2017-05-12T16:02:50-05:00 2016-06-30 990 2015-07-01 743107055 St Vincent Carmel Hospital Inc STVI 3175827219 13500 North Meridian Street Carmel IN 460321456 Michael D Chittenden President 2017-05-12 2015 2021-01-29 14:40:06Z Michael D Chittenden 13500 North Meridian Street Carmel IN 460321456 220396339 false 0928 X www.stvincent.org X 2003 IN St. Vincent Carmel Hospital is a nonprofit hospital dedicated to providing healthcare that leaves no one behind. 9 7 772 206 0 0 55357 59500 190164292 216201618 18428150 2975600 1193425 1134298 209841224 220371016 210700 322750 0 0 56909856 58420081 0 0 0 72959730 75256519 130080286 133999350 79760938 86371666 744911316 761915669 36181140 72541476 708730176 689374193 St.Vincent Carmel Hospital is dedicated to providing spiritually-centered, holistic healthcare that sustains and improves the health of those served, with special attention to the poor and vulnerable. Both inpatient and outpatient health services are provided without regard to patient race, creed, national origin, economic status, insurance status or ability to pay. This mission extends well beyond the provision of core medical services to encompass medical and scientific research programs, the training and educating of health care professionals and active support of community-based partnerships and programs to improve health and quality of life. false false 119049739 322750 216201618 St. Vincent Carmel Hospital is a 125-bed, acute care hospital serving Hamilton and contiguous counties and providing services without regard to patient race, creed, national origin, economic status, or ability to pay. During fiscal year 2016, St. Vincent Carmel Hospital treated 5,136 adults and children for a total of 17,665 patient days of service. The hospital also provided services for 127,623 outpatient visits, including 8,855 outpatient surgeries and 15,696 Emergency Room Visits. St. Vincent Carmel Hospital provides inpatient and outpatient health care services that include Intensive Care, Medical Surgical, Surgical, Obstetrical-Gynecological, Bariatric Services, Diagnostic Imaging Services, Inpatient Pharmacy Services, Respiratory Services, Physical Therapy, Occupational Therapy, Speech Therapy, Emergency Services, Endoscopy Services, Breast Center, Recovery Room, Pediatrics, Sleep Disorders, Comprehensive Women's Center and Neonatal Intensive Care. Some of these services operate at a loss in order to ensure that comprehensive services are available to the community. SEE SCHEDULE H FOR A NON-EXHAUSTIVE LIST OF COMMUNITY BENEFIT PROGRAMS AND DESCRIPTIONS. 119049739 true true false true false false false false false false true false false true true true false true false false false false false false false false true true true false true false false false false false false false false false false false false false true true true false false true 102 0 true 772 true false false false false false false false false false false X 9 7 true false false false true true true true true false false true true true true true true false true false IN X Robert A Bates 3175827219 13500 North Meridian Street Carmel IN 46032 DEBORAH WOOD CHAIR 0.2 0 X X 0 0 0 JEFF WORRELL TREASURER 0.2 0 X X 0 0 0 MICHAEL D CHITTENDEN DIRECTOR/PRESIDENT 40.0 0.2 X X 570102 0 51537 JAMES CHRISTENSON MD DIRECTOR 0.2 0 X 0 0 0 LEO DIERCKMAN DIRECTOR 0.2 0 X 0 0 0 WILLIAM FRUEDENTHAL MD DIRECTOR 0.2 0 X 0 0 0 MICHAEL L MULLINS DIRECTOR 0.2 40.8 X 0 674465 42590 RAYMOND OHLSON DIRECTOR 0.2 0 X 0 0 0 BRENDA CACUCCI MD DIRECTOR 0.2 0 X 0 0 0 ROBERT A BATES CFO 20.0 20.0 X 241075 0 42579 GWYNN L PERLICH CNO 40.0 0 X 240259 0 32672 STEVEN L PRIDDY MD CMO 40.0 0 X 477174 0 36362 AMY HOLLAND MD PHYSICIAN 40.0 40.0 X 255905 197862 30887 KEM TEMPLETON NEONATOLOGIST 40.0 0 X 309073 0 49250 RAJAN S KHERADIYA MD PHYSICIAN 40.0 0 X 269383 0 38531 ANNE Z MARNOCHA MD NEONATOLOGIST 40.0 0 X 305499 0 47047 CATHERINE L WATTS MD NEONATOLOGIST 40.0 0 X 263091 0 28558 2931561 872327 400013 49 false true false MID AMERICA CLINICAL LABORATORIES PO BOX 642263 PITTSBURGH PA 15264 LAB SERVICES 1868597 NORTHSIDE ANESTHESIA SERVICES LLC 450 E 96TH ST STE 200 INDIANAPOLIS IN 46240 ANESTHESIA SERVICES 1346300 CARMEL AMBULATORY SURGERY CENTER LLC 13421 OLD MERIDIAN ST CARMEL IN 46032 SURGICAL SERVICES 1183659 BRASFIELD & GORRIE LLC 729 30TH ST S BIRMINGHAM AL 352332939 CONSTRUCTION MANAGEMENT 1102191 AMERIPATH INDIANAPOLIS LLC 2560 Shadeland Ave Indianapolis IN 46219 LAB SERVICES 463411 15 59500 59500 Net Patient Revenue 621990 179131754 179131754 Net Medicare/Medicaid 621990 37881064 37881064 JOINT VENTURE INCOME/(LOSS) 900099 -811200 -811200 0 0 0 0 216201618 2974551 2974551 630606 630606 0 630606 630606 26372 25323 0 1049 1049 1049 Cafeteria Revenue 722514 503682 503682 Pharmacy 446110 10 10 0 0 0 0 503692 220371016 216201618 0 4109898 322750 322750 1691760 1691760 44613288 40108238 4505050 771559 693647 77912 8648558 7775227 873331 2694916 2422783 272133 6047687 5436992 610695 275720 247878 27842 21829 21829 137950 124020 13930 0 2317248 2083252 233996 221815 199416 22399 642020 577189 64831 7342170 6600758 741412 887333 887333 Supplies 26367541 23704947 2662594 Equipment Rental/Maint 4944845 4445515 499330 Purchased Services 13275352 11934807 1340545 Corporate Expense 5967341 5364758 602583 6807668 6120229 687439 0 133999350 119049739 14949611 0 5745065 5865434 29731099 30083499 0 0 2485163 2201516 119583 363615 144468895 81000741 68451451 63468154 0 4321923 4660616 25958275 25896160 608098757 629376675 744911316 761915669 7416759 8110641 28764381 64430835 36181140 72541476 X 708515016 689165231 215160 208962 708730176 689374193 744911316 761915669 X 86371666 -20400896 -85326753 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 3295 3295 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Vincent Carmel Hospital does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Lobbying expenses represent the portion of dues paid to national and state hospital associations that is specifically allocable to lobbying. St. Vincent Carmel Hospital does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 2111746 2111746 95667063 48680269 46986794 2417235 2137244 279991 43704869 30183228 13521641 567982 0 567982 63468154 INTERCOMPANY RECEIVABLES 39214142 Interest in investments held by Ascension Health Alliance 589633191 Donor Restricted Assets 208962 Other Assets 89107 Receivable from third party program 231273 629376675 Other Liabilities 5326099 INTERCOMPANY PAYABLES 35105757 Due to third party programs 3521438 Intercompany debt with Ascension Health Alliance 20477541 64430835 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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. true true X true X 250 true X true true true false true true 1199402 1199402 0.0090 15813352 7871070 7942282 0.0593 0 0.0 0 0 17012754 7871070 9141684 0.0682 10 2541 35388 35388 0.0003 2 347 62187 62187 0.0005 0 0.0 1 497 220057 220057 0.0016 6 12051 420854 420854 0.0031 19 15436 738486 0 738486 0.0055 19 15436 17751240 7871070 9880170 0.0737 0 0.0 1 685 8219 8219 0.0001 0 0.0 0 0.0 0 0.0 1 790 1385 1385 0.0000 1 0 365 365 0.0000 0 0.0 0 0.0 3 1475 9969 0 9969 0.0001 false 1755512 526653 30009995 35964078 -5954083 X true true CARMEL AMBULATORY SURGERY CENTER LLC SURGERY CENTER 0.51 0.49 COMFORT IMAGING LLC IMAGING SERVICES - MRI 0.1667 0.8333 ENDOSCOPY CENTER LLC ANCILLARY SERVICES 0.51 0.49 1 1 St Vincent Carmel Hospital Inc 13500 N Meridian Street Carmel IN 46032 http://www.stvincent.org 14-003932-1 X X X St Vincent Carmel Hospital Inc 1 false false true X X X X X X X X X 15 true true false true X http://www.stvincent.org/how-we-are-different/community-assessment X true 15 true http://www.stvincent.org/how-we-are-different/community-assessment false false true X 250.0 400.0 X true true X X X true X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - St.Vincent Carmel Hospital, Inc.. In conducting its CHNA, the hospital facility took into account input from representatives of the community as well as those with special knowledge or expertise in public health. These included Board of Directors for St. Vincent Fishers Hospital, Carmel Fire Department, Carmel Police Department, Central Indiana Community Foundation, Fishers Fire Department, Fishers United Methodist Church, Fishers YMCA, Good Samaritan Network of Hamilton, Inc., Hamilton County Health Department, Heart And Soul Clinic, Purdue Extension, Prevail, Inc., St. Vincent Fishers Hospital, Trinity Free Clinic, and United Way Central Indiana. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - St. Vincent Carmel Hospital, Inc.. The hospital conducted its CHNA in conjunction with St. Vincent Heart Center of Indiana, LLC, St. Vincent Fishers Hospital, Community Health Network, Franciscan Health and Indiana University Health. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - St. Vincent Carmel Hospital, Inc.. Implementation Strategy Using the CHNA completed in fiscal year 2013, the hospital developed a 2014-2016 Implementation Strategy to address priority community health needs. These strategies include: 1. Mental Health SV Carmel has included integrative therapy into many departments in the hospital and reached out to the community to promote aroma therapy to nursing homes. SV Carmel has also been a part of an Integrative Therapy Coalition which includes Memorial Hospital - Jasper, St. Mary's - Evansville, University of Southern Indiana, and the Order of St. Benefit Sisters. This coalition hosted workshops which focused on the ways to incorporate this special therapy in the hospital and community. SV Carmel also has completed 5 presentations to Carmel Middle School, Clay Middle School, and Creekside Middle School on anxiety and suicide prevention. SV Carmel has participated in the Hamilton County Resource & Health Fair for several years. The booths have focused on relieving stress through aroma therapy, provided oranges to promote healthy eating, and provided brochures on all the extracurricular activities like fitness classes, boxing classes, trampoline classes, etc. in Hamilton County. There have been a total of five families that participated in the LIFE for Kids Program. SV Carmel has participated in the Carmel Elementary School's Family Fun Nights. The booths focus on nutrition and weight management. Through the new PHHC, SV Carmel has participated in the Hamilton County Ministerial Breakfasts. The biggest challenge for ministers is behavioral/mental health issues. So, Aspire, a mental health agency has been the key note speaker on several occasions. 2. Substance Abuse/Alcohol Consumption SV Carmel did not create materials; however, SV Carmel is a part of a collaborative called Partnership for a Healthy Hamilton County which will be focusing on mental health and substance abuse. SV Carmel donates funds to support this effort. SV Carmel provides support for Alcoholics Anonymous and Narcotics Anonymous with space to hold meetings. The organizations conduct approximately 12 meetings a year. See the mental health section for discussion about integrative therapy. SV Carmel supports many organizations that focus on mental health including Chaucie's Place which trains adults through prevention programs on child sexual abuse. SV Carmel Pharmacist participated in a committee for the IDEM (Indiana Department of Environmental Management) and DEA (Drug Enforcement Administration) to deal with the issue of disposing of prescription drugs including controlled substances in our community. The Fishers Police Department is a permanent drop off site in Hamilton County, open 24 hours, 7 days a week. There are special events for drop off days such as the SV Carmel Safety Day. There is a handout on safe ways to dispose of drugs also. 3. Transportation SV Carmel supports organizations such as PrimeLife Enrichment through its community funding process. With this funding, PrimeLife Enrichment is able to offer a transportation program which provided over 39,000 rides over the last three years. The Hamilton County Transit Forum is working to create a design plan for routes, budget, and communication plan for public transportation in Hamilton County. This plan will be a referendum item on next year's ballot. The St. Vincent FY 2017-2019 Implementation Strategy specifically addresses the following three System Wide Health Improvement Priorities: 1) Access to Health Services St Vincent Carmel will use the RUAH Pathway Program to increase its reported number of completed pathways (i.e., verification from FSSA) in FY 2015 by 5% each year for FYs 2017-2019. Achieving this goal will contribute to the percentage of people who have health insurance in Hamilton County. Specific action steps include the following: HAW assesses for eligibility and educates individuals about coverage options; HAW submits application and works through any issues or delays; and HAW verifies eligibility in order to complete the Pathway. 2) Exercise, Nutrition & Weight St. Vincent Carmel will partner with a school and a food source to provide eligible students with a weekend backpack of nutritious food throughout the school year in order to reduce the school's number of families in FY 2018 who are food insecure (based on survey responses) by 5% at the end of FY 2019 (June 30, 2019). (NOTE: FY 2017 is the planning year for the program.) Specific action steps include the following: complete the Weekend Feeding Program Preparation Checklist; meet with all stakeholders to determine program logistics; plan the specifics of the program's protocol; make final preparations for the program's "go live" date in FY 2018; and distribute and collect surveys, enter survey data into software at the beginning and end of the school year (twice a year in FY 2018 and FY 2019). 3) Behavioral Health St. Vincent Carmel will offer Rx for Change training at no charge to anyone who works in a health care setting to increase the proportion of training participants who screen and refer to the Indiana Tobacco Quitline by 10% by the end of FY 2019 (June 30, 2019). Achieving this goal will contribute to the percentage of tobacco users who have been screened and referred to the Indiana Tobacco Quitline. Specific action steps include the following: complete the Provider Training Checklist - Action Step #1; plan at least two Rx for Change trainings in the community in FY 2018 and ensure continuing education credits are available, if applicable (See Provider Training Checklist - Action Step #2); develop a strategy to promote trainings to the community; promote and offer at least two Rx for Change trainings at no charge to your community in FY 2018; enter FY 2018 baseline survey data into database within two weeks of each training; for FY 2019 - Repeat Action Steps #2-4 to plan, develop, and promote and offer at least two Rx for Change trainings at no charge to the community in FY 2019; and enter FY 2019 baseline survey data into database within two weeks of each training. Needs That Will Not Be Addressed The hospital is committed to improving community health by directly, and indirectly, addressing prioritized health needs. However, certain factors impact the hospital's ability to fully address all priority health needs. The needs listed below are not included in the hospital's implementation strategy plan for the following reasons: Transportation - This identified health need is not being monitored and evaluated in the Implementation Strategy due to limitations within the hospital's financials and human resources. However, St. Vincent Carmel supports the transportation service that is offered through PrimeLife Enrichment and has supported Partnership for a Healthy Hamilton County and other organizations that are focusing on this issue. Older Adults & Aging - This issue is being addressed in the Access to Health Services priority. Schedule H, Part V, Section B, Line 22 Facility , 1 Facility , 1 - St.Vincent Carmel Hospital, Inc. The discount was determined by reviewing the lowest discount provided to managed care payers that comprise at least 3% of our volume with an added prompt pay discount to the highest paid discount provided to our managed care payers. 0 Schedule H, Part I, Line 7 Community Benefit Overview St. Vincent Carmel Hospital is part of St. Vincent, a non-profit healthcare system consisting of 20 locally-sponsored ministries serving over 57 counties throughout Central Indiana. Sponsored by Ascension Health, the nation's largest Catholic healthcare system, St. Vincent is one of the largest healthcare employers in the state. As part of St. Vincent, the St. Vincent Carmel 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 Carmel associates and others. Working with its partners, and utilizing the CHNA completed every three years, St. Vincent Carmel Hospital is committed to addressing community health needs and developing and executing an implementation strategy to meet identified needs to improve health outcomes within the community. Community benefit is not the work of a single department or group within St. Vincent Carmel, but is part of the St. Vincent mission and cultural fabric. The hospital leadership team provides direction and resources in developing and executing the Implementation Strategy in conjunction with the St. Vincent Community Development & Health Improvement & Health Improvement Department, but associates at all levels of the organization contribute to community benefit and health improvement. Schedule H, Part I, Line 7 Charity Care and Certain Other Community Benefits at Cost Patient Services for Poor and Vulnerable Hospital and outpatient care is provided to patients that cannot pay for services, including hospitalizations, surgeries, prescription drugs, medical equipment and medical supplies. Patients with income less than or equal to 250% of the Federal Poverty level (FPL) will be eligible for 100% charity care write off on that portion of the charges for services for which the patient is responsible following payment by an insurer, if any. At a minimum, patients with incomes above 250% of the FPL, but not exceeding 400% of the FPL, will receive a sliding scale discount on that portion of the charges for services provided for which the patient is responsible following payment by an insurer, if any. A patient eligible for the sliding scale discount will not be charged more than the calculated AGB (amounts generally billed) charges. Patients with demonstrated financial needs with income greater than 400% of the FPL may be eligible for consideration under a "Means Test" for some discount of their charges for services from the organization based on a substantive assessment of their ability to pay. Maximum owed by any patient per episode of care or account is 10% of gross household income. Hospital financial counselors and health access workers assist patients in determining eligibility and in completing necessary documentation. St. Vincent Carmel Hospital is committed to 100% access, and is proactive in providing healthcare that leaves no one behind. Public Program Participation St. Vincent Carmel Hospital participates in government programs including Medicaid, SCHIP (Hoosier Healthwise), Healthy Indiana Plan (HIP), the Health Insurance Marketplace and Medicare and assists patients in enrolling for programs for which they are eligible. Per Catholic Health Association guidelines and St. Vincent's conservative approach, Medicare shortfall is not included as community benefit. Community Health Needs Assessment True community benefit responds to the particular needs and challenges of the community, building on its unique strengths and assets. The hospital leads a community health needs assessment every 3 years. Using a variety of tools, including surveys, key person interviews, focus groups, secondary data, and data analysis professionals, the team identifies community issues and concerns. These are shared with the community at large, and a consensus is reached about priorities and available resources. To provide community input and a basis for collaboration within the community to address health needs, St. Vincent leads or participates in a community roundtable or forum. This group brings together individuals and organizations from throughout the community who share a common interest in improving health status and quality of life and provide expertise in a variety of community areas including public health. Mental health, substance abuse/alcohol consumption, and transportation have all been identified as key community needs. Healthy Baby Program St. Vincent Carmel Hospital monetarily supports the BABE (Beds and Britches, Etc.) Store. The BABE Store's mission is to educate and inform pregnant women about positive health options for infants and young children. The BABE Store uses a coupon exchange system to provide new baby and child items. Parents of babies and young children through 5 years of age may earn coupons from various coupon distributors throughout the county by fulfilling certain requirements, such as immunizations, well child visits, and nutrition educational activities provided by Purdue Extension. Weight Management/Nutrition Support Group Obesity has emerged as the second leading cause of preventable deaths in America today. Many of these individuals have tried multiple weight-loss programs and surgical interventions as a means of losing the weight necessary to lead healthy and productive lives. As a Center of Excellence in the area of Bariatric Surgery, St. Vincent Carmel Hospital has developed outreach programs for individuals who are experiencing weight related health issues. Through classes and support groups, individuals are better able to change their lifestyle, habits and activities to achieve success in their weight loss endeavors. Health Professions Clinical Training In an effort to prepare future healthcare professionals, St. Vincent Carmel Hospital offers a variety of clinical settings and internships to undergraduate and vocational allied health professionals from Indiana University, Harrison and Walden. Health Fairs and Screenings St. Vincent Carmel Hospital participates in several health fairs and screenings throughout the year. Health information and preventive services material are a vital part of health fairs and screenings. Also, participants can be tested for blood pressure, cholesterol, pulmonary function, oxygenation and more at low or no cost. St. Vincent Carmel participated in these health fairs in fiscal year 2016; Zionsville High School, Hamilton County, WTHR, and Carmel Safety Day. In addition to health fairs and screenings, St. Vincent Carmel Hospital provided medical support for the Geist Half Marathon and the Carmel Marathon. Senior Support St. Vincent Carmel Hospital supports PrimeLife Enrichment, Inc., a senior organization for those aged 50 and older, each year to provide scholarships for low income individuals focusing on wellness and physical fitness activities. Community Free Clinics St. Vincent Carmel Hospital provides support for several local area free clinics including the HOPE Family Care Center, Inc., Heart and Soul Clinic, and Trinity Free Clinic. These clinics serve the indigent, uninsured and underserved populations in Hamilton County. St. Vincent Carmel has partnered with Trinity Free Clinic since its inception. The Trinity Free Clinic is located at Our Lady of Mount Carmel Catholic Church. Nine full-time, paid staff and an abundant amount of volunteer healthcare professionals manage the facility. It is a fine-tuned grassroots effort. Beyond monetary donations, St. Vincent Carmel associates provide health assessments, immunizations, health education and primary care throughout the year. Donations of medications, vaccines, and medical supplies are also made to this clinic. Food Security St. Vincent Carmel Hospital and First United Methodist Church have provided donations and referral services in Sheridan, Indiana through Mama's Cupboard food pantry for more than 12 years. Donations given out to the community include non-perishable food items, personal hygiene, baby, cleaning and paper products. St. Vincent Carmel's yearly financial contribution supports a program coordinator and a percentage of the utilities to help the most vulnerable in this rural part of Hamilton County. Meals on Wheels Partnership In keeping with the mission to care for the poor and vulnerable, St. Vincent Carmel Hospital partners with Meals on Wheels of Hamilton County to deliver nutritious meals to homebound persons who cannot prepare adequate meals for themselves due to illness, age, or disability. Many meals are prescribed diets by a medical doctor. Community Benefit Cash and In-Kind Contributions In addition to the outreach programs operated by the hospital, the hospital makes cash and in-kind donations to a variety of community organizations focused on improving health status in the community. These take the form of cash donations to outside organizations, the donation of employee time/services to outside organizations and the representation of the hospital on community boards and committees working to improve health status and quality of life within the community. Schedule H, Part II COMMUNITY BUILDING ACTIVITIES Research shows that social determinants and quality of life play a major role in the health status of individuals and communities. Community building activities, which focus on improving the quality of life within a community, ultimately influence and improve health status. Car Seat Program St. Vincent Carmel Hospital supports the Carmel Police Department program to provide car seat inspections by certified child passenger safety technicians. The technicians check the child restraints for damage/recalls, determine if the restraint fits the child correctly, educate parents on proper installation in the vehicle and answer any questions they may have. All stages and sizes of child restraints are inspected. The technicians also determine if an older child could be restrained properly by the vehicle safety belt or if a booster seat is needed. All inspections are free of charge. Replacement seats are available at manufacture's cost if needed. If financial need is demonstrated, child restraints are provided at no cost. One Zone and Westfield Chamber of Commerce One Zone is the culmination of the Carmel and Fishers Chambers of Commerce. This organization was created to highlight and support businesses in Hamilton County. Thriving businesses create more jobs which creates a stronger and healthier community. As one of the large businesses in Hamilton County, St. Vincent Carmel must play a leadership role in workforce issues in their county. St. Vincent Carmel is a member of One Zone and the Westfield Chamber of Commerce. Community Building Cash and In-Kind Contribution The hospital makes cash and in-kind donations to a variety of community organizations focused on building the community and improving quality of life. These take the form of cash donations to outside organizations, the donation of employee time/services to outside organizations and the representation of the hospital on community boards and committees working to improve infrastructure for the community. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The cost of providing charity care, means-tested government programs, and other 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. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount 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. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2016 was $7,492,324 at charges, ($1,755,512 at cost). Schedule H, Part III, Line 3 Bad Debt Expense Methodology The provision for doubtful accounts is based upon management's assessment of expected net collections considering economic conditions, historical experience, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote The organization is part of the St. Vincent consolidated audit which includes a footnote describing bad debt expense on page 18. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs A cost-to-charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its 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. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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. Schedule H, Part VI, Line 2 Needs assessment Communities are dynamic systems in which multiple factors interact to impact quality of life and health status. In addition to the formal CHNA conducted every 3 years, St. Vincent Carmel Hospital helps to lead a community roundtable called Partnership for a Healthy Hamilton County whose purpose is to assess needs within the community, prioritize action and work in partnership to address identified challenges. The coalition works closely with its member organizations which come from multiple sectors of the community, including local government, business, education, faith communities, public health, health care providers and other social and human service organizations. In addition, the coalition works closely with other coalitions as well as the local and state health departments to stay abreast of changing needs within the community and to identify evidence-based and promising practices to address these needs. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance St.Vincent Carmel Hospital communicates with patients in multiple ways to ensure that those who are billed for services are aware of the hospital's financial assistance program as well as their potential eligibility for local, state or federal programs. Signs are prominently posted in each service area, and bills contain a formal notice explaining the hospital's charity care program. In addition, the hospital employs financial counselors, health access workers, and enrollment specialists who consult with patients about their eligibility for financial assistance programs and help patients in applying for any public programs for which they may qualify. Schedule H, Part VI, Line 4 Community information St. Vincent Carmel Hospital is located in Carmel, Indiana and serves Hamilton and contiguous counties, in Central Indiana. Hamilton County has an estimated population of 309,697. Per capita personal income and median household income are above state averages. The poverty rate for Hamilton County is 4.9. The majority race is white which makes up 87.8% of the population, followed by Asians at 5.9%. Hispanics comprise 3.9% of the population. Median age for the county is 36.6 years. Schedule H, Part VI, Line 5 Promotion of community health St. Vincent Carmel Hospital promotes the health of its communities by striving to improve the quality of life within the community. Research has established that factors such as economic status, employment, housing, education level, and built environment can all be powerful social determinants of health. Additionally, helping to create greater capacity within the community to address a broad range of quality of life issues also impacts health. St. Vincent Carmel Hospital meets regularly with local organizations in the community to learn what resources are available and plan community health improvement efforts. In fiscal year 2016, these organizations included: Carmel Police Department, Chaucie's Place, and Creating Positive Relationships. Schedule H, Part VI, Line 6 Affiliated health care system As part of St. Vincent, St. Vincent Carmel Hospital is dedicated to improving the health status and quality of life for the communities it serves. While designated associates at St. Vincent Carmel Hospital devote all or a significant portion of their time to leading and administering local community-based programs and partnerships, associates throughout the organization are active participants in community outreach. They are assisted and supported by designated St. Vincent Community Development & Health Improvement & Health Improvement associates and other support staff who work with each of its healthcare facilities to advocate for and provide technical assistance for community outreach, needs assessments and partnerships as well as to support regional and state-wide programs, community programs sponsored by St. Vincent in which St. Vincent Carmel Hospital participates. true Carmel Police Department Child Safety Seat Program 1 Civic Square Carmel IN 46032 356000972 GOVERNMENTAL ENTITY 6250 Cash donations First United Methodist Church 107 N College Street Franklin KY 42134 351312418 501(c)(3) 7700 Cash donations Good Samaritan Network of Hamilton County 12993 Parkside Drive Fishers IN 46038 204371453 501(c)(3) 39625 Cash donations Heart and Soul Clinic Inc 202 Penn Street Westfield IN 46074 800390182 501(c)(3) 9625 Cash donations Hope Family Care Center Inc 2800 E Linwood Blvd Kansas City MO 64128 201687708 501(c)(3) 24750 Cash donations Mama's Cupboard 206 E 2nd Street Sheridan IN 46069 272835392 501(c)(3) 22220 Cash donations PrimeLife Enrichment Center 1078 Third Avenue SW Carmel IN 46032 351411017 501(c)(3) 50000 Cash donations Trinity Free Clinic Inc 14598 Oak Ridge Rd Carmel IN 46032 352120420 501(c)(3) 68750 Cash donations YMCA of Greater Indianapolis - Fishers - BASC 615 N Alabama Suite 200 Indianapolis IN 46204 350868211 501(c)(3) 13750 Cash donations Carmel Fire Department Mobile Integrated Health Program 2 Civic Square Carmel IN 46032 356000972 GOVERNMENTAL ENTITY 50000 Cash donations Chaucie's Place 1118 W Main Street Carmel IN 46032 352072683 501(c)(3) 6250 Cash donations Creating Positive Relationship 160 W Carmel Drive Carmel IN 46032 351859955 501(c)(3) 6630 Cash donations 12 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The finance committee ensures that funds are distributed appropriately according to Ascension Health's strategic business plan and consistent with corporate policies and procedures. false true false false false false false false false MICHAEL D CHITTENDEN DIRECTOR/PRESIDENT 384084 0 136396 0 49622 0 17225 0 34312 0 621639 0 0 0 MICHAEL L MULLINS DIRECTOR 0 499876 0 169205 0 5384 0 13250 0 29340 0 717055 0 0 ROBERT A BATES CFO 191553 0 48328 0 1194 0 13821 0 28758 0 283654 0 0 0 GWYNN L PERLICH CNO 192127 0 47284 0 848 0 14429 0 18243 0 272931 0 0 0 STEVEN L PRIDDY MD CMO 379599 0 92484 0 5091 0 17225 0 19137 0 513536 0 0 0 AMY HOLLAND MD PHYSICIAN 181079 119549 74645 78191 181 122 10928 1730 11144 7085 277977 206677 0 0 KEM TEMPLETON NEONATOLOGIST 285088 0 22626 0 1359 0 17225 0 32025 0 358323 0 0 0 RAJAN S KHERADIYA MD PHYSICIAN 235413 0 33797 0 173 0 13620 0 24911 0 307914 0 0 0 ANNE Z MARNOCHA MD NEONATOLOGIST 274048 0 29513 0 1938 0 17225 0 29822 0 352546 0 0 0 CATHERINE L WATTS MD NEONATOLOGIST 232518 0 29513 0 1060 0 14011 0 14547 0 291649 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation St. Vincent Health, Inc., a related organization of St. Vincent Carmel Hospital, Inc., used the following methods 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. No payments were made to listed persons in Part VII under the various non-qualified deferred compensation plans during the year. Form 990, Part IV, Line 24a Tax Exempt Bond Issuance St.Vincent Carmel Hospital, Inc. is a health facility that is part of Ascension Health System. Ascension Health is the borrower for tax exempt hospital revenue bonds. St.Vincent Carmel Hospital, Inc. holds an intercompany note payable with Ascension Health, and this information is reported on the balance sheet. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons MICHAEL D CHITTENDEN (ST.VINCENT CARMEL HOSPITAL, INC.'S PRESIDENT), ROBERT A BATES (ST.VINCENT CARMEL HOSPITAL, INC.'S CFO) & STEVEN PRIDDY, MD (ST.VINCENT CARMEL HOSPITAL, INC.'S CMO) ARE ALSO DIRECTORS OF CARMEL AMBULATORY SURGERY CENTER, LLC. AND ENDOSCOPY CENTER, LLC., WHICH ARE BOTH TREATED AS PARTNERSHIPS FOR INCOME TAX PURPOSES. - Business relationship Form 990, Part VI, Line 6 Classes of members or stockholders St.Vincent Carmel Hospital, Inc. has a single corporate member, St.Vincent Health, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body St.Vincent Carmel 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 Carmel Hospital, Inc. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders All decisions that have a material impact to St.Vincent Carmel Hospital, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, St.Vincent Health, Inc. Form 990, Part VI, Line 11b Review of form 990 by governing body Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form 990 to a designated committee of the Board to review and answer any questions. Prior to filing the returns, all Board members are provided the Form 990 and management team members are available to answer any Board member questions. Form 990, Part VI, 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 15b Process to establish compensation of other employees Compensation determinations of St.Vincent Carmel Hospital, Inc.'s CEO, executive director, or top management official is made by St.Vincent Health, Inc.'s management. The process includes a review and approval by independent persons and comparability data. In review of the compensation, the CEO, executive director, and top management were compared to other hospitals in the area that hold the same position. Compensation determinations of St.Vincent Carmel Hospital, Inc.'s other officers or key employees are made by St.Vincent Carmel Hospital, Inc.'s management. 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. In the review of the compensation, the other officers or key employees of the organization were compared to other hospitals' employees in the area that hold the same position. Form 990, Part VI, Line 19 Required documents available to the public The organization will provide any documents open to public inspection upon request. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Transfer to Affiliate - -74192941; Distributions of Capital Noncontrolling Interest - -11133789; Other - -23; 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 true REHABILITATION HOSPITAL OF INDIANA INC 4141 SHORE DRIVE INDIANAPOLIS IN 46254 351786005 REHABILITATION HOSPITAL IN 501(c)(3 3 ST VINCENT HEALTH INC 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 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 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 true ST VINCENT ANDERSON REGIONAL HOSPITAL INC 2015 JACKSON STREET ANDERSON IN 46016 460877261 HOSPITAL IN 501(c)(3 3 ST VINCENT HEALTH INC 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 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 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 true ST VINCENT FISHERS HOSPITAL INC 13861 OLIO ROAD FISHERS IN 46037 454243702 HOSPITAL IN 501(c)(3 3 ST VINCENT HEALTH INC 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 true ST MARY'S WARRICK HOSPITAL INC 1116 MILLIS AVENUE BOONVILLE IN 47601 351343019 HOSPITAL IN 501(c)(3 3 ST MARY'S HEALTH INC 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 true ST MARY'S MEDICAL GROUP LLC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 261356310 PHYSICIAN PROFESSIONAL SERVICES IN 501(c)(3 9 ST MARY'S HEALTH INC true PRIMARY PHYSICIAN NETWORK LLC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 208775914 DORMANT IN 501(c)(3 9 ST MARY'S HEALTH INC true ST MARY'S HEALTH INC 3700 WASHINGTON AVENUE EVANSVILLE IN 47750 350869065 HOSPITAL IN 501(c)(3 3 ST VINCENT HEALTH INC true ENDOSCOPY CENTER LLC 13421 OLD MERIDIAN STREET STE 150 CARMEL IN 46032 320029881 ENDOSCOPY CENTER IN STVINCENT CARMEL HOSPITAL INC Related 2532677 948947 0.51 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 STVINCENT CARMEL HOSPITAL INC Related 8895467 3113114 false true 0.51 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 ST MARY'S MEDICAL GROUP INC 3700 WASHINGTON AVE EVANSVILLE IN 47750 352076827 INVESTMENT IN NA C Corporation true false false true false false false false false false false false false false false false false true false STVINCENT HOSPITAL FOUNDATION INC C 59500 FAIR MARKET VALUE STVINCENT MEDICAL GROUP INC R 2400000 FAIR MARKET VALUE