ST VINCENT SETON SPECIALTY HOSPITAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ST VINCENT SETON SPECIALTY HOSPITAL INC (EIN 35-1712001)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-05-14
IRS object ID: 201321349349307882
Schema version: 2011v1.5
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-14T15:59:07-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	861065772	EIN

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	351712001	EIN

Name Name

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

Field	Value	IRS element (for citing)
Name Control	STVI	NameControl
Phone	3174158357	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8071 Township Line Road No 200	AddressLine1
City	Indianapolis	City
State	IN	State
ZIP Code	46260	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Peter H Alexander	Name
Title	Administrator	Title
Phone	3174158354	Phone
Date Signed	2013-05-14	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Shawna M Jimenez	Name
PTIN	P01222873	PTIN
Phone	3174648600	Phone
Date Prepared	2013-05-09	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Peter H Alexander	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	8071 Township Line Road No 200	AddressLine1
City	Indianapolis	City
State	IN	State
ZIP Code	46260	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	61699888	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.stvincent.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1987	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	We are a nonprofit hospital dedicated to providing healthcare that leaves no one behind.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	7	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	482	TotalNbrEmployees
Total Nbr Volunteers	5	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2763173	ContributionsGrantsPriorYear
Contributions Grants Current Year	46302	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	61967530	ProgramServiceRevenuePriorYear
Program Service Revenue CY	58753209	ProgramServiceRevenueCY
Investment Income Prior Year	3857346	InvestmentIncomePriorYear
Investment Income Current Year	2764449	InvestmentIncomeCurrentYear
Other Revenue Prior Year	140061	OtherRevenuePriorYear
Other Revenue Current Year	124948	OtherRevenueCurrentYear
Total Revenue Prior Year	68728110	TotalRevenuePriorYear
Total Revenue Current Year	61688908	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	1600000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	31400566	SalariesEtcPriorYear
Salaries Etc Current Year	30387036	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	24159014	OtherExpensePriorYear
Other Expenses Current Year	19548670	OtherExpensesCurrentYear
Total Expenses Prior Year	57159580	TotalExpensesPriorYear
Total Expenses Current Year	49935706	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11568530	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11753202	RevenuesLessExpensesCY
Total Assets BOY	79640105	TotalAssetsBOY
Total Assets EOY	86802537	TotalAssetsEOY
Total Liabilities BOY	8562466	TotalLiabilitiesBOY
Total Liabilities EOY	7879907	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	71077639	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	78922630	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	St.Vincent Seton Specialty Hospital is dedicated to providing spiritually-centered, holistic healthcare that sustains and improves the health of those served, with special attention to the poor and vulnerable. Both inpatient and outpatient health services are provided without regard to patient race, creed, national origin, economic status, insurance status or ability to pay. This mission extends well beyond the provision of core medical services to encompass medical and scientific research programs, the training and educating of health care professionals and active support of community-based partnerships and programs to improve health and quality of life.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	42128912	Expense
Revenue	58753209	Revenue
Description	St.Vincent Seton Specialty Hospital is a 104 (74+30)-bed, long term acute care hospital serving primarily Marion, Tippecanoe and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. It is a unique organization that specializes in caring for acute, critically ill and catastrophically injured patients requiring longer hospital stays averaging more than 25 days. During fiscal year 2012, St.Vincent Seton Specialty Hospital treated 967 patients for a total of 28,398 inpatient days of service. See Schedule O for a non-exhaustive list of community benefit programs and descriptions.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	1640004	Expense
Description	During the fiscal year ending June 30, 2012, the unreimbursed cost of free or discounted services provided to patients who were deemed indigent under state, county, or hospital guidelines was $1,640,004 which included $737,940 of traditional charity care and $902,064 in unpaid costs of care for those qualifying for Medicaid or other public programs for the poor. (Note that St.Vincent Seton Specialty Hospital 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 $2,500,886 in unpaid costs of care for elderly covered through Medicare.) See Schedule O for a non-exhaustive list of community benefit programs and descriptions.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	151424	Expense
Description	In addition to core medical services, St.Vincent Seton Specialty Hospital 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 2012, SVSSH provided $151,424 in unbilled services to the poor and to the broader community. (When combined with the costs of free or discounted services for the poor listed in Line 4b, SVSSH provided a total Community Benefit of $1,791,428 in fiscal year 2012.) SVSSH serves and supports its community through such programs as Indiana Veterans' Home, Fay Biccard Glick Neighborhood Center at Crooked Creek, and health fairs. See Schedule O for a non-exhaustive list of community benefit programs and descriptions.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	43920340	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	1	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	34	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	482	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	7	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	David M Girten CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	3174158357	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	8071 Township Line Road Ste 200	AddressLine1
City	Indianapolis	City
State	IN	State
ZIP Code	46260	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
George D Martin
Chair	0.50	X	X	0	0	0
Ronald E Rosenberg
Vice Chair	0.50	X	X	0	0	0
Deborah A Lawrence
Secretary/Treasurer	0.50	X	X	0	0	0
David J Handel
Director	0.50	X		0	0	0
David A Heimansohn MD
Director	0.50	X		0	303942	22440
James S Parsons
Director	0.50	X		0	0	0
Alan D Snell MD
Director	0.50	X		0	305591	56359
Peter H Alexander
Administrator	40.00		X	305377	0	73119
David M Girten
Executive Director Financi	40.00		X	200696	0	61605
Troy T Reiff
Executive Director Operati	40.00		X	189542	0	41797
Melanie G Holt
Executive Director Busines	40.00		X	172552	0	20900
Linda Carroll
Executive Director Mission	40.00		X	0	112175	38983
Merly S Shaw
Registered Nurse	40.00			196290	0	49596	X
Toni A Turpin
Registered Nurse	40.00			166513	0	45094	X
Theresa M Anderson
Site Administrator	40.00			167822	0	46559	X
Sepideh S Crawford
Pharmacist	40.00			218635	0	37118	X
Timothy Chambers
Practice Facilitator	40.00			162309	0	20747	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1779736	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	721708	TotalReportableCompFrmRltdOrgs
Total Other Compensation	514317	TotalOtherCompensation
Number Individuals GT100 K	35	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
South Bend Medical Foundation
530 N Lafayette Blvd	South Bend	IN	46601	Lab services	1056205
Fresenius Medical Services
16343 Collections Center Dr	Chicago	IL	60693	Medical services	564592
Assured Healthcare LLC
7922 E Edgewood Avenue	Indianapolis	IN	46239	Nursing services	408444
Liberty Dialysis
PO Box 10147	Uniondale	NY	11555	Dialysis services	201992
Action Ambulance dba Integrated Transpor
5647 Dividend Drive	Indianapolis	IN	462414301	Ambulance services	186815

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	6	NumberOfContractorsGT100K
Related Organizations	6380	RelatedOrganizations
Government Grants	39922	GovernmentGrants
Total Contributions	46302	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Net Medicare/Medicaid	621990	36786788	36786788
Net patient revenue	621990	21966421	21966421

Field	Value	IRS element (for citing)
Total Program Service Revenue	58753209	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	2775429	TotalRevenueColumn
Exclusion	$2,775,429	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	10980	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-10980	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-10980	TotalRevenueColumn
Exclusion	-$10,980	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Cafeteria revenue	Description
Business Code	722210	BusinessCode
Total Revenue Column	124948	TotalRevenueColumn
Exclusion	$124,948	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	124948	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	61688908	TotalRevenueColumn
Related Or Exempt Function Income	58753209	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$2,889,397	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1065588	Total
Management And General	1065588	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	23087941	Total
Program Services	20656873	ProgramServices
Management And General	2431068	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	399339	Total
Program Services	357290	ProgramServices
Management And General	42049	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	4242155	Total
Program Services	3795473	ProgramServices
Management And General	446682	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	1592013	Total
Program Services	1424380	ProgramServices
Management And General	167633	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	725611	Total
Program Services	649207	ProgramServices
Management And General	76404	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	94192	Total
Program Services	84274	ProgramServices
Management And General	9918	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	15270	Total
Program Services	13662	ProgramServices
Management And General	1608	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	159	Total
Program Services	142	ProgramServices
Management And General	17	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	446873	Total
Program Services	399819	ProgramServices
Management And General	47054	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	913755	Total
Program Services	817540	ProgramServices
Management And General	96215	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	165901	Total
Program Services	148432	ProgramServices
Management And General	17469	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	15914	Total
Program Services	14238	ProgramServices
Management And General	1676	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1472316	Total
Program Services	1317287	ProgramServices
Management And General	155029	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	70467	Total
Program Services	70467	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Supplies	5838804	5224001	614803
Purchased services	3844144	3439371	404773
Community benefit	1791428	1791428
Corporate expenses	1248714	1117229	131485

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2905122	Total
Program Services	2599227	ProgramServices
Management And General	305895	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	49935706	Total
Program Services	43920340	ProgramServices
Management And General	6015366	ManagementAndGeneral
Fundraising	0	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	2847928	BOY
EOY	2337632	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	8017836	BOY
EOY	11285974	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	466268	BOY
EOY	548972	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
EOY	12187	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	23860244	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	9282418	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	15876219	BOY
EOY	14577826	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	52431854	BOY
EOY	58039946	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	79640105	BOY
EOY	86802537	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4664017	BOY
EOY	4674168	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	3898449	BOY
EOY	3205739	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	8562466	BOY
EOY	7879907	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	71038422	BOY
EOY	78909689	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	39217	BOY
EOY	12941	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	71077639	BOY
EOY	78922630	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	79640105	BOY
EOY	86802537	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	11753202	ReconcilationRevenueExpenses
Reconcilation Other Changes	-3908211	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$2,074	OtherActivitiesAmount
Total Lobbying Expenditures IIB	2074	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1:	ReturnReference
Explanation	Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	847629	OtherCostOrOtherBasis
Book Value	847629	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16813421	OtherCostOrOtherBasis
Depreciation	5113107	Depreciation
Book Value	11700314	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3157	OtherCostOrOtherBasis
Depreciation	1289	Depreciation
Book Value	1868	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6146101	OtherCostOrOtherBasis
Depreciation	4168022	Depreciation
Book Value	1978079	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	49936	OtherCostOrOtherBasis
Book Value	49936	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	14577826	TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescription	Book ValueBookValue
Receivable from third party payors	391249
Donor restricted funds	12941
Interest in investments held by Ascension Health Alliance	57622745
Other assets	13011

Field	Value	IRS element (for citing)
Total Book Value Other Assets	58039946	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
Payables to third party programs	$1,070,909
Intercompany payables	$1,628,840
Other liabilities	$70,231
Intercompany debt with Ascension Health Alliance	$435,759

Field	Value	IRS element (for citing)
Total Of Amounts	3205739	TotalOfAmounts

Schedule H IRS990ScheduleH

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

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	737940	TotalCommunityBenefitExpense
Net Community Benefit Expense	737940	NetCommunityBenefitExpense
Percent Of Total Expense	0.01480	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1453423	TotalCommunityBenefitExpense
Direct Offsetting Revenue	551359	DirectOffsettingRevenue
Net Community Benefit Expense	902064	NetCommunityBenefitExpense
Percent Of Total Expense	0.01810	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2191363	TotalCommunityBenefitExpense
Direct Offsetting Revenue	551359	DirectOffsettingRevenue
Net Community Benefit Expense	1640004	NetCommunityBenefitExpense
Percent Of Total Expense	0.03290	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	457	PersonsServed
Total Community Benefit Expense	37195	TotalCommunityBenefitExpense
Net Community Benefit Expense	37195	NetCommunityBenefitExpense
Percent Of Total Expense	0.00070	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	3183	PersonsServed
Total Community Benefit Expense	21430	TotalCommunityBenefitExpense
Direct Offsetting Revenue	350	DirectOffsettingRevenue
Net Community Benefit Expense	21080	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	2282	PersonsServed
Total Community Benefit Expense	93149	TotalCommunityBenefitExpense
Net Community Benefit Expense	93149	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	5922	PersonsServed
Total Community Benefit Expense	151774	TotalCommunityBenefitExpense
Direct Offsetting Revenue	350	DirectOffsettingRevenue
Net Community Benefit Expense	151424	NetCommunityBenefitExpense
Percent Of Total Expense	0.00300	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	5922	PersonsServed
Total Community Benefit Expense	2343137	TotalCommunityBenefitExpense
Direct Offsetting Revenue	551709	DirectOffsettingRevenue
Net Community Benefit Expense	1791428	NetCommunityBenefitExpense
Percent Of Total Expense	0.03590	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Persons Served	916	PersonsServed
Total Community Building Expense	8023	TotalCommunityBuildingExpense
Net Community Building Expense	8023	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	916	PersonsServed
Total Community Building Expense	8023	TotalCommunityBuildingExpense
Net Community Building Expense	8023	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReported
Bad Debt Expense	$254,566	BadDebtExpenseAmount
Amount Attributable To	76370	AmountAttributableTo
Amount Reimbursed By Medicare	34669265	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	37170151	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2500886	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital
StVincent Seton - Indianapolis
1	8071 Township Line Road	Indianapolis	IN	46260	X
StVincent Seton - Lafayette
2	1501 Hartford Street	Lafayette	IN	47904	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
StVincent Seton - Indianapolis
1	1	1	200.000000000000	1	400.000000000000	1	X	X	1	1	X	X	X	1	0	1	X	0	0
StVincent Seton - Lafayette
2	1	1	200.000000000000	1	400.000000000000	1	X	X	1	1	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 3c: The organization provides medically necessary care to all patients, regardless of race, color, creed, ethnic origin, gender, disability or economic status. The hospital uses a percentage of federal poverty level (FPL) to determine free and discounted care. At a minimum, patients with income less than or equal to 200% of the FPL, which may be adjusted for cost of living utilizing the local wage index compared to the national wage index, will be eligible for 100% charity care write off of charges for services that have been provided to them. Also, at a minimum, patients with incomes above 200% of the FPL but not exceeding 400% of the FPL, subject to adjustments for cost of living utilizing the local wage index compared to national wage index, will receive a discount on the services provided to them.
Part I, Line 7: The cost of providing charity care, means tested government programs, and community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
Part II: St.Vincent Seton Specialty Hospital promotes the health of its communities by striving to improve the quality of life within the community. Research has established that factors such as economic status, employment, housing, education level, and built environment can all be powerful social determinants of health. Additionally, helping to create greater capacity within the community to address a broad range of quality of life issues also impacts health. St.Vincent Seton Specialty Hospital meets regularly with local organizations in the community to learn what resources are available and plan community health improvement efforts. In fiscal year 2012, these organizations included: Salvation Army, Indiana Veterans Home, Fay Biccard Glick Neighborhood Center at Crooked Creek, and Indiana Kids Environmental Coalition.
Part III, Line 4: The organization is a part of the St.Vincent Health System consolidated audit. The provision for bad debts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in health care coverage, and other collection indicators. On a monthly basis, management assesses the adequacy of the allowance for uncollectible accounts for each patient, including those amounts not covered by insurance. The results of this review are then used to make modifications to the provision for bad debts to establish an appropriate allowance for uncollectible accounts. 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 Corporations policies. The share of the bad debt expense in fiscal year 2012 was $721,420 at charges ($254,566 at cost).
Part III, Line 8: Ascension Health and related health ministries follow the Catholic Health Association ("CHA") guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Part III, Line 9b: The organization has a written debt collection policy that also includes a provision on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance. If a patient qualifies for charity or financial assistance certain collection practices do not apply.
Part V, Section B, Line 19d: 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 Seton - Indianapolis
Part V, Section B, Line 19d: 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 Seton - Lafayette
Part V, Section B, Line 20: 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 13. 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 11).	St.Vincent Seton - Indianapolis
Part V, Section B, Line 20: 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 13. 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 11).	St.Vincent Seton - Lafayette
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) as noted in Question 13. 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 11).	St.Vincent Seton - Indianapolis
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) as noted in Question 13. 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 11).	St.Vincent Seton - Lafayette
The following steps were followed and considered reasonable efforts for purposes of Question 15:- 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 13. 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 11).	Part V, Section B, Line 15:	St.Vincent Seton - Indianapolis:
The following steps were followed and considered reasonable efforts for purposes of Question 15:- 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 13. 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 11).	Part V, Section B, Line 15:	St.Vincent Seton - Lafayette:
The following steps were followed and considered reasonable efforts for purposes of Question 16:- 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 13. 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 11).	Part V, Section B, Line 16:	St.Vincent Seton - Indianapolis:
The following steps were followed and considered reasonable efforts for purposes of Question 16:- 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 13. 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 11).	Part V, Section B, Line 16:	St.Vincent Seton - Lafayette:
Part VI, Line 2: Communities are dynamic systems in which multiple factors interact to impact quality of life and health status. St.Vincent Seton Specialty Hospital helps to periodically assess assets and needs within the long term acute care community, prioritize action, and work in partnership to address identified challenges. As part of the St.Vincent Health System, the goal of St.Vincent Seton Specialty Hospital is to work with its community to conduct an assessment at least every three years. Assessments may include primary survey data, secondary data, focus group input, community leaders' survey and other data. St.Vincent Seton Specialty Hospital follows the St.Vincent Indianapolis's protocol for this procedure. Results are made available to organizations and individuals throughout the community. These needs assessments are also utilized in creating the hospital's Integrated Strategic Financial and Operational Plan.
Part VI, Line 3: St.Vincent Seton Specialty Hospital communicates with patients in multiple ways to ensure that those who are billed for services are aware of the hospital's charity care program as well as their potential eligibility for local, state or federal programs. Signs are prominently posted in each service area, and bills contain a formal notice explaining the hospital's charity care program. In addition, the hospital employs financial counselors, health access workers, and enrollment specialists who consult with patients about their eligibility for financial assistance programs and help patients in applying for any public programs for which they may qualify.
Part VI, Line 4: St.Vincent Seton Specialty Hospital is located in Indianapolis and Lafayette, Indiana and serves Marion, Tippecanoe and contiguous counties, in northwest and Central Indiana. With the special care that St.Vincent Seton Specialty Hospital performs, the patients come from all over the state of Indiana and even bordering states. Patients of all ages come to St.Vincent Seton Specialty Hospital from motorcycle accidents to severe strokes. St.Vincent Seton Specialty Hospital is for medically complex patients who still need a high level of acute care services.
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 Seton Specialty Hospital:- delivers patient services to all individuals requiring healthcare, without regard to patient race, ethnicity, economic status, insurance status or ability to pay- maintains an open medical staff that allows credentialed physicians to practice at its facilities- trains and educates health care professionals- participates in government-sponsored programs such as Medicaid and Medicare to provide healthcare to the poor and elderly- is governed by a board in which independent persons who are representative of the community comprise a majority
Part VI, Line 6: As part of the St.Vincent Health System, St.Vincent Seton Specialty Hospital is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St.Vincent Seton Specialty Hospital devote all or a significant portion of their time to leading and administering local community-based programs and partnerships, associates throughout the organization are active participants in community outreach. They are assisted and supported by designated St.Vincent Health community development and service staff who work with each healthcare facility 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 Seton Specialty Hospital participates.
IN	Reports Filed With States	Part VI, Line 7

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
David A Heimansohn MD
0	239637	0	64305	0	0	0	11008	0	11432	0	326382	0	0
Alan D Snell MD
0	269201	0	36390	0	0	0	36586	0	19773	0	361950	0	0
Peter H Alexander
243798	0	61579	0	0	0	53516	0	19603	0	378496	0	0	0
David M Girten
174234	0	26462	0	0	0	50680	0	10925	0	262301	0	0	0
Troy T Reiff
163190	0	26352	0	0	0	17232	0	24565	0	231339	0	0	0
Melanie G Holt
149177	0	23375	0	0	0	17748	0	3152	0	193452	0	0	0
Linda Carroll
0	99095	0	13080	0	0	0	28066	0	10917	0	151158	0	0
Merly S Shaw
194899	0	1391	0	0	0	31843	0	17753	0	245886	0	0	0
Toni A Turpin
165122	0	1391	0	0	0	33589	0	11505	0	211607	0	0	0
Theresa M Anderson
150010	0	17812	0	0	0	23107	0	23452	0	214381	0	0	0
Sepideh S Crawford
217244	0	1391	0	0	0	15982	0	21136	0	255753	0	0	0
Timothy Chambers
156182	0	6127	0	0	0	7779	0	12968	0	183056	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference

ExplanationExplanation

Part I, Line 1a

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

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.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	St.Vincent Seton Specialty Hospital, Inc. has a single corporate member, St.Vincent Health, Inc.
Form 990, Part VI, Section A, line 7a	St.Vincent Seton Specialty Hospital, Inc. has a single corporate member, St.Vincent Health, Inc. who has the ability to elect members to the governing body of St.Vincent Seton Specialty Hospital, Inc.
Form 990, Part VI, Section A, line 7b	All decisions that have a material impact to St.Vincent Seton Specialty Hospital, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St.Vincent Health, Inc.
Form 990, Part VI, Section B, line 11	Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form 990 to a designated committee of the Board to review and answer any questions. Prior to filing the returns, all Board members are provided the Form 990 and management team members are available to answer any Board member questions.
Form 990, Part VI, Section B, line 12c	The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committee with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax exempt purpose.
Form 990, Part VI, Section B, line 15	Compensation determinations of St.Vincent Seton Specialty Hospital, Inc.'s CEO, executive director, or top management official are made by a compensation committee of St.Vincent Seton Specialty Hospital, 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 was 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 Seton Specialty Hospital, Inc.'s other officers or key employees are made by a compensation committee of St.Vincent Seton Specialty Hospital, Inc. and/or St.Vincent Health, Inc. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The board, in executive session, reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same position.
Form 990, Part VI, Section C, line 19	The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section A:	The average hours per week that was devoted to related organizations during the year: Alan D Snell, MD - 40 hours David A Heimansohn, MD - 40 hours
Form 990, Part XI, line 5:	Net unrealized losses on investments: -3,908,211.	Changes in Net Assets or Fund Balances:
Part I, Line 6:	The total number of volunteers for the organization is 5. This consists of the board members which participate in all board activities as well as activities that include various community service programs that the hospital performs within the community.	Total Number of Volunteers
Part IV, Line 24A:	St.Vincent Seton Specialty Hospital, Inc. is a health facility that is part of Ascension Health System. Ascension Health is the borrower for tax exempt hospital revenue bonds. St.Vincent Seton Specialty Hospital, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet.	Tax Exempt Bond Issuance
Form 990, Part III, Line 4a, 4b and 4c:	St.Vincent Seton Specialty Hospital provides inpatient health care services that include: adult nursing services, surgical services, radiology, laboratory, pharmacy, endoscopy, electrocardiology, renal dialysis, respiratory therapy, physical therapy, occupational therapy, speech therapy, wound care, and electroencephanlography. Some of these services operate at a loss in order to ensure that comprehensive services are available to the community. Such community-focused programs improve access to healthcare, advocate for the poor and vulnerable, promote health through free education and screenings and help build better communities by improving quality of life.	Community Benefit Report
	St.Vincent Seton Specialty Hospital is part of St.Vincent Health, a non-profit healthcare system consisting of 20 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 Seton Specialty 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 Seton Specialty associates and others. Community benefit is not the work of a single department or group within St.Vincent Seton Specialty, but is part of the St.Vincent mission and cultural fabric. It is initiated and implemented at all levels of the organization, by each ministry, and in every community.	Community Benefit Overview
	Patient Services for Poor and Vulnerable Hospital and outpatient care is provided to patients that cannot pay for services, including hospitalizations, surgeries, prescription drugs, medical equipment and medical supplies. Patients with income less than 200% of the Federal Poverty level (FPL) are eligible for 100% charity care for services. Patients with incomes at or above 200% of the FPL, but not exceeding 400% of the FPL, receive discounted services based on an income-dependent sliding scale. Hospital financial counselors assist patients in determining eligibility and in completing necessary documentation. SVSSH is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. Public Program Participation St.Vincent Seton Specialty Hospital participates in government programs including Medicaid, SCHIP (Hoosier Healthwise), Healthy Indiana Plan (HIP) and Medicare and assists patients in enrolling for programs for which they are eligible. Per Catholic Health Association guidelines and St.Vincent Health's conservative approach, Medicare shortfall is not included as community benefit. Community Assessment St.Vincent Seton Specialty Hospital draws patients from all over the state who need the special care provided by this facility, bridging the gap between the Intensive Care Unit and sub-acute services. Seton participates in local, state, and national dialogues about best practices for caring for these patients and families, and advocates for their specialized needs. In addition, the Indianapolis location's close proximity to the St.Vincent Indianapolis Hospital allows Seton Specialty to use the geographic survey completed by St.Vincent Indianapolis to target initiatives to the needs and service gaps of the local community. For more information about the assessment process, please refer to the St.Vincent Indianapolis campus report. Health Professions Clinical Training In an effort to prepare future healthcare professionals, especially in the area of long-term acute care, St.Vincent Seton Specialty in Indianapolis and Lafayette, in collaboration with area schools, offers a variety of clinical settings and internships for undergraduate and vocational allied health professionals, including nurses and respiratory therapists. Last year students from Ball State University, IUPUI, Ivy Tech, Marian University and University of Indianapolis received specialized training from Seton Specialty health professionals. Health Fairs and Screenings St.Vincent Seton Specialty participated in St.Vincent Health Fair Day at the Indiana State Fair. In fiscal year 2012, more than 150 fair-goers learned the importance of good lung health, and were offered free pulmonary function tests by Seton Specialty associates. Pulmonary function tests measure how well the lungs take in and release air, and are used to diagnose certain types of lung disease, especially asthma bronchitis, and emphysema, to find the cause behind shortness of breath and determine exposure to contaminants at home or work. Community Benefit Cash and In-Kind Contributions In addition to the outreach programs operated by the hospital, the hospital makes cash and in-kind donations to a variety of community organizations focused on improving health status in the community. These take the form of cash donations to outside organizations, the donation of employee time and services to outside organizations and the representation of the hospital on community boards and committees working to improve health status and quality of life within the community. In fiscal year 2012, these organizations included: Indiana Kids Environment Coalition and National Breast Cancer Foundation.	Community Benefit Report
	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. Fay Biccard Glick Neighborhood Center Associates from St.Vincent Seton Specialty Indianapolis are involved with Fay Biccard Glick Neighborhood Center at Crooked Creek programs over the course of the year. Last December associates served snacks and spent time making holiday crafts with children of the Sweet Pickles and Sweet Peas pre-school class. One associate put on the "Vincent the Bear" costume and made new pals with the children at the Center. In addition to Hope for the Holidays, Seton associates bought and wrapped gifts for a family of three from the Crooked Creek neighborhoods. Back Pack 'Em Project The Back Pack 'Em project focuses on equipping Indianapolis area children grades K-5 in need with school supplies, school clothing, and funds necessary for their education. Through the St.Vincent Health Back Pack 'Em for School Program, St.Vincent Seton Specialty associates collect money, gift cards, and school supplies. Last year, 25 back packs were fully filled with supplies to support this incredible cause. Medical Supplies Donations Donations of medical supplies are made throughout the year to Nehemiah Vision Ministries for use in medical clinics in Haiti. Donations of trach and intubation tubes for educational purposes are made throughout the year to Ivy Tech College. Salvation Army With the need greater than ever, Seton associates take a major interest in the Lafayette community raising awareness and funds for the Salvation Army Angel Tree program with an annual Chili Cook-Off. The Angel Tree program provides needed support and a special Christmas to children and seniors living in poverty. St.Vincent Seton Specialty Lafayette associates joined other community members committed to ringing the army bell to help raise additional funds. Indiana Veterans' Home Each year associates from St.Vincent Seton Specialty reach out to Indiana Veterans' Home, a landmark facility in West Lafayette that provides nursing and domiciliary care for Hoosier Veterans and their spouses. Last year several associates volunteered to help serve a Thanksgiving lunch at the Veterans Home. Over 100 Veterans were served. In December associates coordinated the Christmas dance, providing cookies and ice cream for the event. Community Building Cash and In-kind Contributions The 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 and services to outside organizations and the representation of the hospital on community boards and committees working to improve infrastructure for the community.	Community Building Activities

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
CIHS Newco LLC
8425 Harcourt Road	Indianapolis	IN	46260	352174403	Land holding company	IN	723127	5783692	Central Indiana Health System Cardiac Services Inc
HRH SVH Real Estate Development Co LLC
10330 N Meridian Ste 430N	Indianapolis	IN	46290	272933470	Land holding company	IN	-53	3078	StVincent Health Inc
StJoseph Primary Care LLC
1907 W Sycamore Street	Kokomo	IN	46901	742979291	Physician practices	IN	2466221	1093367	StJoseph Hospital & Health Center Inc
Quality Healthcare Solutions LLC
8425 Harcourt Road	Indianapolis	IN	46260	272818049	Health care consulting	IN	12511241	33190971	StVincent Health Inc
StVincent Physician Network LLC
10330 N Meridian Ste 300	Indianapolis	IN	46290	201338729	Physician practices	IN	75733004	24853307	StVincent Health Inc

Form990 Schedule R Part II Form990ScheduleRPartII (28 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Ascension Health
PO Box 45998	St Louis	MO	63145	311662309	National health system	MO	501(C)(3)	11A, I	N/A	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		1	StVincent Hospital & Health Care Center Inc
Jubilee Partnerships Inc
2301 N Park Avenue	Indianapolis	IN	46205	352060765	Outreach activities	IN	501(C)(3)	1		1	StVincent Hospital & Health Care Center Inc
Rehabilitation Hospital of Indiana Inc
4141 Shore Drive	Indianapolis	IN	46254	351786005	Rehabilitation hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StJohn's Foundation Inc
2015 Jackson Street	Anderson	IN	46016	352053693	Supporting organization	IN	501(C)(3)	11A, I		1	StVincent Madison County Health System Inc
StJoseph Hospital & Health Center Inc
1907 W Sycamore Street	Kokomo	IN	46901	350992717	Hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StJoseph Foundation of Kokomo Indiana Inc
1907 W Sycamore Street	Kokomo	IN	46901	237313206	Supporting organization	IN	501(C)(3)	11A, I		1	StJoseph Hospital & Health Center Inc
StVincent Carmel Hospital Inc
13500 N Meridian Street	Carmel	IN	46032	743107055	Hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StVincent Clay Hospital Inc
1206 E National Avenue	Brazil	IN	47834	352112529	Critical access hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StVincent Dunn Hospital Inc
1600 23rd Street	Bedford	IN	47421	272192831	Critical access hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StVincent Fishers Hospital Inc
13861 Olio Road	Fishers	IN	46037	454243702	Hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StVincent Frankfort Hospital Inc
1300 S Jackson	Frankfort	IN	46041	352099320	Critical access hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StVincent Frankfort Hospital Foundation Inc
1300 S Jackson	Frankfort	IN	46041	351531734	Supporting organization	IN	501(C)(3)	11A, I		1	StVincent Frankfort Hospital Inc
StVincent Health Inc
8425 Harcourt Road	Indianapolis	IN	46260	352052591	Parent company	IN	501(C)(3)	11C, III-FI		0	Ascension Health
StVincent Hospital and Health Care Center Inc
2001 W 86th Street	Indianapolis	IN	46260	350869066	Hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StVincent Hospital Foundation Inc
10330 N Meridian Street Ste 430N	Indianapolis	IN	46290	356088862	Supporting organization	IN	501(C)(3)	11A, I		1	StVincent Hospital & Health Care Center Inc
StVincent Jennings Hospital Inc
301 Henry Street	North Vernon	IN	47265	351841606	Critical access hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StVincent Madison County Health System Inc
1331 South A Street	Elwood	IN	46036	350876389	Hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StVincent Medical Group Inc
8425 Harcourt Road	Indianapolis	IN	46260	272039417	Physician professional services	IN	501(C)(3)	9		1	StVincent Health Inc
StVincent Mercy Hospital Foundation Inc
1331 South A Street	Elwood	IN	46036	311066871	Supporting organization	IN	501(C)(3)	11A, I		1	StVincent Madison County Health System Inc
StVincent New Hope Inc
8450 N Payne Road	Indianapolis	IN	46260	351733591	Intermediate care facility	IN	501(C)(3)	9		1	StVincent Health Inc
StVincent Pediatric Rehab Center Inc
1707 W 86th Street	Indianapolis	IN	46260	352048898	Specialty hospital	IN	501(C)(3)	3		1	StVincent Hospital & Health Care Center Inc
StVincent Randolph Hospital Inc
473 Greenville Avenue	Winchester	IN	47394	352103153	Critical access hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StVincent Randolph Hospital Foundation Inc
473 Greenville Avenue	Winchester	IN	47394	352133006	Supporting organization	IN	501(C)(3)	11A, I		1	StVincent Randolph Hospital Inc
StVincent Salem Hospital Inc
911 N Shelby Street	Salem	IN	47167	270847538	Critical access hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StVincent Williamsport Hospital Inc
412 N Monroe Street	Williamsport	IN	47993	350784551	Critical access hospital	IN	501(C)(3)	3		1	StVincent Health Inc
StVincent Williamsport Hospital Foundation Inc
412 N Monroe Street	Williamsport	IN	47993	743130159	Supporting organization	IN	501(C)(3)	11A, I		1	StVincent Williamsport Hospital Inc
SVSM Inc
2001 W 86th Street	Indianapolis	IN	46260	810607827	Holding company	IN	501(C)(3)	11A, I		1	StVincent Health Inc

Form990 Schedule R Part III Form990ScheduleRPartIII (14 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Breast MRI Leasing Company LLC
10330 N Meridian St Ste 430N	Indianapolis	IN	46290	426662493	Sale and rental services	IN	StVincent Hospital and Health Care Center Inc	Related	175851	43187	0	0	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	5550103	2123722	0	0	0.45000
Chartwell Midwest Indiana LLC
8040 Castleway Drive	Indianapolis	IN	46250	351985233	Home care IV/infusion services	IN	StVincent Hospital and Health Care Center Inc	Related	21594		0	0
Cooperative Managed Care Services LLC
6602 E 75th Street Suite 300	Indianapolis	IN	46250	351999227	Case management	IN	StVincent Hospital and Health Care Center Inc	Unrelated	225965	1948010	0	0	0.50000
Endoscopy Center LLC
13421 Old Meridian St Ste 150	Carmel	IN	46032	320029881	Endoscopy center	IN	StVincent Carmel Hospital Inc	Related	739619	386382	0	0	0.51000
Fishers Ambulatory Surgery Center LLC
136914 E State Road 238	Fishers	IN	46037	262001288	Ambulatory surgery center	IN	StVincent Hospital and Health Care Center Inc	Related	-277416	1482158	0	0	0.81720
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	-2449051	1776331	0	0	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	1742	1794248	0	0	0.50000
Lafayette Heart Program Holding LLC
11515 W Dragoon Trail	Mishawaka	IN	46544	383750811	Cardiac care services	IN	Central Indiana Health System Cardiac Services Inc	Related		8000000	0	0	0.49000
Meridian Heights Associates LLC
6100 W 96th Street Ste 250	Indianapolis	IN	46278	264020296	Real estate holding	IN	StVincent Carmel Hospital Inc	Related	-509229	2230351	0	0	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	169059	1983633	0	0	0.50000
StVincent HealthUSP LLC
15305 Dallas Pkwy Ste 1600	Addison	TX	75001	203749962	Ambulatory surgery center	IN	StVincent Health Inc	Related	140666	445060	0	0	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	18258387	78629927	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	-57227	264483	0	0	0.58900

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