2014-05-14T16:47:39-05:00 2013-06-30 861065772 Deloitte Tax LLP 111 Monument Circle Suite 2000 Indianapolis IN 462045108 990 2012-07-01 350869066 StVincent Hospital and Health Care Center Inc STVI 3175833282 2001 West 86th Street Indianapolis IN 462601991 Kyle DeFur 3173387031 2014-05-14 1 Shawna M Jimenez P01222873 3174648600 2014-04-30 2012 2015-11-30 17:44:51Z Kyle DeFur 2001 West 86th Street Indianapolis IN 462601991 1327567131 0 0928 X www.stvincent.org X 1881 IN We are a nonprofit hospital dedicated to providing healthcare that leaves no one behind. 18 13 8503 275 2265346 -929846 18779261 4507446 1227750803 1269434124 40700752 35773953 15774641 15246991 1303005457 1324962514 157886740 209064779 0 0 471290888 482672560 0 0 0 610484131 708256186 1239661759 1399993525 63343698 -75031011 1404970408 1341624867 333519991 323033744 1071450417 1018591123 X St.Vincent Hospital and Health Care Center 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. 0 0 1133959827 209064779 1269228595 St.Vincent Hospital and Health Care Center (SVHHCC) is a 935-bed hospital campus serving Marion and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. SVHHCC provided services through these Centers of Excellence: Cancer Care, Neuroscience, Heart Center, Orthopedics, Peyton Manning Children's Hospital, Women's Hospital, Spine Center, Bariatrics, Stress Center, and SVMCNE. During fiscal year 2013, SVHHCC treated 36,352 adults and children for a total of 207,574 inpatient days of service. The hospital also provided services for 944,251 outpatient visits, including 13,381 outpatient surgeries and 76,562 emergency room and minor care visits. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 107092402 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 $107,092,402, which included $34,216,614 of traditional charity care and $72,875,788 in unpaid costs of care for those qualifying for Medicaid or other public programs for the poor. (Note that St.Vincent Hospital and Health Care Center also provides a substantial portion of its services to the elderly, but in keeping with Catholic Healthcare Association guidelines, the total of unreimbursed cost of free or discounted services does NOT include $91,299,579 in unpaid costs of care for elderly covered through Medicare.) See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 35917527 In addition to core medical services, St.Vincent Hospital and Health Care Center 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, SVHHCC provided $35,917,527 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, SVHHCC provided a total Community Benefit of $143,009,929 in fiscal year 2013.) SVHHCC serves and supports its community by providing such programs as tobacco cessation counseling, primary care center, grief support groups, health fairs and screenings. See Schedule H for a non-exhaustive list of community benefit programs and descriptions. 1276969756 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 588 0 1 8503 1 1 1 0 0 0 0 0 0 0 0 0 X 18 13 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 IN X Dawn R Davidson Controller 3175833284 10330 N Meridian St Ste 430N Indianapolis IN 46290 J Albert Smith Jr 0.20 0.00 X X 0 0 0 James G Sinclair 0.20 0.00 X X 0 0 0 Gilbert F Viets 0.20 0.00 X X 0 0 0 Kevin Bower 0.20 0.00 X 0 0 0 Susan W Brooks Thru 123112 0.20 0.00 X 0 0 0 Moira Carlstedt 0.20 0.00 X 0 0 0 Charles J Garcia 0.20 0.00 X 0 0 0 Sanford Garner 0.20 0.00 X 0 0 0 Malcolm Bell Herring MD 0.20 0.00 X 0 0 0 Needham Richard Hurst 0.20 0.00 X 0 0 0 Ann Lathrop 0.20 0.00 X 0 0 0 Michael B Mason 0.20 0.00 X 0 0 0 Sister Theresa Peck DC 0.20 0.00 X 0 0 0 Robert J Robison MD 40.00 0.20 X 854068 0 44909 Sister Mary Kay Tyrell DC 0.20 0.00 X 0 0 0 Ronald L Young II MD 40.00 0.00 X 106667 0 0 Vincent C Caponi 1.00 40.40 X X 2823562 0 64865 D Kyle DeFur 40.00 0.20 X X 635775 0 53008 Ingrid Mason MD 40.00 0.00 X 100000 0 0 Thomas M Cook 40.00 0.00 X 278432 0 35203 Ian G Worden 0.20 42.00 X 808699 0 54918 Darcy K Burthay 40.00 0.00 X 434605 0 41679 Anne F Coleman 40.00 0.00 X 355765 0 71246 Martha L Durall 40.00 0.00 X 250028 0 72359 Gary A Fammartino 0.20 40.00 X 254908 0 55065 Jon D Rahman MD 40.00 0.00 X 489719 0 83300 Daniel R LeGrand MD 40.00 0.00 X 437133 0 66897 Robert M Lubitz 40.00 0.00 X 344779 0 22745 James E Sumners 40.00 0.00 X 793514 0 74690 Marvin L White 0.20 40.40 X 707516 0 46625 William P Didelot 40.00 0.00 X 691669 0 42835 Joseph F Bellflower 40.00 0.00 X 686513 0 45199 Joseph O Murdock 0.20 40.00 X 601138 0 68756 11654490 0 944299 548 0 1 0 Brasfield & Gorrie 3021 7th Avenue South Birmingham AL 352332939 General contractor 31406734 Mid America Clinical Labs 2560 N Shadeland Avenue Indianapolis IN 46219 Lab services 16794985 Naab Road Surgery Center 8260 Naab Road Indianapolis IN 46260 Surgical services 15663947 Surgery Center of Indianapolis 12188 N Meridian Ste 150 Carmel IN 46032 Surgical services 11271428 Hall Render Killian Heath & Lyman PSC 39778 Treasury Center Chicago IL 606949700 Legal services 9694349 106 4285766 187067 34613 4507446 Net patient revenue 621990 920813042 920813042 Net Medicare/Medicaid revenue 621990 334813553 334813553 13807529 13602000 205529 1269434124 35855978 35855978 1252092 0 1252092 1252092 1252092 2522592 2604617 -82025 -82025 -82025 Pharmacy revenue 621990 6829550 6829550 Cafeteria revenue 722210 4160267 4160267 Hotel & Conference revenue 721000 2059817 2059817 945265 945265 13994899 1324962514 1269228595 2265346 48961127 209064779 209064779 8840334 8840334 373786569 332505351 41281218 1291094 1148666 142428 75760582 67402978 8357604 22993981 20457377 2536604 45205690 40218779 4986911 1995450 1775320 220130 2381633 2118901 262732 66286967 58974454 7312513 23066891 20522244 2544647 3694931 3287321 407610 5205259 4631036 574223 34886140 31037641 3848499 4442921 4442921 Supplies 149344635 132869532 16475103 Community benefit 143009929 143009929 Purchased services 73936627 65780234 8156393 Provider tax expense 49344272 43900809 5443463 105454841 93821484 11633357 1399993525 1276969756 123023769 0 16764786 6709973 189013091 178652186 11690100 14979277 5796846 6216747 757985252 550303017 255080979 207682235 53971861 55679977 991677 690488 871661068 871013984 1404970408 1341624867 117348681 86341836 216171310 236691908 333519991 323033744 X 1068330548 1014934892 3119869 3656231 1071450417 1018591123 1404970408 1341624867 -75031011 22171717 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 18954 18954 0 Explanation of Lobbying Activities: Part II-B, Line 1: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St.Vincent Hospital and Health Care Center, 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. 1760121 9825236 11585357 431703442 306593123 125110319 10721735 9854475 867260 287606209 233855419 53750790 16368509 16368509 207682235 Interest in investments held by Ascension Health Alliance 811071308 Donor restricted funds 3656231 Other assets 49630363 Intercompany receivables 6656082 871013984 Intercompany debt with Ascension Health Alliance 172108889 Deferred Gain on MOB Sale - Indpls. 355413 Guarantee liability 84898 Due to third party payors 28516292 Other 9032156 Self insurance liability 4533086 Savings plan liability 5412710 Intercompany liability 1533100 Physician guarantee 15115364 236691908 1 1 X 1 X 1 X 1 1 1 0 1 1 34216614 34216614 0.02400 206542241 133666453 72875788 0.05120 240758855 133666453 107092402 0.07520 26824 187544 187544 0.00010 2811 38254993 6593419 31661574 0.02220 227623 18482 209141 0.00010 184591 3859268 3859268 0.00270 214226 42529428 6611901 35917527 0.02510 214226 283288283 140278354 143009929 0.10030 50000 50000 0.00000 50100 50100 0.00000 52477 20638 20638 0.00000 50 120 120 0.00000 50 10140 10140 0.00000 2430 49320 49320 0.00000 186 1155 1155 0.00000 55193 181473 181473 0 12659546 3797864 263375046 354674625 -91299579 X 1 1 1 The Surgery Center of Indianapolis LLC Surgery Center 0.40000 0.49980 2 Naab Road Surgery Center LLC Surgery Center 0.40000 0.60000 3 Terre Haute Surgical Center LLC Surgery Center 0.27140 0.51660 4 Women's Physician Surgery Center LLC Surgery Center 0.40000 0.60000 5 Indiana Orthopaedic Hospital LLC Orthopaedic Hospital 0.20000 0.80000 6 Breast MRI Leasing Company LLC Imaging Center 0.50000 0.50000 7 Neuro Oncology Equipment LLC Stereotatctic Radio Surgery Services 0.50000 0.50000 8 Women's Services Management LLC Management Company 0.05000 0.95000 5 1 StVincent Hospital and Health Care Cent

2001 West 86th Street Indianapolis IN 46260

http://www.stvincent.org/St-Vincent-In X X X X X X 2 StVincent Stress Center

8401 Harcourt Road Indianapolis IN 46260

http://www.stvincent.org/St-Vincent-In X 3 StVincent Women's Hospital

8111 Township Line Road Indianapolis IN 46260

http://www.stvincent.org/St-Vincent-Wo X X X 4 StVincent Medical Center Northeast

13914 Southeastern Parkway Fishers IN 46037

http://www.stvincent.org/St-Vincent-In X X 5 Peyton Manning Children's Hospital

2001 West 86th Street Indianapolis IN 46260

http://peytonmanning.stvincent.org/ X X X X StVincent Hospital and Health Care Cent 1 1 X X X X X X X X X 12 1 0 1 X X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X 1 0 1 X 0 0 StVincent Stress Center 2 1 X X X X X X X X X 12 1 0 1 X X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X 1 0 1 X 0 0 StVincent Women's Hospital 3 1 X X X X X X X X X 12 1 0 1 X X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X 1 0 1 X 0 0 StVincent Medical Center Northeast 4 1 X X X X X X X X X 12 1 0 1 X X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X 1 0 1 X 0 0 Peyton Manning Children's Hospital 5 1 X X X X X X X X X 12 1 0 1 X X X X X X X X X 0 0 1 1 200.000000000000 1 400.000000000000 1 X X 1 1 X X X 1 0 1 X 0 0 Part I, Line 3c: The organization provides medically necessary care to all patients, regardless of race, color, creed, ethnic orgin, 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 Hospital and Health Care Center 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 Hospital and Health Care Center 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: Crooked Creek Community Development Corporation, United Way, Indiana Youth Institute, Holy Family Shelter, Fay Biccard Glick Neighborhood Center, and Marian University. Schedule H, 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 2013 was $38,604,987 at charges, ($12,659,546 at cost). Schedule H, 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 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. 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. St.Vincent Hospital and Health Care Center 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. These included the Crooked Creek Community Development Corporation (CDC), IUPUI and Marian University. St.Vincent Stress Center 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. These included the Crooked Creek Community Development Corporation (CDC), IUPUI and Marian University. St.Vincent Women's Hospital 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. These included the Crooked Creek Community Development Corporation (CDC), IUPUI and Marian University. St.Vincent Medical Center Northeast 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. These included the Crooked Creek Community Development Corporation (CDC), IUPUI and Marian University. Peyton Manning Children's Hospital 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. These included the Crooked Creek Community Development Corporation (CDC), IUPUI and Marian University. St.Vincent Hospital and Health Care Center Part V, Section B, Line 7: Poverty Rate - Even though this issue was not chosen as a priority, St.Vincent Indianapolis does provide supplemental funding to local organizations, including Horizon House, Holy Family Shelter, Project Health, and Glick Neighborhood Center, which are actively addressing this issue. Air Quality - Addressing this issue is not a direct priority of St.Vincent; however, the hospital does support efforts of organizations focusing on improving air quality in our community. Lack of infrastructure that encourages or allows walking - Addressing this issue is not a direct priority of St.Vincent; however, the hospital has a strong partnership with the Crooked Creek CDC, which focuses on community and housing issues in the St.Vincent Indianapolis campus neighborhood. St.Vincent Stress Center Part V, Section B, Line 7: Poverty Rate - Even though this issue was not chosen as a priority, St.Vincent Indianapolis does provide supplemental funding to local organizations, including Horizon House, Holy Family Shelter, Project Health, and Glick Neighborhood Center, which are actively addressing this issue. Air Quality - Addressing this issue is not a direct priority of St.Vincent; however, the hospital does support efforts of organizations focusing on improving air quality in our community. Lack of infrastructure that encourages or allows walking - Addressing this issue is not a direct priority of St.Vincent; however, the hospital has a strong partnership with the Crooked Creek CDC, which focuses on community and housing issues in the St.Vincent Indianapolis campus neighborhood. St.Vincent Women's Hospital Part V, Section B, Line 7: Poverty Rate - Even though this issue was not chosen as a priority, St.Vincent Indianapolis does provide supplemental funding to local organizations, including Horizon House, Holy Family Shelter, Project Health, and Glick Neighborhood Center, which are actively addressing this issue. Air Quality - Addressing this issue is not a direct priority of St.Vincent; however, the hospital does support efforts of organizations focusing on improving air quality in our community. Lack of infrastructure that encourages or allows walking - Addressing this issue is not a direct priority of St.Vincent; however, the hospital has a strong partnership with the Crooked Creek CDC, which focuses on community and housing issues in the St.Vincent Indianapolis campus neighborhood. St.Vincent Medical Center Northeast Part V, Section B, Line 7: Poverty Rate Even though this issue was not chosen as a priority, St.Vincent Indianapolis does provide supplemental funding to local organizations, including Horizon House, Holy Family Shelter, Project Health, and Glick Neighborhood Center, which are actively addressing this issue. Air Quality - Addressing this issue is not a direct priority of St.Vincent; however, the hospital does support efforts of organizations focusing on improving air quality in our community. Lack of infrastructure that encourages or allows walking - Addressing this issue is not a direct priority of St.Vincent; however, the hospital has a strong partnership with the Crooked Creek CDC, which focuses on community and housing issues in the St.Vincent Indianapolis campus neighborhood. Peyton Manning Children's Hospital Part V, Section B, Line 7: Poverty Rate Even though this issue was not chosen as a priority, St.Vincent Indianapolis does provide supplemental funding to local organizations, including Horizon House, Holy Family Shelter, Project Health, and Glick Neighborhood Center, which are actively addressing this issue. Air Quality - Addressing this issue is not a direct priority of St.Vincent; however, the hospital does support efforts of organizations focusing on improving air quality in our community. Lack of infrastructure that encourages or allows walking - Addressing this issue is not a direct priority of St.Vincent; however, the hospital has a strong partnership with the Crooked Creek CDC, which focuses on community and housing issues in the St.Vincent Indianapolis campus neighborhood. St.Vincent Hospital and Health Care Center 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 Stress Center 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 Women's Hospital 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 Medical Center Northeast 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. Peyton Manning Children's Hospital 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 Hospital and Health Care Center 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 Stress Center 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 Women's Hospital 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 Medical Center Northeast 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). Peyton Manning Children's Hospital 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 Hospital and Health Care Center 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 Stress Center 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 Women's Hospital 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 Medical Center Northeast 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). Peyton Manning Children's Hospital 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). Part V, Section B, Line 5: St.Vincent Hospital and Health Care Center: The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stvincent.org/St-Vincent-Indianapolis/. Part V, Section B, Line 5: St.Vincent Stress Center: The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stvincent.org/St-Vincent-Indianapolis/. Part V, Section B, Line 5: St.Vincent Women's Hospital: The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stvincent.org/St-Vincent-Womens/. Part V, Section B, Line 5: St.Vincent Medical Center Northeast: The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://www.stvincent.org/St-Vincent-Indianapolis/. Part V, Section B, Line 5: Peyton Manning Children's Hospital: The Community Health Needs Assessment ("CHNA") of the hospital facility can be located at the following web address: http://peytonmanning.stvincent.org/. Part V, Section B, Line 16: St.Vincent Hospital and Health Care Center: 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). Part V, Section B, Line 16: St.Vincent Stress Center: 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). Part V, Section B, Line 16: St.Vincent Women's Hospital: 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). Part V, Section B, Line 16: St.Vincent Medical Center Northeast: 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). Part V, Section B, Line 16: Peyton Manning Children's Hospital: 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). Part V, Section B, Line 17: St.Vincent Hospital and Health Care Center: 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). Part V, Section B, Line 17: St.Vincent Stress Center: 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). Part V, Section B, Line 17: St.Vincent Women's Hospital: 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). Part V, Section B, Line 17: St.Vincent Medical Center Northeast: 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). Part V, Section B, Line 17: Peyton Manning Children's Hospital: 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). Part V, Section B, Line 18: St.Vincent Hospital and Health Care Center: Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy of St.Vincent Hospital and Health Care Center, 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 Part V, Section B, Line 18: St.Vincent Stress Center: Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy of St.Vincent Stress Center, 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 Part V, Section B, Line 18: St.Vincent Women's Hospital: Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy of St.Vincent Women's 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 Part V, Section B, Line 18: St.Vincent Medical Center Northeast: Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy of St.Vincent Medical Center Northeast, 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 Part V, Section B, Line 18: Peyton Manning Children's Hospital: Question 18 is more appropriately answered as not applicable as the Billing and Collections Policy of Peyton Manning Children's 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 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 Hospital and Health Care Center participates in a community group called Crooked Creek Community Development Corporation 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 and evidence-based and promising practices for addressing these needs. Part VI, Line 3: St.Vincent Hospital and Health Care Center communicates with patients in multiple ways to ensure that those who are billed for services are aware of the hospital's financial assistance program as well as their potential eligibility for local, state or federal programs. Signs are prominently posted in each service area, and bills contain a formal notice explaining the hospital's charity care program. In addition, the hospital employs financial counselors, health access workers, and enrollment specialists who consult with patients about their eligibility for financial assistance programs and help patients in applying for any public programs for which they may qualify. Part VI, Line 4: St.Vincent Hospital and Health Care Center campus is located on the northwest side of Indianapolis in a neighborhood known as Crooked Creek, one of the most racially and economically diverse neighborhoods in Indianapolis, with a population of approximately 34,500 residents. St.Vincent Hospital and Health Care Center serves Marion and the surrounding counties in Central Indiana. Marion County is the largest county in the state, with a population of 918,977. It is also the 13th largest city in the nation. When including the Metropolitan Statistical Area (MSA), the population of Indianapolis is 1,756,241. The city's population is diverse and younger compared to the state. The median age is 33.9, compared to the state's average age of 37.1. The population is 62.7% white, 26.7% African American, 2.0% Asian, and 2.8% two or more races, and continues to diversify. For example, the Hispanic population has increased from 3.9% in 2000 to 9.3% in 2010. The unemployment rate in 2013 was 9.5% for Marion County, which ranks 52 out of 92 counties in the state. The median household income was $39,957 in 2011, which ranked 78th out of Indiana counties. 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 Hospital and Health Care Center:- delivers patient services, including emergency department services, to all individuals requiring healthcare, without regard to patient race, ethnicity, economic status, insurance status or ability to pay- maintains an open medical staff that allows credentialed physicians to practice at its facilities- participates in medical and scientific research- 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 Hospital and Health Care Center is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St.Vincent Hospital and Health Care Center 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 Hospital and Health Care Center participates. Reports Filed With States Part VI, Line 7 IN Community Benefit Report Form 990, Part III, Line 4a, 4b and 4c: Other key services include: Digestive Health, Diabetes Care, Center for Healthy Aging, Center for Joint Replacement, Breast Care Services, Mental Health Services, Surgery Services, Sports Medicine, Emergency Departments (Adult and Pediatric), and Primary Health Care. 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 to build better communities by improving quality of life. Community Benefit Overview St.Vincent Hospital and Health Care Center 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 Hospital and Health Care Center's 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 Hospital and Health Care Center associates and others. Working with its partners, and utilizing the CHNA completed every three years, St.Vincent Hospital and Health Care Center 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 Hospital and Health Care Center, but is part of the St.Vincent mission and cultural fabric. The hospital's 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 Cost Patient Services for Poor and Vulnerable Hospital and outpatient care is provided to patients that cannot pay for services, including hospitalizations, surgeries, prescription drugs, medical equipment and medical supplies. Patients with income less than 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 Hospital and Health Care Center is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. 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. Obesity (nutrition and physical activity), access to healthcare, behavior health, and cancer care (lung, breast and colon) have all been identified as key community needs.Implementation Strategy Using the CHNA completed in 2013, the hospital developed a 2014-2016 Implementation Strategy to address priority community health needs. These strategies include:1. Obesity (Nutrition and Exercise) Educate and promote the importance of proper nutrition and physical activity to the community- St.Vincent staff will offer 3 one-hour educational presentations regarding healthy food choices and/or fitness at the Crooked Creek Farmer's Market.- St.Vincent staff will be informed of volunteer opportunities available at Crooked Creek Farmer's Market via weekly reminders, from May-October, in the online newsletter sent to the St.Vincent Indianapolis system. - As a partnership with Pike Township Schools and as part of their award of a PEP Grant, Peyton Manning Children's Hospital will coordinate a week-long summer camp geared to students in grades 3-5 for 2012, 2013 and 2014.- To better serve our Spanish-speaking population, the L.I.F.E. (Lifetime Individual Fitness & Eating) program will develop a healthy cookbook in Spanish featuring traditional Hispanic dishes.- Provide at least 30 educational presentations regarding nutrition and 30 educational presentations a year regarding physical activity to youth, K-12. 2. Access to HealthcareCoordinate access for vulnerable community members through the Outreach Workers- Each of the 3 outreach workers will complete at least 55 applications for assistance a month.- Each of the 3 outreach workers will make at least 10 outreach efforts a month by visiting community centers, such as shelters, unemployment offices, and LaPlaza (resource center for Hispanic community).3. Behavioral HealthEducate law makers and professionals about behavioral health issues and resources- Representative(s) from St.Vincent Stress Center will meet with at least 5 district representatives in the State House and Senate to discuss behavioral health issues. 4. Cancer Care (lung, breast and colon)Educate and promote the importance of cancer detection to the community- A BCCP (Breast and Cervical Cancer Program) will be established at our flagship hospital to support the financial needs of our underserved, high risk populations and ensure the completion of appropriate screenings and recommended follow-ups for detected Breast Cancers. - At least 5 colon cancer educational presentations will be offered each fiscal year to underserved, high risk and/or elderly populations related to the prevention and early detection of Colon Cancer, with promotional efforts at locations such as the United Soccer Alliance of Indiana, which includes a large Hispanic population and large African American church communities within Central Indiana.- At least 5 free fecal blood screenings events will be offered each fiscal year to underserved, high risk and/or elderly populations in central Indiana related to the prevention and early detection of Colon Cancer. - Train at least 1 existing associate to become a tobacco cessation counselor each year for a total of 11 counselors on staff. - Increase the number of participants completing the program during a 3-year time frame by 5% or a total of 126 individuals. Public Program Participation and Enrollment OutreachSt.Vincent Hospital and Health Care Center participates in government programs including Medicaid, SCHIP (Hoosier Healthwise), Healthy Indiana Plan (HIP) and Medicare and assists patients and families in enrolling for programs for which they are eligible. Per Catholic Healthcare Association guidelines and St.Vincent Health's conservative approach, Medicare shortfall is not included as community benefit. Specific eligibility outreach programs sponsored by St.Vincent in 2013 include:- Hoosier Healthwise Enrollment and Outreach The Hoosier Healthwise Outreach Team partnered with community organizations to help enroll citizens in Hoosier Healthwise, Healthy Indiana Plan (HIP), Medicaid Disability, Presumptive Eligibility, and St.Vincent Advantage. In fiscal year 2013, the Outreach team touched the lives of 9,720 families and completed 2,160 enrollment applications for eligible individuals and families. St.Vincent provided office space, equipment and supplies as well as full-time coordination and supervision of this important outreach. Health and Hospital Corporation's Covering Kids program provided enrollment staff. St.Vincent funds 50% of the salary costs for three enrollment outreach workers through an annual community funding award to Covering Kids.- Qualified Medicare Beneficiary (QMB) and Specified Low-Income Medicare Beneficiary (SLMB)St.Vincent's QMB/SLMB team worked with more than 1,200 (last year it was 2,400) seniors either by mail or phone, completing over 48 applications with patients who were struggling with the financial burden of Medicare deductibles and co-payments during FY 2013. Their premium was subtracted from their Social Security checks in the amount of anywhere from $96 to $150 per month. The seniors were Social Security recipients and Medicare beneficiaries of modest means who paid all or some of Medicare's cost sharing amounts (i.e. premiums, deductibles, and co-payments). To qualify, it was imperative that the individuals were eligible for Medicare and met certain income guidelines which change annually. The QMB/SLMB team assists seniors with completing the application to allow them to be refunded the amount they are paying for Medicare B and the government then begins to pick up the cost. - Senior Health Insurance Information Program (SHIIP) SHIIP is a partnership between St.Vincent and the Indiana Department of Insurance and five trained volunteer counselors. The program has been in existence for ten years. In fiscal year 2013, the counselors provided free and unbiased information to 759 seniors with questions regarding Medicare, Medicare Supplements, HMOs, Managed Care Plans, Medicaid and long-term care programs. Joshua Max Simon Primary Care Center The St.Vincent Joshua Max Simon Primary Care Center provides full-service care for the entire family on a sliding fee scale, based on need. There were 73,542 patient visits in fiscal year 2013, and more than 100,000 visits were recorded including nurse visits, pharmacy, and financial counseling visits. Approximately 95 percent of these patients were uninsured/underinsured or were eligible for public programs, such as Medicaid. Approximately 50 percent of all visits were by patients with limited English proficiency (including many Eastern European, Latino and Burmese immigrants). Primary and preventive care was provided through family medicine, internal medicine, womens health, pediatric, surgical and podiatric clinics. Specialty care, such as general surgery, dermatology, sports medicine, and orthopedics were available, as well as ancillary services including lab, X-ray, pharmacy, financial counseling, legal counseling, parenting classes, and full-time medical interpretation.B.A.B.E. StoreBed And Britches, Etc. (B.A.B.E.) is a community-based program that offers incentives in the form of coupons to parents who seek medical, education and nutritional services for themselves and their children. Families earn coupons for seeking prenatal care, well baby care, immunizations, parenting and childbirth education classes, WIC nutrition education, care coordination, and other services. Families then redeem the coupons at BABE stores for new or gently-used infant and maternity clothing, cribs, car seats, and other baby supplies. During fiscal year 2013, 3,927 families were served through the two B.A.B.E. stores sponsored by St.Vincent.Bereavement Services Losing a loved one can be extremely distressing for family members. St.Vincent Hospice Bereavement Services works with families both before and after the passing of a loved one, helping them cope with their grief. The St.Vincent bereavement team reviews individual care plans, conducting support phone calls and home visits, and sending out mailings and a bereavement newsletter each month. Support groups are provided based on age or relationship to the loved one. The Road to Healing and When Grief Is New: Grief 101 offers support for the ones left behind shortly after the loss. A Daughter's Grief (daughters who have lost their mothers) and Safe Haven (parents who have lost a child) focus on the specific relationship one might have had with the loved one. Other support groups include Widow/Widowers and the Lunch Bunch Socialization Group. Project Snowflake is designed to provide families with children ages 6-16 years of age an opportunity to grieve and heal together at the holidays. The Empty Chair is a grief seminar that focuses on grief support through the holidays. The Project Butterfly is a summer family workshop series for grieving families with children ages 4-17 years of age. Hospice also provides an Art Counseling Program, using drawing and painting to help grieving persons work through their emotional pain. During fiscal year 2013, new groups were added, including Mind, Body & Spirit explores grief/loss through meditation, yoga, and Zumba and Finding Your Way dealing with the loss of a younger spouse. Approximately 1,500 families were served through the St.Vincent Hospice Bereavement Services Department during fiscal year 2013. St.Vincent Cancer Care St.Vincent Cancer Care devotes key resources to providing education about cancer prevention, healthy lifestyles and the importance of early detection through screenings to central Indiana communities. Working with a variety of community organizations, including many specifically targeting the underserved, St.Vincent Cancer Care has been an active participant in health fairs and other community events that educate members of the community about cancer risk factors, healthier lifestyles and the importance of screening/early detection, including providing opportunities for low/no cost oral, colorectal, skin, gynecological, lung and breast cancer screenings. St.Vincent is also committed to ensuring a continuum of care for those who are found to need additional diagnostic testing or treatment. A key initiative of the St.Vincent Center for Cancer Care is the mobile mammography van. In FY13, 1,081 uninsured/underinsured women received free screening mammograms aboard the St.Vincent Cancer Care Mobile Mammography Van. The mammograms were provided at no charge through a grant from the Susan G. Komen for the Cure Indianapolis Affiliate. The mobile mammography program allows St.Vincent to overcome key economic, cultural, geographic, and transportation barriers that block access to recommended screening mammograms, early detection, and peace of mind. St.Vincent coordinates care to ensure that 100% of women who are screened and require additional diagnostic testing (approximately 15% of women screened), or need treatment, will have access to the cancer care continuum. Center of HopeThe St.Vincent Indianapolis Center of Hope provides expert treatment, advocacy, emotional support and legal services coordination, as well as evidence collection and preservation for victims of violence. The Center provides experienced forensic nurse examiners (FNEs) who are available 24 hours a day to serve victims of violent crimes, such as sexual assault, child sexual abuse, domestic violence, elder abuse, attempted homicide and physical assault. These vulnerable patients are provided with a dedicated and private exam room equipped with specialized technology for collecting and preserving evidence, assistance in applying for victim compensation benefits for which they may qualify, consultation with a medical social worker and referral to a range of services to assist victims in healing both physically and emotionally. The Center of Hope team consults with health professionals and departments throughout St.Vincent Indianapolis Hospital to ensure victims needs can be assessed and met. The Center of Hope clinical supervisor works closely with law enforcement, the judicial system and mental health and social service agencies throughout Marion and surrounding counties to help victims access the services they need, to provide expert testimony that assists in securing convictions, and to train these professionals about issues related to sexual assault and domestic violence. The Center of Hope is also actively involved in educating the community about sexual assault and domestic violence and the services that are available for victims of these crimes. The Center of Hope is supported by St.Vincent, as well as by grant funding from the Indiana Criminal Justice Institute. In FY 2013, the Center served over 200 victims of sexual assault and domestic violence.Center for Perinatal LossSt.Vincent Women's Center for Perinatal Loss assists families experiencing an infant loss with their grief journey by providing ongoing emotional and spiritual support through telephone contact, literature, counseling and support group meetings. The Perinatal Hospice Program offers support to families during, at the time of, and following the birth and death of their babies born with fatal anomalies. The Perinatal Loss Evaluation Program helps families deal with the pain and trauma experienced with the loss of an infant. Through this program, families are assisted in discovering the cause of their baby's stillbirth or neonatal death as they go through their grief journey. The Child Protection TeamIn Indiana, one child is identified as an abuse victim every 26 minutes (Kids Count in Indiana 2013 Data Book). The Child Protection Team at Peyton Manning Children's Hospital at St.Vincent was established in 2008 to provide services to Indiana's most vulnerable children. The team specializes in identification, counseling and prevention of child abuse. The team includes a social work coordinator trained in the field of child abuse and a nurse who is specialized in child maltreatment case management. The team works with health professionals and community agencies who serve the needs of high risk children. The Child Protection Team is grateful for the ongoing support of The Daughters of Charity, The Crosser Family Foundation and Peyton Manning Children's Hospital license plate funding. The Child Protection Team has worked with The Canadian Centre for Child Protection to bring The Commit to Kids Program to Indiana. The Commit to Kids Program assists youth serving organizations with staff training and policy recommendations to make sure children are protected from the possibility of sexual abuse. There has been an increased interest from organizations for a comprehensive, sustainable and evidenced-based program to prevent sexual victimization of children. The Child Protection Team has responded to Indiana's commitment to children by making this new program available, easily accessible and affordable for all youth serving organizations. As part of our hospital's child health advocacy mission, the Child Protection Team is continually seeking ways to be a strong community partner in keeping children safe.Crisis Intervention Training St.Vincent Stress Center partners in a Crisis Intervention Training for law enforcement officers. Through this program, the Stress Center provides general education about mental illness, suicide prevention education, communication skills, de-escalation techniques, and information about community resources for people in mental health crises. Mental health professionals and others in the community also provide instruction on psychopharmacology and the legal aspects of involuntary treatment. The courses, which are endorsed by the Indiana Law Enforcement Academy, are offered free to law enforcement officers. Approximately 200 - 250 officers from Marion, Boone, Hamilton, and Johnson Counties received this training in fiscal year 2013.Diabetes Education Diabetes affects over 10 percent of people in Indiana. Type 2 diabetes accounts for approximately 95% of these cases and Type 1 accounts for the remaining 5%. The St.Vincent Diabetes Center's team of specialists, which includes certified diabetes educators, help individuals balance their diabetes care with their lifestyle needs. Understanding how to manage this chronic condition is key to living an active, healthy life. Through a collaborative effort between St.Vincent Hospital Indianapolis and the Juvenile Diabetes Research Foundation, a full-day event for adults and children, and their families, living with Type I diabetes, was offered at no charge. Various speakers provided sessions addressing the body, mind and spirit in relation to living a healthy life with diabetes. Fresh Start Parenting Program The St.Vincent Fresh Start to Life Prenatal Education Program provides health education, counseling and support for under-insured and uninsured women throughout Central Indiana. The program evaluates the most at-risk women based on household income, language barriers, health knowledge and access to transportation. Those at the greatest risk based on these criteria were chosen for the Prenatal Education Program, which served over 50 women in fiscal year 2013.Health Fairs and ScreeningsSt.Vincent Hospital and Health Care Center participated in, facilitated, sponsored or promoted numerous health fairs and screening. During fiscal year 2013, over 4,000 individuals either attended health fairs and/or were screened. Fairs and screenings were held in conjunction with schools; community, state and national organizations; local and state government agencies; and were held at a variety of conferences and community events. These events provided invaluable health education, prevention and screenings for thousands of Hoosiers across the state free of charge. Healing and Wellness Support GroupsSt.Vincent Hospital and Health Care Center sponsors a wide variety of support groups to help both patients and families cope with significant health challenges, family issues, bereavement or grief issues and other mental health concerns. Groups often target particular age brackets to ensure that the unique challenges facing children, teens, adults and seniors are addressed. St.Vincent Hospital and Health Care Center provides expert facilitation, meeting coordination, materials and meeting space for each support group. Health Professions Clinical TrainingIn an effort to prepare future healthcare professionals, St.Vincent Hospital and Health Care Center offers a variety of clinical settings and internships to undergraduate and vocational allied health professionals from Franklin College, Harrison College, Indiana University, IUPUI, Ivy Tech, Marian University, Purdue University and University of Indianapolis. St.Vincent Hospital and Health Care Center provides these students experience in clinical settings with the following programs/departments: Education and Development, Sports Medicine, Physical Therapy, Respiratory Therapy, Nursing, and Pharmacy. HIV Care Coordination HIV Care Coordination services provide access to health coverage, patient assistance programs, and other basic needs such as housing, food and utility assistance. The program is coordinated by a licensed clinical social worker who offers individual, group and family counseling and facilitates a weekly support group for HIV-diagnosed patients and their families. During fiscal year 2013, the outpatient program served 52 clients with case management. International Pediatric Heart Surgery Project The International Pediatric Heart Surgery Project was founded as part of The Children's Heart Center and St.Vincent's commitment to fulfilling the mission of advocacy and care of the poor. Through this effort, St.Vincent provided $500,000 in fiscal year 2013 for life-saving heart surgery for children from impoverished areas, such as Bolivia, Kosovo, Mongolia, Honduras, Kenya, Uganda and Haiti. These countries have minimal health care available for the treatment of congenital heart disease and without surgery these children would not survive. There is no charge to the child's family. The cardiothoracic surgeon and physicians of the Children's Heart Center, as well as pediatric anesthesiologists, intensivists, and other members of Peyton Manning Children's Hospital at St.Vincent donate their skills and time in caring for these children. Since the first patient arrived in February 2000, the program has provided life saving care for 103 children. This program works with individual volunteers, local church congregations, and organizations such as Samaritan's Purse in order to coordinate and provide transportation, visas, host families, and interpreter services. The lives of those who have had the opportunity to assist in caring for these children have been touched forever.L.I.F.E. (Lifetime Individual Fitness & Eating) for Kids ProgramObesity among children has become a national epidemic, particularly in Indiana where 1 out of 3 children and 2 out of 3 adults are overweight or obese. Life-threatening conditions such as type 2 diabetes, hypertension and heart disease, just to name a few, are also increasing among this population. L.I.F.E. for Kids is a yearlong healthy lifestyle weight management program especially designed for children and adolescents. This program was introduced in 2007 to help families develop healthier eating and physical activity habits through integrated education and counseling from a multi-disciplinary team that includes a physician, dietitian, behavior therapist, exercise physiologist and registered nurse. Medical Supplies DonationsSt.Vincent made donations of medical supplies throughout the year by supporting mission trips through local churches to Jamaica, Ecuador, and Haiti. Additionally, donations were made to local organizations, such as, Timmy Global Health Foundation and FAME. Medical Education St.Vincent Hospital and Health Care Center, in affiliation with the Indiana University School of Medicine, is a teaching hospital for future physicians. St.Vincent Hospital and Health Care Center provides a broad range of graduate, undergraduate, and continuing education opportunities to physicians, residents, medical students and physician assistant students through training programs in Internal Medicine, Family Medicine, Obstetrics/Gynecology, Pediatrics, General Surgery and Transitional Medicine, and through continuing medical education. Over 170 interns and residents train in these programs each year, and over 400 medical students from Indiana University and other medical schools come to St.Vincent for clinical rotations. In addition, St.Vincent residents provide health care to the poor in underserved areas of Indiana, as well as in underdeveloped countries. Residents participate in urban, rural, or international medicine rotations to gain a broader medical perspective which enhances their professional and spiritual understanding.Medical ResearchSt.Vincent contributes funds and personnel to advance medical care. The Research & Regulatory Affairs Department assists physicians and healthcare providers in developing new medical procedures, finding innovative uses for existing technologies and participating in clinical trial programs in order to provide patients and their families with cutting edge technologies and pharmaceuticals. Research is being conducted in cardiovascular, cancer, neurological, gastrointestinal and orthopedic treatments as well as in additional specialty areas.Medical Social ServicesThe Medical Social Services Department of St.Vincent provides psychosocial services to patients and their families to maximize social functioning and to empower patients and their families. The medical social workers are all licensed clinical social workers with master's degrees. The social workers connect patients and their families to services and in many cases can provide direct assistance for temporary food, clothing, shelter and transportation needs. During fiscal year 2013, through the work of the department, 625 community agencies were utilized to assist 109,338 patients and their families with achieving their optimal level of health. Out of the Darkness Community WalkFor the 8th year in a row, St.Vincent Stress Center was a platinum sponsor of the American Foundation for Suicide Prevention Out of Darkness Community Walk, which promotes awareness, education, prevention, and intervention for suicide and depression disorders. Stress Center associates continue to play an integral role in holding this event. Associates lead the committee that organizes the walk, and the Stress Center executive director has been an opening ceremony speaker for each year of the event. In fiscal year 2013, the Out of Darkness Community Walk took place on September 14th. This year 1,774 walkers showed up in support of the event, which raised $142,103. Project 18 Project 18, a partnership with Peyton Manning Children's Hospital at St.Vincent and Ball State University, provides a hands on, standards-based, eighteen-week curriculum targeting 3rd through 5th grade students focusing on nutrition, physical fitness and holistic health. Now in its fifth year, Project 18 currently has over 560 registered schools representing 76 Indiana counties and 121 cities. Project 18 has impacted well over 100,000 students with its curriculum and programming. Project 18 has also developed partnerships with the Indiana State Department of Health, the Indiana Department of Education and the Indiana Blood Center in an effort to increase awareness, to broaden the base of programs and to increase community involvement. As the battle against childhood obesity continues, Project 18 encourages young students and their families to eat healthy, exercise regularly and to give back to the community.School and Community Asthma ProgramAsthma can be a frightening, debilitating, even life-threatening condition, especially for children and their families. Peyton Manning Children's Hospital believes that providing quality information about asthma and its treatment can empower children and families to better manage the condition, enabling them to participate more fully in a wide range of activities. The School and Community Asthma Program offers free asthma classes for parents, students and teachers in conjunction with Peyton Manning Children's Hospital at St.Vincent and the Asthma Alliance of Indianapolis. In fiscal year 2013, more than 4,846 people were educated by Happy Healthy Lungs, Asthma, and Anti-Tobacco presentations in 51 different schools throughout the community.School Health and WellnessIn order to enhance the health of our communities, Peyton Manning Children's Hospital at St.Vincent has entered into a collaborative agreement with local schools to establish health centers in 16 area schools; 4 Archdiocesan inner-city schools, 8 Zionsville Community Schools, and 4 Carmel Clay Schools. Through these partnerships, Peyton Manning Children's Hospital at St.Vincent employs and trains school health personnel, including RNs, LPNs, Certified nurse assistants, and Emergency Medical Technicians, to work in local elementary, middle and high schools, allowing for consistent health practices across the school systems. In addition to staffing school health clinics, Peyton Manning Children's Hospital at St.Vincent also employs a school wellness coordinator who works closely with school administration, faculty, and students to share and coordinate available resources in schools in Marion and surrounding counties, providing health education, physical fitness testing, wellness consulting, organizing health and safety fairs and other wellness activities in over 110 schools. Sports Performance OutreachSt.Vincent provides sports medicine services at 24 high schools, 17 middle schools and several youth sports organizations. Over 24,000 youth were served with Outreach athletic training services, sports physicals and injury management advice during fiscal year 2013.Speakers Bureau To accommodate the numerous requests for professionals to present health promotion education throughout the community, St.Vincent sponsors a Speakers Bureau and coordinates presentations to a multitude of organizations and agencies. 338-KIDS and 338-4HER Lines338-KIDS assist parents in determining the most appropriate level of care depending on their child's symptoms. When parents have questions about their child's health, 338-KIDS provides a direct link to the exclusive nurse advice line at Peyton Manning Children's Hospital at St.Vincent. This hotline available 24/7 has registered nurses standing by to answer questions about fevers, allergic reactions, burns, rashes, accidents and other health-related problems their child may be having. During fiscal year 2013, over 25,000 calls were taken on this kid's health advice hotline.St.Vincent Women's Hospital encourages women to ask questions regarding any health issues, and is dedicated to assisting them in receiving the help they need. Women across Central Indiana are able to call 24 hours a day, seven days a week. By calling 317-338-4HER (4437) day or night, individuals are able to reach a health professional who can answer questions or connect them with a doctor, nurse, or other professional who will advise them on their health issues. During fiscal year 2013, over 14,000 calls were taken on this women's health advice hotline.St.Vincent Stress Center Education/SupportMental disorders are common in the United States and internationally. An estimated 26.2 percent of Americans ages 18 and older, about one in four adults, suffer from a diagnosable mental disorder in a given year. Recent statistics suggest roughly seven of every one hundred people suffer depression after age 18 at some point in their lives. Depression's annual toll on U.S. businesses amounts to about $70 billion in medical expenditures, lost productivity and other costs. Depression accounts for close to $12 billion in lost workdays each year. The St.Vincent Stress Center provides long-term recovery from depression by addressing the underlying relationship causes of depression. During fiscal year 2013, the St.Vincent Stress Center staff worked with surrounding universities in mentoring and training students in the healthcare field. An active program of school integration also reached out to various schools in Marion, Hamilton, Boone, and Hendricks Counties, providing valuable and informative lectures on topics such as bullying, peer pressure, alcohol and substance abuse, test performance anxiety, suicide awareness, and peer pressure. Between these two initiatives, staff spent over 2,000 hours of time teaching, supervising, and delivering behavioral health presentations to over 25 different schools. Safe Sleep Peyton Manning Children's Hospital at St.Vincent and St.Vincent Women's Hospital joined forces with The Children's Museum in promoting various kids' health issues. In an effort to reduce the incidence of sudden infant death syndrome, St.Vincent provided free sleep sacks, in exchange for crib bumper pads, to infant caregivers who brought crib bumper pads to the concierge desk at The Children's Museum. The bumper pads were then recycled and the materials used to make quilts which were donated to local shelters.Parish Nursing Parish nurses provide health education, counseling, and health advocacy for their congregation. St.Vincent provides scholarships to registered nurses who wish to complete a parish nurse training program. All denominations are supported by the parish nursing program which provides educational materials and health supplies to the faith communities they serve. A parish nurse program coordinator, employed by St.Vincent, provides oversight for the program and ensures parish nurses receive ongoing professional education. During fiscal year 2013, three educational/networking sessions were offered. Additionally, in an effort to guide future educational sessions, parish nurses were asked to complete a survey regarding how their time is spent and the most prominent healthcare issues within their congregation. Tobacco Management Center The Tobacco Management Center is a hospital-based, nurse/pharmacist-driven smoking cessation program offered to the community which offers resources, group support and individualized counseling. During fiscal year 2013, 39 individuals completed the program. Of these, 39% were tobacco free for at least 60 days or more. Because staying smoke free can be a challenge, the Tobacco Management Center staff provides critical on-going support to participants to encourage, motivate, and counsel them regarding struggles they may be having. Community Benefit Cash and In-Kind ContributionsIn addition to the outreach programs operated by the hospital, St.Vincent 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 Activities Research shows that social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status. Back Pack Attack Eighty-eight percent of Indianapolis Public School families cannot afford the basic school supplies their children need requiring many teachers to spend their own money to operate their classrooms. St.Vincent has joined with other local partners to participate in the Back Pack Attack Program each year. St.Vincent runs a 3-week campaign to collect supplies, associates then deliver these supplies to be sorted and distributed to students in need. In 2013, the program was able to assist 45,650 children. Hope for the Holidays Each year, St.Vincent associates reach into their own pockets to purchase Christmas gift items for families in need. During their work time, department associates contact families, create needs list, collect donations, shop for items, wrap gifts and deliver food and packages to these families. Reach Out and Read Early Literacy ProgramReach Out and Read is a national early literacy program designed to take advantage of the access pediatricians have to children who are in their critical early years (6 months to 5 years) of cognitive and language development. Across Indiana, physician-based sites distribute thousands of new books each year to Hoosier children and their families. In the State of Indiana, physicians and nurses have been trained in the program, including the healthcare professionals at the Joshua Max Simon Primary Care Center at St.Vincent.United Way Day of CaringSt.Vincent associates are given time during their regular work day to participate in the United Way Day of Caring making this community wide effort a gift of time, effort and skills by participating organizations. In fiscal year 2013, associates chose to work at one of two locations. Holy Family Shelter is an emergency shelter for homeless families. Associates participated in fun activities with the children to allow parents time to address other pressing issues, such as job searching. The Christamore House is a family and community center. Associates spent their time cleaning the inside of the center and the outside of the building by mowing the lawn and picking up debris. Crooked Creek Neighborhood PartnershipsThe neighborhood surrounding the St.Vincent Indianapolis Hospital campus, Crooked Creek is one of the largest culturally and economically diverse neighborhoods in the city of Indianapolis. Over the past decade, Crooked Creek has experienced significant decline due to home foreclosures and business closures, resulting in vacant homes and buildings throughout the area. St.Vincent Indianapolis Hospital was instrumental in founding the Crooked Creek Community Development Corporation (CDC) whose mission is to improve housing, public infrastructure, and commercial areas for all who live, work, and visit this northwest Indianapolis community. Crooked Creek CDC initiatives in fiscal year 2013 included:- The HUB is a place where neighbors gather, learn and work. The HUB is open to all residents and businesses for use as a resource center, meeting place, or workplace. Visitors can gather information and take classes on home and business ownership, or connect with services offered by Indianapolis Neighborhood Housing Partnership, Business Ownership Initiative, or Michigan Road Business Association. A gallery for local art provides the back drop for a kind of living room where residents can gather and share ideas.- The Crooked Creek Farmer's Market provides convenient access to locally-grown, healthy food choices and provides local farmers with the opportunity to sell their locally-grown produce to contribute to the health and economic vitality of the Crooked Creek Community.- The Fay Biccard Glick Neighborhood Center at Crooked Creek provides programs for families living on Indianapolis' northwest side including employment, energy and emergency assistance, English as a Second Language, food pantry, senior wellness, before/afterschool care, Skool of MADD Arts, recreational programs, early childhood development, GED, pre-college enrichment and summer camp. St.Vincent STAR Job Readiness ProgramThe STAR Program aims to enrich lives and provide job readiness skills to individuals in Marion and surrounding counties who are facing significant barriers to employment, but have a sincere desire to gain and maintain a job. The STAR Program reaches out to both disadvantaged individuals and those who find themselves in situational stress due to a recent job loss, or an inability to find employment. For many individuals, the program has not only resulted in a job, but has been life-transforming. Participants meet for six weeks in a classroom setting, where they gain and/or enhance job readiness and life skills. Following classroom training, students are placed with mentors throughout various departments in St.Vincent Hospital including patient registration, food services, and housekeeping. Four series of STAR classes were offered in fiscal year 2013. More than 291 STARS have gone on to sustain full-time employment since the program's inception. 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. 1 Archdiocese of Indianapolis - Holy Family Shelter 30 East Palmer Street Indianapolis IN 46225 351018460 501(c)(3) 50000 General support Covering Kids & Families of Indiana Inc 2951 East 38th Street Indianapolis IN 46205 611520892 501(c)(3) 50000 General support Gennesaret Free Clinic Inc 615 N Alabama Street Indianapolis IN 462041414 351776518 501(c)(3) 20000 General support The Julian Center Inc 2011 N Meridian Street Indianapolis IN 46202 351346514 501(c)(3) 16500 General support Neighborhood Christian Legal Clinic 3333 N Meridian Street Suite 201 Indianapolis IN 46208 351916572 501(c)(3) 20000 General support Fay Biccard Glick Neighborhood Center at Crooked Creek 2990 W 71st Street Indianapolis IN 46268 351738809 501(c)(3) 154000 General support Jewish Federation dba Elder Source 6705 Hoover Road Indianapolis IN 46260 350888017 501(c)(3) 15000 General support Horizon House Inc 1033 E Washington Road Indianapolis IN 46202 351759503 501(c)(3) 20000 General support Archdiocese of Indianapolis - A Promise to Keep 30 East Palmer Street Indianapolis IN 46225 351018460 501(c)(3) 20000 General support Morning Dove Therapeutic Riding Inc 7440 W 96th Street Zionsville IN 46077 352056736 501(c)(3) 40300 General support Indianapolis Medical Society Foundation - Project Health 631 E New York Street Indianapolis IN 462023706 351810091 501(c)(3) 30000 General support YMCA of Greater Indianapolis - Pike 615 N Alabama Street Indianapolis IN 46204 350868211 501(c)(3) 35000 General support Brooke's Place for Grieving Young People Inc 50 East 91st Street Indianapolis IN 46240 352045122 501(c)(3) 15000 General support Crooked Creek Community Council Inc PO Box 88902 Indianapolis IN 46208 237169314 501(c)(3) 10000 General support BABE Store 6940 N Michigan Road Indianapolis IN 46268 352006040 501(c)(3) 19200 General support Indiana Members Foundation Inc - Back Pack Attack 5101 Madison Avenue Indianapolis IN 46227 271272002 501(c)(3) 7500 General support Ascension Health PO Box 45998 St Louis MO 63145 311662309 501(c)(3) 40157966 Net assets transferred for operating expenses and bond remediation StVincent Hospital Foundation Inc 10330 N Meridian St Suite 430N Indianapolis IN 46290 356088862 501(c)(3) 1747250 Operating grant StVincent Medical Group Inc 8333 Naab Road Ste 200 Indianapolis IN 46260 272039417 501(c)(3) 100997550 General support for Physician Network Group and general operations StVincent Fishers Hospital Inc 13861 Olio Road Fishers IN 46037 454243702 501(c)(3) 7463159 58133730 Book value Building and equipment Net assets transferred for new hospital operations 20 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The finance committee ensures that funds are distributed appropriately according to Ascension Health's strategic business plan and consistent with corporate policies and procedures. X X 1 1 X X X X 0 1 0 0 0 0 0 0 0 Robert J Robison MD 482974 0 351767 0 19327 0 29506 0 15403 0 898977 0 0 0 Vincent C Caponi 912337 0 1608389 0 302836 0 47081 0 17784 0 2888427 0 0 0 D Kyle DeFur 438495 0 136545 0 60735 0 29651 0 23357 0 688783 0 0 0 Thomas M Cook 234508 0 42961 0 963 0 27104 0 8099 0 313635 0 0 0 Ian G Worden 527879 0 175044 0 105776 0 48391 0 6527 0 863617 0 0 0 Darcy K Burthay 361926 0 59073 0 13606 0 36060 0 5619 0 476284 0 0 0 Anne F Coleman 278036 0 76919 0 810 0 44459 0 26787 0 427011 0 0 0 Martha L Durall 186670 0 36449 0 26909 0 55925 0 16434 0 322387 0 0 0 Gary A Fammartino 211014 0 35282 0 8612 0 42798 0 12267 0 309973 0 0 0 Jon D Rahman MD 312159 0 107972 0 69588 0 65765 0 17535 0 573019 0 0 0 Daniel R LeGrand MD 390874 0 9073 0 37186 0 42129 0 24768 0 504030 0 0 0 Robert M Lubitz 235322 0 54745 0 54712 0 6250 0 16495 0 367524 0 0 0 James E Sumners 655676 0 48837 0 89001 0 51043 0 23647 0 868204 0 0 0 Marvin L White 471153 0 152686 0 83677 0 23342 0 23283 0 754141 0 0 0 William P Didelot 580095 0 0 0 111574 0 20238 0 22597 0 734504 0 0 0 Joseph F Bellflower 578571 0 0 0 107942 0 22602 0 22597 0 731712 0 0 0 Joseph O Murdock 396626 0 128532 0 75980 0 48931 0 19825 0 669894 0 0 0 Part I, Line 1a St.Vincent Hospital and Health Care Center, Inc. paid for cell phone usage for fourteen of the officers/directors, key employees, and highest compensated employees listed in Part VII. St.Vincent Hospital and Health Care Center, Inc. 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 Hospital and Health Care Center, Inc. "grossed up" the above applicable non-business expenses and included in the employees' W-2 as additional taxable compensation. St.Vincent Hospital and Health Care Center, Inc. utilized charter travel during the fiscal year for one of the officer/directors. It is not common practice to utilize charter travel, but on a few occasions in FY 2013 it was necessary due to limited flight times and urgency of system-wide meetings. Part I, Line 4b All employees and amounts listed are voluntary deferrals or company contributions to various non-qualified deferred compensation plans organized under Code Section 457(B). The exact purpose of each plan varies but they include: compensation limitation make-up plans, voluntary deferral plans, deferral of a portion of incentive bonus type plans, etc. No payments were made to listed persons in Part VII under the various non-qualified deferred compensation plans during the year. - See Part V - - See Part V - 99271 See Part V 0 Schedule L, Part IV: Business Transaction Involving Interested Persons (a) Name of interested person: Sharon L Worden(b) Relationship between interested person and organization: Spouse of Ian Worden (Director/COO)(c) Amount of transaction: $99,271(d) Description of transaction: Sharon L Worden is an employee of St.Vincent Hospital and Health Care Center, Inc. and receives compensation from the related organization.(e) Sharing of organization revenues: No Form 990, Part VI, Section A, line 2 Vince Caponi (St.Vincent Hospital and Health Care Center, Inc. officer/director), Ian Worden (St.Vincent Hospital and Health Care Center, Inc. officer), & D Kyle DeFur (St.Vincent Hospital and Health Care Center, Inc. president) are also directors of St.Vincent Heart Center of Indiana, LLC, which is treated as a partnership for income tax purposes. Gary Fammartino (St.Vincent Hospital and Health Care Center, Inc. system executive) & D Kyle DeFur (St.Vincent Hospital and Health Care Center, Inc. president) are also directors of Naab Road Surgery Center, LLC, which is treated as a partnership for income tax purposes. Gary Fammartino (St.Vincent Hospital and Health Care Center, Inc. system executive) & Daniel LeGrand (St.Vincent Hospital and Health Care Center, Inc. CMO) are also directors of The Surgery Center of Indianapolis, LLC, which is treated as a partnership for income tax purposes. Form 990, Part VI, Section A, line 6 St.Vincent Hospital and Health Care Center, Inc. has a single corporate member, St.Vincent Health, Inc. Form 990, Part VI, Section A, line 7a St.Vincent Hospital and Health Care Center, Inc. has a single corporate member, St.Vincent Health, Inc. who has the ability to elect members to the governing body of St.Vincent Hospital & Health Care Center, Inc. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to St.Vincent Hospital and Health Care Center, 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 Hospital and Health Care Center, Inc.'s CEO, executive director, or top management official are made by a compensation committee of St.Vincent Hospital and Health Care Center, Inc. and/or St.Vincent Health, Inc. In determining compensation of the organization's CEO, executive director, or top management official, 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 Hospital and Health Care Center, Inc.'s other officers or key employees are made by a compensation committee of St.Vincent Hospital and Health Care Center, 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. Tax Exempt Bond Issuance Part IV, Line 24A: St.Vincent Hospital and Health Care Center, 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 Hospital and Health Care Center, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet. 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 Inc 1300 S Jackson Frankfort IN 46041 352099320 Critical access 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 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 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 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 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Ascension Health B 40157966 Fair market value StVincent Hospital Foundation Inc C 4285766 Fair market value StVincent Hospital Foundation Inc B 1747250 Fair market value StVincent Medical Group Inc B 100997550 Fair market value StVincent Fishers Hospital Inc B 65596889 Book value