ST MARYS MEDICAL GROUP LLC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS MEDICAL GROUP LLC (EIN 26-1356310)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-15
- IRS object ID
- 201711359349307956
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T14:02:23-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 261356310 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARYS MEDICAL GROUP LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 8124854178 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 Washington Avenue | AddressLine1Txt |
| City | Evansville | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47750 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN L ZABROWSKI III | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Signature | 2017-05-15 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAN PAROD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 Washington Avenue | AddressLine1Txt |
| City | Evansville | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47750 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $50,732,149 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.STMARYS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | ST. MARY'S MEDICAL GROUP, LLC'S MISSION IS TO PROVIDE THE COMMUNITY WITH ACCESS TO HEATHCARE RESOURCES SUCH AS PHYSICIAN CLINICS, SPECIALITY AND GENERAL, CLOSER TO HOME | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 0 | VotingMembersIndependentCnt |
| Total Employee | 593 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $30,544,066 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $42,762,048 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $48,931,133 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,085 | PYInvestmentIncomeAmt |
| CY Investment Income | $31,843 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,643,141 | PYOtherRevenueAmt |
| CY Other Revenue | $1,769,173 | CYOtherRevenueAmt |
| PY Total Revenue | $74,978,340 | PYTotalRevenueAmt |
| CY Total Revenue | $50,732,149 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,223,587 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $49,862,039 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $56,354,122 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $18,234,244 | PYOtherExpensesAmt |
| CY Other Expenses | $20,295,084 | CYOtherExpensesAmt |
| PY Total Expenses | $73,319,870 | PYTotalExpensesAmt |
| CY Total Expenses | $76,649,206 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,658,470 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$25,917,057 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,280,950 | TotalAssetsBOYAmt |
| Total Assets EOY | $19,064,251 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $17,858,990 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,860,566 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$4,578,040 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$3,796,315 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ST. MARY'S MEDICAL GROUP, LLC'S MISSION IS TO PROVIDE THE COMMUNITY WITH ACCESS TO HEATHCARE RESOURCES SUCH AS PHYSICIAN CLINICS, SPECIALITY AND GENERAL, CLOSER TO HOME | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $69,123,083 | ExpenseAmt |
| Revenue | $50,700,306 | RevenueAmt |
| Desc | ST. MARY'S MEDICAL GROUP, LLC CONSISTS OF LOCAL NON-FOR-PROFIT GENERAL AND SPECIALTY PHYSICIAN CLINICS SERVING THE TRI-STATE AREA WITHOUT REGARD TO PATIENT RACE, CREED, NATIONAL ORIGIN, ECONOMIC STATUS, OR ABILITY TO PAY | Desc |
| Total Program Service Expenses | $69,123,083 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 57 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 593 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 0 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN L ZABROWSKI III | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8124854178 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 WASHINGTON AVE | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47750 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SUZETTE HERSHMAN | ||||||||
| SECRETARY/TREASURER | 1.0 | 56.0 | Yes (X) | Yes (X) | $0 | $244,918 | $28,205 | |
| KARL SASH MD | ||||||||
| CHAIR | 53.0 | 4.0 | Yes (X) | Yes (X) | $484,919 | $12,227 | $65,992 | |
| DAVID UTLEY DO | ||||||||
| VICE CHAIR | 55.0 | 0 | Yes (X) | Yes (X) | $301,695 | $2,128 | $45,328 | |
| JAMES EVANSON MD | ||||||||
| BOARD MEMBER (THRU 8/15) | 55.0 | 0 | Yes (X) | $321,779 | $0 | $44,082 | ||
| KEITH JEWELL | ||||||||
| EX-OFFICIO | 1.0 | 64.6 | Yes (X) | $0 | $783,468 | $52,981 | ||
| ALLISON MELTON MD | ||||||||
| BOARD MEMBER | 55.0 | 0.0 | Yes (X) | $557,440 | $0 | $54,664 | ||
| MARK MEYERS MD | ||||||||
| BOARD MEMBER | 55.0 | 0 | Yes (X) | $125,462 | $0 | $22,172 | ||
| JOHN RODRIGUES MD | ||||||||
| BOARD MEMBER | 55.0 | 0 | Yes (X) | $351,292 | $0 | $40,990 | ||
| HEATHER SCHROEDER MD | ||||||||
| BOARD MEMBER | 55.0 | 0 | Yes (X) | $593,823 | $0 | $51,437 | ||
| PHILIP CASINO MD | ||||||||
| BOARD MEMBER | 55.0 | 0 | Yes (X) | $750,195 | $0 | $74,718 | ||
| BRENT COCHRAN MD | ||||||||
| BOARD MEMBER | 55.0 | 0 | Yes (X) | $320,860 | $0 | $21,644 | ||
| PHILLIP GILSON MD | ||||||||
| BOARD MEMBER | 55.0 | 0 | Yes (X) | $617,411 | $0 | $53,301 | ||
| WILLIAM MILLIKAN JR MD | ||||||||
| EX-OFFICIO | 1.0 | 60.0 | Yes (X) | $0 | $465,713 | $42,047 | ||
| VIJAY BHASIN MD | ||||||||
| PHYSICIAN | 55.0 | 0 | $1,111,377 | $0 | $79,920 | Yes (X) | ||
| PHILLIP BEHRENS MD | ||||||||
| PHYSICIAN | 55.0 | 0 | $721,779 | $0 | $72,388 | Yes (X) | ||
| ELIZABETH BUTLER MD | ||||||||
| PHYSICIAN | 55.0 | 0 | $676,344 | $0 | $24,295 | Yes (X) | ||
| UMANG PATEL MD | ||||||||
| PHYSICIAN | 55.0 | 0 | $778,275 | $0 | $73,607 | Yes (X) | ||
| ASIM REHMAN MD | ||||||||
| PHYSICIAN | 55.0 | 0 | $984,150 | $0 | $56,684 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,696,801 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,508,453 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $904,456 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 91 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEPHROLOGY ASSOCIATES | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1312 Professional Blvd | AddressLine1Txt |
| City | Evansville | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47714 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Physician Services | ServicesDesc |
| Compensation | $114,357 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OUTPATIENT REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $48,931,133 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $48,931,133 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $48,931,133 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,843 | TotalRevenueColumnAmt |
| Exclusion | $31,843 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEANINGFUL USE INCENTIVES | 900099 | $1,554,533 | $1,554,533 |
| MEDICAL DIRECTOR FEES | 621110 | $187,448 | $187,448 |
| RECOVERIES | 900099 | $25,863 | $25,863 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,329 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,329 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,769,173 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,732,149 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $50,700,306 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $31,843 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,898,818 | TotalAmt |
| Program Services | $4,408,936 | ProgramServicesAmt |
| Management And General | $489,882 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,288,442 | TotalAmt |
| Program Services | $41,391,837 | ProgramServicesAmt |
| Management And General | $2,896,605 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,608,307 | TotalAmt |
| Program Services | $2,442,108 | ProgramServicesAmt |
| Management And General | $166,199 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,226,975 | TotalAmt |
| Program Services | $2,077,475 | ProgramServicesAmt |
| Management And General | $149,500 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,331,580 | TotalAmt |
| Program Services | $2,192,939 | ProgramServicesAmt |
| Management And General | $138,641 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,930 | TotalAmt |
| Program Services | $1,930 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $585 | TotalAmt |
| Management And General | $585 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,650,445 | TotalAmt |
| Program Services | $1,650,445 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,126 | TotalAmt |
| Program Services | $19,643 | ProgramServicesAmt |
| Management And General | $2,483 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $687,293 | TotalAmt |
| Program Services | $566,111 | ProgramServicesAmt |
| Management And General | $121,182 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,118 | TotalAmt |
| Program Services | $20,431 | ProgramServicesAmt |
| Management And General | $82,687 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,718,297 | TotalAmt |
| Program Services | $3,571,126 | ProgramServicesAmt |
| Management And General | $147,171 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $251,656 | TotalAmt |
| Program Services | $150,941 | ProgramServicesAmt |
| Management And General | $100,715 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,791 | TotalAmt |
| Program Services | $89,587 | ProgramServicesAmt |
| Management And General | $4,204 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,883 | TotalAmt |
| Program Services | $284,237 | ProgramServicesAmt |
| Management And General | $22,646 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $720,735 | TotalAmt |
| Program Services | $694,907 | ProgramServicesAmt |
| Management And General | $25,828 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $6,790,262 | $3,972,668 | $2,817,594 |
| MEDICAL SUPPLIES | $4,942,866 | $4,891,967 | $50,899 |
| MINOR EQUIPMENT | $312,562 | $266,740 | $45,822 |
| CONSULTING FEES | $168,408 | $168,408 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $524,127 | TotalAmt |
| Program Services | $429,055 | ProgramServicesAmt |
| Management And General | $95,072 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,649,206 | TotalAmt |
| Program Services | $69,123,083 | ProgramServicesAmt |
| Management And General | $7,526,123 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,479 | BOYAmt |
| EOY | $175,025 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,635,369 | BOYAmt |
| EOY | $3,929,081 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,536 | BOYAmt |
| EOY | $5,607 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,913,384 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,662,215 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,589,215 | BOYAmt |
| EOY | $2,251,169 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,466 | BOYAmt |
| EOY | $28,451 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,586,885 | BOYAmt |
| EOY | $12,674,918 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,280,950 | BOYAmt |
| EOY | $19,064,251 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,689,359 | BOYAmt |
| EOY | $4,707,133 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,264 | BOYAmt |
| EOY | $19,186 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,090,367 | BOYAmt |
| EOY | $18,134,247 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,858,990 | BOYAmt |
| EOY | $22,860,566 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,578,040 | BOYAmt |
| EOY | -$3,796,315 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,578,040 | BOYAmt |
| EOY | -$3,796,315 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,280,950 | BOYAmt |
| EOY | $19,064,251 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$25,917,057 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,797 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $26,700,579 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $1,694,408 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,544,103 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,544,066 | CurrentTaxYearMinus1YearAmt |
| Total | $50,782,577 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $3,924,184 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,585,620 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $42,762,048 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,931,133 | CurrentTaxYearAmt |
| Total | $112,202,985 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,618,592 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,129,723 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $73,306,114 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $48,931,133 | CurrentTaxYearAmt |
| Total | $162,985,562 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $0 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $162,985,562 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $2,721 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,310 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,085 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,843 | CurrentTaxYearAmt |
| Total | $92,959 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,721 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $29,310 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,085 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,843 | CurrentTaxYearAmt |
| Total | $92,959 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $349,216 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,086,783 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,643,141 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,769,172 | CurrentTaxYearAmt |
| Total | $4,848,312 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $0 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,970,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $36,245,816 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $74,978,340 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,732,148 | CurrentTaxYearAmt |
| Total | $167,926,833 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | Yes (X) | First5Years509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCH A, PART III | ST. MARY'S MEDICAL GROUP, LLC, PREVIOUSLY A DISREGARDED ENTITY OF ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC., FILED A FORM 1023 ON DECEMBER 27, 2012 REQUESTING PROSPECTIVE TAX-EXEMPT STATUS AS A RESULT OF A REORGANIZATION OF ST. MARY'S HEALTH, INC. AS A RESULT, TAX YEAR 2012 WAS A SHORT YEAR COVERING THE PERIOD FROM DECEMBER 27, 2012 THROUGH JUNE 30, 2013. |
| Schedule A, Part III, Line 12 Other Income | DESCRIPTION - PROFESSIONAL FEES, COLUMN A - , COLUMN B - 349216.0, COLUMN C - 303885.0, COLUMN D - 231660.0, COLUMN E - 187448.0, COLUMN F - 1072209.0; DESCRIPTION - RECOVERIES, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 16611.0, COLUMN E - 25863.0, COLUMN F - 42474.0; DESCRIPTION - GOVERNMENT INCENTIVES, COLUMN A - , COLUMN B - , COLUMN C - 782898.0, COLUMN D - 1381209.0, COLUMN E - 1554532.0, COLUMN F - 3718639.0; DESCRIPTION - PATIENT INTEREST, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 1329.0, COLUMN F - 1329.0; DESCRIPTION - LOAN REPAYMENT, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 13661.0, COLUMN E - , COLUMN F - 13661.0; |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,295,458 | OtherCostOrOtherBasisAmt |
| Depreciation | $729,056 | DepreciationAmt |
| Book Value | $1,566,402 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,617,926 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,933,159 | DepreciationAmt |
| Book Value | $684,767 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,251,169 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| PENSION PLAN | $8,960,076 |
| OTHER MISC CURRENT ASSETS | $822,252 |
| OTHER MISC RECEIVABLES | $40,418 |
| INTEREST IN INVESTMENTS HELD BY ASCENSION HEALTH ALLIANCE | $75,676 |
| INTERCOMPANY RECEIVABLES | $2,776,496 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,674,918 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO ST. MARY'S MEDICAL CENTER OF EVANSVILLE, INC | |
| PENSION LIABILITY | $8,365,256 |
| AH DEFERRED COMPENSATION | $8,960,076 |
| LEASE LIABILITY | $178,232 |
| MISCELLANEOUS CURRENT LIABILITIES | $630,683 |
| DUE TO ST. MARY'S BUILDING CORPORATION | |
| DUE TO ST. MARY'S WARRICK HOSPITAL, INC | |
| DUE TO THE ASCENSION HEALTH MINISTRY SERVICE CENTER | |
| INTERCOMPANY LIABILITIES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,134,247 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2016. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SUZETTE HERSHMAN | ||||||||||||||
| SECRETARY/TREASURER | $0 | $196,140 | $0 | $48,490 | $0 | $288 | $0 | $14,650 | $0 | $13,555 | $0 | $273,123 | $0 | $0 |
| KARL SASH MD | ||||||||||||||
| CHAIR | $292,235 | $12,227 | $136,981 | $0 | $55,704 | $0 | $27,589 | $322 | $38,081 | $0 | $550,590 | $12,548 | $54,512 | $0 |
| DAVID UTLEY DO | ||||||||||||||
| VICE CHAIR | $266,780 | $2,128 | $18,079 | $0 | $16,835 | $0 | $14,511 | $64 | $30,753 | $0 | $346,959 | $2,191 | $0 | $0 |
| JAMES EVANSON MD | ||||||||||||||
| BOARD MEMBER (THRU 8/15) | $257,284 | $0 | $63,964 | $0 | $531 | $0 | $14,575 | $0 | $29,507 | $0 | $365,861 | $0 | $0 | $0 |
| KEITH JEWELL | ||||||||||||||
| EX-OFFICIO | $0 | $490,240 | $0 | $287,459 | $0 | $5,770 | $0 | $33,812 | $0 | $19,169 | $0 | $836,450 | $0 | $0 |
| ALLISON MELTON MD | ||||||||||||||
| BOARD MEMBER | $479,317 | $0 | $76,957 | $0 | $1,165 | $0 | $15,900 | $0 | $38,764 | $0 | $612,104 | $0 | $0 | $0 |
| JOHN RODRIGUES MD | ||||||||||||||
| BOARD MEMBER | $331,164 | $0 | $18,317 | $0 | $1,811 | $0 | $14,575 | $0 | $26,415 | $0 | $392,282 | $0 | $0 | $0 |
| HEATHER SCHROEDER MD | ||||||||||||||
| BOARD MEMBER | $467,538 | $0 | $125,474 | $0 | $811 | $0 | $14,575 | $0 | $36,862 | $0 | $645,261 | $0 | $0 | $0 |
| PHILIP CASINO MD | ||||||||||||||
| BOARD MEMBER | $521,072 | $0 | $183,253 | $0 | $45,870 | $0 | $33,350 | $0 | $41,368 | $0 | $824,913 | $0 | $41,934 | $0 |
| BRENT COCHRAN MD | ||||||||||||||
| BOARD MEMBER | $218,657 | $0 | $101,006 | $0 | $1,197 | $0 | $15,386 | $0 | $6,258 | $0 | $342,503 | $0 | $0 | $0 |
| PHILLIP GILSON MD | ||||||||||||||
| BOARD MEMBER | $491,144 | $0 | $124,951 | $0 | $1,316 | $0 | $27,869 | $0 | $25,432 | $0 | $670,712 | $0 | $0 | $0 |
| WILLIAM MILLIKAN JR MD | ||||||||||||||
| EX-OFFICIO | $0 | $365,655 | $0 | $96,263 | $0 | $3,795 | $0 | $13,250 | $0 | $28,797 | $0 | $507,760 | $0 | $0 |
| VIJAY BHASIN MD | ||||||||||||||
| PHYSICIAN | $873,599 | $0 | $162,789 | $0 | $74,990 | $0 | $40,973 | $0 | $38,947 | $0 | $1,191,297 | $0 | $72,348 | $0 |
| PHILLIP BEHRENS MD | ||||||||||||||
| PHYSICIAN | $610,339 | $0 | $57,202 | $0 | $54,237 | $0 | $32,352 | $0 | $40,037 | $0 | $794,167 | $0 | $50,383 | $0 |
| ELIZABETH BUTLER MD | ||||||||||||||
| PHYSICIAN | $633,524 | $0 | $19,143 | $0 | $23,677 | $0 | $14,575 | $0 | $9,720 | $0 | $700,639 | $0 | $0 | $0 |
| UMANG PATEL MD | ||||||||||||||
| PHYSICIAN | $517,638 | $0 | $216,148 | $0 | $44,489 | $0 | $34,049 | $0 | $39,558 | $0 | $851,881 | $0 | $43,450 | $0 |
| ASIM REHMAN MD | ||||||||||||||
| PHYSICIAN | $669,611 | $0 | $258,703 | $0 | $55,835 | $0 | $38,877 | $0 | $17,807 | $0 | $1,040,834 | $0 | $54,203 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. MARY'S MEDICAL GROUP, LLC, USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE INDEPENDENT COMPENSATION CONSULTANT COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | ELIGIBLE EXECUTIVES PARTICIPATE IN VARIOUS NON-QUALIFIED DEFERRED COMPENSATION PLANS ORGANIZED UNDER CODE SECTION 457(F). THE EXACT PURPOSE OF EACH PLAN VARIES, BUT THEY INCLUDE: COMPENSATION LIMITATION MAKE-UP PLANS, VOLUNTARY DEFERRAL PLANS, DEFERRAL OF A PORTION OF INCENTIVE BONUS TYPE PLANS, ETC. ANY AMOUNT ULTIMATELY PAID UNDER THE PROGRAM TO THE EXECUTIVE IS REPORTED AS COMPENSATION ON FORM 990, SCHEDULE J, PART II, COLUMN B IN THE YEAR PAID. THE FOLLOWING INDIVIDUALS RECEIVED CURRENT YEAR DISTRIBUTIONS OF: KARL SASH, MD $54,512 PHILIP CASINO, MD $41,934 VIJAY BHASIN, MD $72,348 PHILLIP BEHRENS, MD $50,383 UMANG PATEL, MD $43,450 ASIM REHMAN, MD $54,203 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRENT COCHRAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | BOARD MEMBER OF THE ORGANIZATION | RelationshipDescriptionTxt |
| Transaction | $114,100 | TransactionAmt |
| Transaction | ST. MARY'S MEDICAL GROUP, LLC LEASES FACILITIES FROM TBR, LLC, OF WHICH BRENT COCHRAN IS A PARTNER. | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15 CEO COMPENSATION | IN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S CEO, THE PROCESS, PERFORMED BY ASCENSION HEALTH, A RELATED ORGANIZATION OF ST. MARY'S MEDICAL MEDICAL GROUP, LLC, INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE CEO WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | ST. MARY'S MEDICAL GROUP, LLC HAS A SINGLE CORPORATE MEMBER, ST. MARY'S HEALTH, INC. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | ST. MARY'S MEDICAL GROUP, LLC HAS A SINGLE CORPORATE MEMBER, ST. MARY'S HEALTH, INC., WHO HAS THE ABILITY TO ELECT MEMBERS TO THE GOVERNING BODY OF ST. MARY'S MEDICAL GROUP, LLC |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | ALL DECISIONS THAT HAVE A MATERIAL IMPACT TO ST. MARY'S MEDICAL GROUP, LLC'S FINANCIAL INFORMATION OR CORPORATION AS A WHOLE ARE SUBJECT TO APPROVAL BY ITS SOLE CORPORATE MEMBER, ST. MARY'S HEALTH, INC. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS PROVIDED TO THE ST. MARY'S HEALTH, INC.'S GOVERNING BODY VIA A SECURE WEB-BASED PORTAL. THE GOVERNING BODY WILL REVIEW THE FORM 990 PRIOR TO THE FILING DATE AND ASK ANY QUESTIONS REGARDING THE FORM 990. ANY QUESTIONS AND RESPONSES WILL BE POSTED TO THE WEB-BASED PORTAL BEFORE THE RETURN IS FILED. ALL QUESTIONS AND RESPONSES WILL BE REVIEWED AND DISCLOSED IN THE MEETING MINUTES OF THE NEXT BOARD MEETING FOLLOWING THE REVIEW OF THE FORM 990. |
| Form 990, Part VI, Line 12c Conflict of interest policy | 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 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, Line 19 Required documents available to the public | THE ORGANIZATION WILL PROVIDE ANY DOCUMENTS OPEN TO PUBLIC INSPECTION UPON REQUEST |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | PATIENT ACCOUNT INTEREST - Total Revenue: 1329, Related or Exempt Function Revenue: 1329, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | FAS 158 PENSION - -894667; NET ASSET TRANSFER WITH ST. MARY'S BUILDING CORPORATION - 191074; NET ASSET TRANSFER WITH ST. MARY'S HEALTH, INC. - 27425341; NET ASSET TRANSFER WITH ST. MARY'S WARRICK HOSPITAL, INC. - 42670; NET ASSET TRANSFER WITH ST.VINCENT ANDERSON REGIONAL HOSPITAL, INC. - 14359; NET ASSET TRANSFER WITH ST.VINCENT HEALTH, INC. - -38557; NET ASSET TRANSFER WITH ST.VINCENT MEDICAL GROUP, INC. - -39641; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (40 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ASCENSION HEALTH ALLIANCE | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 453358926 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | NA | false |
| ASCENSION HEALTH | ||||||||||
| PO BOX 45998 | ST LOUIS | MO | 63145 | 311662309 | NATIONAL HEALTH SYSTEM | MO | 501(c)(3 | Type I | ASCENSION HEALTH ALLIANCE | false |
| CENTRAL INDIANA HEALTH SYSTEM CARDIAC SERVICES INC | ||||||||||
| 2001 W 86TH STREET | INDIANAPOLIS | IN | 46260 | 351869951 | FREESTANDING OUTPATIENT CENTER | IN | 501(c)(3 | Type III-FI | ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC | Yes (true) |
| REHABILITATION HOSPITAL OF INDIANA INC | ||||||||||
| 4141 SHORE DRIVE | INDIANAPOLIS | IN | 46254 | 351786005 | REHABILITATION HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| SVH REAL ESTATE INC | ||||||||||
| 10330 N MERIDIAN STREET STE 430N | INDIANAPOLIS | IN | 46290 | 205002285 | REAL ESTATE HOLDING COMPANY | IN | 501(c)(3 | Type III-FI | ST VINCENT HEALTH INC | Yes (true) |
| ST JOSEPH FOUNDATION OF KOKOMO INDIANA INC | ||||||||||
| 1907 W SYCAMORE STREET | KOKOMO | IN | 46901 | 237313206 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST JOSEPH HOSPITAL & HEALTH CENTER INC | Yes (true) |
| ST JOSEPH HOSPITAL & HEALTH CENTER INC | ||||||||||
| 1907 W SYCAMORE STREET | KOKOMO | IN | 46901 | 350992717 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT ANDERSON REGIONAL HOSPITAL INC | ||||||||||
| 2015 JACKSON STREET | ANDERSON | IN | 46016 | 460877261 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT ANDERSON REGIONAL HOSPITAL FOUNDATION INC | ||||||||||
| 2015 JACKSON STREET | ANDERSON | IN | 46016 | 352053693 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT ANDERSON REGIONAL HOSPITAL INC | Yes (true) |
| ST VINCENT CARMEL HOSPITAL INC | ||||||||||
| 13500 N MERIDIAN STREET | CARMEL | IN | 46032 | 743107055 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT CLAY HOSPITAL INC | ||||||||||
| 1206 E NATIONAL AVENUE | BRAZIL | IN | 47834 | 352112529 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT DUNN HOSPITAL INC | ||||||||||
| 1600 23RD STREET | BEDFORD | IN | 47421 | 272192831 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT FISHERS HOSPITAL INC | ||||||||||
| 13861 OLIO ROAD | FISHERS | IN | 46037 | 454243702 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT FRANKFORT HOSPITAL INC | ||||||||||
| 1300 S JACKSON | FRANKFORT | IN | 46041 | 352099320 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT FRANKFORT HOSPITAL FOUNDATION INC | ||||||||||
| 1300 S JACKSON | FRANKFORT | IN | 46041 | 351531734 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT FRANKFORT HOSPITAL INC | Yes (true) |
| ST VINCENT HEALTH INC | ||||||||||
| 10330 N MERIDIAN STREET STE 430N | INDIANAPOLIS | IN | 46290 | 352052591 | PARENT COMPANY | IN | 501(c)(3 | Type III-FI | ASCENSION HEALTH | false |
| ST VINCENT HEALTH WELLNESS AND PREVENTIVE CARE INSTITUTE INC | ||||||||||
| 8333 NAAB ROAD STE 301 | INDIANAPOLIS | IN | 46260 | 461227327 | HEALTH AND WELLNESS SERVICES | IN | 501(c)(3 | 9 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC | ||||||||||
| 2001 W 86TH STREET | INDIANAPOLIS | IN | 46260 | 350869066 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT HOSPITAL FOUNDATION INC | ||||||||||
| 10330 N MERIDIAN STREET STE 430N | INDIANAPOLIS | IN | 46290 | 356088862 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT HOSPITAL AND HEALTH CARE CENTER INC | Yes (true) |
| ST VINCENT JENNINGS HOSPITAL INC | ||||||||||
| 301 HENRY STREET | NORTH VERNON | IN | 47265 | 351841606 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT MADISON COUNTY HEALTH SYSTEM INC | ||||||||||
| 1331 SOUTH A STREET | ELWOOD | IN | 46036 | 350876389 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT MEDICAL GROUP INC | ||||||||||
| 8425 HARCOURT ROAD | INDIANAPOLIS | IN | 46260 | 272039417 | PHYSICIAN PROFESSIONAL SERVICES | IN | 501(c)(3 | 9 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT MERCY HOSPITAL FOUNDATION INC | ||||||||||
| 1331 SOUTH A STREET | ELWOOD | IN | 46036 | 311066871 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT MADISON COUNTY HEALTH SYSTEM INC | Yes (true) |
| ST VINCENT RANDOLPH HOSPITAL INC | ||||||||||
| 473 GREENVILLE AVENUE | WINCHESTER | IN | 47394 | 352103153 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT RANDOLPH HOSPITAL FOUNDATION INC | ||||||||||
| 473 GREENVILLE AVENUE | WINCHESTER | IN | 47394 | 352133006 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT RANDOLPH HOSPITAL INC | Yes (true) |
| ST VINCENT RAS INC | ||||||||||
| 10330 N MERIDIAN STREET STE 400N | INDIANAPOLIS | IN | 46290 | 471289091 | RETAIL AMBULATORY SERVICES | IN | 501(c)(3 | 9 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT SALEM HOSPITAL INC | ||||||||||
| 911 N SHELBY STREET | SALEM | IN | 47167 | 270847538 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT SETON SPECIALTY HOSPITAL INC | ||||||||||
| 8050 TOWNSHIP LINE RD | INDIANAPOLIS | IN | 46260 | 351712001 | LONG TERM CARE HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT WILLIAMSPORT HOSPITAL INC | ||||||||||
| 412 N MONROE STREET | WILLIAMSPORT | IN | 47993 | 350784551 | CRITICAL ACCESS HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | Yes (true) |
| ST VINCENT WILLIAMSPORT HOSPITAL FOUNDATION INC | ||||||||||
| 412 N MONROE STREET | WILLIAMSPORT | IN | 47993 | 743130159 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST VINCENT WILLIAMSPORT HOSPITAL INC | Yes (true) |
| ST MARY'S AT HOME INC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 351899560 | DME/HOME CARE | IN | 501(c)(3 | Type I | ST MARY'S HEALTH INC | Yes (true) |
| ST MARY'S BUILDING CORPORATION | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 237248362 | REAL ESTATE HOLDING COMPANY | IN | 501(c)(2 | ST MARY'S HEALTH INC | Yes (true) | |
| ST MARY'S WARRICK EMERGENCY MEDICAL SERVICES INC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 205342518 | AMBULANCE SERVICES | IN | 501(c)(4 | ST MARY'S HEALTH SERVICES INC | Yes (true) | |
| ST MARY'S HEALTH SERVICES INC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 351679526 | INVESTMENT SERVICES | IN | 501(c)(3 | Type III-FI | ST MARY'S HEALTH INC | Yes (true) |
| ST MARY'S CARE PARTNERS INC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 351899562 | TAX-EXEMPT AFFILIATE REIMBURSEMENTS | IN | 501(c)(3 | Type I | ST MARY'S HEALTH INC | Yes (true) |
| ST MARY'S HEALTH FOUNDATION INC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 237045370 | SUPPORTING ORGANIZATION | IN | 501(c)(3 | Type I | ST MARY'S HEALTH INC | Yes (true) |
| ST MARY'S HEALTH INC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 350869065 | HOSPITAL | IN | 501(c)(3 | 3 | ST VINCENT HEALTH INC | false |
| ST MARY'S WARRICK HOSPITAL INC | ||||||||||
| 1116 MILLIS AVENUE | BOONVILLE | IN | 47601 | 351343019 | HOSPITAL | IN | 501(c)(3 | 3 | ST MARY'S HEALTH INC | Yes (true) |
| ST MARY'S OHIO VALLEY HEARTCARE LLC | ||||||||||
| 901 ST MARYS DRIVE | EVANSVILLE | IN | 47714 | 273474697 | DORMANT | IN | 501(c)(3 | Type I | ST MARY'S HEALTH INC | Yes (true) |
| PRIMARY PHYSICIAN NETWORK LLC | ||||||||||
| 3700 WASHINGTON AVENUE | EVANSVILLE | IN | 47750 | 208775914 | DORMANT | IN | 501(c)(3 | 9 | ST MARY'S HEALTH INC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|
| ENDOSCOPY CENTER LLC | ||||||||||
| 13421 OLD MERIDIAN STREET | STE 150 | CARMEL | IN | 46032 | 320029881 | ENDOSCOPY CENTER | IN | NA | N/A | 0 |
| STVINCENT HEART CENTER OF INDIANA LLC | ||||||||||
| 10580 N MERIDIAN STREET | INDIANAPOLIS | IN | 46290 | 364492612 | HEART HOSPITAL | IN | NA | N/A | 0 | |
| CARMEL AMBULATORY SURGERY CENTER LLC | ||||||||||
| 13421 OLD MERIDIAN ST | STE 150 | CARMEL | IN | 46032 | 320014795 | AMBULATORY SURGERY CENTER | IN | NA | N/A | 0 |
| NAAB ROAD SURGERY CENTER LLC | ||||||||||
| 8260 NAAB ROAD | STE 100 | INDIANAPOLIS | IN | 46260 | 351991390 | AMBULATORY SURGERY CENTER | IN | NA | N/A | 0 |
| TRI-STATE COMMUNITY CLINICS LLC | ||||||||||
| 8601 N KENTUCKY AVENUE | SUITE J | EVANSVILLE | IN | 47711 | 270885968 | PRIMARY CARE PHYSICIAN PRACTICES | IN | NA | N/A | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S MEDICAL GROUP INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3700 WASHINGTON AVE | AddressLine1Txt |
| City | EVANSVILLE | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 47750 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352076827 | EIN |
| Primary Activities | INVESTMENT | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C Corporation | EntityTypeTxt |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST MARY'S BUILDING CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $911,293 | InvolvedAmt |
| Method Of Amount Determination | FMV OF SERIVCES OR CASH | MethodOfAmountDeterminationTxt |