2011-05-16T14:09:11-05:00 2010-06-30 Deloitte Tax LLP 111 Monument Circle Suite 2000 Indianapolis IN 462045108 990 2009-07-01 352099320 StVincent Frankfort Hospital Inc STVI 7656563542 1300 South Jackson Street Frankfort IN 460410669 Thomas Crawford 7656563133 2011-05-16 1 3174648600 2009 2016-02-24 21:20:13Z Thomas Crawford 1300 South Jackson Street Frankfort IN 460410669 30098904 0 X www.stvincent.org X 2000 IN We are a nonprofit hospital dedicated to providing healthcare that leaves no one behind. 8 5 261 80 0 0 434307 90797 27161524 27600878 -1541557 2086782 332514 320447 26386788 30098904 36752 0 10652891 11316194 0 0 14357916 13383375 25010807 24736321 1375981 5362583 22328016 28063406 7206640 7887564 15121376 20175842 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 17950186 36752 27600878 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 2010, SVFH treated 928 adults and children for a total of 4,033 inpatient days of service. The hospital also provided services for 34,906 outpatient visits, including 1,036 outpatient surgeries and 10,465 emergency room and minor care visits. See Schedule O for a non-exhaustive list of community benefit programs and descriptions. 2432115 St.Vincent Frankfort Hospital (SVFH) provides a substantial portion of its core health services to the poor, uninsured or underinsured and has proactively taken steps to address the accessibility, financing, and delivery of healthcare to the underserved. During the fiscal year ending June 30, 2010, the unreimbursed cost of free or discounted services provided to patients who were deemed indigent under state, county, or hospital guidelines was $2,432,115, which included $581,168 of traditional charity care and $1,850,947 in unpaid costs of care for those qualifying for Medicaid or other public programs for the poor. See Schedule O for a non-exhaustive list of community benefit programs and descriptions. 85238 In addition to core medical services, SVFH partners with its community to assess community assets and needs and to work together to address issues impacting health and quality of life, with special emphasis on the poor and vulnerable. In fiscal year 2010, SVFH provided $85,238 in unbilled services to the poor and to the broader community. (When combined with the costs of free or discounted services for the poor listed in Line 4b, SVFH provided a total community benefit of $2,517,353 in fiscal year 2010.) SVFH serves and supports its community through such programs as Rural and Urban Access to Health, health fairs and screenings, Health Careers Class for high school students, and the Get Fit Clinton County anti-obesity program. See Schedule O for a non-exhaustive list of community benefit programs and descriptions. 20467539 1 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 27 0 1 261 1 0 0 0 0 0 0 0 0 0 8 5 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 IN X Jerrell K Marks CFO 7656563542 1300 S Jackson Street Frankfort IN 460410669 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 238956 20169 Joseph Dominik MD 1.00 X 0 143059 20379 Randy Ridgway 1.00 X 0 0 0 Nora Tribble 1.00 X 0 0 0 Jean Catron RN 1.00 X 0 0 0 Thomas Crawford 40.00 X X 0 217929 20097 Jerry Marks 40.00 X 146587 0 11850 Kristi L Bledsoe 40.00 X 131960 0 18572 Krista K Wright 40.00 X 118455 0 25083 Donald H Jacoby 40.00 X 116780 0 3531 Vicki K Tindall 40.00 X 124067 0 17579 637849 599944 137260 5 0 1 0 TX Team Rehab Inc 4625 Easts Stop 11 Ste B Indianapolis IN 46237 PT/OT services 703429 Emcare 1717 Main Street Ste 5200 Dallas TX 75201 Medical services 474252 Mid America Clinical Labs 6704 Reliable Parkway Chicago IL 60686 Lab services 281817 The Care Group Indianapolis PO Box 633182 Cincinnati OH 45263 Medical services 111715 4 43053 47744 90797 Net patient revenue 621990 16504992 16504992 Net Medicare/Medicaid 621990 11095886 11095886 27600878 2086782 2086782 179705 179705 179705 179705 Cafeteria revenue 722210 140742 140742 140742 30098904 27600878 0 2407229 36752 36752 158437 158437 8480829 6884974 1595855 476263 386644 89619 1619419 1314690 304729 581246 471872 109374 938239 761689 176550 22522 18284 4238 286 232 54 519924 422089 97835 1332486 1081749 250737 104083 84497 19586 14625 11873 2752 644848 523506 121342 180224 180224 Purchased services 2801705 2274503 527202 Community benefit 2517353 2517353 Supplies 2346245 1904747 441498 Miscellaneous 733014 595082 137932 Equipment rental/mainte 429242 348471 80771 798579 648308 150271 24736321 20467539 4268782 0 1942664 2284285 2616905 2710642 335378 334668 173584 116615 8082708 5010435 3329842 3072273 13929643 19544923 22328016 28063406 3762325 3770941 3444315 4116623 7206640 7887564 X 15121376 20142734 33108 15121376 20175842 22328016 28063406 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1012 1012 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. 140146 140146 1721296 460308 1260988 66241 7110 59131 6111973 4543017 1568956 43052 43052 3072273 Receivables due from third party payor 17289 Health System Depository Account 19290320 Other receivables and notes receivable 204206 Restricted by donor 33108 19544923 Due to St Vincent Hospital & Health Care Center, Inc. (EIN: 35-0869066) 976446 Pension liability 1067340 Other 65292 Payable to third party programs 1496070 Intercompany debt to Ascension Health 511475 4116623 Per the financial statements of St.Vincent Health, Inc. (which include the activity of St.Vincent Frankfort Hospital, Inc.), there is no current year ASC 740 (fka FIN 48) footnote for the current year. 1 1 X 1 X 1 X 1 1 1 0 1 1 581168 581168 0.02350 1850947 1850947 0.07480 2432115 2432115 0.09830 1233 39050 39050 0.00160 400 20040 20040 0.00080 58804 20948 20948 0.00080 60437 80038 80038 0.00320 60437 2512153 2512153 0.10150 20005 1720 1720 0.00010 67923 3480 3480 0.00010 87928 5200 5200 0.00020 0 1327814 398344 8870060 8782238 87822 X 1 1 StVincent Frankfort Hospital Inc

1300 S Jackson Street Frankfort IN 460410669

X X X X 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 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 2010 was $3,740,320 at charges ($1,327,814 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/uploadedFiles/Community_Connections/Community_Benefit_Report/SVH_CBR2010nw.pdf 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 34,367, with one of the fastest growing Hispanic populations in the state, comprising almost 15% 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 5: 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 2010, SVFH's community-building activities included: support of the Chamber of Commerce, Paul Phillippe Senior Resource Center, Frankfort Main Street Board, an economic development collaboration and Local Hero Mentorship Program. 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. IN 1 StVincent Frankfort Hospital Foundation Inc 1300 South Jackson Street Frankfort IN 46041 351531734 501(c)(3) 36752 Operating grant 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The finance committee ensures that funds are distributed appropriately according to Ascension Health's strategic business plan and consistent with corporate policies and procedures. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 R Mark Ellison 0 196543 0 42413 0 0 0 1836 0 18333 0 259125 0 0 Joseph Dominik MD 0 125606 0 17453 0 0 0 3626 0 16753 0 163438 0 0 Thomas Crawford 0 159566 0 58363 0 0 0 5319 0 14778 0 238026 0 0 Jerry Marks 120324 0 26263 0 0 0 2962 0 8888 0 158437 0 0 0 Kristi L Bledsoe 107677 0 24283 0 0 0 3345 0 15227 0 150532 0 0 0 Part I, Line 1a St.Vincent Frankfort Hospital paid for cell phone usage for four of the officers/directors 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. Part XI, Line 2c Audited Financial Statements The financial statements of the hospital were audited on a consolidated basis. An audit committee has been delegated the responsibility to oversee the audited financial statements and the selection of the independent accountants that audited the financial statements. Part I, Line 6 Total Number of Volunteers 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. Part IV, Line 24A Tax Exempt Bond Issuance St.Vincent Frankfort Hospital, Inc. is a health facility that is part of Ascension Health System. Ascension Health is the borrower for tax exempt hospital revenue bonds. St.Vincent Frankfort Hospital, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet. Form 990, Part III, Line 4a, 4b and 4c Community Benefit Report 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 was a major sponsor at the Get Fit Clinton County Challenge, and is supporting a new coalition to create a walking trails initiative for Clinton County. The hospital is also the fiscal agent for Indiana Tobacco Prevention and Cessation funds 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 2010, the educators met with approximately 100 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 the 2nd Annual Get Fit Clinton County Challenge. The challenge, a 10-week program designed to increase physical activity, improve nutrition, and encourage Clinton County residents to get healthy, drew 152 participants. Each participant was on a team of 4 to 5 people. Each team tracked and reported their physical activity for the 10 weeks. In the end, total weight loss and exercise points were tallied, and the team accumulating the most weight loss and points won. Each participant could earn an extra point by attending the health education workshops that were held at the YMCA each week in conjunction with the Challenge. Teams were given awards for first, second, and third place, and there was also an individual award. 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 2010, the health access worker served 853 individuals, and completed 1,091 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 2010, the medication assistant helped patients obtain a total of 2,604 medications, for which the average wholesale price totaled $1,147,957. Stewards of Children The Child Protection Team at Peyton Manning Children's Hospital recently introduced an evidence-based sexual abuse prevention training program. The national Stewards of Children program educates adults to prevent, recognize, and react responsibly to child sexual abuse, and motivates them to courageous action. The Stewards of Children training program is designed for organizations that serve, and are committed to protecting, children and youth. Professionals, including medical staff, law enforcement, educators, and foster parents can receive continuing education credit for the program. During fiscal year 2010, with additional support from Duke Energy, St.Vincent Frankfort sponsored a free Stewards of Children training for 24 people from the Clinton County community. In addition to the Stewards of Children training, the event featured a panel discussion about the harmful effects of second-hand smoke on children. Health Fairs and Screenings SVFH participated in numerous health fairs and screenings throughout fiscal year 2010, 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 2010, SVFH served over 28,000 people through its participation in these health fairs and screenings. Kindergarten Tours One hundred and sixty children from Blue Ridge 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. As of fiscal year 2010, all schools and health facilities were designated smoke-free campuses. The coalition is currently involved in policy efforts to create smoke-free workplaces. 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 756194 5921878 Central Indiana Health System Cardiac Services Inc Endoscopy Center LLC 3755 E 82nd St Ste 270 Indianapolis IN 46240 320029881 Endoscopy center IN 646335 93812 StVincent Carmel Hospital Inc Med One of St John's LLC 4925 Scatterfield Road Anderson IN 46013 351959875 Medical services IN 1875614 -1461146 StVincent Madison County Health System Inc StJoseph Primary Care LLC 1907 W Sycamore Street Kokomo IN 46901 742979291 Physician practices IN 7337773 1467554 StJoseph Hospital & Health Center Inc StJoseph Surgical Management Co LLC 1907 W Sycamore Street Kokomo IN 46901 020137212 Management company IN 0 0 StJoseph Hospital & Health Center Inc Ascension Health Po Box 45998 St Louis MO 63145 311662309 National health system MO 501(C)(3) 11a - Type I N/A Central Indiana Health System Cardiac Services Inc 2001 W 86th Street Indianapolis IN 46260 351869951 Freestanding outpatient center IN 501(C)(3) 11c - Type III-FI StVincent Hospital & Health Care Center Inc Jubilee Partnerships Inc 2301 N Park Avenue Indianapolis IN 46205 352060765 Outreach activities IN 501(C)(3) 1-170(b)(1)(A) (i) StVincent Hospital & Health Care Center Inc Rehabiliation Hospital of Indiana Inc 4141 Shore Drive Indianapolis IN 46254 351786005 Rehabiliation hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StJohn's Foundation Inc 2015 Jackson Street Anderson IN 46016 352053693 Supporting organization IN 501(C)(3) 11a - Type I StVincent Madison County Health System Inc StJoseph Hospital & Health Center Inc 1907 W Sycamore Street Kokomo IN 46901 350992717 Hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StJoseph Foundation of Kokomo Indiana Inc 1907 W Sycamore Street Kokomo IN 46901 237313206 Supporting organization IN 501(C)(3) 11a - Type I StJoseph Hospital & Health Center Inc StVincent Carmel Hospital Inc 13500 N Meridian Street Carmel IN 46032 743107055 Hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Clay Hospital Inc 1206 E National Avenue Brazil IN 47834 352112529 Critical access hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Dunn Hospital Inc 1600 23rd Street Bedford IN 47421 272192831 Critical access hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Frankfort Hospital Foundation Inc 1300 S Jackson Frankfort IN 46041 351531734 Supporting organization IN 501(C)(3) 11a - Type I StVincent Frankfort Hospital Inc StVincent Health Inc 8425 Harcourt Road Indianapolis IN 46260 352052591 Parent company IN 501(C)(3) 11c - Type III-FI Ascension Health StVincent Hosptial and Health Care Center Inc 2001 W 86th Street Indianapolis IN 46260 350869066 Hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Hospital Foundation Inc 10330 N Meridian Street Ste 430N Indianapolis IN 46290 356088862 Supporting organization IN 501(C)(3) 11a - Type I 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) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Madison County Health System Inc 1331 South A Street Elwood IN 46036 350876389 Hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Mercy Hospital Foundation Inc 1331 South A Street Elwood IN 46036 311066871 Supporting organization IN 501(C)(3) 11a - Type I 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) 9-509(A)(2) StVincent Health Inc StVincent Pediatric Rehab Center Inc 1707 W 86th Street Indianapolis IN 46260 352048898 Specialty hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Hospital & Health Care Center Inc StVincent Randolph Hospital Inc 473 Greenville Avenue Winchester IN 47394 352103153 Critical access hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Randolph Hospital Foundation Inc 473 Greenville Avenue Winchester IN 47394 352133006 Supporting organization IN 501(C)(3) 11a - Type I StVincent Randolph Hospital Inc StVincent Salem Hospital Inc 911 N Shelby Street Salem IN 47167 270847538 Critical access hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Seton Specialty Hosptial Inc 8050 Township Line Road Indianapolis IN 46260 351712001 Long term care hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Williamsport Hospital Inc 412 N Monroe Street Williamsport IN 47993 350784551 Critical access hospital IN 501(C)(3) 3-170(b)(1)(A) (iii) StVincent Health Inc StVincent Williamsport Hospital Foundation Inc 412 N Monroe Street Williamsport IN 47993 743130159 Supporting organization IN 501(C)(3) 11a - Type I StVincent Williamsport Hospital Inc SVSM Inc 2001 W 86th Street Indianapolis IN 46260 810607827 Holding company IN 501(C)(3) 11a - Type I StVincent Health Inc 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 136848 218454 0 0 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 409512 11161 0 0 Carmel Ambulatory Surgery Center LLC 13421 Old Meridian St Ste 150 Carmel IN 46032 320014795 Ambulatory surgery center IN StVincent Carmel Inc Related 8158050 1859971 0 0 Chartwell Midwest Indiana LLC 8040 Castleway Drive Indianapolis IN 46250 351985233 Home care IV/infusion services IN StVincent Hospital & Health Care Center Inc Related 10943 935037 0 0 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 172737 1229461 0 0 Endoscopy Center LLC 13421 Old Meridian St Ste 150 Carmel IN 46032 320029881 Endoscopy center IN StVincent Carmel Inc Related 430889 62541 0 0 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 -551635 -717162 0 0 Hancock Physician Network LLC 801 N State Street Greenfield IN 46140 352051598 Primary care physician practices IN StVincent Hospital & Health Care Center Inc Related -1509774 1372790 0 0 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 900000 0 0 Indiana Orthopaedic Hospital LLC 8450 Northwest Boulevard Indianapolis IN 46278 470933538 Orthopaedic surgery center IN StVincent Hospital & Health Care Center Inc Related 995841 41008337 0 0 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 381027 13832806 0 0 Meridian Heights Associates LLC 6100 W 96th Street Ste 250 Indianapolis IN 46278 264020296 Real estate holding IN StVincent Carmel Inc Related -228039 1877864 0 0 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 597971 174790 0 0 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 120585 -10064 0 0 Saint John's Ambulatory Surgery Center LLC 2015 Jackson Street Anderson IN 46016 010822977 Surgery center IN StVincent Madison County Health System Inc Related 2005053 119083 0 0 StVincent HealthUSP LLC 15305 Dallas Parkway Ste 1600 Addison TX 75001 203749962 Holding company IN StVincent Hospital & Health Care Center Inc Related 286551 339521 0 0 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 18222908 -19189923 0 0 StVincent Northwest Radiology LLC 5756 W 71st Street Indianapolis IN 46278 352047427 MRI facilities IN StVincent Hospital & Health Care Center Inc Related -119686 40582 0 0 The Care Labs LLC 2001 W 86th Street Indianapolis IN 46260 351854352 Outpatient vascular lab IN Central Indiana Health System Cardiac Services Inc Related 442930 72220 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0