison County Health System Inc	1
StVincent New Hope Inc
8450 N Payne Road	Indianapolis	IN	46260	351733591	Intermediate care facility	IN	501(C)(3)	9	StVincent Health Inc	1
StVincent Pediatric Rehab Center Inc
1707 W 86th Street	Indianapolis	IN	46260	352048898	Specialty hospital	IN	501(C)(3)	3	StVincent Hospital & Health Care Center Inc	1
StVincent Randolph Hospital Inc
473 Greenville Avenue	Winchester	IN	47394	352103153	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Randolph Hospital Foundation Inc
473 Greenville Avenue	Winchester	IN	47394	352133006	Supporting organization	IN	501(C)(3)	11A, I	StVincent Randolph Hospital Inc	1
StVincent Salem Hospital Inc
911 N Shelby Street	Salem	IN	47167	270847538	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Seton Specialty Hospital Inc
8050 Township Line Road	Indianapolis	IN	46260	351712001	Long term care hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Williamsport Hospital Inc
412 N Monroe Street	Williamsport	IN	47993	350784551	Critical access hospital	IN	501(C)(3)	3	StVincent Health Inc	1
StVincent Williamsport Hospital Foundation Inc
412 N Monroe Street	Williamsport	IN	47993	743130159	Supporting organization	IN	501(C)(3)	11A, I	StVincent Williamsport Hospital Inc	1
SVSM Inc
2001 W 86th Street	Indianapolis	IN	46260	810607827	Holding company	IN	501(C)(3)	11A, I	StVincent Health Inc	1
St Mary's At Home Inc
3700 Washington Avenue	Evansville	IN	47750	351899560	DME/Home care	IN	501(C)(3)	11A, I	St Mary's Health Services Inc	1
St Mary's Building Corporation
3700 Washington Avenue	Evansville	IN	47750	237248362	Real estate holding company	IN	501(C)(2)		St Mary's Health Services Inc	1
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	1
St Mary's Health Inc
3700 Washington Avenue	Evansville	IN	47750	352057801	Health ministry parent	IN	501(C)(3)	11C, III-FI	StVincent Health Inc	1
St Mary's Physician Network LLC
3700 Washington Avenue	Evansville	IN	47750	205023387	Physician professional services	IN	501(C)(3)	9	St Mary's Medical Group LLC	1
St Mary's Health Services Inc
3700 Washington Avenue	Evansville	IN	47750	351679526	Investment services	IN	501(C)(3)	11C, III-FI	St Mary's Health Inc	1
St Mary's CARE Partners Inc
3700 Washington Avenue	Evansville	IN	47750	351899562	Tax-exempt affiliate reimbursements	IN	501(C)(3)	11A, I	St Mary's Health Inc	1
St Mary's Medical Center Foundation of Evansville Inc
3700 Washington Avenue	Evansville	IN	47750	237045370	Supporting organization	IN	501(C)(3)	11A, I	St Mary's Medical Center of Evansville Inc	1
St Mary's Medical Center of Evansville Inc
3700 Washington Avenue	Evansville	IN	47750	350869065	Hospital	IN	501(C)(3)	3	St Mary's Health Services Inc	1
St Mary's Warrick Hospital Foundation Inc
1116 Millis Avenue	Boonville	IN	47601	351961890	Supporting organization	IN	501(C)(3)	11A, I	St Mary's Warrick Hospital Inc	1
St Mary's Warrick Hospital Inc
1116 Millis Avenue	Boonville	IN	47601	351343019	Hospital	IN	501(C)(3)	3	St Mary's Health Services Inc	1
St Mary's Ohio Valley Heartcare LLC
901 St Marys Drive	Evansville	IN	47714	273474697	Cardiology services	IN	501(C)(3)	11A, I	St Mary's Medical Group LLC	1
St Mary's Physicians' Health Group LLC
3700 Washington Avenue	Evansville	IN	47750	261356310	Physician professional services	IN	501(C)(3)	9	St Mary's Medical Group LLC	1
Primary Physician Network LLC
3700 Washington Avenue	Evansville	IN	47750	208775914	Physician professional services	IN	501(C)(3)	9	St Mary's Medical Group LLC	1

Form990 Schedule R Part III Form990ScheduleRPartIII (14 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Breast MRI Leasing Company LLC
10330 N Meridian St Ste 430N	Indianapolis	IN	46290	426662493	Sale and rental services	IN	StVincent Hospital and Health Care Center Inc	Related	230642	43329	0	1	0.50000
Carmel Ambulatory Surgery Center LLC
13421 Old Meridian St Ste 150	Carmel	IN	46032	320014795	Ambulatory surgery center	IN	StVincent Carmel Hospital Inc	Related	5892459	1896555	0	1	0.45000
Cooperative Managed Care Services LLC
9045 River Road Ste 250	Indianapolis	IN	46240	351999227	Case management	IN	StVincent Hospital and Health Care Center Inc	Unrelated	212659	2119265	0	1	0.50000
Endoscopy Center LLC
13421 Old Meridian St Ste 150	Carmel	IN	46032	320029881	Endoscopy center	IN	StVincent Carmel Hospital Inc	Related	681952	357300	0	0	0.51000
Hancock Physician Network LLC
801 N State Street	Greenfield	IN	46140	352051598	Primary care physician practices	IN	StVincent Hospital and Health Care Center Inc	Related	-2692272	2094475	0	1	0.50000
HCH SVH Cath Lab Services LLC
1000 N 16th Street	New Castle	IN	47362	452087950	Cath lab services	IN	StVincent Health Inc	Related	-229738	1629927	0	1	0.50000
Meridian Heights Associates LLC
6100 W 96th Street Ste 250	Indianapolis	IN	46278	264020296	Real estate holding	IN	StVincent Carmel Hospital Inc	Related		3029284	0	1	0.50000
Neuro Oncology Equipment LLC
10330 N Meridian St Ste 430N	Indianapolis	IN	46290	743103803	Sale and rental services	IN	StVincent Hospital and Health Care Center Inc	Related	151678	1684704	0	1	0.50000
StVincent HealthUSP LLC
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	203749962	Ambulatory surgery center	IN	StVincent Health Inc	Related	136436	387939	0	1	0.50000
StVincent Heart Center of Indiana LLC
10580 N Meridian Street	Indianapolis	IN	46290	364492612	Heart hospital	IN	Central Indiana Health System Cardiac Services Inc	Related	20552234	78811464	0	0	0.74080
Women's Physician Surgery Center LLC
8081 Township Line Road	Indianapolis	IN	46260	352086841	Ambulatory surgery center	IN	StVincent Hospital and Health Care Center Inc	Related	-11530	252917	0	0	0.58900
Ambulatory Care Center LLC
1125 Professional Blvd	Evansville	IN	47714	352006018	OP Surgery	IN	St Mary's Health Services Inc	Related	4879396	4549444	0	1	0.50000
Seton Health Services LLC
3700 Washington Avenue	Evansville	IN	47750	270451316	Equipment rental	IN	St Mary's Health Services Inc	Related	36943	99375	0	1	0.50000
St Mary's Peripheral Vascular Services Management Co LLC
3700 Washington Avenue	Evansville	IN	47750	205062635	Management services	IN	St Mary's Medical Center of Evansville Inc	Related	211137	156690	0	1	0.75000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg
SVH Real Estate Inc
8425 Harcourt Road	Indianapolis	IN	46260	205002285	Real estate holding company	IN	StVincent Health Inc	C	2784	2969423	1.00000	1
St Mary's Medical Group Inc
3700 Washington Avenue	Evansville	IN	47750	352076827	Investment	IN	St Mary's Health Services Inc	C	-641423	742	1.00000	1

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg