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        <Description>Cafeteria revenue</Description>
        <BusinessCode>722210</BusinessCode>
        <TotalRevenueColumn>132600</TotalRevenueColumn>
        <ExclusionAmount>132600</ExclusionAmount>
      </OtherRevenueMisc>
      <TotalOtherRevenue>132600</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>67547730</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>63920082</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>3568926</ExclusionAmount>
      </TotalRevenue>
      <CompCurrentOfficersDirectors>
        <Total>1056512</Total>
        <ManagementAndGeneral>1056512</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <OtherSalariesAndWages>
        <Total>22277584</Total>
        <ProgramServices>20050071</ProgramServices>
        <ManagementAndGeneral>2227513</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>926765</Total>
        <ProgramServices>834099</ProgramServices>
        <ManagementAndGeneral>92666</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>3477563</Total>
        <ProgramServices>3129845</ProgramServices>
        <ManagementAndGeneral>347718</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>1613797</Total>
        <ProgramServices>1452435</ProgramServices>
        <ManagementAndGeneral>161362</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>588560</Total>
        <ProgramServices>529710</ProgramServices>
        <ManagementAndGeneral>58850</ManagementAndGeneral>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>66751</Total>
        <ProgramServices>60077</ProgramServices>
        <ManagementAndGeneral>6674</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>25000</Total>
        <ProgramServices>22500</ProgramServices>
        <ManagementAndGeneral>2500</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesOther>
        <Total>11517</Total>
        <ProgramServices>10365</ProgramServices>
        <ManagementAndGeneral>1152</ManagementAndGeneral>
      </FeesForServicesOther>
      <InformationTechnology>
        <Total>454005</Total>
        <ProgramServices>408609</ProgramServices>
        <ManagementAndGeneral>45396</ManagementAndGeneral>
      </InformationTechnology>
      <Occupancy>
        <Total>871424</Total>
        <ProgramServices>784291</ProgramServices>
        <ManagementAndGeneral>87133</ManagementAndGeneral>
      </Occupancy>
      <ConferencesMeetings>
        <Total>196989</Total>
        <ProgramServices>177292</ProgramServices>
        <ManagementAndGeneral>19697</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>13587</Total>
        <ProgramServices>12228</ProgramServices>
        <ManagementAndGeneral>1359</ManagementAndGeneral>
      </Interest>
      <DepreciationDepletion>
        <Total>1764063</Total>
        <ProgramServices>1587676</ProgramServices>
        <ManagementAndGeneral>176387</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>157776</Total>
        <ProgramServices>157776</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>Supplies</Description>
        <Total>6765757</Total>
        <ProgramServices>6089256</ProgramServices>
        <ManagementAndGeneral>676501</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Purchased services</Description>
        <Total>3652289</Total>
        <ProgramServices>3287100</ProgramServices>
        <ManagementAndGeneral>365189</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Contract labor</Description>
        <Total>3251892</Total>
        <ProgramServices>2926739</ProgramServices>
        <ManagementAndGeneral>325153</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Community benefit</Description>
        <Total>2383471</Total>
        <ProgramServices>2383471</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>1899612</Total>
        <ProgramServices>1709672</ProgramServices>
        <ManagementAndGeneral>189940</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>3443722</Total>
        <ProgramServices>3099388</ProgramServices>
        <ManagementAndGeneral>344334</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>54898636</Total>
        <ProgramServices>48712600</ProgramServices>
        <ManagementAndGeneral>6186036</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>2748232</BOY>
        <EOY>3334572</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>7139218</BOY>
        <EOY>9136457</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>672777</BOY>
        <EOY>478060</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>90373</BOY>
        <EOY>34884</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>23653212</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>6452934</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>18995900</BOY>
        <EOY>17200278</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>22747907</BOY>
        <EOY>36540142</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>52394407</BOY>
        <EOY>66724393</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>3590673</BOY>
        <EOY>4470807</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>4741178</BOY>
        <EOY>5902380</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>8331851</BOY>
        <EOY>10373187</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>44050137</BOY>
        <EOY>56311064</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>12419</BOY>
        <EOY>40142</EOY>
      </TemporarilyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>44062556</BOY>
        <EOY>56351206</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>52394407</BOY>
        <EOY>66724393</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
      <FSAudited>1</FSAudited>
      <AuditCommittee>1</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>0</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <Volunteers>0</Volunteers>
      <PaidStaffOrManagement>0</PaidStaffOrManagement>
      <MediaAdvertisements>0</MediaAdvertisements>
      <MailingsMembers>0</MailingsMembers>
      <PublicationsOrBroadcast>0</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>0</GrantsOtherOrganizations>
      <DirectContactLegislators>0</DirectContactLegislators>
      <RalliesDemonstrations>0</RalliesDemonstrations>
      <OtherActivities>1</OtherActivities>
      <OtherActivitiesAmount>1626</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>1626</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>0</NotDescribedIn501c3>
      <Form990ScheduleCPartIV>
        <Identifier>Part II-B, Line 1i:</Identifier>
        <ReturnReference>Explanation of Other Lobbying Activities:</ReturnReference>
        <Explanation>Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <Land>
        <OtherCostOrOtherBasis>847629</OtherCostOrOtherBasis>
        <BookValue>847629</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>16765554</OtherCostOrOtherBasis>
        <Depreciation>3171375</Depreciation>
        <BookValue>13594179</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>3157</OtherCostOrOtherBasis>
        <Depreciation>658</Depreciation>
        <BookValue>2499</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>6036872</OtherCostOrOtherBasis>
        <Depreciation>3280901</Depreciation>
        <BookValue>2755971</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>17200278</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Receivable from third party payors</Description>
        <BookValue>518611</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Donor restricted funds</Description>
        <BookValue>40142</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>Health System Depository Account</Description>
        <BookValue>35981389</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>36540142</TotalBookValueOtherAssets>
      <OtherLiabilities>
        <Description>Payables to third party programs</Description>
        <Amount>1077266</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Intercompany payables</Description>
        <Amount>1487523</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Other liabilities</Description>
        <Amount>171909</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Pension liability</Description>
        <Amount>2723196</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>Intercompany debt to Ascension Health</Description>
        <Amount>442486</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>5902380</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Explanation>Per the financial statements of St.Vincent Health, Inc. (which include the activity of St.Vincent Seton Specialty Hospital, Inc.), there is no current year ASC 740 (fka FIN 48) footnote for the current year.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <CharityCarePolicy>1</CharityCarePolicy>
      <WrittenPolicy>1</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>1</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>1</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>1</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>1</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>1</ExpensesExceededBudget>
      <UnableToProvideCare>0</UnableToProvideCare>
      <AnnualCommunityBenefitReport>1</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>1</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>314249</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>314249</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00570</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>1862041</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1862041</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03390</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>2176290</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>2176290</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03960</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <PersonsServed>2800</PersonsServed>
        <TotalCommunityBenefitExpense>102206</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>102206</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00190</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <PersonsServed>306</PersonsServed>
        <TotalCommunityBenefitExpense>45795</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>45795</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00080</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <CashAndInKindContributions>
        <PersonsServed>1155798</PersonsServed>
        <TotalCommunityBenefitExpense>58630</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>60</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>58570</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00110</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <PersonsServed>1158904</PersonsServed>
        <TotalCommunityBenefitExpense>206631</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>60</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>206571</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00380</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <PersonsServed>1158904</PersonsServed>
        <TotalCommunityBenefitExpense>2382921</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>60</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2382861</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.04340</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <HealthImprovementAdvocacy>
        <PersonsServed>175</PersonsServed>
        <TotalCommunityBuildingExpense>610</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>610</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00000</PercentOfTotalExpense>
      </HealthImprovementAdvocacy>
      <Total>
        <PersonsServed>175</PersonsServed>
        <TotalCommunityBuildingExpense>610</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>610</NetCommunityBuildingExpense>
      </Total>
      <BadDebtExpenseReported>0</BadDebtExpenseReported>
      <BadDebtExpenseAmount>-240472</BadDebtExpenseAmount>
      <AmountAttributableTo>0</AmountAttributableTo>
      <AmountReimbursedByMedicare>37803927</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>36786812</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>1017115</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>1</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>1</ProvisionForCharityCare>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>StVincent Seton Specialty Hospital In</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>8071 Township Line Road</AddressLine1>
          <City>Indianapolis</City>
          <State>IN</State>
          <ZIPCode>46260</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <IncomeBasedCriteria>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.</IncomeBasedCriteria>
        <CostingMethodUsed>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.</CostingMethodUsed>
        <BadDebtFootnote>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 Corporation's policies. The share of the bad debt expense in fiscal year 2010 was ($587,688) at charges (-$240,472 at cost).</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>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.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>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.</DebtCollectionPolicy>
        <GeneralExplanation>St.Vincent Seton Specialty Hospital (SVSSH) 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 SVSSH section) is available at http://www.stvincent.org/uploadedFiles/Community_Connections/Community_Benefit_Report/SVH_CBR2010nw.pdf</GeneralExplanation>
        <NeedsAssessment>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 (SVSSH) 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 SVSSH 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. SVSSH 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.</NeedsAssessment>
        <PatientEducationAssistance>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 consults with patients about their eligibility for financial assistance programs and helps patients in applying for any public programs for which they may qualify.</PatientEducationAssistance>
        <CommunityInformation>Part VI, Line 4: St.Vincent Seton Specialty Hospital (SVSSH) is located in Indianapolis and Lafayette, Indiana and serves Marion, Tippecanoe and contiguous counties, in northwest and Central Indiana. With the special care that SVSSH performs, the patients come from all over the state of Indiana and even bordering states. Patients of all ages come to SVSSH to receive treatment for ailments from motorcycle accidents to severe strokes. SVSSH is for medically complex patients who still need a high level of acute care services.</CommunityInformation>
        <CommunityBuildingActivities>Part VI, Line 5: St.Vincent Seton Specialty Hospital (SVSSH) as a long term acute care hospital is focused on intense care that the patients receive for their complete recovery. SVSSH's community benefit activities directly impact the health of its communities.</CommunityBuildingActivities>
        <OtherInformation>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 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</OtherInformation>
        <AffiliatedHealthCareSystem>Part VI, Line 7: As part of the St.Vincent Health System, St.Vincent Seton Specialty Hospital (SVSSH) is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at SVSSH 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 SVSSH participates.</AffiliatedHealthCareSystem>
        <ReportsFiledWithStates>IN</ReportsFiledWithStates>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <IdemnificationGrossUpPayments>X</IdemnificationGrossUpPayments>
      <WrittenPolicyReTAndEExpenses>1</WrittenPolicyReTAndEExpenses>
      <SubstantiationRequired>1</SubstantiationRequired>
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>0</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>0</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>0</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>0</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>0</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>0</AnyNonFixedPayments>
      <InitialContractException>0</InitialContractException>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Jon D Rahman MD</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>365251</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>123360</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>6125</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
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        <TotalCompensationRelatedOrgs>516176</TotalCompensationRelatedOrgs>
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        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>Peter H Alexander</BusinessNameLine1>
        </NameBusiness>
        <BaseCompensationFilingOrg>211091</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>67717</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>5023</DeferredCompFilingOrg>
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      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NameBusiness>
          <BusinessNameLine1>David M Girten</BusinessNameLine1>
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        <ReturnReference>Part I, Line 1a</ReturnReference>
        <Explanation>St.Vincent Seton Specialty Hospital paid for cell phone usage and deminimus gift for six of the listed officers/directors 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.</Explanation>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 6</Identifier>
        <Explanation>St.Vincent Seton Specialty Hospital, Inc. has a single corporate member, St.Vincent Health, Inc.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7a</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section A, line 7b</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 11</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 12c</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section B, line 15</Identifier>
        <Explanation>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. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Section C, line 19</Identifier>
        <Explanation>The organization will provide any documents open to public inspection upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part XI, Line 2c</Identifier>
        <ReturnReference>Audited Financial Statements</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Explanation>Schedule R, Part V, Line 2 Method for Determining the Value of Services St.Vincent Seton Specialty Hospital, Inc. use the following methods to determine the value of related organization transactions: - Fair market value for services and cash - Book value for other assets</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part I, Line 6</Identifier>
        <ReturnReference>Total Number of Volunteers</ReturnReference>
        <Explanation>The total number of volunteers for the organization is 6. 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Part IV, Line 24A</Identifier>
        <ReturnReference>Tax Exempt Bond Issuance</ReturnReference>
        <Explanation>St.Vincent Seton Specialty Hospital, Inc. is a health faclity 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4a, 4b and 4c</Identifier>
        <ReturnReference>Community Benefit Report</ReturnReference>
        <Explanation>SVSSH 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.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>Community Benefit Overview</ReturnReference>
        <Explanation>St.Vincent Seton Specialty Hospital (SVSSH) 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 nations 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.</Explanation>
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      <GeneralExplanation>
        <ReturnReference>Community Benefit Report</ReturnReference>
        <Explanation>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 SVSSH 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 Profession Education 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, offer a variety of clinical settings and internships for undergraduate and vocational allied health professionals, including nurses and respiratory therapists. Last year 172 students from Marian University, St. Elizabeth Nursing School, Ivy Tech, ITT Tech, Indiana Wesleyan University, Ball State University, Indiana University, and MedTech received specialized training from Seton Specialty health professionals. 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. When the Veterans' Home had been short on servers and deserts for their Thanksgiving celebration, Seton associates committed to supporting this event annually. Last year for the celebration, Seton Associates purchased deserts, served meals, and listened to stories from Hoosier Veterans and their spouses who enjoyed this attention. Community Health Education St.Vincent Seton Specialty participated in St.Vincent Health Fair Day at the Indiana State Fair and Carmel Senior Health Fair. At last year's fairs, over 300 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.</Explanation>
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        <ReturnReference>Community Building Activities</ReturnReference>
        <Explanation>Research shows that social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status. Back Pack'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, over 16 back packs were fully filled with supplies to support this incredible cause. Pastoral Care Services As a faith based hospital, St.Vincent Seton Specialty Hospital addresses the spiritual needs of patients and their families by providing pastoral care services. The mission of pastoral care is to meet the spiritual needs of St.Vincent Seton Specialty Hospital patients, their families and the associates of the hospital. This is done in a non-judgmental way, open to all, regardless of race, age or religious beliefs. The chaplain's gift includes an ability to listen, empathize and journey with those who were dying or in crises. Medical Supplies Donations The staff assisted indigent patients with medical supplies ranging from breathing equipment, nutritional supplements and more. These assistive devices were provided to assist in the transition of patients from being in the facility to returning home. Seton Specialty Hospital donated almost $2,500 worth of medicine to support frontline medical personnel who cared for the victims of the Haiti earthquake. Transportation St.Vincent Seton Specialty Hospital committed provided transportation services without charge to patients and/or family members who could not afford medical transportation to the facility from miles away. The method of transportation varied from ambulance to providing gas cards for personal transportation.</Explanation>
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