2012-05-10T07:50:51-05:00 2011-06-30 Deloitte Tax LLP 111 Monument Circle Suite 2000 Indianapolis IN 462045108 990 2010-07-01 352099320 StVincent Frankfort Hospital Inc STVI 7656563542 1300 South Jackson Street Frankfort IN 460410669 Thomas Crawford 7656563133 2012-05-10 1 Shawna Jimenez 3174648600 2010 2016-02-24 21:20:13Z Thomas Crawford 1300 South Jackson Street Frankfort IN 460410669 29703701 0 X www.stvincent.org X 2000 IN We are a nonprofit hospital dedicated to providing healthcare that leaves no one behind. 7 4 248 80 0 0 90797 66375 27600878 27073683 2086782 2235368 320447 324952 30098904 29700378 36752 1427 0 0 11316194 11373193 0 0 0 13383375 10791238 24736321 22165858 5362583 7534520 28063406 36201823 7887564 5994620 20175842 30207203 X St.Vincent Frankfort Hospital is dedicated to providing spiritually-centered, holistic healthcare that sustains and improves the health of those served, with special attention to the poor and vulnerable. Both inpatient and outpatient health services are provided without regard to patient race, creed, national origin, economic status, insurance status or ability to pay. This mission extends well beyond the provision of core medical services to encompass medical and scientific research programs, the training and educating of health care professionals and active support of community-based partnerships and programs to improve health and quality of life. 0 0 18409388 1427 27073683 St.Vincent Frankfort Hospital (SVFH) is a 25-bed, critical access hospital serving rural Clinton and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2011, SVFH treated 997 adults and children for a total of 3,991 inpatient days of service. The hospital also provided services for 33,230 outpatient visits, including 886 outpatient surgeries and 10,096 emergency room and minor care visits. See Schedule O for a non-exhaustive list of community benefit programs and descriptions. 0 St.Vincent Frankfort Hospital (SVFH) provides a substantial portion of its core health services to the poor, uninsured or underinsured and has proactively taken steps to address the accessibility, financing, and delivery of healthcare to the underserved. In addition to core medical services, SVFH partners with its community to assess community assets and needs, with special emphasis on the poor and vunerable. During the fiscal year ending June 30, 2011, SVFH's total community benefit was ($814,848), which included $2,319,677 of DSH money related to fiscal year 2010. If the DSH money were not paid in fiscal year 2011, SVFH's total community benefit would have been $1,504,829. See Schedule O for a non-exhaustive list of community benefit programs and descriptions. 18409388 1 1 0 1 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 33 0 1 248 1 0 0 0 0 0 0 0 0 0 0 X 7 4 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 IN X Michelle Akard Finance Manager 7656563538 1300 S Jackson Street Frankfort IN 460410669 X Don Rusk 1.00 X X 0 0 0 Tom Stout MD 1.00 X X 0 0 0 R Mark Ellison 1.00 X X 0 210331 41177 Joseph Dominik MD 1.00 X 0 0 0 Randy Ridgway 1.00 X 0 0 0 Gloria Ponton 1.00 X 0 0 0 Ronald L Mead 1.00 X 0 326533 82565 Thomas D Crawford 40.00 X X 0 173921 46262 Jerrell K Marks 40.00 X 131464 0 21253 Donald H Jacoby 40.00 X 123417 0 21524 Kristi L Bledsoe 40.00 X 116412 0 24201 Krista K Wright 40.00 X 105426 0 29876 Vicki K Tindall 40.00 X 104393 0 27100 581112 710785 293958 5 0 1 0 TX Team Rehab Inc 4625 East Stop 11 Ste B Indianapolis IN 46237 PT/OT services 728078 Emcare 1717 Main Street Ste 5200 Dallas TX 75201 Medical services 560250 Mid America Clinical Labs 6704 Reliable Parkway Chicago IL 60686 Lab services 310205 3 64325 2050 66375 Net Medicare/Medicaid 621990 13964882 13964882 Net patient revenue 621990 13108801 13108801 27073683 2238691 2238691 176308 176308 176308 176308 3323 -3323 -3323 -3323 Cafeteria revenue 722210 148644 148644 148644 29700378 27073683 0 2560320 1427 1427 144534 144534 8368966 6993978 1374988 740682 618991 121691 1559720 1303464 256256 559291 467402 91889 1121301 937076 184225 17711 14801 2910 154 129 25 524993 438739 86254 1385368 1157758 227610 89452 74755 14697 19451 16255 3196 491995 411162 80833 35577 35577 Purchased services 2504746 2093226 411520 Supplies 2152220 1798619 353601 Corporate expense 788061 658586 129475 Miscellaneous 720781 602360 118421 Maintenance/repairs 475220 397143 78077 464208 387940 76268 22165858 18409388 3756470 0 2284285 1789978 2710642 2689688 334668 380983 116615 115051 8126160 5477362 3072273 2648798 19544923 28577325 28063406 36201823 3770941 3813161 4116623 2181459 7887564 5994620 X 20142734 30210463 33108 -3260 20175842 30207203 28063406 36201823 X 7534520 2496841 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 997 997 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. 140146 140146 1721296 537288 1184008 66241 15229 51012 6198477 4924845 1273632 2648798 Health System Depository Account 28274286 Other receivables and notes receivable 303039 28577325 Due to St.Vincent Hospital and Health Care Center, Inc. (EIN: 35-0869066) 65458 Pension liability 396963 Other 27096 Payable to third party programs 1184594 Intercompany debt to Ascension Health 507348 2181459 1 1 X 1 X 1 X 1 1 1 0 1 1 774478 774478 0.03490 -1734129 -1734129 0.00000 -959651 -959651 0.03490 964 108390 108390 0.00490 74 19280 19280 0.00090 2190 16893 16893 0.00080 3228 144563 144563 0.00660 3228 -815088 -815088 0.04150 7 240 240 0.00000 7 240 240 0 1808542 542563 9110967 9020760 90207 X 1 1 1 1 StVincent Frankfort Hospital Inc

1300 S Jackson Street Frankfort IN 460410669

X X X X StVincent Frankfort Hospital Inc 1 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: While most of St.Vincent Frankfort Hospital's community benefit activities directly impact the health of its communities, SVFH also invests in community building activities that indirectly improve health by improving quality of life within the community. Research has established that factors such as economic status, employment, housing, education level, and built environment can all be powerful social determinants of health. Additionally, helping to create greater capacity within the community to address a broad range of quality of life issues also impacts health. In fiscal year 2011, SVFH's community-building activities included: support of the Chamber of Commerce, Paul Phillippe Senior Resource Center, Frankfort Main Street Board, and the Clinton County Economic Advancement Foundation. 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. Periodically throughout the year, management assesses the adequacy of the allowance for uncollectible 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 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 Corporation's policies. The share of the bad debt expense in fiscal year 2011 was $5,384,168 at charges ($1,808,542 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. St.Vincent Frankfort Hospital (SVFH) and its related St.Vincent Health affiliates file a Community Benefit report in the state of Indiana. A copy of the full report (including the SVFH section) is available at http://www.stvincent.org. Part I, Line 7d: During the fiscal year ending June 30, 2011, SVFH's total unreimbursed Medicaid was ($1,734,129), which included $2,319,677 of DSH money related to fiscal year 2010 paid in fiscal year 2011. If the fiscal year 2010 DSH money were not paid in fiscal year 2011, SVFH's total unreimbursed Medicaid for fiscal year 2011 would have been $585,548. Part VI, Line 2: Communities are dynamic systems in which multiple factors interact to impact quality of life and health status. St.Vincent Frankfort Hospital (SVFH) helps to lead a community roundtable called Healthy Communities Clinton County Coalition whose purpose is to assess needs within the community, prioritize action and work in partnership to address identified challenges. As part of the St. Vincent Health System, the goal of SVFH 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. 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 Frankfort Hospital communicates with patients in multiple ways to ensure that those who are billed for services are aware of the hospital's charity care program as well as their potential eligibility for local, state or federal programs. Signs are prominently posted in each service area, and bills contain a formal notice explaining the hospital's charity care program. In addition, the hospital employs financial counselors, health access workers, and enrollment specialists who consult with patients about their eligibility for financial assistance programs and help patients in applying for any public programs for which they may qualify. Part VI, Line 4: St.Vincent Frankfort Hospital (SVFH) is located in Frankfort, Indiana and serves rural Clinton and contiguous counties, in northwest Central Indiana. Clinton County has a population of 33,224, with one of the fastest growing Hispanic populations in the state, comprising almost 13% of the population. Per capita personal income and median household income lag national averages and have been significantly impacted by losses to the county's primarily agricultural and small manufacturing job base. Part VI, Line 6: To provide the highest quality healthcare to all persons in the community, and in keeping with its not-for-profit status, St.Vincent Frankfort Hospital:- delivers patient services, including emergency department services, to all individuals requiring healthcare, without regard to patient race, ethnicity, economic status, insurance status or ability to pay- maintains an open medical staff that allows credentialed physicians to practice at its facilities- trains and educates health care professionals- participates in government-sponsored programs such as Medicaid and Medicare to provide healthcare to the poor and elderly- is governed by a board in which independent persons who are representative of the community comprise a majority Part VI, Line 7: As part of the St.Vincent Health System, St.Vincent Frankfort Hospital (SVFH) is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at SVFH 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 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 SVFH participates. Reports Filed With States Part VI, Line 7 IN X 1 1 X X X X 0 0 0 0 0 0 0 0 0 R Mark Ellison 0 191236 0 19095 0 0 0 19671 0 21506 0 251508 0 0 Ronald L Mead 0 281374 0 45159 0 0 0 58656 0 23909 0 409098 0 0 Thomas D Crawford 0 148545 0 25376 0 0 0 25237 0 21025 0 220183 0 0 Jerrell K Marks 120459 0 11005 0 0 0 11141 0 10112 0 152717 0 0 0 Part I, Line 1a St.Vincent Frankfort Hospital paid for cell phone usage for five of the officers and highest compensated employees listed in Part VII. St.Vincent Frankfort Hospital will only reimburse a business expense when all three (3) of the following IRS requirements are met: 1. The expense must have a business connection (i.e., the expenses must be incurred while performing services on behalf of a SVH Entity); 2. The expense must be adequately substantiated by the Associate within a reasonable period of time; and 3. The Associate must return any excess reimbursement or allowance within a reasonable period of time. St.Vincent Frankfort Hospital "grossed up" the above applicable non-business expenses and included in the employees' W-2 as additional taxable compensation. Form 990, Part VI, Section A, line 6 St.Vincent Frankfort Hospital, Inc. has a single corporate member, St.Vincent Health, Inc. Form 990, Part VI, Section A, line 7a St.Vincent Frankfort Hospital, Inc. has a single corporate member, St.Vincent Health, Inc. who has the ability to elect members to the governing body of St.Vincent Frankfort Hospital, Inc. Form 990, Part VI, Section A, line 7b All decisions that have a material impact to St.Vincent Frankfort Hospital, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St.Vincent Health, Inc. Form 990, Part VI, Section B, line 11 Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form 990 to a designated committee of the Board to review and answer any questions. Prior to filing the returns, all Board members are provided the Form 990 and management team members are available to answer any Board member questions. Form 990, Part VI, Section B, line 12c The organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committee with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee meeting will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax exempt purpose. Form 990, Part VI, Section B, line 15 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. In determining compensation of other officers or key employees of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. The board, in executive session, reviewed and approved the compensation. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same position. During the review and approval of the compensation, documentation of the decision was recorded in the board minutes. Form 990, Part VI, Section C, line 19 The organization will provide any documents open to public inspection upon request. Form 990, Part VII, Section A The average hours per week that was devoted to related organizations during the year: R Mark Ellison - 40 hours Ronald L Mead - 40 hours Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 1,826,469. FAS 158 pension liability 670,372. Total to Form 990, Part XI, Line 5: 2,496,841. Total Number of Volunteers Part I, Line 6 The total number of volunteers for the organization is 80. This consists of volunteers participating in multiple areas throughout the hospital such as hospitality services. Some volunteers also participate in the various community service programs that the hospital performs within the community. Tax Exempt Bond Issuance Part IV, Line 24A St.Vincent Frankfort Hospital, Inc. is a health facility that is part of Ascension Health System. Ascension Health is the borrower for tax exempt hospital revenue bonds. St.Vincent Frankfort Hospital, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet. Community Benefit Report Form 990, Part III, Line 4a, 4b and 4c SVFH provides: inpatient, outpatient surgery, a full-service obstetrics program, and a 24-hour physician-staffed emergency department. Additional services include cardiopulmonary, laboratory, ear, nose and throat specialty, gastroenterology, neurology, occupational health, oncology, orthopedics, physical and speech therapies, ophthalmology, podiatry, dermatology, radiology, urology, and behavioral health services. 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 Overview St.Vincent Frankfort Hospital (SVFH) 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 Frankfort vision is to deliver a continuum of holistic, high-quality health services and improve the lives and health of Indiana individuals and communities, with special attention to the poor and vulnerable. This is accomplished through strong partnerships with businesses, community organizations, local, state and federal government, physicians, St.Vincent Frankfort associates and others. Community benefit is not the work of a single department or group within St.Vincent Frankfort, but is part of the St.Vincent mission and cultural fabric. It is initiated and implemented at all levels of the organization, by each ministry, and in every community. 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. SVFH is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. Public Program Participation SVFH 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 True community benefit responds to the particular needs and challenges of the community, building on its unique strengths and assets. So in each of its communities, 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. 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. St.Vincent Frankfort Hospital is an integral part of the Healthy Communities of Clinton County Coalition. The coalition has made concerted efforts to fight obesity and tobacco use in Clinton County. St.Vincent Frankfort Hospital has been a major sponsor of the Get Fit Clinton County initiatives which include a brochure on 11 walkways in Clinton County. The hospital also received an Indiana Tobacco Prevention and Cessation grant for the second time that supports a part-time anti-tobacco coordinator in Clinton County. Diabetes Education The Diabetic Educator at SVFH helps individuals balance their diabetes care with their lifestyle needs. Understanding as much as possible about diabetes and its management is the key to gaining control and feeling better. Both group and individualized instruction on the self-management of diabetes help those with diabetes learn to live an active, healthy lifestyle, despite the challenges of their condition. In FY 2011, the educators met with approximately 50 people with diabetes. Get Fit Clinton County Healthy Communities of Clinton County Coalition, as well as St.Vincent Frankfort, Clinton County Health Department, Family YMCA of Clinton County, and the Purdue Extension and Learning Network sponsored a brochure of 11 walkways in Clinton County. Each walkway has a detailed map of the streets, distance, and sites along the route. There was an official kick-off of the brochure at the St.Vincent Frankfort Health Fair and each Saturday during the summer a walk was highlighted. Health Careers St.Vincent Frankfort is an integral part of the Health Careers vocational program offered at Frankfort High School that allows students to choose from a wide range of health care fields and spend time learning about the many opportunities available in that field. This program is often the first introduction young people have to the vast array of career options available in health care. Students are able to rotate through a variety of health career areas or focus on a specific field to determine a specialty. Students spend the first semester in classroom education and complete their Certified Nursing Assistant Certification prior to moving on to the clinical portion. The experience has been tremendously positive for both students and hospital staff. Students are truly enjoying their time and hospital associates are renewed by seeing their profession through the eyes of optimistic and excited high school students. Rural and Urban Access to Health As part of its commitment to 100% access, St.Vincent Frankfort is one of eight St.Vincent Health ministries that participate in the Rural and Urban Access to Health program. Central to the program is a health access worker who connects the hospital to the community by helping individuals' address barriers to health care, and referring them to other local resources as needed. The health access worker assists individuals with finding a medical home; applying for public programs such as Medicaid, food stamps and the Healthy Indiana Plan; and in assessing needs so that referrals can be made for other forms of community-based assistance. The health access worker also advocates for clients with service providers, and serves as a system navigator. During fiscal year 2011, the health access worker served 1,141 individuals, and completed 1,159 referrals to public and private programs. Medication Assistance In addition, St.Vincent Frankfort's Rural and Urban Access to Health program assists patients who meet income guidelines in obtaining free or reduced cost prescription drugs. St.Vincent Frankfort provides a medication assistant who works with a sophisticated and continually-updated database to track eligibility and requirements that vary by company and medication. In 2011, the medication assistant helped patients obtain a total of 1,867 medications, for which the average wholesale price totaled $714,088. Health Fairs and Screenings SVFH participated in numerous health fairs and screenings throughout fiscal year 2011, including their annual health fair which is held at the Clinton County Fairgrounds. Screenings offered at the health fairs included blood pressure, blood glucose, cholesterol, fitness testing, and others. The health fairs brought together up to 40 different collaborative partners who offered information about physical and mental health services available in the community. During fiscal year 2011, SVFH served over 5,000 people through its participation in these health fairs and screenings. Kindergarten Tours One hundred and thirty-one children from Green Meadows Elementary School and Heritage Child care received a SVFH tour. The tour gives children an up close and personal look at lab, radiology, emergency department, and dietary. In the laboratory, the children get to see cultures under a microscope. This tour is very educational for the children. They will feel more at ease when visiting the hospital and if they are a patient. Open Door Clinic Partnership Open Door Clinic is a volunteer-based, community-sponsored, clinic for the un- and under-insured, low income residents of Clinton County. It provides free medical services. St.Vincent Frankfort Hospital provides all of the lab services for the patients at Open Door Clinic for free. Tobacco Cessation and Prevention The Healthy Communities of Clinton County Coalition recognizes tobacco use as one of the leading causes of death in Indiana. Representing the Healthy Communities of Clinton County Coalition and serving as its fiscal agent, St.Vincent Frankfort Hospital applied for and was awarded Indiana Tobacco Cessation & Prevention funds. These funds support a part-time anti-tobacco coordinator for Clinton County. The coordinator has focused on campus-wide smoke-free policies for schools and healthcare facilities. The coordinator has been heavily involved with events at schools, health fairs, and workplaces. Service organizations have requested presentations about the smoke-free efforts. The hospital has also provided a Stop Smoking Class for free to anyone that needs help with this addiction. 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/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. Local Heroes Local Heroes is a program designed to enrich the lives of families through mentoring relationships supported by educational and faith-based services offered through Coach Kids in Clinton County. Local Heroes provides school-based mentors, matching an adult coach with an elementary-aged child. Mentors meet with their children one hour per week at school. St.Vincent Frankfort Hospital invests in the future of Clinton County by providing trained mentors for the program. Paul Phillippe Resource Center The Paul Phillippe Resource Center provides counseling, advocacy, information and referral, social activities, recreation, and transportation to the elderly. The center also provides meals and home delivered meals for the aging population in Clinton County. The senior population in Clinton County is growing and wants to be self reliant. SVFH support the efforts of the center and the Director of Nursing is a board member. SVFH and the Paul Phillippe Resource Center serve to cultivate a new and positive image of the aging process through education and health awareness. CIHS Newco LLC 8425 Harcourt Road Indianapolis IN 46260 352174403 Land holding company IN 787753 5903010 Central Indiana Health System Cardiac Services Inc Endoscopy Center LLC 3755 E 82nd St Ste 270 Indianapolis IN 46240 320029881 Endoscopy center IN 873755 90669 StVincent Carmel Hospital Inc StJoseph Primary Care LLC 1907 W Sycamore Street Kokomo IN 46901 742979291 Physician practices IN 2350871 850379 StJoseph Hospital & Health Center Inc Quality Healthcare Solutions LLC 8425 Harcourt Road Indianapolis IN 46260 272818049 Health care consulting IN 16091347 28977876 StVincent Health Inc StVincent Physician Network LLC 10330 N Meridian Ste 300 Indianapolis IN 46290 201338729 Physician practices IN 69212649 19206791 StVincent Health Inc 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 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 StJohn's Foundation Inc 2015 Jackson Street Anderson IN 46016 352053693 Supporting organization IN 501(C)(3) 11A, I StVincent Madison County Health System 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 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 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 Hospital and Health Care Center Inc 2001 W 86th Street Indianapolis IN 46260 350869066 Hospital IN 501(C)(3) 3 StVincent Health Inc 1 StVincent Hospital Foundation Inc 10330 N Meridian Street Ste 430N Indianapolis IN 46290 356088862 Supporting organization IN 501(C)(3) 11A, I StVincent Hospital & Health Care Center Inc 1 StVincent Jennings Hospital Inc 301 Henry Street North Vernon IN 47265 351841606 Critical access hospital IN 501(C)(3) 3 StVincent Health Inc 1 StVincent Madison County Health System Inc 1331 South A Street Elwood IN 46036 350876389 Hospital IN 501(C)(3) 3 StVincent Health Inc 1 StVincent Medical Group Inc 8425 Harcourt Road Indianapolis IN 46260 272039417 Physician professional services IN 501(C)(3) 9 StVincent Health Inc 1 StVincent Mercy Hospital Foundation Inc 1331 South A Street Elwood IN 46036 311066871 Supporting organization IN 501(C)(3) 11A, I StVincent Madison County Health System Inc 1 StVincent New Hope Inc 8450 N Payne Road Indianapolis IN 46260 351733591 Intermediate care facility IN 501(C)(3) 9 StVincent Health Inc 1 StVincent Pediatric Rehab Center Inc 1707 W 86th Street Indianapolis IN 46260 352048898 Specialty hospital IN 501(C)(3) 3 StVincent Hospital & Health Care Center Inc 1 StVincent Randolph Hospital Inc 473 Greenville Avenue Winchester IN 47394 352103153 Critical access hospital IN 501(C)(3) 3 StVincent Health Inc 1 StVincent Randolph Hospital Foundation Inc 473 Greenville Avenue Winchester IN 47394 352133006 Supporting organization IN 501(C)(3) 11A, I StVincent Randolph Hospital Inc 1 StVincent Salem Hospital Inc 911 N Shelby Street Salem IN 47167 270847538 Critical access hospital IN 501(C)(3) 3 StVincent Health Inc 1 StVincent Seton Specialty Hospital Inc 8050 Township Line Road Indianapolis IN 46260 351712001 Long term care hospital IN 501(C)(3) 3 StVincent Health Inc 1 StVincent Williamsport Hospital Inc 412 N Monroe Street Williamsport IN 47993 350784551 Critical access hospital IN 501(C)(3) 3 StVincent Health Inc 1 StVincent Williamsport Hospital Foundation Inc 412 N Monroe Street Williamsport IN 47993 743130159 Supporting organization IN 501(C)(3) 11A, I StVincent Williamsport Hospital Inc 1 SVSM Inc 2001 W 86th Street Indianapolis IN 46260 810607827 Holding company IN 501(C)(3) 11A, I StVincent Health Inc 1 Breast MRI Leasing Company LLC 10330 N Meridian St Ste 430N Indianapolis IN 46290 426662493 Sale and rental services IN StVincent Hospital & Health Care Center Inc Related 121068 65456 0 0 0.50000 Care Group Cardiovascular Management LLC 8333 Naab Road Ste 200 Indianapolis IN 46960 223937477 Management of cardiovascular service lines IN Central Indiana Health System Cardiac Services Inc Related 219289 0 0 0.00000 Carmel Ambulatory Surgery Center LLC 13421 Old Meridian St Ste 150 Carmel IN 46032 320014795 Ambulatory surgery center IN StVincent Carmel Inc Related 5760736 1334486 0 0 0.45000 Chartwell Midwest Indiana LLC 8040 Castleway Drive Indianapolis IN 46250 351985233 Home care IV/infusion services IN StVincent Hospital & Health Care Center Inc Related 21300 0 0 0.00000 Cooperative Managed Care Services LLC 6602 E 75th Street Suite 300 Indianapolis IN 46250 351999227 Case management IN StVincent Hospital & Health Care Center Inc Unrelated 122350 1421132 0 0 0.50000 Endoscopy Center LLC 13421 Old Meridian St Ste 150 Carmel IN 46032 320029881 Endoscopy center IN StVincent Carmel Inc Related 873755 220530 0 0 0.60000 Fishers Ambulatory Surgery Center LLC 136914 E State Road 238 Fishers IN 46037 262001288 Ambulatory surgery center IN StVincent Hospital & Health Care Center Inc Related -277774 532587 0 0 0.80000 Hancock Physician Network LLC 801 N State Street Greenfield IN 46140 352051598 Primary care physician practices IN StVincent Hospital & Health Care Center Inc Related -2365413 1101907 0 0 0.50000 HRH SVH Real Estate Development Co LLC 10330 N Meridian St Ste 430N Indianapolis IN 46290 272933470 Real estate holding IN StVincent Hospital & Health Care Center Inc Related 3131 3131 0 0 1.00000 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 7800000 0 0 0.49000 Meridian Heights Associates LLC 6100 W 96th Street Ste 250 Indianapolis IN 46278 264020296 Real estate holding IN StVincent Carmel Inc Related -497691 2030813 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 & Health Care Center Inc Related 312355 271453 0 0 0.50000 Northside Cardiac Cath Lab Partnership 2001 W 86th Street Indianapolis IN 46260 351854388 Outpatient cath lab IN Central Indiana Health System Cardiac Services Inc Related 59307 0 0 0.06820 Saint John's Ambulatory Surgery Center LLC 2015 Jackson Street Anderson IN 46016 010822977 Surgery center IN StVincent Madison County Health System Inc Related -18650 0 0 0.00000 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 15885142 27774130 0 0 0.74040 StVincent Northwest Radiology LLC 5756 W 71st Street Indianapolis IN 46278 352047427 MRI facilities IN StVincent Hospital & Health Care Center Inc Related -8834 0 0 0.00000 The Care Labs LLC 2001 W 86th Street Indianapolis IN 46260 351854352 Outpatient vascular lab IN Central Indiana Health System Cardiac Services Inc Related 158226 663 0 0 0.35080 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0